Counseling And Mental Health Services On Campus

A timely, comprehensive guide for university administrators, mental health practitioners, and graduate students, cogently synthesizing the latest research and practice in the rapidly changing mental health field. Anyone concerned with the practice, organization, and administration of college counseling will find this an invaluable guide.

This useful handbook for administering counseling services; poses questions and offers practical advice to help college counseling centers form a consistent philosophical model; lays out conceptual groundwork for constructing college counseling services, from training activities to counseling/psychotherapy processes; takes into account the pressures (time related, economic, political, cultural) that strain universities; explains how to cultivate an accurate and empathic response to each individual, their entire history and context, and their possible life trajectoryWritten by a leading provider of college mental health services, Delivering Effective College Mental Health Services is an essential guide to organizing and offering mental health services on university and college campuses.

Case-based intervention strategies for mental health professionals working with college and university students. Young adults enter college with many challenges—complicated family dynamics, identity issues, and extreme pressure to succeed, among others. Students may also have mental health difficulties, ranging from adjustment disorders to mood disorders, and growing numbers of them are seeking help on campus. But these students are also resilient and eager to learn, stepping onto campus with hope for a new and better phase of life. Doris Iarovici, a psychiatrist at Duke University Counseling and Psychological Services, sees in college and university mental health services an opportunity for mental health professionals to bring about positive change with young people during a crucial period of their development. Dr. Iarovici describes the current college mental health crisis and narrates how college mental health services have evolved along with changes in student populations. She discusses students’ lifestyle problems and psychiatric concerns, using case vignettes to explore a variety of interventions. Included are discussions of substance abuse, relationship difficulties, eating disorders, depression and anxiety, and culture clashes. Problems uniquely addressed in this book include sleep disturbances and perfectionism. An essential component of the volume is a guide to making emergency assessments, from risk classification and hospitalization to public safety and communication within and outside the campus community.

An essential guide to organizing and offering mental health services on campus. Stressed by increasing student demand for mental health services, campus counseling centers across the country are grappling with how best to deliver ethical, effective, and efficient service. Hampered by limited budgets, most centers find it deeply challenging to address growing college mental health service needs. Yet little conceptual training is provided to student affairs, higher education, health, and mental health professionals who deliver campus mental health services. In Delivering Effective College Mental Health Services, psychologist Lee Keyes aims to change that. He offers sound, field-tested advice for creating a congruent, cross-division, and service-oriented college counseling enterprise that best fits its campus culture and students. This useful handbook for administering counseling services • poses questions and offers practical advice to help college counseling centers form a consistent philosophical model • lays out conceptual groundwork for constructing college counseling services, from training activities to counseling/psychotherapy processes • takes into account the pressures (time related, economic, political, cultural) that strain universities • explains how to cultivate an accurate and empathic response to each individual, their entire history and context, and their possible life trajectory Written by a leading provider of college mental health services, Delivering Effective College Mental Health Services is an essential guide to organizing and offering mental health services on university and college campuses.

Mental health concerns are the most serious and prevalent health problems among students in higher education. Increasingly effective psychopharmacological and psychotherapeutic treatments have facilitated matriculation for students with histories of anxiety, mood, personality, eating and substance abuse disorders. This phenomenon has been accompanied by a striking increase in the number of previously undiagnosed students requesting treatment. College and university mental health programs struggle to care for larger numbers of students, necessitating greater interdisciplinary collaboration in treatment, research, outreach, and educational services. This book fills an important gap in the literature and provides a comprehensive resource for nearly every aspect of college mental health. It includes a strong emphasis on the training and education of graduate and professional students for future work in this field. Chapters are devoted to the significant ethical and legal issues related to treatment and associated administrative and policy challenges. Scholarly chapters on the promise of community mental health and public health approaches are especially innovative. There is also a chapter on international issues in college mental health which will be helpful to those students studying abroad. Mental Health Care in the College Community is written by acknowledged experts from mental health, college and university administration, legal and educational disciplines, all with extensive administrative and clinical experience in higher education settings. This book is clearly written and well illustrated with abundant tables, charts, and figures. This text will become essential reading for college mental health clinicians, graduate students in the mental health disciplines (psychiatry, psychology, counselling, nursing, and social work), student affairs deans and their staff, and even presidents or provosts of universities and colleges.

This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.

Understanding Mental Health and Counselling provides a critical introduction to key debates about how problems of mental health are understood, and to the core approaches taken to working with counselling and psychotherapy clients. In drawing out the differences and intersections between professional and social understandings of mental health and counselling theory and practice, the book fosters critical thinking about effective and ethical work with mental health service users and therapy clients. With chapters by noted academic writers and service-user researchers, and content enlivened by activities, first-person accounts and case material, the book provides a key resource for both counselling and psychotherapy trainees and those interested in the broader field of mental health.

Student wellbeing is foundational to academic success. One recent survey of postsecondary educators found that nearly 80 percent believed emotional wellbeing is a "very" or "extremely" important factor in student success. Studies have found the dropout rates for students with a diagnosed mental health problem range from 43 percent to as high as 86 percent. While dealing with stress is a normal part of life, for some students, stress can adversely affect their physical, emotional, and psychological health, particularly given that adolescence and early adulthood are when most mental illnesses are first manifested. In addition to students who may develop mental health challenges during their time in postsecondary education, many students arrive on campus with a mental health problem or having experienced significant trauma in their lives, which can also negatively affect physical, emotional, and psychological wellbeing. The nation's institutions of higher education are seeing increasing levels of mental illness, substance use and other forms of emotional distress among their students. Some of the problematic trends have been ongoing for decades. Some have been exacerbated by the COVID-19 pandemic and resulting economic consequences. Some are the result of long-festering systemic racism in almost every sphere of American life that are becoming more widely acknowledged throughout society and must, at last, be addressed. Mental Health, Substance Use, and Wellbeing in Higher Education lays out a variety of possible strategies and approaches to meet increasing demand for mental health and substance use services, based on the available evidence on the nature of the issues and what works in various situations. The recommendations of this report will support the delivery of mental health and wellness services by the nation's institutions of higher education.