Community consultation and intervention

1. Community consultation and intervention Monica Jones, Ph.D. (mj429@cornell.edu) Sarah Rubenstein-Gillis, LMSW (sr829@cornell.edu) Wai-Kwong Wong, Ph.D. (ww46@cornell.edu) Starring: AUCCCO National Conference 2014

2. 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.

3. 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

4. Why CCI? In past year: “so depressed it was difficult to function” Cornell: 44% seriously contemplated suicide Cornell: 11% attempted suicide 1.3% (~175 undergraduates) 1.3% nation 2006 National College Health Assessment (NCHA) 1902 Cornell undergraduates responding

5. 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 Survey • 4790 undergraduates; 37% response rate

6. 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

7. 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.

8. 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

9. CCI’s Mission… Client (individual, group, community) empowerment Focus on individual well-being in a socio-cultural context Service to students who are vulnerableand have been historicallyoppressed Promotion of social justice,social change, and advocacy Commitment to diversity Coordinationof various departments and systems to develop a plan and alleviate situational stressors Provide humane, effective care and less stigmatizing services

10. CCI’s Approach Address 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

11. 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.)

12. 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

13. Case Management • Coordinate various departments and systems to develop a plan to alleviate situational stressors

14. 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

15. Therapy/Counseling/Support • Caseload • Support role to a student having difficulty accessing CAPS • Direct connect to CAPS clinician • Non-traditional in approach

16. Training • Outreach • Relationship Building • Orientations • Notice and Respond

17. 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

18. CCI- Health Center & CAPS Integration • Community Based Services Team • Victim Advocate • Privilege Awareness Working Group • Notice and Respond Trainer • Continuing Education Training

19. CCI Client Distribution

20. CCI Client Demographics (2012-2013) :CCI vs CAPS Utilization in Cornell Population

21. CCI Client Demographics (Self Identified): 2012-2013

22. CCI Program Sustainability Click here: https://vimeo.com/99165782 for a video presentation by Wai-Kwong Wong, PhD Assistant Director for Community Based Services Counseling and Psychological Services Cornell University