Crisis on the College Campus Peter Thomas, Ph.D.

18

Transcript of Crisis on the College Campus Peter Thomas, Ph.D.

Page 1: Crisis on the College Campus Peter Thomas, Ph.D.
Page 2: Crisis on the College Campus Peter Thomas, Ph.D.

Crisis on the College CampusPeter Thomas, Ph.D.

Page 3: Crisis on the College Campus Peter Thomas, Ph.D.

Goals and ObjectivesTake a look at who is coming to college and universitiesThe increase in acuity on campusHow it impacts your counseling centerWhat can we do about it and what are others doing about it

Page 4: Crisis on the College Campus Peter Thomas, Ph.D.

Not your typical existential crisis anymore

Look Who’s Coming to College

Page 5: Crisis on the College Campus Peter Thomas, Ph.D.

ANXIETY 41% DEPRESSION 37%

RELATIONSHIP ISSUES 35%

Association for University and College Counseling Center Directors (2011)http://www.aucccd.org/index.php?page=resources_directorsurveys_nm

Page 6: Crisis on the College Campus Peter Thomas, Ph.D.

PSYCHOTROPIC MEDICATIONS

25%

SUICIDAL THOUGHTS

OR BEHAVIORS

16%

PRIOR TREATMENT HISTORIES

13.2%

Association for University and College Counseling Center Directors (2011)

Page 7: Crisis on the College Campus Peter Thomas, Ph.D.

The Failure of De-Institutionalization

The Advent of Better Psychotropics

Reasons For The Increase

Page 8: Crisis on the College Campus Peter Thomas, Ph.D.

Better Diagnosis

Decrease in StigmaIncrease in Education

Reasons For The Increase

Page 9: Crisis on the College Campus Peter Thomas, Ph.D.

Impact On Our Counseling Centershttp://ccmh.squarespace.com/data/

Counseling Centers & Colleges typically ill-preparedCenter LimitsNo Case ManagerLimited Resources Outside of CampusLack of Students with InsuranceDisproportion of Staff to Student Ratio

Page 10: Crisis on the College Campus Peter Thomas, Ph.D.

Impact On Our Counseling CentersPROQOL Version 5 (2009)Professional Quality of Life Scale

❶ Compassion Satisfaction❷ Burnout❸ Secondary Traumatic Stress

Page 11: Crisis on the College Campus Peter Thomas, Ph.D.

What Are We Doing About it?•Current Trends:•The Rights and Responsibilities of the Modern

University (1999, Bickel & Lake)•The Era of In Loco Parentis or Legal Insularity (prior to 1960s)

●The Civil Rights Revolutionof the 1960s

Page 12: Crisis on the College Campus Peter Thomas, Ph.D.

What Are We Doing About it?•Current Trends:•The Rights and Responsibilities of the Modern

University (1999, Bickel & Lake)

● The Bystander Era

● The Duty Era

Page 13: Crisis on the College Campus Peter Thomas, Ph.D.

What Are We Doing About it?•Current Trends:

● The Facilitator Era

Page 14: Crisis on the College Campus Peter Thomas, Ph.D.

What Are We Doing About it?•Current Trends:•The Meta View is that University Administration

and Counseling Center Directors have to decide what level of service they feel they

must provide to students to achieve the university and counseling center mission.

Page 15: Crisis on the College Campus Peter Thomas, Ph.D.

What Are We Doing About it?•Current Trends:

❶ The Shift To Triage

❷ Reaching Out

❸ Branching Out

Page 16: Crisis on the College Campus Peter Thomas, Ph.D.

What Are We Doing About it?•Current Trends:

Some Other Creative Ideas to Help

NAMI Clubs on campus

ActiveMindsOnCampus.org

Jed Foundation

Page 17: Crisis on the College Campus Peter Thomas, Ph.D.

Group Scenarios

Page 18: Crisis on the College Campus Peter Thomas, Ph.D.

THANK YOU!

Peter Thomas, Ph.D.The Holiner Psychiatric Group

McKinney, [email protected]