COMMUNITY CONSULTATION AND INTERVENTION
Monica Jones, Ph.D. ([email protected])Sarah Rubenstein-Gillis, LMSW ([email protected])Wai-Kwong Wong, Ph.D. ([email protected])
Starring:
AUCCCO National Conference 2014
What is CCI?2001 – University Counseling and Advising Network (UCAN)A program that consists of trained clinicians who provide consultation to faculty and staff who have concerns about a student in distress who may not have accessed traditional counseling services.
Why CCI?Challenges facing counseling centers across the country:
Increasing demand for services Increasing demand for consultation and support
among the network of faculty and staff on our campuses.
Significant proportion of students in distress who are not receiving services.
The majority of students who kill themselves never receive counseling services
Why CCI? In past year:
“so depressed it was difficult to function”Cornell: 44%
seriously contemplated suicideCornell: 11%
attempted suicide1.3% (~175
undergraduates)1.3% nation
2006 National College Health Assessment (NCHA)
1902 Cornell undergraduates responding
In last 12 months, was unable to function academically for at least a week due to depression, stress, or anxiety:White: 37%Asian American: 50%International: 51%URM: 54%
2005 Enrolled Students Survey4790 undergraduates; 37% response rate
In last 12 months, seriously considered attempting suicide:White: 6%URM: 8%Asian American: 10% International: 10%
In last 12 months, attempted suicide:White: .04%URM: 1.9%Asian American: 2.5% International: 2.9%
2005 Enrolled Students Survey 4790 undergraduates; 37% response rate
Stigma Students of color have
elevated levels of perceived public stigma
Black students have highest level of perceived public stigma
Male, Asian, International, more religious and lower SES students have high levels of personal stigma
Eisenberg, D., Downs, M.F., Golberstein, E. &Zivin, K. (2009). Stigma and help for mental health among college students. Medical Care Research and Review, 66(5), 522 – 541.
Some Assumptions of CCI Community psychology/Social work vs.
Clinical model Clinical model
Client self-identifies and seeks help Focus on individual and intrapsychic processes Focus on psychopathology
Community psychology model Client is identified by community partners and
engaged in community Flexible focus – individual, community, system Flexible focus – psychopathology, “conditions
of life,” systemic, social justice
CCI’s Mission…Client (individual, group, community) empowermentFocus on individual well-being in a socio-cultural contextService to students who are vulnerable and have been historically oppressed Promotion of social justice, social change, and advocacyCommitment to diversityCoordination of various departments and systems to develop a plan and alleviate situational stressorsProvide humane, effective care and less stigmatizing services
CCI’s ApproachAddress problems where they occur
Not just in student’s head But in the community or system where they live and work
Move beyond the traditional psychotherapist role and setting
Case manager Advocate Outreach worker Student support
Don't wait for students to come to us Reach students in alternative, often indirect ways
Consultation
Defined “…specialized technical assistance to individuals or organizations in
regard to the psychological aspects of their work.” (APA, 1999) “…advisory in nature… has no direct responsibility for its
acceptance” (APA, 1999)
Student centered Faculty, staff, CAPS clinicians, Gannett medical Via phone, email, in-person meetings Many of CCI responses are indirect, but can lead to direct
intervention Problem solving/brainstorming Identifying natural supports and campus resources Contacting campus partners (ie. Student Services, Housing, etc.)
Crisis Intervention
Help faculty and staff determine a best course of action to support a student
Backup support to campus partners Provide direct intervention with students
who are at-risk and/or in distress who are unable or unwilling to come in to CAPS
Community visits and welfare checks CSM Team
Case Management
Coordinate various departments and systems to develop a plan to alleviate situational stressors
Advocacy
“Working to assist and/or intercede on a student’s behalf to alleviate injustice or inequity in the treatment or decision making related to a student issue” Engaging individuals and/or systems directly,
on behalf of the student(s), to negotiate obstacles
Focus on empowerment of student to engage individuals or systems to address an issue
Therapy/Counseling/Support
Caseload Support role to a
student having difficulty accessing CAPS Direct connect to
CAPS clinician Non-traditional in
approach
CCI- Campus Integration: Affiliations
SHARED INDIVIDUAL
Alert Team (Behavioral Intervention Team)
Diversity Community Council of Mental
Health and Welfare Community Support
Team “Let’s Talk” providers
School of Arts & Sciences Johnson Graduate School
School of Management
President’s Council on Sexual Violence Prevention
Incidence Assessment and Response Team
Student Academic Services Council’s Subcommittee on Staff Retention
Bias Assessment and Response Team
House Fellow, Flora Rose Women of Color Colleague
Network Group Office of Academic and Diversity
Initiatives- Mentoring Initiative
CCI- Health Center & CAPS Integration
Community Based Services Team Victim Advocate Privilege Awareness Working Group Notice and Respond Trainer Continuing Education Training
CCI Client Distribution
6/09-5/10 (208)
6/10-5/11 (230)
6/11-5/12 (136)
6/12-5/13 (168)
6/13-5/14 (241)
0
50
100
150
200
250
300
Clients
Clients
CCI Client Demographics (2012-2013) :
CCI vs CAPS Utilization in Cornell Population
Whi
te
Inte
rnat
iona
l
Asia
n/Pa
cific
Isla
nder
Blac
k/Af
rican
Am
erican
Mul
tirac
ial/B
iracial
/Und
isclos
ed
Latin
o0%
10%
20%
30%
40%
50%
CCICAPSCornell
CCI Client Demographics (Self Identified): 2012-2013
SchoolCALS
AAP
A&S
Engineering
Hotel
Human Eco.
ILR
Graduate
Pro-fes-sionalCE
Unknown
Classification
Freshman
Sophomore
Junior
Senior
Graduate
Pro-fes-sionalUnknown
CCI Program Sustainability
Click here:https://vimeo.com/99165782for a video presentation by Wai-Kwong Wong, PhDAssistant Director for Community Based ServicesCounseling and Psychological ServicesCornell University