CAPS 2013-2014 Annual Report

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PAGE 1 COUNSELING AND PSYCHOLOGICAL SERVICES NORTHWESTERN UNIVERSITY Annual Report July 1, 2013 - June 30, 2014

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Counseling and Psychological Services 2013-2014 Annual Report

Transcript of CAPS 2013-2014 Annual Report

Page 1: CAPS 2013-2014 Annual Report

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COUNSELING AND PSYCHOLOGICAL SERVICESNORTHWESTERN UNIVERSITY

Annual Report July 1, 2013 - June 30, 2014

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TABLE OF CONTENTSStaff 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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LEADERSHIP TEAM

John H. Dunkle, Ph.D. Executive Director

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

CAPS FTE Professional Staff : FTE Student Ratio 1: 982 (NU COHFE Peer Average Ratio 1 : 940)

CLINICAL STAFF

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 Magaña, LCPC Cynthia McKinzie, Psy.D. Tiffany Mehling, LCSW (departed 5/28/14) Henry J. Perkins, Ph.D.

PROGRAM ASSISTANTS

Maria Salas Ramos Jeannie Uchiyama Candice Gant (Half-time on Chicago campus)

STAFF ROSTER

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MESSAGE FROM THE EXECUTIVE DIRECTORCounseling 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 re-cordsetting number of students accessed our clinical services. Similarly, our Outreach and Education Unit provided programs to record-breaking numbers of in-dividuals, 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• COMMITMENT TO EXCELLENCE: Upholding excellence

as the ultimate principle in our personal conduct, work, programs, policies, and services.

• 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.

Outreach and

Education

Clinical Unit

Community Relations

Training Unit

CAPS MISSION STATEMENTTo 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.

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• Dr. Wei-Jen Huang hosted a 15 member delegation of coun-seling 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 sympo-sium on sport psychology at the national meeting of the Ameri-can Psychological Association.

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 Colum-bia College Chicago.

• Dr. Jod Taywaditep was elected to serve on the Standing Com-mittee on Diversity for the As-sociation of Counseling Center Training Agencies (ACCTA) and he also chairs the Training Re-sources Committee for ACCTA.

• Drs. Cindy McKinzie, Elizabeth Peters, and Mandy Freeman presented a program on treating Borderline Personality Disorder at the Annual Big Ten Coun-seling Center Conference.

• Dr. David Shor presented at the Annual Conference of Coun-seling 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 Psy-chology and Lawyering.

• Dr. Pamela Hazard was awarded Distinguished Fellow Status with the American Psychiatric Associa-tion for contributions to the field of psychiatry and service with the Illinois Psychiatric Society.

CAPS STAFF PROFESSIONAL CONTRIBUTIONS AND ACCOMPLISHMENTS 2013-2014:

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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 accom-plishments, 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.

• Most initial contacts with CAPS counselors oc-curred 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 consul-tations (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.

CLINICAL UNIT HIGHLIGHTS

DR. DAVID SHOR

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TOTAL NUMBER OF... 2012-13 2013-14

Intakes

Evanston Appointments

Chicago Appointments

741

190

844

213

Crisis Appointments

Evanston Daytime

Chicago Daytime

After-Hours

577

49

230

691

53

327

3rd Party Consultations 2360 2479

Students On-going Clinical Services (seen 2 or more sessions beyond initial appointment)

1435 1895

Average # Sessions 7.0 6.7

All Appointments 20,341 18,760

Service Hours 19,013 17,624

Students 2129 2283

Individuals Served* 5289 5062

*Includes students served in direct clinical services, critical incident debriefings, and third party consulta-tions

EATING CONCERNS ASSESSMENT AND TREATMENT TEAM (ECATT):

154 students presented at CAPS with eating concerns, an increase from last year (148).

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.

ALCOHOL AND OTHER DRUG (AOD) TEAM

A Total of 42 students were processed through the AOD Clinical Team.

Fall 2013: 14 students; 9 males; 5 females (2 gradu-ate 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)

Spring 2014: 15 students; 12 male; 3 female; (1 gradu-ate; 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 Manage-ment, and other programs.

KEY CLINICAL UTILIZATION DATA 2013-2014 COMPARED TO 2012-2013

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GENDER 388 (40.0%) Man

577 (59.5%) Woman

2 (0.2%) Transgender

RACE/ETHNICITY 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%) American Indian or Alaskan Native

69 (7.1%) International Student

SEXUAL ORIENTATION 829 (85.6%) Heterosexual

57 (5.9%) Bisexual

30 (3.1%) Gay

15 (1.5%) Questioning

6 (0.6%) Lesbian

ACADEMIC STATUS 274 (28.3%) Freshman/First Year

268 (27.7%) Sophomore

230 (23.7%) Junior

197 (20.3%) Senior

SCHOOL AFFILIATION 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

1 (0.1%) Feinberg

FIRST GENERATION COLLEGE STUDENT 98 (10.1%) Yes

841 (89.6%) No

HOUSING STATUS 456 (47.1%) Residence Hall

403 (41.6%) Off-campus

91 (9.4%) Greek Housing

5 (0.5%) Other

TOP 5 RESIDENCE HALLS FOR STUDENTS REPORT-ING LIVING ON-CAMPUS 58 (12.7%) Foster Walker

46 (10.1%) Elder

41 (8.9%) Allison

32 (7.0%) Willard

20 (4.4%) Bobb

UNDERGRADUATES STUDENT DEMOGRAPHIC DATA

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GENDER 388 (40.0%) Man

577 (59.5%) Woman

2 (0.2%) Transgender

RACE/ETHNICITY 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%) American Indian or Alaskan Native

69 (7.1%) International Student

SEXUAL ORIENTATION 829 (85.6%) Heterosexual

57 (5.9%) Bisexual

30 (3.1%) Gay

15 (1.5%) Questioning

6 (0.6%) Lesbian

ACADEMIC STATUS 274 (28.3%) Freshman/First Year

268 (27.7%) Sophomore

230 (23.7%) Junior

197 (20.3%) Senior

SCHOOL AFFILIATION 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

1 (0.1%) Feinberg

TOP PRESENTING CONCERNS: STUDENT SELF-REPORT *

FALL344 (35.5%)

WINTER263 (27.1%)

SPRING241 (24.9%)

SUMMER121 (12.5%)

440 studentsreported previous counseling

392 studentsreported that they engaged inbinge drinking ** at least one

time in the past two weeks**For men 5 or more drinks in a row,for women 4 or more drinks in a row

225 studentsreported that they have

seriously considered suicide

59 studentsreported a previous

suicide attempt

45.5%

40.5%

23.3%

6.1%

1. ACADEMIC DISTRESS2. SOCIAL ANXIETY3. GENERALIZED ANXIETY4. DEPRESSION5. OVERALL DISTRESS INDEX 6. EATING CONCERNS7. HOSTILITY8. SUBSTANCE USE

*When students come to CAPS they complete a problem checklist, called Counseling Center Assessment of Psy-chological Symptoms (CCAPS) consist-ing of 8 subscales.

0

10

20

30

40

50

440 students reported previous counseling.

392 students report-ed that they engaged in binge drinking* at least one time in the past two weeks.

225 students reported that they have seriously considered suicide.

59 students reported a previous suicide attempt.

45.5% 40.5%23.3% 6.1%

VISITS TO CAPS PER QUARTER

*For men 5 or more drinks in a row and for females 4 or more drinks in a row.

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TOP PRESENTING CONCERNS (NUMBER OF CASES)

SEVERE AND URGENT STUDENTS’ DATA*

Severe and Urgent Students’ Data*

93 Women(52.5%)

84 Men(47.5%)

CAMPUS

EVANSTON (172)

CHICAGO (5)

93 WOMEN (52.5%) 84 MEN

(47.5%)

Race/Ethnicity

Other/No Response

Multi-racial

International

African American

Hispanic/Latino

Asian American/Asian

White

5.7%

4.5%

6.8%7.9%

11.9%

22%

46.2%

71 (40.1%) ER EVALUATIONS52 (29.4%) HOSPITALIZATIONS

TOP PRESENTING CONCERNS(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)

FAMILY CRISIS (21)

PSYCHOTIC SYMPTOMS (18)

BIPOLAR DISORDER (16)

SUICIDE ATTEMPT (14)

EATING DISORDER (12)

RELATIONSHIP CRISIS (11)*Severe and urgent cases include students who were suicidal, violent, psychotic, and/or severely compromised in some way.PAGE 10

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GRADUATE/PROFESSIONAL STUDENT DEMOGRAPHIC DATA

TOP PRESENTING CONCERNS (NUMBER OF CASES)

GENDER 257 Men (41.2%) 365 Women (58.5%)

CAMPUS 339 (63%) Evanston

224 (35.9%) Chicago

RACE/ETHNICITY 344 (55.1%) White

130 (20.8%) Asian American/Asian

56 (9.0%) Hispanic/Latino(a)

44 (7.1%) African American

40 (6.4%) Multi-racial

2 (0.3%) American Indian or Alaskan Native

121 (19.4%) International Student

RELATIONSHIP STATUS 291 (46.6%) Single

230 (36.9%) Committed Relationship

79 (12.7) Married

6 (1.0%) Domestic partnership

5 (0.8%) Separated

1 (0.2%) Divorced

SCHOOL AFFILIATION 121 (19.4%) WCAS

108 (17.3%) Feinberg

92 (14.7%) 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

HOUSING 568 (91.0%) Off-campus

46 (7.4%) Residence Hall

266 students reported previous counseling.

0

10

20

30

40

50

60

53.6%38.8%

15.9%2.8%

242 students reported that they engaged in binge drinking* at least one time in the past two weeks.

100 students reported that they have seriously considered suicide.

17 students reported a previous suicide attempt.

*For men 5 or more drinks in a row and for females 4 or more drinks in a row.

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CHICAGO CAPSDr. Roberta Baer oversees the Chicago CAPS Office. On the following page is a summary of the demo-graphic 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

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 SCHOOLDr. 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 Law-yer-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 en-hancement programs.

• Partnered with various law faculty and administra-tors to deliver outreach programs to diverse law groups including the Summer Law Prep Program for non-traditional students.

• Reached over 100 School of Law community mem-bers including staff, students and faculty with mindfulness programming.

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DR. ROB DURR

DR. ROBERTA BAER

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CHICAGO DEMOGRAPHIC DATA

GENDER 92 Men (38.3%) 146 Women (60.8%)

RACE/ ETHNICITY 132 (55.0%) White

53 (22.1%) Asian American/Asian

19 (7.9%) Hispanic/Latino(a)

16 (6.7%) Multi-racial

15 (6.3%) African American

1 (0.4%) American Indian or Alaskan Native

30 (12.5%) International Student

QUARTER CAME TO CAPS 82 (34.2%) Fall

68 (28.3%) Winter

48 (20.0%) Spring

42 (17.5%) Summer

SCHOOL AFFILIATION 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

266 students reported previous counseling.

0

10

20

30

40

50

47.5% 40.5% 13.7%2.5%

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.

6 students reported a previous suicide attempt.

*For men 5 or more drinks in a row and for females 4 or more drinks in a row.

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STUDENT SATISFACTION SURVEYCAPS 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)

1

2

3

5

4

4.28 4.163.91 4.01 4.15

3.91 3.94

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 learned more effective ways to deal with stress

I betterunderstand ways to develop and

maintain healthy relationships with

others

I can betteridentify situations which require me to make decisions that are healthier

than others

I developed more effective problem solving strategies

The quality of my relationships with

others hasimproved

“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, de-pression 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 abil-ities 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.”

“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.”

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? ?

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CAPS Annual Satisfaction Survey - Users“I am satisfied with the services at CAPS”

Percentage of CAPS Users

28%

2010 2011 20132012 2014

78% 78% 78%78%

85%

44% 44% 46%35%

57%

34% 34% 33% 35%28%

Strongly AgreeAgree

Combined

CAPS ANNUAL SATISFACTION SURVEY – USERS

“I am satisfied with the services at CAPS”% OF CAPS USERS

“The group is the best experience I have had at Northwestern”.

“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”.

“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!!!”

“Some of the most important learning I have done at Northwestern, hands down”.

“I’m really glad I came, and I hope other people get the chance to experience this”.

“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 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”.

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.

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CAPS ASSESSES TREATMENT OUTCOMENU 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 2013-2014NU CAPS Clients Compared to Normed National Average Scores

Mean Scores: 0 = Not at all like me , 4 = Extremely like me

CCAPS 34 Subscales

1.5

1

0Depression Generalized

AnxietySocial

AnxietyAcademic

StressEating

ConcernsHostility

2

SubstanceUse

OverallDistress

Index

CAPS Clients Average Scores National Average Scores*

0.5

CCAPS 34 Subscale Change Scores 2013-2014N = 372 Students

CCAPS 34 Subscales

1.5

1

0

-0.5Depression Generalized

AnxietySocial

AnxietyAcademic

StressEating

ConcernsHostility

2

SubstanceUse

OverallDistress

Index

1st Administration 2nd Administration

0.5

*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.

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2013-14 2286 Students2012-13 2129 Students

2011-12 1910 Students

2010-11 1889 Students

2009-10 1799 Students

2008-09 1793 Students

# of students

# of Unique Students Accessing Caps Clinical Services X Academic Year

2013-14 2286 Students2012-13 2129 Students

2011-12 1910 Students

2010-11 1889 Students

2009-10 1799 Students

2008-09 1793 Students

# of students

# of Unique Students Accessing Caps Clinical Services X Academic Year

CAPS Student Utilization Rate vs. Rate for Comparably Sized Schools X 6 Years

Academic Year

% of

Stud

ent B

ody

15.00%

10.00%

5.00%

0.00%2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

NU CAPS Rate National Mean Rate

# of Emergency Room Transports and Hospitalizations Compared to NationalMedian Hospitalizations for Comparably Sized Institutions X 6 Years

Academic Year

60

40

20

02008-09 2009-10 2010-11 2011-12 2012-13 2013-14

80

# Hospitalized National Mean# ER Transports

MULTI-YEAR CLINICAL TRENDS

# of Unique Students Accessing Caps Clinical Services X Academic Year

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Dr. Courtney Albinson provides leadership and coor-dination 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.

• 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 Chica-go and Evanston Campus departments (e.g., Fein-berg 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.

OUTREACH AND EDUCATION UNIT HIGHLIGHTS

DR. COURTNEY ALBINSON

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CAPS OUTREACH AND EDUCATION UNIT UTILIZATION DATA: 2013-2014

Topic Area

Intro to CAPS’ Services 39

21615462

33

14

11

7

10

3

21

4773

1216240976

927

1376

220

228

708

25

646

+141.9

+4.6-32.4+20.8

+10.5

+115.0

-11.6

+25.9

+413.0

+19.0

N/A

Stress Management (S.M.)

Suicide Prevention

Counseling/Helping Skills

Peak Performance Training

Eating Concerns

Relationships

Sleep Health

Other

S.M. ClinicS.M. Outreach

# ofPrograms

# PersonsReached

% Persons +/-2012 - 2013

CAPS Outreach and Education UnitUtilization Data: 2013 - 2014

TOTAL 354 10,119 +94.4

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ESSENTIAL NU ON MENTAL HEALTHOn 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 trans-fer 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’ Bu-reau. During his senior year in high school, Jordan at-tempted 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.

QPRASK 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 sui-cide 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 pre-vention 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% gradu-ate/professional students, and 20% faculty/staff).

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 some-one 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 partic-ipants 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.

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LET’S TALK

LET’STALK

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 di-rector, 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 Gut-kowska, Let’s Talk sessions were held weekly at Mul-ticultural Student Affairs as well as the International Office. Some general demographic data of students who utilized Let’s Talk is below:

8 Men and 8 Women 11 Undergraduates and 5 Graduate/Professional Students A total of 10 hours of service provided.

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 coali-tion 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 preven-tion 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.

BODY ACCEPTANCE WEEK 2014CAPS 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:

• The keynote presentation, The Quest for the Perfect Selfie: One Asian American Woman’s Journey, by Lisa Lee of ThickDumplingSkin.com, fo-cused 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 incorpo-rate 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.

• 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.

TheCampus Program

Framework

DEVELOPLIFE SKILLS

CONNECTEDNESS

POLICY, SYSTEMS& STRATEGIC

PLANNING

MEANSRESTRICTION &

ENVIRONMENTALSAFETY

PROVIDEMENTAL HEALTH& SUBSTANCEUSE DISORDER

SERVICES

INCREASEHELP-SEEKING

BEHAVIORIDENTIFY

STUDENTSAT RISK

STUDENTWELLNESS

ACADEMICPERFORMANCE

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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 Re-lations unit also encompasses various involvements with student groups such as the Associated Student Government.

MAJOR ACCOMPLISHMENTS:• CAPS held two Contacts and Connections Meet-

ings on both the Evanston and Chicago campuses. These events bring together various campus part-ners 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.

• CAPS staff spent 22 hours and provided 26 media interviews.

COMMUNITY RELATIONS UNIT HIGHLIGHT

DR. WEI-JEN HUANG

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Dr. Jod Taywaditep provides leadership in the Train-ing 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 doc-

toral interns, 5 doctoral practicum students, 4 social work interns, and 2 postdoctoral fellows. The train-ees came from 8 graduate programs in psychology or social work.

• In our participation of the national internship matching, we matched with highly 3 qualified doc-toral 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 intern-ship program.

• Doctoral Interns worked on creating informational brochures about CAPS in 5 languages.

TRAINING UNIT HIGHLIGHTS

DR. JOD TAYWADITEP

POST-DOCTORAL FELLOW Mandy Freeman, Ph.D. Elizabeth Peters, Ph.D.

PRE-DOCTORAL INTERNS David Le, MS Elizabeth Miller, MA Giovanna Rivano Gomez, MS

ADVANCED THERAPY EXTERNS Nick Calingaert, MA Roberto Luna, MA Blaine Washington

CAPS 2013-2014 ROSTER OF TRAINEESOUTREACH & EDUCATION EXTERNS Leila Ellis-Nelson, MA Stephanie Palacios, MAFT

SOCIAL WORK PRACTICUM STUDENTS Lehua McAllister Ryan Rollinson Samantha Giovannetti Kaitlin Schreiber

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DR. ROBERTA BAER’S RETIREMENTRoberta 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 over-estimate 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 environ-ment where the schools and departments are very spread out, making community building challeng-ing. 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.

FAREWELLS

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TIFFANY MEHLING’S DEPARTURETiffany 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 accom-plished a great deal in her role. In collaboration with SAIT, she helped revamp and fine-tune our off-cam-pus provider referral database. Tiffany was also a great advocate for students. For example, she nego-tiated 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 en-sured 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.

FAREWELLS

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PROGRESS ON 2013 – 2014 GOALS AND OBJECTIVESBUILD ORGANIZATIONAL HEALTH• Review professional development funds to deter-

mine 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 Essen-tial NU on Mental Health: Accomplished

FURTHER STUDENT LEARNING• Train a minimum of 750 community members in

QPR Suicide Prevention Program across both cam-puses: 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: You-Tube Page and Facebook Page: In Progress

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 posi-tions: Accomplished

• In collaboration with Dr. Mary Desler, summarize the most recent Mental Health Survey and the re-cent Evanston campus focus groups: Accomplished

• In collaboration with Dr. Mary Desler, conduct focus groups on the Chicago campus: Not Accomplished

GOALS AND

OBJECTIVES

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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 conferenc-es 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 struc-ture 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 Enhance-ment, Stress Management and mindfulness to Law students. (on-going)

• Determine the future of the Advanced Therapy Externship for 2015-2016 based on needs assess-ment and thorough discussions regarding resources. (Winter 2015)

ADVANCE SOCIAL JUSTICE.• Serve on Student Insurance Review Group and advo-

cate 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 Ev-anston 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 Foun-dation 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 Govern-ment and others to offer programming in key areas related to stress management and/or suicide pre-vention. (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 Intelli-gence” 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/ex-

plore 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)

2014 – 2015 GOALS AND OBJECTIVES

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COUNSELING AND PSYCHOLOGICAL SERVICESNORTHWESTERN UNIVERSITY

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 [email protected]