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1.
To meet the complex mental health needs of students, some university counseling centers (UCCs) have implemented walk-in triage intake systems, which have not yet been empirically investigated. This study compared client and clinician differences (N = 5564) between a traditional scheduled intake system (Year 1) and a walk-in triage system (Year 2) at a large, southeastern UCC. Results showed a significant increase in clients’ attendance rates and clinicians’ caseloads, a significant decrease in no-show rates, and no change in students’ symptom severity at intake between Years 1 and 2. Clinicians’ number of scheduled appointments were unchanged, indicating that clinicians were already at maximum capacity for appointments in Year 1. Results are discussed in terms of the benefits and challenges that walk-in triage systems present to students, universities, and UCCs.  相似文献   

2.
Abstract

This article explores the need for university counseling centers (UCCs) to implement brief therapies and describes one such treatment, intensive short-term dynamic psychotherapy (ISTDP), as a particularly viable therapeutic approach in this setting. Because ISTDP is not appropriate for all students seeking therapy, a careful assessment of the client is conducted prior to deciding which treatment approach is best suited for the client. The different restructuring techniques that comprise ISTDP are discussed. The article ends with a brief vignette from a therapy session with a student involving ISTDP techniques.  相似文献   

3.
University Counseling Centers (UCCs) experience high clinical demands and severe client presentations leaving counselors with limited time and resources to evaluate delivery of services. In this article, we present clinician-friendly quality improvement (QI) strategies used at a large Midwestern university and provide recommendations for implementing QI programs at other UCCs even as their resources may vary. With counselor-led efforts examining and evaluating services, UCCs can use QI programs to inform and improve counseling practices as well as advise university administrators about the positive outcomes of the center’s work.  相似文献   

4.
Increasing numbers of students are requesting accommodations for emotional support animals (ESAs) in higher education settings. Since the legislation pertaining to this type of service animal differs from the laws governing disability service animals, colleges and universities are faced with developing new policies and guidelines. A sample of 248 University Counseling Centers (UCCs) completed a survey about student requests for ESA letters of support from their counselor. The UCCs were also asked if they issue official disability diagnoses for clients. Responses showed that UCCs are not yet being asked to write many letters of support for ESAs—56.9% almost never do it, and 31.05% do it only several times per year. And, only 47.18% of UCCs write official diagnosis letters in support of disability accommodations. Yet, most UCCs are aware of the need for official policies in this arena. This article provides general recommendations for establishing university policies.  相似文献   

5.
Clients’ nonattendance in therapy poses a significant threat to the effective delivery of mental health services at university counseling centers. As such, researchers have investigated processes related to clients’ nonattendance in an effort to increase treatment utilization and treatment outcomes. However, there is a paucity of research testing the impact of the therapist on clients’ nonattendance patterns. Additionally, it is unknown whether therapists vary in the nonattendance of their racial/ethnic minority (REM) and White clients. Therefore, the present study sought to identify therapist effects in client nonattendance rates, and examine between-therapist disparities in REM and White clients’ nonattendance patterns. Data for this study consisted of 275 REM and 341 White clients seen by 21 therapists at a large university counseling center. Results indicated that therapists accounted for 14% of the variability in clients’ nonattendance. Additionally, therapist effects in nonattendance due to clients’ REM status were identified, suggesting that therapists are a significant source of racial/ethnic disparities in clients’ nonattendance. REM clients’ nonattendance rates were higher compared to White clients for some therapists, but not others. Clinical implications and future research are discussed.  相似文献   

6.
Many college counseling centers do not collect client data at each session because of perceived burdens. This study explored 55 clients’ and 16 doctoral counselor trainees’ experiences collecting and using data on client distress at each session over the course of counseling at a large public university's counseling center. Results indicated that the majority of both clients and counselors found the process convenient and clinically useful. Findings, clinical implications, and future directions are discussed.  相似文献   

7.
ABSTRACT

Counselors at university counseling centers (UCCs) should be prepared to provide services to sexual assault victims and survivors, as an estimated 23% of females and 5% of males are assaulted during college, with rates being higher for sexual and gender minority students. We surveyed doctoral interns (N = 49) at UCCs regarding interns’ training and educational experiences during their graduate programs, practicum, and internship placements, as well as the services that the interns and UCCs provide to recent victims. Among our findings, 96% of the sample had expected to work with a recent victim, 82% had already done so, and only 22% perceived themselves as fully prepared to provide such services. In addition, the majority of UCC interns had focused on sexual assault cases during case conferences, didactic trainings, and supervision. These results have implications for graduate programs and internship sites.  相似文献   

8.
Many counseling centers have session limits to accommodate the increasing number of clients who seek treatment. The current study explored clients' expectations for the number of sessions over the course of one year at a large university counseling center. In contrast to previous research that has suggested clients want ten or fewer sessions, our results suggest that over 60% of clients wanted 20 or more sessions. Moreover, clients who expected 20 or more sessions reported therapy was less effective than clients who expected less than 20 sessions. While actual number of sessions was related to expected number of sessions, termination status appeared to be related to clinical factors and not clients' expected number of sessions. Implications for clinical practice and agency session limit policies are discussed.  相似文献   

9.
The study examined client’s perceptions of working alliance as a mediator and moderator between client expectations of counseling success and counseling outcome. Participants were 284 adult clients in counseling in university or community counseling centers or private practices in South Korea. Level of functioning at the start of counseling was used to control for counseling outcome. Results of structural equation modeling analyses indicated that working alliance fully mediated the relationship between client expectations of counseling success and counseling outcome. In addition, moderation of counseling expectations by working alliance on counseling outcome was supported. Implications for research and practice are discussed.  相似文献   

10.
This study investigated premature termination of counselling at a university Counselling Centre. Twenty (20) premature terminators reported on their experience of counselling by completing a mailed questionnaire containing open- and close-ended items. The following results were obtained: Premature termination was not the result of a negative experience of counselling by the client; nor was premature termination the manifestation of a failed interpersonal relationship between the client and the counsellor; clients who terminated prematurely are likely to seek counselling again at a later stage in their lives; premature terminators would be likely to refer someone for counselling and premature terminators did not consider their participation in the study as violating the counsellor-client confidentiality. Limited support was established for the hypothesis that premature terminators will consider their expectations of counselling as not having been met.  相似文献   

11.
ABSTRACT

This archival study explored patterns of client preferences from a randomized sample of 881 clients at a Midwestern university counseling center. Information from client intake forms was collected for a four year time frame. Results showed that 61% of the clients did not express preferences for particular types of counselors when asked on intake forms. Thirty-nine percent of the clients did express a preference for a particular type of counselor. Chi-square analyses found that clients with preferences tended to have prior therapy experience and tended to prefer counselor gender over other traits. Women and people of color tended to be the most likely to express counselor preferences. It is suggested that future research clarify the meaning behind preferences, the lack of preferences, and clients' expectations for counseling.  相似文献   

12.
In the general population, alcohol use disorders and psychiatric disorders co-occur. Despite ample evidence of the adverse effects of alcohol use on treatment outcomes, these relationships have not been examined among college students presenting at counseling centers. The purpose of this study was to assess the prevalence of hazardous drinking among students receiving counseling at a university counseling center and to examine relationships between alcohol use, symptomatology, and treatment utilization. Participants were 214 students who had terminated therapy within a 3-year period. Intake assessments of alcohol use, anxiety, depression, and perceived stress were harvested from client files. Analyses indicated that 33% of the sample screened positive for hazardous alcohol use. Findings provided preliminary evidence that hazardous drinking is negatively related to both mental health and treatment utilization in university clinics. In light of this association, coupled with high base rates of risky alcohol use among college students, university counseling centers might consider implementing screening and brief intervention for hazardous drinking.  相似文献   

13.
Client-based technical writing classes have the potential to help students practice a smooth transition between school and work because they allow the side-by-side examination and negotiation of standards of writing for faculty and technical clients. However, this potential is often not realized. This article reports the results of two case studies using interviews and surveys to examine the evolution of the standards of clients and faculty throughout one semester as well as student perceptions of those standards. The results suggest that three factors help students understand standards in a way that is conducive to effective school-to-work transition: standards negotiation, teacher awareness of client standards, and perceived overlap in teacher–client standards at the end of the semester.  相似文献   

14.
This retrospective chart review study examined the factor structure of the Career Futures Inventory-Revised (CFI-R; Rottinghaus et al. in J Career Assess 20:123–139, 2012) and its utility as a career counseling outcome measure using a sample of 332 clients from a university career center. The CFI-R examines career agency and other career adaptability dimensions germane to clients’ career concerns. Confirmatory factor analysis results supported the proposed factor structure. Changes in CFI-R scale scores are reported for 116 clients who received counseling. The use of the CFI-R as an effectiveness outcome measure for individual, group, and classroom career interventions is addressed.  相似文献   

15.
Art therapy process groups can be used at university counseling centers (UCCs) to treat the mental health needs of higher education students. The authors, art therapists employed at a UCC, developed an art therapy group to engage undergraduate students in creative self‐expression to increase social connection and learn healthy skills to improve insight and emotional well‐being. Such groups offer unique benefits to participants and would be a valuable addition to current UCC services.  相似文献   

16.
Attribution is especially important from a cultural perspective in understanding how change occurs in cross-cultural counselling. In this paper a framework adapted from Brickman et al. (1982) is proposed in which attributions are classified along two dimensions: the extent to which the individual believes in personal responsibility for the cause of a problem and the extent to which he or she believes in personal responsibility for its solution. This framework provides a convenient means for understanding the differences in attributions about these behaviours across cultures. Four types of client problems in cross-cultural counselling are reviewed in light of client attributions and corresponding helping strategies.Cross-cultural counselling is a complex endeavour. A number of factors have been identified which address some of the difficulties experienced by both clients and counsellors (Ahia, 1984; Dillard, 1983; Pedersen, Draguns, Lonner & Trimble, 1981). Included among these are the inherently Western nature of counselling, different communication patterns among individuals of different cultures, and the needs and values of the client and counsellor who are from different cultures. In addition, differences in perception and cognitive style across cultures have been demonstrated to affect cross-cultural counselling (Oddou & Mendenhall, 1984). An important cognitive variable is the attribution or explanation that the counsellor and client use regarding the problem, its causes, solution, and treatment.The purpose of this paper is to explore the relationship between attribution processes and cross-cultural counselling. After a brief overview of attribution theory, Brickman's model of attributions of responsibility (Brickman, Rabinowitz, Karuza, Coates, Cohn, & Kidder, 1982) is adapted for use cross-cultural counselling. This model is then applied to four types of cross-cultural problems. The paper concludes with a discussion of the implications and advantages of focusing on attribution as a major theme in cross-cultural counselling.  相似文献   

17.
In this article the so-called point of entry problem in evaluation work has been discussed. A summary of how this problem has been treated in the theoretical literature of evaluation has been presented. Some illustrations of the problem have been given, and it has been considered from both client and evaluator perspectives. A general rule calling for studies that assist in improving client services has been offered. And a chart for determining, in accordance with this rule, when to do what type of study has been introduced.It is hoped that the advice will assist evaluators and their clients to do a better job of planning evaluations. In addition, it is hoped that other students of the evaluation field will examine and possibly build on the work begun here. Both further conceptual analysis and empirical study are needed. In addition, the field could use some good workshops aimed at helping evaluators and their clients to better appreciate and deal with their evaluation point of entry problem.  相似文献   

18.
Supervision offers a distinct opportunity to experience the interconnection of counselor–client and counselor–supervisor interactions. One product of this network of interactions is parallel process, a phenomenon by which counselors unconsciously identify with their clients and subsequently present to their supervisors in a similar fashion ( Searles, 1955 ). Addressing parallel process has the potential to be valuable in the advancement of counselor development, but few strategies exist in the literature for working with the phenomenon. The authors describe the use of motivational interviewing as one method for effectively addressing parallel process in supervision.  相似文献   

19.
The authors investigated the impact that racial stereotypes have on counselor trainees' perceptions of the attributes and behaviors of ethnically diverse male clients. Two studies were conducted in which participants were counselor trainees (Study 1, N = 58; Study 2, N = 75) who received a case study in which a male student sought counseling for problems affecting his school work. No differences were revealed in Study 1. In Study 2, counselor perceptions of client attributes differed across client race–ethnicity. The results are discussed in terms of their implications for training counselors, particularly regarding multicultural courses and workshops.  相似文献   

20.
Abstract

It is impossible to teach students all characteristics of the myriad cultures present in the United States. Providing students with a framework to assess the cultural traits of any client and to understand how those traits may influence the helping relationship gives them a tool to use in any clinical setting. This article presents a systematic process for considering the ways in which cultural values may differ between worker and client. This involves identifying areas of human functioning relevant to the helping relationship which need to be assessed or considered with all clients. This systematic process also prevents the worker from assuming cultural congruence when the client and worker are from the same cultural group.  相似文献   

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