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1.
Abstract

This study compared the delivery of psychological services at a university counseling center after an interval of almost 40 years in a partial replication of an earlier study at the same center. The results indicate that the changes that have occurred in service delivery reflect more the transitions in the culture of the university than trends in mental health treatment.  相似文献   

2.
Many counseling centers have session limits to accommodate the increasing number of clients who seek treatment. The current study explored clients' expectations for the number of sessions over the course of one year at a large university counseling center. In contrast to previous research that has suggested clients want ten or fewer sessions, our results suggest that over 60% of clients wanted 20 or more sessions. Moreover, clients who expected 20 or more sessions reported therapy was less effective than clients who expected less than 20 sessions. While actual number of sessions was related to expected number of sessions, termination status appeared to be related to clinical factors and not clients' expected number of sessions. Implications for clinical practice and agency session limit policies are discussed.  相似文献   

3.
This longitudinal study examined the effects of a mandatory counseling program for students placed on academic probation at a university in South Korea. The study compared longitudinal changes over three semesters in the grade point average (GPA) of students who were on academic probation. Two groups, 46 students with mandatory counseling and 49 students without, were used as comparison groups for testing the effects of counseling intervention on GPA improvement. The result suggested that the students who attended five or more counseling sessions beyond two mandatory sessions showed a significantly greater GPA improvement over three semesters in comparison with the students who did not receive the mandatory counseling sessions. Implications for counseling and suggestions for institutional action are discussed.  相似文献   

4.
Fifty-three counselors at a university counseling center and a university practicum clinic were surveyed using the Working Alliance Inventory–Short Form to examine the effect of acknowledging and discussing racial differences between counselor and client on the working alliance formed during the counseling sessions. Based on the counselor's perspective, a significant relationship between counselor-client discussion of racial difference and the working alliance was found.  相似文献   

5.
Students utilize university counseling center services to address distress related to post-traumatic stress disorder (PTSD). Since counseling centers services such as group work or general psychotherapy may not address specific PTSD-symptom reduction, centers often give community referrals in such cases. Evidence-based therapies (EBTs), including Prolonged Exposure Therapy, have the potential to be offered within counseling center services, however. Prolonged exposure consistently provides significant symptom relief to patients with the most severe PTSD symptoms within 10–12 sessions. This article presents and examines two case examples of students who participated in a full prolonged exposure protocol within a counseling center clinic.  相似文献   

6.
In the general population, alcohol use disorders and psychiatric disorders co-occur. Despite ample evidence of the adverse effects of alcohol use on treatment outcomes, these relationships have not been examined among college students presenting at counseling centers. The purpose of this study was to assess the prevalence of hazardous drinking among students receiving counseling at a university counseling center and to examine relationships between alcohol use, symptomatology, and treatment utilization. Participants were 214 students who had terminated therapy within a 3-year period. Intake assessments of alcohol use, anxiety, depression, and perceived stress were harvested from client files. Analyses indicated that 33% of the sample screened positive for hazardous alcohol use. Findings provided preliminary evidence that hazardous drinking is negatively related to both mental health and treatment utilization in university clinics. In light of this association, coupled with high base rates of risky alcohol use among college students, university counseling centers might consider implementing screening and brief intervention for hazardous drinking.  相似文献   

7.
The purpose of this study was to examine academic distress over the course of a semester for both a clinical and nonclinical sample of college students by administering the Counseling Center Assessment of Psychological Symptoms (CCAPS‐62 and CCAPS‐34) to students at a single university. Results revealed that students who were in counseling showed a significant decrease in academic distress scores, whereas students who were not in counseling showed no significant change in academic distress scores. Implications of these results on future practices for university counseling centers are discussed.  相似文献   

8.
This study compared adaptation to college for students receiving counseling at a university counseling center with adaptation by control counterparts. Students receiving counseling initially reported lower adaptation scores as measured by the Student Adaptation to College Questionnaire. After counseling, scores no longer differentiated between the 2 groups. Results suggest that counseled students were affected positively by this experience.  相似文献   

9.
This study examined the dose‐effect relationship between the number of sessions and therapeutic outcome in a large, nationwide counseling center research consortium. A positive relationship was found between the outcome of counseling and the number of sessions attended. The results of this study support the effectiveness of brief psychotherapy.  相似文献   

10.
Abstract

Most college counseling centers have adopted session limits for their psychotherapy clients though little evidence exists to support such cutoff points. In the past eight years, a few studies have been published using survival analysis statistics for investigating the speed of recovery in psychotherapy. The outcome of clients at a university counseling center was studied to assess change across time, on a session-by-session basis. The analysis of these data showed that 14 sessions of psychotherapy were required for 51% of clients to meet criteria for clinically significant change. Results were interpreted as suggesting that limiting psychotherapy at college counseling centers may result in improvements that are not clinically meaningful for the majority of clients receiving services.  相似文献   

11.
The consultant‐on‐duty (COD) clinical consultation model maximizes efficient use of services, is distinct from other university counseling center (UCC) services, and precedes therapy. This model enables clinicians to ensure optimal fit between client need and type of UCC services provided, including brief therapy. The 4 objectives of the COD model include quick access to initial consultation, management of treatment expectations, collaborative treatment decisions, and planning for client assistance.  相似文献   

12.
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13.
With an increased demand for mental health services, perceived increased severity of students presenting for services, and increased number of students prescribed psychotropic medications, university and college counseling center directors have had to increasingly identify psychiatric service options. Psychiatry residents can potentially help fill these needs. To better understand the role of psychiatry residents in university and college counseling programs, we conducted a web-based survey of United States psychiatry residency program directors. This study describes clinical activities and rotation characteristics of psychiatric residents working in counseling centers. Of the 48 residency programs that responded, 27 provide rotations at university or college counseling centers, and of those with rotations, 100% report that the residents rate these as very good or excellent. Expanding psychiatry residency rotations at college counseling centers may be mutually beneficial both to the centers and to psychiatric residents.  相似文献   

14.
Clients’ nonattendance in therapy poses a significant threat to the effective delivery of mental health services at university counseling centers. As such, researchers have investigated processes related to clients’ nonattendance in an effort to increase treatment utilization and treatment outcomes. However, there is a paucity of research testing the impact of the therapist on clients’ nonattendance patterns. Additionally, it is unknown whether therapists vary in the nonattendance of their racial/ethnic minority (REM) and White clients. Therefore, the present study sought to identify therapist effects in client nonattendance rates, and examine between-therapist disparities in REM and White clients’ nonattendance patterns. Data for this study consisted of 275 REM and 341 White clients seen by 21 therapists at a large university counseling center. Results indicated that therapists accounted for 14% of the variability in clients’ nonattendance. Additionally, therapist effects in nonattendance due to clients’ REM status were identified, suggesting that therapists are a significant source of racial/ethnic disparities in clients’ nonattendance. REM clients’ nonattendance rates were higher compared to White clients for some therapists, but not others. Clinical implications and future research are discussed.  相似文献   

15.
There is evidence that today’s college and university students are struggling with emotional and behavioral health problems at higher rates than in past generations. This article explores the various ways, utilizing a range of models, that college and university counseling centers have mobilized to respond to these challenges. We examine literature about the characteristics and concerns of the current student generation along with what counseling centers are doing to respond to the challenge of student needs. We describe a survey (N = 408) of members of the Association for University and College Counseling Center Directors (AUCCCD) and American College Counseling Association (ACCA) that elicited the kinds of services, functions, structures, and organizational relationships found in today’s counseling centers. In addition to confirming the core mission of providing counseling and psychotherapy, the survey revealed widespread counseling center collaboration and consultation activities beyond the counseling room. The survey also indicated a variety of administrative and structural arrangements in the way counseling centers are placed on their individual campuses. Finally, we suggest a framework for planning, executing, and evaluating counseling center and campus initiatives.  相似文献   

16.
This study investigated college and university counseling center directors’ perceptions of the adequacy of the preparation of master's‐level counselors for work in college and university counseling centers. Results indicated that counselors were rated on average as prepared; however, many directors had concerns about counselors’ ability to work with students presenting more severe mental health issues. Findings are discussed, and implications for the training and preparation of college counseling practitioners are presented.  相似文献   

17.
The authors investigated the number of sessions necessary for college counseling center clients of different levels of severity of distress at intake to achieve clinically significant change (CS) in therapy. The Outcome Questionnaire‐45 (M. J. Lambert, N. B. Hansen, et al., 1996) was used to categorize 914 clients by severity of distress. Analyses of outcome indicated that clients with less and more severe distress needed 14 and 20 sessions, respectively, for 50% in each group to achieve CS. Implications are discussed.  相似文献   

18.
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19.
This archival study examined the use of a university counseling center's services by international students during a 5‐year period. Variables analyzed included clients' presenting concerns, students' demographic characteristics, number of counseling sessions attended, and reasons for termination. Implications for counselor training, outreach activities, and counseling services on college campuses are discussed.  相似文献   

20.
This article describes a training program called the Ethnic Student Training Group (ESTG), a process that helps university counseling center staff learn how to counsel students from ethnic groups more effectively. The members consist primarily of counseling center practicum and intern trainees and counseling center staff psychologists. Members of ESTG represent a variety of culturally diverse backgrounds (i.e., Hispanic, Black, Asian, Native American, and Jewish American). Members gain knowledge and skills by participating in numerous training activities including case presentations, brief lectures on cross-cultural issues, and counseling ethnic students.  相似文献   

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