Uniting Science and Practice: CCMH 2011 Annual Report & Implications

Transcription

1 Uniting Science and Practice: CCMH 2011 Annual Report & Implications Allison Lockard, M.A. Ben Locke, Ph.D. Trends & Challenges Overview CCMH 2011 Annual Report Client data Counselor data Use of CCAPS in counseling centers CCMH coming attractions Summary & conclusions A Quick Comment TRENDS & CHALLENGES 1

2 CCMH Economy Mutually beneficial Informing the field of college mental health Membership update External pressures Prevalence & severity Increased referral sources Threat assessment teams Mandated counseling Efficiency expectations Gate-keeper training Prior treatment Increased demand Internal reactions Triage Case management Waiting lists Referring out Treatment limits Less frequent or irregular appointments Manage more cases than clinical hours/week Less treatment per person Shifting mission 2

3 Trends & Challenges Do we accept the framework of "meeting a challenge" or reframe? Treatment? Role of data and research? A Whole Lotta Data! CCMH 2011 ANNUAL REPORT CCMH Data The first data seam! SDS & CCAPS Institutional & counselor data Archival, anonymous, data gathered during routine clinical practice. 74,000 students 97 campuses 1,500 counselors 660,000 appts 0-10% opt-out rate Data flow is ongoing 3

4 Registered Centers Ninety-seven of 176 registered counseling centers contributed data. Counseling Centers 97 colleges and universities! Our Clients 4

5 Our Clients Student Involvement Military 5

6 Mental Health Trends in College Counseling Data is inconsistent on whether or not there an increase in severity in mental health problems More complex and severe problems Decrease in clients due to increased severity CCMH Experience Never Lifetime Prevalence Prior Counseling 54.8% 45.2% Prior Meds 69.9% 30.1% Psych Hospitalization 93% 7.0% Prior D&A Tx. 95.2% 4.8% Seriously considered attempting suicide 76.2% 23.8% Attempted Suicide 92.1% 7.9% Prior Treatment Clinical vs. Non-clinical Comparisons Prior counseling is associated with slower change in treatment. What is the implication? 6

7 Harm to Self Clinical vs. Non-clinical Comparisons Prevention I have thoughts of wanting to harm myself 9% Lead Student: Jessica Effrig TREATMENT WORKS! --> DEPRESSION BY SEXUAL ORIENTATION 7

8 Change in Depression by Sexual Orientation Harm to Others ANGER & HOSTILITY Violence on Campus Harm to others has received increased attention on college campuses As a result, campus safety teams have been organized 8

9 I am afraid I may lose control and act violently 7% Harm to Others Threat Assessment Threat to others is a shared burden. 9

10 The College Experience COLLEGE DRINKING Alcohol Use Binge Drinking (times in the last 2 weeks) Motivational Interviewing 10

11 Reducing Alcohol Use Alcohol & Drugs Lead Student: Jamie Graceffo, MA IMPROVING TREATMENT & TRAINING --> HIGH RISK DRINKING 11

12 High Risk Drinking Readiness to Change Out of 12, 433 cases, 427 reported 6 to 10 + instances of binge drinking in last two weeks Subgroups: Resistant Students (n=78) -- Alcohol distress at least 1 SD below the High Risk mean Aware Students (n=66) Alcohol distress at least 1 SD above the High Risk mean Alcohol Distress Among High-Risk Binge Drinkers Resistant Aware Expression of concern from others by readiness for change Express Yourself! 12

13 Generalized Anxiety & Social Anxiety ANXIETY Social Anxiety Generalized Anxiety 13

14 EATING CONCERNS Eating Disorders Moderate to high Eating Concerns associated with: Depression Generalized Anxiety Hostility Social Anxiety Family of Origin Issues 14

15 COLLEGE STUDENT TRAUMA Unwanted Sexual Experiences Unwanted Sexual Experiences Lifetime Prevalence: 9% for men 28% for women 15

16 Harassing, Controlling, or Abusive Behavior Lifetime Prevalence: 29% for men 41% for women Trauma Lifetime Prevalence: 33% for men 41% for women Which CCAPS Subscale has the highest level of distress endorsed by the clinical population? 16

17 Mean Score on Academic Distress Subscale 5/7/2012 Academic Distress!! Lead Student: Allison Lockard, MA ACADEMIC DISTRESS --> EXAMINGING DIFFERENCES BETWEEN A CLINICAL AND NON-CLINICAL SAMPLE Clinical vs. Non-clinical Academic Distress over a period of 6 weeks 17

18 Non-Clinical Academic Distress Change in Academic Distress During Treatment Clinical vs. Non-clinical Academic Distress 18

19 COUNSELOR DATA Counselor Demographics 1,500 counselors!! Theoretical Orientation 19

20 Counselors by degree Counselors by Discipline USE OF CCAPS IN COLLEGE COUNSELING CENTERS 20

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22 What s coming up in CCMH? SDS question on marijuana use Resiliency/Self Compassion New CCAPS Norms New Profile Report DSM Categorization Conclusions Psychotherapy Outcomes Tracking Trends & Changes Over Time Capturing the Population Informing the Field The Power of Counseling Centers For more information Center for Collegiate Mental Health ccmh.psu.edu (website) ccmh@sa.psu.edu Commission for Counseling and Psychological Services 22

23 Discussion, Q&A 23