The purpose of this qualitative study was to explore the homecoming and college transition narratives constructed by student veterans in order to help college clinicians a) to more holistically understand these veterans and their experiences, b) to more fully enter their phenomenological worlds, and c) to form more genuine and effective…

At the outset of a clinical relationship, boundaries are created in order to define the therapeutic relationship, outline the treatment process, and explain the limits of confidentiality. Although clients initially agree to these conditions, there are instances when clients violate these boundaries by engaging in stalking behaviors against their…

University counseling centers (UCCs) are tasked with delivering effective mental health interventions amidst increasing enrollment and declining resources. A growing number of UCCs have implemented session limits to meet demand with limited resources. To further understand the impact of this trend, we examined data obtained from a nationwide…

As part of collecting information for the purpose of threat assessment and management regarding a person of concern within an institution of higher education, a threat assessment and management team or another institutional official may request that a campus counseling center conduct a risk assessment of dangerousness-to-others. This study…

Dialectical behavior therapy (DBT) is an evidence-based practice for suicidal and self-injuring behavior with growing popularity in college counseling centers (CCCs). With the exception of a single, quantitative study, no research to date investigates how DBT is used in CCCs or what factors influence program implementation. We conducted…

The formation of integrated centers on college campuses that combine health services and counseling provide clear advantages for students. There is currently no "best practices" model that informs integrated centers' operational procedures. The "continuity of care" requirement of medical providers can conflict with the strict…

Research points to significant numbers of students on college campuses experiencing mental health distress and an ever increasing number of college students who are choosing to make an off-campus educational experience a part of their college careers. When we consider both of these trends together, it is quite apparent that a significant number of…

The goal of this article is to provide information on the assessment and treatment of South Asian college students for mental health practitioners. We provide a brief historical review of the cultures from which these students come and the process of migration to the United States and also make recommendations for work with these students in the…

This article identifies what student mental health professionals need to know about legal issues of relevance to threat assessment and management. The article summarizes the common law duties and the common law and statutory standards of care that are likely to apply to the work of college and university threat assessment and management teams. The…

A recent article in the "Chronicle of Higher Education" by Brian Van Brunt (2012) and a follow-up article by M. David Rudd (2012) have raised questions for college and university mental health professionals. Van Brunt takes the position that college counselors should broaden their scope of care and work with more difficult students, no matter how…

Nonsuicidal self-injury (NSSI) is a significant issue among college students but few resources are available to college mental health professionals. This article consolidates extant knowledge on NSSI from the empirical and clinical literature, including common NSSI characteristics (rates, methods, demographics, and concomitants), intrapersonal and…

This article provides a brief history of the development of behavioral threat assessment within colleges and universities in the United States and Canada, from the original Secret Service model used to evaluate threats against the U.S. president, to its adaptations for workplace settings and United States and Canadian secondary schools, to its…

America's romance with certainty leads to a belief that substances improve life and fits with the New Psychiatry. It's use of psychotropic medications to treat an array of mental illnesses changes evaluations, treatment and emergency coverage. The rising abuse of its prescription drugs alters the campus party scene, and challenges pretenses about…