2017 Report Introduction The 2017 Annual Report summarizes data contributed to CCMH during the 2016-2017 academic year, beginning July 1, 2016 and ending on June 30, 2017. De-identified data were contributed by 147 college and university counseling centers, describing 161,014 unique college students seeking mental health treatment, 3,592 clinicians, and 1,255,052 appointments. The following are critical to understand when reading this report: 1. This report describes college students receiving mental health services, NOT the general college student population. 2. Year-to-year changes in the number of students in this report are unrelated to changes in counseling center utilization. These changes are more likely due to the number and type of centers contributing data from one year to the next. 3. This report is not a survey. The data summarized herein are gathered during routine clinical practice at participating counseling centers, de-identified, then contributed to CCMH. 4. The number of clients will vary by question due to variations in clinical procedure and implementation of CCMH data standards. 5. Counseling centers are required to receive IRB (institutional review board) approval at their respective institutions to participate in data contribution to CCMH. Although CCMH maintains membership of over 480 institutional counseling centers, only 2016 Report Highlights The following are key findings and implications contained in this year’s report: REMI NDERS FROM PR I OR REPORTS : 1. 2015: Over five years, counseling center utilization increased by an average of 30-40%, while enrollment increased by only 5%. Increase in demand is primarily characterized by a growing frequency of students with a lifetime prevalence of threat-to-self indicators. These same students utilized 20-30% more services than students without threat-to-self indicators. 2. 2016: Over six years, counseling center resources devoted to “rapid access” services increased by 28% on average, whereas resources devoted to “routine treatment” decreased slightly by 7.6%. a percentage of these institutions are a) able to contribute demographic data and b) opt-in to participate in data contribution.

2 017 H I GHL I GHTS 1. Treatment provided by counseling centers is effective and achieves the same level of symptom reduction as that reported in randomized clinical trials (RCT’s) for concerns such as depression and anxiety. A relationship exists between symptom reduction and length of treatment (Page 5-6). 2. The rate at which students improve during treatment varies, meaning that some students require longer treatment to achieve the same level of improvement (Page 8). 3. The average length of treatment (individual counseling) continues to be approximately 4.5 sessions (Page 16) with the majority of students receiving 2-10 sessions (Page 7). However, a substantial number of students received longer-term treatment of 20+ sessions (Page 7). 4. Length of treatment varies by presenting concern. For example, some common institutional priorities (e.g., supporting survivors of sexual assault, students with suicidal ideation, and students with gender and sexual minority identities) are associated with longer- term treatment (Page 10). Conversely, some common concerns (anxiety and depression) are associated with an average length of treatment. 5. Anxiety and depression are the most common presenting concerns (as assessed by clinicians) and are the only presenting concerns that have demonstrated a clear growth trend over the last 4 years (Page 9). Other presenting concerns appear to be stable. 6. The lifetime prevalence rates of “threat-to-self ” characteristics (non-suicidal self-injury, serious suicidal ideation, and suicide attempts) increased for the seventh year in a row among student seeking treatment (Page 13). 7. The lifetime prevalence rates for prior mental health treatment continue to remain largely flat over seven years. (A slight increase in the lifetime prevalence for prior counseling (Page 13) may be emerging.) 8. According to data provided by counselors at the end of treatment, a majority of students (61.2%) did not receive psychiatric medications during treatment. 9. Other notable trends among students in counseling centers: (1) students are inreasingly likely to report a past traumatic experience, (2) students are less likely to report prior drug and alcohol treatment, and (3) the percentage of students reporting marijuana use in the last two weeks jumped 3.6% this year (Page 14).


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