University Counseling Service
Annual Report
2005-2006
Sam V. Cochran, Ph.D.
Director
September, 2006
University Counseling Service
The University of Iowa
3223 Westlawn S.
Iowa City, IA 52242-1100
Table of Contents
I.
Executive Summary
II.
Overview
III.
Services provided
IV.
Scholarly and professional activity
V.
Additional accomplishments
VI.
Strategic goals
VII.
Area Annual Reports
Executive Summary
The University Counseling Service (UCS) is the primary mental health service for
University of Iowa students. Established in 1946, the UCS continues to be a major office
within the Division of Student Services and provides key counseling, consultation,
training, and outreach services to The University of Iowa campus community as well as
to the citizens of the State of Iowa.
The 2005-06 year was a continuation and consolidation of changes that began with the
2004-05 year. In addition, the 2005-06 year witnessed active involvements by UCS staff
in outreach, consultation, and participation in University of Iowa offices and departments
as well as state and national organizations. The UCS staff also worked to enhance our
training programs to better serve the educational needs of students who participate in the
various UCS training program opportunities by acquiring a grant to digitize our
recordings of supervisee counseling interviews.
Regarding continuation and consolidation of changes that began last year, Student
Disability Services has continued under the leadership of Dr. Dau-shen Ju. Student
Disability Services was merged with the UCS two years ago, and has completed two
successful years under the UCS administrative umbrella. Dr. Ju and Dr. Cochran have
continued to meet on a weekly basis over the past year to manage this transition and to
problem-solve issues as they emerged. In addition, joint UCS/SDS staff meetings have
been instituted each semester to encourage collaboration across the offices and to keep
staffs updated on the activities of each office.
Regarding the computer file management and scheduling program that was installed in
the summer of 2004, the Titanium Schedule program has continued to serve UCS
scheduling and clinical file management needs without fail. As noted in last year’s
report, this program replaces a previous clinical file management program that was
sluggish in operation and that was beginning to be unreliable in functioning. University
transition to a different server software package combined with these inefficiencies
prompted the UCS to examine in some detail the various products available and we
decided to purchase and install the Titanium Schedule program in June, 2004. We have
been extremely pleased with the program’s capabilities and with the technical support
provided by the program developer. Ms. Pauline Harrison, Dr. Mark Harris, and Dr.
Julie Corkery continue to provide coordination and staff support on use of the program.
In addition, a UCS staff member (Dr. Eva Schoen) attended a meeting held at Penn State
University of users of the Titanium Schedule program that resulted in the creation of a
national database network that will pool and share service user demographics, service
characteristics, and other useful information that is obtained through the use of the
scheduling software.
In addition to these continuing achievements, UCS staff this year were actively involved
in outreach and consultation services to the UI community (i.e., Hurricane Katrina
support services and consultations, student death debriefings, Iowa City tornado recovery
UCS Annual Report, 2005-06, Page 2
efforts), state organizations (i.e., Diversity Committee and Ethics Committee of the Iowa
Psychological Association), and national organizations (i.e., boards of the Association of
Counseling Center Training Agencies, Association for the Coordination of Counseling
Center Clinical Services). All these involvements reinforce the UCS’ commitment to and
involvement in the UI and Student Services’ strategic plans and increase the visibility of
the UCS as a nationally recognized training destination for graduate students as well as
pre-doctoral interns.
The UCS continues to provide a large volume of high-quality service to the University
community. These services include individual consultation and ongoing counseling and
psychotherapy for individuals and couples, group psychotherapy, training, outreach
programs, and consultation services regarding student mental health issues. Of particular
note this year was a more than 100% increase in our group services over last year. UCS
staff continued to initiate strategic programming initiatives this year, including programs
developed in collaboration with the Department of Intercollegiate Athletics, the Alliance
for Graduate Education and the Professoriate (AGEP), the Rape Victim Advocacy
Program, the Belin-Blank Center, the Admissions Office and Orientation program, the UI
Cultural Houses, the Center for Teaching, the Office of International Students and
Scholars, Health Iowa, the Office of Student Life, the University Diversity Committee,
the Newman Center, the College of Education, the College of Medicine, the College of
Dentistry, the College of Nursing, the Office of Equal Opportunity and Diversity, the
Graduate College, and the College of Liberal Arts and Sciences.. Three UCS staff
members taught academic classes, including a class on Diversity and Identity in
conjunction with Interdisciplinary Programs and a class on Resilience and Coping in
conjunction with the Department of Health and Sport Studies. The UCS also maintained
active participation in the summer Orientation parent information fair by distributing
handouts on “Helping Distressed Students” and “Homesickness” and staffing a table that
displays a poster board detailing the UCS and our services as well as services and
programs offered by Student Disability Services. A complete listing of all outreach,
consultation, and in-house programs in continued the Program and Consultation Services
report.
This year the UCS was awarded a $12,709.86 grant from the College of Education
Student Computing Fee Fund to digitize our practicum training program. This funding
will enable the UCS to retire our aging video-format recording equipment and install
digital audio-visual recording and viewing capability in all of our practicum interview
rooms as well as the practicum student office and our group training room where
practicum class is conducted.
As noted in last year’s annual report, the UCS was awarded certification as a provider of
Continuing Education by the American Psychological Association. This year, the UCS
hosted a local psychologist practitioner open house and then followed up with a full-day
continuing education program on treatment of depression on May 19, 2006 that was
attended by 8-10 participants.
UCS Annual Report, 2005-06, Page 3
Some highlights of the year in terms of services delivered include:
•
2,469 students seen for initial consultation visits (increased 9 % from 2,273 in
2004-05 and 21% from 2,030 in 2003-04)
•
5,286 hours of direct individual, couples, and group counseling (increased 6%
from 4,986 in 2004-05)
•
9,061 participants served through 245 outreach programs, regularly scheduled
programs, and campus consultations
•
12,053 program participant hours delivered (increased 15% from 10,515 in
2004-05)
•
UCS staff guest-lectured in 38 academic classes during 2005-06
•
17 trainees received a total of 1,579 hours of training services from UCS staff
UCS Annual Report, 2005-06, Page 4
Overview
UCS staffing during 2005-06 included the following categories of administrative staff,
support staff, senior staff, adjunct staff, and trainees.
Administrative Staff:
Sam V. Cochran, Ph.D., Director
Julie M. Corkery, Ph.D., Assistant Director, Director of Training
Mark M. Harris, Ph.D., Assistant Director, Director of Clinical Services
Kathleen H. Staley, Ph.D., Assistant Director, Director of Program and
Consultation Services
Pauline Harrison, Project Assistant
Support Staff:
Susan Haffner, Clerk III, Head Receptionist
H. Diane Bates, Secretary II
Sally Robbins, Clerk II
Senior Staff Psychologists:
Audrey S. Bahrick, Ph.D., Senior Staff Psychologist
Helen Vogel Brady, Ph.D., Senior Staff Psychologist
Emmanuel E. Enekwechi, Psy.D., Senior Staff Psychologist
Paula M. Keeton, Ph.D., Senior Staff Psychologist
Huan-Chung Scott Liu, Ph.D., Senior Staff Psychologist
Eva G. Schoen, Ph.D., Senior Staff Psychologist
Kelly L. Willson, Ph.D., Senior Staff Psychologist
Pre-Doctoral Psychology Interns:
Michael L. McIntosh, Psychology Intern
Christopher A-f. Randolph, Psychology Intern
Christopher M. Scott, Psychology Intern
Adjunct Staff:
Saba Rasheed Ali, Ph.D., Adjunct Senior Staff Psychologist
Joy Hudson, M. D., Adjunct Staff Psychiatrist, Student Health Service
Paul W. Natvig, M.D., Adjunct Staff Psychiatrist, Student Health Service
UCS Annual Report, 2005-06, Page 5
Practicum Students:
Joanna Arguello, Practicum Student, Counseling Psychology
Christopher Button, Practicum Student, Counseling Psychology
Christopher Chuick, Practicum Student, Counseling Psychology
Alissa Doobay, Practicum Student, Counseling Psychology
Alice Fridman, Practicum Student, Counseling Psychology
Wakiza Gamez, Practicum Student, Clinical Psychology
Stefanie Greenberg, Practicum Student, Counseling Psychology
Thomasin Hall, Practicum Student, Counseling Psychology
Katya Lamskova, Practicum Student, Counseling Psychology
Benjamin Tallman, Practicum Student, Counseling Psychology
Post-Doctoral Supervisees:
Rob Freele, M.D., Department of Psychiatry
Michelle Green, Ph.D., Cornell College
The UCS is now organized into four functional units--clinical services, training, program
and consultation services, and Student Disability Services. Staff and trainees assigned
within the UCS contribute in three of these areas (clinical services, training, and program
and consultation services), although the individual profile of contributions varies from
staff member to staff member depending upon interests, agency need, and time
constraints. Staff assigned within the SDS area contribute mainly in that area, although
staff assigned in both offices collaborate on joint programming efforts and projects of
benefit to both offices.
The remainder of this report details the services delivered in each of the three UCS
service areas, additional UCS staff accomplishments during 2005-06, UCS strategic goals
that will guide our work during 2005-06, and area annual reports from the four service
areas of the UCS. As noted in previous reports, adoption of a new record-keeping system
typically has an effect on the continuity of certain kinds of data the UCS is able to
archive. The adoption of Titanium Schedule has resulted in a loss of some data we have
typically collected for past annual reports but has yielded an increased confidence in the
accuracy and reliability of the data presented in these reports. Where appropriate, this is
noted for clarification.
UCS Annual Report, 2005-06, Page 6
Services Provided
Clinical Services
•
Number of contact hours delivered:
COD Contacts
1,681
1,538
1,179
1,174
1,373
2005-06
2004-05
2003-04
2002-03
2001-02
2005-06
2004-05
2003-04
2002-03
2001-02
•
Individual
3,760
4,159
5,004
5,111
4,648
Couples
186
269
102
143
137
Intakes
788
735
851
837
737
Total
2,469
2,273
2,030
2,011
2,110
Group
1,065
558
275
211
256
Total
5,011
4,986
5,382
5,465
5,041
Client demographics (number in parentheses are for 2004-05)
Place of residence
Residence hall
Fraternity/Sorority
Iowa City area
Other
17.2%
0.5%
79.7%
2.1%
(18.8%)
(0.5%)
(79.5%)
(1.1%)
Relationship status
Single
Married
Partnered/not married
Separated
Divorced
61.9%
11.1%
21.2%
9.0%
1.3%
(62.1%)
(9.5%)
(13.2%)
(1.2%)
(1.7%)
Academic status
First year
Sophomore
Junior
Senior
Graduate
Other
11.4%
16.4%
19.0%
19.3%
27.6%
6.2%
(12.8%)
(16.4%)
(19.1%)
(20.5%)
(30.1%)
(1.1%)
UCS Annual Report, 2005-06, Page 7
Diversity details
American Indian/Alaskan Native
Asian American/Pacific Islander
African American/Black
Hispanic/Chicano/Latino(a)
Caucasian
Other
0.2%
6.2%
4.2%
4.0%
79.9%
2.6%
(0.3%)
(5.7%)
(3.5%)
(3.5%)
(83.1%)
(3.2%)
65.3%
32.9%
1.8%
(66.0%)
(32.3%)
(1.7%)
19.0%
46.5%
53.5%
(17.0%)
(9.6%)
(32.7%)
(4.8%)
(5.0%)
(43.2%)
(56.8%)
55.7%
8.8%
7.4%
1.5%
7.1%
<0.1%
8.7%
1.1%
1.3%
1.5%
4.4%
(52.4%)
(11.5%)
(9.4%)
(1.5%)
(7.7%)
(<0.1%)
(8.6%)
(1.2%)
(2.6%)
(1.0%)
(4.1%)
Gender
Female
Male
No entry
Previous psychological treatment
University Counseling Service
Student Health Service
Private therapist
Mental health center outpatient
Mental health center inpatient
Any previous counseling/therapy
None
Referral source
Self
Friend
Family
Residence Services
Faculty/Advisor
Clergy
Student Health Physician
Other Physician
Therapist
Student Disability Services
Other
UCS Annual Report, 2005-06, Page 8
•
DSM-IV Categories at Intake
(Number in parentheses for 2004-2005)
Adjustment Disorder
Anxiety Disorder
AD/HD
Eating Disorder
Identity Problem
Learning Disorder
Life Circumstance Problem
Mood Disorder
Bipolar Disorder
MDD/Dysthymia/D-NOS
Substance Related Disorder
17.9%
23.2%
1.8%
7.5%
14.6%
2.2%
3.9%
30.9%
1.9%
29.0%
7.5%
(20.0%)
(23.6%)
(2.1%)
(7.0%)
(12.4%)
(1.0%)
(4.3%)
(32.5%)
(2.0%)
(33.5%)
(3.3%)
UCS Annual Report, 2005-06, Page 9
Client satisfaction questionnaire
(Results from 2004-05 in parentheses)
Convenient location
Comfortable setting
Served in timely manner
3.32
3.13
3.84
(3.43)
(3.49)
(3.66)
Polite/courteous receptionist
Adequate information given
3.84
3.80
(3.71)
(3.64)
Felt respected by counselor
Felt understood by counselor
Felt counselor was competent
3.90
3.80
3.76
(3.93)
(3.87)
(3.86)
Overall quality of services
Counseling helped meet goals
3.67
3.51
(3.76)
(3.67)
Your rating on being open and honest
Your rating on being an active participant
3.48
3.54
(3.54)
(3.60)
(Ratings are mean scores, based on a scale of 0-4, where 0 = poor, 1 = fair,
2 = good, 3 = very good, 4 = excellent)
UCS Annual Report, 2005-06, Page 10
Program and Consultation Services
• Outreach programs
Fall
Programs
Participants
Part. Hours
2004
90
2,483
4,168
2005
93
3,017
4,145
Spring
2005
2006
101
109
3,319
4,818
3,949
6,115
Total
2004-5
2005-6
191
202
5,802
7,835
8,117
10,260
Spring
2005
2006
16
27
74
159
Total
2004-5
2005-6
37
78
214
366
• Consultations
Fall
Consultations
Participants
2004
21
140
2005
51
207
• Outcome assessment
A program evaluation questionnaire was completed by 134 program participants. The
programs were rated good or excellent by 98.8% of program participants. The program
presenter was rated good or excellent by 98.8% of program participants.
UCS Annual Report, 2005-06, Page 11
Scholarly and Professional Activity
Bahrick, A. (2006, May). Emerging information related to SSRI sexual side effects.
Presentation to UCS continuing education conference for psychologists, social
workers, and mental health professionals, Iowa City, IA.
Bahrick A. (2006, August). The less well-known sexual side effects of SSRIs. Invited
presentation to Division 55 of the American Psychological Association hospitality
suite, annual convention of the American Psychological Association, New
Orleans, LA.
Bahrick A. Post SSRI persistent sexual side effects. Manuscript in preparation for The
Tablet newsletter of Division 55 of the American Psychological Association.
Cochran, S. V. (2006). Struggling for sadness: A relational approach to healing men’s
grief. In M. Englar-Carlson & M. Stevens (Eds.), In the Room with Men: A
Casebook of Therapeutic Change (pp. 91-108). Washington, DC: American
Psychological Association.
Cochran, S. V. (2006, May). Assessment and treatment of depression in men.
Presentation to UCS continuing education conference for psychologists, social
workers, and mental health professionals, Iowa City, IA.
Enekwechi, E. (2006, May). Cognitive-behavioral treatment of depression. Presentation
to UCS continuing education conference for psychologists, social workers, and
mental health professionals, Iowa City, IA.
Keeton, P., & Beckham-Chasnoff, S. (2006, February). Addressing internalized
homophobia: Forging trust, enhancing communication, and owning one’s history.
Presented at the Big Ten Counseling Centers Annual Conference, University of
Michigan, Ann Arbor, MI.
Duff, K., Beglinger, L. J., Jenks Kettmann, J., & Bayless, J. (In press). Assessment of
pre and post-right MCS stroke in a young adult. Applied Neuropsychology.
Westefeld, J., Button, C., Haley, J. Kettmann, J. J., Macconnell, J., Sandil, R., &
Tallman, B. (In press). College student suicide: A call to action. Death Studies.
Jenks Kettmann, J. (2006, August). The latest in campus suicide prevention,
intervention, and postvention. In J. Westefeld (chair), College and university
student suicide: An update of the literature. Symposium presented at the annual
convention of the American Psychological Association, New Orleans, LA.
Jenks Kettmann, J., & Altmaier, E. (2006). Depression in BMT patients: The mitigating
role of social support. Submitted to Journal of Health Psychology.
UCS Annual Report, 2005-06, Page 12
Jenks Kettmann, J., Schoen, E. G., Moel, J. E., Cochran, S. V., Greenberg, S. T., &
Corkery, J. M. (2006). Putting the question to rest: Increasing severity of
psychopathology at counseling centers or just a perception? Submitted to
Professional Psychology: Research and Practice.
Schoen, E. G., Altmaier, E. M., & Tallman, B. (2006). Coping after bone marrow
transplantation: The predictive roles of optimism and dispositional coping.
Submitted to Journal of Clinical Psychology in Medical Settings.
Editor, Psychology of Men and Masculinity. (Sam Cochran)
Ad-hoc reviewer, Journal of Counseling Psychology, Psychology of Men and
Masculinity. (Eva Schoen)
Ad hoc reviewer, Sex Roles, Professional Psychology: Research and Practice,
International Journal of Men’s Health. (Sam Cochran)
Reviewer, research proposals for Division 44 Student Research Award, American
Psychological Association. (Mark Harris)
Steering Committee Chair, Association for the Coordination of Counseling Center
Clinical Services. (Mark Harris)
Board of Directors, Association of Counseling Center Training Agencies. (Julie Corkery)
Diversity Committee, Iowa Psychological Association (Eva Schoen, Kelly Willson)
Ethics Committee, Iowa Psychological Association (Sam Cochran)
UCS Annual Report, 2005-06, Page 13
Additional Accomplishments
•
Active involvement in providing support for students displaced by Hurricane Katrina
and students affected by the tornado that struck Iowa City in April, 2006.
•
Support for student groups affected by tragic automobile accident during spring break
that resulted in the deaths of three UI students.
•
Continued consultations with the Office of Academic Programs and Services of the
College of Liberal Arts and Sciences regarding course drops and withdrawals after
collegiate deadlines.
•
Staff participated in different search committees conducted by the Department of
Residence Life, the Office of International Students and Scholars, and Student
Disability Services.
•
Several UCS staff were actively involved in committees of the Iowa Psychological
Association, including the Diversity Committee and the Ethics Committee.
•
Expanded group offering to include International Student support group, Graduate
Student support group, and three new therapy groups.
•
Assisted with the “Boxes and Wall” program offered by the Department of Residence
Life.
•
Participated in the creation of an Eating Disorders network with Student Health
Service.
•
UCS was awarded a $4,000 contract with the College of Education to provide faculty
and instruction for the Counseling Psychology program’s Beginning Practicum
course beginning in fall, 2006.
•
Expanded training and supervision offerings to include a doctoral student from the
Clinical Psychology program, a resident from the Department of Psychiatry, and a
doctoral psychologist from Cornell College completing requirements for state
licensure.
•
Provided 18 staff continuing education programs for a total of 24 hours of continuing
education credit
•
Provided outreach consultation and programming to UI Carver College of Medicine
Residency training program in Waterloo.
•
Continued to provide staff assigned as consultants to the residence halls.
UCS Annual Report, 2005-06, Page 14
•
Continued to provide summer programming for Orientation.
•
Continued regular UCS Research Team meetings that included students from the
Counseling Psychology program and completed a major archival analysis of UCS
client severity over the past seven years that has been submitted for publication.
•
Conducted joint case conferences on a monthly basis with Dr. Paul Natvig of Student
Health Service.
•
Continued offering counseling services in Chinese and Spanish.
•
Conducted joint UCS/SDS staff meeting to develop areas of collaboration.
•
Active participation in presentations at the Big Ten Counseling Centers annual
conference.
•
Participated in Research Consortium of Counseling and Psychological Services in
Higher Education data collection project examining student suicidal ideation.
UCS Annual Report, 2005-06, Page 15
Strategic Goals
2005-2006
Based on the UCS mission and the mission and priorities of the Division of Student
Services, the following strategic goals were set for the 2005-06 year. Attainment is
detailed. Following the attainment ratings of the 2005-06 strategic goals, strategic goals
for 2006-07 are presented.
•
Maintain, enhance, and develop new strategic program alliances with other UI
offices and units.
UCS staff have increased the number of outreach programs and
number of program participants over past years. New offices and units
(e.g., AGEP, MBA Career Services, Department of Health and Sport
Studies) have increased this year. The PCS annual report details these
connections.
Attainment rating: very good
•
Plan and implement a continuing education seminar for psychologists in the
region as a means of testing the viability of enhancing our general expense
account and professional development funding.
As noted elsewhere in this report, the UCS hosted an open house and
continuing education presentation for local private practitioners that
was well attended (10 participants) on September 21, 2005. The UCS
also hosted a full-day continuing education seminar on treatment of
depression on May 19, 2006 that was also well attended
(10 participants).
Attainment rating: good
•
Complete a UCS Self Study in preparation for a Program Review to be held in
either 2006 or 2007.
A UCS self study was completed by the end of fall semester, 2005;
and a program review has been set in motion with a goal of completing
its work by the end of fall semester, 2006.
Attainment rating: excellent
UCS Annual Report, 2005-06, Page 16
Strategic Goals
2006-2007
•
Maintain, enhance, and develop new strategic program alliances with other UI offices
and units.
•
Complete the UCS review process and integrate recommendations into area plans for
2007-2008.
•
Identify strategies the UCS could utilize to augment general education funding and to
supplement the UCS general expense fund.
•
Participate actively in sexual assault prevention programming through involvement
with the Women’s Resource and Action Center and the Rape Victim Advocacy
Project.