UW-L Counseling & Testing Center Annual Report 2014-15 20142015 Annual Report Submitted by: Gretchen Reinders, PhD, Director UW-L Counseling & Testing Center Annual Report 2014-15 UW-L Counseling & Testing Center Annual Report 2014-15 ANNUAL REPORT Table of Contents Mission Statement, Philosophy, Statement on Inclusive Excellence page 2 Accreditation page 3 Notes of acknowledgement page 4 Staff page 6 Statement regarding statistics page 7 Narrative report Direct and Indirect Services page 8 Outcome Data page 9 Adjunctive Services page 10 Outreach Programming page 11 Testing page 11 Psychological Testing page 12 Service page 12 Teaching Contributions page 13 Professional Development page 13 Supervision and Training page 13 Diversity and Inclusive Excellence Efforts page 13 Opportunities and Challenges for 2015-16 page 14 Appendices page 16 Page 1 UW-L Counseling & Testing Center Annual Report 2014-15 Counseling and Testing Mission Statement Our mission is to promote students’ emotional, academic, social, and cultural growth through counseling, crisis intervention, and outreach within an atmosphere of confidentiality and inclusivity. To meet the needs of UW-L and the region, we provide comprehensive testing services that adhere to nationally recognized standards. Philosophy The Counseling & Testing Center (CTC) provides client-centered mental health and academic skills services to our UW-L campus community. Services provided to students include individual and relationship counseling, group counseling, crisis counseling, consultation, workshops, various assessments, and academic skills counseling. Services provided to the faculty and staff include consultation, service through joint committee membership, and outreach. Both the campus and larger regional community benefit from a wide variety of testing services provided through our test center. The philosophy of the CTC is derived from a strengths-based, student-centered, and developmental approach. Our clinicians promote growth by assisting clients in identifying their personal strengths and resources, as well as the resources that are available in their support network in the greater campus and surrounding community. Clinicians also focus on enhancing the client’s ability to make decisions and developing their ability to resolve difficulties in their lives. The CTC staff work with individuals with adjustment and development-related concerns as well as more significant mental health/psychological disorders. The CTC is team-oriented, and collaboration is a foundation of our service provision. The CTC has an ongoing commitment to recognizing and valuing the needs of a diverse population within a university setting. Cases are assigned with the client in mind, considering client needs and preferences, staff expertise, and availability of clinicians. We encourage a generalist model for counselors, in which a wide range of theoretical perspectives and techniques are considered to best meet client needs. We also strive to support staff in developing specific areas of interest and expertise. Statement on Inclusive Excellence At the University of Wisconsin-La Crosse, diversity and inclusion are integral to the achievement of excellence. As part of the university’s implementation of Inclusive Excellence, the Counseling and Testing Center is committed to: Forging thoughtful relationships with groups of students who are traditionally underserved by mental health services. To this end, we will: Page 2 Develop connections with diverse student groups through collaboration, trainings, and outreach presentations with student organizations and campus offices. Initiate alternative and culturally congruent ways of providing counseling services to diverse students who may not traditionally seek out office-based therapy services. UW-L Counseling & Testing Center Annual Report 2014-15 Making our office-based services as comfortable and inclusive as possible, so that all students feel our services fit their needs. To achieve this, we will: Increase group therapy services for diverse student groups. Examine and modify student paperwork to ensure that they are inclusive. Survey students regarding their experiences and incorporate feedback that improves the experience of seeking services for diverse groups of students. Using our existing knowledge and expertise to benefit the cultural competence of the campus community. Among other actions, we will: Collaborate with other departments/offices and offer outreach programs focused on increasing awareness and knowledge about diversity issues. Participate in campus-wide committees and groups that foster Inclusive Excellence. Continuing growth and development of our own cultural competence: personally, professionally, and as a staff. For this purpose we will: Continue to focus on developing and maintaining multicultural competence via staff inservices/training on diversity issues and clinical staff training on topics of diversity. Maintain a consistent focus on developing multicultural competence for clinicians-in-training (i.e., interns, postdoctoral residents). Accreditation Since 1979 the International Association of Counseling Services, Inc. (IACS) has accredited the University of Wisconsin–La Crosse Counseling & Testing Center. Accreditation by IACS certifies that the CTC meets or exceeds certain criteria and standards that are applied exclusively to college and university counseling centers. The CTC is the only UWS Counseling Center that is accredited by IACS. A complete re-evaluation is done on each accredited site every four years. CTC completed its IACS re-evaluation in the spring of 2011 and was fully re-accredited. Our next re-evaluation is scheduled for 2015, with a re-accreditation site visit planned for spring of 2016. In addition to regular re-evaluations, the CTC completes and submits an annual report on our services and staffing for approval by IACS during the spring of every year. The 2014-2015 annual report is currently underway. Page 3 UW-L Counseling & Testing Center Annual Report 2014-15 Notes of acknowledgement The 2014-2015 academic year was the first full academic year with this writer in the Director role, and was a year with some continuing changes and transitions. Jenny King, front office coordinator, resigned from the CTC in January of 2014. Ms. King had been an integral part of our team, offering initial contact for everyone who walked in to our doors or called our Center. She represented the CTC with kindness, professionalism, enthusiasm, and genuine care for students’ well-being. We wish her well. We had big shoes to fill with Ms. King leaving, and we are incredibly grateful to have been able to hire Ms. Christal Johansen. Ms. Johansen came to us as a UW-L alumna with many years of experience in a medical office setting. She moved into her role here the second week of the spring semester and did so seamlessly! Ms. Johansen has been a welcome addition to our team and brings to the front desk a wealth of experience, high energy, organization, and humor. Randy Kahn, LPC, joined our clinical staff as a Counselor. Mr Kahn had been a contract clinician in previous years and thus was able to hit the ground running as the fall semester started. Mr. Kahn brings diverse experiences and strong generalist skills, as well as specialized skills in treating AODA issues, trauma, and Veteran-specific concerns. His mindfulness skills workshop is a welcome and needed addition to our group offerings. Due to circumstances beyond our control we continued to have a Counselor position unfilled, and as such, our core staff and contract staff worked together to meet the needs of our campus community. Namely, Dr. Beth Mullen-Houser continued to provide group counseling services to help students with anxiety and disordered eating concerns. Dr. Ryan McKelley continued to offer a men’s therapy group. Dr. Marc Kayson provided clinical services to students at the Student Health Center two afternoons per week. Without their clinical expertise and assistance, the CTC would not have been able to meet the service demands, and for that we are quite grateful! Other transitions this past year have added strength and positivity to our team. Dr. Crys Champion, Counselor, became licensed as a psychologist in the state of Wisconsin (LP). We are excited and proud to continue to have our core clinical staff licensed as clinicians. Drs. Nikki Cassidy and Sarah Dahl served in a one-year postdoctoral residency, working to satisfy their requirements for licensure as psychologists. Ms. Kelly Ehleiter engaged in a one-year training practicum/internship for her pre-master’s clinical requirements. Ms. Ehleiter was our first intern to come to us from the Viterbo training program. All three of our clinicians-in-training were excellent additions to our clinical staff. I extend gratitude for Mr. Criss Gilbert’s expertise and management of the Testing Center and Office Management at the CTC. He continues to build our relationship with vendors and add tests that meet the needs not only of students but also community members of La Crosse and surrounding areas. Even with a new Prometric Center opening up in La Crosse, the Testing Center was able to maintain a steady stream of business and very little changes were seen in terms of volume and finances this year. In keeping with the national college counseling trend, the demands for clinical services continue to grow, as does the need for outreach, academic skills, and preventative services. The Counseling Page 4 UW-L Counseling & Testing Center Annual Report 2014-15 and Testing Center would not be able to meet these demands for services if it were not for the dedicated CTC staff and the hard work of community clinicians who contract with us regularly to help us meet the student needs. On behalf of the students at the University of Wisconsin – La Crosse, the campus faculty, staff, and administrators, and the greater La Crosse community, I would like to express my appreciation to all the Counseling and Testing Center staff members who helped make 2014-2015 a very successful year. Their hard work, talent, collaborative teamwork, and genuine concern for students help to improve the quality of students’ lives, the climate of this great campus, and ensure that students experience academic success and personal growth. Although there still exists a marked and pervasive stigma regarding mental health, students are more inclined to seek services and refer friends in need of help. Today’s college student is more likely to have had previous counseling experience and many come to campus with current psychotropic medication prescriptions. Furthermore, as we continue to see and hear about mental health issues and campus crises in the news, the demand for outreaches from the campus and local community increases. This indirect service is becoming an integral part of the services we deliver. While it can create a greater stress on our resources, we are both professionally and ethically obligated and happy to provide this service. Page 5 UW-L Counseling & Testing Center Annual Report 2014-15 Staff Gretchen Reinders, PhD, LP; Director Francie Biesanz, MA, LPC; Senior Counselor/Outreach Coordinator Crys Champion, PhD; Counselor Randy Kahn, LPC; Counselor Kristen Marin, PhD, LP; Associate Psychologist/Training Coordinator Liz Stine, MS, LPC; Associate Counselor Criss Gilbert, MS; Testing Coordinator, Office Manager Charlene Holler, M.Ed; Academic Skills Specialist Christal Johansen; Front Office Coordinator Jenny King, MASL; Front Office Coordinator Jonathan Skubis; Test Center Administrator Marc Kayson, PhD – contractual clinical staff Jon Marin, PhD – contractual supervisory staff Ryan McKelley, PhD – contractual clinical staff Beth Mullen-Houser, PhD – contractual clinical staff Post Doctoral Fellows Nikki Cassidy, PsyD Sarah Dahl, PhD Counseling Intern Kelly Ehleiter Student Worker Walker Kinziger Page 6 UW-L Counseling & Testing Center Annual Report 2014-15 Statement regarding statistics Efforts have been taken to provide the most valid representation of services offered by the Counseling and Testing Center. We have several ways of collecting data on the clients we see and the services we provide. These methods include Point and Click (PnC; our electronic recordkeeping system, which pulls demographic information from PeopleSoft, the school records and registration electronic system), CelestHealth/Behavioral Health Monitor (BHM 20), which is our outcomes assessment program, the Learning Outcomes and Client Satisfaction Survey (LOS; administered at the end of each semester) and our Client Information Form (CIF). Each method has merit and value; however, each of these programs/assessments measure services differently. Aggregate data from the Learning Outcomes and Client Satisfaction Survey and the CIF is shared with participating UW system schools and is contributed to a larger scale study that examines the impact of UW counseling services on its students and campuses. As with most statistics, those presented within this report should be interpreted with some caution. They are provided to communicate the spirit of services and outcomes, as well as to give the reader a general picture of our client population. Page 7 UW-L Counseling & Testing Center Annual Report 2014-15 Direct & Indirect Services The primary goal of the CTC is the provision of direct counseling services to UW-L students. Direct service includes clinical assessments, counseling (individual, group, and occasional couples and family), psychological testing, consultations, crisis intervention, and academic skills counseling. Indirect services include light therapy visits and relaxation room visits. The table below summarizes in number the varied and comprehensive outpatient services that we conduct as a Center, and utilization from 5/19/14-5/15/15. Service % of total appointments # of unique Clients (N = 1162) Individual Therapy Session 42% 562 Intake and Returning Intake Session 12% 601 Triage 12.5% 630 Urgent Care 3.3% 138 Academic Skills Intake 2.7% 135 Academic Skills Visit 2.7% 71 Assessment/Psychological Testing 2% 31/7 Consultation 2% 87 Relaxation Room Visit 18.3% 362 Light Therapy Visit * * Couples Intake and Session 0.1% 5 Group Therapy Screening Visit 2% 104 Group Therapy Visits **Unable to assess **Unable to assess * Note that we began offering portable light therapy devices for student loan. The few students who utilize this service did so by checking out devices and returning them to the CTC. ** Because of the way PnC tracks service utilization, those clients who participated in group therapy only may not be included in the above figures. From 5/19/2014 – 5/15/2015, approximately 900 students received direct services. All of our reported figures related to direct service are lower than last year’s numbers primarily due to being one clinician short of fully staffed. The CTC conducted 4,199 direct service appointment this academic year which includes but is not limited to the following appointments: 138 academic skills intakes, 138 academic skills visits, 98 assessment/psychological testing visits, 96 consultation visits, 171 urgent care visits, 643 triage visits, 616 counseling intake visits, 112 individual group therapy screenings, and 2,179 individual therapy visits. Ninety-six percent of counseling appointments were delivered at CTC’s main office in Centennial Hall and 4% were delivered at Page 8 UW-L Counseling & Testing Center Annual Report 2014-15 our satellite office in the SHC (note that the SHC had less mental health hours available to students than in previous years). Average number of one-on-one individual therapy sessions (excluding group therapy) was 4, before therapy terminated or the client discontinued services. In general, the average profile of a student-client who receives services identifies as female, White, single, and 20 years of age. The client information form (CIF) provides the opportunity for clients to endorse gender identities other than female and male, as well as varied sexual orientations. Our electronic medical recordkeeping system, Point and Click (PnC) does not allow for this reporting. However, the CTC gathered self-reported data as well as that entered in through university registration. Please see Appendix A for more comprehensive demographic information. In addition to continuing to offer triage assessments within 1-5 days of a student’s initial contact, the CTC offered 29 group counseling options this academic year (14 in the fall, 15 in the spring, with a number of groups being offered both semesters). Group membership and attendance fluctuated greatly from semester to semester and among group offerings. Twenty-three of the 29 offered groups ran, with membership varying from two members to 10. See Appendix B for images of the advertisements. The groups offered included: a transition to college workshop, a Men’s Group, Grief & Loss, Mindfulness, ACT on Anxiety, Breaking Free from Anxiety and Depression, Freedom from Disordered Eating, Understanding Self and Others process groups, Multicultural Talking Circle, Living social (for social anxiety), and a Women’s Empowerment Group (trauma focused work). In addition to group counseling options, our Academic Skills Specialist, Charlene Holler, offered a variety of skills-based workshops on topics such as test preparation, time management and overcoming procrastination. Students are asked to identify their presenting concerns, on the CIF, into broad categories. After the intake session, the counseling staff categorizes the concerns more precisely. Again, efforts were made this year to use the CIF to summarize the data, and these are presented in more detail in Appendix C. The most commonly reported presenting concerns included stress, anxiety, depression, problems in school, low self-esteem, attention problems, sleep, relationship concerns, choice of major/career, and disordered eating. Outcome Data Learning Outcome and Client Satisfaction data is solicited from every student who receives counseling or academic skills services at CTC. UW-L participates in a UW system wide initiative to assess learning outcomes and client satisfaction in a standardized fashion. The survey (LOS) is comprised of three subscales: Intrapersonal Learning Outcomes, Academic Outcomes, and Client Satisfaction. This is the fourth year that UW-L has participated in this study and results continue to be impressive and promising. In the Fall of 2014 and Spring of 2015, clients were sent an email with an invitation to access the learning outcomes survey at a protected website. Data is collected, analyzed and summarized into both a UWS report and a school specific report. These reports are completed and shared Page 9 UW-L Counseling & Testing Center Annual Report 2014-15 with each participating university’s Director in early July every year. Therefore, future iterations of annual reports will include summary data from the previous year. In lieu of having this overall summative data, we are able to gather basic data for those who engaged in at least two therapeutic visits with a clinician, using client self-reported symptom distress scales via the BHM. The table below summarizes 383 individual client-reported data from time of intake to most recent BHM scores. Note that the totals are greater than 383 because some of the clients who indicated improvement from intake to last session reported such improvement that their scores are labeled as not only “improved” but as “recovered.” Also important to note is that this data includes those clients who may have dropped out of therapy before fully engaging in the process. BHM Outcomes by Scale Recovered 22 32 86 70 189 195 127 108 Global Mental Health Improved Unchanged 40 27 71 97 181 101 Well-being Scale Anxiety Symtpom Scale 185 92 Depression Symptom Scale Deteriorated 23 42 32 104 65 145 49 Suicide Monitoring Scale 92 Life Functioning Scale Adjunctive Services The Relaxation Room has increased in visibility and use every year. This is an indirect service available to any registered UW-L student, whether a client at CTC or not. The room offers leather recliners with massage/heat pads, noise cancelling head phones, as well as computer based relaxation programs, music, and biofeedback programs. During the 2014-2015 academic year, 362 unique students used the relaxation room for a total of 941 visits. We continue to be fortunate enough to have psychiatric services available at UW-L through Student Health Services (SHC) with Dr. Tom Trannel. Psychiatric services are funded by student Page 10 UW-L Counseling & Testing Center Annual Report 2014-15 segregated fees as well as money received from Western Technical College (WTC). Currently, the psychiatric services are available to UW-L students and WTC students but are reserved for those students with serious and/or complex psychiatric needs. The CTC staff engaged in a monthly case consultation with Dr. Trannel this academic year. Please see Dr. Allen’s annual report on the SHC services for psychiatric-related data. Outreach Programming The outreach activities are the most diverse programming function of the CTC. The outreach goal is the delivery of preventive, consultative, educational, and developmental programs to the UW-L campus’ students, staff, faculty, parents, as well as various civic, health, and educational institutions in La Crosse and surrounding areas. The formats range from classroom presentations, speaking at conferences, media interviews, workshops, and educational brochures. Over the 2014-2015 academic year, 93 outreach programs were conducted serving over 2000 students, staff, faculty, and community members. Appendix D details the outreaches from this past year. One type of outreach and one of the most important direct roles of a university counseling center is to take a leadership role in response to traumatic events on campus. The CTC staff continues to work diligently to help our students and community respond to these crises. The 2014-2015 academic year was a difficult one due to several tragic events. During the past year, CTC staff provided campus crisis intervention and outreach to students and staff following student deaths, as well as provide guidance and consultation to other campus offices/departments in response to high incidences of suicidal ideation and other relevant situations relating to students of concern. Testing Services The testing program is a national, regional and campus site for the administration, scoring, interpreting, and dispersal of many tests and several psychological inventories. The testing program offers a number of high stakes exam programs for admission, certification & licensure from over a dozen test providers, including ETS, ACT, Pearson/VUE, Castle World Wide, Kryterion, PAN, Miller Analogy, CLEP, DSST, Comira, PSI/LaserGrade, Prov, and the University of Wisconsin Center for Placement Testing. While a few testing programs remain in paper and pencil format (ACT, SAT, LSAT, UW Placement exams) most exam programs are now delivered via computer in two testing labs housed in Centennial Hall. The testing program serves the UW-L community and the greater La Crosse area. During the 2014-2015 academic year (data current through 5/31/15), 6,181 exams were administered. This includes a total thus far of 2217 UW System placement tests, as well as 906 other paper and pencil tests. The remaining 3,058 were computer based tests. CTC testing staff has noticed an annual increase in tests administered at our Center. While the demand for certain tests increased, others decreased as testing waxes and wanes with the economic and job climates. The opening of a corporate owned Prometric Test Center in downtown La Crosse had only a slight impact on the activities of the testing center. Likewise, the opening of a Pearson/VUE test center at Page 11 UW-L Counseling & Testing Center Annual Report 2014-15 Western Tech had a negligible impact on testing programs at UW-L. They both serve different client populations. CTC looks forward to continued growth and meeting the testing needs of the UW-L, La Crosse and surrounding communities. Appendices E and F contain an overview and details of the various tests the CTC offered this past year. Psychological Testing Psychological testing is done on an as-needed basis and administered by the clinician when deemed clinically appropriate. Attention Deficit-Hyperactivity Disorder (ADHD) evaluations include the use of several different assessment measures and help in identifying treatment and academic accommodation needs. All evaluations and resulting diagnoses are important. The CTC has worked hard to develop a sound and comprehensive evaluation process that is consistent with best practices. The evaluations include a thorough initial evaluation before determining if a full assessment is deemed appropriate. By continuing to meet regularly as an ADHD clinical subcommittee, our staff modifies and hones the referral process and this initial evaluation in order to avoid unnecessary testing and cost to students, and allows for exploration of other possible contributing factors to attention-related problems (e.g., substance use, sleep difficulties, anxiety). Due the potential academic and medical implications, as well as the growing trend of stimulant medication abuse on college campuses, CTC has modified the ADHD evaluation protocol. The protocol is more comprehensive and now includes an intellectual functioning measure, as well as a measure that allows the clinician to rule out other primary motivations for seeking a diagnosis of ADHD. Service The CTC staff has a strong commitment to the service mission of the University. The following is a sample listing of the service contributions by the CTC staff: Violence Prevention Advisory Committee, Emotional Wellness Committee, CARE Team, ATP Cross Cultural Guides, Division of Student Affairs Staff Recognition Committee, First Year Registration and Orientation, and Search and Screen Committees. Additionally, many clinical consultations were provided to the staff, faculty, parents and students throughout the year. The staff consults about counseling services, student problems, and questions regarding resources. Discussions about clients are always governed by confidentiality statutes. Page 12 UW-L Counseling & Testing Center Annual Report 2014-15 Teaching Contributions Several staff members regularly guest lecture in a variety of classes in topics related to general mental health, adjustment to college, academic skills, and disordered eating. In addition, our Academic Skills Specialist, Charlene Holler, continues to teach an undergraduate course in the summer session on developmental reading. Professional Development During the 2014-2015 year, the staff was involved in a variety of professional activities. These included weekly training activities coordinated by Dr. Marin, as well as workshop and conference attendance pursued by staff to meet ongoing licensure requirements and further develop areas of clinical interest and expertise. Some continuing education topics include: Dialectical Behavior Therapy (DBT), Motivational Interviewing (MI), Spirituality Identity development, Assessment of Eating Disorders, and Microaggressions. In addition, the CTC helped organize and sponsor a trans* health workshop between the CTC and SHC personnel, as well as the Campus Connect gatekeeper train-the-trainer with many members of the Student Affairs (and other) divisions at UW-L. Supervision and Training The CTC continues to offer a practicum and internship program for a Masters-level counselor trainee, and had a wonderful experience with our trainee, Kelly Ehleiter. She quickly became a valued member of our team. Kelly was ready to take on triage appointments early on, and she sought out an opportunity to co-facilitate a mindfulness group with a staff clinician. This group filled quickly and was very well-received by our students. The CTC also continues to be a postdoctoral psychology resident training site. Dr. Gretchen Reinders served as primary supervisor to the two residents this year, Dr. Sarah Dahl and Dr. Nikki Cassidy, and Dr. Jon Marin served as secondary supervisor for the postdoctoral residents during the academic year. Dr. Kristen Marin will assume secondary supervision responsibilities over the summer months. Diversity and Inclusive Excellence Efforts The Counseling and Testing Center was involved in a number of diversity efforts during this past year and made strides in increasing efforts to reach underserved student populations. Our staff as a whole worked together to specifically examine our own multicultural awareness and competency and we looked at how our Center represents Inclusive Excellence. Some of our efforts included (but are not limited to) the following: Revision of our CTC Statement on Inclusive Excellence. Revision of initial paperwork and the front desk orientation manual with regard to the use of inclusive and non-gendered language. Page 13 UW-L Counseling & Testing Center Annual Report 2014-15 Purposeful focus in training seminars for staff and for trainees on issues related to diversity. Joint trainings with areas from Diversity & Inclusion The development and implementation of the Let’s Talk consultation service, which was housed for this pilot year in an office in OMSS. Continued collaboration with Veteran’s Services, including a survey to assess interest, need and potential barriers to veterans seeking mental health services. Participation in the UW-L Drag Show. Organization and sponsorship of a trans* health workshop between the CTC and SHC personnel. Opportunities and Challenges for 2015-2016 Build upon the Campus Connect training by partnering with the other ten (10) campus offices/departments represented at the training. Create a community health model that fits for our campus and addresses prevention, early detection and intervention, referral and de-stigmatization. Consider partnering with the SHC for primary care screening, keeping in mind the need for available resources to be able to appropriately follow-up and assess those students who identify having suicidal thoughts. Consider partnering with the Wellness Resource Center Coordinator for a grant proposal to assist in long-term planning and implementation of suicide prevention. With the hiring of a Counselor/Clinical Case Manager we have an opportunity to improve upon our existing relationships and communication with community resources. We hope to effectively develop this new split position to assist the CTC in coordinating services to students in need of assistance from other university departments and/or community resources, maintaining a database of resources, and tracking and following-up on referrals made. We have modified the training rotations for our two postdoctoral residents to provide better training opportunities and better meet the needs of our Center and our clients. Four training rotations include: Student Health Center, CARE team participation, treatment of eating disorders, and outreach. Plan to evaluate training rotations on an annual basis and adjust options as needed. Develop an interdisciplinary Eating Disorders Treatment Team consisting of providers from the CTC and SHC. Continue to push ourselves to explore new and exciting ways to incorporate Inclusive Excellence ideals and standards into our daily work. Hiring of a Test Center Associate in a project position (replacing the LTE position) will help ensure that our testing program will continue to meet the campus and community demand Page 14 UW-L Counseling & Testing Center Annual Report 2014-15 for a broad range of certification and testing needs, and this position may offer the opportunity to expand testing services. Continue to assess administrative and clinical needs of the CTC, more purposefully delegating some administrative tasks when appropriate (e.g., delegate group services coordination to one clinician). Work with UW-L Information Technology Services to improve and modify our website to increase ease of use, incorporate more educational components, and accurately reflect all that our Center has to offer. Expansion of “Let’s Talk” with a continued goal of reaching traditionally underserved populations. Assess and modify as needed. Continue to build our group therapy program so that it becomes a primary treatment modality. Implement systematic methods for surveying how effective the group services are and utilize that data to modify services as needed. Continue to increase outreach efforts, with a dual purpose of increasing visibility and presence of CTC staff at various events on campus, as well as focus on preventative services, early detection and education. The CTC will have an intern from the SAA program this fall who will assist our Outreach Coordinator in continuing to develop our core outreach programs, increase visibility of our services, and evaluate those services. Page 15 UW-L Counseling & Testing Center Annual Report 2014-15 Appendix A User Characteristics (874 unique students) Counseling & Testing Center 2014-2015 Gender Identity (data pulled from CIF) Woman Man Transgender Self-identified (written response) 68.2% 30.3% 0.2% 1.2% Average Age 21 (mode: 20) Sexual Orientation (data pulled from CIF) Heterosexual Lesbian Gay Bisexual Questioning Self-identified (written response) 89% 1.6% 1.5% 4% 1% 3% Race (data pulled from CIF) African American/Black American Indian or Alaskan Native Asian American/Asian Hispanic/Latino/a Native Hawaiian or Pacific Islander Multiracial White Self-identified (written response) 1.8% 0.23% 3% 2.5% 0.3% 3.1% 86.3% 2.6% Religious/Spiritual Preference (data pulled from CIF) Agnostic 10.8% Atheist 6.8% Buddhist 0.6% Catholic 22% Christian 36% Hindu 0% Jewish 0.2% Muslim 0.6% No Preference 18.3% Self-identified (written response) 4% Page 16 UW-L Counseling & Testing Center Annual Report 2014-15 School of Enrollment (data pulled from CIF) Science & Health Liberal Studies Business Administration School of Education Education, Exercise Science, Health & Rec Arts & Communication *Western Technical College 40% 26% 11% 9% 6% 6% 1% University Academic Status (data pulled from PnC prior to spring semester end) Freshman 17% Sophomore 24% Junior 20% Senior 29% Graduate 6% Post-Bacc Undergraduate 0.2% Unassigned 3% Undergraduate Special 1% Educational Specialist 0.1% Graduate Special 0.2% Current or past military service (data pulled from CIF) No 98% Yes 2% International Student (data pulled from CIF) No 98.5% Yes 1.5% Housing information (data pulled from CIF) On-campus 41.5% Off-campus apt/house 57.3% Other housing 1% CIF = Client Information Form PnC = Point and Click Page 17 UW-L Counseling & Testing Center Annual Report 2014-15 Appendix B: Group Therapy Flyers Page 18 UW-L Counseling & Testing Center Annual Report 2014-15 Page 19 UW-L Counseling & Testing Center Annual Report 2014-15 Appendix C – Most common client reported presenting concerns, per Client Information Form (CIF) Reported Concern (round to nearest percent) Stress/Stress management 63% Anxiety/fears/worries (non-academic) 60% Depression/sadness/mood swings 60% Problems related to school or grades 45% Procrastination /motivation 39% Low self-esteem/confidence 37% Attention/concentration 35% Sleep difficulties 26% Friends/roommates/dating concerns 24% Choice of major/career 21% Eating behavior/weight problems/eating disorders/body image 19% Anger/irritability 18% Shyness/social discomfort 17% Family-related concerns 12% Physical symptoms/health 11% Suicidal thoughts/urges 11% Grief/loss 10% Self-injury 8% Sexual assault 5% Childhood abuse 5% Alcohol/drug use 5% Page 20 UW-L Counseling & Testing Center Annual Report 2014-15 Appendix D – Outreach Presentations 2014-15 FALL 2014 Date of Presentation Time Topic Class or Group 8/25/2014 CTC Services ATP Slideshow 11/11/2014 8-9 am Veterans breakfast event 12/3/2014 5-7 PM Ferguson processing All campus 8/26/2014 1:00-3:00 Listening/Helping Skills RA Training 125 Res Life 8/28/2014 1-4 PM Involvement Fest Table Tabling Event 75 Volunteered 8/29/2014 Veterans Welcome 35 OMSS, Campus Climate 20 Frank Tierney 9/1/2014 11:00-12:00 Combat to College Various mtgs Let's Talk, for referral thr. out Sept. sources and partners 9/9/2014 12-1P UWL 100 24 Jenni Hartzheim 9/10/2014 Tabling Event 100 Volunteered 9/10/2014 12:00:00 AM Involvement Fest Table Hall Meeting (Sexual 9-10:15 PM Assault) with OSL Sanford Hall 70 Joe Lasley 9/10/2014 1-2P Time Management UWL 100 24 Melin/Dzjekin 9/18/2014 3:00:00 AM Study Abroad Re-entry International Ed 4 Katie Van Wyk 9/18/2014 5:30-7 Veteran support group 24 Alyssa 9/22/2014 9:55-10:50 CTC Services SVA ENG 110 College Writing 21 Lindsay Steiner 9/24/2014 1-2P Time Management UWL 100 24 Noelke/Barlow 9/29/2014 6-7:00 CTC Services 9/29/2014 7-8:30 PM 9/29/2014 Time Management Audience # Requester Carmen Hetzel Jill Blanchard 7-9 PM Angell Hall 40 MS counseling class Being a counselor at CTC at WSU 25 Hmong Org. Grief/Loss (community Promoting Ed death) (HOPE) 50 9/30/2014 1:10-2:05 Stress Mgmt UWL 100 25 Marie Moeller 9/30/2014 6-7 PM Hutch Hall 16 Molly Davies 10/1/2014 12-1P Test Preparation Study Strategies/Time Mgmt UWL 100 24 Burkhardt 10/1/2014 1-2 PM Test Preparation Tips Group 3 10/2/2014 1-2 PM Time Management 4 10/6/2014 8:15-9:10 Stress Mgmt & Rel. Rm. Group ESL 250 Pub Speaking 6 Carrie Melin 10/6/2014 7:30-8:45 disordered eating Study Strategies/Time Mgmt Stress related to academics eagles 101 class 100 Sara Burton UWL 100 Student Support Services Parents of Future Students Logan HS AVID Program 24 Leahy 15 Mic Naumann, Kelly Weber 8 Port o Call 50 Logan HS 10/20/2014 11:00-11:55 Stress Mgmt UWL 100 24 10/21/2014 7-8P Student Activities 12 10/14/2014 2-3P 10/16/2014 4-5 PM 10/17/2014 12:15-12:45 Campus Close-up 10/17/2014 12:40-3:30 Test Preparation Tips Time Management Mary Fawcett HOPE President Yeng Yang Page 21 UW-L Counseling & Testing Center Annual Report 2014-15 Student Staff 10/21/2014 7-8:15 PM Mental Health and Stress Management Panhellenic Council 20 Whitney Hedge 10/28/2014 3:30-4:00 Stress Mgmt UWL 100 27 Kristin Koepke 10/29/2014 1:10-2:05 Stress Mgmt UWL 100 25 Kate Noelke 10/29/2014 7-9 PM AODA Grant Event Campus event 40 AODA Grant 10/29/2014 1:00 PM Memory 0 10/30/2014 12:15-1:15 Campus Close-up Workshop Parents of Future Students 10/30/2014 1-2P Study Strategies Workshop 4 10/30/2014 3:45-5P Speed Reading Workshop 1 11/3/2014 6-7 PM Study Strategies WI Covenant 10 11/4/2014 7-8 PM 9 11/4/2014 9:25-10:50 30 Marc Kayson 11/4/2014 11-12:25 50 11/4/2014 6-7PM Stress/Time Management Wentz Hall Abnormal Psych disordered eating class Abnormal Psych disordered eating class Study Strategies/Time Mgmt WI Covenant Amanda Mathwig Megan Christophersen Marc Kayson Amanda Mathwig 11/6/2014 1:10-2:05 Stress Mgmt UWL 100 25 11/11/2014 5-6 PM Test Prep/Anxieties 20 11/14/2014 12:15-1:15 Campus Close-up Active Minds Parents of Future Students Dena Huisman Emily Alexander 5 Port o Call 11/19/2014 2:15 Stress Mgmt UWL100 21 Tim Dale 11/19/2014 3-4PM Study Strategies UW-L 100 25 Tim Dale 12/4/2014 9:30-11 12/8/2014 12-1 Grief & Loss Profession of counseling and CTC services Res Life Pro Staff 35 Health Professions 106 70 Praxis CORE First Year Education majors 11/11/2014 7:00:00 PM 5 25 1419 Page 22 Port o Call April Handtke Scott Stine Bethany Brent, School of Ed UW-L Counseling & Testing Center Annual Report 2014-15 CTC Outreach: Spring 2014 Date of Presentation Time Topic Class or Group Aud. # 1/21/14 ATP 1/23/14 CTC Services Univ Centers 9 Requester 25 1/23/14 2L30-4:30 ATP Cultural Critique ATP 20 1/26/14 5:00-6:30 Multicultural Leadership OMSS? Study Abroad Students 60 2/5/14 Reverse Culture Shock 2/5/14 Test Prep 2/6/14 White Priv Panel Campuswide 50 2/17/14 Grief Frat 12 2/10/14 Counseling Support/Grief Memorial 50 2/21/14 Counseling Services Campus Closeup 150 2/23/14 Test Prep Sigma Tau Gamma 150 2/25/14 Mental Health SAH105 25 2/25/14 Mental Health 25 Larry Ringenberg Thomas Harris 7 10 Ableism SAH105 Broadening Horizens 2/26/14 Eating Disorders Campus Wide 50 2/27/14 Eating Disorders Campus Wide 50 Counseling Profession Health Professions Rad. Therapy Students 70 25 Amanda Carpenter 4 Carrie Melin Depression Intern'l students Abnormal Psych (MG) Racquet Reporter Int. 2/26/14 7-8 pm 3/5/14 3/6/14 10-11 pm Grief 3/12/14 8:45-9:30 Relaxation Rm and biofeedback 3/27/14 Eating Disorders 4/2/14 4/2/14 7:45-8:45 Jill Blanchard 35 Relationships Eagle Mentoring 11 Victor Gonzales 4/8/14 CTC Services English Class 20 Lindsay Steiner 4/8/14 CTC Services English Class 20 Lindsay Steiner 4/10/14 Alcohol Screening All campus 75 CTC 4/17/14 CTC Services ASI & IES 10 4/29/14 Presence OMSS Graduation 20 5/1/14 Presence Pride Graduation 20 1003 Page 23 UW-L Counseling & Testing Center Annual Report 2014-15 Appendix E - Overview of Testing Statistics COMPUTER DELIVERED EXAMS ACTFL (American Council on Teaching Foreign Language) ACE (American Council on Exercise) ASE (Automotive Service) CLEP (College Level Exam Program) Comira *DSST (Dantes Standardized Testing) FBI FORT (Foundations of Reading) Kryterion GRE (Graduate Record Exam) MAT (Miller Analogy) MCAT (Medical College Admission Test) MTLE (Minnesota Teacher Licensure Exam) PAN – other Pearson – other Praxis (Teacher Certification) Prov *PSI (non USPS) TOEFL (Test of English as a Foreign Language) TSA (Transportation Security Administration) USPS (United States Postal Service) 9 110 209 34 16 22 14 207 13 514 27 64 205 26 94 899 13 44 49 99 390 PAPER/PENCIL EXAMS ACT CHES GRE Subjects LSAT (Law School Admission Test) SAT Proctored Correspondence Exams UW Placement Tests 320 39 40 88 168 251 2217 TOTAL Exams Delivered 2014 – 2015 6181 *New test Vendors Page 24 UW-L Counseling & Testing Center Annual Report 2014-15 Appendix E – Monthly Testing Data by test company (or type) ACTFL 3.5 3 2.5 ACTFL OPIc + WPT (9) 2 1.5 3 1 2 0.5 1 0 1 1 1 0 Castle World Wide 25 20 15 10 5 0 23 11 7 14 3 2 6 4 6 10 15 9 Tests (110) CLEP Tests Delivered 7 6 5 4 3 2 1 0 6 5 3 3 1 2 3 3 2 3 1 2 CLEP (34) Page 25 UW-L Counseling & Testing Center Annual Report 2014-15 Comira 7 6 5 4 3 2 1 0 6 6 Comira (16) 2 1 300 1 2 ETS Exams 250 ASE (209) MCAT (64) 200 150 PPST CORE (432) 100 Praxis II (467) 50 0 TOEFL (49) GRE (514) MAT Tests Delivered 12 10 8 6 4 2 0 10 MAT (27) 6 0 Page 26 1 2 1 4 3 0 0 0 0 UW-L Counseling & Testing Center Annual Report 2014-15 PAN Exams 80 70 60 50 40 30 20 10 0 Other (14) FBI (14) USPS (230) TSA (99) JonesNCTI (12) Pearson/VUE 60 50 40 30 20 10 0 13 21 22 17 21 26 9 4 0 3 11 4 8 22 3 3 10 19 22 22 3 5 15 5 0 11 4 3 20 17 12 11 6 12 17 23 3 9 0 6 14 14 7 10 20 12 2 5 FORT (207) MTLE (205) IT (46) Other (68) Proctored Exams Delivered 40 30 20 10 0 37 21 32 11 12 38 27 Tests (251) 26 25 11 6 5 Page 27 UW-L Counseling & Testing Center Annual Report 2014-15 70 60 PSI/LaserGrade 50 40 30 Other (39) 20 NCMRE (5) 10 USPS (160) 0 Page 28