University of Essex Counselling Service Annual Report (2008 – 2009) Counselling Service Report List of Contents Page 2 List of Tables 3 2007-2008 Overall Statistical Survey 4 1.1 1.2 1.3 1.4 1.5 1.6 Introduction Groups Evaluation Sources of Referral Publicity and Outreach Statistical Data 4 4 5 6 7 1.6.1 Ethnicity of U.K. C.Service Users 1.6.2 Overseas Students 1.6.3 Gender Balance 1.6.4 Self-Referral 1.6.5 Referral Out 1.6.6 Age-Range 1.6.7 Attendance Status 1.6.8 Year of Course 1.6.9 Degree Status 1.6.10 Mature Student Status 1.7 Presenting Problems Data 8 9 10 10 10 11 12 12 12 12 13 1.7.1 Depression 1.7.2 Anxiety 1.7.3 Family of origin Problems 1.7.4 Identity Issues 1.7.5 Loss Issues 1.7.6 Transitional Issues 1.7.7 Self-Destructiveness 1.7.8 Abuse Issues 13 14 14 14 14 15 15 15 2.0 Developments from 2007-08 16 3.0 Future Developments 2008-09 17 2 List of Tables Table 1 Comparative Totals 2005 – 2008 4 Table 2 Sources of Referral to Counselling Service 6 Table 3 Ethnicity of U.K. Service Users (Colchester) 8 Table 4 Overseas Student Country of Origin 9 Table 5 Age Range 11 Table 6 Attendance Status 12 Table 7 Year of Course 12 Table 8 Degree Status 12 Table 9 Mature Student Status 12 Table 10 Presenting Problems Graph 13 Table 11 Depression Statistics 13 Table 12 Anxiety Statistics 14 3 Counselling Service Report 2008 – 2009 2008 – 2009 Overall Statistical Survey 1.1 In the academic year 2008 – 2009 265 students were seen at the Service for individual counselling and 42 were seen as members of the different groups that are run by the Service bringing the total to 307, an increase of 12 students or 4.1% from the previous year and 31 students or 11% from 200607. Table 1 Comparative totals 2005 - 2009 Total Nos. Individual Group < Prev.Year 2005 - 06 245 245 0 2006 -07 276 252 24 + 31 / 9.7% 2007 -08 295 254 41 + 19 / 6.8% 2008- 09 307 265 42 + 12 / 4.1% + 62 / 25% (< 2005-06) 1.2 Groups The Service at Colchester has seen the continued development of groups this year in addition to the one to one counselling sessions routinely offered. One group was a therapeutic ongoing long term group run by Nick Hay and Vicky Djordjevic and another, run by Vicky Djordjevic, was targeted specifically at PhD students. A third group, run by Lee McOwan, also ran, specifically for students with “writer’s block” which ran on a termly basis as did the PhD group. All these groups have proven very popular with students and continue to provoke interest from both staff and students. Groups provide an invaluable therapeutic alternative for students and offer a welcome addition to the provision of ongoing individual counselling which is the vital foundation of the Service. 4 1.3 Evaluation Student evaluations after the end of the counselling process have been received from 96 students (30% increase on 07-08) and these continue to provide an invaluable tool in helping us to improve our service. 92 of these evaluations were highly positive in nature which is very encouraging for all who work at the Service and also indicates that the service we provide is appropriate, timely and effective. The issues raised in the less positive responses have been carefully addressed and further steps taken to attempt to rectify particular problems raised if at all possible. A small sample of some of the comments is included below: “Counselling helped me immensely and I wish I would have got in touch sooner. Really felt that I was listened to and encouraged in my progress.” “Counselling helped me to understand my situation better and to feel good about myself for coping with it. It gave me coping skills I can do to continue getting on with my life.” “I am really grateful for the opportunity to talk about things I have never discussed before…I have learnt in the sessions about positive thinking and being kind to myself and have the initial input to start changing my way of thinking and behaviour.” “I strongly believe that this is one of the best services the University provides.” “When someone tells me they are stressed, I always recommend this service as in my case it helped me a lot.” “The staff there are all very nice and friendly, which helped me to have the courage to keep on going……… [The administrator] is very welcoming: you don’t feel any discomfort when first coming in.” “Counselling has eased the problems I was experiencing, particularly with anxiety, and helped me to begin to address them differently.” “Counselling has improved my self confidence and taught me skills which I hope will enable me to live my life and the rest of my time at University to the full. Thank you.” PhD Group Attendee “….am more confident in myself and I made a close friendship with one group member. Being able to talk about my problems was like a heavy load taken out of my chest.” 5 1.4 Sources of Referral to Counselling Service Statistics derived from evaluation forms received: (n=96) (Occasionally more than one source indicated). Table 2 2008-2009 2007-2008 2006 2007 Word of Mouth 25 26 22 Website 17 13 14 Staff Member 16 14 10 Uni/Service Publication 12 12 11 Can’t Remember 7 6 9 Friend 7 - - Poster in Room 3 1 1 Nightline Website 3 1 1 Health Centre 3 3 4 RSN 2 G.P. 2 SSO 1 6 1.5 Publicity and Outreach A continued effort has been made to improve the promotion of the Service to students including using e-mail, within University guidelines, to advertise the different groups available. Close liaison with the Student Support Office facilitated the optimum approach for such publicity. The Student Support Newsletter provides an essential platform for advertising our services. All our publicity leaflets have also been re-designed to fit in with the overall “Student Support Services” branding and distributed widely around the campus and the various University agencies that support students. Liaison with the “Learning and Teaching Unit” within “Educational Development Services” has also taken place to share ideas and ensure accurate and targeted publicity is developed for the various groups that both the Unit and the Service run. Counsellors have also taken part in some of the L.T.U. programmes which has further enhanced the overall profile of the Counselling Service and ensured a wider outreach. The Counselling service website (www.essex.ac.uk/counselling) is also frequently updated and modified and contains links to various useful sites, both internal and external, which students can easily access. All information about the services available, including groups, can be found on the website. 7 1.6 Statistical Data 1.6.1 Ethnicity of UK/EU students (Colchester Campus) Table 3 (08-09) White 81.4% White (08-09) (07-08) (06-07) 81.4% 86.5% 86% Black (African) 4% Black (African) 4% 4.0% 2.5% Black (Caribbean) 3.4% Asian (Indian) 4% 3.0% 3.5% Black (Other) 1% Black (Caribbean) 3.4% 1.5% 2.0% Asian (Pakistani) 1.4% Asian (Pakistani) 1.4% 1.5% 0% Asian (Indian) 4% Asian (Other) 1.4% 1.0% 2.5% Asian (Chinese) 1% Other 1.4% 1.0% 2% Asian (Bangladeshi) 1% Asian (Chinese) 1% 1.0% 1.5% Asian (Other) 1.4% Asian (Bangladeshi) 1% 1% 1.5% Other 1.4% Black (Other) 1% 0.5% 0% The ethnic spread remains fairly consistent with previous years although uptake of counselling for Black (Caribbean) groups has improved as hoped. We are always striving to improve our outreach to specific ethnic groups which may be under-represented. 8 1.6.2 60 international students (23% of Total CS Nos.) were seen during this period, an increase of 14 students or 5% on 2007 - 2008. Table 4 International students nationality Country Name UNITED STATES CHINA IRAN (ISLAMIC REP) NIGERIA TAIWAN TURKEY GEORGIA LIBYA SYRIA THAILAND INDIA PAKISTAN JAPAN JORDAN KUWAIT IRAQ ZIMBABWE SAUDI ARABIA SOUTH AFRICA INDONESIA COLOMBIA CANADA SRI LANKA (CEYLON) MEXICO UGANDA BANGLADESH RUSSIA OTHER Record Cards 7 6 6 4 3 3 3 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 9 Other Statistical Data (Sample) (07 - 08 figures shown in red) 1.6.3 The gender balance remains typical of Services nationally: Female 70% (71%) Male 30% (29%) 1.6.4 Self referral remains the most common route of referral: (Note: there may have been more than one source of referral) Self referral 86% Student Support Office 5% Health Centre 5% Friend 3% Academic Staff 2% Students Union 2% Other 2% (89%) (4%) (1%) (5%) (2%) (2%) (1%) 1.6.5 The routes for referring out from the Service are distributed between 5 main identifiable areas of resource: (% total number CS students) Student Support Office Health Centre Open Road Other Academic Staff/Departments 5% 5% 1% 1% 0.5% (6%) (5%) (1%) (2%) (2%) 10 1.6.6 The age range for the last 3 years of those presenting for counselling is as follows: Table 5 Age Range 20082009 20072008 2006-2007 16-18 15 6 6 19-21 93 77 102 22-25 64 66 64 26-30 45 45 39 31-35 22 27 17 35+ 26 33 24 A significant increase can be seen in the younger age group. The increase in students presenting who are under 18 years of age has particular implications for counsellors who are obliged to work within a different legal and professional framework for that age group. 11 1.6.7 Attendance Status Table 6 2008- 20072009 2008 20062007 F/T 257 238 236 P/T 6 13 12 N/A 2 3 4 1.6.9 1.6.8 Degree Status Year of Course Table 8 Table 7 0809 0708 0607 20082009 20072008 20062007 Year 1 114 97 79 U/G 158 138 157 Year 2 65 58 83 P/G 98 114 93 Year 3 64 71 63 Intermitting 1 2 1 Year 4/5/6 12 17 13 Other 8 1 1 Pre Course 3 3 1 Post Course 0 0 4 Intern.Prog. 2 4 2 Intermitting 2 2 0 Socr/Era/Temp 2 0 2 N/A 1 2 3 1.6.10 Mature student status Table 9 2008-2009 2007-2008 33 12 38 2006-2007 35 1.7 Presenting Problems Table 10 Percentage of clients with at least one problem in area 60 54.3 54.3 50 41.9 40 36.6 36.2 30 26.8 24.2 20 22.6 17.7 13.2 10.9 10.2 10 9.4 5.3 4.5 3.4 2.6 2.3 2.3 1.9 1.9 1.5 1.1 0.4 0.4 re ss io n tio ns hi Lo p s ss Is Id su en es Tr tit y an Is s In su tim ition es al at e Is R su el es at io Ab nsh i ps us e Is su W es or k/ St ud Se y lfTr de au C om stru m a ct pu iv ls en i es So ve B s ci e h al a Ph vi R o e ys ur la ic tio al ns H hi ea ps Ea lth Is tin su Fa g es D m is ily or R d el er at s io ns W el h ip fa s Ps re yc Is su hi at es ric Se Is xu su al es D iff ic ul t T i es W er or m k in R at el i o at n io ns hi H p ar s as sm en Sp t Ad ec op i fi c tio Le Pr eg n ar ni na ng nc D y iff ic ul ti e s Fa m ily /O rig in R D el a ep An xi e ty 0 (n = 265) The above table shows the number of clients with at least one presenting problem within the designated categories. Thus, by way of example, 54.3% of all clients presented with symptoms of depression and anxiety apart from any other problems they may have discussed. Below is a sample of some of the principal collected figures within some of the categories: (2007 – 2008 figures are shown in red) 1.7.1 Table 11 Depression (54.3% of total =144 students) (52% =133) % within “Depressed” category Numbers of Students (n=144)(133) % of Total CS Student Nos (n =265) (n=254) Moderate 42% (41%) 61 (55) 23% (22%) Mild 42% (41%) 60 (42) 23% (16%) 8% (16%) 12 (21) 5% (8%) 8% (11%) 11 (15) 4% (6%) Mood Disorder Severe (Clinical Depression) 13 1.7.2 Table 12 Anxiety (60% of total=158 students) (60% =153) % within “Anxiety” category Numbers of Students (n =158) (153) % of Total CS Student Nos. (n=265) (n=254) General 58% (56%) 92 (88) 35% (35%) Exam/Study Stress 20% (24%) 32 (36) 12% (14%) Panic Attacks 20% (18%) 31 (26) 12% (10%) 2% (2%) 3 (3) 1% (1%) Phobias 1.7.3 Family of Origin Problems 59% (157) of Total CS Numbers (60% (152)) % Total CS Nos Current = 51% (80) Past = 49% (77) 80 72 30% 31.5% 29% 28% 1.7.4 Identity issues 38% (100) of Total CS Numbers 51% (130) % Total CS Nos Self-Esteem = 62% Identity = 19% Cultural Identity = 10% Sexual Identity = 8% (63) (19) (10) (8) 76 33 15 6 24% 7% 4% 3% 30% 13% 6% 2% 1.7.5 Loss Issues 39% (103) of Total CS Numbers 39% (98) % Total CS Nos. General = 34% (35) Relationship End = 28% (29) Bereavement = 23% (24) Separation Anxiety = 15% (15) 14 30 28 23 15 13% 11% 9% 6% 12% 11% 9% 7% 1.7.6 Transitional Issues 29% (76) of Total CS Numbers 34% (86) % Total CS Nos. Career/Life Planning = Loneliness = Leaving University = Adjusting to University = Homesickness = 32% (24) 38 21% (16) 15 13% (10) 15 16% (12) 12 18% (14) 6 9% 6% 4% 5% 5% 15% 6% 6% 5% 2% 1.7.7 Self-Destructiveness 11% (30) of Total CS Numbers 17% (44) % Total CS Nos. Self-Harm = 57% (17) Suicidal Ideation = 40% (12) Suicide Intent/Attempt =10% (1) 23 15 6 6% 4.5% .5% 9% 6% 2% 1.7.8 Abuse Issues 52% (137) of Total CS Numbers 65% (164) % Total CS Nos. Past Abuse Emotional Sexual Physical Bullying Current Abuse = = = = = = 35% 20% 13% 12% 12% 8% (48) (27) (18) (17) (16) (11) 24% (62) 23% (37) 10% (17) 13% (21) 10% (16) 7% (11) 18% 19% 10% 15% 7% 7% 6% 8% 6% 6% 4% 4% The “Abuse Issue” category has been included in the report this year to illustrate the high preponderance of such issues in the work of the Service. Although higher in the 2007-08 period , overall, the students presenting with such issues this year still comprises 52% of the total figures.(It should be remembered that these students will undoubtedly have reported other “Presenting Problems” in addition to this category). 15 2.0 Developments from 2007-2008 To further develop links with the Senior and Disability Advisers (Mental Health) and with local community mental health teams. The Senior Adviser to take part in the training day mentioned below. Development is ongoing and the Senior Adviser and her deputy successfully participated in the training day in January 09. To attempt to establish more permanent links with a local psychiatrist to provide psychiatric supervision and support, particularly with regard to therapeutic processes. It is hoped this would also improve referral efficiency. Contact made and a link in place with a local psychiatrist. To further encourage counselling staff to develop more contact with the University and thus further develop useful “networking” connections. Ongoing. To address the issue of the need for more space for the Service. Re-housing of the Service is a distinct possibility in 3 years time when the University plans to open a new Student Centre or a restructuring of the working hours at the Service if that does not occur. To further links with University counsellors in the Eastern Region by running a Training Day on mental health Issues in university counselling organised by Vicky Djordjevic and Rosa Waller. Very successful day held in January 09. 16 3.0 Future Developments 2008-2009 To achieve British Association for Counselling and Psychotherapy (BACP). service accreditation To further develop group provision by providing a still more varied group programme To review nationally available Evaluation Systems and consider their relevance to the Service To consolidate the many achievements of the Service in the last 5 years and build a strategic plan as a team for the next 5 years Barbara Fisher Head of Counselling Service October 2009 Staff at the Counselling Service Counsellors Vicky Djordjevic Nick Hay Lee McOwan Rosa Waller Administrator Heather Farrow Head of Counselling Service Barbara Fisher 17