The need for integrating behavioral care in a college health center.

Alschuler, Kevin N.; Hoodin, Flora; Byrd, Michelle R.

doi:10.1037/0278-6133.27.3.388

Cited by 64 publications

(17 citation statements)

References 15 publications

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“…Many students who present at college health centers have mental health problems [103]. Thus, a collaborative relationship between university health centers and behavioral health services may lead to an increase in identification and referrals for behavioral health treatments of students with mental health problems.…”

Section: Significance Of Early Identification Of Mental Health Problementioning

confidence: 99%

College Students: Mental Health Problems and Treatment Considerations

et al. 2014

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Attending college can be a stressful time for many students. In addition to coping with academic pressure, some students have to deal with the stressful tasks of separation and individuation from their family of origin while some may have to attend to numerous work and family responsibilities. In this context, many college students experience the first onset of mental health and substance use problems or an exacerbation of their symptoms. Given the uniqueness of college students, there is a need to outline critical issues to consider when working with this population. In this commentary, first, the prevalence of psychiatric and substance use problems in college students and the significance of assessing age of onset of current psychopathology are described. Then, the concerning persistent nature of mental health problems among college students and its implications are summarized. Finally, important aspects of treatment to consider when treating college students with mental health problems are outlined, such as the importance of including parents in the treatment, communicating with other providers, and employing of technology to increase adherence. It is concluded that, by becoming familiar with the unique problems characteristic of the developmental stage and environment college students are in, practitioners will be able to better serve them.

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Section: Significance Of Early Identification Of Mental Health Problementioning

confidence: 99%

College Students: Mental Health Problems and Treatment Considerations

et al. 2014

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“…Based on the lack of findings related to integrated services, the current data do not support recent arguments that UCCs should provide additional services beyond counseling. It has been suggested that an overhaul of university healthcare and the integration of behavioral and medical care would greatly improve the detection and treatment of mental health problems, save costs, and improve other outcomes (e.g., dropping out of college; Alschuler et al, 2008). The current study's findings would not support doing so, and therefore decisions about supplemental services should be determined based on self-study at the UCC.…”

Section: Practice and Advocacy Implicationsmentioning

confidence: 63%

Center Effects: Counseling Center Variables as Predictors of Psychotherapy Outcomes

Carney

Castonguay

Janis

et al. 2021

The Counseling Psychologist

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Treatment context may have a unique impact on psychotherapy outcomes, above and beyond client, therapist, and therapy process variables. University counseling centers represent one such treatment context facing increasing treatment demands. This study examined the role of counseling centers and center variables in explaining differences in psychotherapy outcomes. The Center for Collegiate Mental Health, a large practice–research network, contained data from 116 counseling centers, 2,362 therapists, and 58,423 clients. Multilevel modeling tested if some counseling centers systematically achieved better outcomes than others (a “center effect”). Outcome was operationalized as clients’ magnitude and rate of change in distress across treatment. Results showed a relatively small “center effect” for both outcomes. Analyses sought to explain that center effect through administrative policies and characteristics. As a group, these variables partially explained the center effect. None explained a large portion of total outcome variance. Potential future implications for policy and advocacy efforts are discussed.

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“…Additionally, college counseling center staff could provide basic counseling skills and crisis assessment trainings to university health center staff to increase ease/competence in these conversations. Widespread depression screening with the PHQ-9, as recommended by Klein and colleagues (2011), has potential to facilitate depression detection in primary care settings and support subsequent referral of students to college counseling centers (Alschuler et al, 2008;O'Connor, Whitlock, Beil, & Gaynes, 2009). Additionally, increased opportunities for consultation among college counseling staff and health center/primary care providers could help highlight the importance of depression screening for all patients and appropriate follow-up with depressed patients.…”

Section: Discussionmentioning

confidence: 96%

“…Mental health screening among college health center patients is associated with increased mental health treatment (Alschuler, Hoodin, & Byrd, 2008). However, the frequency of use of depression screening inventories in collegebased primary care settings is unknown.…”

mentioning

confidence: 97%