California State University, Chico Division of Student Affairs Counseling, Wellness, and Testing Annual Report This report is subdivided into two separate reports; one for Counseling and Wellness and a second for the Testing program. I. Counseling and Wellness Mission and Values Statement The Counseling Center holds the fundamental belief that a student’s intellectual and personal development is inseparable, and that the University’s primary academic mission is most fully served through the development of the whole person. The Center strives to achieve this through the delivery of a variety of services intended to enhance personal and academic effectiveness, interpersonal growth, emotional support in crisis conditions, and promote a healthy campus environment. In addition, it is our belief that systemic social inequalities exist which impact the growth, development and sense of worth and wellness of students. It is our belief that responsible action must take place which addresses and strives to eliminate forms of oppression which diminish wholeness and effectiveness (e.g., racism, sexism, heterosexism, ableism, classism and other biases). General Program Goals 1. Provide psychological support and intervention to students experiencing various forms of personal and academic crises. (Strategic Priorities: 1, 4; Division Goals: Growth). 2. Provide counseling for students to explore and change ineffective life strategies that are impeding academic success. (Strategic Priorities: 1, 4; Division Goals: Growth). 3. Provide professional consultation to faculty, staff, administration, students, and parents on how to best handle situations with students who are having difficulty functioning within the University. (Strategic Priorities: 1, 2, 4; Division Goals: Excellence, Growth). 4. Deliver preventative and developmental psychological education on a variety of important topics related to healthy and effective living through outreach presentations to students and other members of the campus community. (Strategic Priorities: 1, 2,& 4; Division Goals: Growth). 5. Provide direct educational services in the form of teaching or clinical supervision to graduate students and interns learning advanced counseling skills. (Strategic Priorities: 1, 4; Division Goals: Growth, Leadership). 6. Maintain top quality and current expertise in clinical and counseling skills through ongoing expectations of professional reading and opportunities for professional training. (Strategic Priorities: 1, 2; Division Goals: Excellence, Service). 7. Engage in research and evaluation activities in order to monitor the efficacy and relevance of the counseling services being offered. (Strategic Priorities: 1, 5; Division Goals: Excellence, Service, and Integrity). 8. Maintain an overall program that is efficient and effective in its organization and operation. (Strategic Priorities: 1, 5, 6; Division Goals: Excellence, Service, and Integrity). The above mission statement and goals guide us in meeting both Student Affairs’ and California State University Chico’s goals and mission in the following ways: Recruitment, retention, graduation and satisfaction of students are outcomes associated with services provided by college counseling services (Illovsky, 1997, Turner & Berry, 2000; Wilson, Mason & Ewing, 1997). We are continually working to create and maximize a supportive and culturally competent environment in which students are able to clarify and develop educational goals and bring these to fruition. Our goals articulate the many ways we serve Northern California, other regions of the state, nation and world. Personal counseling impacts and improves the lives of our students and their families. We serve the entire campus through our wellness and educational outreach programming. Our internship program trains future counseling professionals who serve our entire north state community. II. Departmental Accomplishments Safe Start- 40 face to face preventative workshops were delivered to the 1900 students that reside in on-campus housing. This year, a more comprehensive program evaluation and learning outcome assessment was performed utilizing Student Voice. Students reported learning specific safety strategies (e.g., using the “buddy system, being aware of their surroundings, use of Blue Light phones) and increased awareness of risks (e.g., pervasiveness of acquaintance rape, risks associated with drinking). A synopsis of this research will be made available on our website. Intentional efforts towards the retention of at-risk/non-traditional students Stress reduction and coping workshops delivered to EOP students and international students Active involvement and leadership in Conversations on Diversity Mentoring students of color (staff involved in advisory roles for Men of Honor, Native American Club, Summer Bridge, Diversity Summit, PRIDE, Women’s Center) Support group developed for DSS Diversity training program continued for clinical interns Received the “Innovative Program Award,” a statewide recognition from the Organization of Counseling Center Directors in Higher Education for our program, “The Red Tent,” October 2007 Received national recognition at ACPA (March 2008) where our program, “The Red Tent,” was selected for an innovative program presentation. Suicide prevention efforts Internship Development Increased emphasis in staff and faculty training Increased the number of “Distressed Student” workshops previously offered to faculty and staff Developed an “Active Minds” chapter on campus Effort was put into a proposal of a substance abuse treatment program (ASPIRE) to be modeled after San Diego State University Received the “Agency of the Year” Award from the School of Social Work Attended and presented a training workshop at the Northern California Training Directors Conference Assessment efforts Utilized Student Voice to deliver five different student learning outcome surveys Participated in the University of Michigan’s Healthy Minds Study Preparing for the move into the new student services building Purging/recycling of unneeded/out dated material Old technology updated (e.g., VCR tapes converted to DVD) Many forms electronically formatted New furniture and equipment ordered On-going delivery and revision of move plans Renaming of our unit Don Graham was nominated for and received “Counselor Emeritus” status III. Changes in Policies and Procedures We are in the process of revising our Policies and Procedures manual in preparation for the IACS site visit in spring 2009. As a result of findings in the Healthy Minds Study (Fall, 2007), and in preparation for our move into the new Student Services Building we have simplified our name to “Counseling and Wellness”. We are removing the term “Psychological “in order to reduce the stigma associated with counseling services. IV. Resources Summary Counseling and Wellness Budget Summary General fund allocation is similar to the prior year. Robust roll over is due to salary savings accumulated due to staffing changes. Higher travel budget is due to new director attending national conferences COUNSELING COSTS SALARIES & WAGES Regular Staff Temp Help Student Assistant Total Salaries and Wages Work Study costs OPERATING EXPENSES Supplies & Services Printing & Copying Phone Other Communications Travel/Prof Dev. Postage Equipment Misc. (define) Total Operating Expense TOTAL COSTS REVENUE Total Base Allocations Salary Increase Allocation One-time Allocations Rollover (reserves) from 06-07 Total Revenue Projected Reserve (one-time) (roll forward to 08-09) Work Study Allocation Work Study Costs Remaining Work Study Gen. Fund Projected Costs NonState Projected Costs 771,422 3,328 18,257 793,450 0 0 0 0 Work Study Costs 12,610 15,898 3,170 1,185 5,935 10,813 73 0 37,075 0 0 0 0 0 0 0 0 0 830,525 0 806,330 46,069 0 168,112 1,020,511 0 0 0 0 189,986 0 15,972 12,610 3, 362 0 0 0 Staffing We lost a critical position central to our service delivery process when the ASC1 took a job in another department. Our ASA1 stepped up to fill her position and several different part-time employees were hired to fill in this position. This was quite disruptive to office functioning as the newly promoted ASC1 was often performing the job of two people (i.e., her new role, training and covering for her former role). This was on top of significant additional responsibilities required in organizing a move into the new Student Service building. Facilities/Equipment In preparing for our move into the Student Services building we have secured the following purchases from Group II money: V. 12 new computers for counselors and staff Consoles created for electronic web-based check-in of clients New waiting room chairs and settees New desks, bookcases, client chairs and task chairs for all offices Worktables on wheels for Wellness center and work room Conference table and chairs for small group rooms and large group rooms AV cabinets and other storage cabinets for workroom, service room, small group rooms Psychological Counseling Program Evaluation 2007-2008 Program Goal 1: Intentionality and Accountability This is an area under development and in which we have made considerable progress. We have utilized Student Voice to perform seven separate program evaluations We are using this data to improve programming efforts and eliminate or address outcomes that are inadequate We have guided the Wellness program toward intentional programs based on data provided by the Healthy Minds Study Strategic Priorities 5 & 6; Division Goals; Excellence, Integrity and Service Program Goal 2: Diversity Competencies (training and outreach to underserved and at-risk student groups). This is an area where we continue to do outstanding work as demonstrated below: Several workshops for EOP were provided Several workshops for international students were provided Mentoring and faculty advising was provided for many diverse student groups and events (e.g., AS Women’s Center, Native American Club, Men of Honor, PRIDE, Active Minds, Diversity Summit, Red Tent, Spirit of a Woman Conference, Latino, African American, Native American and Latino graduations). Many of our faculty are actively involved in planning, coordinating and assessment activities for Conversations on Diversity Weekly diversity training is provided for interns and interns participated in Conversations on Diversity Professional staff participated in cross cultural supervisory training (3 hour long sessions). Strategic Priorities 1, 2, 4 & 6; Division Goals; Diversity, Excellence, Growth, Leadership, Integrity and Service Program Goal 3: Collaborative Wellness Outreach Efforts in this direction were very successful and include: Implemented data driven prevention efforts between Wellness Center, Counseling Center, and Internship Training program (e.g., the development of Active Minds chapter was a joint project between Wellness interns and clinical interns). 2 research assessment/prevention projects were complete by our Social Work Intern, Rachel Sicke (i.e., Safe Start Assessment, a grant proposal for drug and alcohol intervention). Strategic Priorities 1, 2, 4, 5 & 6; Division Goals: Excellence, Growth, Leadership, Integrity and Service Program Goal 4: Suicide Prevention Our goals to increase competencies and intentional programming were met by Staff participation in Suicide Competency training Active Minds chapter established on campus. RA’s provided training in suicide prevention Increase in number of “Students in Distress” workshops provided to faculty and staff (e.g., CLIC staff, Registrars Office, Veterans Affairs) were new audiences. Strategic Priorities 1, 2, 4, 5 & 6; Division Goals: Excellence, Growth, Leadership, Integrity and Service Program Goal 5: Sexual Assault Prevention and Awareness Refinements were made to the Freshmen Safe Start program 40 face-to-face preventative workshops delivered to the 1900 students that reside in campus housing. A more comprehensive program evaluation and learning outcomes assessment was performed utilizing Student Voice. Several meetings were attended and support provided to the Community Response to Violence proposal being submitted by Lori Beth Way (Criminal Justice) for our campus. Strategic Priorities; 1, 4, 5 & 6; Division Goals: Excellence, Growth, Leadership, and Service Program Goal 6: Programmatic Research and Assessment Exceeded expectations . Participated in the Healthy Minds Study (National survey of mental health status, utilization and barriers to accessing mental health services on college campuses) conducted by the University of Michigan School of Public Heath Conducted the following programmatic assessments: Counseling Learning Outcomes Survey Internship Evaluation Internship Learning Outcome Study Client Satisfaction of Services Survey Evaluations of Wellness Center Programming (10 programs evaluated) Safe Start program assessment (2) Assisted with assessment of Conversations on Diversity program assessments VI. Ongoing Assessment Efforts Statistics on Program Usage PSYCHOLOGICAL COUNSELING 2007-2008 The Psychological Counseling Center provides students help in resolving personal problems and crises, in making important life decisions, and in developing a variety of personal survival skills. Individual Counseling 2007-08 2002-03 2003-04 2004-05 2005-06 2006-07 579 Assessments 431 402 468 477 584 20* Crisis Intervention 626 658 686 631 139 556 Triage 133 165 167 166 445 1727 Individual sessions 2128 2072 1783 1676 1554 20 Couples sessions 125 101 217 N/C 41 2 Telephone sessions 46 32 4 3 7 78 Individual screening for groups 101 129 72 83 98 3042 Total Sessions Attended 3566 3675 3180 3077 2891 Avg. number of sessions/client 3.4 3.4 3.1 2.9 2.8 3.2 *Appointments for crisis intervention have been replaced by a triage system. Thus, triage numbers are up. Crisis intervention is reduced as many of the students presenting in “crisis” are now triaged. . Clients by Gender Males Females Unmarked Total 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 320 714 7 1041 299 766 19 1084 323 672 38 1033 302 708 30 1040 303 641 9 953 334 717 28 1079 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 13 80 127 402 704 14 76 151 689 1171 12 164 105 552 833 8 59 84 341 565 10 73 101 465 824 10 76 100 611 1086 **women’s service usage demonstrates greater variance Group Counseling Number of Groups Students Attending Number of Sessions Student Contacts Total Contact Hours (contacts x hours seen) Types of Groups: Most groups offered both in spring and fall Assertiveness/Self Esteem Food Issues & Body Image Bi-Polar support group Better Relationships Women’s Support Group Disability Support Group Group counseling continues to prove very helpful for those students working on certain kinds of issues. This despite the continuing preference by most students for individual counseling. Psychological Consultations The center provided professional consultations to a variety of individuals or groups who were dealing with students or others who were in crisis or suffering psychological difficulties. 2002-03 2003-04 2004-05 Faculty 20 13 Parents 16 15 Staff and Administration 10 8 Judicial Affairs & Housing 11 8 Violence in Workplace Team 2 2 Students 3 2 University Police 2 1 Community 5 3 Total Consultations 69 52 *two clinicians did not turn in their reports for consultations performed Outreach Efforts Counseling: 19 30 14 7 4 14 5 5 98 2005-06 2006-07 2007-08 10 11 30 10 6 7 5 6 85 24 50 24 19 12 11 16 6 162 18 37 28 7 5 5 8 3 111* Workshops and Presentations Type of Audience Number of Events Year Student Audiences Faculty & Staff Parent Orientation and welcomes The Community Total presentations 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 60 44 18 7 129 82 34 17 46 179 78 9 13 5 105 56 12 10 4 82 142 9 23 14 189 86 15 46 5 152 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 Attendance at Workshops and Presentations Year Student Audiences Faculty and staff Parent Orientation The community Total Attendance Outreach Topics: Positive Psychology Bi-Racial Identity Active Minds Eating Disorders Depression/Suicide Orientation to our services Native American Issues Stress management Supervision and Training Hours provided for intern supervision Hours of training provided to interns 2059 1852 2257 1352 1380 3857 279 380 440 92 117 116 780 * 1105 866 986 177 290 90 365 608 34 85 454 3208 3702 4171 2464 1759 4717 *attendance increased due to name change of presentation Study Skills New Student/Parent Issues Safe Start Crisis/Risk Management Time Management/self care Sexual Assault Prevention GBLT 2002-03 192 2003-04 182 2004-05 235 EOP: Life Management Communication Skills Pride/Safe Zone RCC & ARCC Training Body Image 2005-06 480 2006-07 96 2007-08 184 20 26 124 134 88 96 Campus Wellness Center Program Usage 2007-2008 The Campus Wellness Center’s mission is to maximize individual choice and provide students the opportunity to establish lifestyle patterns that promote lifetime well being through peer education, forums, fliers, informational tables, and wellness related events. Workshops and Presentations by Interns 01-02 02-03 03-04 04-05 05-06 06-07 07-08 Number of Presentations: 15 18 19 20 5 13 4 Attendance: 315 463 303 294 128 279 170 Topics Included: Social Wellness, Stress Management, Eight Areas of Wellness, Homesickness Wellness Forums 01-02 02-03 03-04 04-05 05-06 06-07 07-08 Number of Forums: 15 16 17 22 14 17 16 Attendance: 714 797 501 578 404 394 291 Topics Included: Eating disorders, Stress management, Yoga, Tai chi, Managing Money, Setting Goals, Perfectionism, and Healthy Lifestyle The Wellness Interns set up informational tables in various sites on campus throughout the semester. 01-02 02-03 03-04 04-05 05-06 06-07 07-08 Number of Informational Tables: 12 8 12 18 11 24 12 Number of Participants: 438 299 264 360 485 575 200 Topics at the Tables Included: Domestic Violence, Healthy Food Habits, Financial Stress and Stress Management, Eating Disorders Week, Relationships, Time Management, Caesar Chavez, Mental Health Awareness, Achieving Goals and Survivor Series Participation in Other Events/Informational Tables on Campus 01-02 02-03 03-04 04-05 05-06 06-07 07-08 Number of Events/Tables: NA 8 10 12 10 5 11 Number of Participants: NA 269 733 928 570 365 300 Drop-ins at Wellness Center Many students take advantage of the center’s drop-in services. Students came to the Center seeking information on a variety of wellness-related topics to use in presentations and papers for class. Services included flyers, printed handouts of many topics and loans of audio and video presentations. Students are also able to check out books, all of which have been donated from various publishing companies for our wellness library. Number of Students: 01-02 02-03 03-04 04-05 05-06 06-07 07-08 688 549 342 251 232 495 25 * *coordinators failed to keep an ongoing tally of student visits and inquiries Student Learning Outcomes (SLO) Measures SLO were assessed through several measures and are described below. 92 clients participated in an anonymous in-house assessment of learning outcomes using PDAs. 50% or more of the students surveyed reported being less distressed since visiting a counselor, better able to concentrate, better able to perform academically, having learned how to improve their relationships, feeling less stressed/anxious, more confident and better able to make better. Over 50 % reported they learned how to make healthier choices and how to handle life’s challenges better. 69% learned more about their strengths and 72% reported learning that they were not alone. Counseling Center interns were survey using a web-based approach to assess learning outcomes of specific counseling related skills. The results indicated very robust learning in the following areas; intake skills, substance abuse and its impact on families, diversity issues, PTSD, mandated reporting, counseling center safety procedures, use of electronic note keeping system, personal strengths as counselors. Areas that need some attention (i.e., interns indicated they wanted to learn more) include: treatment planning, termination issues, treating sexual assault, fitting treatment into a brief therapy model. Learning Outcomes of Wellness interns were also assessed using a webbased instrument. The interns were asked how much they had increased their learning in the eight areas of wellness. The results were not robust, responses scattered and frankly unimpressive. We will be using these results to better develop this program. The interns did report learning a great deal about public speaking and they became more aware of campus resources. They also reported that they were more active on campus and had acquired job skills that are necessary in a professional work environment. That fact that they did not report learning a great deal about wellness informs the decision to discontinue the program in its current form until we can demonstrate it is more effective. Learning Outcomes were assessed for 124 of the Freshman Safe Start participants two months after presentations were given. Participants were assessed in the dining halls via PDA’s to learn if they had retained any knowledge from the presentations delivered the first week of classes. The results were impressive. Two months post workshop, 80% of the survey participants reported being more aware of unsafe situations as a result of our workshops. 92% reported they learned about the difference between consensual and non consensual sex and 78% report having used strategies learned at the safe start program. These finding are qualified by the fact that is self report data and that there are respondent biases as well as halo effects which affect these findings. Even so, results suggest that the program results in student learning and that we should continue the efforts of this program. Most Critical Performance Indicators Program usage statistics Client Satisfaction Surveys Program evaluations (e.g., group, intern, outreach evaluations) Learning Outcome Assessments (e.g. ,wellness interns, clinical interns, counseling clients Supervisor evaluations by interns/trainees IACS Accreditation report and evaluation Annual Counseling Directors Survey Participation and feedback from qualitative and quantitative surveys of Healthy Minds Study participants Weekly staff assessment and clinical case discussions (Quad groups) VI. Analysis It was anticipated that hiring wellness interns for a year (versus hiring new interns every six months) would strengthen our program. It did not. The number of programs produced was down significantly and the number of students reached was lower than usual. Still unknown is how much students actually learned from our programming efforts. While student interns reported gaining skills in public speaking and program development, the majority of interns did not report learning a great deal about the areas of wellness they were promoting. This has informed a decision to cut back this program until it can be organized more effectively. Student counseling, our primary mission, continues to be effective and our limited resources in counseling hours effectively administered. Counselors complain about not getting to see clients for as long as they like. However, this year we saw more students and continue to handle crisis, triage and short-term work efficiently and effectively. Next year we would like to address and reduce our “no show” and last minute cancellation rates. We are in the process of examining ways in which other centers have taken action to address similar problems. Improvements were made in the clinical internship program (e.g., interns attended a regional conference, the director supervised intern research projects). We had a stellar group of clinical interns this year. The research produced by our social work intern raised our profile with the School of Social Work. The research faculty in the School of Social Work was very impressed with our use of Student Voice. It was my sense that the “Agency of the Year” award reflected these improvements. We learned more than ever about the mental health needs of students on campus through our participation in the “Healthy Minds Study.” Prior to this we had only collected mental health data on the students who managed to walk through our doors. We learned in this study that only 35% of the students sampled even knew we had a counseling center on campus. While that result is not atypical on college campuses, it gives us much room for improvement. We learned that we need to make greater efforts to de-stigmatize help seeking. We also need to make students more aware of the prevalence of depression and anxiety on college campuses as these mental illnesses are very common and very amenable to treatmentespecially when spotted early on. VIII. Psychological Counseling and Wellness 2008-2009 Goals 1. Maintain essential elements of program while significantly reducing operating costs. Strategic Priorities 5 & 6; Division Goals; Excellence, Integrity and Service 2. Outreach/Diversity: Continue to increase multicultural competencies of staff and interns (i.e., awareness, knowledge and skills) and outreach to underserved communities. Strategic Priorities 1, 2, 4 & 6; Division Goals; Diversity, Excellence, Growth, Leadership, Integrity and Service 3. Programmatic Research and Assessment: Continue to find ways to assess student learning outcomes and perform program evaluation (e.g., Wellness Center, Internship and student services surveys) in order to maximize service delivery in the context of a shrinking budget. Use results of last year’s research (i.e., Healthy Minds Study, Learning Outcomes assessments) to inform programming efforts. Strategic Priorities; 1, 4 & 5; Division Goals; Diversity, Excellence, Growth, Integrity and Service 4. Prepare for IACS accreditation visit (May, 2009) and maintain status as an IACS accredited counseling center. 5. Increase the use of technology and increase practices that keep our services environmentally friendly (e.g., reduce printing, increase the amount of information that is on the web, and reduce energy use).