Thesis (S.T.M.)--Yale University School of Divinity, 1988. / Includes bibliographical references (leaf 43).

Thesis (S.T.M.)--Yale University School of Divinity, 1988. / Includes bibliographical references (leaf 43).

Thesis (S.T.M.)--Yale University School of Divinity, 1988. / Includes bibliographical references (leaf 43).

Thesis (D. Min.)--Westminster Theological Seminary, Philadelphia, 1989. / Includes bibliographical references (leaves 182-192).

Thesis (D. Min.)--Westminster Theological Seminary, Philadelphia, 1989. / Includes bibliographical references (leaves 417-424) and index.

In this study, we examined distress levels of first-generation college students at intake from an average of 137 university and college counseling centers that participated in data collection with the Center for Collegiate Mental Health (CCMH) between the 2012-2015 academic school years. We gathered descriptive data from the CCMH Standardized Data Set (SDS), and then examined itemized responses from the Counseling Center Assessment of Psychological Symptoms 62 (CCAPS-62). Students completed the SDS and CCAPS-62 at intake, and both measures rely on self-report. We divided student data (N = 184,334) into groups based on educational status: first-generation (FG) or non-first generation (NFG), and ethnic minority status: White (W) or minority (M), with several minorities grouped into the M variable. This created four subgroups: first-generation minority (FGM), first-generation White (FGW), non-first-generation minority (NFGM), and non-first-generation White (NFGW). We compared participants according to subgroup across the CCAPS distress index (which utilizes items from the depression, generalized anxiety, social anxiety, academic distress and hostility subscales), and the eight CCAPS distress subscales of: depression, generalized anxiety, social anxiety, academic distress, eating concerns, hostility, family distress and substance/alcohol use. We found significant differences on all subscales across subgroups. We ran statistics to determine between subject effects and estimated marginal means and found statically significant results across the distress index and the eight CCAPS distress subscales. Significant results showed the highest levels of distress in FG students, with FGM students higher on the majority of subscales. Further research is needed to understand the different levels and patters of distress in these populations.

In this study, we examined distress levels of first-generation college students at intake from an average of 137 university and college counseling centers that participated in data collection with the Center for Collegiate Mental Health (CCMH) between the 2012–2015 academic school years. We gathered descriptive data from the CCMH Standardized Data Set (SDS), and then examined itemized responses from the Counseling Center Assessment of Psychological Symptoms 62 (CCAPS-62). Students completed the SDS and CCAPS-62 at intake, and both measures rely on self-report. We divided student data (N = 184,334) into groups based on educational status: first-generation (FG) or non-first generation (NFG), and ethnic minority status: White (W) or minority (M), with several minorities grouped into the M variable. This created four subgroups: first-generation minority (FGM), first-generation White (FGW), non-first-generation minority (NFGM), and non-first-generation White (NFGW). We compared participants according to subgroup across the CCAPS distress index (which utilizes items from the depression, generalized anxiety, social anxiety, academic distress and hostility subscales), and the eight CCAPS distress subscales of: depression, generalized anxiety, social anxiety, academic distress, eating concerns, hostility, family distress and substance/alcohol use. We found significant differences on all subscales across subgroups. We ran statistics to determine between subject effects and estimated marginal means and found statically significant results across the distress index and the eight CCAPS distress subscales. Significant results showed the highest levels of distress in FG students, with FGM students higher on the majority of subscales. Further research is needed to understand the different levels and patters of distress in these populations.

The purpose of this study was to assess mental health counseling services provided by Florida public community colleges and universities. The researcher of this study designed the Counseling Center Questionnaire instrument. This instrument consisted of two different questionnaires, one for community colleges and the other for universities. The questionnaires were developed to ascertain information regarding mental health services provided by higher education institutions. The questionnaires yielded information pertaining to (a) which Florida community colleges and public universities were offering mental health counseling services to students, (b) the types of mental health counseling services provided, (c) the types of problems/issues students were reporting to counseling centers, and (d) the scope of mental health counseling services provided by Florida community colleges and universities. The findings indicated that only 5 of 20 Florida community colleges provided mental health services to students and all 7 universities who responded to the questionnaire provided such services to students. Community colleges provided fewer mental health services than did 4-year institutions. According to higher education counseling officials, students in all institutions experienced many of the same types of issues or problems including Anxiety, Depression, Bi-polar Disorders, Substance Abuse, Eating Disorders and Schizophrenia. Depression was the most frequently reported mental health issue among all students.

Little is known about the psychotherapy utilization, presenting concerns, and outcome differences between Black international and African American university students. The aim of this research is to identify potential similarities and differences between the two groups, as well as potential differences between the aforementioned groups and white students. This study examined archival data collected over the course of a 17-year period that focused on experiences of African-American, Black international, and White students at a large university in the Rocky Mountain West, United States. More specifically, archival data were analyzed to identify differences between the aforementioned groups of students in regard to psychotherapy utilization, presenting concerns, distress levels endorsed at intake, and distress levels endorsed at termination. Results indicate significant differences between African-American, Black international, and White student groups in terms of the maximum number of psychotherapy sessions attended and length of treatment in days. We found significant differences between these groups of students on several items assessed in the Presenting Problem Checklist and the Family Concerns Survey. We found no significant difference between African-American, Black international, and White student groups in the severity of presenting distress as measured by the Outcome Questionaire-45. We found a significant difference between groups in treatment improvement as measured by change scores on the Outcome Questionaire-45, with White students experiencing the greatest change, followed by Black international students and African-Americans. Possible explanations and implications for practice will be discussed in the body of the paper.

The goal of the present study was to examine the relationships between college students with prior therapy and psychotropic drug experience and total number of therapy sessions. This study also investigated specific types of medications students were taking and total number of therapy sessions attended. The first hypothesis under investigation was that students who have received therapy prior to beginning treatment would remain in therapy significantly longer than participants who have received no prior therapy. It was also hypothesized that students who were prescribed psychotropic medications prior to beginning therapy will remain in therapy significantly longer than students who were taking no psychotropic medications. Lastly, it was hypothesized that students who reported taking anti-anxiety or anti-depressant medications would stay in therapy longer than students taking other types of psychotropic medications will. Participants (n = 279) were collected from a pre-existing database and included students who received therapeutic services from a Southern university whose population comprised 18,485 students. The first two hypotheses were evaluated using a 2 (Prior Therapy: Yes vs. No) x 2 (Prior Medication: Yes vs. No) Analysis of Variance (ANOVA). The third hypothesis was analyzed using a 2 (Antidepressant Medication: Yes vs. No) x 2 (Anxiolytic Medication: Yes vs. No) x 2 (Other Psychotropic Medications: Yes vs. No) ANOVA. Results supported hypothesis 1: students who have previously attended therapy will stay in therapy significantly longer than students with no prior therapy experience F (1, 275) = 6.65, p = .01). However, findings did not support either hypotheses 2 or 3: students who were taking psychotropic medications prior to entering therapy did not stay in therapy significantly longer than students who were not taking psychotropic medications prior to therapy, regardless of type of medication. Results of the present study are important, as they provide a basis for future research examining prior college student therapy and psychotropic medication experience and duration of treatment at campus counseling centers. Additionally, results suggest that students with prior exposure to therapy stay in therapy longer than students with no prior exposure to therapy. One explanation for this finding is that students with prior therapy experience are likely more familiar, and more comfortable, with the therapy process than those with no prior experience. In turn, they stay in treatment longer. Universities and campus counseling centers may consider providing students with information about mental health and therapy, as this finding and research suggests that students with personal experience or prior knowledge of mental illness or therapy have more favorable attitudes about therapy than those with no prior knowledge or experience. It is also feasible that students who continue therapy while attending college have more severe mental health problems or disorders and require further treatment. This finding is significant for universities and campus counseling centers, also, as many counseling centers use a brief model of therapy, which may not prove beneficial for students with more severe problems. However, definitive information is not available, as the current data set lacks important information, such as the previous duration of treatment, student diagnoses, time of semester that the students entered therapy, and improvement in symptoms following current therapy. Thus, results should be interpreted with caution. Other limitations and suggestions for further research are also discussed.