Barry A. Schreier, Cari L. Anderson, P. Galligan, Brittany Greenbaum, J. Corkery, Teri Schnelle, Chelsey Gates, Jung Eui Hong, D. Kivlighan
{"title":"Embedded Therapists: Who Do They Serve? How are They Funded? And Where are They Housed? A Foundational Survey of Emerging Models","authors":"Barry A. Schreier, Cari L. Anderson, P. Galligan, Brittany Greenbaum, J. Corkery, Teri Schnelle, Chelsey Gates, Jung Eui Hong, D. Kivlighan","doi":"10.1080/87568225.2021.1913686","DOIUrl":"https://doi.org/10.1080/87568225.2021.1913686","url":null,"abstract":"ABSTRACT With the rise in demand for mental health services on college and university campuses, counseling centers have engaged in numerous creative methods to expand services to meet these increasing demands. One approach within campus counseling centers, with promise, is embedded therapists. Despite the increasing application of embedded therapists, there is a paucity of research to inform the development and implementation of this innovative service method on college and university campuses. This study serves as a foundational survey of college and university counseling centers’ embedded therapists to establish foundational data on defining features of emerging embedded models. Data for this study consisted of 39 college and university counseling center directors who provided information on 105 embedded therapists via a Qaultrics survey. Embedded therapists differed regarding who they served, where they were housed, source of funding, and various other system-level factors. The results of this study are discussed regarding commonalities and differences across emerging models of embedded programs.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"2 1","pages":"144 - 154"},"PeriodicalIF":1.4,"publicationDate":"2021-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78379037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nathan M. Hager, R. Cramer, A. Kaniuka, Tancy Vandecar-Burdin, Nancy L Badger, Angela M. Holley, Jennifer Foss, C. Glenn, Sarah Judd, Gabrielle South, M. Judah
{"title":"An Evaluation of the Core Competency Suicide Prevention Training Program for University Health Service Providers","authors":"Nathan M. Hager, R. Cramer, A. Kaniuka, Tancy Vandecar-Burdin, Nancy L Badger, Angela M. Holley, Jennifer Foss, C. Glenn, Sarah Judd, Gabrielle South, M. Judah","doi":"10.1080/87568225.2021.1911726","DOIUrl":"https://doi.org/10.1080/87568225.2021.1911726","url":null,"abstract":"ABSTRACT Despite advances in suicide risk assessment and intervention, evidence-based suicide prevention training for university health service providers is still lacking. This study evaluated the core competency model of suicide prevention training for an interdisciplinary sample of university counseling and student health providers (N = 21). Training was delivered in a half-day workshop format. Participants completed a pre-post training assessment survey. Student health provider risk screening practices were also assessed in the time-period preceding and following training implementation. Consistent with expectations, training yielded significant and robust improvements in providers’ perceived suicide prevention skills and suicide prevention knowledge. However, suicide prevention attitudes and clinical response recognition did not reliably improve. Training was also associated with a greater frequency of student health service providers’ mental health screening administration. The core competency model demonstrates promise as an evidence-informed training program for university counseling center and student health providers.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"42 1","pages":"127 - 143"},"PeriodicalIF":1.4,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88655775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Allison J. Lockard, Brett E Scofield, Rebecca A. Janis, Andrés E. Pérez-Rojas, Ashley L. Stauffer, Theodore T. Bartholomew, Brittany E. Gundel, Benjamin D. Locke
{"title":"Initial Distress, Changes in Distress, and Reasons for Ending Therapy in Clients Affected by Sexual Trauma","authors":"Allison J. Lockard, Brett E Scofield, Rebecca A. Janis, Andrés E. Pérez-Rojas, Ashley L. Stauffer, Theodore T. Bartholomew, Brittany E. Gundel, Benjamin D. Locke","doi":"10.1080/87568225.2021.1907640","DOIUrl":"https://doi.org/10.1080/87568225.2021.1907640","url":null,"abstract":"ABSTRACT This study compared pre-treatment distress and the changes in that distress over the course of therapy between sexual trauma clients and non-sexual trauma clients. Reasons for therapy ending were also examined. Data for this study were collected at 139 university counseling centers. Psychological distress was measured using the Counseling Center Assessment of Psychological Symptoms; presenting concerns were determined using the Clinician Index of Client Concerns; and reason for end of treatment was measured using a standardized Termination Form. MANOVA was utilized to test differences in psychological distress at the start of therapy and a MANCOVA was used to examine psychological distress over the course of therapy. Chi-square tests were used to examine if different reasons existed for why treatment ended. Clients that experienced sexual trauma presented to treatment with significantly higher levels of distress but demonstrated greater distress change. No statistical differences in reasons associated with the end of treatment.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"60 1","pages":"87 - 105"},"PeriodicalIF":1.4,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85867354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeremy J. Coleman, Joanna M Drinane, Jesse Owen, S. M. Kopta
{"title":"Establishing Expectations: Exploring Session Limits in University Counseling Centers","authors":"Jeremy J. Coleman, Joanna M Drinane, Jesse Owen, S. M. Kopta","doi":"10.1080/87568225.2019.1650680","DOIUrl":"https://doi.org/10.1080/87568225.2019.1650680","url":null,"abstract":"ABSTRACT University counseling centers (UCCs) are tasked with delivering effective mental health interventions amidst increasing enrollment and declining resources. A growing number of UCCs have implemented session limits to meet demand with limited resources. To further understand the impact of this trend, we examined data obtained from a nationwide sample of 15,802 clients seeking treatment from 580 therapists at 32 UCCs utilizing the Behavioral Health Measure-20 (BHM-20). We compared psychotherapy outcomes to the number of clinical staff at UCCs utilizing either explicitly defined session limits or ambiguously defined session limits. There was a significant interaction between the way the sample of UCCs defined annual session limits, number of staff, and therapy outcomes. Specifically, higher therapy outcomes were observed at UCCs with explicitly defined session limits and fewer available staff. The ratio of enrolled students to clinical staff was not a predictor of outcome. Implications for clinical practice and agency session limits policy are discussed.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"19 12","pages":"103 - 117"},"PeriodicalIF":1.4,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72615420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Mental Health Crisis: What Can We Learn from Cholera?","authors":"Lee N. Keyes","doi":"10.1080/87568225.2020.1727805","DOIUrl":"https://doi.org/10.1080/87568225.2020.1727805","url":null,"abstract":"Cholera arrived in England in 1831 when a ship full of sick sailors docked at Sunderland. Orders to quarantine the ship were ignored, and so it did not take long for the disease to claim 52,000 liv...","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"7 1","pages":"201 - 204"},"PeriodicalIF":1.4,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90037948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental Health, Life Satisfaction, Supportive Parent Communication, and Help-seeking Sources in the wake of COVID-19: First-generation College Students (FGCS) Vs. Non-first-generation College Students (non-FGCS)","authors":"Hyun Ju Jeong, Sujin Kim, Jungmin Lee","doi":"10.1080/87568225.2021.1906189","DOIUrl":"https://doi.org/10.1080/87568225.2021.1906189","url":null,"abstract":"ABSTRACT Using a cross-sectional survey (N = 1,225), this study examines the psychological well-being (stress, anxiety, depression), life satisfaction, supportive parent communication, and likelihood to seek mental and emotional support from different sources between FGCSs and non-FGCSs during the early period of the COVID-19 pandemic. Results show that while FGCSs and non-FGCSs report similar levels of stress and depression, FGCSs have higher anxiety and lower life satisfaction and supportive parent communication than non-FGCSs. Although supportive parent communication is negatively associated with stress, anxiety, and depression and positively associated with life satisfaction in both groups, these associations are stronger for FGCSs than non-FGCSs. Further, FGCSs are less likely to seek mental and emotional help from family and friends than non-FGCSs, while these help-seeking behaviors may mitigate their mental distress and enhance their life satisfaction. We address college mental disparity and highlight the lack of interpersonal support for FGCSs’ mental wellness during this health crisis.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"36 1","pages":"71 - 86"},"PeriodicalIF":1.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86904587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Flexible Care Model: Transformative Practices for University Counseling Centers","authors":"William D. Meek","doi":"10.1080/87568225.2021.1888365","DOIUrl":"https://doi.org/10.1080/87568225.2021.1888365","url":null,"abstract":"ABSTRACT College and university counseling centers have maintained core practices of advanced scheduling, thorough psychosocial assessment before treatment, and traditional 50-minute psychotherapy sessions since their inception in the mid-late 1900s. This approach has become challenged in the current university mental health landscape, which has seen a significant increase in demand for psychological treatment on campus, interest in rapid access to care, and long wait times for services. Drawing on principles from common factors research, multicultural psychology, and urgent care medicine, the Flexible Care Model embraces an alternative approach, with core practices that include same day access, variable session lengths, goal-focused counseling, and customizable follow-up plans. This article is an introduction to the model.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"16 1","pages":"1 - 10"},"PeriodicalIF":1.4,"publicationDate":"2021-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78327895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental Illness Public Stigma and Treatment Seeking among University Students","authors":"K. Gorman, Kathleen M. Brennan","doi":"10.1080/87568225.2021.1891006","DOIUrl":"https://doi.org/10.1080/87568225.2021.1891006","url":null,"abstract":"ABSTRACT While stigma is a complex, multidimensional concept, research regarding mental illness stigma has not been clearly defined or consistently measured across studies, thus limiting the broad application of this research. The current study examined the relationship between several dimensions of public stigma and treatment utilization for mental illness in a university student population. We found significant differences in public stigma endorsement among different treatment utilization groups. Perceptions of dangerousness to others and exclusionary sentiments were the two stigma variables that predicted treatment usage. The implications for using this information about stigma on a university campus are discussed.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"14 1","pages":"52 - 70"},"PeriodicalIF":1.4,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84519664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Community-Based Threat Assessment and Higher Education","authors":"David T. Okada, J. Pollard","doi":"10.1080/87568225.2020.1753609","DOIUrl":"https://doi.org/10.1080/87568225.2020.1753609","url":null,"abstract":"ABSTRACT Many studies and reports, both governmental and academic, plus legislation, have suggested and some mandated the establishment of threat assessment teams to protect campuses. These teams have proliferated across university, college and community college campuses nationally. Despite these efforts, targeted violence continues in our communities and on our campuses. The community in and around Salem, Oregon has instituted a community-based approach, the Willamette Valley Adult Threat Advisory Team, that is seen by many as the future of targeted mass violence prevention. We examine the advantages and benefits of incorporating a community-based approach to threat assessment. and explore the role higher education can play in those efforts.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"20 1","pages":"406 - 417"},"PeriodicalIF":1.4,"publicationDate":"2021-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77992005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaprea F. Johnson, Dana L. Brookover, NeShaun J Borden
{"title":"General Health and Depression Outcomes Related to Cumulative Indicators of Unmet Social Determinant of Health Needs for College Students","authors":"Kaprea F. Johnson, Dana L. Brookover, NeShaun J Borden","doi":"10.1080/87568225.2021.1881752","DOIUrl":"https://doi.org/10.1080/87568225.2021.1881752","url":null,"abstract":"ABSTRACT Unmet social determinants of health (SDOH) needs impact college students’ general and mental health, however research is lacking in the cumulative impact of unmet SDOH needs. Utilizing a cross-sectional research design, researchers investigated SDOH, depression, and mental and general health with college students (N = 301). Thirty-seven percent of the variance found in depression was accounted for by unmet SDOH needs and negative self-assessed general health (SAGH). As unmet SDOH needs increase, depression severity and negative SAGH also increase. Furthermore, students are 2.64 times more likely to have unmet SDOH needs, and 3.14 times more likely to have negative SAGH if in the moderate to severe depression group. College students are entering universities with more depression symptomology and our study found that factors related to social determinants of health may be a significant contribution. For college mental health professionals charged with preventing and treating mental health issues such as depression, increased attention to social factors is indicated.","PeriodicalId":45816,"journal":{"name":"JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY","volume":"13 1","pages":"370 - 391"},"PeriodicalIF":1.4,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82972658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}