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Pub Date: |
2013-00-00 |
Pub Type(s): |
Journal Articles; Reports - Descriptive |
Peer Reviewed: |
Yes |
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Descriptors:
Psychopathology; Health Services; Self Destructive Behavior; Behavior Modification; Therapy; Personality Problems; Resource Allocation; Counseling Services; Student Problems; Surveys; Suicide; Hospitals; Outcomes of Treatment; College Students
Abstract:
Trends in college mental health literature suggest many college and university counseling centers are facing increased demands for services. Moreover, survey data suggest that counseling center directors and staff perceive increases in serious psychopathology, suicidality, and nonsuicidal self-injurious behavior, along with other typical student problems. At Sarah Lawrence College, a marked increase in the number of students hospitalized for psychiatric reasons, many meeting criteria for borderline personality disorder (BPD), required Health Services to rethink clinical service delivery, staff training, and resource allocation. Owing to its proven efficacy in the treatment of BPD, dialectical behavior therapy (DBT) was adapted at our setting. An overview of DBT is presented, followed by a brief history and a detailed description of the Sarah Lawrence College DBT Program, initial data on its impact for student retention and hospitalizations, and a discussion of the potential benefits of employing DBT with students in other collegiate settings. As one of few college counseling centers offering such treatment, the DBT Program at Sarah Lawrence College represents a promising model of treatment for college students with BPD. (Contains 1 table.)
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Author(s): |
Lane, Joel A. |
Source: |
Michigan Journal of Counseling: Research, Theory, and Practice, v39 n2 p4-12 Fall-Win 2013 |
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Pub Date: |
2013-00-00 |
Pub Type(s): |
Journal Articles; Reports - Evaluative |
Peer Reviewed: |
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Descriptors:
Mental Health; Health Services; Social Exchange Theory; Mental Health Programs; Counseling Services; Social Work; Consumer Economics; Economic Impact; Purchasing; Ethics; Risk
Abstract:
The present paper discusses literature concerning the practice of bartering for counseling, psychological, or social work services in lieu of traditional monetary payment. The author contrasts the language concerning the practice of bartering found in the respective ethical codes for each profession, and presents literature describing both risks and potential benefits of bartering arrangements. The primary risks of bartering include liability concerns and the potential for harmful or exploitive dual relationships. The primary benefits are that bartering makes mental health services available to those who cannot afford traditional fees, and allows for a culturally relevant compensation method for those whose cultural backgrounds emphasize the practice of bartering.
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Pub Date: |
2013-00-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Prevention; Suicide; Outcomes of Education; College Students; Pretests Posttests; Help Seeking; Knowledge Level; Symptoms (Individual Disorders); Crisis Intervention; Counseling Services; Training
Abstract:
This study assesses short-term and long-term learning outcomes of Question, Persuade, Refer (QPR) suicide prevention training in a college setting. Two hundred seventy-three participants completed pretest, posttest, and follow-up surveys regarding suicide prevention knowledge, attitudes, and skills. Results indicated: (a) increases in suicide prevention knowledge, attitudes, and skills both from the pretest to the posttest and from the pretest to the follow-up test on 8 items (warning signs, how to ask about suicide, influencing help-seeking, how to get help, knowledge of local resources, talking about resources, accompanying person to get help, and calling a crisis line); and (b) short-term increases on 2 items (suicide prevention facts and appropriateness of asking about suicide). Implications for campus-wide suicide prevention efforts are discussed. (Contains 1 table.)
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Pub Date: |
2013-00-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Help Seeking; Foreign Countries; Divorce; Unemployment; Family Violence; Interpersonal Relationship; Telecommunications; Internet; Counseling Services; Films; Counselor Training; Children; Child Abuse
Abstract:
Objective: This study examined the influence of community unemployment and divorce rate on child help-seeking behavior about violence and relationships via a telephone and Internet helpline. Methods: Time series analysis was conducted on monthly call volumes to a child helpline ("De Kindertelefoon") in the Netherlands from 2003 to 2008 and on the topics discussed (primarily Violence and Relationships) from 1994 to 2008 in answered calls and chats. Results: As unemployment rises, the number of calls to the helpline increases. With increased unemployment, the share of conversations about Violence and about Relationships is found to be higher. When the divorce rate goes up, the number of calls to the helpline increases, but the share of Violence and of Relationships decreases. In addition, the share of contacts about Violence is increasing over time, while the share about Relationships is decreasing. Furthermore, the showing of violent movies is associated with fewer attempted helpline calls. Finally, seasonal variation in call volumes and the shares of calls about Violence and Relationships are found. Conclusion: Our data provide a unique and direct perspective on child help-seeking behavior. Our results suggest that more resources need to be devoted to resolving children's problems during times of unemployment as they seek more help particularly with respect to violence. Increased training of counselors with regard to children reporting incidents of violence is particularly important, as the share of contacts about violence is increasing over time and during a recession. Resources are especially needed as, on average, less than half of the calls to child helplines are actually answered. (Contains 1 figure and 2 tables.)
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Author(s): |
Schwartz, Victor |
Source: |
Journal of College Student Psychotherapy, v27 n2 p96-98 2013 |
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Pub Date: |
2013-00-00 |
Pub Type(s): |
Journal Articles; Opinion Papers |
Peer Reviewed: |
Yes |
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Descriptors:
Mental Health; Counseling Services; Psychiatry; Hospitals; Higher Education; Guidance Centers; Psychology; School Counselors; Colleges; Campuses
Abstract:
As someone who has been involved in college mental health in three different roles, the author would say those who work in this field inhabit a strange space. College mental health centers are generally seen as somewhat peripheral to the core mission of universities by upper administration. Counseling centers do not reside within academic departments of social work, psychology or psychiatry. The result is that while they may know how hard they work and how essential they are to the success of the students they treat and help, they are often left feeling less than valued by their administrations and disconnected from many of their clinical colleagues who work in more standard settings such as hospitals, community clinics or private practice. Most of their clinical colleagues do not realize that their college counseling services are responsible for the care and safety of approximately 20 million (mostly young) people in the United States. While college counseling centers have in the past received unfortunate attention around campus tragedies and disasters, they should recognize that their work is being noticed and valued in some pretty disparate and surprising arenas. They may not realize it and take enough credit, but is seems they just may be the "cutting edge" of health and mental health care. (Contains 1 note.)
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