Increasing severity of psychopathology at counseling centers: A new look.

Kettmann, Julie D. Jenks; Schoen, Eva; Moel, Joy; Cochran, Sam V.; Greenberg, Stefanie Teri; Corkery, Julie M.

doi:10.1037/0735-7028.38.5.523

Cited by 25 publications

(22 citation statements)

References 17 publications

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“…This finding corroborates with earlier studies on university students visiting counselling centers that found younger students with more severe diagnoses than older on psychological distress (Kettmann, Schoen, Moel, Cochran, Greenberg et al, 2007). Our results also suggest that students living in off-campus hostels were 3 times more likely to have psychosocial problems than those living in a campus dormitory.…”

Section: The Correlates Of Psychosocial Problemssupporting

confidence: 83%

Prevalence, types, distribution and associations of psychosocial problems among university students in Uganda

Nsereko¹,

Musisi²,

Nakigudde³

et al. 2014

IJRSP

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The prevalence of psychosocial problems and their associations among University students in Uganda has received very little research attention. Yet, this information is important to provide data to assist in mental health policy formulation for counseling intervention among the vulnerable university students populations in Uganda. The study objective was to investigate the prevalence, types, distribution and associations of psychosocial problems among university students in Uganda. It was part of a larger PhD study that validated an instrument for assessing university students' psychosocial problems in Uganda. This study employed a descriptive cross sectional survey technique. Five universities participated in a survey conducted during the 2012/13 academic year. Out of 1101 approached students, 976 (88.6%) completed the survey which included a socio-demographic questionnaire, study program characteristics, medical health questionnaire and the University Students Evaluation of Psychosocial Problems (USEPP) instrument which was used to evaluate the psychosocial problems. The prevalence, types and distribution of psychosocial problems among the students was established using descriptive statistics and regression analysis established the relationship between psychosocial problems and the correlates of interest. The estimated prevalence of psychosocial problems among the university students was 36.5%. Students living in off-campus hostels, having chronic medical conditions, and those with a previous history of mental health problems and who perceived their health as poor/fair were at a higher risk of psychosocial problems. These findings highlight to the need to initiate policies to address the students' psychosocial problems.

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Section: The Correlates Of Psychosocial Problemssupporting

confidence: 83%

Prevalence, types, distribution and associations of psychosocial problems among university students in Uganda

Nsereko¹,

Musisi²,

Nakigudde³

et al. 2014

IJRSP

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“…Results of this study challenge the literature on counselling centre psychologists' perception that there is a trend of increasing severity of psychopathology in students (Erdur‐Baker et al, ; Gallagher, ; Jenks Kettmann et al, ). This study shows that also in our centre, the severity level remained stable across a 5‐year period.…”

Section: Discussioncontrasting

confidence: 38%

Does the severity of psychopathology of Italian students receiving counselling services increase over time? A 5‐year analysis and a comparison with a clinical and non‐clinical sample

Strepparava

Bani

Zorzi

et al. 2017

Clin Psychology and Psychoth

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Psychological problems-from the most minor such as exams anxiety to the more severe such as personality disorders-are not rare in young adults. University Counselling Services often present the only opportunity for undergraduates to meet health professionals and to be confronted with their difficulties in a non-clinical setting or-in cases of more severe psychopathology-to be referred to mental health services. Recent research attests to the increasing severity of psychological problems among undergraduate and graduate university students. The question necessarily arises as to whether this trend is replicated in the general population being referred to mental health services and, if such is the case, whether there are differences between the two populations. This paper analyses the change in the severity of self-reported symptoms in a sample of 194 students attending a University Counselling Service over a course of 5 years (2010-2014). Clinical severity was assessed in both groups by Symptoms Check List 90-Revised, Clinical Outcome in Routine Evaluation-Outcome Measure, and Emotion Regulation Questionnaire scores. Results show a substantial stability in severity level across time, and a comparison with an age-matched sample of patients referred to a public hospital clinical psychology service shows overlapping data with respect to disease severity level. As the mental health of university students is an important public health issue, the implications for the organization and structure of university counselling services and the connection with public mental health hospital centres are discussed.

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“…Kettmann et al [3] reviewed the perception that student acuity has increased in university counseling centers and identified an increase in the complexity of the students seen in university counseling centers, leading to greater service utilization by a subset of students served by the centers. He concluded that counseling centers need a system in which the complexity of students with multiple diagnoses is acknowledged through the development of a range of therapeutic modalities beyond the traditional individual therapy model.…”

mentioning

confidence: 98%

“…This report highlights the use of a clinical case conference to facilitate the development of multidisciplinary treatment plans designed to diversify services, thereby increasing access for students and improving communication among disciplines in a university mental health clinic. University mental health system studies in the past two decades have documented an increase in severity of presenting complaints at university counseling centers [2,3]. They emphasized a need to shift care toward a "mental health clinic" model [2].…”

mentioning

confidence: 99%

Multidisciplinary Treatment Planning: An Educational and Administrative Tool for Resource Management in a University Counseling Center

et al. 2014

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The evolving complexity of comorbidity of medical illness and mental illness in the context of a changing economy and public policy was noted in the American Psychological Association Presidential Address in 2010 [1]. The address emphasized that professionals in the field of psychology needed to shift their training and focus to a multidisciplinary and integrative approach. In line with this emphasis, our university counseling center identified the need to redesign the system of mental health care on campus.Our counseling center was independent of psychiatric assessment and treatment of students until 2011, at which time individuals trained in psychiatry joined the staff of individuals trained in psychology, social work, and professional counseling. In summer 2012, a child and adolescent psychiatrist was hired as the director of the center to restructure the services. The director identified gaps in communication between medical and therapy providers. A reliance on individual therapy as the treatment modality for all students resulted in the need for services exceeding the available appointment times. The director organized a leadership team tasked with redesigning the system. The team included a psychologist trained in university counseling and an outreach, education, and prevention coordinator with advanced knowledge in education and counseling. This report highlights the use of a clinical case conference to facilitate the development of multidisciplinary treatment plans designed to diversify services, thereby increasing access for students and improving communication among disciplines in a university mental health clinic. University mental health system studies in the past two decades have documented an increase in severity of presenting complaints at university counseling centers [2, 3]. They emphasized a need to shift care toward a "mental health clinic" model [2].Kettmann et al.[3] reviewed the perception that student acuity has increased in university counseling centers and identified an increase in the complexity of the students seen in university counseling centers, leading to greater service utilization by a subset of students served by the centers. He concluded that counseling centers need a system in which the complexity of students with multiple diagnoses is acknowledged through the development of a range of therapeutic modalities beyond the traditional individual therapy model.Our university counseling center has experienced similar challenges in our efforts to support students who present with multiple diagnoses and complex treatment needs. We anchored our system design to an educational case conference to guide the multidisciplinary staff toward an integrative model that incorporates evidence-based practice for a broad range of clinical presentations. The structure supports a team consultation model that facilitates care of complex students and supports review of resources leading to clinical program development and design of programs for education and prevention on campus. The case conference has...

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Increasing severity of psychopathology at counseling centers: A new look.

Abstract: counseling center staff and directors have argued that there has been an increase in severity of psychological concerns among university counseling center clients (R.

Cited by 25 publications

References 17 publications

Prevalence, types, distribution and associations of psychosocial problems among university students in Uganda

Prevalence, types, distribution and associations of psychosocial problems among university students in Uganda

Does the severity of psychopathology of Italian students receiving counselling services increase over time? A 5‐year analysis and a comparison with a clinical and non‐clinical sample

Multidisciplinary Treatment Planning: An Educational and Administrative Tool for Resource Management in a University Counseling Center

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