ABSTRACT

For several decades, college counseling centers have struggled to meet a steady rise in demand for services. Research suggests that therapeutic advancements, including psychotropic medication, have led to an increase in students with serious mental illnesses who now represent a significant portion of this demand. Current strategies to meet the demand for treatment have fallen short, often resulting in students with serious mental illnesses withdrawing. This composite case study introduces the Next Step Program at Rutgers University, a new program designed specifically to treat students with serious mental illnesses on campus. Using a social ecological approach, this case study traces the development of changes implemented at the macro level of the university, the meso level of the college counseling center, and the micro level of a student receiving treatment at the Next Step Program. By highlighting how on-campus treatment removes common barriers to care and improves outcomes for both students with serious mental illnesses and the universities they attend, college counseling professionals and administrators will learn of the crucial positive impacts on-campus treatment can provide.

摘要

几十年来，大学咨询中心一直在努力满足不断增长的服务需求。研究表明，包括精神药物在内的治疗进步导致患有严重精神疾病的学生人数增加，他们现在占了这一需求的很大一部分。目前满足治疗需求的策略不足，常常导致患有严重精神疾病的学生退学。这个综合案例研究介绍了罗格斯大学的下一步计划，这是一个专门为治疗校园内患有严重精神疾病的学生而设计的新计划。本案例研究采用社会生态方法，追踪了大学宏观层面、大学咨询中心中观层面、以及在下一步计划中接受治疗的学生的微观层面。通过强调校园治疗如何消除常见的护理障碍并改善患有严重精神疾病的学生及其就读大学的结果，大学咨询专业人员和管理人员将了解校园治疗可以提供的重要积极影响。