DIVISION OF STUDENT AFFAIRS
2012-14 Biennium Period Report
Unit Name: ____________________________________________________________________
Unit Manager: _____________________________________ Date Compiled: _______________
PART A: Please provide 1-2 significant or major examples of how your unit’s activities,
programs, services, etc., substantively/meaningfully contributed to achieving each of the
following: (a) the Division of Student Affairs strategic plan implementation matrix
(http://hilo.hawaii.edu/uhh/vcsa/documents/UHHiloDSA2011-
15StrategicPlanImplementationMatrix.pdf); (b) UH Hilo’s strategic priorities
(http://hilo.hawaii.edu/strategicplan/); and/or (c) the UH System’s strategic priorities
(http://www.hawaii.edu/ovppp/uhplan/)? Please be sure to identify/reference specific
priorities and provide specific examples and sufficient detail.
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Counseling Services (CS)
Leslie Armeniox
June 16, 2014
UH Hilo Strategic Plan, Goals 1, 5, 6. Division of Student Affairs Priority Actions 4.3 and
5.1.
CS mental health counselors provide services to UH Hilo and HawCC students per a
MOA with HawCC. Counselors diagnose and treat psychological disorders that may
affect academic performance and daily functioning, They also teach and provide
coaching on prevention, interpersonal, communication, stress management, life
management, and self-advocacy skills, and support students as they apply and
acknowledge their progress in using these skills. Academic and career planning often
arise as foci in sessions. Counselors refer students to other support services that may be
better targeted to their needs or provide ancillary support via a team approach. CS
operates within a social justice framework, cognizant of the unique context engendered
in doing this work in Native Hawaiian and other disenfranchised and/or underrepresented
communities.
In 2012-14, CS saw 448 students for individual or group counseling and provided 3101
appointments. Of these appointments, 224 were group or couples sessions. In addition,
CS provided approximately 100 consultations, screenings, and assessments/testing.
Most students have five or fewer individual sessions with a counselor. CS manages
approximately 1.5 emergency or crisis incidents per week, and approximately 40
walk-ins per year.
CS was an integral provider of SHWP events in 2012-14 (see SHWP report). For
example, as part of the SAMHSA suicide prevention grant, CS provided 23 trainings, 33
tables, and 25 informational meetings to approximately 1200 students and employees.
We collaborated with veterans on campus to provide a "talk story" meet and greet
designed to target veteran students, who are at high risk for suicide. CS provides a (.25)
counselor to lead and direct the Men of Strength (MOS) program to reduce violence
against women by deconstructing and reframing gender role norms and stereotypes.
CS provides practicum and internship learning opportunities that include applied learning
experiences, weekly clinical supervision, staff meetings, following a code of conduct, and
student practicum/internship evaluations. In 2012-14, CS trained 6 full-time graduate
interns from the UH Hilo Counseling Psychology Program, and 2 (.25) undergraduate
practicum interns. CS also employs a (.25) student outreach and prevention coordinator,
who organizes and directs tabling events, depression screenings, and our most popular,
recurring event, Relaxation Station. MOS also utilizes interns and practicum students,
thereby mentoring them in prevention and advocacy approaches and methods. CS also
organized and provides a faculty advisor for Hui Kōkua, a new student organization that
trains students in gatekeeping skills.
PART B: Please list and describe your unit’s 2-3 priority areas for focus to improve outcomes
or enhance positive impact for students or the constituents your serve. How will you know if
you have achieved your desired outcome or impact? Note that both quantitative and
qualitative measures are acceptable.
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1. The development and promulgation of protocol to install wrap-around confidentiality
and privacy per legal, ethical and industry standards in our new environment by
providing a safe, private environment that clearly protects confidentiality and increases
confidence regarding self-disclosure, an essential component of effective services.
A. Provide online options for student self-scheduling.
B. Conduct student surveys on an ongoing basis during and after services to include
assessing satisfaction with privacy protection.
C. Provide additional training in confidentiality and HIPAA compliance for all CS staff and
student staff annually.
D. Create policies and procedures regarding privacy and confidentiality.
2. Assessment of outcomes: We will conduct a self-study this year and after an
evaluation of results, we will implement structured, formalized data collection procedures
to track use of services, referrals, and treatment outcomes. A self-study was conducted
in 2007, so we will compare the results to identify needs and areas of growth and
progress.
A. Conduct student surveys on an ongoing basis during and after services to assess
clients' perspective on progress and outcomes.
B. Implement assessment of treatment outcomes using C-CAPS pre- and post
treatment.
C. Collect and analyze data twice each year (end of fall semester and end of spring
semester) in order to evaluate outcomes.
D. Implement peer review of individual cases for quality assurance.
E. Continue individual and group clinical supervision on a weekly basis.
3. Focus on Prevention & Gatekeeping programs, such as Men of Strength and Hui
Kōkua, to build capacity, and increase outreach to HawCC and veterans. Building Hui
Kōkua is part of our three-pronged approach to achieving sustainability of effective
prevention services provided by the grant (2013-15).
A. Track attendance of outreach and prevention events and activities to assess outreach
effectiveness.
B. Develop pre- and post training assessments to measure the effectiveness of
prevention efforts.
C. Recruit members for Hui Kōkua and MOS to Increase capacity.
D. Meet with HawCC staff to collaborate on outreach events and activities that are
accessible and meaningful to HawCC students.
E. Collaborate with veteran support services on campus to provide targeted outreach
and prevention services.
PART C: How are you reallocating your fiscal, human, facility, technology and other resources
to support your priorities?
PART D: What strategies have you implemented, if any, to either increase efficiency and
productivity in your unit, reduce waste and unnecessary cost, and/or increase your access to
alternative funding sources, including extramural funding? What new strategies do you have
planned in the coming year?
PART E: So that we can better plan and prepare for future UH System biennial budget and
supplemental budget requests, please indicate your most urgent resource needs (e.g.,
human, fiscal, facility, etc.) in the next several years and provide an estimate of the annual
recurring funds required, i.e., base dollars, and justification for the need.
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1. Purchase and implement on-line scheduling to allow self-scheduling for counseling
appointments.
2. Create a computer kiosk where students can complete intake forms and initial
assessments prior to their first meeting with a counselor, which will add a protective
measure for confidentiality, save time and expedite the process for students.
3. Continue with annual training of staff and student interns in maintaining privacy,
confidentiality, and HIPAA compliance, and develop policies and procedures to guide
actions and compliance with laws, codes of ethics, and national standards of practice.
3. Utilize C-CAPS and other instruments (that are part of existing software) to assess
outcomes on a regular basis.
4. Train staff in assessment to include assessment theory, data collection and analysis.
5. Change JP for outreach coordinator to more clearly reflect duties and adjusted the
wage. This will provide more hours for priorities and increase focus on Hui Kōkua and
Men of Strength while we are building their capacity.
6. Assign undergraduate intern to grant to focus on suicide prevention services and
screenings.
Current actions and strategies
1. Completed all requirements to continue extramural funding sources continue
(SAMHSA) $261,000 with carry-over request of $54,036.79.
2. Received donation of $1000 for posters; donation of 15 cases of copy paper; sought
out and received donations of food for events from Starbucks, KTA, Sweet Cane Cafe,
Domino's, and other local food establishments; sought out and received funds for food
and outreach materials from UHHSA; sought out and received donation of one computer
(PC) from Dept. of Psychology.
3.Donations of CS items (1500/year) for freshmen "goodie bags" sponsored by SMS.
4. Collaborated with SMS to provide psychological testing using standardized tests on a
dedicated computer (purchased and contributed by SMS).
5. Intramural funding sources have supported groups and special programs
(Professional Development fund, Diversity fund) as reported in SHWP biennium report.
5. Continue group supervision meetings, which are a cost-effective, evidence-based way
to supervise clinical work while inviting the expertise from all staff members.
6. Continue group programs and services which are a cost-effective, evidence-based
approach to provide counseling and prevention services since they reduce the need for
individual counseling while promoting cohesion and inclusion and providing an
appropriate context to address social and cultural concerns.
7. Continue collaboration with Counseling Psychology for interns and Dept. of
Psychology for undergraduate practicum students.
8. Continue using "yellow cards" which are more likely to be kept (not tossed), more
convenient to carry, less "intrusive", and more cost effective rather than brochures.
9. Purchased online DSM-V ($300) rather than buy individual manuals for each office
($150 each/total $600).
10. We borrowed space for 2 satellite offices and a meeting space for counseling groups
1 day/week from the Dept. of Psychology, and offices at HawCC for counselors to
provide counseling 2 days each week. We also borrowed office space from the VC for
Academic Affairs for SAMHSA grant staff.
11. Discontinued seeing students on academic probation for mandatory counseling as
this was generally not effective for retention, and recommended that the university focus
on an early warning system.
12. Discontinued providing mandatory signature on forms for withdrawals, as this was a
decision already made by the students and mandated counseling only added to their
stress. Recommended early warning system and identification and referral of students at
first signs of being at risk.
New Strategies
1. Convert to 100% electronic records, using paper forms only for C-CAPS, screening
forms, and psychological tests as needed. All hard copy will be scanned into records.
3. Consider change in grant JPs to better utilize strengths and skills of staff, which will
result in less need for counselors to provide training programs.
4. Provide screenings on regular basis for more targeted outreach.
5. Provide alcohol screenings, prevention, and harm reduction programs. In addition to
addressing a critical need on campus, this work could provide a foundation for
extramural funding applications.
Our most urgent needs are twofold: (1) staff to sustain suicide prevention (SP) programs
(2015), (2) and equipment/supplies to soundproof offices and maintain confidential
documentation and communication for CS.
(1) Staffing for continuing suicide prevention programs is vital. SP encompasses
violence prevention and promotion of mental health; it directly focuses on suicidality and
indirectly addresses homicide and psychological disorders that may increase risk for
suicide/homicide. SP also serves as a catalyst for discussion about addressing students
of concern. Based on incidents of violence on college campuses in the last decade, we
cannot be too careful about identifying and addressing students who may be at risk. We
want to build on the excellent foundation and relationships created via the 3-year
SAMHSA grant we are currently implementing. Our sustainability approach is
three-pronged: (1) continue to regularly provide accessible trainings to students; (2)
support Hui Kōkua as a student-focused gate-keeping organization; (3) partner with
departments and units to install SP training as an essential component of orientation for
employees and/or curriculum for students. We can accomplish this by adding a .25
student staff position for a Student SP Coordinator (SEP budget) estimated at
$4000/year, and a .25 SP Counselor estimated at $15,000/year. This counselor would
be trained as a trainer, provide trainings, conduct assessments, and build relationships
and partnerships to support the sustainability of a SP program. A Student SP
Coordinator would assist the counselor to schedule, arrange, prepare and conduct
trainings.
(2) Equipment/supplies to protect privacy/confidentiality, maintain confidential
communication and documentation for CS, and serve as consultants: We have an urgent
need for soundproofing in the new facilities to protect privacy and confidentiality. Once
we have relocated, an assessment can be made to determine the best approach for
soundproofing. Costs for soundproofing vary widely depending on materials used.
Estimates are between $400 and $3000. Also, a dedicated, non VOIP fax line is needed
in the new facilities. This cost is likely to be dependent on the carrier and current
university contracts. Estimates start at $30/month ($360/year).
By 2015, CS staff members and the Administrative Assistant will need replacement
computers and software, and the capacity to store and protect large volumes of data,
and install online scheduling. Estimated cost is $5000. To protect confidentiality and
insure accuracy, the cell phone used for after hours consultation for Student Housing
needs to be upgraded to include texting. This phone also can be used to contact
counselors who are providing services at satellite and other campus locations away from
the Student Services Building. Estimated cost is $50/month ($600/year).
PART F: (if applicable) Please describe at least one learning outcome that you intended to
achieve for students who interface/interact with your unit’s functions, programs, and/or
services for the coming year. How will you measure student learning relative to this
outcome? (For units who are exempt, please note what efforts you made to assess program
outcomes, e.g., conduct self-study using CAS standards. Units may conduct both learning and
program assessment.)
PART G: How can the Office of the Vice Chancellor for Student Affairs better assist with or
support your unit’s mission, goals, priorities, etc.? Examples might include helping to
change/update a policy, establishing a pathway for better communication with another unit
on campus, receiving information about a particular issue, etc.
PART H: Are their additional comments or information you wish to provide? List attachments
included with your submission.
Please submit report electronically to your cluster leader (if applicable) with copy to the VCSA by
Friday, June 20th at 5:00 PM HST. Additional sheets may be attached. All reports will be posted online.
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This section provides both learning outcomes for interns and assessment processes for
CS.
LEARNING OUTCOMES
General learning outcomes for students: (1) reducing stigma around asking for help
and/or having psychological issues or concerns; (2) understanding that there are many
paths to the same destination; (3) understanding holistic health and how to live in a way
that supports holistic health; (4) understanding the power and affect of words and actions
on themselves and others; (5) becoming empowered to be aware of choices and make
life decisions.
Learning outcomes for graduate student interns include (1) learning and practicing
counseling skills to include evidence-based and culturally-appropriate or tailored
approaches; (2) understanding and practicing applications of counseling in higher
education settings; (3) learning and practicing crisis management skills; (4) employing
educational and prevention skills; (5) understanding of professional role; (6) learning and
practicing case conceptualization; (7) documentation procedures and standards; (8) and
utilization of clinical supervision. Learning outcomes for practicum students include (1)
becoming oriented to the practice of counseling; (2) learning and practicing education
and prevention skills; (3) identifying students at risk and making referrals; (4) and
utilization of supervision.
ASSESSMENT:
Counseling Services is conducting a self-study using CAS Standards in July, 2014. We
will compare this to a previous self-study in 2007.
Currently, we track students who attend counseling, how many sessions, case loads for
each counselor, types of services provided (assessment/testing, individual counseling,
couples counseling) and demographics for clients. We also track no-shows for
appointments and cancellations. In addition, we track all of our outreach to include
programs, classes, trainings, guest lectures, activities, tabling, and foot traffic in the
vicinity of our signage. We also provide a survey to all clients (who provided their email
address and permission to contact them by email) at the end of each semester, which is
done online and anonymously. We utilize a suggestion box at all Relaxation Station
events. We track the number of assaults reported to us and categorize them as sexual or
non-sexual; we also track suicide attempts and completed suicides.
The Suicide Prevention grant has strict guidelines for collection of data using specified
evaluation forms for trainings, and tracking everyone who attends a training or outreach
event. We also track number of deaths by suicide, suicide attempts, and total number of
students who attend counseling for grant reporting.
All of the qualitative and quantitative data we collect is used to inform our practice,
outreach, and prevention efforts. Each week in staff meeting we discuss results of our
programmatic efforts and how to improve them to better reach or serve students. We
also have weekly group clinical supervision for clinical staff to discuss individual cases
and how we can best support students in counseling. The Associate Director meets with
grant staff on a bi-weekly basis to discuss the variables we are tracking. Sometimes
assessment data is used to assist staff members and interns in their individual
professional development and to shape the goals they are working on individually. Each
semester the Associate Director meets with CS staff to discuss our assessment results
as we consider our unit's values, mission, and goals.
Since our services are voluntary, If students are attending, that is a strong indicator of
success. We also consider it successful when students feel comfortable giving us
feedback about services. We also track individual cases; if a student receiving our
services is noting improvement and able to perform academically without significant
additional support, we consider that successful. We also receive anecdotal feedback
from others who notice improvement or setbacks in students who are receiving services.
1. Support with development, approval and implementation of a privacy and
confidentiality policy.
2. Provide opportunity for Asso. Director to educate all SA staff on the functions of CS
and its evolution from academic to mental health counseling.
3. Advocacy for insuring protection of confidential information to include maintaining a
quiet space for students waiting for and receiving CS, and adequate computer
equipment for confidential communication and storage of records, administering
psychological tests, and providing online scheduling.
4. Advocacy for professional development for counselors to include out-of-state
professional conferences.
5. Advocacy and support for student staff and counseling staff to sustain suicide
prevention programs.
6. Advocacy and support for a student health fee increase, which would help to fund all
of the above.
Attachments include: Suicide Prevention Grant Summary of Significant
Accomplishments, Hawaii Suicide Rates, SHWP Goals 2013-14 Updates, Budget
request Suicide Prevention Counselor