Counseling Center-Based Tele-Mental Health for Students at a Rural University
Abstract
Students attending rural academic institutions often have no immediate access to psychiatrists to supplement on-site Counseling Center (CC) services. Because the Medical College of Georgia (MCG) could not cost-effectively provide on-site psychiatry services to Georgia Southern University (GSU) students, the two institutions explored telehealth services delivered by supervised Psychiatry residents using Web-based videoconferencing on MCGs virtual private network. GSU counselors completed client severity rating forms. CC clients in ongoing therapy who were judged to be in need of psychiatric services were referred to the Tele-clinic (TC). CC counselors referred the most challenged students to TC according to total distress score on intake, clinician intake assessment of client difficulty, and client need for medications. After seeing the clients in TC, MCG residents also completed GSU CC client severity rating forms. Post-intake and satisfaction surveys already in use at the GSU CC were completed both by CC clients not in TC and by CC clients jointly enrolled in TC. TC and CC populations were compared by gender, race, past mental health treatment, past psychiatric hospitalization, and past and current use of psychotropic drugs. Telepsychiatry conducted using low bandwidth videoconferencing successfully supplemented GSU CC mental healthcare, especially for clients with the most serious problems, and did so without travel from campus and within the milieu of daily student life. Cost-effective telepsychiatry services can successfully supplement management of students with mental health issues who attend rural, smaller, and/or resource-challenged academic institutions.
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“Telepsychiatry interventions hold promise in both rural K – 12 schools41,42 and rural universities.42,43”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [43]
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- Authors
- Khasanshina, E. V., Wolfe, W. L., Emerson, E. N., & Stachura, M. E.
- Affiliations
- Augusta University (US)
- Counseling and Career Development Center
- Georgia Southern University (US)
- ORCID
- Wolfe, Wendy L.
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2008-02
- Volume
- 14
- Issue
- 1
- Pages
- 35-41
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W2080143119
- Cited by
- 25
- References
- 16
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- telepsychiatry, telemedicine, rural universities, student mental health, counseling centers, videoconferencing, psychiatric residents, psychiatric referral, cost-effectiveness, Georgia Southern University, Medical College of Georgia
- MeSH terms
- Counseling, Female, Georgia, Humans, Male, Mental Health, Surveys and Questionnaires, Rural Population, Schools, Medical, Students, Program Evaluation, Telemedicine, Organizational Case Studies
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