COUNSELING CENTER
2004-2005 ANNUAL REPORT
AND
DATA SUMMARY
JOHNS HOPKINS UNIVERSITY
Prepared by:
Michael Mond, Ph.D., Director
Counseling Center
June 2005
Counseling Center Annual Report 2004-05_ revised 06-21-05_mm_Annual Report
COUNSELING CENTER: ANNUAL REPORT AND DATA SUMMARY 2004-05
« The CC hired a new experienced psychologist to coordinate Career Counseling and Group Therapy Programs.
« The CC provided Individual Personal Counseling to 1,083 student clients (compared to 916 clients the previous year- a 18.2% increase) and Group Counseling to 55 students in 6 groups. During the Academic Year (Sept 2004 -May 2005) the CC provided 18,511 hours of services which is an increase of 7% in services hours. Individual and group therapy activity accounted for approximately 61.1% of Counseling time.
« The CC also continued to use the Behavioral Health Monitor (BHM20-C) to monitor client progress and therapy outcome. CC clients demonstrated significant improvement during treatment from intake to the last session (average score increased from 2.75 to 3.01) on a 5 point ranging from 0 (worst health) to 4 (best health). Also, 65% of all clients reported significant improvement, 32% reported no change, and 3% reported deterioration as measured by the BHM20-C.
« The CC continues to engage in research to improve monitoring of potentially suicidal clients. This past year the CC revised the Suicide Tracking System procedures manual to utilize the BHM20-C to monitor client change and provide a more quantitative outcome measure.
« The CC averaged 154.6 client sessions per week (180.5 including psychiatrists) and 11.4 emergencies per week in the Fall semester. In the Spring semester the CC averaged 170.1 client sessions per week (201.7 including psychiatrists) and 14.9 emergencies per week.
« In addition to Individual and Group Services, CC services during the Academic Year included Training and Supervision (11.5% of time), Outreach and, Workshop activity (2.2%), Consultations (5%), Community Activity (2.4%), Professional Development (2.9%), Professional Activity including Research and Teaching (1.9%), and Administrative Activity (13.1%).
« The CC averaged 6.3 visits per client during the Academic Year in individual personal counseling. 351 students were evaluated by staff psychiatrists (32% of clients served) in 1,217 sessions for an average of 2.9 sessions by the psychiatrists. 326 students received psychotropic medication (30% of clients served). In Emergency Interventions, the Center served 479 clients in daytime emergencies (about 44% of clients served) and 118clients in after hour emergencies (143 calls)- a 42% increase in after hour calls. The CC made 11 violence assessments monitored 47 students in its suicide tracking system, recommended 49 mental health (medical) leaves, and administered 24 readmission evaluations. Seventy-six clients were referred off campus for more extensive treatment. The CC played a significant role in preventing 140 students from dropping out of school last year; while 79 were given assistance in exercising appropriate extensions or withdrawal from classes. Sixteen students were hospitalized.
« The most common problems/symptoms presented by clients during individual therapy include: “general anxieties and worries” (35%), “feelings of being overwhelmed” (34%), “time management and motivational issues” (31%), “academic concerns” (28%), “relationship with romantic partner “ (24%), “generally unhappy and dissatisfied” (23%), “depression” (22%), “lack of self-confidence or self-esteem” (20%), “sleep problems” (19%), “overly high standards for self” (18%), and “lack of motivation, detachment, and hopelessness” (17%). These problems are not mutually exclusive.
« The CC provided career counseling working together with the Career Center. Both departments met on a regular basis to discuss career counseling cases, programming for career counseling and other topics focusing on enhancing career service delivery.
« The CC provided 56 Outreach Activities, Workshops, and Consultation programs last year serving 137 faculty and staff, 3,031 students, and 1,638 “others” for an overall total of 4,806 individuals.
« Evaluations -The CC Intake Service Evaluation Report reveals that on a survey taken after the initial session 54% of clients feel that the personal counseling service is excellent while an additional 41% feel that the service is good.
« The CC continues to provide services to the Nursing School and the Peabody Institute of Music. Students from both schools report satisfaction with the services offered by the CC (Nursing School evaluations show 56% of clients have an “excellent impression” of the CC and 39% have a “good” impression. For Peabody the percentages are 54% and 46% respectively).
« The CC Pre-Doctoral Training program has 3 full time interns. The training program included 42 didactic programs and supervision in both individual and group formats.
« The CC appointed staff coordinators to develop and improve programming for Asian-American students/International students, Minority students, Career Counseling, Outreach/Workshop and Consultative Services, Group Counseling, Professional Development, Substance Abuse Counseling, Peer Counseling, Research, Nursing School, Peabody Institute of Music, Predoctoral Training, Eating Disorders, and Graduate Students.
« The CC continues to foster values of teamwork and collaboration by participating in over 71 JHU programs, activities, and committees. These programs are designed to serve, assist, and enrich the JHU community.
« CC staff are active in professional development and professional activity with clinical staff participating in 44professional workshops, conferences, courses, seminars and other educational activities. In addition, professional staff are members of 16 professional organizations and actively engage in Teaching, Consultation, and Research activities. Three member obtained membership in the National Register for Psychologists.
« The CC purchased a new scheduling and data management system (Titanium) and developed a new manual to allow for consistency in maintaining records.
« The CC negotiated a new contract with the Nursing School to allow for the hiring of an additional intern in 2005-06 to accommodate the growing need for services in the Nursing School.
« The CC established a new Student Advisory Board which helped send emails to all students on campus on “recognizing distressed students.” This advisory board also developed the Community Project to foster ideas to enhance “community.”
« The CC collaborated with DRADA to write a grant to develop a program for providing “model” care for distressed and suicidal students, particularly after office hours.
« The CC Director was invited and elected to serve on the Boards of the American Association for Suicidology (AAS) and the International Association for Counseling Services (IACS), an accrediting body for Counseling Centers.
TABLE OF CONTENTS
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Topic |
Page # |
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SECTION I. |
5 |
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Individual
Psychotherapy Services: |
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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 (New 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 Walk-in Clients Seen per Week |
6 |
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6. Total Number of Individual Clients Seen for Past 6 Years |
7 |
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7. Weekly Case Load Comparisons for the Past 6 Years |
7 |
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8. Emergency Sessions Per Week Comparisons for the Past 8 Years |
7 |
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9. Frequency of Client Visits |
7 |
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10. Insurance |
7 |
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B) Individual Psychotherapy: Demographics of Counseling Center Clients |
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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 Counseling Center |
10 |
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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) Service Evaluation Survey |
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 |
19-24 |
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C) Psychotherapy Treatment Progress of Suicidal Students |
25 |
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SECTION IV. |
Summary of Group Psychotherapy Provided by Counseling Center Staff |
25 |
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SECTION V. |
Summary of Counseling Center Pre-Doctoral Internship Training Program |
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A) Intern Service Activity |
26 |
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B) Training Seminars and Professional Development |
26-27 |
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C) Training Program Assessments |
27 |
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D) Contact with Academic Training Programs |
27 |
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E) Recruitment and Selection of 2004-05 Interns |
27-28 |
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F) Development of the Pre-Doctoral Psychology Internship Program |
28 |
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SECTION VI. |
Summary of Workshops, Outreach, and Consultation Activity by CC Staff. |
28-30 |
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SECTION VII. |
Summary of JHU Community Activity by Counseling Center Staff. |
31-32 |
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SECTION VIII. |
Summary of Professional Development and Professional Activity by CC Staff. |
32-33 |
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SECTION IX. |
Coordinator Report Summaries |
34-38 |
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APPENDIX I. |
Cumulative Number of Clients Seen for Each Year from 1998 to 2005 |
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SECTION I. Overview of Counseling Center Hours by Service Area:
Academic Year 2004-05 (August 16, 2004- May 22, 2005)
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Function/Activity for 2004-05 Academic Year |
Staff Hours AY 2004-2005 |
% Hrs AY 2004-2005 |
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1. Individual Therapy- Counselors |
5,728 (Note: 6,786) for full year) |
30.9% |
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2. Psychiatrists’ Visits/Medication Checks |
609 (Note: 690) for full year) |
3.3% |
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3. Group Therapy |
240 |
1.3% |
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4. Staff Clinical Supervision Activity |
66 |
.4% |
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5. Clinical Management – Counselors |
4,245 |
22.9% |
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6. Clinical Management – Psychiatrists |
286 |
1.6% |
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7. Group Management |
122 |
.7% |
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8. Training & Supervision Activity |
2,133 |
11.5% |
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9. Outreach and Workshops Activity |
400 |
2.2% |
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10. Consultation Activity (incl. after hr oncall) |
923 |
5.0% |
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11. JHU Community Activity |
448 |
2.4% |
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12. Professional Development Activity |
528 |
2.9% |
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13. Professional Activity |
359 |
1.9% |
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14. Administrative Activity* |
2,424 |
13.1% |
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All Services Total |
18,511 |
100% |
*Note: Administration includes staff meetings, public relations, budget activity, data management, coordinating activity with Nursing School and Peabody, coordinator responsibilities of professional staff, coordinating and directing internship program, coordinating and training of Peer Counseling program (APTT), marketing, evaluation, planning, and all personnel activity
**Note: 664 hours (27%) of all administrative hours were accounted for by the Director of the Counseling Center.
SECTION II: Individual Psychotherapy Services: May 17, 2004 - May 22, 2005
A) Direct Services Caseload Statistics
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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 No. of Therapy sessions with Consulting Psychiatrists (Full Year) No. of Clients receiving psychotropic medication No. of Peabody Conservatory Students served by Consulting Psychiatrists No. of Peabody Conservatory Students sessions served by Consulting Psychiatrists No. of Nursing School Students served by Consulting Psychiatrists No. of Nursing School Students sessions served by Consulting Psychiatrists No. of Clients seen in emergency crisis during daytime hours No. of Emergency clients served after hours No. of Emergency phone calls received after hours No. of Clients sent to emergency room after hours No of Clients sent to emergency room – after hours plus day No. of Hours spent in after hours emergencies No. of Weeks during year that required after hours emergency response Avg. Number of minutes spent responding to after hour emergency (min – max) No. of Clients hospitalized after hours 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 course assistance (i.e., letter for withdrawal or extensions.) 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 |
# 1,083 6,776 351 (32%) 1,217 326 (30%) 25 of 76 (33%) 70 45 of 100 (45%) 116 479 118 143 11 21 142 hours 43 59 min (5- 1,080min) 11 16 140 (13%) 49 (5%) 79 (7%) 24 (2%) 47 (4%) 112 (10%) 33 (3%) 93 (9%) 69 (6%) 11 (1%) 156 (15%) 8 (1%) 411 (38%) 76 (7%) |
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2. Intakes during Academic Year (i.e., New & Returning Clients) (See Appendix I) Average # of Intakes /Week (Fall Semester) Average # of Intakes /Week (Spring Semester) Maximum # of Intakes/Week (Academic Year) |
18.4 14.6 33.0 |
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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) |
154.6 180.5 170.1 201.7 204.0 240.0 |
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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) |
25.9 31.6 42.0 |
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5. Emergency Daytiime 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) |
11.4 14.9 28.0 |
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6. Total # of Individual Clients Seen for the Past 6 Years. (See Appendix I) 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 Total # Clients Seen for 1999-00 Total # Clients Seen for 1998-99 |
1,083 916 886 802 726 750 756 |
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7. Weekly Case Load Comparisons for the Past 7 Years during AY (not including Psychiatry Sessions) 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 Average Sessions/Week for 1999-00 Average Sessions/Week for 1998-99 |
163 160 145 144 114 115 113 |
8. Daytime Emergency Sessions/wk Comparisons for the Past 8 AY 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 Average Sessions for 1999-00 Average Sessions for 1998-99 Average Sessions for 1997-98 |
13.3 9.8 7.1 5.8 5.4 5.4 6.1 4.2 |
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9. # of Appointments per clients during past year (not including psychiatrists) 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 Average number of visits/per client Average number of visits/per client to psychiatrists |
278 (26%) 170 (16%) 107 (10%) 72 (7% ) 62 ( 6%0 56 (5%) 36 (3%) 34 (3%) 30 (3%) 26 (3%) 198 (18%) 689 (64%) 184 (17%) 92 (9%) 46 (4%) 60 (6%) 6.3 visits 2.9 visits |
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10. Insurance No. of clients who reported having University 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 Post-Bac Students who reported having University Health Insurance Policy No. of International 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 |
413 (38%) 243 (of 319) (76%) 141 (of 702) (20%) 13 (of 21) (62%) 92 (of 123) (75%) 39 (of 413) (9%) 353 sessions |
B) Individual Psychotherapy: Demographics of Counseling Center Clients (N=1,083)
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1. Gender Male Female Total |
Number 394 689 1083 |
Percentage 36% 64% 100% |
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2. School Affiliation* (Some students enrolled in more than 1 program) Arts and Sciences Engineering Nursing School Peabody Institute Institute for Policy Studies Advanced Academic Prog.-A&S SPSBE Other /NR |
Number
692 188 100 76 3 5 4 15 |
Percentage
64% 17% 9% 7% < 1% < 1% < 1% 2% |
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3. Age Age Range Mode Mean Median Greater than 25 years of age |
Number 15-55 years 20.0 years 22.9 years 21.0 years 269 |
Percentage
25% |
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4. Ethnic Status African-American Asian Biracial Caucasian Native-American Latino/Hispanic Other /NR |
Number 47 206 18 675 4 59 44 |
Percentage 4% 19% 2% 62% < 1% 5% 4% |
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5. Marital Status Single Married/Committed Relationship Separated Divorced Other No Response |
Number 866 169 6 11 14 17 |
Percentage 80% 16% < 1% 1% 1% 2% |
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6. Class Year Freshman Sophomore Junior Senior Graduate Student Post-Baccalaureate Program Other/NR |
Number 127 165 219 191 319 21 41 |
Percentage 12% 15% 20% 18% 30% 2% 4% |
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7. Academic Standing Good Standing Academically dismissed Reinstated On Probation Other/NR |
Number 945 8 11 52 67 |
Percentage 87% < 1% 1% 5% 6% |
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8. Other Items International Students Transfer Students Physically Challenged Students Students concerned about Attention Deficit Disorder (ADD) |
Number 123 50 9 200 |
Percentage 11% 5% < 1% 20% |
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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 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 9. Academic Major Continued Political Science Pre-Med Cert (Post-Baccalaureate) Psychological and Brain Sciences Public Health Public Policy Romance Languages Sociology Spanish Writing Seminars Other Arts & Sciences Humanistic Studies Natural Sciences Social & Behavioral Sciences |
Number 60 52 637 10 8 60 22 23 6 15 0 4 29 21 0 6 5 6 27 10 6 37 3 3 10 10 7 30 13 21 Number 27 6 49 53 16 9 14 2 36 7 9 11 6 |
Percentage 5.5% 4.8% 58.8% 0.9% 0.7% 5.5% 2.0% 2.1% 0.6% 1.4% 0.0% 0.4% 2.7% 1.9% 0.0% 0.6% 1.5% 0.6% 2.5% 0.9% 0.6% 3.4% 0.3% 0.3% 0.9% 0.9% 0.6% 2.8% 1.2% 1.9% Percentage 2.5% 0.6% 4.5% 4.9% 1.5% 0.8% 1.3% 0.2% 3.3% 0.6% 0.8% 1.0% 0.6% |
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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 |
175 47 26 5 6 24 18 1 3 15 7 9 12 2 |
16.2% 4.3% 2.4% 0.5% 0.6% 2.2% 1.7% 0.1% 0.3% 1.4% 0.6% 0.8% 1.1% 0.2% |
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9a. Peabody- Affiliated School Total 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 Peabody |
63 2 8 5 27 14 2 0 1 0 2 0 0 2 |
5.8% 0.2% 0.7% 0.5% 2.5% 1.3% 0.2% 0.0% 0.1% 0.0% 0.2% 0.0% 0.0% 0.2% |
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9b. Nursing - Affiliated School Total Regular Program Accelerated Program Other/NR |
96 41 45 10 |
8.9% 3.8% 4.2% 0.9% |
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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 |
436 442 180 378 374 262 12 |
40% 41% 17% 35% 35% 24% 1% |
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11. Residence Residence Halls (On-Campus Total) AMR I AMR II Building A Building B McCoy Hall Wolman Hall Bradford Apartments Homewood Apartments Rogers House Peabody Residence Hall Off-campus Other No Response |
Number 305 28 43 12 6 70 50 39 31 3 23 759 19 |
Percentage 28% 3% 4% 1% < 1% 7% 5% 4% 3% < 1% 2% 70% 2% |
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12. How first heard of Counseling Center Friend/Relative Word of Mouth Student Health & Wellness Brochure Faculty Residence Hall Staff JHU Publication Saw Location Dean of Students Personal Contact with CC Staff Flyer Peabody Publication Newsletter Career Center Other No Response |
Number 178 124 105 100 47 48 19 32 47 35 15 12 3 7 155 128 |
Percentage 16% 11% 10% 9% 4% 4% 2% 3% 4% 3% 1% 1% <1% <1% 14% 12% |
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13. Referral Source Self Friend Student Health & Wellness Residential Life Staff Academic Advising Relative Faculty Dean of Students Staff Other No Response |
Number 506 131 84 39 32 25 45 54 14 43 106 |
Percentage 47% 12% 8% 4% 3% 2% 4% 5% 1% 4% 10% |
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14. Presenting Complaints by frequency in Rank Order. (Described by students as "serious" or "severe" problems). Students seeking assistance at the Counseling Center experienced the problems reported below. These complaints are not mutually exclusive. |
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# |
Presenting Complaint |
# |
% |
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1 |
Anxiety, fears, worries (Item #18) |
370 |
34.2% |
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2 |
Feeling overwhelmed by a number of things; hard to sort things out (Item #19) |
369 |
34.1% |
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3 |
Time management, procrastination, getting motivated (Item #3) |
339 |
31.3% |
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4 |
Academic concerns; school work and grades (Item #1) |
301 |
27.8% |
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5 |
Relationship with romantic partner (Item #12) |
161 |
23.7% |
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6 |
Generally unhappy and dissatisfied (Item #21) |
250 |
23.0% |
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7 |
Depression (Item #26) |
236 |
21.7% |
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8 |
Self-confidence or self-esteem, feeling inferior (Item #16) |
216 |
20.0% |
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9 |
Sleep problems (can’t sleep, sleep too much, nightmares) (Item #36) |
207 |
19.1% |
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10 |
Overly high academic standards for self (Item #5) |
192 |
17.7% |
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11 |
General lack of motivation, interest in life; detachment and hopelessness (Item #25) |
178 |
16.5% |
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12 |
Loneliness, homesickness (Item # 9) |
159 |
14.7% |
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13 |
Concern regarding breakup, separation, divorce (Item #13) |
142 |
13.1% |
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14 |
Test anxiety (Item #2) |
128 |
11.8% |
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15 |
Pressures from family for success (Item #7) |
125 |
11.6% |
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16 |
Decision about selecting a major and/or career (Item #8) |
125 |
11.6% |
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17 |
Physical stress (Item #35) |
120 |
11.1% |
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18 |
Concern over appearances (Item #17) |
111 |
10.2% |
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19 |
Concern that thinking is very confused (Item #40) |
104 |
9.6% |
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20 |
Conflict/argument with parents or family member (Item #14) |
103 |
9.5% |
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21 |
Irritable, angry hostile feelings; difficulty expressing anger appropriately (Item #39) |
96 |
8.9% |
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22 |
Stage fright, performance anxiety, speaking anxiety (Item #4) |
96 |
8.8% |
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23 |
Relationship with friends and/or making friends (Item #11) |
90 |
8.3% |
|
24 |
Pressures from competition with others (Item #6) |
88 |
8.1% |
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25 |
Eating problem (overeating, not eating or excessive dieting) (Item #29) |
84 |
7.8% |
|
26 |
Grief over death or loss (Item #27) |
77 |
7.1% |
|
27 |
Shy or ill at ease around others (Item #15) |
75 |
6.9% |
|
28 |
Have been considering dropping out or leaving school (Item #44) |
74 |
6.9% |
|
29 |
Problem adjusting to the University (Item #20) |
64 |
5.9% |
|
30 |
Concerns about health; physical illness (Item #34) |
45 |
4.2% |
|
31 |
Sexual matters (Item #37) |
44 |
4.1% |
|
32 |
Confusion over personal or religious beliefs and values (Item #22) |
43 |
4.0% |
|
33 |
Physically or emotionally abused, as a child or adult (Item #33) |
38 |
3.5% |
|
34 |
Fear of loss of contact with reality (Item #42) |
36 |
3.3% |
|
35 |
Relationship with roommate (Item #10) |
34 |
3.2% |
|
36 |
Violent thoughts, feeling or behaviors (Item #43) |
24 |
2.2% |
|
37 |
Alcohol/drug problem in family (Item #31) |
23 |
2.1% |
|
38 |
Sexually abused or assaulted, as a child or adult (Item #32) |
20 |
1.9% |
|
39 |
Fear that someone is out to get me (Item #41) |
21 |
1.9% |
|
40 |
Alcohol and/or drug problem (Item #30) |
18 |
1.7% |
|
41 |
Concerns related to being a member of a minority (Item #23) |
19 |
1.7% |
|
42 |
Feel that someone is stalking or harassing me (by phone, letter or email) (Item #45) |
14 |
1.3% |
|
43 |
Issues related to gay/lesbian identity (Item #24) |
12 |
1.2% |
|
44 |
Problem Pregnancy (Item #38) |
7 |
0.7% |
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15. Presenting Complaints by Problem Area Described by students as "serious" or "severe" problems. Students seeking assistance at the Counseling Center experienced the problems reported below. These complaints are listed by problem area and are not mutually exclusive. |
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Career Issues Decision about selecting a major/career (Item #8) |
Number 125 |
Percentage 11.6% |
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84 173 |
7.8% 16.0% |
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Substance Abuse Alcohol/drug problem in family (Item #31) Alcohol and/or drug problem (Item #30) |
23 18 |
2.1% 1.7% |
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|
Sexual Abuse or Harassment Physically or emotionally abused, as a child or adult (Item #33) Sexually abused or assaulted, as a child or adult (Item #32) |
38 20 |
3.5% 1.9% |
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Stress and Psychosomatic Symptoms Sleep problems (can’t sleep, sleep too much, nightmares) (Item #36) Physical stress (Item #35) Concerns about health; physical illness (Item #34) |
207 120 45 |
19.1% 11.1% 4.2% |
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|
Sexual Dysfunction or Issues Sexual matters (Item #37) Problem pregnancy (Item #38) |
44 7 |
4.1% 0.7% |
|
Unusual Thoughts or Behavior Concern that thinking is very confused (Item #40) Irritable, angry, hostile feelings; Difficulty expressing anger appropriately (Item #39) Fear of loss of contact with reality (Item #42) Violent thoughts, feelings, or behaviors (Item #43) Fear that someone is out to get me (Item #41) |
104 96 36 24 21 |
9.6% 8.9% 3.3% 2.2% 1.9% |
|
16. Behavioral Health Monitor Item (n=1,083) at Intake |
# extremely negative or very negative (moderate) |
Percentage |
|
1) How distressed have you been? |
405 |
37.4% |
|
2) How satisfied have you been with your life? |
279 |
25.8% |
|
3) How energetic and motivated have you been feeling? |
393 |
36.3% |
|
4) How much have you been distressed by feeling fearful, scared? |
177 |
16.3% |
|
5) How much have you been distressed by alcohol/drug use interfering with your performance at school or work? |
30 |
2.8% |
|
6) How much have you been distressed by wanting to harm someone? |
15 (37) |
1.4% (3.4%) |
|
7) How much have you been distressed by not liking yourself? |
215 |
19.9% |
|
8) How much have you been distressed by difficulty concentrating? |
388 |
35.8% |
|
9) How much have you been distressed by eating problems interfering with relationships with family and or friends? |
51 |
4.7% |
|
10) How much have you been distressed by thoughts of ending your life? |
28 (69) |
2.6% (6.4%) |
|
11) How much have you been distressed by feeling sad most of the time? |
264 |
24.4% |
|
12) How much have you been distressed by feeling hopeless about the future? |
195 |
18.0% |
|
13) How much have you been distressed by powerful, intense mood swings (highs and lows)? |
181 |
16.7% |
|
14) How much have you been distressed by alcohol/drug use interfering with your relationships with family and/or friends? |
37 |
3.4% |
|
15) How much have you been distressed by feeling nervous? |
257 |
23.8% |
|
16) How much have you been distressed by your heart pounding or racing? |
125 |
11.6% |
|
17) Getting along poorly or terribly over the past two weeks: work/school (for example, support, communication, closeness). |
191 |
17.6% |
|
18) Getting along poorly or terribly over the past two weeks: Intimate relationships (for example, support, communication, closeness). |
200 |
18.5% |
|
19) Getting along poorly or terribly over the past two weeks: non-family social relationships (for examples, communication, closeness, level of activity). |
145 |
13.4% |
|
20) Getting along poorly or terribly over the past two weeks: Life enjoyment (for example, recreation, life appreciation, leisure activities). |
233 |
21.5% |
C) Individual Psychotherapy: Intake Service Evaluation Survey.
1) Respondents’ Characteristics: (N=639) (59% return rate)
|
1) Race: African-American Asian-American Caucasian Latino Other NR |
4.9% 14.6% 63.1% 5.6% 10.5% 1.4% |
|
2) Class Status: Freshman Sophomore Junior Senior Graduate Student Alumni Other/NR |
11.6% 14.7% 19.6% 19.0% 31.7% 1.4% 2.2% |
|
3) Residence: On-campus Off-campus w family Other off-campus NR |
25.5% 8.6% 65.7% 0.2% |
|
4) School Affiliation Homewood Student Nursing School Peabody Institute Other/NR |
73.3% 9.5% 6.9% 0.3% |
|
5) Gender: Male Female |
36.8% 63.1% |
|
|
|
2) Respondents’ Evaluation and Comments:
|
6) I was able to see a therapist for my first appointment within a reasonable amount of time: |
||||
|
Yes ----------------- 92.3% |
No ---------------------- 3.3% |
Unsure----------- 2.7% |
NR---------------- 1.7% |
|
|
7) I found the receptionist to be courteous and helpful: |
||||
|
Yes ----------------- 97.3% |
No ---------------------- 0.5% |
Unsure----------- 0.6% |
NR -------------- 1.6% |
|
|
8) I felt comfortable waiting in the reception area: |
||||
|
Yes ----------------- 90.6% |
No ---------------------- 3.9% |
Unsure ---------- 3.9% |
NR -------------- 1.6% |
|
|
9) Do you feel the therapist was attentive and courteous? |
||||
|
Yes ----------------- 95.0% |
No ---------------------- 0.3% |
Unsure ---------- 1.1% |
NR --------------- 3.6% |
|
|
10) Do you feel the therapist understood your problem(s)? |
||||
|
Yes ----------------- 91.5% |
No ---------------------- 1.1% |
Unsure----------- 3.6% |
NR -------------- 3.8% |
|
|
11) Did the therapist give you information about the services of the Counseling Center? |
||||
|
Yes ----------------- 86.1% |
No ---------------------- 5.5% |
Unsure ------------ 3.8% |
NR -------------- 4.7% |
|
|
12) Do you plan to continue with additional services at the Center? Yes, I was satisfied with service --------------------------------------------------------------------------- Yes, If I can get a convenient appointment -------------------------------------------------------------- Yes, but I'm not sure this is the best place ---------------------------------------------------------------- Yes, if---------------------------------------------------------------------------------------------------------- No, because problem was solved---------------------------------------------------------------------------- No, because I don't have a problem------------------------------------------------------------------------ No, because I don’t like the therapist----------------------------------------------------------------------- No, not eligible------------------------------------------------------------------------------------------------- No, not now ---------------------------------------------------------------------------------------------------- No, because --------------------------------------------------------------------------------------------------- Unsure --------------------------------------------------------------------------------------------------------- NR --------------------------------------------------------------------------------------------------------------- |
74.6% 5.5% 4.2% 2.7% 3.6% 1.1% 0.3% 0.9% 0.9% 2.0% 0.2% 3.9% |
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|
13) Overall Impression of Counseling Center? |
||||
|
Excellent ---------53.5% Good ---------- 40.5% Fair ------ 2.5% Poor -------- 0.3% NR------- 3.1% |
||||
14) Comments. There were 105 comments from 99 clients on the Service Evaluation Forms. Eighty three comments (79 %) were viewed as positive, 14 comments (13% ) were assessed as somewhat negative, and 8 comments (8% ) were considered neutral. All the comments are included below in the order they were received.
|
# |
COMMENTS |
Pos. |
Neu. |
Neg. |
|
1. |
Pay more attention to cross- cultural student issues. Avoid psychiatrist of being a prescriptions provider. |
|
|
2 |
|
2. |
I often feel that my therapist prefers to act as a sounding board for me. We have discussed having more active participation as many of my friends are perfectly willing to be sounding boards. |
|
|
1 |
|
3. |
My therapist and I got off to a very rough start. We really did not see eye to eye and I felt somewhat offended and misunderstood when I left. My greatest disappointment with the session was his suggestion that I take a leave of absence from Hopkins. It seemed he wanted me to give up trying to cope with my problems while at school. I addressed these offenses in our 2nd session and things have been improving ever since. I now have a much higher opinion of him. |
1 |
|
1 |
|
4. |
[Therapist 3] is an exceptional therapist. I have seen others in the past and he has helped much more than any other therapist. |
1 |
|
|
|
5. |
I don’t know how great my evaluation is since I just came to chat with no expectations. |
|
1 |
|
|
6. |
Initially I did not understand what the counseling center does correctly. But it is easy and comfortable to accept what it is for. It’s comfortable to accept and communicate with [therapist 1] although still I would feel embarrassed by my own problems. |
|
1 |
|
|
7. |
Both my therapist and the receptionist are very warm and welcoming and I greatly appreciate their help. |
2 |
|
|
|
8. |
[Therapist 42]’s a doll! Thanks. |
1 |
|
|
|
9. |
I felt comfortable with my counselor and felt that she really understood my issues. |
1 |
|
|
|
10. |
Positive environment: helpful: understood my needs and responded to my concerns in a friendly yet professional way. |
1 |
|
|
|
11. |
Thanks you – I hope the referrals work out. |
1 |
|
|
|
12. |
She was kind. |
1 |
|
|
|
13. |
Thanks for the great free service! Just make sure to keep advertising. |
1 |
|
|
|
14. |
Very helpful. I feel better. |
1 |
|
|
|
15. |
Wonderfully supportive staff and service |
1 |
|
|
|
16. |
Very comfortable talking to the therapist. |
1 |
|
|
|
17. |
She was really nice and helpful |
1 |
|
|
|
18. |
Very helpful |
1 |
|
|
|
19. |
The actual staff didn’t help me today but the psychology intern, [47], did. I wouldn’t mind talking to her again. Therapist 12 was cold and completely unhelpful. He passed judgment after talking to me for only 30 seconds. |
1 |
|
1 |
|
20. |
Thank you ! |
1 |
|
|
|
21. |
This is a wonderful service to offer, free of charge to students. Very accommodating, understanding and friendly. |
1 |
|
|
|
22. |
I think the paperwork one has to fill out is excessive. This is probably my last appointment for a while and when I found out I had to refill in all these forms I almost walked out, not wanting to waste the time. Five forms at the beginning of each year plus one form every appointment strikes me as excessive and a possible hindrance to treatment. |
|
|
1 |
|
23. |
I feel so fortunate to be able to address the issue I’m working on – what a blessing. |
1 |
|
|
|
24. |
Still unsure about summer schedule |
|
1 |
|
|
25. |
Excellent services provided, [Therapist 6] and her assistants do a great job. |
1 |
|
|
|
26. |
Thank you all so much! You’re all wonderful and have helped me tremendously!! |
1 |
|
|
|
27. |
Counseling program is excellent, but the two psychiatrists I’ve seen here both left me with negative impressions, especially [Therapist 26] who made me so upset that I had to see [Therapist 6] on Emergency. |
1 |
|
1 |
|
28. |
I have had four counselors before, all over forty years of age, none were as empathetic, attentive and helpful as [Therapist 1]. He is extremely qualified and considerate of the patient’s needs. |
1 |
|
|
|
29. |
I have found therapy very helpful and supportive. I have been enormously pleased. [Therapist 6] is attentive, insightful, pleasant and very supportive. |
1 |
|
|
|
30. |
[Therapist 45] was wonderful. She asked suggestive questions or simply encouraged me to continue talking in such a way that was incredibly helpful. She’s the best therapist I’ve ever had. She is comfortable herself in the therapy relationship which makes a huge difference. I appreciate her honesty, her sense of humor, her intelligence. I wouldn’t have asked for a better fit. I will really miss her and hope I can have the good fortune and judgment to find a therapist who helped me continue to make the strides I did with her. The center has a real treasure. |
1 |
|
|
|
31. |
Coffee or some comfort food/drink would be nice to have in the waiting area. |
|
1 |
|
|
32. |
I felt a little uncomfortable/ embarrassed in the waiting room. Also the reception desk is in plain sight from academic advising. Could the door stay closed or something. |
|
|
1 |
|
33. |
I know the center is busy, but I originally had to wait 2 weeks for an appointment, but I came back a day later and my appointment was moved up 4 days. I guess I wondered what had changed in a day. |
|
1 |
|
|
34. |
This dude was a lot more engaged than the guy I had last year, [Therapist 41]. |
1 |
|
|
|
35. |
I’ve seen two other psychologists at the Counseling Center and have found [Therapist 41] to be significantly better than anyone I’ve seen. |
1 |
|
|
|
36. |
I’m not sure how much I can be helped, but I think [Therapist 35] is wonderful and if anyone is capable of helping me at this point, she probably is. |
1 |
|
|
|
37. |
Professional. |
1 |
|
|
|
38. |
I was very happy that under the circumstances I was able to speak w/ someone today. |
1 |
|
|
|
39. |
Well Done. |
1 |
|
|
|
40. |
Looking forward to dissertation support group. |
1 |
|
|
|
41. |
Thanks for having someone able to see me without an appointment in a time of emergency. |
1 |
|
|
|
42 |
Thanks |
1 |
|
|
|
43. |
My therapist was incredibly helpful. |
1 |
|
|
|
44. |
I felt very safe in this environment and free to express what was really troubling me. |
1 |
|
|
|
45. |
I had a great first session, especially after being unsure of what to expect. |
1 |
|
|
|
46. |
Room was too warm. |
|
|
1 |
|
47. |
I felt a lot success on the first visit. |
1 |
|
|
|
48. |
Very attentive, active listener, patient & thorough |
1 |
|
|
|
49. |
Great system. |
1 |
|
|
|
50. |
My concerns were resolved – thank you! |
1 |
|
|
|
51. |
Very high quality – one of the most helpful counseling sessions of my life. |
1 |
|
|
|
52. |
So much paperwork there wasn’t enough time to talk. |
|
|
1 |
|
53. |
[Therapist 6] was an excellent listener, good to talk to, and had very useful advice about how to handle the awkward situation I am in. I very much appreciate her insights and advice. |
1 |
|
|
|
54. |
I should’ve come here sooner. |
1 |
|
|
|
55. |
I was very happy with the outcome & surprised with what we were able to cover in the short time. |
1 |
|
|
|
56. |
My therapist was very attentive & a great listener. She’s very easy to talk to. |
1 |
|
|
|
57. |
I thought the counselor was very understanding of my situation. |
1 |
|
|
|
58. |
[Therapist 35] was easy to talk to. |
1 |
|
|
|
59. |
It’s an excellent resource. |
1 |
|
|
|
60. |
A lot better experience than that I had two years ago. |
1 |
|
|
|
61. |
Very helpful! |
1 |
|
|
|
62. |
Very friendly and easy to speak with. |
2 |
|