|
2006-2007
ANNUAL REPORT AND DATA SUMMARY Prepared by: Michael Mond, Ph.D., Director June 2007 |
«
The CC provided 20,056 hours of service during the Academic Year (Sept. 2006 -May
2007). «
Individual Personal Counseling was
provided to 957 student clients in 6,002 sessions for an average of 6.3
sessions per client. Group Counseling was
provided to 88 students in 10 groups. Altogether, individual and group
psychotherapy activity account for 63% of all «
Psychiatric
services
were increased significantly this past year. 344 students were evaluated by
staff psychiatrists (36% of all clients served) in 1,696 sessions for an
average of 3.6 sessions. This is 59% increase from the previous year. 282 different students received
psychotropic medication (29% of clients served). «
The CC also continued to use the Behavioral Health Monitor (BHM20) to
monitor client progress and therapy outcome. New CC clients demonstrated significant
improvement during treatment from intake to the last session (average score
increased from 2.72 to 2.97) on a 5 point scale ranging from 0 (worst health)
to 4 (best health) with a score of 2.93 or better considered positive mental
health for college students. Also, 68% of all clients reported significant improvement,
26% reported no change, and 6% reported some deterioration as measured by the
BHM20. «
The CC continues to engage in research to improve monitoring of
potentially suicidal clients. This
past year the CC participated in research that suggested suicidal states can be
distinguished by those reporting “hopelessness” from those reporting
“self-hate” at intake. This research suggests “hopeless” clients resolve
their suicidality more quickly than those that report “self-hate” suggesting
that different treatment approaches for these two groups might be warranted. «
The CC averaged 175.2 client sessions per week (including psychiatrists) in the Fall
2006 semester and 171.3 client sessions per week (including psychiatrists) in
the Spring 2007 semester. The CC averaged 11.0 emergencies per week in the Fall 2006 semester and 9.4
emergencies per week in the Spring 200. «
In addition to Individual and Group Services, CC services during the Academic Year
included Training and Supervision (10.8% of time), Outreach and Workshop activity
(2.3%), Consultations (3.7%), Community Activity (2.5%), Professional
Development (2.1%), Professional Activity including Research and Teaching
(4.1%), and Administrative Activity (10.8%).
«
In Emergency
Interventions, the Center served 283 clients in daytime emergencies (about
30% of clients served) and 79 clients in after hour emergencies (93 calls). The CC made
5 violence assessments, monitored 47 students in its suicide tracking system,
recommended 39 mental health (medical) leaves, and administered 16
readmission evaluations. 56 clients were referred off campus
for more extensive treatment. The CC played a significant role in preventing
128 students from dropping out of school last year, while
80 were given assistance in exercising appropriate extensions or withdrawal
from classes. There were 27 emergency room visits resulting in 22 hospitalizations.
«
The most common problems/symptoms presented by clients during individual therapy
include: feelings of being overwhelmed” (34%), “general anxieties and
worries” (31%), “time management and
motivational issues” (29%), “academic concerns” (29%), “depression” (22%), “generally unhappy and dissatisfied” (21%), “lack of self-confidence or self-esteem” (20%), “lack
of motivation, detachment, and hopelessness” (19%), “overly high standards
for self” (18%), “sleep problems” (16%) and “loneliness,
homesickness” (16%). These problems are not mutually exclusive. «
The CC provided 43 Outreach Activities, Workshops, and Consultation programs last
year serving 1,606 students, 170 faculty and staff, and 1,364 “others” for an
overall total of 3,140 individuals. «
Evaluations -The CC
Intake Service Evaluation Report reveals that on a survey taken after the
initial session 60% of clients feel that the personal counseling service is
excellent while an additional 36% feel that the service is good. «
The CC continues to provide services to the «
The CC Pre-Doctoral Training program has 4 full time
interns. The training program included 47
didactic programs and supervision in both individual and group formats. «
The CC employs staff coordinators to develop and improve programming for
Asian-American students/International students, Minority students, Outreach/Workshop
and Consultative Services, Group Counseling, Professional Development,
Substance Abuse Counseling, Peer Counseling, Research, Nursing School,
Peabody Institute of Music, Predoctoral Internship Training, and Eating Disorders. «
CC staff are active in professional development and
professional activity. Clinical staff participated in 39
professional workshops, conferences, courses, seminars and other educational
activities. In addition, professional
staff engaged in 15 professional activities (e.g., teaching, professional
boards, consultation, and research activities, etc...) and are members of 24
professional organizations. «
The CC continues to foster values of teamwork and collaboration by participating in over 72 JHU community
activities, programs, and committees. «
The CC expanded the
work of the Counseling Center Student Advisory Board (CCAB). The CCAB
played an active role in sending emails to all students |
TABLE OF CONTENTS
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Topic |
Page
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SECTION
I. |
5 |
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SECTION
II. |
Individual
Psychotherapy Services: May 22, 2006 - May 20, 2007 |
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A)
Individual Psychotherapy: Direct Services Caseload Statistics |
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1. General Numbers |
6 |
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2. Intakes Seen per Week (New and Returning
Clients) |
6 |
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3. Number of Clients Seen per Week |
6 |
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4. Psychiatrist Clients Seen per Week |
6 |
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5. Emergency Daytime Walk-in Clients Seen per
Week |
6 |
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6. Total Number of Individual Clients Seen for
Past 7 Years |
7 |
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7. Weekly Case Load Comparisons for the Past 7
Years |
7 |
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8. Emergency Sessions Per Week Comparisons for
the Past 7 Years |
7 |
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9. Frequency of Client Visits During Past Year |
7 |
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10.
Insurance |
7 |
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B)
Individual Psychotherapy: Demographics of |
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1.
Gender |
8 |
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2.
School Affiliation |
8 |
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3.
Age |
8 |
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4.
Ethnic Status |
8 |
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5.
Marital Status |
8 |
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6.
Class Year |
8 |
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7.
Academic Standing |
8 |
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8.
Other Items |
8 |
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9.
Academic Major |
9-10 |
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10. Medical |
10 |
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11. Residence |
10 |
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12. How First Heard of |
11 |
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13. Referral Source |
11 |
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14. Presenting Complaints by Frequency (Rank Order) |
12 |
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15. Presenting Complaints by Problem Area |
13-14 |
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16. Behavioral Health Monitor Items |
14 |
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C) Individual Psychotherapy: Intake Service Evaluation Survey
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15-18 |
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SECTION
III. |
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A)
Suicide Tracking |
19 |
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B)
The Behavioral Health Questionnaire (BHM) Research Project |
20-25 |
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SECTION
IV. |
Summary
of Group Psychotherapy Provided by |
26 |
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SECTION
V. |
Summary
of |
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A) Trainees and Supervisors |
26-27 |
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B) The Training Program |
27-28 |
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C) Training Program Assessments |
28 |
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D) Contact with Academic Training Programs |
28 |
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E) Recruitment and Selection of 2006-07
Interns |
28 |
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F) Development
of the Pre-Doctoral Psychology Internship Program |
29 |
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G)
Training Seminar Schedule |
29-30 |
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SECTION
VI. |
Summary
of Workshops, Outreach, and Consultation Activity by CC Staff |
31-32 |
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SECTION VII. |
Summary of
JHU Community Activity by |
33-34 |
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SECTION
VIII. |
Summary
of Professional Development and Professional Activity by CC Staff. |
35-36 |
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SECTION IX. |
Coordinator Report
Summaries
|
37-41 |
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SECTION
I. Overview of CC Hours by Service Area:
Academic
Year 2006-07 (August 15, 2006- May 20, 2007)
|
Function/Activity for 2006-07
Academic Year |
Staff Hours AY 2006-2007 |
% Hrs Academic Year
2006-2007 |
|
1. Individual Therapy- Counselors |
5,165 (Note: 6,005
for full year) |
25.8% |
|
2.
Psychiatrists’ Visits/Medication Checks |
649 (Note: 747 for
full year) |
3.2% |
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3. Group
Therapy |
1368 |
6.8% |
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4. Clinical
Management (Indiv. & Group) – Counselors |
5249 |
26.2% |
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5. Clinical
Management – Psychiatrists |
340 |
1.7% |
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6. Training
& Supervision Activity |
2,157 |
10.8% |
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7.
Outreach and Workshops Activity |
465 |
2.3% |
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8.
Consultation Activity (incl. after hr
oncall) |
737 |
3.7% |
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9. JHU
Community Activity |
509 |
2.5% |
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10.
Professional Development Activity |
430 |
2.1% |
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11.
Professional Activity* |
813 |
4.1% |
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12.
Administrative Activity** |
2,174 |
10.8% |
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All
Services Total |
20,056 |
100% |
*Note: Professional Activity refers to participation
in activities that benefit the profession or the wider community such as
research, teaching, professional boards, etc…
**Note: Administration includes staff meetings,
public relations, budget activity, data management, coordinating activity with
SECTION II:
Individual Psychotherapy Services: May 22, 2006 - May 20, 2007
A)
Direct Services Caseload Statistics
|
1. General Numbers No. of
Clients seen in Personal Counseling (Full year) No. of
Therapy Sessions (Full Year) - (Not including Consulting Psychiatrists) No. of
Clients seen by Consulting Psychiatrists (Full Year) No. of
Therapy sessions by Consulting Psychiatrists (Full Year) No. of Clients receiving
psychotropic medication No. of
Peabody School Students served No. of
Therapy Sessions - No. of
Peabody Conservatory Students served by Consulting Psychiatrists No. of
Peabody Conservatory Students sessions provided by Consulting Psychiatrists No. of
Nursing School Students served No. of
Therapy Sessions - Nursing (Not including Consulting Psychiatrists) No. of
Nursing School Students served by Consulting Psychiatrists No. of
Nursing School Students sessions provided by Consulting Psychiatrists No. of
Clients seen in emergency crisis during daytime hours No. of
Emergency clients served after hours by CC staff No. of
Emergency phone calls received after hours by CC staff No. of After
hour meetings with client on campus by CC staff No. of
Clients sent to hospital emergency room after hours No. of
Clients admitted to emergency room (hospitalized) after hours No. of Hours
spent in after hours emergencies Avg. Number of minutes spent responding to each after hour emergency
(min – max) No.
of Weeks during year that required after hours emergency response No. of
Clients sent to emergency room – after hours plus day No. of
Clients hospitalized - after hours plus day No. of
Clients CC estimated to have helped stay in school No. of
Clients given CC Mental Health Withdrawal
No. of
Clients given academic assistance (i.e., letter for course withdraw or extension)
No. of
Clients who received Readmission Evaluation No. of
Clients on Suicide Tracking No. of
Clients believe prevented from harming self/others No. of
Clients assessed for ADHD No. of Clients
treated or assessed for Substance Abuse No. of
Clients treated or assessed for Eating Disorders No. of
Clients given Violence Assessment No. of
clients who report that “someone in their family owns a gun” No. of
Clients who received counseling for sexual assault No. of
Clients successfully terminated No. of
Clients referred off campus |
# 957 6,002 344 (36%) 1,696 282 (29%) 49 267 21 of 49 (43%) 53 115 590 50 of 115 (44%) 157 283 (30%) 79 93 3 14 7 52 hours 5
min 40 min (5- 240 min) 39 of 52 (75%) 27 22 128 (13%) 39 (4%) 80 (5%) 16 (2%) 47 (5%) 76 (8%) 40 (4%) 98 (10%) 32 (3%) 5 (<1%) 161 (18%) 10 (1%) 372 (39%) 56 (6%) |
|
2. Intakes
during Academic Year (i.e., New & Returning Clients) Average # of
Intakes /Week (Fall Semester) Average # of
Intakes /Week (Spring Semester) Maximum # of
Intakes/Week (Academic Year) |
25.5 14.7 39 |
|
3. Clients Seen/Week during Academic Year Average # of
clients seen/Week (Fall - Not
including Psychiatrists) Average # of
clients seen/Week (Fall - Including
Psychiatrists) Average # of
clients seen/Week (Spring - Not
including Psychiatrists) Average # of clients
seen/Week (Spring- Including
Psychiatrists) Maximum # of
clients seen/Week (Academic Year- Not including Psychiatrists) Maximum # of
clients seen/Week (Academic Year- Including Psychiatrists) |
146.4 175.2 140.9 171.3 187 226 |
|
4. Psychiatrist
Clients Seen/Week during Academic Year Average # of
Psychiatrist clients seen/Week (Fall) Average # of
Psychiatrist clients seen/Week (Spring) Maximum # of
Psychiatrist clients seen/Week (Academic Year) |
28.8 30.4 49 |
|
5. Emergency
Daytime Walk-in Clients Seen/Week during Academic Year Average # of daytime
emergencies seen/Week (Fall) Average # of daytime
emergencies seen/Week (Spring) Maximum # of daytime
emergencies seen/Week (Academic Year) |
11.0 9.4 21 |
|
6. Total
# of Individual Clients Seen for the Past 7 Academic Years (AY). Total # Clients Seen for 2006-07 Total # Clients Seen for 2005-06 Total # Clients Seen for 2004-05 Total # Clients Seen for 2003-04 Total # Clients Seen for 2002-03 Total # Clients Seen for 2001-02 Total # Clients Seen for 2000-01 |
957 1,035 1,083 916 886 802 726 |
|
7. Weekly
Case Load Comparisons for the Past 7 Years during AY (not
including Psychiatry Sessions) Average
Sessions/Week for 2006-07 Average
Sessions/Week for 2005-06 Average
Sessions/Week for 2004-05 Average
Sessions/Week for 2003-04 Average Sessions/Week for 2002-03 Average Sessions/Week for 2001-02 Average Sessions/Week for 2000-01 |
143 144 163 160 145 144 114 |
8. Daytime
Emergency Sessions/wk Comparisons for the Past 7 AY Average
Sessions for 2006-07 Average
Sessions for 2005-06 Average
Sessions for 2004-05 Average
Sessions for 2003-04 Average Sessions for 2002-03 Average Sessions for 2001-02 Average Sessions for 2000-01 |
10.1 9.5 13.3 9.8 7.1 5.8 5.4 |
|
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9.
# of Appointments per clients during past year |
Staff Only (n=948) |
Psychiatrists Only (n=344) |
Staff plus
Psychiatrists (n=957) |
|
1 appointment 2
appointments 3
appointments 4 appointments
5
appointments 6
appointments 7
appointments 8
appointments 9
appointments 10
appointments 11+
appointments 1-5
appointments 6-10
appointments 11-15
appointments 16- 20
appointments 21+
appointments |
212 (22%) 135 (14%) 117 (12%) 81 (9% ) 59 (6%) 50 (5%) 43 (5%) 33 (4%) 32 (3%) 21 (2%) 165 (17%) 604 (64%) 179 (19%) 69 (7%) 40 (4%) 56 (6%) |
99 (30%) 71 (21%) 52 (15%) 36 (11%) 19 (6%) 14 (4%) 15 (4%) 7 (2%) 12 (4%) 5 (2%) 14 (4%) 277 (81%) 53 (15%) 11 (3%) 3 (>1%) 0 (0%) |
191 (20%) 116 (12%) 108 (11%) 81 (9%) 59 (6%) 58 (6%) 41 (4%) 33 (3%) 30 (3%) 26 (3%) 214 (22%) 555 (58%) 188 (20%) 77 (8%) 56 (6%) 81 (9%) |
|
Average # of visits/per client (staff
only) Average # of visits/per client (psychiatrists) Average # of visits/per client (staff +
psychiatrists) |
6.3 visits 3.6 visits 7.6 visits |
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|
10.
Insurance No. of clients who reported having
University (Chickering) Health Insurance Policy No. of grad student clients who
reported having University Health Insurance Policy No. of undergrad student clients who
reported having University Health Insur. Policy No. of International Students who
reported having University Health Insurance Policy No. of Peabody Students who reported
having University Health Insurance Policy No. of Nursing Students who reported
having University Health Insurance Policy No.
of clients referred out who reported having University Health Insurance No. of total sessions clients with
University Health Insurance seen before referred out |
361 (38%) 205 (of 245)
(84%) 131 (of 660) (20%) 67 (of 84) (80%) 11 (of 49) (22%) 74 (of 115) (64%) 29 (of 360) (8%) 725 sessions |
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B) Individual Psychotherapy: Demographics of
|
1. Gender Male Female Total |
Number
348 609 957 |
Percentage 36% 64%
100% |
|
2.
School Affiliation* (Some
students enrolled in more than 1 program) Arts and
Sciences Engineering Peabody
Institute Institute for
Policy Studies Advanced
Academic Prog.-A&S Other / No
Response |
Number
608 180 115 49 1 1 3 |
Percentage 64% 19% 12% 5% < 1% < 1% < 1% |
|
3.
Age Mode Mean Median Greater than
25 years of age |
Number
16-58 years 20.0 years 22.92 years 21.0 years 215 |
Percentage 23% |
|
4.
Ethnic Status African-American Asian Biracial Caucasian Native-American Latino/Hispanic Other / No
Response |
Number 44 187 28 598 3 46 51
|
Percentage 5% 20% 3% 63% < 1% 5% 5% |
|
5.
Marital Status Single Married/Committed
Relationship Separated Divorced Other No Response |
Number 780 139 4 9 14 11 |
Percentage
82% 15% < 1% 1% 2% 1% |
|
6.
Class Year Freshman Sophomore Junior Senior Graduate
Student Post-Baccalaureate
Program Post-Doctoral
Student/Fellow Other / No
Response |
Number 128 156 194 182 249 18 1 29 |
Percentage 13% 16% 20% 19% 26% 2% < 1% 3% |
|
7.
Academic Standing Good Standing
Academically
dismissed Reinstated On Probation Other / No
Response |
Number 832 8 9 49 59 |
Percentage 87% 1% 1% 5% 6% |
|
8.
Other Items International Students Transfer Students Physically Challenged Students Students concerned about Attention Deficit Disorder (ADD) |
Number 84 37 11 172 |
Percentage 9% 4% 1% 18% |
|
9.
Academic Major Undeclared/ Undecided No Response Arts and Science Totals Anthropology Behavioral Biology Biology Biophysics Chemistry Classics Cognitive Science Comparative American Cultures Earth & Planetary Science East Asian
Studies Economics English Environmental Earth Sciences Film and Media Studies French German History History of Art History of Science, Medicine, &
Technology International Studies Italian Studies Latin American Studies Mathematics Music Near Eastern Studies Neuroscience Philosophy Physics & Astronomy Political Science Pre-Med Cert (Post-Baccalaureate) Psychological and Brain Sciences Public Health Public Policy Romance Languages Science, Medicine, & Technology Sociology Spanish Writing Seminars Other Arts & Sciences Humanistic Studies Natural Sciences Social & Behavioral Sciences Area Majors Other |
Number 51 66 544 11 5 47 14 21 10 9 0 1 2 23 16 2 3 4 7 21 12 6 31 3 3 12 8 5 34 10 28 29 3 33 43 10 9 0 11 4 37 9 3 4 0 1 |
Percentage 5.3% 6.9% 56.8% 1.1% 0.5% 4.9% 1.5% 2.2% 1.0%
0.9% 0.0% 0.1% 0.2% 2.4% 1.7% 0.2% 0.3% 0.4% 0.7% 2.2% 1.3% 0.6% 3.2% 0.3% 0.3% 1.3% 0.8% 0.5% 3.6% 1.0% 1.4% 3.0% 0.3% 3.4% 4.5% 1.0% 0.9% 0% 1.1% 0.4% 3.9% 0.9% 0.3% 0.4% 0% 0.1% |
|
Engineering
Totals Biomedical Engineering Chemical Engineering Civil Engineering Computer Engineering Computer Science Electrical Engineering Engineering Mechanics General Engineering Geography & Environmental Engineering Materials Science & Engineering Mathematical Sciences Mechanical Engineering Other Engineering |
170 44 28 6 8 19 8 4 1 14 12 8 15 3 |
17.8% 4.6% 2.9% 0.6% 0.8% 0.8% 0.8% 0.4% 0.1% 1.5% 1.3% 0.8% 1.6% 0.3% |
|
9a.
Performance Certificate GPD Peabody/Homewood Double Degree Program Performance: Bachelors Performance: Masters DMA AD Music Education: Bachelors Music Education: Masters Recording Arts: Bachelors Recording Arts: Masters Conducting Other Not Reporting/Missing |
Number 49 8 1 0 22 9 1 0 1 1 0 1 0 3 3 |
Percentage 5.1% 0.8% 0.1% 0.0% 2.3% 0.9% 0.1% 0.0% 0.1% 0.1% 0.0% 0.1% 0.0% 0.3% 0.3% |
|
9b.
Nursing - Affiliated School Total Regular Program Accelerated Program Other Nursing Affiliated School Other Nursing
Not Reported |
115 49 37 17 12 |
12.0% 5.1% 3.9% 1.8% 1.3% |
|
10.
Medical Previously
received counseling elsewhere Currently
taking medication Experiencing
medical problems Medical
problem in family Emotional
problem in family Alcoholism/Substance
abuse in family Adopted |
367 387 171 327 344 245 9 |
38% 40% 18% 34% 36% 26% 1% |
|
11.
Residence Residence
Halls (On-Campus Total) AMR I AMR II Building A Building B McCoy Hall Wolman Hall Peabody
Residence Hall Campus Housing Other Off-campus
Other No Response |
Number
354 20 30 15 13 63 43 20 42 2 15 91 581 22 |
Percentage 37% 2% 3% 2% 1% 7% 5% 2% 4% < 1% 2% |