A Survey of Campus Peer Counseling Activities

Abstract

The directors of counseling services at 200 colleges and universities were contacted by mail and asked to complete a survey regarding peer counseling activities on their campuses. One hundred fifty-six responses to this questionnaire were received; one hundred twenty-two indicated ongoing peer counseling activities in a wide variety of settings at their respective campuses. The most common client concerns confronted by peer counselors involved academic difficulties and relationships with friends and lovers. The survey identified a variety of peer counseling training programs, from one-weekend, intensive encounter-type experiences to full-year credit courses in counseling and therapy. Also examined were the funding resources available for peer counseling centers, which often proved quite marginal, and the amount of interaction between student counselors and professional mental health service staff members. Although the authors have been able to uncover a great many peer counseling programs on college campuses, there is a dearth of systematic research evaluating the effectiveness of the services provided by these centers or the appropriateness of various peer counselor training programs. Such work should be encouraged.     

Are Peer Educators Really Peers?

Objective, Participants, and Methods: To determine whether peer educators are considered peers by their audiences, the authors compared 28 peer educators and 28 college students on their personal qualities using self-report surveys. Results: Students who wanted to become peer educators reported higher self-esteem, greater leadership skills, and fewer risky health behaviors than did demographically similar college students. However, peer educators appeared similar to their colleagues in terms of personal values and personality temperament. Conclusions: Although peer educators are natural leaders with strong self-esteem and more healthy behaviors, they appear to be quite similar to their audiences in regard to values and temperaments, making them successful role models and arguably true peers.     

Peer Support Among Consumers of Professional Mental Health Services

ABSTRACT

Peer-support services have become increasingly prevalent in mental health; consumers now deliver many services once provided by professional mental health providers. Recognizing this key asset in mental health consumers' service environment is critical for social workers. This exploratory study examines differences among 311 consumers of professional mental health services, half of whom also used peer-support services. The two groups (peer support compared with non-peer-support) were compared on a number of dimensions related to their utilization of and satisfaction with professional mental health services. Users of peer-support services perceived greater availability of professional services and used more professional services, but found professional services to be less useful than those not participating in peer support. No differences between the two groups were found for overall satisfaction with professional services. Findings related to policy, practice, and research are discussed.     

The Status of Nutrition Education in ACHA College and University Health Centers

Abstract

An assessment of the prevalence and scope of nutrition services offered through 208 randomly selected American College Health Association member student health centers revealed that 79% of the 160 respondents provided some type of nutrition education for students. One-to-one counseling, available at 96% of the institutions, was the most common approach. The larger the school's enrollment, the more likely it was to provide programs in nutrition. All of the institutions with student populations of more than 35,000 offered some type of nutrition service, as did 52% of the 19 schools with enrollments between 2,000 and 5,000. Health educators, nurses, doctors, dietitians, and trained peer educators provided the services, with registered dietitians the most common providers and often coordinators of the programs. Costs to students for nutrition interventions were nominal; weightmanagement programs were the most expensive and showed the greatest variation in content.     

Binge drinking in and out of college: An examination of social control and differential association on binge drinking behaviors between college students and their non-college peers

ABSTRACT

Excessive drinking behavior is a common problem on college campuses but it also affects the same age group that does not attend college. This is a sociological concern because of the multitude of negative consequences associated with binge drinking. The role of peers and social control factors, including the revised routine activities approach to involvement was used to examine what factors influence alcohol consumption. Although there are differences between the drinking behavior of both groups, peer behavior was consistently the strongest predictor of individual drinking behavior for both college and non-college students. Both groups are at risk for experiencing the negative consequences of alcohol use and reduction efforts need to target peer groups.     

Moving from Drugs to Sex: New Directions for Youth-Oriented Peer Counseling

Abstract

During the decade of the sixties, peer services proliferated as a response to the counterculture and the drug ethic, particularly among youth. In the seventies, drug crises have become less frequent and a consequence has been erosion of the service base of these organizations. However, problems associated with sexuality and the “Sexual Revolution” have become a strong new focus for youth-oriented peer services. Such services are now increasing in numbers and provide information, counseling, and referral for those concerned about or experiencing sex-related difficulties.     

Brief online surveys to monitor and evaluate facilitated peer support groups for caregivers of children with special needs

BackgroundThere have been few systematic evaluations of experiences of participating in peer support groups for parents and other caregivers of children with special needs. In Australia, facilitated groups are available to caregivers in community settings, through a nationally funded program, MyTime. Mechanisms for ongoing monitoring and evaluation have not yet been instituted.AimTo establish whether brief, online surveys can be used for monitoring and evaluating peer support groups for caregivers of children with special needs.MethodsTwo brief, online surveys, with both fixed-choice and open-ended questions, were developed. All caregivers who attended any MyTime group during a 1-month period were invited to participate.ResultsOf 89 caregivers who expressed interest in participating, 54 and 31 respondents completed respectively. Respondents represented a variety of backgrounds and circumstances. Responses revealed both positive and negative aspects of group participation. Linked data on expectations and experiences provided important feedback for the program.ConclusionBrief, online surveys are a suitable mechanism for ongoing monitoring and evaluation of peer support group programs for caregivers.     

Ethical Adoption Practice

Abstract

Dr. Paul Denhalter completed his doctoral candidacy research on adoptive family attachment and entitlement. Nineteen parents were interviewed about what elements of adoptive family life contributed to a sense of entitlement. The act of care giving increased entitlement; negative comments from others about adoption tended to decrease it. In his social work practice, Dr. Denhalter counseled adoptive and birth families and advocated education, counseling and support for successful open adoption relationships. His positive perspective on adoption included his father's adoption at age five. Dr. Denhalter was critical of the current trends in adoption that have pathologized adoption for political purposes. He emphasized the results of the Search Institute's study that had positive conclusions about adopted children as well as a blueprint for successful adoptive families to follow.     

Examining the influence of gender and sexual motivation in college hookups

ABSTRACT

Objective: Hooking up is common in college, and has been linked to heavy drinking. Hookups have positive as well as negative consequences, and thus the motivations for hooking up are complex. Yet, little research has focused on these motivations. The present study examined the role that gender and drinking patterns play in the relationship between sexual motivation and penetrative hookups. Participants: Heavy drinking college students (N = 396) completed online surveys between September/October 2009. Method: Sexual motivation, alcohol, and hooking up were assessed. Results: Enhancement motives and drinking frequency predicted more frequent oral and vaginal sex when hooking up, while peer and partner motives predicted anal sex. Men endorsed greater enhancement motives, peer motives, and hookup oral and vaginal sex. For men, coping motives predicted oral and vaginal sex and peer motives predicted anal sex. Conclusions: Results provide greater insight into the reasons why college students engage in penetrative hookups.     

Do student service members/veterans experience worse mental health stigma than their peers? A comparative study in a national sample

ABSTRACT

Objectives: Examine differences in mental health treatment-related stigma in student service members and veterans (SSM/Vs) and peers from 57 post-secondary institutions across the United States. Methods: In total, 909 SSM/Vs and 1818 demographically- and institutionally-matched non-SSM/Vs completed assessments of stigma-related barriers to mental health service utilization as part of the Healthy Minds Study between 2011 and 2015. Results: When compared to non-SSM/V peers, SSM/Vs reported more mental health treatment-related stigma toward help-seekers and less confidence in the helpfulness of therapy/counseling and psychotropic medications. However, effect sizes were small in magnitude (ds = .10 to .16), and depressed students in both groups reported greater stigma. Conclusions: SSM/Vs experience greater treatment-related stigma than non-SSM/V peers, which may deter service use in many cases. However, differences in stigma were small and other under-studied barriers to help-seeking may apply to the substantive subset of SSM/Vs and non-SSM/Vs who may benefit from utilizing available services.     

Mental Health Treatment Barriers Among Racial/Ethnic Minority Versus White Young Adults 6 Months After Intake at a College Counseling Center

Abstract

Objective: This study examined mental health treatment barriers following intake at a counseling center among racially/ethnically diverse college students. Methods: College students (N = 122) seen for intake at a college counseling center in 2012–2013 completed self-reports of depressive symptoms, suicidal ideation, and mental health treatment barriers 6 months later. Results: Racial/ethnic minority students less often reported previous mental health treatment and treatment after being seen at the counseling center, compared with white students. They also endorsed more treatment barriers—most commonly, financial concerns and lack of time—and more often endorsed stigma-related concerns. Treatment barriers were associated with not following through with counseling center recommendations and with greater depressive symptom severity but not with suicidal ideation during follow-up. Conclusions: Improving mental health treatment seeking among racial/ethnic minority college students should involve decreasing treatment barriers, improving access to affordable options, providing flexible scheduling or time-limited options, and decreasing stigma.,     

Longitudinal Evaluation of Peer Health Education on a College Campus: Impact on Health Behaviors

Objective: The authors investigated the longitudinal impact of peer health education on the health behaviors of undergraduate students pertaining to alcohol and drug use, eating and nutrition, and sexual health. Participants: From fall 2003 to spring 2006, the authors annually administered a Web-based survey to a cohort of 2,000 randomly selected undergraduate students. Results: Students who had contact with peer health educators were significantly more likely over time than other students to report less alcohol consumption and fewer related negative consequences. Results also show that students who had contact with peer health educators initially endorsed engaging in unhealthy weight management and fat talk behaviors during their first year but decreased these unhealthy behaviors by their third year. No significant differences in sexual health behaviors were found. Conclusions: Results indicate that peer health educators play an important role in promoting healthy behaviors in the areas of alcohol and drug use and in eating and nutrition.     

Military Caregivers

Military caregivers provide essential services for their veteran or military service members who have serious injuries or illness. Of the estimated 39.8 million Americans who provide care for an adult, 1.1 million care for a post 9/11 veteran or service member. Caregivers may experience greater physical or mental health concerns including stress, depression and/or chronic illness, and have greater financial burden than their non-caregiving counterparts. Policy shifts such as the Caregivers and Veterans Omnibus Health Services Act of 2010 (2018) have created and expanded programs to support caregivers. Practitioners working with injured or ill military service members or veterans and their families should include a comprehensive biopsychosocial assessment of the whole family, utilizing several interventions, such as support groups, peer support, psychoeducational programs, training, individual and family counseling, and/or respite care services, to improve family function and reduce caregiver burden.     

Social influences on use of cigarettes,e-cigarettes,and hookah by college students

ABSTRACT

Objectives: (1) Compare social norms and perceived peer use between college student cigarette, e-cigarette, and/or hookah users and nonusers; and (2) determine variables associated with social influences. Participants: Undergraduate students attending a large university in the Southeast United States (N = 511). Methods: An April 2013 online survey assessed use of 3 types of tobacco, social norms, perception of peer use, number of smokers in life, exposure to secondhand smoke, and demographic characteristics. Results: Participants indicated greater acceptance of emerging tobacco products than for cigarettes and consistently overestimated the percent of peers who use various tobacco products. Males and current users had higher social norm scores for all 3 forms of tobacco. Conclusion: To counter marketing of alternative tobacco products, education about the dangers of their use needs to be implemented across college campuses as part of a comprehensive tobacco control strategy that also includes tobacco-free campus policies.     

Longitudinal Connections Between Parenting and Peer Relationships in Adoptive and Biological Families

SUMMARY

The links between parent-reported parent-child relationship quality and teacher-reported peer relationship quality were investigated in a sample of biological and adoptive families in the Colorado Adoption Project (CAP; n = 423 children). Data were analyzed using a multilevel model approach. Results indicated that teacher-rated popularity, but not peer problems, was significantly influenced by genetic factors. Longitudinal analyses indicated that parental report of warmth/ support and child-reported family expressiveness at age 10 years both predicted teacher-rated popularity at age 12 after age 10 popularity was statistically controlled. Also, parental negative control at age 10 years predicted a positive change in peer problems at age 12 years. The effect of parent-child relationship quality on the change in peer relationship quality was obtained in both biological and adoptive families. Finally, evidence of reciprocal influence over time was found for parental negative control and peer problems.     

Adolescent Internalizing Symptoms and the “Tightknittedness” of Friendship Groups

Adolescents with depression have lower peer status overall, but tend to befriend each other. We examined the “tightknittedness” of their friendship groups by testing whether adolescent friendship groups’ average levels of or variability in internalizing symptoms predict group cohesiveness. We used four waves (9th–12th grades) of survey and social network data on 3,013 friendship groups from the PROmoting School‐Community‐University Partnerships to Enhance Resilience study. Friendship groups with higher average depressive symptoms were less cohesive; groups with higher average anxiety symptoms had greater reciprocity. Groups with greater variability in depressive symptoms had greater density; variability in anxiety symptoms was not consistently associated with cohesion. The friendship groups of depressed adolescents appear less cohesive than the “typical” adolescent friendship group.     

Time and support do not heal all wounds: Mental health correlates of past bullying among college students

Abstract

Objective: We examined whether perceptions of being bullied during middle and high school were associated with depressive, anxiety, and posttraumatic stress disorder (PTSD) symptoms during college. We also examined whether perceived social support (PSS) mediated the association between bullying and symptoms, and explored whether parental, peer, or other sources of support was most beneficial. Participants: Undergraduates (N?=?270) from an urban commuter college in the Northeast participated during Spring 2013 or Fall 2015. Methods: Psychometrically sound self-report measures were used to assess symptoms and perceptions of bullying and social support. Results: As hypothesized, bullying was associated with more symptoms, and PSS significantly mediated the associations between bullying and symptoms of PTSD and depression. Conclusion: The college years provide another opportunity to address the effects of middle and high school bullying. Receiving current support for past bullying is beneficial but is not enough, college counseling services are needed to reduce symptoms.     

Modeling the mental health service utilization decisions of university undergraduates: A discrete choice conjoint experiment

Objective: We modeled design factors influencing the intent to use a university mental health service. Participants: Between November 2012 and October 2014, 909 undergraduates participated. Method: Using a discrete choice experiment, participants chose between hypothetical campus mental health services. Results: Latent class analysis identified three segments. A Psychological/Psychiatric Service segment (45.5%) was most likely to contact campus health services delivered by psychologists or psychiatrists. An Alternative Service segment (39.3%) preferred to talk to peer-counselors who had experienced mental health problems. A Hesitant segment (15.2%) reported greater distress but seemed less intent on seeking help. They preferred services delivered by psychologists or psychiatrists. Simulations predicted that, rather than waiting for standard counseling, the Alternative Service segment would prefer immediate access to E-Mental health. The Usual Care and Hesitant segments would wait 6 months for standard counseling. Conclusions: E-Mental Health options could engage students who may not wait for standard services.     

The Expansion of the Peer Adviser Workforce: Opportunities and Challenges for Social Work

ABSTRACT

Peer adviser roles are becoming an increasingly common—and celebrated—aspect of agencies where social workers are located. This article reports on a qualitative research study exploring the experiences of staff within a homelessness outreach service in which three peer advisers (people with a lived experience of homelessness) commenced employment. Drawing on action research principles, the study explored the experiences of the peer advisers and the broader team following the introduction of the peer adviser roles. Themes identified include, realising the skills of peer advisers, defining the role, taking a “whole of team” approach, and reflecting on power. This study demonstrates that the introduction of peer adviser roles into human service organisations is a promising strategy for creating services that are more likely to respond effectively to the needs of service users. However, social workers need to be aware of the pitfalls of tokenism and the devaluing of experiential knowledge.

IMPLICATIONS

• Peer advisers in health and welfare agencies add significant benefits to an agency’s capacity to respond to the needs of service users.

• The introduction of the peer workforce is aligned to social work values of service user empowerment and the valuing of experiential knowledge.

• In order to avoid tokenism, the introduction of peer adviser roles should be supported by both the attitudes and actions of other staff members, as well as organisational support structures.