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

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

Training

Outreach

Relationship Building

Orientations

Notice and Respond

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