https://www.cwu.edu/wellness/mental-health-screening-tool. In addition, Wellness makes direct referrals to Counseling Services on a regular basis. Wellness and Health Promotion Services is also the leader in facilitating substance abuse evaluations through a partnership with Merit Services in Ellensburg, and supporting students in recovery through their Recovery Outreach Community. Support for students who have experience power- based interpersonal violence is also an important part of Wellness and Health Promotion. Students who experience interpersonal power-based violence can be at risk for mental health concerns if not properly supported. In collaboration with Counseling Services, Wellness has begun offering a sexual assault survivor support group in Fall 2018. Wellness and Health Promotion also offer Mental Health First Aid training to the university community and is the leaders in the JED Suicide Prevention work on campus. Counseling Services partners with a variety of campus areas to help ensure students are informed about and know how to access mental health services. Working closely with Orientation (presentations to parent and student groups attending orientation), Residence Halls (1 st 6-weeks presentations), Case Management, Wellness and Health Promotion, Disability Services, other Student Success members, faculty and staff (through classroom presentations), information campaigns (recently sending service flyers, crisis information, and how to handle distressed students to Student Success member departments and next to faculty chairs), and tabling events with information and giveaways, staff strive to help students know about Counseling Services. A wide variety of mental health services are provided by Counseling Services and are covered completely by the quarterly medical and counseling fee. Initial consultation appointments last 30 minutes and give students an opportunity to talk about their needs and explore service options. Same day crisis appointments are available to students on a walk-in basis. If a student walks in with an urgent need, they will be seen with a minimum of delay (usually no more than 30 minutes). Additional services include skills workshops, group therapy, short-term individual therapy, couples therapy, consultation to students, faculty, and staff, limited psychological testing, and coordination of referrals if a student’s need exceeds the expertise or capacity of Counseling Services. Annually, Counseling Services sees approximately 8-10% of the Ellensburg campus community. According to the Association of University and College Counseling Center Director’s (AUCCCD) 2017 survey, institutions of similar size to Central see, on average, 926 unique students for 4326 talk therapy appointments. In FY18, Central Counseling Services saw 914 unique students for 4454 individual therapy appointments. Students attended an additional 1668 group therapy or workshop appointments during the same time frame. By comparison, the AUCCCD survey shows that similarly sized institutions have an average of 351 group appointments per year. Counseling Services at Central has work hard over the past seven years to grow our group program, as research suggests that group therapy is more effective than individual therapy in 25% of the cases and just as effective as individual therapy in another 25% of the cases. Our Pathways program, which serves as an entry point for services for many students (after an initial consultation), is now a model program nationally, with research to support its efficacy. See http://www.cwu.edu/cwu-provides-pathways- students-overcome-concerns for a recent press release and more information about this innovative program. The demand for counseling services has steadily grown over the past several years. The etiology for this is certainly multi-factorial, with a combination of increased enrollment at the Ellensburg
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