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Embedded Therapists: Who Do They Serve? How are They Funded? And Where are They Housed? A Foundational Survey of Emerging Models 嵌入式治疗师:他们为谁服务?他们的资金来源是什么?他们住在哪里?新兴模型的基础调查
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-04-22 DOI: 10.1080/87568225.2021.1913686
Barry A. Schreier, Cari L. Anderson, P. Galligan, Brittany Greenbaum, J. Corkery, Teri Schnelle, Chelsey Gates, Jung Eui Hong, D. Kivlighan
ABSTRACT With the rise in demand for mental health services on college and university campuses, counseling centers have engaged in numerous creative methods to expand services to meet these increasing demands. One approach within campus counseling centers, with promise, is embedded therapists. Despite the increasing application of embedded therapists, there is a paucity of research to inform the development and implementation of this innovative service method on college and university campuses. This study serves as a foundational survey of college and university counseling centers’ embedded therapists to establish foundational data on defining features of emerging embedded models. Data for this study consisted of 39 college and university counseling center directors who provided information on 105 embedded therapists via a Qaultrics survey. Embedded therapists differed regarding who they served, where they were housed, source of funding, and various other system-level factors. The results of this study are discussed regarding commonalities and differences across emerging models of embedded programs.
随着高校对心理健康服务需求的增加,心理咨询中心采用了许多创造性的方法来扩大服务范围,以满足这些不断增长的需求。校园咨询中心的一种方法是嵌入式治疗师,这很有希望。尽管嵌入式治疗师的应用越来越多,但在学院和大学校园中,关于这种创新服务方法的发展和实施的研究却很缺乏。本研究旨在对高校心理咨询中心的嵌入式治疗师进行基础性调查,以建立新兴嵌入式模型特征定义的基础数据。本研究的数据包括39所学院和大学咨询中心主任,他们通过qqualtics调查提供了105名嵌入式治疗师的信息。嵌入式治疗师在服务对象、住宿地点、资金来源和其他各种系统层面的因素上存在差异。本研究的结果讨论了新兴嵌入式程序模型的共性和差异。
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引用次数: 0
An Evaluation of the Core Competency Suicide Prevention Training Program for University Health Service Providers 大学医疗服务提供者核心能力预防自杀训练计划之评估
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-04-08 DOI: 10.1080/87568225.2021.1911726
Nathan M. Hager, R. Cramer, A. Kaniuka, Tancy Vandecar-Burdin, Nancy L Badger, Angela M. Holley, Jennifer Foss, C. Glenn, Sarah Judd, Gabrielle South, M. Judah
ABSTRACT Despite advances in suicide risk assessment and intervention, evidence-based suicide prevention training for university health service providers is still lacking. This study evaluated the core competency model of suicide prevention training for an interdisciplinary sample of university counseling and student health providers (N = 21). Training was delivered in a half-day workshop format. Participants completed a pre-post training assessment survey. Student health provider risk screening practices were also assessed in the time-period preceding and following training implementation. Consistent with expectations, training yielded significant and robust improvements in providers’ perceived suicide prevention skills and suicide prevention knowledge. However, suicide prevention attitudes and clinical response recognition did not reliably improve. Training was also associated with a greater frequency of student health service providers’ mental health screening administration. The core competency model demonstrates promise as an evidence-informed training program for university counseling center and student health providers.
尽管在自杀风险评估和干预方面取得了进展,但针对大学卫生服务提供者的循证自杀预防培训仍然缺乏。本研究以跨领域的大学心理咨询与学生健康服务提供者为样本,评估自杀预防训练的核心胜任力模型。培训以半天的讲习班形式进行。参与者完成了培训前后的评估调查。在实施培训之前和之后的一段时间内,还评估了学生健康提供者风险筛查做法。与预期一致,培训在提供者感知的自杀预防技能和自杀预防知识方面产生了显著而有力的改善。然而,自杀预防态度和临床反应认知并没有可靠的改善。培训还与学生健康服务提供者更频繁地进行心理健康筛查有关。核心能力模型作为大学咨询中心和学生健康服务提供者的循证培训项目展示了其前景。
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引用次数: 1
Initial Distress, Changes in Distress, and Reasons for Ending Therapy in Clients Affected by Sexual Trauma 性创伤患者的初始痛苦、痛苦变化及结束治疗的原因
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-04-08 DOI: 10.1080/87568225.2021.1907640
Allison J. Lockard, Brett E Scofield, Rebecca A. Janis, Andrés E. Pérez-Rojas, Ashley L. Stauffer, Theodore T. Bartholomew, Brittany E. Gundel, Benjamin D. Locke
ABSTRACT This study compared pre-treatment distress and the changes in that distress over the course of therapy between sexual trauma clients and non-sexual trauma clients. Reasons for therapy ending were also examined. Data for this study were collected at 139 university counseling centers. Psychological distress was measured using the Counseling Center Assessment of Psychological Symptoms; presenting concerns were determined using the Clinician Index of Client Concerns; and reason for end of treatment was measured using a standardized Termination Form. MANOVA was utilized to test differences in psychological distress at the start of therapy and a MANCOVA was used to examine psychological distress over the course of therapy. Chi-square tests were used to examine if different reasons existed for why treatment ended. Clients that experienced sexual trauma presented to treatment with significantly higher levels of distress but demonstrated greater distress change. No statistical differences in reasons associated with the end of treatment.
摘要本研究比较了性创伤患者和非性创伤患者在治疗前的痛苦和治疗过程中痛苦的变化。治疗结束的原因也被检查。这项研究的数据来自139所大学的心理咨询中心。采用心理症状咨询中心评估量表测量心理困扰;使用临床医生客户关注指数确定提出的关注;使用标准终止表格测量治疗结束的原因。MANOVA被用来测试治疗开始时心理困扰的差异,MANCOVA被用来检查整个治疗过程中的心理困扰。卡方检验用于检验是否存在导致治疗终止的不同原因。经历过性创伤的来访者在接受治疗时表现出明显更高的痛苦水平,但表现出更大的痛苦变化。与治疗结束相关的原因无统计学差异。
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引用次数: 1
Establishing Expectations: Exploring Session Limits in University Counseling Centers 建立期望:探索大学心理咨询中心的会话限制
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-04-03 DOI: 10.1080/87568225.2019.1650680
Jeremy J. Coleman, Joanna M Drinane, Jesse Owen, S. M. Kopta
ABSTRACT University counseling centers (UCCs) are tasked with delivering effective mental health interventions amidst increasing enrollment and declining resources. A growing number of UCCs have implemented session limits to meet demand with limited resources. To further understand the impact of this trend, we examined data obtained from a nationwide sample of 15,802 clients seeking treatment from 580 therapists at 32 UCCs utilizing the Behavioral Health Measure-20 (BHM-20). We compared psychotherapy outcomes to the number of clinical staff at UCCs utilizing either explicitly defined session limits or ambiguously defined session limits. There was a significant interaction between the way the sample of UCCs defined annual session limits, number of staff, and therapy outcomes. Specifically, higher therapy outcomes were observed at UCCs with explicitly defined session limits and fewer available staff. The ratio of enrolled students to clinical staff was not a predictor of outcome. Implications for clinical practice and agency session limits policy are discussed.
大学心理咨询中心(UCCs)的任务是在招生人数增加和资源减少的情况下提供有效的心理健康干预措施。越来越多的ucc实施了会话限制,以满足有限资源的需求。为了进一步了解这一趋势的影响,我们使用行为健康测量-20 (BHM-20)检查了从全国32个UCCs的580名治疗师那里寻求治疗的15,802名客户样本的数据。我们将心理治疗的结果与UCCs临床工作人员的数量进行了比较,这些临床工作人员使用明确定义的会话限制或模糊定义的会话限制。UCCs样本定义年度会期限制的方式、工作人员数量和治疗结果之间存在显著的相互作用。具体来说,在有明确定义的疗程限制和较少可用人员的UCCs中观察到更高的治疗结果。注册学生与临床工作人员的比例并不是结果的预测因子。对临床实践和机构会议限制政策的影响进行了讨论。
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引用次数: 4
The Mental Health Crisis: What Can We Learn from Cholera? 心理健康危机:我们能从霍乱中学到什么?
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-04-03 DOI: 10.1080/87568225.2020.1727805
Lee N. Keyes
Cholera arrived in England in 1831 when a ship full of sick sailors docked at Sunderland. Orders to quarantine the ship were ignored, and so it did not take long for the disease to claim 52,000 liv...
1831年,当一艘满载患病水手的船停靠在桑德兰时,霍乱传入英国。隔离这艘船的命令被忽视了,所以没过多久,这种疾病就夺走了5.2万人的生命。
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引用次数: 1
Mental Health, Life Satisfaction, Supportive Parent Communication, and Help-seeking Sources in the wake of COVID-19: First-generation College Students (FGCS) Vs. Non-first-generation College Students (non-FGCS) 2019冠状病毒病后的心理健康、生活满意度、支持性父母沟通和求助来源:第一代大学生(FGCS)与非第一代大学生(非FGCS)
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-03-31 DOI: 10.1080/87568225.2021.1906189
Hyun Ju Jeong, Sujin Kim, Jungmin Lee
ABSTRACT Using a cross-sectional survey (N = 1,225), this study examines the psychological well-being (stress, anxiety, depression), life satisfaction, supportive parent communication, and likelihood to seek mental and emotional support from different sources between FGCSs and non-FGCSs during the early period of the COVID-19 pandemic. Results show that while FGCSs and non-FGCSs report similar levels of stress and depression, FGCSs have higher anxiety and lower life satisfaction and supportive parent communication than non-FGCSs. Although supportive parent communication is negatively associated with stress, anxiety, and depression and positively associated with life satisfaction in both groups, these associations are stronger for FGCSs than non-FGCSs. Further, FGCSs are less likely to seek mental and emotional help from family and friends than non-FGCSs, while these help-seeking behaviors may mitigate their mental distress and enhance their life satisfaction. We address college mental disparity and highlight the lack of interpersonal support for FGCSs’ mental wellness during this health crisis.
本研究采用横断面调查(N = 1225),研究了在COVID-19大流行早期,fgcs和非fgcs之间的心理健康(压力、焦虑、抑郁)、生活满意度、支持性父母沟通以及从不同来源寻求精神和情感支持的可能性。结果显示,虽然fgcs和非fgcs报告的压力和抑郁水平相似,但fgcs比非fgcs有更高的焦虑和更低的生活满意度和支持父母的沟通。尽管在两组中,支持性父母沟通与压力、焦虑和抑郁呈负相关,与生活满意度呈正相关,但这些关联在fgcs中比在非fgcs中更强。此外,fgcs比非fgcs更不可能从家人和朋友那里寻求精神和情感帮助,而这些寻求帮助的行为可能会减轻他们的精神痛苦,提高他们的生活满意度。我们解决了大学心理差异问题,并强调在这场健康危机中,fgcs的心理健康缺乏人际支持。
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引用次数: 19
The Flexible Care Model: Transformative Practices for University Counseling Centers 灵活的护理模式:大学咨询中心的变革实践
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-03-23 DOI: 10.1080/87568225.2021.1888365
William D. Meek
ABSTRACT College and university counseling centers have maintained core practices of advanced scheduling, thorough psychosocial assessment before treatment, and traditional 50-minute psychotherapy sessions since their inception in the mid-late 1900s. This approach has become challenged in the current university mental health landscape, which has seen a significant increase in demand for psychological treatment on campus, interest in rapid access to care, and long wait times for services. Drawing on principles from common factors research, multicultural psychology, and urgent care medicine, the Flexible Care Model embraces an alternative approach, with core practices that include same day access, variable session lengths, goal-focused counseling, and customizable follow-up plans. This article is an introduction to the model.
自20世纪中后期成立以来,学院和大学咨询中心一直保持着先进的日程安排、治疗前全面的心理社会评估和传统的50分钟心理治疗疗程的核心做法。这种方法在当前的大学心理健康领域受到了挑战,校园心理治疗的需求显著增加,对快速获得护理的兴趣增加,服务等待时间长。根据共同因素研究、多元文化心理学和紧急护理医学的原则,灵活护理模式采用了一种替代方法,其核心实践包括当天访问、可变会话长度、以目标为中心的咨询和可定制的后续计划。本文是对该模型的介绍。
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引用次数: 0
Mental Illness Public Stigma and Treatment Seeking among University Students 大学生心理疾病公共污名与寻求治疗
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-03-08 DOI: 10.1080/87568225.2021.1891006
K. Gorman, Kathleen M. Brennan
ABSTRACT While stigma is a complex, multidimensional concept, research regarding mental illness stigma has not been clearly defined or consistently measured across studies, thus limiting the broad application of this research. The current study examined the relationship between several dimensions of public stigma and treatment utilization for mental illness in a university student population. We found significant differences in public stigma endorsement among different treatment utilization groups. Perceptions of dangerousness to others and exclusionary sentiments were the two stigma variables that predicted treatment usage. The implications for using this information about stigma on a university campus are discussed.
虽然病耻感是一个复杂的、多维的概念,但关于精神疾病病耻感的研究尚未得到明确的定义或在研究中一致的测量,从而限制了该研究的广泛应用。本研究调查了大学生群体中公众耻辱感的几个维度与精神疾病治疗利用之间的关系。我们发现不同治疗使用组的公众污名认同有显著差异。对他人的危险感知和排斥情绪是预测治疗使用的两个污名变量。讨论了在大学校园中使用这些关于耻辱的信息的含义。
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引用次数: 2
Community-Based Threat Assessment and Higher Education 基于社区的威胁评估与高等教育
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-03-03 DOI: 10.1080/87568225.2020.1753609
David T. Okada, J. Pollard
ABSTRACT Many studies and reports, both governmental and academic, plus legislation, have suggested and some mandated the establishment of threat assessment teams to protect campuses. These teams have proliferated across university, college and community college campuses nationally. Despite these efforts, targeted violence continues in our communities and on our campuses. The community in and around Salem, Oregon has instituted a community-based approach, the Willamette Valley Adult Threat Advisory Team, that is seen by many as the future of targeted mass violence prevention. We examine the advantages and benefits of incorporating a community-based approach to threat assessment. and explore the role higher education can play in those efforts.
许多研究和报告,无论是政府的还是学术的,再加上立法,都建议并授权建立威胁评估小组来保护校园。这些团队已经遍布全国的大学、学院和社区大学校园。尽管做出了这些努力,针对性暴力仍在我们的社区和校园中继续发生。俄勒冈州塞勒姆及其周边社区建立了一个以社区为基础的方法,即威拉米特谷成人威胁咨询小组,许多人认为这是有针对性的大规模暴力预防的未来。我们研究了将基于社区的方法纳入威胁评估的优势和好处。并探讨高等教育在这些努力中可以发挥的作用。
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引用次数: 0
General Health and Depression Outcomes Related to Cumulative Indicators of Unmet Social Determinant of Health Needs for College Students 大学生健康需求未满足社会决定因素累积指标与一般健康和抑郁结局的关系
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-03-01 DOI: 10.1080/87568225.2021.1881752
Kaprea F. Johnson, Dana L. Brookover, NeShaun J Borden
ABSTRACT Unmet social determinants of health (SDOH) needs impact college students’ general and mental health, however research is lacking in the cumulative impact of unmet SDOH needs. Utilizing a cross-sectional research design, researchers investigated SDOH, depression, and mental and general health with college students (N = 301). Thirty-seven percent of the variance found in depression was accounted for by unmet SDOH needs and negative self-assessed general health (SAGH). As unmet SDOH needs increase, depression severity and negative SAGH also increase. Furthermore, students are 2.64 times more likely to have unmet SDOH needs, and 3.14 times more likely to have negative SAGH if in the moderate to severe depression group. College students are entering universities with more depression symptomology and our study found that factors related to social determinants of health may be a significant contribution. For college mental health professionals charged with preventing and treating mental health issues such as depression, increased attention to social factors is indicated.
未满足的健康社会决定因素需求(SDOH)影响大学生的一般健康和心理健康,但缺乏未满足的SDOH需求的累积影响研究。采用横断面研究设计,研究人员调查了大学生的SDOH、抑郁、心理和一般健康(N = 301)。在抑郁症中发现的37%的差异是由未满足的SDOH需求和消极的自我评估一般健康(SAGH)造成的。随着未满足的SDOH需求的增加,抑郁严重程度和负SAGH也会增加。此外,在中度至重度抑郁组中,学生未满足SDOH需求的可能性是2.64倍,负SAGH的可能性是3.14倍。大学生进入大学后出现了更多的抑郁症状,我们的研究发现,与健康的社会决定因素相关的因素可能是一个重要的贡献。对于负责预防和治疗抑郁症等心理健康问题的大学心理健康专业人员来说,应该增加对社会因素的关注。
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引用次数: 5
期刊
JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY
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