Division of Student Affairs 2009-10 Annual Report Department: Counseling Center Person Completing Report: Kathy Pendleton Executive Summary The flood on August 4, 2009 created challenges that the staff met with professionalism. The office was forced to close for several days while we relocated to Stevenson Hall. At the same time we were preparing for hosting the first Mental Health Symposium on August 10, 2009. Upon reopening, the staff and students made the best of our temporary home. The summer semester ended with a flood and we begin the fall semester with a sense of survival. We were able to survive the flood, two moves and a second renovation of our office space and still maintain a sense of humor. 1. Programs and Services: Served as a practicum site for students from Spalding University and the University of Louisville for the fall, spring and summer semester. Staff provided 190 hours of supervision for practicum students. Collaborated with Dr. Jesse Owen, Assistant Professor, ECPY, College of Human Development and Education, sample survey using the Schwartz Outcome Scale-10. The scale measures the psychological well-being of students receiving services (see report under assessment). Twenty-five (25) Learning Disability and Attention Deficit Hyperactivity Disorder assessments completed by practicum students. The results of the assessments were used by the Disability Resource Center to determine eligibility for academic accommodation. The results were also used to evaluate general psychological functioning, interpersonal relationships, depression, anxiety and cognitive functioning The counseling center staff completed 611 new intakes. Staff provided 3570 on-going counseling sessions. 2. Major Accomplishments: Submission of a TRIO Student Support Services Grant Application to the US Department of Education. The grant, if funded, is worth $1.5 over a five-year period to provide 1 retention services to 140 low-income, first generation students and students with disabilities. Increased the diversity of the Counseling Center Staff. Strengthened the relationship with Kent School of Social Work resulting in the placement of a practicum student for the upcoming academic year. Served as a practicum site for Spalding University. The Counseling Center served as a practicum site for three students during the summer semester for the first time. Working to better meet the needs of the students, a daily emergency slot for emergency walk-in appointments was implemented. LD/ADHD assessments increased the agency income by $10,750. The quality of the Counseling Center staff was increased with the hiring an additional psychologist. The Counseling Center sponsored a Mental Health Symposium entitled: Identifying Disruptive Campus Behavior. The presenters were Dr. Richard James, University of Memphis and Dr. Richard Meyer, Duquesne University. Approximately 40 persons attended from Kentucky, Tennessee and Indiana. 3. Staffing Summary: The Counseling Center lost two positions this academic year. The Clerk Senior position that was funded by Campus Health Services was moved to Campus Health Services. The Department Assistant position was moved to the Dean of Students Office with some outreach responsibilities to the Counseling Center. Current staff includes: - Kathy Pendleton, PhD, Director. - Joanna Morse, PsyD, Clinical Psychologist. - Juan Pablo Kalawski, PhD, Clinical Psychologist. - Terri White, PhD, Counseling Psychologist. - Vince Brown, LCSW, Counselor Senior. - Michelle Pinckney, LPCC, LMFA, Counselor. - Karen Zody, Program Assistant. Practicum students for the fall 2009 and spring 2010 semester included: - David Wen- Spalding University - Amanda Townsend, ECPY (fall only) - Jacob Niehaus, ECPY - Sarah Ramsey, ECPY - Melissa Vincent, ECPY - Don Woolridge , ECPY (spring only) - Kasey Wilson, ECPY (spring only) - Lisa Anne Ferris, ECPY (spring only) - Renee Spearing –Nursing (spring only) 2 Practicum students for the summer semester included: - Elizabeth Rhyne - Don Wooldridge - Sarah Johnson - Psychiatry Former Staff: - Christin “Nicole” Combs ( position moved to CHS) - Jacie Rowe ( resigned April 2010) 4. Activities and Initiatives that Support Academic Units: All Counseling Center activities support student engagement and retention. The purpose of our consultation and activities is to enable students, faculty, and staff to become more informed and better equipped to resolve issues of concern. These activities include both formal and informal activities with the campus community. Listed below are some of the activities: - Practicum site for the ECPY Program, College of Education and Human Development - Providing mock interviews for doctoral candidates applying for counseling internships-ECPY. - Pancakes and Pajamas - Assessment/research collaboration with Dr. Jesse Owen, ECPY - Beginning discussions with Dr. Richard Wilson, Health Promotions and Behavioral Sciences regarding the use of the alcohol on campus and the potential use of an alcohol assessment completed by all new or returning Counseling Center clients (AUDIT-Alcohol Use Disorders Identification Test). - Presentation regarding Counseling Center services to the academic advisors. - Presentation to the Writing Center staff regarding Counseling Center services. - Presentation to Resident Directors and Resident Assistants regarding Self-Care. - Services provided to clients mandated by the Dean of Students Office or Housing and Residence Life. - Stress Management Workshop-Kurtz Hall - Financial Management Workshop-Province - What Situations to Refer to the Counseling Center-Peer Mentors - Counseling Corner- Cardinal Newspaper - Student Concerns Committee - RA/RD Training-Miller Hall and Center Hall - Law School Orientation 3 - Music School Presentation 5. Activities and Services that Support Diversity: All Counseling Center staff members participate in many campus wide activities with students, faculty and staff to promote diversity and increase the visibility and reputation of the Center. These activities support the values and mission of the University and the Division of Student Affairs. - Vagina Monologues - Community Garden Project –Cultural Center - Food Health and Mental Health in collaboration with Campus Health - BABA Week Activities - Take Back the Night - International Association of Higher Education and Disabilities Conference-volunteer - Stress Reduction Workshop-Women’s Center Mom’s Group - Think Tank - Collaboration with PEACC Service on committees that support diversity: - Women’s Center Publication Committee Commission on the Status of Women Student Affairs Diversity Chair Commission on Diversity and Racial Equality Staff Concerns Committee, Chair Cardinal Covenant Advisory Committee Athletic Performance Team Veteran’s Advisory Committee 6. Activities and Services that Support Community Services and/or Civic Engagement: The Counseling Center’s mission involves consultation and outreach to the campus and the local community. These outreach activities extend the reach of the Counseling Center in order to assist others in dealing with mental health issues. - Collaboration with Spalding University’s Clinical Psychology Program. Mock interviews for doctoral candidates applying for internshipsSpalding Educational Forum sponsored Pan-African Students, Political Science and the Newburg Community Center. The forum provided a platform to 4 - discuss the future of secondary education and the matriculation of local students into higher education. Haiti Prayer Day, Intervarsity, CTC. State of Affairs Radio Program, WFPL 89.3 FM, “Quarter Life Crisis” 7. Staff Professional Development Activities: Kathy Pendleton - Summer Academy (Student Affairs Professional Development Committee Successful Supervisors Series International Services Learning-Barbados NASPA Annual Conference ACPA Annual Conference AUCCCD Annual Conference BIRT Training Think Tank US Department of Education Field Readers Webinar Mental Health Symposium-Identifying Disruptive Campus Behavior Veteran’s Symposium TRIO Webinar TRIO Grant Consultation Terri White - Mental Health Symposium-Identifying Disruptive Campus Behavior Summer Academy WAIS IV mini-training GLBT Workshop Second Life Training Wisdom of the Dream: Jungian Approach to Dreams Transgender Workshop BIRT Training Cyperstalking Workshop o Presentations: “It Takes a Village…Addressing the Needs of Special Populations: University of Louisville’s Performance Team”—Western Kentucky University o Adjunct Teaching: Crisis Intervention, ECPY 694, (Summer 2009) Theories and Techniques of Counseling, ECPY629, (Spring 2010) 5 Joanna Morse - Juan Pablo Kalawski - Mental Health Symposium-Identifying Disruptive Campus Behavior System Centered Training Workshop System Centered Training Research Institute - Publication o Kalawski, J. (2010). Is tenderness a basic emotion?. Motivation & Emotion, 34(2), 158-167 Vince Brown - Mindfulness Training Eating Disorders Conference ( International Association of Eating Disorders Professionals) Mental Health Symposium-Identifying Disruptive Campus Behavior Social Work Ethics (2) Michelle Pinckney - Making a Difference for Couples: Healing from Infidelity – Online seminar by the American Association of Marriage and Family Therapist LPCA- Supervisor’s Training Karen Zody - Classified Staff Retreat - Mental Health Symposium-Identifying Disruptive Campus Behavior 8. Assessment Initiatives: In collaboration with Dr. Owen, ECPY, a sample survey using the Schwartz Outcome Scale-10 was given to clients coming in for services. The scale measures the psychological well-being of students receiving services. The findings are included as attachment 1 and appears at the end of this report. 6 9. Department Goals 2010-2011: Continue to strengthen the relationship between the Counseling Center and the Kent School of Social Work. Continue the assessment/research relationship with Dr. Jesse Owen, ECPY. Continue to explore the possibility of the use of the AUDIT scores as an assessment of alcohol use among counseling center client. Purchase Titanium and move to an electronic scheduling and records system. Devise and implement a student satisfaction survey. Continue updating the policy and procedures manual. Seek a funding source to update the live supervision cameras. Seek funding to hire a Clerk Senior to cover the evening hours. 10. Issues and Challenges for Department During 2009-2010 and Beyond: The Counseling Center continues to need additional clinical staff. IACS recommends one F.T.E. professional staff member for every 1500 students. Our current staff ratio is approximately 5 /4400. The challenge becomes providing high quality services without placing students on a waitlist for counseling services. As we continue to grow as a practicum site, the need for additional staff and space has become an issue. The lost of the Clerk Senior position to Campus Health Services greatly impact the ability to provide front desk coverage. The Clerk Senior position provided front desk coverage during evening hours and also served as coverage for the Program Assistant. The current camera system used for live supervision of practicum students is outdated and the cost to repair the system is high. 7 Counseling Center Metrics Counseling Center Staff 07/01/09-06/30/10 Staff Intakes Terri Juan Pablo Joanna Vince Michelle TOTALS 56 51 101 191 59 458 Scheduled Appointments Ongoing Appointments 913 424 581 778 209 2905 851 365 471 575 116 2379 80% employee Hired 9/4/09 Hired 4/4/10 Practicum Students 08/23/09-06/30/10 Student Intakes Liz Don Jake Sarah Amanda David Lisa Anne Kasey TOTALS 6 25 41 15 6 24 11 25 153 Scheduled Appointments 24 26 133 96 12 119 46 109 665 Ongoing Appointments 16 97 90 67 6 95 35 84 490 Counseling Center Totals Intakes 611 Scheduled Appointments 3570 8 Ongoing Appointments 2869 Assessment Report Attachment 1 In collaboration with Dr. Owen, ECPY, a sample survey using the Schwartz Outcome Scale-10 was given to clients coming in for services. The scale measures the psychological well-being of students receiving services. The following report was prepared by Dr. Jesse Owen, ECPY, CHED for the Counseling Center. Overview: The initial sample for this report was based on 580 clients who attended their first session from January 2010 to June 2010. Since this was our first year collecting outcome data, there were a few exclusionary and cautionary notes. First, we only included clients in this report who started counseling at the U of L counseling center during this semester. Clients who had been coming to the counseling center prior and then started completing the SOS-10 were excluded (since there is no record of their baseline functioning, which is customary in outcome assessments). As such, we excluded 352 clients based on this exclusionary criterion. Second, we excluded clients who only attended one-session (or completed the form once), 99 clients were excluded based on this criteria. Although it is unknown why clients only attended one session (or decided to not continue with the outcome assessment), nationally one-session is a common mode number of sessions. Thus, the final sample for this report was thus based on 129 clients who attended at least 2 sessions. Based on verbal report, some clients decided to remain in therapy but declined to complete the SOS-10. Further, some clients in this report may still be in therapy. Thus, it is important to view this report as a snapshot of clients’ functioning who attended therapeutic services at the U of L counseling center. Outcome Measure: Schwartz Outcome Scale-10 (Blais et al., 1999) The SOS-10 is a measure of psychological well-being, normed with patients from inpatient, outpatient, and college counseling settings as well as non-patient community and college samples. The purpose of the scale is to measure general well-being, not specific psychological symptoms. The SOS-10 is a theoretical, which enables practitioners from various disciplines (e.g., psychiatrists, social workers, psychologists, etc) and theoretical orientations (e.g., CBT, Interpersonal, Psychodynamic, Integrative) to use the scale. The SOS-10 has ten items that are rated on a seven point Likert scale (range 0 to 6) where higher scores indicate better functioning. Across studies, the SOS-10 has exhibited strong internal consistency, Cronbach’s alpha (ÿ) range = .90 to .96. Cronbach’s alpha should be in the high range for outcome and alliance scales (e.g., ÿ = 80’s to .90’s). The SOS-10 is highly correlated with the Outcome Questionnaire-45, a popular clinical outcome measure, at r = -.84, which provides support for the validity of the scale. Further, validity evidence has been shown through correlations, in the predicted direction, with a variety of clinical and psychological well-being scales (e.g., Beck’s Hopelessness Scale, PANAS, and Personality Assessment Inventory; see Owen & Imel, 2009 for review). There are two main ways of using the scores obtained from the SOS-10. First, therapists can compare the scores to the norming sample as a frame of reference. In the norming sample, on 9 average non-patients (n = 2336) scored 4.53, outpatients (n = 1598) scored 3.33, and inpatients (n = 5119) scored 2.56. Based on the distribution of scores, a reliable cutoff score between nonpatient and patient sample is 4.1. This score reliably differentiates between clinical outpatients and non-clinical patients. Second, the SOS-10 is sensitive to changes that occur on a weekly basis. The scale’s sensitivity to change is typically described by the reliable change index. In general, this score is based on the standard error of the scale. Consider the example of weighing yourself every morning. If you know the scale is accurate give or take two pounds, then when the scale goes up or down by more than two pounds you can be more confident that the scale reflects a change in your ‘true’ weight and is not due to random fluctuation in the scale (error). Likewise, the reliable change index score enables therapists to detect meaningful changes over the course of therapy (versus error associated with the scale). For the SOS-10, the reliable change index score is calculated at .83 or simply .80. In other words, therapists can have confidence that improvement or deterioration in scores of .80 or more is not due to chance. Results: Pre-Therapy Functioning: On average, U of L counseling center clients reported SOS-10 scores consistent with those in outpatient clinics (Mean U of L = 3.30 (SD = 1.32). This suggests that clients at the U of L counseling center are consistent with other clients who attend therapy services at traditional outpatient clinics. Notably, 29.5% (or 38 of 129) of clients reported significant initial distress consistent to the initial distress of clients admitted to in-patient units. Although many issues play a role in deciding what type of treatment is most appropriate for clients, these results complement the growing national attention regarding the severity of psychological distress among college students. Therapeutic Effectiveness: 35 clients started therapy above the clinical cut-off suggesting that their level of distress was consistent with individuals in non-clinical samples. Of these 35 clients, 3 of them reported a reliable deterioration in their psychological functioning and only 1 reported a reliable improvement in their psychological functioning. At last session, of the full sample 41 of the 129 clients (31.8%) reported making positive reliable clinically significant improvement in their psychological functioning. At last session, for clients who were initially distressed at intake, 44.0% (40 of 94) reported making positive reliable clinically significant improvement in their psychological well-being. At last session, of the full sample 10 of the 129 clients (7.75%) reported deterioration in their psychological well-being. Note these figures are consistent with National Consortium data (Brownson, 2004) of over 45 counseling centers. 10