Mental Health Literacy and Peer-to-Peer Counseling Referrals Among Community College Students

Mental health literacy (MHL) has utility for promoting peer-to-peer referrals to mental health support services among university students. However, there is a gap in the extant literature about the potential usefulness of MHL for supporting the mental health of community college students, a population facing a number of mental health conditions. The authors examined the construct validity and the utility of 3 dimensions of MHL as predictors of peer-to-peer referrals to the counseling center among community college students. Results of confirmatory factor analyses supported the dimensionality of the instrumentation and a hierarchical logistic regression analysis revealed that MHL was a significant positive predictor of peer-to-peer referrals to the counseling center. Implications for counseling practice and future research are discussed.     

Improving Mental Health on College Campuses: Perspectives of Indian College Students

The mental health of college students is increasingly viewed as an important public health priority. However, there has been little attention paid specifically to college students’ perspectives on factors that contribute to mental health challenges or on potential initiatives that could address them. Even less research has focused on students in low- and middle-income countries. In an effort to better understand how to improve mental health and wellness on college campuses, we administered an open-ended survey to 141 Indian college students (M_age = 19.47, 65% female). We asked the students to identify: (a) issues that contribute to mental health problems among college students, (b) potential initiatives or strategies that could be used to improve mental health and wellness, and (c) topics that students would like to learn about in a course about mental health and wellness. Applying thematic analysis, we identified academic stressors (e.g., pressure to succeed, competitiveness) and social stressors (e.g., lack of community, party culture and substance abuse) that students reported as contributors to mental health problems. Students also described mental health promotion strategies that could be implemented by faculty members (e.g., providing academic accommodations for students with mental health concerns), the student body (e.g., establishing peer counseling groups), and individual students (e.g., checking in with others). Finally, they identified topics that they would like to learn about in mental health and wellness courses (e.g., how to identify mental health concerns, how to support friends). By raising several potential targets for mental health and wellness interventions for Indian college students, our study illustrates how open-ended surveys can be a useful and feasible way to solicit input from stakeholders in low- and middle-income countries. Future research will be needed to assess the effectiveness and feasibility of mental health promotion strategies, including those proposed by students.     

叙事取向团体辅导对大学生自我认同的干预研究

自我认同的发展与大学生心理健康水平及其今后的社会适应关系密切。本研究用叙事取向团体辅导对大学生自我认同进行干预。结果发现,叙事治疗强调的好奇、尊重、珍惜的态度,为成员创设了安全、温暖、支持的团体氛围;外化和解构使成员与问题拉开距离,探讨问题的影响力;寻找并丰厚特殊意义事件,让成员看到自身的正向力量和资源;局外见证人团队,进一步巩固成员身上的正向力量。结论：叙事取向团体辅导是促进大学生自我认同发展的有效途径。     

Self‐Stigma,Mental Health Literacy,and Attitudes Toward Seeking Psychological Help

This study examined self‐stigma of seeking psychological help and mental health literacy as predictors of college students’ (N = 1,535) help‐seeking attitudes, with additional attention to psychological and demographic correlates. Results indicated that mental health literacy predicted help‐seeking attitudes above and beyond self‐stigma. Asian American race/ethnicity, male gender, current psychological distress, and help‐seeking history were also significant predictors. Implications for addressing mental health literacy and self‐stigma while attending to demographic and psychological variations in help seeking are discussed.     

Predictors of Mental Health Among College Students in Guam: Implications for Counseling

The authors investigated sociodemographic predictors of the mental health status of college students (N = 308) in Guam. Results indicated prevalence rates of 17.8%, 40.2%, and 25.6% for moderate or more severe levels of depression, anxiety, and stress, respectively. Psychological distress was found to be predicted by gender, ethnicity, living arrangement, and academic level. Comparisons with college students in the U.S. mainland and Hong Kong were also examined. Implications for counseling services and strategies are discussed.     

A qualitative evaluation of a mental health literacy intervention for parents delivered through community sport clubs

Intervention studies have rarely targeted parent mental health literacy despite its importance for adolescent mental health. This qualitative study evaluated the experiences of parents (n = 352) who participated in the Ahead of the Game mental health literacy workshop delivered through community sport clubs. Moreover, the study aimed to investigate the relevance, retention and use of intervention content by parents, assess the acceptability and feasibility of delivering mental health education through community sport clubs, and identify strategies for increased engagement. In total, 17 parents (13 mothers, four fathers) participated in semi-structured interviews up to one month after the workshop. Reflexive thematic analysis revealed that parents perceived mental health education as important and valuable, and believed the community sport club was an appropriate setting to discuss adolescent mental health. Parents reported increased awareness and knowledge of mental health disorders and help-seeking options, and increased confidence and preparedness to communicate and assist someone experiencing a mental health issue. The workshop stimulated conversation about mental health between parents and their children, and between parents within and outside the sport club community. Parents used information and resources provided in the workshop to help those in their networks and reflected back on the workshop when noticing changes in their adolescent’s behavior. Potential additions to the workshop (as suggested by parents) included increased discussion among parents as well as opportunities for further information sessions or tailored online material. Future research might look to engage more fathers, actively encourage parents to aid in the recruitment of others, and investigate long-term adolescent mental health outcomes.     

The church and its pastor: Community agents

Summary The clergymen can contribute to community mental health,first of all, by enabling the church to fulfill its mission;second, by carrying out pastoral duties sensitively and competently;third, by developing and using counseling skills at various levels;fourth, by supporting and using community mental health and other human services; andfifth, by giving leadership in making the community a place which is consistent with the teachings of his faith.     

中国大学生心理健康教育创新体系的构建

社会各界对于心理健康服务的需求为我国心理学带来新的发展机遇,心理学家有责任积极参与这项工作。文章介绍了为在中国构建大学生心理健康教育的创新体系所做的几项工作:(1)编写用于全国大学生心理健康教育骨干教师培训的规范教材;(2)对全国高校大学生心理健康工作骨干教师进行专业培训;(3)编写大学生心理健康教育学生读本;(4)研制中国大学生心理健康测评系统;(5)组建全国高等学校学生心理健康教育专家指导委员会。     

Acculturation, enculturation, and Asian American college students' mental health and attitudes toward seeking professional psychological help

In the present study, we tested a theoretically and empirically derived partially indirect effects acculturation and enculturation model of Asian American college students' mental health and attitudes toward seeking professional psychological help. Latent variable path analysis with 296 self-identified Asian American college students supported the partially indirect effects model and demonstrated the ways in which behavioral acculturation, behavioral enculturation, values acculturation, values enculturation, and acculturation gap family conflict related to mental health and attitudes toward seeking professional psychological help directly and indirectly through acculturative stress. We also tested a generational status moderator hypothesis to determine whether differences in model-implied relationships emerged across U.S.- (n = 185) and foreign-born (n = 107) participants. Consistent with this hypothesis, statistically significant differences in structural coefficients emerged across generational status. Limitations, future directions for research, and counseling implications are discussed.     

The Development,Pilot, and Process Evaluation of a Parent Mental Health Literacy Intervention Through Community Sports Clubs

The mental health literacy of parents may be critical in facilitating positive child and adolescent mental health outcomes. The purpose of this study was to develop, pilot, and evaluate a targeted parent mental health literacy intervention through community sports clubs. Sixty six parents (M_age?=?44.86?±?5.2 years) participated in either a brief mental health literacy intervention workshop delivered through community sporting clubs (n?=?42) or a community-matched control group (n?=?24). Participants’ mental health literacy was assessed at baseline, post-intervention and at 1 month follow-up. A mixed methods process evaluation was conducted with intervention participants to determine the acceptability and feasibility of the intervention. Participants in the experimental group showed greater increases in depression literacy, anxiety literacy, knowledge of help seeking options and confidence to assist an adolescent experiencing a mental health disorder, compared to those in the control group. Post-intervention changes in the experimental group were maintained at 1 month follow-up. A mixed methods process evaluation revealed that parents found the intervention content engaging, relevant to their needs, and practically useful in terms of actively supporting adolescent mental health. Findings provide evidence that a brief, targeted intervention through community sports clubs might be a particularly useful method of improving parental mental health literacy and facilitating positive youth mental health outcomes.     

The gender affirmative lifespan approach (GALA): A framework for competent clinical care with nonbinary clients

Abstract

Background: The limited research on nonbinary individuals suggests that this community experiences significant health disparities. Compared to binary transgender individuals, research suggests that nonbinary individuals are at elevated risk for discrimination and negative mental health outcomes, including depression, anxiety, traumatic stress, and suicidality. Even mental health providers who work with binary transgender individuals often lack knowledge of and training to work competently with nonbinary individuals.

Methods: The authors of this conceptual article present the Gender Affirmative Lifespan Approach (GALA), a psychotherapy framework based in health disparities theory and research, which asserts that therapeutic interventions combating internalized oppression have the potential to improve mental health symptomatology resulting in improved overall health and well-being for gender diverse clients. GALA’s therapeutic interventions are designed to promote positive gender identity development through five core components: (1) building resiliency; (2) developing gender literacy; (3) moving beyond the binary; 4) promoting positive sexuality; and (5) facilitating empowering connections to medical interventions (if desired).

Results: The core components of the GALA model are individualized to each client’s unique needs, while taking into consideration age and acknowledging developmental shifts in, or fluidity of, gender across the lifespan. This model represents an inclusive, trans-affirmative approach to competent clinical care with nonbinary individuals.

Discussion: Application of the GALA model with nonbinary clients is discussed, including one clinical case vignette.     

Internet-delivered physical activity intervention for college students with mental health disorders: a randomized pilot trial

The prevalence of mental health disorders among college students is rising and the increasing rates of anxiety and depression have important societal implications. Physical activity has been proposed as an adjuvant to traditional treatment approaches (i.e. psychotherapy or pharmacotherapy), and the internet is a potentially useful means of delivering physical activity information to the college-aged population. This randomized pilot trial examined the effects of an internet-based physical activity intervention on physical activity, self-efficacy, depression, and anxiety in college students (n?=?47) receiving mental health counseling. Physical activity, depression, anxiety, exercise self-efficacy, and barriers self-efficacy were assessed at baseline and post-intervention. There was a significant time effect for physical activity, with both groups increasing their physical activity levels across the 10-week intervention but with a larger increase in the intervention condition (d?=?0.68) than the control condition (d?=?0.05). Exercise and barriers self-efficacy declined across the intervention, but more so in the control than intervention condition. Effects on depression and anxiety were nonsignificant. Finally, correlation analyses showed increases in physical activity were associated with increases in exercise self-efficacy (r?=?0.62) and barriers self-efficacy (r?=?0.63) and decreases in depression (r?=?-0.44) in the intervention condition, but not in the control condition. These results suggest that an internet-delivered physical activity intervention may be a promising approach to promoting physical activity among college students undergoing mental health counseling.     

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.     

Case Study: New Directions For the College Counselor at CCNY

Community mental health concepts suggest that college counselors may move towards preventive activity rather than remaining focused primarily on response to established symptoms in troubled students. Preventive activity views the college, its policies, and its administration as legitimate areas of counselor-involvement. Experience indicates there is room on the campus for both functions: (a) traditional one-to-one interactions within the counseling office; and (b) outreach programs affecting large numbers of students and administrators. Outreach has shown itself effective in reaching students who might not spontaneously seek out the counseling office. Several areas of counselor involvement at City College in which the staff has experimented with the outreach philosophy are discussed.     

Revisiting relationships between sex-related variables and continuation in counseling

This study examined the relationships between three sex-related variables (client sex, therapist sex, and dyad matching on sex) and continuation in counseling. 245 college students who were clients at three university counseling centers participated. Consistent with previous studies, women comprised 68.2% of the clients seeking services at these counseling centers. Clients' sex was significantly related to counseling duration, explaining 2.2% of the common variance. Female clients, on the average, attended 1.8 more sessions than male clients. However, neither the therapists' sex nor dyad matching on sex was significantly related to the duration of counseling. None of the sex-related variables correlated with premature termination of counseling. The results have implications for providing counseling and outreach services to male students. Despite relatively equivalent rates in the incidence of mental health problems, female students continue to comprise the majority of clients. Therefore, university counseling centers need to communicate their services better to male students in need of mental health services.     

社区心理辅导实验模型的建构及其价值

建立实验模型,探索社区心理辅导的路径、具体实施的方法及其价值,为居民的心理健康和社区精神文明工作提供心理学理论和实践的依据;方法：采用症状自评量表(SCL-90)评估辅导前和辅导后社区居民的心理状况并进行自身比较;结果：l、辅导前居民的心理卫生存在问题较多;2、辅导后居民的心理卫生出现显著的变化;3、与辅导前比较,辅导后的居民心理卫生有明明显进步,特别在敌对的人际关系、偏执的认知方式和焦虑、抑郁的情绪等方面改变最为突出。结论：l、开展社区心理辅导是促进精神文明建设的全新理念和有效方法。2、建立、健全社区心理辅导网络对提高居民心理素质,减少心理疾病的发生、发展具有重要而又深远的作用。3、社区心理辅导实验模型的建立为广泛开展有关工作提供了理论和实践依据。     

基于网络干预的心理健康素养提升有效性研究

研究旨在探索中国文化背景下心理健康素养干预的有效性,以及心理健康素养的提升对专业心理求助意愿、心理健康和幸福感的影响。研究采用实验组对照组前后测设计。结果表明:1.基于网络教育的干预方法能够有效提升心理健康素养,进而促进专业心理求助意愿,改善心理健康状况。但是对大学生的幸福感没有产生明显影响; 2.心理健康素养可以通过专业心理求助意愿分别影响心理健康状况和幸福感,且专业求助意愿和心理健康在心理健康素养和幸福感之间起着完全链式中介作用。总的来说,心理健康素养的有效提升不仅可以改善专业心理求助意愿,提高人们的心理健康水平,还可能增添生活幸福感。     

小组辅导提高大学生人际交往水平的实验研究

人际交往问题是大学生存在的主要心理问题之一。本研究通过系统的小组辅导活动．探讨提高大学生人际交往水平的方法。研究结果显示．症状自评量表、人际关系诊断量表前测后测比较,多项指标差异呈显著或极显著水平,并发现人格的一些因素与人际关系困扰程度有显著或极显著相关。表明小组辅导对提高大学生人际交往水平是有成效的。小组辅导的策略和方法．值得进一步探讨和研究。     

Preferences for Online Mental Health Services Among Australian and Indian Samples: A Cross-Cultural Comparison

Online mental health services provide a point-of-access to mental healthcare that may otherwise be unavailable or limited, particularly in developing countries. Nevertheless, there is a lack of research into individual differences between those who prefer online mental health services and those who prefer traditional in-person services, and whether these differences vary as a function of culture. This study investigated differences in preferences for online or in-person mental health services on e-health literacy, age, education level, and comfort using the internet in a general community sample recruited from Australia and India. A total of 487 participants (31.6% male; mean age?=?33.55, SD?=?12.20, range 18–78), 297 Australians and 190 Indians, completed an online or paper-and-pencil survey. A significant negative relationship between age and e-health literacy was found with younger ages associated with higher e-health literacy. Furthermore, e-health literacy scores were significantly higher for the Australian sample. Age, e-health literacy, country-of-residence, education level, and comfort in using the internet did not predict mental health service preference. The results suggest that preference for in-person or online mental healthcare is independent of demographic and cultural factors and indicate that online mental health services may be acceptable to Indian health service consumers.     

Mental Health and Career Development of College Students

Little has been written about the reciprocal effects of the mental health and the career development of college students. Nevertheless, college students seeking services in college career and counseling centers often present both types of issues simultaneously. Service providers must, therefore, be cognizant of these potentially interactive issues. This article provides a summary of theoretical foundations and recent research regarding the interaction between psychosocial and career development. Implications for theory, research, and practice are provided.