Attrition After Intake at a University Counseling Center: Relationship Among Client Race, Problem Type, and Time on a Waiting List

Levy, Jacob J.; Thompson-Leonardelli, Kenya; Smith, Nathan Grant; Coleman, Marilyn

doi:10.1002/j.2161-1882.2005.tb00077.x

Cited by 7 publications

(6 citation statements)

References 11 publications

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“…4 Long waitlists are particularly problematic due to their adverse impact on client attrition, often resulting in decreased client follow through on recommended counseling. 5 These difficulties have been echoed throughout the field, 6,7 indicating this is a growing, pervasive issue requiring cost-effective and innovative solutions.…”

mentioning

confidence: 99%

Utilizing ACT daily as a self-guided app for clients waiting for services at a college counseling center: A pilot study

Haeger

Davis

Levin

2020

Journal of American College Health

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Objective: Considering increasing demands for mental health services at college counseling centers (CCCs), there is a need for cost-effective solutions that avoid depleting stressed CCC resources. This study examined if ACT Daily, a mobile application based on acceptance and commitment therapy (ACT), could serve as an effective self-guided intervention. Participants: 11 individuals on a CCC waitlist suffering from anxiety/depression participated in the study over 2 weeks. Methods: This study implemented a pre-post, open trial design of ACT Daily. Assessments were completed at baseline and 2-week post assessment. Results: Results indicated that ACT Daily was acceptable and that participants improved on depression and anxiety symptoms as well as psychological inflexibility processes over the 2 weeks. App data further indicated significant in-the-moment improvements on depression, anxiety and psychological inflexibility immediately following skill coaching, with these effects becoming larger over time. Conclusions: Mobile apps like ACT Daily could serve as an effective, pre-therapy tool for depressed/anxious students.

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mentioning

confidence: 99%

Utilizing ACT daily as a self-guided app for clients waiting for services at a college counseling center: A pilot study

Haeger

Davis

Levin

2020

Journal of American College Health

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“…Moreover, broaching acknowledges that the privileged or oppressed statuses of both the counselor and client can affect the counseling relationship and provides an opportunity to discuss these implications (Ratts et al, 2016). Indeed, the lack of broaching and exploring culture in counseling may be a contributing factor in research findings that reveal that Black college students are less likely than their White counterparts to return to counseling after intake (Levy et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Effects of Vicarious Racism Exposure via the Media on College Students of Color: Exploring Affect and Substance Use

Giordano

Prosek

Henson

et al. 2021

J of College Counseling

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Given the potential negative effects of vicarious racism, we sought to examine the impact of vicarious racism via the media on college students of color. Using a sample of 217 college students of color, we analyzed positive and negative affect and craving for alcohol and marijuana before and after exposure to media stimuli. Split‐plot analysis of variance results revealed a statistically significant interaction effect between time and group for negative affect, but not cravings for substances.

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“…In addition, 34% of college counseling centers report having waitlists (Association for University and College Counseling Centers Directors, 2017). Some UR students, however, are less likely to return to treatment after experiencing long wait times, and are more likely to be dissatisfied with the services they do subsequently receive (Levy, Thompson-Leonardelli, Smith, & Coleman, 2005). Professional psychology training programs that house their own training clinics are well equipped to address these challenges.…”

Section: Mental Health Needs Of Ur Studentsmentioning

confidence: 99%

Bridging the gap: Addressing the mental health needs of underrepresented collegiate students at psychology training clinics.

Stege¹,

Frost²,

Graham³

et al. 2020

Training and Education in Professional Psychology

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Mental health treatment utilization on college campuses remains disproportionately low among underrepresented (UR) students (i.e., racial/ethnic minorities, first-generation college students, and students from low-income families). Additionally, UR students report that factors including stigma, long wait times, and costs are barriers to accessing treatment. Given these trends, new methods to bolster the utilization of counseling services among UR college students are needed. Concurrently, there is a call for psychology training programs to increase their efforts in preparing health service psychologists to work with culturally diverse populations including UR students. Psychology training clinics may be an additional resource on campuses that can be useful in meeting both of these needs. We present a program evaluation of 4-year partnership between a counseling psychology department training clinic and an academic division serving UR students at a large Midwestern university. Two quantitative metrics, including service utilization hours by UR students (2,020) and direct service hours accrued by clinical trainees (1,266), highlight the benefits of the partnership. A social justice framework and implications for training programs interested in developing similar partnerships are discussed. Public Significance StatementThis program evaluation describes a formalized partnership between a psychology training clinic and an academic division supporting underrepresented (UR) college students. The partnership, developed within a social justice framework, increased the mental health treatment utilization rates of UR students while also increasing supervised clinical training opportunities for psychology doctoral students in working with diverse clients.

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Attrition After Intake at a University Counseling Center: Relationship Among Client Race, Problem Type, and Time on a Waiting List

Cited by 7 publications

References 11 publications

Utilizing ACT daily as a self-guided app for clients waiting for services at a college counseling center: A pilot study

Utilizing ACT daily as a self-guided app for clients waiting for services at a college counseling center: A pilot study

Effects of Vicarious Racism Exposure via the Media on College Students of Color: Exploring Affect and Substance Use

Bridging the gap: Addressing the mental health needs of underrepresented collegiate students at psychology training clinics.

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