Contents Letter From the Director .............................................. 1 Mission Statement ........................................................ 1 Clinical Services ............................................................ 2 Group Therapy .............................................................. 4 Crisis, Emergency & Resource Center ......................... 6 Our Training Program ................................................... 7 Outreach & Consultation .............................................. 8 Alcohol & Other Drug Services ..................................... 10 ASPIRE ........................................................................... 11 Peer Support Program .................................................. 12 Kognito At-Risk ............................................................. 12
Letter from the Director The Counseling and Wellness Center (CWC) is part of the Division of Student Affairs at the University of Florida (UF). As the primary provider of mental health services, CWC provides high quality counseling and psychiatric care as well as developmental and preventative services to UF students. CWC also supports the larger UF community, including parents, faculty, staff, and administrators, through consultation on matters related to collegiate mental health. Our students seek CWC services to address a wide range of concerns and needs; from concerns about finding oneâ€™s place on campus to relationship problems; from mental health emergencies or crises to chronic and severe mental illness requiring psychological and psychiatric care; or to be educated on a wide range of mental health topics aimed at preventing mental health concerns. As part of our comprehensive efforts to meet the needs of all UF students, we offer individual, couples, and group counseling, outreach programs and workshops, web-based counseling and other digital services, consultation services, and are engaged in various
other educational activities. Some of our clinical staff are members of a Crisis Response Team, which dispatches teams to assist members of the university community who may be dealing with a tragedy or the loss of life. Many CWC clinicians are also affiliate faculty members in the APA-accredited doctoral program in Counseling Psychology and/or the Department of Counselor Education. All of us at CWC, including those who serve in our technology, administrative/fiscal, and support staff teams, are committed to serving our students with the utmost dedication, respect, and care. We thank you for your support and trust in our services. We also hope that this yearâ€™s report offers you a meaningful picture of the varied and multiple efforts and contributions in support of the personal and academic development of our students and our overall mission. If you should have any questions, please feel free to contact me, Dr. Ernesto Escoto, at 352392-1575, or at: firstname.lastname@example.org
On behalf of everyone at CWC, thank you. Ernesto R. Escoto, PhD, Director
Our Mission Statement
Fostering human development in all its diversity through compassion, empowerment, advocacy, hope, empathy, and heart. Embracing differences and nurturing a healthy and healing campus environment for all.
UF | CWC Annual Report
Clinical Services Being there for students is at the heart of what we do. The following illustrations provide clinical information, including presenting concerns, referral sources, and other data such as appointment numbers and the percentage of UF students who are also our clients.
To Meet a Rising Need
As the stigma around mental health fades we see the need for our services growing. This chart illustrates that over 9% of UF students received services by CWC. Given UF’s growth, we anticipate that number growing quickly, approaching 10% by 2020. This is a modest estimate as attitudes toward mental health among students change.
10.0% 9.8% 9.6% 9.4%
8.8% 8.6% 8.4%
The following two charts (comparing 2014-15 and 2015-16 CWC Clients Served % of UF Students Served by CWC data) reflect growth in the areas projected projected of utilization and referrals. The first graph shows academic demographics of our clients. This year we experienced a 2.3% increase in Freshmen utilizing our services, possibly due to students’ values around mental health. The second graph illustrates how students were referred to our services with a 3.5% growth in Faculty/Staff referrals, and a 1.3% growth in referrals from friends. Mental health services are becoming a more integral part of the campus environment, with clients referring their friends to our services and faculty and staff taking a more active role in identifying students who would benefit from counseling, group therapy, workshops and many other services we provide. As UF strives for preeminence we expect this growth to continue.
Our Clients’ Academic Status with Yearly Change By Percentage 905
2015-16 3,932 responses
2014-15 3,683 responses
Who Our Clients Were “Referred by...” with Yearly Change By Percentage 1101 +3.5%
Brochures or Poster
2015-16 3,922 responses 2014-15 3,649 responses
Most Frequently Reported Presenting Concerns
PRESENTING CONCERNS AT TRIAGE, BY PERCENTAGE Difficulty Concentrating 75%
This year the majority of our clients reported •• “Difficulty Concentrating” (75%) •• “Sadness/Depression” (58%) and •• “Academic Distress” (50%) as concerns presented during their triage
Sadness/Depression 58% Academic Distress 50% Shyness/Social Anxiety
Suicidal Thoughts 35% Eating Concerns 26% Relationships 18% 18% Abuse/Assault in History 15% Substance Abuse 0
Client Outcomes A client outcome is a change in a clients behavior or attitude resulting from their therapy sessions at the CWC.
2015-2016 Client Outcomes (BHM-20) Scale
Global Mental Health
Client Contacts 2014-15 Number of students served by CWC 4,401 Number of individual counseling sessions 15,735 Number of group and group related sessions 6,818 Psychiatric referrals 447 Psychiatric appointments 5,762 Number of Non-Client Consultations (students, faculty, staff, family, community members, etc.) 1,607 Hospitalizations 38 Peer Support/High Risk Groups 4 Medical Amnesty Policy Appointments 67 Avg. individual counseling sessions per client 7 Total number of appointments 37,726
2015-16 4,764 17,261 7,628 475 6,027 1,802 51 6 53 6.28 39,719
UF | CWC Annual Report
Group Therapy The CWC is home to one of the largest Group Therapy programs in the nation, offering 86 unique therapy groups during this academic year. Our groups provide support for diverse student populations (e.g. international, LGBTQ, first generation, graduate students) and address specific presenting concerns (e.g. depression, eating disorders, substance use, bereavement). Drop-in workshops aim to increase coping skills and mindful living by focusing on building confidence, managing stress, improving concentration and managing low mood.
NUMBER OF THERAPY GROUPS
NUMBER OF WEEKLY WORKSHOPS
Research shows that group therapy has equivalent outcomes compared to individual therapy, and in many cases, group therapy is the treatment of choice! With such a wide range of groups offered, students are able to get matched to a group or workshop which addresses their specific concerns.
NUMBER OF UNIQUE CLIENTS RECIEVING GROUP SERVICES
NUMBER OF CLIENT HOURS PROVIDED IN GROUP
AVERAGE NUMBER OF STUDENTS IN EACH GROUP SESSION
The Group Therapy program substantially allows more UF students to be seen for therapy, provides them the best treatment fit for their concerns, and offers a form of treatment many other university counseling centers would be unable to provide.
During this academic year, the CWC logged over
THREE THOUSAND NINE HUNDRED AND EIGHTY-SIX
more client hours than if each group leader was seeing an individual therapy client instead.
Feedback About Our Therapy Groups At the end of each semester, members who complete group therapy are provided an opportunity to evaluate their group experience. 307 group members from 71 groups indicated the following: “I WOULD RECOMMEND GROUP TO OTHER UF STUDENTS.”
“AFTER GROUP, I HAVE MORE SKILLS TO HELP ME WORK THROUGH MY PROBLEMS.”
“THE GROUP COUNSELORS WERE RESPONSIVE TO THE GROUP’S FEEDBACK.”
“I AM SATISFIED WITH THE QUALITY OF MY GROUP EXPERIENCE.”
“I FELT ENGAGED AND PARTICIPATED AS MUCH AS I WANTED TO.”
“THE GROUP COUNSELORS CREATED A SAFE AND SUPPORTIVE GROUP ENVIRONMENT”
“GROUP IMPROVED MY ABILITY TO COMMUNICATE AND INTERACT WITH OTHERS.”
“MY OVERALL WELL-BEING HAS IMPROVED.”
“I found listening to others’ stories and journeys inspirational.” “I learned that I am not alone in my experiences, and that I am stronger than I think.” “Openness between group members was very helpful, and it contributed to overcoming obstacles.” “I was completely against group therapy prior to this experience and now I’ll be looking to join another group in the near future.”
2015-16 Groups & Workshops Academic Confidence • Bereavement Support • Building Personal and Interpersonal Fulfillment • Coping with Medical Challenges • Creative Expressions • First Generation Empowerment • Graduate Student Support • Intentional Peer Support • International Student Support – English and Mandarin • Invincible Black Women • LGBTQ Empowerment • Low Mood and Depression • Making Peace with Food • Mindful Movement • Ready for Success • Recovery Support • Sexual Assault Survivors Support • Success Not Excess • Taming the Anxious Mind • Trans*Empowerment • Understanding Self and Others • Wellness Recovery Action Plan • You Are Enough
UF | CWC Annual Report
Crisis, Emergency & Resource Center The UF Counseling and Wellness Center’s Crisis and Emergency Resource Center (CERC) serves as a centrally located emergency consultation service to faculty and staff and walk-in emergency service for students. CERC provides training in crisis and behavioral-health issues for student affairs, academic and public safety personnel. Additionally the UF Crisis Response Team’s emergency counseling service and the behavioral-health component of the UF Disaster Plan is administered and implemented through CERC.
Two of CERC’s more common outreaches are Question, Persuade, Refer Suicide Training and Crisis Response Team Outreaches. A QPR is a 1 ½ hour interactive training about myths regarding suicide, warning signs, how to inquire about suicide and refer to resources. A CRT is a response by a team of counselors for a requested on-site consultation, intervention or support services after a tragedy on campus.
TOTAL STAKEHOLDERS, IMPACT AND OUTREACH EVENTS
Total stakeholders reached Avg. attendance per outreach Number of outreach events
STAKEHOLDERS REACHED - 2982
CERC OUTREACH EVENTS - 46
On Call Interventions
On Call Interventions are for clients with an immediate crisis or whose paperwork triggers a “flag-of-concern”, CERC manages a rotating staff of on-call counselors for various types of interventions, ranging from in-person consultations to phone calls and emails.
HOURS OF INTERVENTIONS
132 Non-Client Consults are either in person or over the phone and cover interventions with students, faculty, and staff, where typically the student of concern has not received CWC services at the time of the consultation. General Consultation appointments are consultations related to Behavioral Consultation Team, Crisis Response Team services, or other consultation areas.
On-Call Intervention Types Client Consults are either in person or over the phone, where typically the student of concern has received CWC services.
If a client calls the CWC during times when the center is closed their call is forwarded to ProtoCall, an after-hours mental health consultation service, staffed by licensed mental health providers. Calls are reviewed by CWC counselors the next work day and categorized for aftercare/ follow up.
Phone/Email Consultations are completed by CERC counselors on duty when they receive a phone call or email from a client. These are often follow up phone calls after a paperwork or ProtoCall review. Triages are in person consultations to assess the nature and type of service needed and are typically scheduled for 30 minutes. Triages are completed by counselors on duty and include both individual and couple’s sessions.
PROTOCALL CALL TYPES, BY PERCENTAGE Clinical 57% 16% Hang-Up/Misdirect 12% 8%
Next Day Follow-Up
5% On-Call Clinical Consult
This year there were 811 after-hours calls.
2% On-Call Psych Consult 0
Our Training Program The CWC’s training program is an integral part of our mission at CWC. We strive to develop counselors and psychologists who are competent, highly ethical, and culturally sensitive. Our program utilizes competency based training and requires participants to observe high standards of cultural competence and inclusivity during their training at the CWC. The majority of our trainees are UF students completing clinical requirements for their degree.
Psychology Internship Program
This year we recieved
Our internship program is one of the oldest in the country, accredited by the American Psychological Association in 1982.
D TE 2 DI E A AP 98CCR 1 A
Where Do They Go? Virtually all interns complete their internship with job placement across the country, in both academic and practice settings. In 2015-16 interns completed our program and went to the following universities.
“This year has been incredible and very important to me personally and professionally. I feel very lucky/grateful to have been here.”
Columbia University New York City, NY
Hamilton College Clinton, NY
Ohio State University
On average, trainees rated their experience
internship positions for the 2016-17 year
University of IllinoisUrbana-Champaign
out of 5
Hands On Training
Our interns and practicum students receive hands on experience serving our clients, with supervision from clinical staff to help guide them as they learn.
Practicum & Advanced Practicum Students
2136 hours of Learning Disability and ADHD Assessments
Group Therapy Hours Outreaches
Education is Part of Our Mission Teaching at UF
Continuing Education (CE)
Having opportunities for our counselors to distribute our knowledge in an academic setting is very important at the CWC. Not only does it help support our students but it also supports the academic mission of the university.
Learning is an on-going process and doesn’t end at graduation. To stay up to date with current trends in counseling practice the CWC sponsors a number of workshops for counselors and psychologists to help them grow professionally.
Courses our counselors taught this year Ethics and Skills Introduction to Counseling Trauma Theory and Crisis Intervention Consultation and Supervision The Mindful Therapist Multicultural Counseling The Counselor as a Person
11 This year we held
Continuing Education workshops
Some of our most popular CEs in 2015-16: •• Transgender Protocol •• Intergroup Dialogue: Overview, Research and Clinical Applications •• Preventing Medical Errors in Behavioral Health •• Florida Ethics, Laws and Rules
UF | CWC Annual Report
Outreach & Consultation Through outreach we provide information about our services, help build wellness skills, and promote a healthy campus through events and presence around UF. Below you’ll find a summary of this year’s efforts.
ASPIRE - Social Justice Summit - Nov 12-15, 2015 Hosted by ASPIRE In collaboration with Division of Student Affairs, College of Medicine, Center for Gender and Woman’s Studies, LGBT Affairs, Department of Psychology, Black Student Leadership Conference. Attendance - 680
The keynote was presented by Dr. Joseph White, the “godfather” of Black Psychology.
Aware - Live Optimally Fair & Play Day Live Optimally Fair (LOF) and Play Day are two CWC signature events organized by our student ambassador group, AWARE. This year LOF continued to provide students with an opportunity to know about CWC and other on-campus wellness resources. Play Day provided a number of options for students to relax right before finals and remember the importance of play and laughter to facilitate success. Attendance - 1,090
Tabling Hours - 86 General 63
Reach - 2,077 Initiatives General 23 1,326
Reach - 18,356
Crisis Management 56
Crisis Management 948
Veteran Services 7
Veteran Services 60
Tabling - CWC tables at many different campus events in order to introduce our wide range services and give students a friendly face to associate with the CWC. We bring interactive games and promotional items to make the experience more attractive, engaging and meaningful.
Presentations Hours - 811
UF International Initiatives Team 17 UF International Initiatives Team 1,104
Veteran Services 0.5
Veteran Services 20
QPR Suicide Prevention 16
QPR Suicide Prevention 487
Biofeeback Orientation 66
Biofeeback Orientation 124
RFS Workshops 21
RFS Workshops 233
Presentations - This category represents our training efforts where one or more CWC representatives addressed an audience about our services or building personal skills. This might include giving presentations, conducting workshops, taking part in panels, or teaching as a guest lecturer.
Who Are We Reaching?
At CWC we are cognizant of the importance of serving different groups that make up UF. Having a healthy campus is our shared goal and we are committed to work with our students but also with those who support them through their academic journey. The graphs below summarize our outreach by the type of stakeholders we have reached and the time we have spent sharing our message with them. Hours
Division of Student Affairs
Combined Campus and External Community Professional Organizations
UF Faculty, Staff and Administration Only Campus Community
Only External Community
How Are We Reaching Them?
Outreach is an umbrella term that covers many different activities and services, from giving a presentation or tabling at an event, to providing psychological support at a campus event. The graphs below summarize the types of outreach we provide by the number of stakeholders we have reached and the time we have spent sharing our message with them. Hours
Visibility Hours - 324.5
Reach - 9,814
Non-Client Consulation Hours - 2,654.5 Reach - 7,345
Crisis Management 23
Crisis Management 845
Crisis Management 420
Crisis Management 1,359
UF International Initiatives Team 19 UF International Initiatives Team 1,450
UF International Initiatives Team 99
UF International Initiatives Team 165
Veteran Services 25.5
Veteran Services 127
Veteran Services 1.5
Veteran Services 7
Therapy Dog Engagement 12.5
Therapy Dog Engagement 95
Medical Amnesty Policy 61
Medical Amnesty Policy 65
Visibility - CWC takes part in important and potentially triggering campus events such as vigils, protests, awareness nights like Take Back the Night, an interpersonal violence awareness event. Our presence ensures that students in distress would have immediate assistance and stakeholders would have a mental health provider to consult.
Non-Client Consults - We provide consultation to stakeholders who are not clients at the CWC but are part of our campus community. Such consultations may take place at the CWC in person, over the phone or before and after outreach events. Through non-client consultations we are able to provide general psycho-educational information as well as individualized support.
ABOUT OUR INITIATIVES • ASPIRE aims to facilitate timely graduation of African American/Black, Hispanic/LatinX, and First Generation College students. • Biofeedback teaches students how to calm their nervous system to increase their health and wellness. • Crisis Management services encompasses all efforts that address crises that impact our students. • Kognito teaches how to recognize a student in distress and help them connect with a resource through an online simulation training. • QPR is a 90-minute in-person suicide prevention training. • Therapy Dogs, Siggi and Gabe, provide a relaxation opportunity for our students. • UF International Initiatives Team (UFIIT) aims to support international and study abroad students and globalization efforts of UF campus. • Veteran Services aims to reach out to, serve and support our student veterans.
UF | CWC Annual Report
Alcohol & Other Drug Services With the number of referrals AOD receives from the Office of Student Conduct and Conflict Resolution as well as through for voluntary programs, interventions have been developed and refined to meet students needs. AOD services include one on one prevention/educational meetings, substance abuse seminars, substance abuse assessments, Back on TRAC program prevention groups and the University of Florida Collegiate Recovery Community. AOD Outreaches SAP
Back on Trac 37 128
50.5 hours 367 people reached
89 hours 529 people reached
Collegiate Recovery Community 105
238.5 hours 824 people reached
Totals 378 hours / 1,720 people reached
Non-Client Consultations are when we provide consultation to stakeholders who are not clients at the CWC but are part of our campus community. Presentations represent training efforts where we address an audience about our services or building personal skills. Visibility is when we are present at campus events such as vigils, protests, awareness nights. Our presence gives students in distress and other stakeholders a mental health provider to consult.
Back on TRAC The BOT program is for students facing potential separation from the university due to alcohol/other drug use. The program emphasizes accountability and personal responsibility while providing on-campus treatment resources, case management, peer-group support and individually tailored treatment plans.
“(Back on TRAC) did help me improve almost every aspect of my life, and I am extremely thankful.” - BOT client
Collegiate Recovery Community Learning Day - May 12th, 2016 This year AOD hosted the Collegiate Recovery Learning Day. Experts presented on the best practices for developing and maintaining a CRC on campus as well as raise awareness about the benefits of doing so. Over 40 people attended our Learning Day from universities and treatment centers around Florida. The CRC Learning day was funded through the Transforming Youth Recovery grant.
“The Collegiate Recovery Movement brings students with substance use disorders out of the shadows and into communities where their educational, psychosocial and interpersonal goals can be met through a system of care and support.” - Opening remarks
Florida/Georgia Sober Tailgate For the second year in a row, the University of Florida and the University of Georgia have collaborated to host a FL v. UGA sober tailgate at Everbank Field. Informally dubbed as “No Rivals in Recovery,” this weekend long event includes recovery meetings and fellowship, as well as tailgating at the “biggest outdoor cocktail party in the country.” The tailgate offers a safe space for fans to enjoy the festivities without drinking, because no one should have to choose between sobriety and college life. Some of the places and events that AOD’s outreach efforts took them this year: National Conferences - Student Senate - Guest Lectures - Substance Abuse Seminars - Professional Schools - Intern Training Treatment Centers - Student Health Care Center - Professional Resource Networking Event - High Schools - Fraternities - Residence Halls - University Police Department - Florida/Georgia Tailgate - Pain and Addiction Intensive Workshop - the Association of Recovery in Higher Education - CRC Learning Day 10
ASPIRE Since 2005 ASPIRE has addressed the needs of African/Black American, Latinx, and First Generation students in support of achieving academic success by providing outreach and seeking to build strong collaborative relationships. ASPIRE Highlights 2015-16 Social Justice Summit: For the Gator Good In collaboration with Division of Student Affairs, College of Medicine, Center for Gender and Woman’s Studies, LGBT Affairs, Department of Psychology, Black Student Leadership Conference
New Officer Diversity Consultation/Orientation Meetings with UFPD 4 hours – 10 officers served
CWC Senior Staff Cultural Awareness Dialogues 13 hours – 6-10 staff per session
Intern Diversity Process Series 9 hours – 6 interns per session
ASPIRE Led Groups Invincible Black Women’s Group
First Generation Student Empowerment Group
Fall – 18 hours – 9 students served; Spring – 13 hours, 7 students served.
Fall – 12 hours – 4 students served
During 2015-16 ASPIRE provided outreach to
• Office of Academic Support • Machen Florida Opportunity Scholars • UF Student Government • Student Organizations • Housing • Black Affairs
• Association of Black Faculty & Staff • Machen Florida Opportunity Scholars • African American Studies Advisory Committee • Black Affairs Task Force • Bias Education and Response Team (Fall 2015) Dr. Pritchett-Johnson speaking at the 1st Annual Social Justice Summit
UF | CWC Annual Report
Peer Support Program Peer Support is: a shift in how we see mental distress • helping each other through trauma • cutting edge— the first university in the country with this kind of program • trauma-informed • recovery-oriented • rooted in social justice and civil rights values During the past year we began the first stage of a long-term program aimed to empower students to take control of their recovery and transform the culture of mental health services at the university. During this first stage, we offered two modes of recovery-oriented Peer Support, Wellness Recovery Action Plan (WRAP) and Intentional Peer Support (IPS), in six groups, serving 49 students. These students were referred from CWC, Psychiatry, and the Dean of Students Office. CWC also trained 15 of its staff and one psychiatrist in WRAP. In stage two, we will be moving into our newly renovated Peer Support Resource Room and getting the next level of training. With this advanced training we can teach students to offer various peer support modes to each other. This, in turn, empowers students to help themselves and each another recover from the effects of trauma and other long-term barriers to wellness.
Kognito At-Risk Kognito is an interactive online training that is designed to help students, faculty, and staff recognize common signs of psychological distress and learn how to motivate students in distress to seek help. The CWC provides three versions of Kognito At-Risk: •• peer to peer for college students •• for faculty and staff to identify struggling students •• for faculty and staff to identify student veterans who may be struggling The goals of Kognito At-Risk are to •• increase students’ use of protective strategies and decrease stigma to encourage early intervention and prevent serious mental health crises •• increase students’ confidence and competence in identifying, approaching, and referring fellow students who are in distress •• increase faculty and staff confidence and competence in identifying, approaching, and referring students who are in distress
Since Sept 1st, 2015 2468 students, 950 faculty, and 77 student veterans have accessed the training. 12
UF | Counseling & Wellness Center Annual Report 2015-16 Contributors Jennifer Alonso, Group Therapy Chun-Chung Choi, Training Program Ernesto Escoto, Introduction Jaime Jasser, Kognito Alvin Lawrence, Clinical Services Natasha Maynard-Pemba, Training Program Sara Nash, Peer Support Program Brandi Pritchett-Johnson, ASPIRE Jim Probert, Peer Support Program Joan Scully, Alcohol & Other Drug Services Meggen Sixbey, Crisis, Emergency & Resource Center Gizem Toska, Outreach & Consultation Design, Illustration & Photography Adriana Chwala Daniel Ypsilanti Editing Carla Connell Ernesto Escoto Thomas Parker
UF | Counseling & Wellness Center 3190 Radio Road Gainesville, FL 32607 (352) 392-1575 www.counseling.ufl.edu
Published on Oct 6, 2016
This is the annual report for the University of Florida's Counseling and Wellness Center, for the 2015-16 academic year.