Recently, the Association of University and College Counseling Center Directors (AUCCCD) published a White Paper on a multidimensional understanding of organizational structures for counseling centers (Mitchell, Oakley & Dunkle 2019). This article provided a historical overview of such structures, argued that there is no one optimal structure…

Counseling centers are part of a national practice environment that arguably encourages expedience rather than thoroughness in working with psychological difficulties. In this landscape, diagnosis is a process where symptom identification is preferred over a more complex understanding of clients. The predominant diagnostic tool used by mental…

The authors outline a four-factor model and philosophy for college mental health services that addresses the loss of comprehensiveness in some centers due to changes in organizational structure. Given research on demand for services and retention of those seen in centers, emphasis is placed in particular upon the value of consultation, outreach,…