A Lawyer in the Counseling Center

Today's college students are finding an increasing need for legal information. At California State College, Los Angeles, a lawyer from the community was retained by the college counseling center to consult with students who had legal questions. During the academic year 1968-69, 302 students took advantage of this service. Although most of their questions dealt with selective service, other areas of concern included landlord-tenant matters, domestic relations, and criminal and civil law. Student reactions were sampled by means of a questionnaire. The general response was highly favorable, thus supporting the need for a legal counseling service on the college campus.     

Student Service Members/Veterans’ Mental Health: Who Is at a Greater Risk for Posttraumatic Stress Symptoms on College Campuses?

Using a cross-sectional design, this study surveyed 144 students on campus who are service members and veterans to determine whether posttraumatic stress (PTS) symptoms are significantly correlated with demographic factors (e.g., age, race and marital status), risk factors (e.g., military branch and combat exposure), and resources (e.g., social support and religiosity). The results confirm previous findings on correlates of PTS symptoms, provide new information about service members on campus that are at a greater risk for PTS and highlight resources that are associated with reduced PTS symptoms. These findings not only give institutions of higher learning insight into identifying specific demographics that are at a greater risk for PTS symptoms on college campuses, but also point to ways of supporting student service members/veterans by accurately targeting existing resources to the most affected populations.     

Developing a Self-Help Brochure Series: Costs and Benefits

The authors describe the process by which one counseling center developed a series of self-help brochures. In addition to the intended service benefits to students, the brochures present a positive image of the counseling center to numerous campus constituencies. Costs, benefits, and strategies for marketing the brochures are also discussed.     

Peer Consultation: Faculty and Students Working Together to Improve Teaching

The authors describe the specific steps of the Faculty Peer Consultation Program that provides faculty members with feedback from students in their classroom. In addition, evaluative data are provided from faculty and students that provide preliminary evidence for the utility of the program. Moreover, minor problems are identified, and possible modifications are suggested.     

College Campus Community Readiness to Address Intimate Partner Violence Among LGBTQ+ Young Adults: A Conceptual and Empirical Examination

This paper provides an overview of a conceptual model that integrates theories of social ecology, minority stress, and community readiness to better understand risk for and outcomes of intimate partner violence (IPV) among LGBTQ+ college students. Additionally, online survey data was collected from a sample of 202 LGBTQ+ students enrolled in 119 colleges across the United States to provide preliminary data on some aspects of the proposed model. Results suggested that students generally thought their campuses were low in readiness to address IPV; that is, students felt that their campuses could do more to address IPV and provide IPV services specific to LGBTQ+ college students. Perceptions of greater campus readiness to address IPV among LGBTQ+ college students was significantly and positively related to a more favorable LGBTQ+ campus climate and a greater sense of campus community. Additionally, IPV victims were more likely to perceive higher levels of campus community readiness than non‐IPV victims. There was no association between IPV perpetration and perceptions of campus community readiness. Greater sense of community was marginally and inversely related to IPV victimization and perpetration. Sense of community and LGBTQ+ campus climate also varied to some extent as a function of region of the country and type of institution. Implications for further development and refinement of the conceptual model, as well as future research applying this model to better understand IPV among sexual minority students are discussed.     

Pluralistic Ignorance and Health Risk Behaviors: Do College Students Misperceive Social Approval for Risky Behaviors on Campus and in Media?

Pluralistic ignorance is a psychological state in which individuals believe that their own beliefs and feelings differ from others' in a group despite the fact that they all behave similarly (Miller & McFarland, 1991). For example, college students reported that they were less comfortable with campus drinking than were other students on their campus (Prentice & Miller, 1993). We replicated this finding and investigated whether college students would show this pluralistic ignorance effect for other health-related risk behaviors (smoking, sexual behavior, and illegal drug use). In addition, we tested whether media portrayals of these behaviors also might result in pluralistic ignorance. The results show that a significant effect of pluralistic ignorance occurred for all 4 health-related risk behaviors, both in ratings of campus behaviors and in ratings of media portrayals of these behaviors. Participants indicated that other students on their campus would have higher comfort ratings with campus patterns of smoking, drinking, illegal drug use, and sexual behaviors than their own comfort ratings. Participants also indicated that other students would have higher comfort ratings with the same 4 behaviors as they are portrayed in the media than their own comfort ratings.     

Medical psychotherapy consultation: psychoanalytic psychiatry for the patient and professional

An NHS Mental Health Trust Medical Psychotherapy Consultation Service using psychoanalytic psychiatry to help the patient and professional is described. The Consultation Service established in 2000 is offered to secondary acute and community mental health teams and primary care. The service was evaluated as a basis for regional and national development. Between 2006 and 2013, 87 consultations from 210 were sampled to ascertain demographic and diagnostic profiles and outcomes of the consultation process. We conducted an online survey of local consultant psychiatrists’ views about the service, and undertook a thematic analysis of the free text comments. We also conducted a survey of members of the Royal College of Psychiatrists’ Medical Psychotherapy Faculty to ascertain whether similar consultation services existed elsewhere in the UK and had been evaluated. The Leeds model of psychoanalytic consultation – a ‘consultation sandwich’ – is described. From a psychoanalytic perspective, the work of consultation is seen as an extension of the dynamic field of the analytic situation. This paper develops the concept of a bastion – an omnipotent reserve in and between the patient and professional derived from adhesive identifications leading to stuck relationships. The adhesive identification in the patient and professional acts like a ‘grievance glue’ – a mutual manifestation in a last bastion of painful limitations not faced, losses not grieved.     

Classroom Exercise: Interpreting Sacred Texts

The author uses a contemporary functional document (a campus map) to design an imaginative exercise which teaches students the limits of map (or text) as a guide to reliable information. Through the exercise, students learn about gaps in information and the limits of what any text reveals, even one which is ostensibly designed as a reliable guide for navigating a campus.     

Academic and Social Integration on Campus Among Sexual Minority Students: The Impacts of Psychological and Experiential Campus Climate

A heterosexist campus climate can increase risk for mental health problems for sexual minority students; however, the relationship between campus climate for sexual minorities and academic outcomes remains understudied. Using a sample of sexual minority respondents extracted from a campus climate survey conducted at a large university in the Midwest, we examine relationships between multiple dimensions of psychological and experiential campus climate for sexual minorities with academic integration (academic disengagement, grade‐point average [GPA]) and social integration (institutional satisfaction, acceptance on campus). We also investigate the protective role of engagement with informal academic and peer‐group systems. Findings suggest campus climate affects sexual minority students’ integration. In multivariate analyses, perceptions of whether lesbian, gay, and bisexual (LGB) people could be open about their sexual identity was positively associated with acceptance on campus; personal heterosexist harassment was positively associated with academic disengagement and negatively with GPA. Students’ informal academic integration (instructor relations) and informal social integration (LGB friends) demonstrated influential main effects but did not moderate any of the climate‐outcome relationships. Researchers should further explore the relationships between climate and academic outcomes among sexual minority students, both collectively and among specific sub‐groups, and address the role of other protective factors.     

Psychotherapy training in a changing world: A Swedish perspective

The City and Hackney Primary Care Psychotherapy Consultation Service is an innovative, public sector service designed to support GPs in meeting the needs of patients with complex psychological/physical health issues throughout the London Boroughs of Hackney and the City. This paper provides an account of how this new model for the National Health Service (NHS) developed in the context of psychotherapy provision within the NHS, within the national and local context in the UK and gives an overview of some the service's key features and how it differs from other services operating in primary and secondary care. A linked paper, in this journal, explores the reality within which the service functions and describes clinical outcomes, health economic data, the modifications to the original model and prospects for the future.     

Policing the Ivory Tower: Students’ Perceptions of the Legitimacy of Campus Police Officers

Policing research has largely overlooked how college students’ perceptions of the legitimacy of campus police officers can be enhanced and diminished. Using data from interviews and focus groups with students and staff, along with data from two field observations, this article finds that although students expect the campus police to protect them from harm, they believe that officers should fulfill this function while not interfering with their lives as college students. Further, students delegitimize the power of the campus police by raising questions about their status as “real” officers and highlighting how they overreact to the wrong types of behaviors.     

校园排斥对初中生外化问题行为的影响：有调节的中介效应

为考察初中生外化问题行为的心理机制,研究采用青少年行为自陈量表、青少年遭受校园排斥问卷、领悟社会支持量表、冷酷无情特质量表对黑龙江、福建两省的1284名初中生进行调查。结果表明：（1）校园排斥对初中生的外化问题行为具有正向预测作用;（2）冷酷无情特质在校园排斥与外化问题行为之间具有中介作用;（3）领悟社会支持调节了初中生冷酷无情特质对校园排斥与外化问题行为中介过程的后半段路径。研究结果为初中生群体的校园排斥、冷酷无情特质、领悟社会支持和外化问题行为之间的动态关系提供了有效的数据支持。     

Religious Commitment,Skepticism, and Struggle Among U.S. College Students: The Impact of Majority/Minority Religious Affiliation and Institutional Type

Using a longitudinal sample of over 14,000 undergraduate students, this study explores whether and how students’ religious transformations during the college years are associated with their religious affiliation, religious experiences, and the institutional characteristics of their college or university. Hierarchical linear modeling reveals that students from religious majority groups (i.e., mainline and evangelical Protestants) generally experience increased religious commitment and decreased religious skepticism as compared with students from religious minority groups. Interestingly, though, students from these majority groups also report greater levels of religious struggle compared to minority group students. Moreover, institutional religious affiliation and an inclusive campus religious climate often attenuate the relationship between students’ religious affiliation and their religious transformation. Environments at both the macro (campus) and micro (friendship groups) levels contribute critically to young adults’ religious commitment.     

冲动性特质对高中生自杀意念的影响:校园排斥与生命意义感的作用

采用冲动性特质量表、青少年遭受校园排斥问卷、生命意义感量表、自杀意念量表对633名高中生进行调查。结果表明:(1)冲动性特质对高中生自杀意念有显著的正向预测作用;(2)校园排斥在冲动性特质与高中生自杀意念间起部分中介作用;(3)冲动性特质经由校园排斥影响高中生自杀意念的中介作用受生命意义感的调节,随着生命意义感的增加,校园排斥对自杀意念的效应逐步减弱。冲动性特质可以通过校园排斥增加高中生自杀意念强度,而生命意义感能有效降低校园排斥对自杀意念的消极影响。     

The College Campus Ministry Internship Site: Interfacing Religion and Counseling

This article presents a model for creating internship sites at college campus ministries for students interested in interfacing religion and counseling. More specifically, a systematic process that students can implement in developing these unique training opportunities is provided. Developing campus ministry internship and other training sites can afford students opportunities for (a) specialized supervised experience working with religiously committed individuals, (b) providing consultation and program evaluation services, and (c) becoming a liaison who has the opportunity to influence and educate the next generation of religious leaders and members about mental health issues.     

A Multi-Dimensional Framework for Evaluation of Instructional Consultation Teams

ABSTRACT

This article describes a multidimensional framework for evaluating team-based services in schools. The theory and literature on developmental, causal and confirmatory program evaluation are discussed as the foundation for this framework. The model of Instructional Consultation Teams (IC-Teams) is presented as an illustration of how program evaluation research supports program development and provides evidence of program impact. The inferred impact of IC-Teams upon over-referral and identification of students for special education, especially minority students, is investigated using the confirmatory criteria of consistency. Three studies investigating the impact of IC-Teams upon special education referrals of the IC-Team model are presented. The studies, conducted across three implementations of the program with three different methodologies, demonstrated decreases in the referral, evaluation and placement of students in special education. The need for additional research and limits of the approach are discussed.     

Implementation of Effective Treatments of Preschool Behavior Problems in a Clinic Setting

Epidemiological data indicate that nearly 20% of preschool aged children have significant behavioral problems. Parents typically consult their child’s primary care provider, who frequently refers to child psychologists for treatment regarding these difficulties. Psychologists skilled in providing effective services for young children are in short supply, limiting accessibility, and parents often are reluctant to follow up with a mental health specialist, suggesting low acceptability. The Behavior Consultation Clinic is a structured clinic for preschool children designed to address these issues of effectiveness, accessibility and acceptability. A retrospective review of 550 patients seen over a 5-year period found that half were seen for one therapy session. Review of the remaining patients found that slightly more than half showed improvement (32% successful discharge with improvement, 24% premature discharge with improvement) with a typical range of two to seven half-hour sessions, about a quarter did not improve, and the remaining patients were referred to a higher level of service. These data indicate that a structured, brief clinic that focuses on the needs of preschool children utilizing evidence-based approaches can be effective, acceptable, and accessible. The Behavior Consultation Clinic also serves as a training clinic for psychology interns and pediatric medical residents.     

The Papago Psychology Service: A community mental health program on an American Indian reservation

A community psychology service run by the Papago Indian tribe and staffed largely by Papago Indians who have been trained as mental health workers is described. This service is unique among mental health services for Indians in that the tribe has complete control of the funds for the service and sets its own policies. It was developed for a rather traditional Indian group, and the culture, the traditions, and the wishes of the Papago community were respected. Consultation with medicine men was built into the program from the start, and adaptation of mental health techniques to fit the culture is stressed. Before this clinic was established, few mental health resources were directly available to the reservation. Similar to other Indian tribes, the Papagos are economically disadvantaged, with an unemployment rate of over 50%, low educational attainment, and very high rates of alcoholism, suicide, and vehicular accidents. The topics covered are the tribe's view of health programs for its people, the present Papago community and traditional means of treatment, traditional psychotherapy adapted to Papago culture, the indigenous Papago mental health worker, and the non-Indian professional consultant.     

The culture of care within psychiatric services: tackling inequalities and improving clinical and organisational capabilities

Introduction

Cultural Consultation is a clinical process that emerged from anthropological critiques of mental healthcare. It includes attention to therapeutic communication, research observations and research methods that capture cultural practices and narratives in mental healthcare. This essay describes the work of a Cultural Consultation Service (ToCCS) that improves service user outcomes by offering cultural consultation to mental health practitioners. The setting is a psychiatric service with complex and challenging work located in an ethnically diverse inner city urban area. Following a period of 18 months of cultural consultation, we gather the dominant narratives that emerged during our evaluation of our service.

Results

These narratives highlight how culture is conceptualized and acted upon in the day-to-day practices of individual health and social care professionals, specialist psychiatric teams and in care systems. The findings reveal common narratives and themes about culture, ethnicity, race and their perceived place and meaningfulness in clinical care. These narratives express underlying assumptions and covert rules for managing, and sometimes negating, dilemmas and difficulties when considering “culture” in the presentation and expression of mental distress. The narratives reveal an overall “culture of understanding cultural issues” and specific “cultures of care”. These emerged as necessary foci of intervention to improve service user outcomes.

Conclusion

Understanding the cultures of care showed that clinical and managerial over-structuring of care prioritises organisational proficiency, but it leads to inflexibility. Consequently, the care provided is less personalised and less accommodating of cultural issues, therefore, professionals are unable to see or consider cultural influences in recovery.