Reflections on Individual Psychotherapy with University Students: What Seems to Work

Pinkerton, Rolffs S.; Talley, Joseph E.; Cooper, Stacie L.

doi:10.1080/87568220902793830

Cited by 10 publications

(8 citation statements)

References 20 publications

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“…These findings reinforce the benefits of an open-ended psychotherapy process (Pinkerton et al, 2009). As part of this process, the study results also support the therapist being able to spread out counseling sessions over time if necessary (Surette & Shier, 2017).…”

Section: Implications For Practicing College Clinicians and Resourcinsupporting

confidence: 73%

Counseling over Time as a Correlate of Non-Urgent Undergraduate Institutional Commitment

Blau¹,

DiMino²,

Abreu³

et al. 2017

JEDP

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The general purpose of this study was to examine counseling services as a correlate of institutional commitment and related variables over time on a sample of non-urgent undergraduates. Data for non-urgent clients at a University Counseling Center (UCC) were collected using on-line surveys over four time-periods. Within-time correlations generally showed that mental health concerns was negatively related to institutional commitment, while counseling help belief was positively related. Institutional commitment is defined as a student feeling that he or she selected the right institution to attend Using a smaller sample, i.e., n = 15, of complete-data clients matched-over-time, overall level of mental health concerns significantly declined, while institutional commitment significantly increased. Counseling help belief decreased from Time 1 to Time 2 but then increased over time. Scientifically demonstrating to higher-level University administration that counseling over time can positively influence undergraduates' institutional commitment can help the UCC to increase its allocation of university-based resources to keep pace with non-urgent client demands.

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Section: Implications For Practicing College Clinicians and Resourcinsupporting

confidence: 73%

Counseling over Time as a Correlate of Non-Urgent Undergraduate Institutional Commitment

Blau¹,

DiMino²,

Abreu³

et al. 2017

JEDP

View full text Add to dashboard Cite

show abstract

“…In addition, a triage interview is usually not conducted by the student's eventual assigned therapist (only occasionally does the triage therapist place the student in one of his or her own intake slots). By contrast, at intake interviews, which generally last 60 minutes or more, students can form initial impressions about their therapist, including level of empathy, acceptance, warmth, and genuineness, all factors that have been shown to affect subsequent treatment improvement (Pinkerton et al, 2009). In other words, students are far likelier at intake appointments than during triage to develop a sense of connection to the therapist.…”

Section: Discussionmentioning

confidence: 91%

“…As May (2008) put it in discussing work in a small counseling center, "Ideally, a student comes in, a conversation begins, and it continues until it has been helpful enough" (without resorting to wait lists or arbitrary time limits). Pinkerton, Talley, and Cooper (2009) recently argued that it is best to have a therapist appointment within 24 hours of a student's request. This echoes a point about the immediacy of need for services made several decades ago by Ichikawa (1965): "Many students come to a university mental health clinic because of difficulties arising from an acute situational stress."…”

Section: An Ideal Standard Of Care and Current Realitiesmentioning

confidence: 99%

The Relationship Between Wait Time After Triage and Show Rate for Intake in a Nonurgent Student Population

DiMino

Blau

2012

Journal of College Student Psychotherapy

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Ideally, students requesting services should be seen quickly at their university counseling center to increase the likelihood of a successful treatment outcome. However, in these times of ever-increasing demand for university counseling services and the challenges of securing resources to keep up with that demand, the reality of prompt appointments can be far different during most of the academic year. This study looked at the relationship between wait time after triage and show rate for intake at a large counseling center that uses a triage walk-in-clinic format for students accessing services. Although triage allows for an appropriate rapid response to the most at-risk students, we were concerned about attrition among "average" students seeking counseling, assessed as nonurgent at triage, during the wait for their intake. The current study found a statistically significant positive relationship for this nonurgent population between length of wait time after triage and no-show rate for the scheduled intake after triage. We present preliminary thoughts about these findings, discuss our study limitations, and pose future research questions.

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“…These results collectively suggest that for non-urgent clients who either waited longer for intake or if this waiting bothered them, higher mistrust and entitlement could hurt the therapeutic alliance formed during brief counseling between the client and therapist. The therapeutic alliance represents the collaborative and affective bond between a therapist and patient (Pinkerton et al, 2009), and it has been shown to affect subsequent treatment improvement (Bergin & Garfield, 2013). A poorer therapeutic alliance can also lead to premature termination by a client (Hatchett, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…The therapeutic alliance was not formally measured (Pinkerton et al, 2009). The results were found with limited samples of undergraduates at the main campus of a large state-supported Mid-Atlantic urban university.…”

Section: Study Limitations and Future Researchmentioning

confidence: 99%

Testing Three-Item Versions for Seven of Young’s Maladaptive Schema and Wait Impact for Briefly Counseled Non-Urgent Clients

Blau¹,

DiMino²,

Kim³

2017

JEDP

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The purposes of this study were to: further test the reliability and discriminant validity of three-item measures of seven maladaptive schema scales on a sample of non-urgent university counseling center (UCC) clients; test the relationships of waiting variables to these maladaptive schema; and test if these waiting variables were related to changes in these maladaptive schema for briefly counseled UCC clients. The results supported the test-retest reliabilities and discriminant validity of these seven scales. Independent sample t-tests between two different types of wait variables, i.e., minimal versus considerable wait bother, and less than two weeks wait versus at least two weeks wait, did not show any significant differences for these scales. However, one scale, mistrust and abuse increased during brief counseling for both the considerable wait bother and at least two weeks waiting groups. It is important to make sure that non-urgent clients get timely counseling.Keywords: non-urgent university student clients; brief counseling; maladaptive schema; wait bother; wait time Testing Three-Item Versions for Seven of Young's Maladaptive Schema and Wait Impact for Briefly Counseled Non-urgent ClientsUsing various pre-counseling and post-counseling measures, Brunner, Wallace, Reymann, Sellers and McCabe (2014, p.264) called today's college students the "most stressed" generation of college students. Based on data from the National Comorbidity Survey Replication, Kessler et al. (2005) estimated that three-quarters of lifetime mental disorders (e.g., anxiety, mood, impulse control) have their first onset by the general college age range of 18-24. A supplemental survey of Center for Collegiate Mental Health or CCMH (2016) University Counseling Centers (UCCs) members in 2015 examined change in institutional enrollment and UCC utilization over the last 6 years (2009-2010 through 2014-2015). Data from 93 institutions showed, on average, the growth in number of students seeking services at UCCs was more than five times the rate of institutional enrollment growth. The most recent CCMH (2017) survey found that, with increased demand for mental health services, "on average UCCs are providing 28% more 'rapid-access' service hours per client and 7.6% fewer 'routine' service hours per client over the last six years" (p.3). The report also noted that, especially for UCCs with flat funding models, this increased demand may negatively impact the availability of routine services after initial client contact.Initial contact is increasingly happening with the use of a triage system in which during a shorter-than-intake appointment (Shaffer et al., 2017), the triage counselor assesses the client's need-for-care level (e.g., emergency, urgent, routine or non-urgent). Non-urgent clients are given an intake (first regular appointment) slot, as soon as possible, depending on the number of higher priority cases, overall service demand, and therapist availability (DiMino & Blau, 2012). The purposes of this study were: (1)

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Reflections on Individual Psychotherapy with University Students: What Seems to Work

Cited by 10 publications

References 20 publications

Counseling over Time as a Correlate of Non-Urgent Undergraduate Institutional Commitment

Counseling over Time as a Correlate of Non-Urgent Undergraduate Institutional Commitment

The Relationship Between Wait Time After Triage and Show Rate for Intake in a Nonurgent Student Population

Testing Three-Item Versions for Seven of Young’s Maladaptive Schema and Wait Impact for Briefly Counseled Non-Urgent Clients

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