Quality Improvement in University Counseling Centers

University Counseling Centers (UCCs) experience high clinical demands and severe client presentations leaving counselors with limited time and resources to evaluate delivery of services. In this article, we present clinician-friendly quality improvement (QI) strategies used at a large Midwestern university and provide recommendations for implementing QI programs at other UCCs even as their resources may vary. With counselor-led efforts examining and evaluating services, UCCs can use QI programs to inform and improve counseling practices as well as advise university administrators about the positive outcomes of the center’s work.     

Bridging research and practice: challenges and successes in implementing evidence-based preventive intervention strategies for child maltreatment

Child maltreatment has been associated with a wide range of negative developmental outcomes for children and families as well as significant economic consequences. While efficacious intervention strategies have been demonstrated to reduce symptoms of trauma and to improve behavioral and emotional functioning, these models have not been widely adopted by clinicians. The challenges associated with exporting evidence-based interventions into community settings are discussed, along with an example of a preventive intervention program for young mothers, successfully implemented through a partnership of community agencies and funders.     

Memory, maternal representations, and internalizing symptomatology among abused, neglected, and nonmaltreated children

A depth-of-processing incidental recall task for maternal-referent stimuli was utilized to assess basic memory processes and the affective valence of maternal representations among abused ( N  = 63), neglected ( N  = 33), and nonmaltreated ( N  = 128) school-aged children (ages 8–13.5 years old). Self-reported and observer-rated indices of internalizing symptoms were also assessed. Abused children demonstrated impairments in recall compared to neglected and nonmaltreated children. Although abused, neglected, and nonmaltreated children did not differ in valence of maternal representations, positive and negative maternal schemas related to internalizing symptoms differently among subgroups of maltreated children. Valence of maternal schema was critical in differentiating those with high and low internalizing symptomatology among the neglected children only. Implications for clinical intervention and prevention efforts are underscored.     

True and false memories in maltreated children

Differences in basic memory processes between maltreated and nonmaltreated children were examined in an experiment in which middle-socioeconomic-status (SES; N = 60), low-SES maltreated (N = 48), and low-SES nonmaltreated (N = 51) children (ages 5-7, 8-9, and 10-12 years) studied 12 Deese-Roediger-McDermott lists. Using recall and recognition measures, the results showed that both true and false memories increased with age and, contrary to some speculation, these trends did not differ as a function of maltreatment status. However, there were differences in overall memory performance as a function of SES. These results are discussed in the broader framework of children's memory development and the effects of the chronic stress associated with child maltreatment on basic memory processes.     

The Differential Impacts of Early Physical and Sexual Abuse and Internalizing Problems on Daytime Cortisol Rhythm in School-Aged Children

The impact of early physical and sexual abuse (EPA/SA) occurring in the first 5 years of life was investigated in relation to depressive and internalizing symptomatology and diurnal cortisol regulation. In a summer camp context, school-aged maltreated ( n  =   265) and nonmaltreated ( n  =   288) children provided morning and late afternoon saliva samples on 5 consecutive days. Child self-report and adult observer reports of child internalizing and depressive symptoms were obtained. Children experiencing EPA/SA and high depressive or internalizing symptoms uniquely exhibited an attenuated diurnal decrease in cortisol, indicative of neuroendocrine dysregulation. These results were specific to EPA/SA rather than later onset physical or sexual abuse or early occurring neglect or emotional maltreatment.     

Identifying the potential organizational impact of an educational peer review program

The literature on educational peer review (EPR) has focused on evaluating EPR's impact on faculty and/or student learning outcomes; no literature exists on the potential organizational impact. A qualitative (case study) research design explored perceptions of 17 faculty and 10 administrators within a school of nursing in an Ontario university regarding the potential impact of an EPR program on organizational goals. Findings suggested that the implementation of an EPR program may increase consistency in the delivery of the curriculum, provide opportunities for faculty development, act as a method of teaching evaluation, and enhance faculty retention. Higher education institutions may be more likely to provide the resources required for EPR if the organizational benefits can be demonstrated.

La documentation au sujet de “l'évaluation éducative par les pairs” (educational peer review) (EPR) est centrée sur l'étude d'impact de l'EPR sur les objectifs d'apprentissage (learning outcomes) des enseignants et/ou des étudiants; il n'existe aucune documentation portant sur l'impact organisationnel potentiel. Cette recherche qualitative (études de cas) a permis d'explorer les perceptions à l'égard de l'impact potentiel d'un programme d'EPR sur les objectifs organisationnels de 17 enseignants et 10 administrateurs provenant d'une école de sciences infirmières rattachée à une université de l'Ontario (Canada). Les résultats suggèrent que l'implantation d'un programme d'EPR peut accroître la constance de mise en ?uvre du cursus, fournir des occasions de développement pédagogique, servir de méthode d'évaluation de l'enseignement, et améliorer la rétention du corps enseignant. Les institutions d'enseignement supérieur seront peut‐être davantage susceptibles de fournir les ressources nécessaires à l'EPR si l'on peut faire la preuve de ses bénéfices organisationnels.     

Designing Blended Inquiry Learning in a Laboratory Context: A Study of Incorporating Hands-On and Virtual Laboratories

This article reports on the development of a methodology that integrates virtual and hands-on inquiry in a freshman introductory biology course. Using a two time × two order-condition design, an effective combination (blend) of the two environments was evaluated with 39 freshman biology participants. The quantitative results documented no significant effect of presentation order but demonstrated a significant effect of the combined learning experience. The qualitative results showed a strong preference by students for the virtual work preceding the hands-on laboratory. The study provides practitioners an effective alternative to traditional instructional practices by combining virtual and hands-on inquiry learning.