Chart #5 offers many important implications for policy and practice, especially when considered along with prior visualizations. Examples include: • Anxiety and Depression are the most common presenting concerns in counseling centers (Chart #4) and utilize the vast majority of clinical services. However, they are also associated with a relatively average length of treatment. Conversely, less common primary presenting concerns (sexual orientation, gender identity, self-injury, and suicidality) use far fewer counseling center resources overall, but students with these concerns are likely to require longer than average treatment. This complex interaction between primary presenting concern, treatment length, and percentage of total service utilization further underscores the tension that counseling centers manage when providing routine treatment for common concerns and intensive treatment for less common concerns. • Anxiety and depression utilize the vast majority of treatment resources in counseling centers, despite the average treatment length, and these concerns are growing in frequency. This dual trend underscores the importance, and bottom-line value, of developing a spectrum of effective interventions aimed at the broader student population. • A number of primary presenting concerns are frequently identified as institutional priorities (e.g., Title IX concerns, risk to self, diverse identity groups, etc.). It is particularly noteworthy that many of these institutional priorities are associated with longer than average treatment lengths.


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