Research indicates an increasing number of college students are experiencing severe psychological problems that are impacting their academic performance. However, many colleges and universities operate with constrained budgets that limit their ability to provide adequate counseling services for their student population. Moreover, accessing…

Investigators compared counseling outcomes among nonpaid graduate-level trainees and professional staff at a college counseling center. Counseling outcomes for 331 college student participants were measured using the Outcome Questionnaire 45.2 (OQ45.2), employing a pretest--posttest design. The two groups of service providers did not differ…

Two related studies addressed college students' persistence and progress in psychotherapy. In Study 1, using emotional health variables assessed at intake, students who persisted in counseling and demonstrated clinical improvement were compared with those who either did not return for their first session or who did return but stopped before…

Nonsuicidal self-injury (NSSI) is a significant issue among college students but few resources are available to college mental health professionals. This article consolidates extant knowledge on NSSI from the empirical and clinical literature, including common NSSI characteristics (rates, methods, demographics, and concomitants), intrapersonal and…

Ideally, students requesting services should be seen quickly at their university counseling center to increase the likelihood of a successful treatment outcome. However, in these times of ever-increasing demand for university counseling services and the challenges of securing resources to keep up with that demand, the reality of prompt…

This article reviews important trends in college counseling work over the past 30 years revealed through an annual survey of college counseling center directors. The article also focuses on questions raised in the survey that generated important professional discussions and on other contributions the survey has made to the counseling profession.…

In this article, the author shares her thoughts about the need to maintain certain philosophical foundations of counseling center theory and practice taught to her by her mentors and rooted in what was once the "radical" thinking of the mid-1970s. She feels compelled to speak about this because she is noticing that fewer and fewer of her peers…

The number of students with Asperger's Syndrome enrolled at tertiary institutions in the United States continues to increase. This can be attributed to: (a) the passage of legislations such as the Individuals with Disabilities Act (IDEA) and the Americans with Disabilities Act of 1990 (ADA); (b) revisions to the "Diagnostic and Statistical Manual"…

This article provides a brief history of the development of behavioral threat assessment within colleges and universities in the United States and Canada, from the original Secret Service model used to evaluate threats against the U.S. president, to its adaptations for workplace settings and United States and Canadian secondary schools, to its…

Comprehensive--yet cost-effective--provision of psychological care is a timely concern for most college counseling centers. The current review summarizes the components of a program designed to meet such seemingly discordant demands. The Counselor-in-Residence program places live-in, doctoral students in clinical psychology/counselor education, in…

University and college counseling services have played a vital role in higher education for many years. In the last 40 years, there has been a dramatic increase in the number of campus counseling services and the multiplicity of functions that are performed. Guidelines for university and college counseling services were first developed in 1970 by…

This article presents a model of a practice-research network that offers benefits for clinicians working at college and university counseling centers. We briefly describe the basic components of this practice-research network, challenges in developing it, and some of the empirical studies that have resulted from this initiative. We also describe…

Psychometric evaluation of presenting problem checklists is vital, given increasing clinical severity among college students. However, checklist research has focused on students at public universities and utilized inappropriate methodologies when doing so. It is unclear whether checklists used at academically selective universities reliably and…

This article presents how the Valparaiso University Student Counseling and Development Center (SCDC) developed and delivers a combined service treatment model integrating pharmacotherapy with psychotherapy for a subset of the center's clients evidencing significant psychiatric concerns. To explicate the model, several documents that may be of…

Statistics suggest a steady increase in the number of international students attending universities in the U.S. However, limited information is available to guide professionals in the delivery of effective mental health services to this diverse group. University counseling centers have repeatedly reported little to no success with international…