COUNSELING AND PSYCHOLOGICAL SERVICES
NORTHWESTERN UNIVERSITY
Annual Report July 1, 2013 - June 30, 2014
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TABLE OF CONTENTS Staff Roster.. ................................................................................................................ 3 Message from the Executive Director................................................................. 3 Caps Guiding Principles.......................................................................................... 4 Caps Mission Statement.......................................................................................... 4 Clinical Unit Highlights........................................................................................... 6 Chicago CAPS............................................................................................................. 12 Student Satisfaction Survey. . ................................................................................ 14 Group Therapy Program - Student Feedback. . ................................................. 15 Caps Assesses Treatment Outcome.. ................................................................... 16 Multi-Year Clinical Trends.................................................................................... 17 Outreach And Education Unit Highlights. . ........................................................ 18 Community Relations Unit Highlight................................................................. 22 Training Unit Highlights........................................................................................ 23 Farewells..................................................................................................................... 24 2013 – 2014 Goals And Objectives Progress......................................................26 2014 – 2015 Goals And Objectives ....................................................................... 27
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STAFF ROSTER LEADERSHIP TEAM
CLINICAL STAFF
John H. Dunkle, Ph.D. Executive Director
Eileen Biagi, Ph.D. Bettina Bohle-Frankel, M.D. Rob Durr, Ph.D. Lynn Gerstein, LCSW Elizabeth K. Gobbi, M.D. Monika Gutkowska, Psy.D. Pamela Hazard, M.D. Lori Jeffries, Psy.D. Diane L.S. Lin, Ph.D. Rosemary Maga単a, LCPC Cynthia McKinzie, Psy.D. Tiffany Mehling, LCSW (departed 5/28/14) Henry J. Perkins, Ph.D.
David Shor, Ph.D. Associate Director for Clinical Services Roberta Baer, Ph.D. Associate Director for Chicago CAPS Courtney Albinson, Ph.D. Assistant Director for Outreach and Education Wei-Jen Huang, Ph.D. Assistant Director for Community Relations K. Jod Taywaditep, Ph.D. Assistant Director for Training Christine Cox Administrative Assistant
PROGRAM ASSISTANTS Maria Salas Ramos Jeannie Uchiyama Candice Gant (Half-time on Chicago campus)
CAPS FTE Professional Staff : FTE Student Ratio 1: 982 (NU COHFE Peer Average Ratio 1 : 940)
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MESSAGE FROM THE EXECUTIVE DIRECTOR Counseling and Psychological Services (CAPS) had another busy and productive year, meeting the needs of our students on both the Evanston and Chicago campuses. During the 2013-2014 academic year, a recordsetting number of students accessed our clinical services. Similarly, our Outreach and Education Unit provided programs to record-breaking numbers of individuals, including students, faculty, staff, and others. Two major programs that stand out are the first ever Essential NU on Mental Health as well as our suicide prevention program, Question-Persuade-Refer (QPR). In fact, CAPS is proud to report that we have reached over 2000 individuals with QPR since launching it 2 years ago. Our training programs recruited another highly talented cohort of trainees for the year. In the pages that follow, you can read in more detail about all of our work from this past academic year. Thank you for your interest.
CAPS GUIDING PRINCIPLES
CAPS MISSION STATEMENT
• COMMITMENT TO EXCELLENCE: Upholding excellence as the ultimate principle in our personal conduct, work, programs, policies, and services.
To provide a set of essential psychological services that addresses the psychological and developmental needs of students to help them thrive academically and interpersonally. CAPS consists of 4 major units (see diagram below) that provide the services to meet our mission.
• INTENTIONALITY: Making deliberate and strategic decisions that contribute to the welfare of our students, colleagues, and community. • ACCOUNTABILITY: Holding ourselves and others responsible to our values, guiding principles, and institutional resources. • AUTHENTICITY: Engaging with sincerity and honesty in our interactions and decision making. • CURIOSITY: Asking questions and seeking new approaches and strategies to find solutions and improve programs, policies, and services. • COMMUNICATION: Consistently listening intently and sharing clear information with internal and external constituents in a timely manner.
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Clinical Unit
Outreach and Education
Community Relations
Training Unit
Dr. Monika Gutkowska was hired to be the Coordinator of CAPS’ Suicide Prevention Program, Question-Persuade-Refer (QPR). She began her tenure at CAPS in September 2013 after serving on the staff at the counseling center at the University of Wisconsin, Madison.
Dr. Lori Jeffries began at CAPS in July 2013, after completing her post-doctoral fellowship at the University of Florida. Lori has an expertise in sport psychology and serves as CAPS primary liaison to the Athletic Department.
Rosemary Magaña, LCPC, began at CAPS in April 2014. She serves as the main liaison to Hispanic/Latino(a) Student Affairs. She previously served on the counseling center staff at Columbia College Chicago.
CAPS STAFF PROFESSIONAL CONTRIBUTIONS AND ACCOMPLISHMENTS 2013-2014: • Dr. Wei-Jen Huang hosted a 15 member delegation of counseling center directors form China in Fall 2014. • Dr. John Dunkle continued his role as co-chair of the Elements of Excellence Committee for the Association for University and College Counseling Center Directors. • Drs. Courtney Albinson and Lori Jeffries participated in a symposium on sport psychology at the national meeting of the American Psychological Association.
• Dr. Jod Taywaditep was elected to serve on the Standing Committee on Diversity for the Association of Counseling Center Training Agencies (ACCTA) and he also chairs the Training Resources Committee for ACCTA. • Drs. Cindy McKinzie, Elizabeth Peters, and Mandy Freeman presented a program on treating Borderline Personality Disorder at the Annual Big Ten Counseling Center Conference.
• Dr. David Shor presented at the Annual Conference of Counseling Center Clinical Directors on the results of the Emotional Intelligence Class that he has co-taught for the last two years. • Dr. Rob Durr presented at the Inaugural Conference on Psychology and Lawyering. • Dr. Pamela Hazard was awarded Distinguished Fellow Status with the American Psychiatric Association for contributions to the field of psychiatry and service with the Illinois Psychiatric Society. PAGE 5
CLINICAL UNIT HIGHLIGHTS Dr. David Shor, Associate Director for Clinical Services, provides leadership and coordination for CAPS Clinical Unit. The next several pages will include data highlights for the Clinical Unit for the 2013-2014 academic year, including major accomplishments, utilization statistics, student demographic data, and much more. The Clinical Unit also consists of three multi-disciplinary specialty teams, including Eating Concerns Assessment Team, Alcohol and Other Drug (AOD) Clinical Team and Student-Athlete Care Team.
MAJOR ACCOMPLISHMENTS: • More students accessed CAPS’ clinical services than ever before; a total of 2283 students. • 1895 students received on-going services at CAPS (32.1 % increase over 2012-2013) • CAPS conducted over 1000 crisis appointments this year offering immediate access to students in the greatest need. DR. DAVID SHOR
• Most initial contacts with CAPS counselors occurred within 1-2 days of request. Follow-up intake appointments typically occurred within 4 days of the initial contact. • CAPS Group Therapy program expanded from 6 to 8 groups serving 20% more students this year than last. • CAPS clinicians conducted 2479 third party consultations (an increase of 5% over last year) with a wide variety of partners. • Several CAPS staff participated on the newly formed Students of Concern team with Dean of Students office and other campus partners.
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KEY CLINICAL UTILIZATION DATA 2013-2014 COMPARED TO 2012-2013 TOTAL NUMBER OF...
2012-13
EATING CONCERNS ASSESSMENT AND TREATMENT TEAM (ECATT): 154 students presented at CAPS with eating concerns, an increase from last year (148).
2013-14
61 students were recommended to complete the ECATT assessment process, a decrease from last year (68). ECATT intake evaluations accounted for 14.8% of the total number of intake evaluations conducted and 9% of students evaluated as severe and urgent.
Intakes Evanston Appointments
741
844
Chicago Appointments
190
213 ALCOHOL AND OTHER DRUG (AOD) TEAM
Crisis Appointments Evanston Daytime
577
691
Chicago Daytime
49
53
After-Hours
230
327
2360
2479
3rd Party Consultations Students On-going Clinical Services (seen 2 or more sessions beyond initial appointment)
Fall 2013: 14 students; 9 males; 5 females (2 graduate students; 2 freshman; 5 sophomores; 2 juniors; 3 seniors) Winter 2014: 13 students; 9 male; 4 female (1 graduate; 1 senior; 4 juniors ; 5 sophomores; 2 freshman)
1435
1895
7.0
6.7
All Appointments
20,341
18,760
Service Hours
19,013
17,624
Students
2129
2283
Individuals Served*
5289
5062
Average # Sessions
A Total of 42 students were processed through the AOD Clinical Team.
*Includes students served in direct clinical services, critical incident debriefings, and third party consultations
Spring 2014: 15 students; 12 male; 3 female; (1 graduate; 5 seniors; 6 juniors; 1 sophomore; 2 freshman)
STUDENT-ATHLETE CARE TEAM 136 student-athletes (27.8% of all student-athletes) received services this year. 14 of 19 athletic teams received sport psychology services. 40-50 Purple Mentors (a peer mentoring program in Athletics) received training in QPR, Stress Management, and other programs.
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GENDER
388 (40.0%)
Man
577 (59.5%)
Woman
2 (0.2%) RACE/ETHNICITY
UNDERGRADUATES STUDENT DEMOGRAPHIC DATA
540 (55.7%)
White
213 (22.0%)
Asian American/Asian
70 (7.2%)
Hispanic/Latino(a)
68 (7.0%)
Multi-racial
67 (6.9%)
African American/Black
1 (0.1%) 69 (7.1%)
SEXUAL ORIENTATION
ACADEMIC STATUS
SCHOOL AFFILIATION
829 (85.6%)
HOUSING STATUS
Heterosexual Bisexual Gay
15 (1.5%)
Questioning
6 (0.6%)
Lesbian
274 (28.3%)
Freshman/First Year
268 (27.7%)
Sophomore
230 (23.7%)
Junior
197 (20.3%)
Senior
462 (47.7%)
WCAS
161 (16.6%)
Communication
132 (13.6%)
McCormick
91 (9.4%)
Medill
59 (6.1%)
SESP
34 (3.5%)
Bienen
2 (0.2%)
KGSM
2 (0.2%)
Law Feinberg
98 (10.1%)
Yes
841 (89.6%)
No
456 (47.1%)
Residence Hall
403 (41.6%)
Off-campus
5 (0.5%)
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International Student
30 (3.1%)
91 (9.4%)
TOP 5 RESIDENCE HALLS FOR STUDENTS REPORTING LIVING ON-CAMPUS
American Indian or Alaskan Native
57 (5.9%)
1 (0.1%) FIRST GENERATION COLLEGE STUDENT
Transgender
Greek Housing Other
58 (12.7%)
Foster Walker
46 (10.1%)
Elder
41 (8.9%)
Allison
32 (7.0%)
Willard
20 (4.4%)
Bobb
TOP PRESENTING CONCERNS: STUDENT SELF-REPORT * 1.
ACADEMIC DISTRESS
2.
SOCIAL ANXIETY
3.
GENERALIZED ANXIETY
4. DEPRESSION 5.
OVERALL DISTRESS INDEX
6.
EATING CONCERNS
7. HOSTILITY 8.
SUBSTANCE USE
*When students come to CAPS they complete a problem checklist, called Counseling Center Assessment of Psychological Symptoms (CCAPS) consisting of 8 subscales.
50
40
30
45.5%
20
0 440 students reported previous counseling.
FALL 344 (35.5%)
WINTER 263 (27.1%)
SPRING 241 (24.9%)
SUMMER 121 (12.5%)
440 students 40.5%reported previous counseling *For men 5 or more drinks in a row and for females 4 or more drinks in a row.
10
VISITS TO CAPS PER QUARTER
23.3%
6.1%
392 students reported that they 392 students report225 studentsengaged reported in 59 students reported binge drinking ** atseriously least one a previous suicide ed that they engaged that they have in the pastsuicide. two weeks attempt. in binge drinking* at timeconsidered least one time in **For the men 5 or more drinks in a row, past two weeks. for women 4 or more drinks in a row
225 students reported that they have seriously considered suicide
45.5%
40.5% PAGE 9
d Urgent Students’ Data* CHICAGO (5)
SEVERE AND URGENT STUDENTS’ DATA*
CAMPUS
46.2% White
Race/ Ethnicity
Asian American/Asian
EVANSTON (172)
22%
11.9% Hispanic/Latino
93 WOMEN (52.5%)
4.5%
7.9% 6.8%
African American
84 MEN (47.5%)
5.7%
International Multi-racial
Other/ No Response
TOP CONCERNS PRESENTING CONCERNS TOP PRESENTING (NUMBER OF CASES) (number of cases)
DEPRESSION (153) SUICIDAL IDEATION (133) PARA-SUICIDAL BEHAVIOR (66) ANXIETY (PANIC, OCD, SOCIAL PHOBIA) (57) ACADEMIC CRISIS (50) DISRUPTIVE BEHAVIOR (37) SUBSTANCE ABUSE (32) PTSD/TRAUMA SURVIVOR (22)
71 (40.1%) ER EVALUATIONS
FAMILY CRISIS (21)
52 (29.4%) HOSPITALIZATIONS
BIPOLAR DISORDER (16)
PSYCHOTIC SYMPTOMS (18) SUICIDE ATTEMPT (14) EATING DISORDER (12) RELATIONSHIP CRISIS (11)
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*Severe and urgent cases include students who were suicidal, violent, psychotic, and/or severely compromised in some way.
GENDER
257 Men (41.2%)
CAMPUS
339 (63%) Evanston
RACE/ETHNICITY
344 (55.1%)
White
130 (20.8%)
Asian American/Asian
GRADUATE/PROFESSIONAL STUDENT DEMOGRAPHIC DATA
56 (9.0%) 44 (7.1%) 40 (6.4%) 2 (0.3%) 121 (19.4%)
RELATIONSHIP STATUS
SCHOOL AFFILIATION
50
40
53.6%
HOUSING
20 *For men 5 or more drinks in a row and for females 4 or more drinks in a row.
10
Hispanic/Latino(a) African American Multi-racial American Indian or Alaskan Native International Student
291 (46.6%)
Single Committed Relationship
79 (12.7)
Married
6 (1.0%)
Domestic partnership
5 (0.8%)
Separated
1 (0.2%)
Divorced
121 (19.4%)
WCAS
108 (17.3%)
Feinberg Law
59 (8.7%)
McCormick
54 (8.7%)
KGSM
54 (8.7%)
Communication
25 (4.0%)
Medill
24 (3.8%)
Bienen
21 (3.4%)
SESP
3 (0.5%)
SCS
568 (91.0%) 46 (7.4%)
38.8%
30
224 (35.9%) Chicago
230 (36.9%)
92 (14.7%)
60
365 Women (58.5%)
Off-campus Residence Hall
15.9% 2.8%
0
266 students reported previous counseling.
242 students reported that they engaged in binge drinking* at least one time in the past two weeks.
100 students reported 17 students reported a that they have seriously previous suicide attempt. considered suicide.
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CHICAGO CAPS Dr. Roberta Baer oversees the Chicago CAPS Office. On the following page is a summary of the demographic data of the students utilizing Chicago CAPS as well as a brief recap of Dr. Rob Durr’s contributions to the Law School.
TOP PRESENTING CONCERNS: Student Self-report (CCAPS 34) 0 = Not at all like me and 4 = Extremely like me
DR. ROBERTA BAER
1. Academic Distress (1.88) 2. Generalized Anxiety (1.85) 3. Social Anxiety (1.71) 4. Overall Distress Index (1.58) 5. Depression (1.42) 6. Eating Concerns (1.03) 7. Hostility (0.67) 8. Substance Use (0.67)
LAW SCHOOL Dr. Rob Durr, CAPS’s Law School Psychologist, provided a variety of services aimed at assisting law students. Here are a few highlights from the 2013-2014 year. • Taught two sections of The Emotionally Intelligent Lawyer to over 50 students as part of the Lawyer-as-Problem-Solver Program. • Presented Building Resilience in Law Students talk at the Dean of Students from Top 14 Law schools annual meeting. • Reached over 1000 law students by delivering 25 unique, tailored wellness and performance enhancement programs. • Partnered with various law faculty and administrators to deliver outreach programs to diverse law groups including the Summer Law Prep Program for non-traditional students. DR. ROB DURR
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• Reached over 100 School of Law community members including staff, students and faculty with mindfulness programming.
CHICAGO DEMOGRAPHIC DATA
GENDER
92 Men (38.3%)
RACE/ ETHNICITY
132 (55.0%) 53 (22.1%)
SCHOOL AFFILIATION
White Asian American/Asian
19 (7.9%)
Hispanic/Latino(a)
16 (6.7%)
Multi-racial
15 (6.3%)
African American
1 (0.4%)
QUARTER CAME TO CAPS
146 Women (60.8%)
American Indian or Alaskan Native
30 (12.5%)
International Student
82 (34.2%)
Fall
68 (28.3%)
Winter
48 (20.0%)
Spring
42 (17.5%)
Summer
106 (44.2%)
Feinberg
94 (39.2%)
Law
10 (4.2%)
WCAS
4 (1.7%)
Medill
4 (1.7%)
SCS
2 (0.8%)
Communication
2 (0.8%)
McCormick
2 (0.8%)
Bienen
1 (0.4%)
KGSM
50
40
30
47.5%
20
40.5% *For men 5 or more drinks in a row and for females 4 or more drinks in a row.
10
13.7%
0
266 students reported previous counseling.
97 students reported that they engaged in binge drinking* at least one time in the past two weeks.
38 students reported that they have seriously considered suicide.
2.5% 6 students reported a previous suicide attempt.
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STUDENT SATISFACTION SURVEY CAPS revised the annual satisfaction survey and included five Likert scale questions and one open-ended question that sought feedback on student learning. One-hundred and sixty-five (165) students responded (see results below).
As a result of my participation in counseling at CAPS... (Mean scores: 1 = strongly disagree, 5 = strongly agree)
5 4.28
4.16
4
3.91
4.01
I learned more effective ways to deal with stress
I better understand ways to develop and maintain healthy relationships with others
4.15
3.91
3.94
I developed more effective problem solving strategies
The quality of my relationships with others has improved
3 2 1 I learned more about myself (e.g., personal skills, abilities, and growth areas)
I learned coping strategies that will enable me to manage my own mental health
I can better identify situations which require me to make decisions that are healthier than others
Thinking broadly, what did you learn about yourself, your relationship with others, or your community that is directly related to your participation in counseling at CAPS?
“I learned that life, including the highest highs and the most depressing, horrible days, ultimately is beautiful. Life is a wonderful thing because, not in spite of, depression and working through our issues. I am not alone in my quest to find my place and figure out who I am” “I learned that I’m harder on myself than anyone else is. I learned about my patterns of behavior in relationships that contribute to their being unhealthy.” “I think I gained a greater understanding of how I respond to new settings/people, and how my anxiety in new situations kind of distorts how I judge my own abilities and my perception about how others perceive me.” “I learned about cognitive distortions that I use that make my stress worse. I should also lean on loved ones in times of stress.” PAGE 14
?
“I tend to seek out stress, but when presented with the necessity of diminishing it, I continue to choose high stress over less stress in order to achieve what I define as success.” “I learned how I think and how to let go of my negative thoughts.” “I learned that I have more choices than I previously acknowledged”
“I learned to engage with others on a more honest level, even though it might risk their opinion of me.” “I learned to recognize when I’m doubting myself and wha thoughts provoke the negative feelings. Even when I’m severely discouraged, I realized that my actions suggested I am a resilient person, and that I keep going no matter what the circumstances.”
CAPS Annual Satisfaction Survey - Users CAPS ANNUAL SATISFACTION SURVEY – USERS “I am satisfied with the services at CAPS”
“I am satisfied with the services at CAPS”
Percentage of CAPS Users Combined
78%
% OF CAPS USERS
78%
78%
85% 78% 57%
Strongly Agree Agree
44%
44%
46%
35% 28%
34%
2010
34%
33%
2011
2012
28%
35%
2013
2014
STUDENT FEEDBACK OF GROUP THERAPY PROGRAM In addition to the general satisfaction survey that CAPS sends to students, we conduct a separate survey of students participating in our group therapy program. Dr. Wei-Jen Huang coordinated our 9 interpersonal open-ended process groups this year. Below are some direct quotes from undergraduate and graduate students who returned surveys and that represent the benefits of the group program.
“The group is the best experience I have had at Northwestern”.
“I’m really glad I came, and I hope other people get the chance to experience this”.
“I wish that every school/workplace had a group like this. It should be a mandatory class at Northwestern –everyone would be better off after taking group”.
“This group is the most important and influential enhancement/enrichment in my life. If every student would participate, NU would truly be a better, warmer, safer place”.
“Group has been beyond amazing! Group has been the place I can come to find the strength and support to improve my life”. “This group, even though I was only in it for a short time, gave me a rich and memorable experience that I feel so fortunate to have had. I would give anything to stay in this group indefinitely, but was so happy for the experience. It was an enriching and live-changing opportunity, and I will miss my group mates very much!!!”
“Group has been the sunshine in my graduate school experience. I am sad to leave this second family, yet I know that I will carry everyone with me, in my heart. And, Godwilling, in my life as well”. “The wisdom and caring in the room was unmatchable on campus”. “Everyone in graduate school should be required to participate in group! It would benefit everyone and Northwestern greatly”.
“Some of the most important learning I have done at Northwestern, hands down”. PAGE 15
CAPS ASSESSES TREATMENT OUTCOME NU CAPS Average CCAPS 34 Scores Compared to Normed National Averages: When students come for their first appointment they complete a problem checklist called the CCAPS 34. Higher scores indicate higher levels of self-reported distress. CCAPS stands for Counseling Center Assessment of Psychological Symptoms.
CCAPS 34 Average Scores 2013-2014 NU CAPS Clients Compared to Normed National Average Scores Mean Scores: 0 = Not at all like me , 4 = Extremely like me CAPS Clients Average Scores
National Average Scores*
2 1.5 1 0.5 0
Depression
Generalized Anxiety
Social Anxiety
Academic Stress
Eating Concerns
Substance Use
Hostility
Overall Distress Index
CCAPS 34 Subscales *National Average Scores were normed at the Center for Collegiate Mental Health
CCAPS 34 Subscale Change Standardized Scores Students who are seen in individual therapy at CAPS complete the CCAPS 34 at the initial session and at one or more follow-up sessions. Results revealed that students reported decreased distress across all subscales at the 2nd administration.
CCAPS 34 Subscale Change Scores 2013-2014 N = 372 Students
1st Administration
2nd Administration
2 1.5 1 0.5 0 -0.5
Depression
Generalized Anxiety
Social Anxiety
Academic Stress
Eating Concerns
CCAPS 34 Subscales
PAGE 16
Hostility
Substance Use
Overall Distress Index
# of Unique Students Accessing Caps Clinical Services X A
MULTI-YEAR CLINICAL TRENDS
ing Caps Clinical Services X Academic Year
# of stude
# of Unique Students Accessing Caps Clinical Services X Academic Year
2013
2012
# of students
2011-
2013-14 2286 Students
2010
2012-13 2129 Students
2009
2011-12 1910 Students
2008
2010-11 1889 Students 2009-10 1799 Students 2008-09 1793 Students
CAPS Student Utilization Rate vs. Rate for Comparably Sized Schools X 6 Years NU CAPS Rate
National Mean Rate
% of Student Body
15.00% 10.00%
5.00% 0.00% 2008-09
2009-10
2010-11
2011-12
2012-13
2013-14
Academic Year
# of Emergency Room Transports and Hospitalizations Compared to National Median Hospitalizations for Comparably Sized Institutions X 6 Years # ER Transports
# Hospitalized
National Mean
80 60 40 20 0 2008-09
2009-10
2010-11
2011-12
2012-13
2013-14
Academic Year
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OUTREACH AND EDUCATION UNIT HIGHLIGHTS Dr. Courtney Albinson provides leadership and coordination for the CAPS Outreach and Education Unit. The next few pages highlight utilization data as well as of some the major programs that CAPS co-sponsored.
MAJOR ACCOMPLISHMENTS: • Significant increase in total number of NU community members reached this year; 94% more compared to last year, in large part due to the first annual Mental Health ENU for all incoming freshman and new transfer students, and significant increases in the number of persons reached via programming in relationships and counseling/ helping skills.
DR. COURTNEY ALBINSON
PAGE 18
• Trained over 925 community members in the Question-Persuade-Refer (QPR) suicide prevention gatekeeper training program in the second full year of implementation, a 10% increase compared to last year. Exceeded goal of reaching 750 community members in 2013-2014. Partnered with many Chicago and Evanston Campus departments (e.g., Feinberg School of Medicine, University Residential Life, Office of Fraternity and Sorority Life) to incorporate QPR into curricula and training for students, staff, and/or faculty. Achieved milestone of training more than 2000 NU community members in QPR since the inception of the program in March 2012.
CAPS OUTREACH AND EDUCATION UNIT UTILIZATION DATA: 2013-2014
CAPS Outreach and Education Unit Utilization Data: 2013 - 2014 Topic Area
# of Programs
# Persons Reached
% Persons +/2012 - 2013
Intro to CAPS’ Services
39
4773
+141.9
Stress Management (S.M.) S.M. Clinic S.M. Outreach
216 154 62
1216 240 976
+4.6 -32.4 +20.8
Suicide Prevention
33
927
+10.5
Counseling/Helping Skills
14
1376
+115.0
Peak Performance Training
11
220
-11.6
Eating Concerns
7
228
+25.9
Relationships
10
708
+413.0
Sleep Health
3
25
+19.0
Other
21
646
N/A
TOTAL
354
10,119
+94.4
PAGE 19
ESSENTIAL NU ON MENTAL HEALTH On September 22, 2013 at Welsh Ryan Arena, CAPS hosted the first-ever Essential NU on Mental Health as part of Wildcat Welcome. All students from the Class of 2017 and all transfer students were required to attend. The goal of the Essential NU was that it is OK to ask for help and that mental, emotional, and physical well-being are equally important. The featured speaker for the event was Jordan Burnham from the Active Minds Speakers’ Bureau. During his senior year in high school, Jordan attempted to take his life. Today, Jordan travels around the country sharing his incredible story of survival and emphasizing his positive support of seeking help. He shares with students his ongoing physical and mental health recovery process, and what they can do to create healthier and more supportive communities. The program and Jordan received great reviews from students.
QPR ASK A QUESTION, SAFE A LIFE! Since March 2012, Counseling and Psychological Services (CAPS) trained over 2,000 students, faculty, and staff in nationally recognized gatekeeper suicide prevention training – QPR (Question, Persuade, Refer). CAPS has been conducting research on the effectiveness of QPR in the Northwestern community. The project includes pre- and post- test measures of awareness of basic knowledge related to suicide prevention and participants’ confidence and willingness to ask someone about suicide, persuade them to get help, and refer them to appropriate resources on and off campus. 301 participants have agreed to be part of the study to date (44% undergraduates, 35% graduate/professional students, and 20% faculty/staff).
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The preliminary results suggest that QPR training had a significant impact on students’ learning related to suicide prevention. Participants reported significant increases in their ability to effectively ask someone about suicide (from 16% prior to training to 76% six months after the training) and to persuade someone to get help (from 14% prior to training to 75% six months after the training). Also, their knowledge about suicide warning signs and myths about suicide increased as well. After QPR training, 70% of participants stated that they asked someone in their lives if he or she has suicidal thoughts and were able to refer them to get help. That number increased from 44% prior to suicide prevention training. Suicide prevention is a community effort and it’s important we continue to engage in these conversations on our campus.
LET’S TALK
BODY ACCEPTANCE WEEK 2014
The Let's Talk outreach program offers informal drop-in consultations with CAPS counselors in campus locations outside of CAPS, with the intent of reaching student communities that traditionally underutilize mental health services. Students are encouraged to drop by and talk about whatever is important to them, much as they might talk with a TA, residence hall director, or academic advisor. Students are also allowed to meet anonymously if they prefer and meetings have no set time length. During the winter and spring quarters, under the leadership of Dr. Monika Gutkowska, Let’s Talk sessions were held weekly at Multicultural Student Affairs as well as the International Office. Some general demographic data of students who utilized Let’s Talk is below:
CAPS partnered with NUHS, The Women’s Center, ASG, OFSL, TASC, and Sigma Psi Zeta Sorority to sponsor Body Acceptance Week 2014. A record number of students attended a variety of programs aimed at raising awareness about eating disorders and body image issues:
8 Men and 8 Women 11 Undergraduates and 5 Graduate/Professional Students A total of 10 hours of service provided.
• For the fifth year in a row, Sodexo generously sponsored a program: Mindful Snacking. This event featured a cooking demonstration and discussion about mindful eating.
LET’S
TALK
• The keynote presentation, The Quest for the Perfect Selfie: One Asian American Woman’s Journey, by Lisa Lee of ThickDumplingSkin.com, focused on the nature and experience of body image issues within the Asian-American community. • In Yoga for Your Best Health! students were invited to explore mindful and relaxing ways to incorporate physical activity into their self-care routines. Thanks to Athletics and Recreation for offering this exercise-based event. • The Body Affirmation Station was an interactive table containing activities and handouts to improve body image.
JED AND CLINTON HEALTH MATTERS PROGRAM In Winter 2014, CAPS convened a Campus Coalition chaired by the Executive Director of CAPS, Dr. John Dunkle, and Dean of the Weinberg College of Arts and Sciences, Dr. Sarah Mangelsdorf. The coalition consists of over 30 campus partners, including faculty, staff, and students. The main objective of the coalition is to complete a campus wide assessment on how well the Northwestern community is meeting the mental health needs of students. The assessment survey is created by a joint collaboration between The Jed Foundation and the Clinton Foundation entitled, “The Jed and Clinton Health Matters Program”. The survey is based on a framework (diagram to the right) for promoting mental health and suicide prevention and takes a community-wide approach to these issues. The survey will be completed in Fall 2014 with the goal of receiving a seal of approval for meeting the mental health needs our campus community.
POLICY, SYSTEMS & STRATEGIC PLANNING
DEVELOP LIFE SKILLS
MEANS RESTRICTION & ENVIRONMENTAL SAFETY
PROVIDE MENTAL HEALTH & SUBSTANCE USE DISORDER SERVICES
CONNECTEDNESS
The Campus Program Framework
INCREASE HELP-SEEKING BEHAVIOR
ACADEMIC PERFORMANCE
STUDENT WELLNESS IDENTIFY STUDENTS AT RISK
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COMMUNITY RELATIONS UNIT HIGHLIGHT Dr. Wei-Jen Huang provides leadership for the CAPS Community Relations unit. The main service in this area is the CAPS extensive liaison program wherein a CAPS staff member is assigned as the primary liaison to various residence halls and academic departments. In addition, CAPS offers numerous media interviews to student publications. The CAPS Community Relations unit also encompasses various involvements with student groups such as the Associated Student Government.
MAJOR ACCOMPLISHMENTS: • CAPS held two Contacts and Connections Meetings on both the Evanston and Chicago campuses. These events bring together various campus partners from Academic Affairs and Student affairs to discuss emerging trends on campus and to foster purposeful partnerships. • CAPS staff spent 876 hours, providing 657 Liaison meetings or contacts.
DR. WEI-JEN HUANG
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• CAPS staff spent 22 hours and provided 26 media interviews.
TRAINING UNIT HIGHLIGHTS Dr. Jod Taywaditep provides leadership in the Training Unit at CAPS. The Training Unit consists of a Post-Doctoral Fellowship, a Doctoral Internship, and Advanced Therapy Practicum as well as a Social Work Internship. Below are some highlights for the year in the Training Unit.
MAJOR ACCOMPLISHMENTS: • In 2013-14, we provided clinical training for 3 doctoral interns, 5 doctoral practicum students, 4 social work interns, and 2 postdoctoral fellows. The trainees came from 8 graduate programs in psychology or social work. • In our participation of the national internship matching, we matched with highly 3 qualified doctoral students who will work at CAPS for one year. • Jod Taywaditep was a co-presenter at a national association for internship directors at university counseling centers. The presentation was on the issues related to the clinical training of international students in psychology. • Doctoral Interns produced a video to inform prospective internship applicants about the internship program.
DR. JOD TAYWADITEP
• Doctoral Interns worked on creating informational brochures about CAPS in 5 languages.
CAPS 2013-2014 ROSTER OF TRAINEES POST-DOCTORAL FELLOW Mandy Freeman, Ph.D. Elizabeth Peters, Ph.D.
OUTREACH & EDUCATION EXTERNS Leila Ellis-Nelson, MA Stephanie Palacios, MAFT
PRE-DOCTORAL INTERNS David Le, MS Elizabeth Miller, MA Giovanna Rivano Gomez, MS
SOCIAL WORK PRACTICUM STUDENTS Lehua McAllister Ryan Rollinson Samantha Giovannetti Kaitlin Schreiber
ADVANCED THERAPY EXTERNS Nick Calingaert, MA Roberto Luna, MA Blaine Washington
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FAREWELLS DR. ROBERTA BAER’S RETIREMENT Roberta has been a part of the Northwestern family for over a quarter of a century. First, she received her Ph.D. in Clinical Psychology from Northwestern. She then assumed a staff position at CAPS and has served Northwestern and our students, primarily on the Chicago campus, for 24 years. It is not an overestimate that throughout her tenure at CAPS, she has touched the lives of thousands of students. She has been one of the leaders on the Chicago campus in developing a sense of community in an environment where the schools and departments are very spread out, making community building challenging. She has worked closely with many colleagues such as those from the Women’s Center, University Career Services, and many others. Our academic colleagues in the Law School, Feinberg School of Medicine, School of Continuing Studies, Kellogg, the Physical Therapy and Physician Assistant programs, and the numerous graduate programs, have come to trust and rely upon Roberta a great deal. She will be greatly missed.
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TIFFANY MEHLING’S DEPARTURE Tiffany is an Alumna of NU (Communication, 2005) and began her tenure at CAPS as Case Manager in June 2012. In her brief time at CAPS, Tiffany accomplished a great deal in her role. In collaboration with SAIT, she helped revamp and fine-tune our off-campus provider referral database. Tiffany was also a great advocate for students. For example, she negotiated with off-campus providers to secure the most affordable rates for students. In addition, she helped us look closely at the Aetna Insurance plan to improve an already great set of mental health benefits. She touched the lives of so many of our students, and ensured that hundreds of students did not fall through the cracks as they got connected to appropriate treatment. We wish her the best of luck as she takes on a new adventure in Las Vegas.
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PROGRESS ON 2013 – 2014 GOALS AND OBJECTIVES BUILD ORGANIZATIONAL HEALTH • Review professional development funds to determine optimal amount needed to meet professional standards/requirements: Accomplished ENRICH THE NORTHWESTERN EXPERIENCE • Launch BASICS research project: Accomplished • Partner with Wildcat Welcome to launch an Essential NU on Mental Health: Accomplished FURTHER STUDENT LEARNING • Train a minimum of 750 community members in QPR Suicide Prevention Program across both campuses: Accomplished • Explore next steps for the Emotional Intelligence Class: In Progress • Continue to explore ways to incorporate social media and other technology on CAPS website: YouTube Page and Facebook Page: In Progress
GOALS AND OBJECTIVES
FOSTER PURPOSEFUL PARTNERSHIPS • Continue and expand Campus Coalition on Mental Health: In Progress • Launch a university-wide assessment utilizing the JED Foundation Framework for meeting Campus Mental Health needs and Suicide Prevention: In Progress • Partner with MSA to offer targeted outreach for students of color and GLBTQ students: Accomplished OPTIMIZE RESOURCES • Implement changes in how students access CAPS clinical services so as to reduce the number of contacts with different staff and to achieve quicker accessibility: Accomplished • Begin social work internship to provide service in BASICS: Accomplished • Complete searches for 3 staff psychologist positions: Accomplished • In collaboration with Dr. Mary Desler, summarize the most recent Mental Health Survey and the recent Evanston campus focus groups: Accomplished • In collaboration with Dr. Mary Desler, conduct focus groups on the Chicago campus: Not Accomplished
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2014 – 2015 GOALS AND OBJECTIVES BUILD ORGANIZATIONAL HEALTH • Hold 2 CAPS retreats, one focused on wellness of staff and the other focused on beginning of the year planning. (Summer 2015) • CAPS Professional Development Committee will offer monthly trainings for staff, including case conferences on critical topics and best practices. (on-going) • Continue CAPS Work/Life Balance Committee to plan various events for staff throughout the year (on-going) • Complete search for Director of Chicago CAPS office (Fall 2014) • Implement a new administrative organization structure for CAPS (Summer 2014) ENRICH THE NORTHWESTERN EXPERIENCE • Begin discussions with Dr. Mary Desler regarding needs assessment strategies for the Chicago grad/ professional students, including possible Focus Groups. (Academic year 2014-2015) • Expand the group therapy program from 9 to 10 groups offered as a long-term therapy option (Academic Year 2014-2015). • Implement a moderation management group for students with second alcohol violations and as part of the BASICS research project (June 2015) • Continue pilot of NU Listens. (Academic Year 2014-2015) • Translate department brochures to Spanish, Chinese, Thai, and Korean (Fall 2014) FURTHER STUDENT LEARNING • Train a minimum of 500 community members in QPR Suicide Prevention Program across both campuses. (June 2015) • Staff Psychologist for the Law School in Chicago will provide programming on Performance Enhancement, Stress Management and mindfulness to Law students. (on-going) • Determine the future of the Advanced Therapy Externship for 2015-2016 based on needs assessment and thorough discussions regarding resources. (Winter 2015) ADVANCE SOCIAL JUSTICE. • Serve on Student Insurance Review Group and advocate for parity in benefits for mental health services (On-going annually)
• Engage in a minimum of 2 CAPS professional staff development programs annually incorporating social justice issues (on-going) • Strategically expand “Let’s Talk” program on the Evanston and Chicago campuses (Fall 2014) • Partner with NU Active Minds to help reduce stigma around mental health on campus (on-going) FOSTER PURPOSEFUL PARTNERSHIPS • Partner with Wildcat Welcome to host Essential NU on Mental Health (Fall 2014) • Continue and expand Campus Coalition on Mental Health, and complete JED Foundation/Clinton Foundation Campus Survey (Summer 2014 and on-going) • Continue campus partnerships with Feinberg School of Medicine, University Residential Life, New Student and Family Programs, Associated Student Government and others to offer programming in key areas related to stress management and/or suicide prevention. (on-going) • Continue the Chicago CAPS/Student Liaison. (on-going) • In collaboration with Health Promotion and Wellness, continue BASICS Program and implement research protocol. (on-going) • Summarize the outcome of the “Emotional Intelligence” course that launched in spring quarter 2013 and plan for next steps for the course. (Summer Quarter 2014) • Evanston and Chicago CAPS will host two Contacts’ and Connections’ Meetings each. (annually) OPTIMIZE RESOURCES • Partner with Office of Development to attain/explore potential gift funds from donors. (on-going) • Initiate conversations regarding location of the Chicago SSD office and relocation to another space. (Summer 2014) • Partner with SAIT to revise CAPS website, including launching a YouTube page with various informational videos and other marketing (Fall 2014) • Implement ProtoCall After hours service to reduce staff after-hours responsibilities and to provide students access to more mental health professionals after hours (Summer 2014)
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Evanston Campus CAPS Searle Hall 633 Emerson Street Evanston, IL 60208
Chicago Campus CAPS Abbott Hall 710 N. Lake Shore Drive Chicago, IL 60611-3006
Phone - 847.491.2151 Fax - 847.467.1193 After Hours Emergencies 847.491.2151
www.northwestern.edu/counseling/ Any questions about this document, please contact Dr. John Dunkle at 847-491-2151 or at j-dunkle@northwestern.edu
COUNSELING AND PSYCHOLOGICAL SERVICES
NORTHWESTERN UNIVERSITY PAGE 28