COUNSELING AND PSYCHOLOGICAL SERVICES
20172018 JULY 1,
JUNE 30,
ANNUAL REPORT
TABLE OF CONTENTS Staff Roster. .................................................................................................................................... 3 Message from the Executive Director............................................................................ 4 CAPS Mission Statement........................................................................................................ 4 CAPS Guiding Principles......................................................................................................... 4 New Staff. ......................................................................................................................................... 5 Clinical Unit Highlights. ........................................................................................................... 6 Chicago CAPS.............................................................................................................................. 12 Sport Psychology Highlights............................................................................................... 14 Psychiatric Services..................................................................................................................17 Student Satisfaction Survey. .............................................................................................. 18 Group Therapy Program - Student Feedback.. ......................................................... 19 Treatment Outcomes...............................................................................................................20 Multi-Year Clinical Trends. ..................................................................................................... 21 Outreach And Education Unit Highlights. . .................................................................. 24 Featured Outreach Highlights. . .......................................................................................... 26 Training Unit Highlights. ......................................................................................................... 27
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STAFF ROSTER ADMINISTRATIVE TEAM Courtney Albinson, Ph.D., Associate Director for Sport Psychology Christine Cox, Financial Coordinator John Dunkle, Ph.D., Executive Director Elizabeth Gobbi, M.D., Associate Director for Student Psychiatric Services Monika Gutkowska, Psy.D., CGP, Assistant Director for Outreach and Education Fabiola Montiel, Psy.D., Director of Clinical Services (Chicago Campus) David Shor, Ph.D., Director of Clinical Services Jod Taywaditep, Ph.D., Associate Director for Training
CLINICAL STAFF Steven Andrews, Ph.D., Staff Psychologist, Coordinator of Peer Initiatives Eileen Biagi, Ph.D., Staff Psychologist, ECATT Coordinator Bettina Bohle-Frankel, M.D., Staff Psychiatrist Meghan Finn, LCSW, Care and Referral Coordinator Jaclyn Fleck, Psy.D., Staff Psychologist (Chicago Campus) Mandy Freeman, Ph.D., Staff Psychologist (Chicago Campus)
Henry Perkins, Ph.D., Staff Psychologist, Coordinator of the Stress Management Clinic Julie Sutcliffe, Psy.D., Staff Psychologist Kanika Wadhwa, LCPC, Women’s Advocacy and Wellness Specialist Qianhui Zhang, Ph.D., Staff Therapist PROGRAM ASSISTANTS Motolani A. Alimi Candice Gant (Chicago Campus) Maria Salas Ramos
Lynn Gerstein, LCSW, CGP, Alcohol and Other Drug Specialist, Group Therapy Coordinator Pamela Hazard, M.D., Staff Psychiatrist Olivia D. Hoskins, Ph.D., Staff Psychologist Rosemary Magaña, M.A., LCPC, Licensed Clinical Professional Counselor Cindy McKinzie, Psy.D., Staff Psychologist
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MESSAGE FROM THE EXECUTIVE DIRECTOR Greetings! I have the great honor of serving as the Executive Director of CAPS. This year, I completed my 13th year as the head of CAPS. Each year CAPS collects a great deal of data on the students who utilize our clinical services and on the individuals we reach through our outreach and programming. In addition, CAPS hosts a doctoral internship and a postdoctoral fellowship. The 2017-2018 academic year was another busy one for CAPS. We are excited to share our annual report for the year. Thank you for your interest. DR. JOHN DUNKLE
CAPS MISSION STATEMENT
CAPS GUIDING PRINCIPLES
The mission of CAPS is to enhance the student learning experience by fostering student wellness, mental health, and personal growth within the broader Northwestern campus support network.
• Professional ethics: We are dedicated to providing services informed by a commitment to principles of social justice while adhering to our professions’ ethical/legal standards.
We pursue our mission by providing clinical services, community education, consultation, advocacy, and training of future mental health professionals. CAPS Consists of five major areas that provide the services to meet our mission. CLINICAL SERVICES PSYCHIATRIC SERVICES SPORT PSYCHOLOGY OUTREACH AND EDUCATION SERVICES PROFESSIONAL TRAINING PROGRAMS
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• Best practices: We utilize evidence-based practices, guided by research, clinical expertise, and individual characteristics. • Data-informed decisions: We make deliberate, strategic, data-driven decisions to maximize our ability to meet students’ needs. • Culturally informed services: We incorporate into our practices the value of cultures and identities as well as the effects of historical and current social forces in students’ lived experiences
SPOTLIGHT ON NEW CAPS STAFF MEMBER 2017-18 TND 2017
In summer 2017, Northwestern Administration made the decision to move the longstanding Women’s Center counseling services to CAPS. A national search was done to find a new staff member to serve as the Women’s Advocacy and Wellness Specialist. Kanika Wadhwa, Licensed Clinical Professional Counselor, currently serves in this role. She specializes in providing culturally competent, trauma informed clinical support to the students in need. She also developed a strong relationship with the Women’s Center and has offered weekly, informal drop in hours through our Let’s Talk program. She has done several workshops and other outreach together with our campus partner, CARE, including From Surviving to Thriving support group for student survivors of sexual violence.
Movember 2017
Body Acceptance Week 2017
KANIKA WADHWA LCPC
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CLINICAL UNIT HIGHLIGHTS Dr. David Shor, Director of Clinical Services, provides leadership for CAPS Clinical Unit. The next several pages will include data highlights from the Clinical Services area for the 2017-2018 academic year, including major accomplishments, utilization statistics, student demographic data, and much more. The Clinical Unit also consists of two multi-disciplinary specialty teams, the Eating Concerns Assessment and Treatment Team and the Alcohol and Other Drug Clinical Team.
MAJOR ACCOMPLISHMENTS: • Initiated on-line scheduling for initial appointments. • Served over 3100 students, the highest utilization rate in CAPS’ history. • Provided debriefings and community support in the aftermath of multiple student deaths and campus crises DR. DAVID SHOR
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KEY CLINICAL UTILIZATION DATA 2017-18 COMPARED TO 2016-17 TOTAL NUMBER OF...
2017-18
2016-17
1269 (+14.6%)*
1,107*
247 (-0.2%)
244
Evanston Daytime
1038 (+5.2%)
985
Chicago Daytime
83 (+10.6%)
75
After-Hours
291 (0.0%)
299
2161 (+9.4%)
1,969
2535 (9.8%)
2,309
18,728 (+4.9%)
17,858
14,205 (+.004%)
14,147
3122 (+11.2%)
2,808
Intakes Evanston Appointments Chicago Appointments Crisis Appointments
Third Party Consultations Students Ongoing Clinical Services (seen two or more sessions beyond initial appointment) Mean # Sessions = 6.45) All Appointments** Service Hours Students
*Numbers in parentheses indicate +/- % compared to last academic year. **Includes students served in direct clinical services, critical incident debriefings, and third party consultations
EATING CONCERNS ASSESSMENT AND TREATMENT TEAM (ECATT) ECATT is a multi-disciplinary team run by the CAPS Eating Concerns Specialist, Dr. Elieen Biagi. Members of the team include various staff members from CAPS, Health services, and Athletics.
ALCOHOL AND OTHER DRUG (AOD) CLINICAL TEAM The AOD Clinical Team is a multi-disciplinary team directed by CAPS AOD Specialist, Lynn Gerstein, LCSW. The team consists of staff from CAPS, Health Services, and Health Promotion and Wellness.
124 students presented at CAPS with eating concerns, a slight decrease from the prior year (N=128).
A total of 32 students was referred to the AOD clinical team this year (same total number as last year)
71 students were recommended to complete the ECATT assessment process, a sharp increase from last year (N=47).
Fall 2017: Total = 10 students; 3 female identified and 7 male identified (1 first years, 2 sophomore, 3 junior, 1 seniors, and 3 graduate students)
Students with eating concerns comprised 9.2% of the total number of student completing intake evaluations and 9.6% of students evaluated as severe and urgent.
Winter 2018: Total = 8 students; 2 female identified and 6 male identified (1 first year, 2 sophomores, 4 juniors, 1 senior) Spring quarter: Total = 14 students; 7 female identified and 7 male identified (3 first years, 3 sophomore, 2 juniors, 3 seniors, and 3 graduate students) PAGE 7
GENDER
RACE/ETHNICITY
UNDERGRADUATE STUDENT DEMOGRAPHIC DATA SEXUAL ORIENTATION
ACADEMIC STATUS
SCHOOL AFFILIATION
FIRST GENERATION COLLEGE STUDENT
HOUSING STATUS
455 (38.5%) 701 (59.3%) 14 (1.2%)
Self-Identify
3 (0.3%)
Transgender
579 (55.6%) 148 (14.2%)
White Asian American/Asian
106 (10.2%)
Hispanic/Latinx
107 (10.3%)
African American/Black
83 (8.0%)
Multi-racial
13 (1.2%)
Self-Identify
119 (10.3%)
International student
868 (73.4%) 134 (11.3%)
Heterosexual Bisexual
53 (4.5%)
Gay
40 (3.4%)
Questioning
13 (1.2%)
Lesbian
28 (2.4%)
Self-Identify
358 (30.3%) 298 (25.2%)
Freshman/First Year Sophomore
292 (24.7%)
Junior
235 (19.9%)
Senior
554 (46.8%) 179 (15.1%)
Weinberg Communication
144 (12.2%)
McCormick
83 (7.0%)
Medill
83 (7.0%)
SESP
53 (4.5%)
Bienen
2 (0.2%)
Professional Studies
1 (0.1%)
Pritzker School of Law
1 (0.1%)
Feinberg
1 (0.1%)
Kellogg
176 (14.9%)
Yes
977 (84.7%)
No
582 (49.2%)
Residence Hall
462 (39.1%)
Off-campus
104 (8.8%) 5 (0.5%) TOP 5 RESIDENCE HALLS FOR STUDENTS REPORTING LIVING ON-CAMPUS
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Man Woman
Greek Housing Other
63
Foster Walker
60
Elder
52
Allison
42
Bobb
36
Jones
UNDERGRADUATE TOP PRESENTING CONCERNS: SELF-REPORT* 1. SOCIAL ANXIETY 2. ACADEMIC DISTRESS 3. GENERALIZED ANXIETY 4. DEPRESSION
NUMBER OF STUDENT VISITS TO CAPS PER QUARTER
5. EATING CONCERNS 6. HOSTILITY
SUMMER 70
7. SUBSTANCE USE *When students come to CAPS they complete a problem checklist called the Counseling Center Assessment of Psychological Symptoms (CCAPS) consisting of 34 items and seven subscales.
SPRING 276
FALL 422
60 50
56.4% WINTER 415
40
40.3%
30
OTHER DATA 25.0%
20
19.4%
10 0
5.1% 552 students reported previous counseling
479 students reported that they engaged in binge drinking* at least one time in the past two weeks. (*For men 5 or more drinks in a row and for women 4 or more drinks in a row.)
231 students reported that they had engaged in self-i njurious behavior (e.g., cutting) at least one time in the past.
298 students reported that within the past five years they had seriously considered attempting suicide at least one time.
60 students reported a previous suicide attempt.
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GENDER
352 (40.0%) 515 (58.6%) 1 (0.1%) 7 (0.8%)
Man Woman Transgender Other
CAMPUS
575 (65.4%) 286 (32.5%)
Evanston Chicago
RACE/ETHNICITY
380 (59.4%) 101 (15.8%) 54 (8.4%) 50 (7.8%) 33 (5.2%) 2 (0.3%) 9 (1.4%) 221 (25.7%)
White Asian American Hispanic/Latinx African American/Black Multi-racial Native Hawaiian or Pacific Islander Self-Identify International Student
RELATIONSHIP STATUS
440 (50.1%) 283 (32.2%) 94 (10.7%) 11 (1.3%) 3 (0.3%) 4 (0.5%)
Single Serious Dating or Committed Relationship Married Domestic partnership Separated Divorced
SCHOOL AFFILIATION
142 (16.2%) 135 (15.3%) 108 (12.3%) 81 (9.2%) 73 (8.3%) 72 (8.2%) 70 (8.0%) 40 (4.6%) 25 (2.8) 23 (2.6%) 15 (1.7%)
The Graduate School
794 (90.3%) 49 (5.6%) 9 (1.1%)
Off-campus On-campus Other
GRADUATE/ PROFESSIONAL STUDENT DEMOGRAPHIC DATA
GRADUATE/ PROFESSIONAL STUDENTS’ TOP PRESENTING CONCERNS: SELF-REPORT* 1. Social Anxiety 2. Generalized Anxiety 3. Academic Distress 4. Depression 5. Eating Concerns 6. Hostility 7. Substance Use
HOUSING
51.6%
*When students come to CAPS they complete a problem checklist called the Counseling Center Assessment of Psychological Symptoms (CCAPS) consisting of 34 items and seven subscales.
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Fall 2017 Winter 2018 Spring 2018 Summer 2017
OTHER DATA 37.2%
VISITS TO CAPS PER QUARTER 320 students 228 students 143 students 188 students
Feinberg Kellogg Pritzker School of Law Communication McCormick Weinberg Medill School of Professional Studies Bienen SESP
*For men 5 or more drinks in a row and for females 4 or more drinks in a row.
14.5% 454 students reported previous counseling.
326 students reported that they engaged in binge drinking* at least one time in the past two weeks.
129 students reported that they have seriously considered suicide.
3.7% 30 students reported a previous suicide attempt.
CHICAGO (15)
SEVERE AND URGENT STUDENTS’ DATA* ACADEMIC STATUS: 40 (20.1%) Freshman/First Year | 40 (20.1%) Sophomore | 48 (25.4%) Junior | 20 (10.7%) Senior | 36 (19.5%) Graduate/Professional | 4 (0.2%) Non-students
CAMPUS
RACE/ ETHNICITY
EVANSTON (174)
77 MEN (40.8%)
109 WOMEN (57.4%)
14 (7.7%) Multi-Racial 14 (7.7%) African American/Black 15 (8.3%) Hispanic/Latinx 28 (14.8%) International student 2 TRANSGENDER (1.2%)
31 (17.2%) Asian/Asian American 81 (41.4%) White
TOP 10 PRESENTING CONCERNS
(NUMBER OF CASES)
Depression (146) Suicidal Ideation (130) Anxiety (Panic, OCD, Social Phobia) (92) Para-Suicidal Behavior (82) Substance Abuse (45) Academic Crisis (40) Suicide Attempt (32) Disruptive Behavior (27)
78 (55.0%) ER EVALUATIONS 60 (41.8%) HOSPITALIZATIONS
Relationship Crisis (17) Bipolar Disorder (17) *Severe and urgent cases include students who are currently suicidal, violent, psychotic, and/or severely compromised psychologically in some way.
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CHICAGO CAMPUS HIGHLIGHTS Dr. Fabiola Montiel serves as the Director for Clinical Services for the Chicago CAPS office. Below are important data about students utilizing the Chicago CAPS office this year as well as some trend data over the last several years.
MAJOR Number of Students Seeking Clinical Services: Chicago ACCOMPLISHMENTS CAPS 350 300
• Expanded Let’s Talk Program 306 to Pritzker School of 286 269 Law students
270 231
250
• Managed the continued increase in graduate and professional students seeking crisis services (10% increase from previous year).
200 150
• Expanded and improved group therapy program offerings.
100 50 0
• Diversified and expanded network of community referrals in the Chicago campus.
DR. FABIOLA MONTIEL 2013-14
2014-15
2015-16
2016-17
2017-18
Number of Students Seeking Clinical Services by School: Chicago CAPS 2013-14
180 160
100 80
2015-16
2016-17
2017-18
169
140 120
2014-15
110 108
148 131 136 109
103 97 89
60 40 20 0
14 PRITZKER
FEINBERG
PAGE 12 SPORT PSYCHOLOGY HIGHLIGHTS
20 20 15 TGS
29
0 2 2 2 7
0 6 2 7 18
0 1 6 4 7
COMM
MEDILL
KELLOGG
CHICAGO DEMOGRAPHIC DATA
CHICAGO CAPS STUDENTS’ TOP PRESENTING CONCERNS: SELF-REPORT* 1. Generalized Anxiety 2. Academic Distress 3. Social Anxiety 4. Depression 5. Eating Concerns 6. Hostility 7. Alcohol Use
GENDER
105 (35.0%) 192 (64.0%) 2 (0.7%)
Man Woman Other
RACE/ ETHNICITY
148 (56.1%) 47 (17.8%) 27 (10.2%) 19 (7.2%) 14 (5.3%) 2 (0.8%) 5 (1.9%) 29 (9.9%)
White Asian American/Asian Hispanic/Latinx African American/Black Multi-Racial Native Hawaiian or Pacific Islander Self-Identify International Student
RELATIONSHIP STATUS
157 (52.3%) 102 (34.0%) 27 (9.0%) 1 (0.3%) 1 (0.3%) 1 (0.3%)
Single Serious Dating or Committed Relationship Married Domestic Partnership Separated Divorced
SCHOOL AFFILIATION
128 (42.7%) 82 (27.3%) 24 (8.0%) 23 (7.7%) 8 (2.8%) 9 (3.0%) 8 (2.7%) 3 (1.0%) 2 (0.7%) 1 (0.3%)
Feinberg Pritzker School of Law Medill The Graduate School WCAS Communication Kellogg McCormick School of Professional Studies Bienen
HOUSING STATUS
284 (94.7%) 6 (2.0%)
Off-Campus On-Campus
56.4%
42.9%
*When students come to CAPS they complete a problem checklist called the Counseling Center Assessment of Psychological Symptoms (CCAPS) consisting of 34 items and seven subscales.
*For men 5 or more drinks in a row and for females 4 or more drinks in a row.
VISITS TO CAPS PER QUARTER 104 students 75 students 44 students 77 students
Fall 2017 Winter 2018 Spring 2018 Summer 2017
OTHER DATA
12.4% 169 students reported previous counseling.
129 students reported that they engaged in binge drinking* at least one time in the past two weeks.
37 students reported that they have seriously considered suicide.
2.2% 6 students reported a previous suicide attempt.
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SPORT PSYCHOLOGY HIGHLIGHTS Dr. Courtney Albinson is Associate Director for Sport Psychology and oversees clinical and performance psychology services provided to varsity student-athletes. Below are key highlights for the unit this year.
MAJOR ACCOMPLISHMENTS • Managed the continued increase in student-athletes seeking clinical services (12% increase from the previous year). Nearly 40% of the student-athlete population received services.
DR. COURTNEY ALBINSON
• The number of sport psychology team interventions increased by 88% from the previous year, with four additional teams seeking services. In total, 11 of the 19 NU varsity teams utilized sport psychology services. • Developed a 7-session psychoeducational injury support group for student-athletes in collaboration with Sports Medicine staff.
Clinical Services Provided to Student-Athletes 2017-2018 Service Intake Evaluations
# of Appointments 105
Crisis Appointments Daytime
36
After-Hours
43
Individual Counseling Appointments
861
Psychiatric Evaluations
52
Medicine Management Appointments
292
Third Party Consultations
464
Case Management Appointments
124
Performance Psychology Consultation Appointments
47
Total Appointments
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2024
DEMOGRAPHIC DATA GENDER
103 (53.6%) 89 (46.4%)
Man Woman
RACE/ ETHNICITY
145 (75.5%) 19 (9.9%) 12 (6.3%) 10 (5.2%) 6 (3.1%) 12 (6.3%)
White African American/Black Asian American/Asian Multi-Racial Hispanic/Latinx International Students
RACE/ETHNICITY
50 (26.0%) 34 (17.7%) 61 (31.8%) 42 (21.9%) 5 (2.6%)
First Year Sophomore Junior Senior Graduate
Number of Student-Athletes Seeking Clinical Services 250 200 192 150 100
156
165
171
2015-16
2016-17
136
50 0
2013-14
2014-15
Sport Psychology Team Interventions and Outreach 2017-18 Team Interventions Teams # Student-Athletes Reached # Sessions*
2017-18
PAGE 15
# Service Hours
Table 2: Sport Psychology Team Interventions and Outreach 2017-18 Team Interventions Teams
Student-Athletes Reached
Sessions*
Service Hours
11
327
179
227.5
Outreach Programs Student-Athletes Reached
Sessions
Service Hours
Intro to CAPS’ Services
342
11
11.5
QPR Suicide Prevention Training
20
1
1.5
Coping with Sport Injury
81
7
7.0
Stress Management
35
1
1.25
Total Outreach
478
20
21.25
Total Team Interventions and Outreach Programs
805 (-26.3%)**
199 (+61.8%)**
248.75 (+44.6%)**
*Includes group mental skills instruction, team building interventions, practice/competition observation, and coach consultation **Percent change compared to 2016-17.
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PSYCHIATRIC SERVICES Dr. Elizabeth Gobbi is the Associate Director for Student Psychiatric Services. In her role she oversees all aspect of psychiatric services at CAPS. Below are some highlights of the year in this area.
MAJOR ACCOMPLISHMENTS • Psychiatry led an effort to develop a Memorandum of Understanding between CAPS and NU Student Health listing guidelines for the collaborative treatment of student- athletes with ADD/ADHD.
•
• •
• Dr. Frankel led a team from Northwestern and Stanford Universities that presented a model of care for student-athletes at the American Psychiatric Association’s Conference. Dr. Frankel led a team from Northwestern andAnnual Stanford Universities that presented a
model of care for student-athletes at the American Psychiatric Association'sFellow Annual • Dr. Gobbi became a Distinguished of the Conference. American Psychiatric Association, the highest honor DR. ELIZABETH GOBBI Dr. Gobbi became a Distinguished Fellowawarded of the American Psychiatric Association, the psychiatrists nationally. highest honor awarded psychiatrists nationally. • Psychiatry the trend of increasing demand Psychiatry continues the trend of increasing demandcontinues and increasing acuity: and increasing acuity: appointments were up 7% over appointments were up 7% over last year, and up 24% since 2014-15. last year, and up 24% since 2014-15.
Total # Psychiatric Appointments* 1600 1400
1444
1280 1353
1200 1000
1160
1240
1040
800 600 400
366
390
391
398
392 363
200 0
2012-13
2013-14
2014-15 # Appointments
2015-16
2016-17
2017-18
# Students
**Psychiatric appointments include psychiatric evaluations, medication management appointments, crisis appointments and all other face-to** Psychiatric appointments include psychiatric evaluations, medication management appointments, face appointments that psychiatrists had with students.
crisis appointments and all other face-to-face appointments that psychiatrists had with students.
PAGE 17
# of Students Prescribed Medication 250
200
200
199 181
177
150
160
150 127
100
# OF STUDENT PRESCRIBED MEDICATION
100
50
50 0
0
2012-13
2013-14
2014-15
2015-16
2016-17
2012-13 2013-14 2014-15 2015-16 2016-17
STUDENT SATISFACTION AND LEARNING SURVEY STUDENT SATISFACTION SURVEY Opening Paragraph: CAPS solicits feedback from students who utilize its services each year CAPS solicits feedback from students who utilize servicesfrom each year through quarterly through a quarterly survey. Below are someits highlights the feedback weareceived thissurvey. Below are some highlights from the feedback we received this academic year. academic year.
I am satisfied with the services at CAPS. 100.00% 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00%
87.10%
85.21%
86.41%
87.81%
66.13%
69.82%
55.98%
57.40% 35.34%
53.73%
27.81%
34.38%
20.97% 2012-13 (116 Respondents)
80.79%
2013-14 (169 Respondents)
2014-15 (186 Respondents)
Strongly Agree
27.06%
30.43%
2015-16 (198 Respondents)
Moderately Agree
2016-17 (285 Respondents)
58.54%
29.27%
2017-18 (226 Respondents
Both
As a result of my participation in counseling at CAPS . . . ( Mean scores : 1 = strongly disagree, 5 = strongly agree) N = 226 Students 5 4.28 4
4.29
17
4.07
3.93
4.09
3.9
3.89
3 2 1
PAGE 18
I learned more I learned coping I learned more I better I can better I developed more The quality of my about myself strategies that effective ways to understand ways identify situations effective problem relationships with (e.g., personal will enable me to deal with stress to develop and which require me solving strategies others has skills, abilities, manage my own maintain healthy to make decisions improved and growth mental health relationships with that are healthier areas) others than others
Thinking broadly, what did you learn about yourself, your relationship with others, or your
“
“
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? (Direct quotes from students)
“CAPS gave me language and new frameworks of thinking to reflect on my relationships with others.” “CAPS really helped me take a step back from the chaos that is Northwestern. It provided me with the opportunity to talk to people who genuinely cared about me and it provided me with tangible coping strategies to deal with stressful situations in the future.” “CAPS was my first counseling experience, and I found it to be immensely helpful to discuss some of the things I was feeling and be given a name for some of my experiences that previously I did not have the vocabulary to adequately describe and think about.” “I learned a lot about my racial and religious identity.” “I learned a lot about self-compassion, which has been hugely important in coping with stress and in general developing a healthier relationship with myself as well as others.”
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. Lynn Gerstein, LCSW, coordinated 12 groups this year. Below are some direct quotes from students who returned the survey. “Great participants. Wish everyone could continue next quarter.”
“I felt like I could be completely honest and have my feelings validated. I felt like I could get to the core of a lot of issues that were happening for me instead of repress“I learned many coping strategies and ways to think that ing most of my feelings and thoughts as I usually do.” allowed me to better manage my life at Northwestern.” “I learned that traits I previously thought of only as “I learned that it is ok to ask for help and reach out.” faults can also be seen as assets.” “I learned to be more aware of what triggers anxious feelings in me and learned how to better deal with those feelings.”
“I find group both very helpful in creating other connections and also a meaningful source of connection in itself.”
“I learned to not put too much pressure on myself and “…embracing our “true” behavior instead of “best” not put so many responsibilities on my shoulders. I also behavior can actually produce better results, relationlearned that being vulnerable when speaking with a ships” friend is ok.” “I learned to be vulnerable and it is okay to share how “The idea of applying self-compassion to both myself I am feeling in the moment; whether good or bad. It is and to use compassion in approaching problems with okay to be open with my friends and my family whenrelationships and friends.” ever something is bothering me.” “I believe that CAPS is very helpful for me and I would be in a much darker place than I am now, but I am still struggling with things and sometimes feel like things are worse than they were before. However, I believe CAPS is doing all that they can to help me get healthy again.” PAGE 19
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, consisting of 7 subscales and an overall distress index. Higher scores indicate higher levels of self-reported distress. CCAPS stands for the Counseling Center CCAPS 34 Average Scores 2017-2018 Assessment of Psychological Symptoms.
2.5 2
2.5
NU CAPS Clients (N = 2211 students) Compared to Normed National Average Scores Mean Scores: 0 = Not at all like me , 4 = Extremely like me
CCAPS 34 Average Scores 2017-2018 NU CAPS Clients (N = 2211 students) Compared to Normed National Average Scores Mean Scores: 0 = Not at all like me , 4 = Extremely like me
1.5 2
1
1.5
0.5 1
CAPS Clients Average Scores
0 In de x
Ac ad Aca em de m ic ic Di Di st st re re s So ss cia So s l A cia Ge ne Ge nxi l An ra ne ety xi et liz r y ed aliz An ed xie An ty xie De ty pr D es ep s Ea r tin E ion ess io g C at n on ing ce Co rn n s ce rn s Ho st ilit Ho y st Al ilit co Ov y ho A er l U lco all O s h Di ve st ra e ol U re ll se ss Di In str de es x s
0.5 0
National Average Scores*
CAPS Clients Average Scores National Average Scores*
CCAPS 34 Subscales *National Average Scores were normed by the Center for Collegiate Mental Health at 34 Subscales Penn StateCCAPS University (N = 173,521 students)
*National Average Scores were normed by the Center for Collegiate Mental Health at Penn State University (N = 173,521 students)
CCAPS 34 Subscale change standardized scores: Students who are seen in individual therapy at CAPS complete the CCAPS 34 at their initial session and at oneare or twoin follow-up sessions. Results revealedthe CCAPS 34 Subscale change standardized scores: Students who individual therapy at CAPS complete CCAPS 34 Subscale change standardized scores: Students who seen are seen in individual therapy at CAPS that34students who reported initial high scores experienced relief in symptoms across allreported CCAPS at their initial session and at one or distress two and follow-up Results revealed that students who complete the CCAPS 34 at their initial session at onesessions. or two follow-up sessions. Results revealed nd subscales at the 2reported administration. initial high distress scores experienced relief in symptoms across all subscales the 2nd administration. that students who initial high distress scores experienced relief inatsymptoms across all subscales at the 2nd administration. CCAPS 34 Subscale Change Scores 2017-18 N = Change 537 Students CCAPS 34 Subscale Scores 2017-18
1st Administration
er
ns Ho st Hiolit Su syt bs ilit Ov Sutan y bsce er ta U Ovall ncse erDis e all tre Us Di ss e st In re de ss x
CCAPS 34 Subscales
CCAPS 34 Subscales
MULTI-YEAR CLINICAL TRENDS
PAGE 20 MULTI-YEAR CLINICAL TRENDS
In de x
0
N = 537 Students
De D prep GeG es r e neen sioss rae n io lirza n eldiz eAd nxA ienx tyie So ty cSiao lcAia nlxA Ac ien txyi aAd et ceam y diec mSt icre Ea Ssts tEin re agt C ss ino gnCc oernn cs
Standardized CCAPS Score Standardized CCAPS Score
1.6 1.4 1.6 1.2 1.41 1.2 0.8 1 0.6 0.8 0.4 0.6 0.2 0.4 0.20
1st Administration
2nd Administration
2nd Administration
MULTI-YEAR CLINICAL TRENDS Unique Students Accessing CAPS Clinical Services
# of Unique Students Accessing CAPS Clinical Services
2017 – 18: 3,122 students 2016 – 17: 2,813 students
2017 - 2018: 3122 students
2015 – 16: 2,517 students
2016 - 2017: 2813 students
2014 – 15: 2,532 students
2015 – 2016: 2517 students
2013 – 14: 2,283 students
2014 – 2015: 2532 students
2012 – 13: 2,129 students
2013 – 2014: 2283 students
2011 – 12: 1,910 students
2012 – 2013: 2129 students 2011 – 2012: 1910 students
CAPS Student Utilization Rate vs. Rate for Comparably Sized Schools
NU CAPS rate = Total Students Acessing CAPS/TOTAL FTE NU Students Fall 2017 (17,667students) 20.00% 15.00% 10.00%
11.30% 9.00%
12.40% 8.19%
5.00% 0.00%
2011-12
2012-13
13.40%
7.69%
2013-14 NU CAPS Rate
13.80%
14.80%
16.08%
9.92%
9.18%
6.87%
2014-15
2015-16
2016-17
17.70%
7.10%
2017-18
National Mean Rate
Change Rates between 2010-11 and 2017-18* 70.00%
65.10%
60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00%
7.60%
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2011-12
2012-13
2013-14
2014-15
NU CAPS Rate
2015-16
2016-17
2017-18
National Mean Rate
Change Rates between 2010-11 and 2017-18* 70.00%
65.10%
60.00% 50.00% 40.00% 30.00% 20.00% 7.60%
10.00% 0.00%
Northwestern Institutional Emrollment
Students Served at CAPS
*Since the 2010-11 academic year, the number of students seeking services at CAPS has grown more than 8 times faster than Northwestern institutional enrollment. The Center for Collegiate Mental Health reported similar 21 trends nationally in its 2015 Annual report.
*Since the 2010-11 academic year, the number of students seeking services at CAPS has grown more than 8 times faster than Northwestern institutional enrollment. The Center for Collegiate Mental Health reported similar trends nationally in its 2015 Annual report.
# of Emergency Room Transports and Hospitalizations Compared to Mean # for Comparably Sized Schools # of Emergency Room Transports and Hospitalizations Compared to Mean # for Comparably Sized Schools (Source: AUCCCD 2017 survey. This is the first year the survey counted (Source: AUCCCD 2017 survey. is the first year the counted both hospitalizations and bothThis hospitalizations andsurvey transports. transports.
17.921.6
2017-18
60
48 53 47 48
2016-17 2015-16 30
2014-15
2011-12
14.8
2010-11
14.8
2009-10
14.8
2008-09
15
2007-08
13.4 0
10
20
68 72
52
27
2012-13
74
41 36
2013-14
78
45
NU # Hospitalized
59 43
NU # ER Transports
53
43
62 47
65
34 40
National Mean Transports*
63
39
30
National Mean Hospitalized*
71
61 50
60
70
80
90
Routine Access Appointments v Rapid Appointment Trends The two graphs below track 1) number of appointments and students served in routine access service and 2) number of appointments and students served in rapid access services. Routine access PAGE 22 appointments are those that are regularly scheduled such as routine on-going therapy, group therapy
ROUTINE ACCESS APPOINTMENTS V RAPID APPOINTMENT TRENDS Routine access appointments are those that are regularly scheduled such as routine on-going therapy, group therapy psychiatric appointments etc. Rapid access appointments require immediate access because there may be potential safety concerns. The graphs show that rapid access appointments have significantly outpaced routine access appointments.
CAPS Routine Access Appointments
14000
12000
10833
11635
12165
10713
9289
10000
8000
10893
7871
7790
7203
7794
7759
6000
4000 2785 2000 1710
1711
1727
1958
1774
1787
2110
2298
2229
2517
0 2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
Students
2013-14
2014-15
2015-16
2016-17
Appointments
CAPS Rapid Access Appointments
1600
1359
1400
1353
1200
1196
884
800 589
600
200 0
1086
1075
1000
400
2017-18
686 575
638
704
841
691
525
455
369
821
431 289
328
352
247 2007-08
2008-09
2009-10
2010-11 2011-12 Students
2012-13
2013-14 2014-15 Appointments
2015-16
2016-17
2017-18
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23
OUTREACH AND EDUCATION HIGHLIGHTS Dr. Monika Gutkowska serves as Assistant Director for Outreach and Education at CAPS. Below are some highlights of the numbers of individuals reached and the types of programs offered through our outreach and education efforts.
MAJOR ACCOMPLISHMENTS: • Launched anonymous mental health online screenings with 2,321 individuals completing screenings between September 2017 and June 2018. • Started community support groups: Sana Sana (healing space for Latinx identified students), Graduate Women of Color Support Group, From Surviving to Thriving (support group for sexual assault survivors with collaboration with CARE). • Expanded Let’s Talk to two additional locations (Women’s Center and Pritzker School of Law) • In collaboration with several other Student Affairs Offices, we implemented the Breathe app. • Launched a new format production of the True Northwestern Dialogue on Mental Health DR. MONIKA GUTKOWSKA
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CAPS OUTREACH AND EDUCATION UNIT UTILIZATION DATA: 2017-18 COMPARED TO 2016-17 Programs
Persons Reached
% Persons +/2016-2017
Intro to CAPS’ Services
43
6,830
+32.2
Stress Management
181
782
+43.9
Stress Management Clinic
149
188
+1.0
Stress Management Outreach
32
594
+51.4
32
1038
+24.4
QPR Training
27
878
+21.4
Other Outreach
5
160
+23.8
263
102
+100
Discovering USA
16
213
-51.4
Counseling/Helping Skills
10
591
-1.1
Sport Psychology*
198
785
+273.8
Eating Concerns
4
296
+2.4
Relationships
8
161
+111.8
Outreach Support Groups*
15
64
N/A
Other**
18
356
+24.4
TOTAL
783
11,218
+19.2
Topic Area
Suicide Prevention
Let’s Talk
*New Program during 2017-2018 ** Includes campus-wide wellness programs
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FEATURED OUTREACH EVENTS WildCHAT WildCHAT is a peer-operated helpline which has been in existence at Northwestern since 2014 (initially called NU Listens) and it has received formal recognition from the Associated Student Government. Dr. Steven Andrews from CAPS provides staff oversight and training for the program. This academic year, the organization was comprised of 7 student executive board members and nearly 20 Listeners who answered calls. New Listeners are recruited each year and receive a formal, quarter-long training on a variety of topics such as active listening skills, crisis response, suicide prevention, and resource and referral provision. The training is both didactic and experiential. The WildCHAT helpline is open for calls during fall, winter, and spring quarters, Monday through Thursday, from 8:00 p.m. to 11:00 p.m. At the 2018 Wildcat Excellence Awards, WildCHAT was honored as an Outstanding Undergraduate Student Organization.
r to e b m e m e R B R E AT H E
BREATHE APP In the summer 2017, several CAPS staff collaborated with Student Affairs Marketing and IT, as well as several students, to develop an app called, Breathe. Breathe is a stress management resource, created purposely for Northwestern students. In Breathe, students can access a variety of guided meditations and breathing practices to help you deal with stress. Students can quickly access the app through the NU Help App. Since launching the Breathe, we have had 3,926 unique users visit the various links.
REATHE! ment to B t to Take a mo ke a momen source ressed? Ta or st agement re erwhelmed ty of stress man Feeling ov ides a varie is a mobile e ov th pr It ea . Br ts d uden Breathe. , anxiety, an western st ss th re or st N r ith fo pe w created help you co to es tic y! brief prac eathe toda lems. Try Br reathe sleep prob stern.edu/b ormation, For more inf
please visit:
we www.north
Breathe gram
A CAPS Pro
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MAJOR ACCOMPLISHMENTS • CAPS Doctoral Internship participated in a national matching process in February, 2018, and received 106 applications from doctoral candidates in 26 states for three intern positions. We matched with three highly qualified interns from three doctoral programs in psychology from three states: ~~ Latifat Cabirou, M.S., from the counseling psychology program at Loyola University Chicago ~~ Jennifer Coleman, M.S., from the clinical psychology program at Palo Alto University ~~ Nikki Falk, M.A., from the counseling psychology program at the University of Missouri-Columbia DR. JOD TAYWADITEP
TRAINING UNIT Dr. Jod Taywaditep is Associate Director for Training and oversees the CAPS Doctoral Internship, which is accredited by the American Psychological Association, and Postdoctoral Fellowship. Below are a few highlights from the training area.
• CAPS Postdoctoral Fellowship received 41 applications in January 2018, and the Selection Committee interviewed 10 candidates. We offered the positions to two highly qualified new professionals in psychology: ~~ Adam Hibma who received a Psy.D. in clinical psychology from Roosevelt University ~~ Keaton Muzika who received a Ph.D. in counseling psychology from the University of Denver
DOCTORAL INTERNS IN PSYCHOLOGY 2017-18 • Keaton Muzika, M.S.W., from the counseling psychology program at the University of Denver • Rebecca Lewis, M.S., from the clinical psychology program at Nova Southeastern University Keaton Muzika
Rebecca Lewis
Meaghan Rowe-Johnson
• Meaghan Rowe-Johnson, M.S., from the counseling psychology program at the University of Iowa POSTDOCTORAL FELLOWS 2017-18 • Stephanie Carrera, Ph.D., from the counseling psychology program at Iowa State University • Sean Serluco, Psy.D., from the clinical psychology program at Midwestern University
Stephanie Carrera
Sean Serluco
PAGE 27
COUNSELING AND PSYCHOLOGICAL SERVICES
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
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