CWU_Mental_Health_Services_

AUCCCD Director Survey 2016-17

Executive Summary

A total of 621 counseling center directors responded to the 2017 AUCCCD survey. Among participants, 566 indicated current membership to the Association for University and College Counseling Center Directors (AUCCCD). This represents a 63.4% response rate from AUCCCD members, the highest ever for this survey. Counseling services have a positive impact on academics, as measured by student self- report: 66.8% of clients stated that counseling services helped with their academic performance.

Counseling services have a positive impact on retention, as measured by student self- report: 65.2% of clients stated that counseling services helped them stay in school.

Anxiety continues to be the most frequent concern among college students (48.2%), followed by stress (39.1%), depression (34.5%), suicidal ideation (25.2%), specific relationship concerns (22.9%), family concerns (21.2%), interpersonal functioning problems (18.8%), sleep problems (15.8%), and loneliness / social isolation (15.5%). 35.3% of centers gained staff positions, while only 7.4% lost staff positions. Counseling centers continue to gain staff member FTE at a much higher level than those losing staff (7.9 FTE staff positions gained for every 1 lost, up from 6.3 last year).

25.5% of students seeking services were taking psychotropic medications. This is essentially identical to the percentages reported in the previous two years.

16.2% of center clients had extensive or significant prior treatment histories (e.g., serious suicide attempt; hospitalization for psychiatric treatment).

12.4% of centers used a version of stepped care, which refers to offering a campus- wide menu of service options ranging from no care at all to weekly therapy at the counseling center (options may include appropriate forms of self-help, wellness coaching, support groups, mindfulness classes, appropriate apps and online resources, etc.).

36.9% of centers provided some form of tele-health clinical services, such as Mental Health Screening, Therapist Assisted Online, or Interactive Screening Program for Suicide. These are more common at larger institutions.

39.7% of centers offered extended hours, typically by staying open until 6 or 7pm on a few weekday nights. Very few offered any hours on the weekend (fewer than 1.5%).

13.1% of centers have counselors embedded in other offices on campus. Larger centers are more likely to have embedded counselors.

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