2005-2006
ANNUAL REPORT
AND
DATA SUMMARY
Prepared by:
Michael Mond, Ph.D., Director
June 2006
«
The
CC provided Individual Personal
Counseling to 1,035 student clients and
Group Counseling to 60 students in 9 groups. During the Academic Year (Sept
2005 -May 2006) the CC provided 19,756 hours of services which is an increase
of 7% in service hours.
Individual and group
therapy activity accounted for approximately 63.5% of counseling time.
«
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 2.77 to 3.02) 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, 67% of all clients reported significant improvement,
25% reported no change, and 8% 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 to determine the type of interventions therapists employ in their work
with suicidal clients. A therapist intervention scale was developed.
«
The
CC averaged 140.2 client sessions per
week (164.6 including psychiatrists) and 10.0 emergencies per week in the Fall semester. In the Spring semester the CC averaged 147.8
client sessions per week (176.3 including psychiatrists) and 8.2 emergencies per
week.
«
In
addition to Individual and Group Services, CC
services during the Academic Year included Training and Supervision (12.2%
of time), Outreach and Workshop activity (1.5%), Consultations (4.1%),
Community Activity (2.1%), Professional Development (1.8%), Professional
Activity including Research and Teaching (1.9%), and Administrative Activity (12.8%).
«
The
CC averaged 5.9 visits per client during the Academic Year in individual
personal counseling. 340 students were evaluated by staff psychiatrists (33% of
clients served) in 1,117 sessions for an average of 3.3 sessions by the
psychiatrists. 317 students received
psychotropic medication (31% of clients served). In Emergency
Interventions, the Center served 369 clients in daytime emergencies (about
36% of clients served) and 70 clients in after hour emergencies (90 calls). The CC made 6 violence assessments monitored
42 students in its suicide tracking system, recommended 28 mental health (medical)
leaves, and administered 30 readmission evaluations. Seventy-eight clients were referred off
campus for more extensive treatment. The CC played a significant role in
preventing 105 students from dropping out of school last year, while 53 were
given assistance in exercising appropriate extensions or withdrawal from
classes. There were 14 emergency room visits resulting in 11 hospitalizations.
«
The
most common problems/symptoms
presented by clients during individual therapy include: feelings of being
overwhelmed” (29%), “time management and motivational issues” (28%), “general
anxieties and worries” (27%), “academic
concerns” (26%), “generally unhappy and dissatisfied” (20%), “lack of
self-confidence or self-esteem” (18%), “depression” (18%), “sleep problems” (17%),“lack
of motivation, detachment, and hopelessness” (16%), “overly high standards for
self” (15%), and “loneliness, homesickness” (14%). These problems are not
mutually exclusive.
«
The
CC provided career counseling
working together with the
«
The
CC provided 44 Outreach Activities, Workshops,
and Consultation programs last year serving 3,454 students, 75 faculty and
staff, and 1,273 “others” for an overall total of 4,802 individuals.
«
Evaluations -The CC Intake Service
Evaluation Report reveals that on a survey taken after the initial session 63%
of clients feel that the personal counseling service is excellent while an additional
34% 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, 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 61 JHU programs, activities, and committees. One highlight involved serving as advocates
for the freshmen class officers. These programs are designed to serve, assist,
and enrich the JHU community.
«
CC staff are active in
professional development and professional activity. Clinical staff participated in 43
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 18
professional organizations.
«
The CC updated its policy and procedures for its
scheduling and data management system (Titanium) and participated in a national
workshop to coordinate a common usage across the country.
«
The CC negotiated a new contract with the Peabody
Institute of Music to allow for enhanced services to accommodate a greater
demand for services.
«
The CC expanded the Student Advisory Board which
helped send emails to all students on campus on “recognizing distressed
students.” This advisory board also
developed a similar letter for parents. The board also advanced the Community
Project to foster ideas to develop community in coordination with Orientation,
a pilot project for improving community among freshmen.
«
The CC collaborated with DRADA to successfully
obtain a federal “Suicide Prevention Grant.”
Unfortunately, the matching funds required for the grant were not
forthcoming and the grant funding had to be returned.
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 23, 2005 - May 21, 2006 |
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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 |
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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 |
10-11 |
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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
|
15-18 |
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SECTION
III. |
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19 |
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B) The
Behavioral Health Questionnaire (BHM) Research Project |
19-25 |
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26 |
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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) Interns and
Supervisors |
27 |
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B) The Training
Program |
27-29 |
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C) Training Program
Assessments |
29 |
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D) Contact with
Academic Training Programs |
29 |
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E) Recruitment and
Selection of 2006-07 Interns |
29 |
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F) Development of the Pre-Doctoral Psychology Internship
Program |
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. |
34-36 |
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SECTION IX. |
Coordinator Report Summaries
|
36-40 |
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SECTION
I. Overview of CC Hours by Service Area:
Academic
Year 2005-06 (August 15, 2005- May 21, 2006)
|
Function/Activity
for 2005-06 Academic Year |
Staff Hours AY 2005-2006 |
% Hrs AY 2005-2006 |
|
1. Individual Therapy-
Counselors |
5,110 (Note:
6,115 for full year) |
25.9% |
|
2. Psychiatrists’ Visits/Medication Checks |
540 (Note:
618 for full year) |
2.7% |
|
3. Group Therapy |
1220 |
6.2% |
|
4. Clinical Management (Indiv. & Group) –
Counselors |
5368 |
27.2% |
|
5. Clinical Management – Psychiatrists |
297 |
1.5% |
|
6. Training & Supervision Activity |
2,412 |
12.2% |
|
7. Outreach
and Workshops Activity |
302 |
1.5% |
|
8. Consultation Activity (incl. after hr oncall) |
816 |
4.1% |
|
9. JHU Community Activity |
405 |
2.1% |
|
10. Professional Development Activity |
364 |
1.8% |
|
11. Professional Activity |
691 |
3.5% |
|
12. Administrative Activity* |
2,528 |
12.8% |
|
All Services Total |
19,756 |
100% |
*Note: Administration includes staff meetings, public relations,
budget activity, data management, coordinating activity with
**Note: 1,581 hours (63%) of all administrative hours were
accounted for by the Director of the
SECTION II:
Individual Psychotherapy Services: May 24, 2005 - May 21, 2006
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 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 provided by 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 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 |
# 1,035 6,074 340 (33%) 1,117 317 (31%) 19 of 71 (27%) 44 44 of 121 (36%) 134 369 (36%) 70 90 13 11 7 70 hours 43 min 54 min (5- 540 min) 36 of 52 (62%) 14 11 105 (10%) 28 (3%) 53 (5%) 30 (3%) 42 (4%) 62 (6%) 41 (4%) 105 (10%) 64 (6%) 6 (<1%) 147 (14%) 14 (1%) 430 (42%) 78 (8%) |
|
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) |
24.2 15.2 36 |
|
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) |
140.2 164.6 147.8 176.3 189.0 223.0 |
|
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) |
24.4 28.5 34 |
|
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) |
10.0 8.2 17.0 |
|
6. Total # of Individual Clients Seen for the
Past 6 Years. 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 Total # Clients Seen for 1999-00 Total # Clients Seen for 1998-99 |
1,035 1,083 916 886 802 726 750 756 |
||
|
7. Weekly Case Load Comparisons for the Past 8
Years during AY (not including Psychiatry Sessions) 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 Average Sessions/Week for 1999-00 Average Sessions/Week for 1998-99 |
144 163 160 145 144 114 115 113 |
||
8. Daytime Emergency Sessions/wk Comparisons
for the Past 9 AY 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 Average Sessions for 1999-00 Average Sessions for 1998-99 Average Sessions for 1997-98 |
9.5 13.3 9.8 7.1 5.8 5.4 5.4 6.1 4.2 |
||
|
9. # of Appointments per clients during past
year 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 |
Staff Only (n=1022) 278 (27%) 153 (15%) 91 (9%) 75 (7% ) 53 (5%) 46 (5%) 47 (5%) 44 (4%) 34 (3%) 39 (4%) 162 (16%) 650 (64%) 210 (21%) 83 (8%) 30 (3%) 49
(5%) |
Staff plus psychiatrists (n=1035) 255 (25%) 144 (14%) 95 (9%) 73 (7% ) 56 (5%) 43 (4%) 40 (4%) 39 (4%) 35 (3%) 40 (4%) 215 (21%) 623 (60%) 197 (19%) 94 (9%) 45 (4%) 76
(7%) |
Psychiatrists
only (n=340) 114 (34%) 60 (18%) 53 (16%) 30 (9%
) 27 (8%) 13
(4%) 17 (5%) 5 (1%) 4 (1%) 5 (1%) 12 (4%) 284 (84%) 44 (13%) 11
(3%) 1
(>1%) 0 (0%) |
|
Average
# of visits/per client (staff only) Average
# of visits/per client (staff + psychiatrists) Average
# of visits/per client to psychiatrists |
5.9 visits 6.9 visits 3.3 visits |
||
|
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 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 |
423 (41%) 245 (of 295) (83%) 138 (of 679) (20%) 16 (of 24) (67%) 83 (of 104) (80%) 23 (of 423) (5%) 786 sessions |
||
B) Individual Psychotherapy: Demographics of
|
1. Gender Male Female Total |
Number 373 662 1035 |
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
660 178 121 71 3 1 1 |
Percentage 64% 17% 12% 7% < 1% < 1% < 1% |
|
|
3.
Age Mode Mean Median Greater than 25 years
of age |
Number 17-53 years 19.0 years 23.0 years 21.0 years 271 |
Percentage 26% |
|
|
4.
Ethnic Status African-American Asian Biracial Caucasian Native-American Latino/Hispanic Other / No Response |
Number 44 180 25 655 6 68 57
|
Percentage 4% 17% 2% 63% < 1% 7% 6% |
|
|
5.
Marital Status Single Married/Committed
Relationship Separated Divorced Other No Response |
Number 847 147 9 10 12 10 |
Percentage 82% 14% 1% 1% 1% 1% |
|
|
6.
Class Year Freshman Sophomore Junior Senior Graduate Student Post-Baccalaureate
Program Other / No Response |
Number 117 164 176 222 295 24 33 |
Percentage 11% 16% 17% 21% 29% 2% 3% |
|
|
7.
Academic Standing Good Standing Academically dismissed Reinstated On Probation Other / No Response |
Number 897 4 15 65 54 |
Percentage 87% < 1% 1% 6% 5% |
|
|
8.
Other Items International Students Transfer Students Physically Challenged Students Students concerned about Attention Deficit Disorder (ADD) |
Number 104 49 11 181 |
Percentage 10% 5% 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 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 53 41 599 15 9 55 21 27 7 12 0 6 1 27 18 1 6 7 6 20 13 2 41 1 5 8 12 8 39 11 21 Number 30 4 41 44 15 7 14 1 31 5 2 3 3 |
Percentage 5.1% 4.0% 57.9% 1.5% 0.9% 5.3% 2.0% 2.6% 0.7%
1.2% 0.0% 0.6% 0.1% 2.6% 1.7% 0.1% 0.6% 0.7% 0.6% 1.9% 1.3% 0.2% 4.0% 0.1% 0.5% 0.8% 1.2% 0.8% 3.8% 1.1% 2.0% Percentage 2.9% 0.4% 4.0% 4.3% 1.4% 0.7% 1.4% 0.1% 3.0% 0.5% 0.2% 0.3% 0.3% |
|
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 |
169 46 27 3 7 26 17 2 0 12 11 8 9 1 |
16.3% 4.4% 2.6% 0.3% 0.7% 2.5% 1.6% 0.2% 0% 1.2% 1.1% 0.8% 0.9% 0.1% |
|
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 |
Number 71 0 6 2 26 13 4 0 1 0 2 1 0 4 12 |
Percentage 6.9% 0.0% 0.6% 0.2% 2.5% 1.3% 0.4% 0.0% 0.1% 0.0% 0.2% 0.1% 0.0% 0.4% 1.2% |
|
9b.
Nursing - Affiliated School Total Regular Program Accelerated Program Other Nursing Affiliated School Other Nursing Not
Reported |
121 49 50 15 7 |
11.7% 4.7% 4.8% 1.4% <1.0% |
|
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 |
431 428 196 358 392 308 14 |
42% 41% 19% 35% 38% 30% 1% |
|
11.
Residence Residence
Halls (On-Campus Total) AMR I AMR II Building A Building B McCoy Hall Wolman Hall Peabody Residence Hall Off-campus
Other No Response |
Number 278 17 22 12 13 56 57 31 40 3 16 734 23 |
Percentage 27% 2% 3% 1% 1% 5% 6% 3% 4% < 1% 2% 71% 2% |
|
12.
How first heard of Brochure Faculty Flyer Friend Relative Residence Hall Staff Contact w/ Center Staff Newsletter Saw Location Student Health & Wellness JHU Publication Word of Mouth Dean of Students Security Office Other No Response |
Number 87 7 61 24 174 34 52 29 6 39 81 32 9 99 26 1 148 126 |
Percentage 8% 1% 6% 2% 17% 3% 5% 3% 1% 4% 8% 3% 1% 10% 3% < 1% 14% 12% |
|
13.
Referral Source Myself Friend Relative Residential Life Staff Faculty Staff Student Health & Wellness Academic Advising Dean of Students Security Office Other No
Response |
Number 517 111 35 48 48 12 57 2 24 38 2 32 109 |
Percentage 50% 11% 3% 5% 5% 1% 6% < 1% 2% 4% < 1% 3% 11% |
|
14.
Presenting Complaints by frequency in Rank Order. (Described by students as
"serious" or "severe" problems). Students seeking assistance at the |
|||
|
# |
Presenting
Complaint |
# |
%
|
|
1 |
Feeling
overwhelmed by a number of things; hard to sort things out (Item #19) |
304 |
29.4% |
|
2 |
Time
management, procrastination, getting motivated (Item #3) |
286 |
27.6% |
|
3 |
Anxiety,
fears, worries (Item #3) |
279 |
27.0% |
|
4 |
Academic
concerns; school work and grades (Item #1) |
267 |
25.8% |
|
5 |
Generally
unhappy and dissatisfied (Item #21) |
208 |
20.1% |
|
6 |
Self-confidence
or self-esteem, feeling inferior (Item #16) |
189 |
18.3% |
|
7 |
Depression
(Item #26) |
185 |
17.9% |
|
8 |
Sleep
problems (can’t sleep, sleep too much, nightmares) (Item #36) |
171 |
16.5% |
|
9 |
General
lack of motivation, interest in life; detachment and hopelessness (Item #25) |
162 |
15.7% |
|
10 |
Overly
high academic standards for self (Item #5) |
150 |
14.5% |
|
11 |
Loneliness,
homesickness (Item # 9) |
141 |
13.6% |
|
12 |
Relationship
with romantic partner (Item #12) |
126 |
12.2% |
|
13 |
Concern
regarding breakup, separation, divorce (Item #13) |
122 |
11.8% |
|
14 |
Test
anxiety (Item #2) |
115 |
11.1% |
|
15 |
Physical stress (Item
#35) |
101 |
9.8% |
|
16 |
Decision
about selecting a major and/or career (Item #8) |
94 |
9.0% |
|
17 |
Concern over
appearances (Item #17) |
94 |
9.1% |
|
18 |
Pressures
from family for success (Item #7) |
92 |
8.9% |
|
19 |
Conflict/argument
with parents or family member (Item #14) |
||