A follow-up study of new users of a university counselling service

For many students the demands of a university course, often coupled with financial and relationship difficulties, create circumstances where counselling or specialist psychiatric support are needed. Few published studies exist of these services. A follow-up study of new users of the University of Cambridge Counselling Service during the course of the 1993/94 academic year is reported. The study aimed to describe morbidity levels and to identify the determinants of change in students' mental health status. Data were obtained from two initial questionnaires: one completed by each student at the time of their initial consultation; the second by the counsellor completing an assessment consultation. About one year following their first assessment, students were asked to complete a further questionnaire. The clear demonstration in this study of depression and anxiety symptoms, as dominant features for many students at their assessment consultation, suggests that training to improve counsellor recognition of such symptoms and of their knowledge of the effectiveness of available therapeutic approaches would be valuable. Such training should also provide guidance on when to refer students to other professionals.