College Counseling Group Programming: A Multi-Disciplinary Wellness Center Approach

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1 College Counseling Group Programming: A Multi-Disciplinary Wellness Center Approach Presented by: Colette McLean, MSW, LCSW Group Program Coordinator Rowan University Wellness Center Counseling and Psychological Services Center mcleancm@rowan.edu

2 Mid-Size 16,000 undergraduate & graduate students State university Small town, rural region

3 Welcome to the Wellness Center

4

5 CPS 1 * Associate Vice President/Director 1 * Assistant Director 10 * FT Staff (Psychologists, Social Workers, Licensed Counselors)* 1 * FT AOD Counselor 1 * 3/4time Psychiatry 2 * Pre Doc Interns 4 * Practicum Students 1 * PT Care Manager Front Office Team: 5 FT staff and student workers

6 See notes regarding preaching to the choir

7 CPS Clients Served Rowan Enrollment : 1, : 13, : 1, : 14, : 1, : 15, : 2, : 16,155

8 CPS Flow of Services Refer Out Triage +3 Let s Talk* Urgent Assign Individual On Call Waitlist Group Triage Walk In Non Urgent Waitlist Assign Triage +3 Individual Refer Out Group

9 In a Nutshell. Triage (walk-in) Evaluations 24/7 Emergency Services Let s Talk Biopsychosocial Intake Evaluations Individual, Couples, Family, and Group Therapy Psychological Evaluations Psychiatric Evaluations Medication Management AOD Screenings, Evaluations, and Counseling High Risk Consultation Training Program DBT Team ED Team AOD Team Group Consultation Team MH Consultation & Outreach to administration, staff and faculty Stress Management and Response Team

10 Stumbling Blocks.

11 Below* recommended staff:student ratio High Waitlist Limited accessibility for outside referral sources Heavy caseloads of high risk students Staff burnout Pressure to bill for services Consideration to invoke session limits Space limits Antiquated CPS Web interface

12 Group Stumbling Blocks Perceptions, stigmas and buy in from staff and students Slow start at beginning of semester Early closing of groups Not all clinical staff members running a group Challenges populating members Missing formal and cohesive coordination Limited utilization Inconsistent referral & tracking practices Time intensive documentation Members often filled with clients also receiving individual Few group offerings (Need for more generalized groups) Poor marketing

13 Group Offerings Anxiety Skills (4 & 8 session models) Body Image (8 10 sessions) DBT Skills (12 sessions with entry points) ED DBT (8 sessions) General Therapy (8 10 sessions) Interpersonal Skills (6 sessions)* LGBTQ Support (12 sessions)** Mindfulness & Creative Expressive Arts (6 sessions) RO DBT 12 sessions) EmPower Hour Workshops

14 * Collaboration with campus departments: * Academic Success Center ** Social Justice, Inclusion, and Conflict Resolution

15 Group Attendance 2014 ~ st Qtr 2nd Qtr 3rd Qtr 4th Qtr

16 Addressing CPS Stumbles FTE budget expansion request Annual Retreat 12 Session limits implemented Volunteers for cocoordination of groups Structure High Risk Review weekly meeting Acquired satellite office Participation in IPT study

17 Addressing Group Stumbles Retreat presentation Group Consultation Team Bimonthly meeting established Eliminating requirement for complete intakes (with exceptions) Shared Outlook Calendar Increased group offerings Offer short term groups to double offering in semester Fall EmPower Hour workshops Technical support for student led AOD support group, COUP Improvements to EHR for group documentation and assignment Re implementation of group satisfaction survey

18 Growing Edges Continuously address seeding benefit of group Revisit practice of group screen Difficulty with getting AOD group formed Not capitalizing on Puppies Interference with SASS Increasing access with open drive (therapist don t have to reinvent the wheel) Strategic EmPower Hour around campus More collaboration for education groups with SHS

19 Role of the Consultation Team Updates on group progress Receive most recent referrals Address administrative issues Provide education and development topics related to groups Increase our buy in Keeps groups in the forefront Be The Group

20 Thank You!

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