Counseling Center Assessment of Psychological Symptoms

& Student Success

This project was made possible through an Innovative Grant from the North Orange County Community College District (NOCCCD)

1830 W. Romneya Drive, Anaheim, CA 92801-1819

Vanessa Miller, Dr.P.H., RN vmiller@fullcoll.edu

Director of Health Services

Fullerton College

This presentation is presented without commercial bias

WE PREPARE STUDENTS TO BE SUCCESSFUL LEARNERS

Presentation Goal

• Educate the Educators

–Student Support Services • Student Health Services

–Psychological Assessment

• Provide information to promote student success

“Given what it takes to be successful in higher education—and later in life and work—students have to be ready to learn—in a state of physical, psychological, emotional, intellectual, social, and spiritual well-being. Mind, brain, and body must be in shape for and open to learning experiences”.” (Douce, L.A., Keeling, R.P., Advisory Committee, American Council on Education, Student Affairs Administrators in Higher Education (NASPA), American Psychological Association (APA), 2014.

Summary of the Problem

• A 2012 Survey by the Association for University and College Counseling Center Directors indicated that the number of students with significant psychological problems is increasing:

• Anxiety is the top presenting concern among college students (41.6%),

• Depression (36.4%) • Relationship problems (35.8%). • California Community College Chancellor’s office and the

Foundation for California Community Colleges recognized the need for more student mental health services by making $3,060,000 available for health centers to expand their mental health services.

Summary of the Problem

• Assembly Bill 2017 (February 16, 2016): seeks to expand the current California Mental Health Services Act by establishing the College Mental Health Services Trust Account to create a grant program for public community colleges, and universities to improve access to mental health services on campus.

Hornet Health—Phase I

CCMH

• Center for Collegiate Mental Health

–CCAPS: Center for Counseling and Psychological Services (Penn State University)

CCAPS MEASURES

• DEPRESSION • GENERALIZED ANXIETY • SOCIAL ANXIETY • ACADEMIC DISTRESS • EATING CONCERNS • FAMILY DISTRESS* • HOSTILITY* • SUBSTANCE/ALCOHOL USE • DISTRESS INDEX • SUICIDAL IDEATION • HOMOCIDAL IDEATION

SUB

SCA

LE

CCAPS PSYCHOMETRIC PROPERTIES

CCAPS 62 INTERNAL CONSISTENCY OF ITEMS (N=142,560)

DEPRESSION 0.92

Generalized Anxiety 0.85

Social Anxiety 0.84

Academic Distress 0.82

Eating Concerns 0.89

Family Distress 0.83

Hostility 0.86

Substance/Alcohol Use 0.85

Distress Index n/a

CCAPS 34 INTERNAL CONSISTENCY OF ITEMS (N=233,615)

DEPRESSION 0.89

Generalized Anxiety 0.83

Social Anxiety 0.83

Academic Distress 0.83

Eating Concerns 0.89

Family Distress n/a

Hostility 0.84

Substance/Alcohol use 0.83

Distress Index 0.92

Correlation between CCAPS 62 & CCAPS 34

Depression 0.96

Generalized Anxiety 0.98

Social Anxiety 0.97

Academic Distress 0.98

Eating Concerns 0.92

Family Distress n/a

Hostility 0.98

Substance/Alcohol Use 0.97

Big Data

• Powerful computers

– Stationery and mobile

– Predictive analytics (prevention and better stability of condition)

• Mobile devices

“The Lucky Years”,

“How to thrive in a brave new world of health”

by

David Angus, MD

Project Goal

• What are the Goals and Objectives of your institution?

– PROMOTE STUDENT SUCCESS:

• Increase Student Persistence

• Eliminate Achievement Gap among racial and ethnic groups

Project Description

• Program Description:

– customizing the EMR/EHR to meet the “psychological counseling” needs of the community college population.

• Privacy/Confidentiality

• Data Security

PAY PER VIEW

FERPA vs. HIPAA

Program Description

– Template (PyraMED Health Systems)

• Assessment

• Diagnoses DSM 5

• Documentation

• Patient Engagement

• Evaluation – Referral

Results of Project (Hornet Health I)

• Consistency in assessment

• Student Engagement

• Provided concrete measure of student status

• Improved qualitative and quantitative data

• Improved quality of “hand-off” (referral)

• Possible trend analysis

• Possible cohort analysis

• Possible Threat Assessment tool

Results (cont.)

• Data Analysis

– Frequencies

– Correlations

• CCAPS Dimensions

• GPA

• Demographic/social variables

Quality Control

Psychological Assessment

• Semesters/terms (20 ≤ weeks)

–How do you promote behavioral change in 20 weeks?

Electronic Medical Records

• Medicat

• Pyramed

• Point and Click

• Etc. . .

CC

AP

S 3

4

depression * Ethnicity

Ethnicity Mean N Std. Deviation White non-Hispanic

56.71 7 36.746

Asian 74.40 5 22.689

Hispanic 61.57 58 28.038

Filipino 66.67 3 6.351

Korean 62.33 3 13.051

African American 94.00 1 .

American Indian/Alaskan 81.00 1 .

Vietnamese 80.33 3 12.055

Total 63.49 81 27.142

SIGNIFICANT RELATIONSHIPS

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** r=.000

.533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; rho (r) =.05

GPA

AGE

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

GENDER

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

DEPRESSION

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

SUBSTANCE USE AND ALCOHOL

ANXIETY

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

EATING CONCERNS

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

FAMILY DISTRESS

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; r=.05

HOSTILITY/FRUSTRATION

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; p=.05

ACADEMIC DISTRESS

GPA Depression Gender age G-Anxiety S-Anxiety A-Distress Eating

Concerns F-Distress Hostility

GPA 1.00 .281* .255**

rho=0.19

Depression 1.00 .533** r=.000

.483** r=.000

.419** r=.000 .491** r=.000

Gender 1.00 .372** r=.000

-.232 r=.035

age 1.00 .244* r=.026

G Anxiety. .281** rho

0.10 .533** r=.000

1.00 .326** r=.002

.229* r=.035

.338** r=.002 .372** r=.000 .375**

S. Anxiety .372** r=000

.326** r=.002

1.00

A-Distress .483** r=.000

-.232* 'r=.035

.229* r=.035

1.00 .272* r=.012 .491** r=.000

Eating Concerns

.419** r=.000

.338** r=.002

.272* r=.012

1.00 .466** r=.000 .358** r=.001

F-Distress .491** r=.000

.244* r=.026

.372** r=.000

.466** r=.000 1.00 .467** r=.000

Hostility .491** r=.000

.375** r=.000

.358** r=.001 .467** r=.000 1.00

SU/Alc

Distress .869** r=.000

.727** r=.000

.363** r=.001

.587** r=.000

.472** r=.000 .523** r=.000 .587** r=.000

N = 85; p=.05

SI & HI

SUICIDE HOMICIDE

DEPRESSION .580** (r=.000)

GENERALIZED ANXIETY .580** (r=.005) .320** (r=.003)

SOCIAL ANXIETY .313** (r=.004)

EATING CONCERNS .303** (r=.005)

FAMILY DISTRESS .221* (r=.046)

HOSTILITY .357**( r=.001) .505** (r=.000)

DISTRESS INDEX .505** r=.000) .273* (r=.013)

Suicide highly significant relationship with Homicide (.312**, r=.004)

WHAT IS THE MISSING VARIABLE(S)?

depression * Ethnicity

Ethnicity Mean N Std. Deviation White non-Hispanic 56.71 7 36.746

Asian 74.40 5 22.689

Hispanic 61.57 58 28.038

Filipino 66.67 3 6.351

Korean 62.33 3 13.051

African American 94.00 1 .

American Indian/Alaskan 81.00 1 .

Vietnamese 80.33 3 12.055

Total 63.49 81 27.142

Race & Ethnicity & Mental Health

EQU

ITY

EQU

ITY

EQU

ITY

EQU

ITY

MENTAL HEALTH EQUITY

Hornet Health—Phase II

The End

• Contact Information: Vanessa Miller, Doctor of Public Health, Registered Nurse,

Advanced Practice, Board Certified Public Health, Director of Health Services, Fullerton College, 321 E. Chapman Ave., Fullerton CA, 92832; (714)992-7093; vmiller@fullcoll.edu

Thank your for your attention to this very important issue and the many variables

which may affect student success