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Crisis on the College CampusPeter Thomas, Ph.D.
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Goals and ObjectivesTake a look at who is coming to college and universitiesThe increase in acuity on campusHow it impacts your counseling centerWhat can we do about it and what are others doing about it
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Not your typical existential crisis anymore
Look Who’s Coming to College
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ANXIETY 41% DEPRESSION 37%
RELATIONSHIP ISSUES 35%
Association for University and College Counseling Center Directors (2011)http://www.aucccd.org/index.php?page=resources_directorsurveys_nm
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PSYCHOTROPIC MEDICATIONS
25%SUICIDAL
THOUGHTS OR
BEHAVIORS16%
PRIOR TREATMENT HISTORIES
13.2%
Association for University and College Counseling Center Directors (2011)
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The Failure of De-Institutionalization
The Advent of Better Psychotropics
Reasons For The Increase
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Better Diagnosis
Decrease in StigmaIncrease in Education
Reasons For The Increase
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Impact On Our Counseling Centershttp://ccmh.squarespace.com/data/
Counseling Centers & Colleges typically ill-preparedCenter LimitsNo Case ManagerLimited Resources Outside of CampusLack of Students with InsuranceDisproportion of Staff to Student Ratio
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Impact On Our Counseling CentersPROQOL Version 5 (2009)Professional Quality of Life Scale
❶ Compassion Satisfaction❷ Burnout❸ Secondary Traumatic Stress
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What Are We Doing About it?•Current Trends:•The Rights and Responsibilities of the Modern
University (1999, Bickel & Lake)•The Era of In Loco Parentis or Legal Insularity (prior to 1960s)
●The Civil Rights Revolutionof the 1960s
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What Are We Doing About it?•Current Trends:•The Rights and Responsibilities of the Modern
University (1999, Bickel & Lake)
● The Bystander Era
● The Duty Era
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What Are We Doing About it?•Current Trends:
● The Facilitator Era
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What Are We Doing About it?•Current Trends:•The Meta View is that University Administration
and Counseling Center Directors have to decide what level of service they feel they
must provide to students to achieve the university and counseling center mission.
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What Are We Doing About it?•Current Trends:
❶ The Shift To Triage
❷ Reaching Out
❸ Branching Out
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What Are We Doing About it?•Current Trends:
Some Other Creative Ideas to Help
NAMI Clubs on campus
ActiveMindsOnCampus.org
Jed Foundation
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Group Scenarios