OBJECTIVE Mental health disparities between racial/ethnic minorities (REM) and White individuals are well documented. These disparities extend into psychotherapy and have been observed among clients receiving care at university/college counseling centers. However, less is known about if campus RE composition affects outcomes from psychotherapy for REM and White clients. METHOD This study examined psychotherapy outcomes from 16,011 clients who engaged in services at 33 university/college counseling centers. Each of these clients completed the Behavioral Health Measure as a of part routine practice. Campus RE composition was coded from publicly available data. RESULTS The results demonstrated that White clients had better therapy outcomes than REM clients when they were at campuses where there were more White students. For universities 1 SD below the mean percentage of White students, the average difference in therapy outcomes for White and REM clients was Cohen's d = .21 (with White students experiencing more improvement); however, for universities 1 SD above the mean, the between group outcome disparity was greater (Cohen's d = .38). CONCLUSION Therapists and higher education professionals should consider environmental impacts on counseling services. Implications for higher education, counseling centers, and mental health disparities are provided. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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治疗结果中的心理治疗种族/民族差异：大学种族/民族构成的作用。

目标 种族/少数民族 (REM) 和白人之间的心理健康差异有据可查。这些差异延伸到心理治疗，并在大学/学院咨询中心接受护理的客户中观察到。然而，关于校园 RE 构成是否会影响 REM 和白人客户心理治疗的结果知之甚少。方法 本研究调查了在 33 所大学/学院咨询中心从事服务的 16,011 名客户的心理治疗结果。这些客户中的每一个都完成了行为健康测量作为部分常规实践。校园 RE 构成是从公开可用的数据中编码的。结果 结果表明，当白人学生在白人学生较多的校园时，白人客户比 REM 客户有更好的治疗效果。对于比白人学生的平均百分比低 1 个标准差的大学，白人和 REM 客户的治疗结果平均差异为 Cohen's d = .21（白人学生的改善更多）；然而，对于高于平均值 1 SD 的大学，组间结果差异更大（Cohen's d = .38）。结论 治疗师和高等教育专业人员应考虑环境对咨询服务的影响。提供了对高等教育、咨询中心和心理健康差异的影响。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。组间结果差异更大（Cohen's d = .38）。结论 治疗师和高等教育专业人员应考虑环境对咨询服务的影响。提供了对高等教育、咨询中心和心理健康差异的影响。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。组间结果差异更大（Cohen's d = .38）。结论 治疗师和高等教育专业人员应考虑环境对咨询服务的影响。提供了对高等教育、咨询中心和心理健康差异的影响。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。