In the last 30 years, universities and colleges have been strongly encouraged to consider the impact these systems have on health promoting behaviors for students, staff, faculty, and surrounding communities. Higher Education Institutions are prime settings to promote prevention and outreach efforts for positive mental health. University and…

There is a great deal of attention, in professional communities and the lay public, to a college mental health crisis. This article will review the dominant narrative of this situation, identifying and challenging the common elements of the narrative. The author will locate this college mental health crisis narrative in historical context,…

The purpose of this interpretive description study was to identify expectations for the process of mental health counseling for Generation Z college students who have sought counseling services at their college counseling center. In addition, how participants' identification with Generation Z and how that impacted their expectations for the…

Anxiety is one of the most common mental health disorders in the U.S. and is becoming increasingly common and problematic for college students across the country. Building on research conducted at single universities, we used a large national data set from the Center for Collegiate Mental Health (CCMH) and compared self-reported levels of anxiety…

Individuals from Asian American (AA) and international Asian (IA) backgrounds are often lumped together in mental health research, which may obscure important differences in mental health presentation and need. While previous research has examined differences amongst AA and IA students seeking therapy at a single university counseling center, our…

The purpose of this quantitative, correlational study was to understand the relationship between organizational culture on burnout for college counseling center clinicians. Studies have examined the relationship between organizational culture and burnout for mental health clinicians, but none have researched how organizational culture may play a…

This paper examines embedded counseling programs across ten Post-Secondary Canadian counseling centers. We highlight common drivers for developing embedded counseling programs, commonalities and differences across programs, successes and challenges in implementation, and recommend a common set of metrics. Our overview demonstrates variability in…

While gatekeeper trainings have demonstrated their effectiveness in appraisals of preparedness, efficacy, and intention to intervene, evidence has been lacking regarding gatekeeper behaviors in real life. The I CARE training aims to increase intervention in real-world situations involving suicidality through informational and experiential…

Objective: Counseling Center Assessment of Psychological Symptoms (CCAPS-34) scores were studied for longitudinal bias-free construct evidence. Method: A sample of 4,696 university students referred to a university counseling center were assessed twice for evidence of longitudinal measurement invariance. Results: Adequate or marginal longitudinal…

University counseling centers (UCCs) are an important resource for sexual and gender minority (SM/GM) students as they navigate their college experience. This study investigated the mental health needs of SM/GM collegiate clients in 2020-2021 as compared to the mental health needs of SM/GM collegiate clients in 2012-2015. The analyses also…

As the press for services at university counseling centers increases, so does the need to provide optimal therapeutic services. Ethnic glossing in previous research has combined rather disaggregated the mental health treatment experiences of American Latinx (AL) students and International Latinx (IL) students. The purpose of this paper was to…

One of the most significant changes to college mental health is the growing use of telehealth vendors to provide, extend, or augment mental health services provided by college and university counseling centers. In a time of sharply increased demand for services, new investments in the mental health marketplace, and the perception that mental…

Objective: University and college counseling centers (UCCCs) are a front-line support for the mental health needs of autistic students, though little is known about clinician attitudes, comfort level, and training in autism. Participants: 89 UCCC clinicians were recruited via email listservs. Methods: The authors developed a survey which assessed…

The 2024 Annual Report summarizes data contributed to CCMH during the 2023-2024 academic year, beginning July 1, 2023 and closing on June 30, 2024. De-identified data were contributed by 213 college and university counseling centers, describing 173,536 unique college students seeking mental health treatment, 4,954 clinicians, and 1,215,151…