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Contact: Amy Lenhart, Chair/editor for immediate release alenhart@collin.edu Jon Edwards, Author JEdwards@massbay.edu Community Colleges: Meeting the needs of today’s students in a changing and complex world With the American’s Promise Act (H.R 2962, S 1716) being introduced to Congress, community/two year colleges have the opportunity to become more affordable than ever Community colleges continue to be an important step to student’s overall success Providing counseling services to students to meet both academic and increasing mental health concerns is paramount Counseling can provide students with the necessary tools they need complete education and career goals in an increasing competitive job market According to the National Education Statistic’s 2013 Enrollment Survey, there were 7.4 million credit seeking students, and according to the American Association of Community Colleges 2015 membership database, there are 5.0 million noncredit seeking students As community colleges offer more affordable options for student’s transferring to four year schools and short term training options, enrollment will more than likely continue to increase Mental health and career counseling are important for in providing support for student’s overall academic, career, and emotional needs to be successful in college Many community/two year colleges have highly qualified mental health and career counseling professionals able to provide these needs to students The American College Counseling Association has completed a fifth survey to gather data about services provided by community/two year colleges in the area of counseling The survey was distributed to a compiled list of community colleges across the United States, the list servs of ACCA, The Texas College Counseling Association, and the Georgia College Counseling Discussion Listserv One hundred and fifty nine (159) counselors responded to the survey While many colleges across the United States report more severe psychological concerns on campus, only 10% of community colleges surveyed, have on site psychiatry resources, while The Gallagher Survey of College Counseling Center Directors reports that 58% of year schools have on-campus Psychiatry (Gallagher, 2014) Although 40% describe higher severity in psychological concerns, 60% of respondents stated that they are still expected to academic advising Other highlights included 47% stating that they hold licensure as an LMHC/LPC or equivalent and 28% are National Certified Counselors, 85% report having a threat assessment team on campus, 22% of colleges have a dedicated staff member to provide student case management, and 70% of colleges have trained counselors providing career counseling The American College Counseling Association will continue to support community/two year college counselors with the annual survey We strive to support the efforts of our colleagues in all academic settings through increasing awareness of the needs and services on campus References: AACC membership database, 2015(AACC analysis) CCTF Survey 2014-2105, American College Counseling Association, ACCA: Alexandria, VA Gallagher, R.P (2014) National Survey of Counseling Center Directors Alexandria, VA: International Association of Counseling Services NCES (2014) IPEDS Fall 2013 Enrollment Survey (AACC analysis) American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 Purpose: The American College Counseling Association (ACCA) has completed a fifth national survey The purpose of this survey is to gather benchmark data about common practices for personal/mental health counseling in community/two year colleges, to help in determining how many community/two year colleges have trained counselors providing career counseling Method: The 2014-15 survey was constructed with questions formulated from previous surveys, items originally generated from the ACCA Community College Task Force, and the ACCA Executive Board The survey was implemented using SurveyMonkey.com The survey was distributed to a compiled list of community colleges around the United States as well as the ACCA, and regional college counseling associations Professional counselors who provide personal counseling in a community college setting were invited to respond to the survey If there were no counseling services on campus, the appropriate dean or vice president was invited to respond The response rate for email invitations was 109 out of 708 The survey was posted on the ACCA listserv, the Georgia Counseling Association listserv, and the Texas College Counseling Association listserv The ACCA listserv response rate was 49 Three reminders were sent to all potential respondents The survey was closed to new responses on 9/23/15 A $25 gift card was raffled off as a response incentive n=159 responses Limitations: The survey was completed by self-selected group of individuals Not all who were specifically invited to participate via email chose to participate The compiled list of community colleges around the United States may not have been exhaustive The overall response rate was not possible to calculate because the total possible number of professional counselors at community colleges on each listserv contacted is unknown The number of respondents has decreased for the past two survey cycles The reason is unknown Highlights: This survey represents 159 Counselors from community/two year colleges in 41 different states, including the Commonwealth of Puerto Rico • • • 82% of responding community/two year colleges provide mental health counseling services (provided by counselors who are college employees) For community/two year colleges that not provide services, 20% have outsourced services by contract, 21% immediately refer student to off-campus providers, and 10% address the student issue through a behavioral intervention/threat assessment team 81% of respondents hold Master’s Degrees American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 • • • • • • • • • • • • • • • • • • • 47% hold licensure as an LMHC/LPC or equivalent and 15% hold no licensure 28% are National Certified Counselors 27% earn a salary of $51K to $60K 66% have a 12 month employment contract 50% are required to hold independent state licensure for their position 10% have on-site psychiatry resource or have contracted for services o The Gallagher Survey of College Counseling Center Directors reports that 58% of year schools have on-campus Psychiatry (Gallagher, 2014) 57% not limit the number of counseling sessions 85% report having a threat assessment team on campus 22% of colleges have a dedicated staff member to provide student case management 83% use their college’s website/home page to outreach to students and 37% use Facebook 74% offer suicide prevention programming or resources 40% describe the intensity/severity of clinical issues, relative to past years, as “higher severity.” 47% report that it is “same as previous years.” o The Gallagher Survey reports that 94% of directors report that the recent trend toward greater number of students with severe psychological problems continues to be true on their campuses and 52% of their clients have severe psychological problems (Gallagher, 2014) Most common responses regarding utilization of counseling services: o Average number of sessions per academic year = – (47%) o Average weekly caseload size = 84% of respondents report a caseload size of up to 20 clients a week o Percentage of student body seen for counseling = 61% see between % and 10% 81% provide mental health counseling and other services in the same office Most services are available during the weekday business hours of 8am-5pm 56% endorsed “We welcome a combination of crisis and general walk-ins” for counseling 84% not provide on-call or after-hours emergency coverage 41% type or handwrite their counseling notes and statistical tracking 70% of colleges have trained counselors providing career counseling All respondents have regular duties/roles in addition to personal counseling The top are: o Committee work (82%) o Psychoeducational programming (72%) o Career counseling (68%) o Academic advising (60%) The top student presenting problems are: o Depression o Anxiety disorders o Stress o Academic problems American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 The last question of the survey asked respondents to share additional information A brief summary of the response themes follows o o o o Counseling services on community colleges continues to be a mixture of philosophies and structures across the United States Understaffing of some counseling centers is a problem Counselors generally wear many “hats” at their institutions In some cases the role of personal/ mental health counseling is down played by the college administration Reference: Gallagher, R.P (2014) National Survey of Counseling Center Directors Alexandria, VA: International Association of Counseling Services American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 Survey Questions and Responses: Note: • All participants were invited to respond to questions one through ten • If the response to number 10 (Does your community/2 year college provide personal/mental health counseling services (provided by counselors who are college employees)?) was no, the participant was directed to number 11 (If your college has no mental health counseling services, who responds to student mental health concerns and/or students in acute distress?) • If the response to number 10 was yes, the participant answered all other questions (except for number 11) • This was done for the purpose of collecting detailed service data only from community/two year colleges that offer personal/ mental health counseling services Please enter your name and email address if you would like to enter to win a prize for your participation! Demographic Information about your community/2 year college Listed at end of survey What is your role/title? Answer Options Response Percent Response Count Vice President of Student Affairs Dean of Student Affairs Director of Counseling Associate/Assistant Director of Counseling Personal Counselor Career Counselor Disability Services Counselor Academic Advisor Other (please specify) answered question skipped question 2.5% 0.6% 16.4% 2.5% 28.9% 4.4% 1.9% 3.1% 39.6% 26 46 63 159 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 What is the total size of your college's student body (students enrolled in courses for credit) both full and part time for any given academic year? If you work at a college that has multiple campuses, please select the total number of students at your college, not just your campus Answer Options Response Response Percent Count Fewer than 2500 2501 - 5000 5001 - 7500 7501 - 10,000 10,001 - 12,500 12,501 - 15,000 15,001 - 20,000 20,001 - 30,000 30,001 - 40,000 40,001 + answered question skipped question 17.1% 19.0% 13.3% 8.2% 8.9% 8.9% 7.6% 6.3% 3.2% 7.6% 27 30 21 13 14 14 12 10 12 158 Answer Options Response Percent Response Count Yes No answered question skipped question 27.2% 72.8% 43 115 158 Does your college have on-campus housing? Does your community/2 year college provide any suicide prevention resources and programming? Answer Options Response Response Percent Count Yes No answered question skipped question 74.2% 25.8% 118 41 159 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 Does your college have a Threat Assessment/Behavioral Intervention/Student Care Team, or equivalent? Answer Options Response Response Percent Count Yes No answered question skipped question 85.5% 14.5% 136 23 159 If yes, does your team have access to a mental health professional for: Answer Options Response Percent Response Count Consultation on a case Mandated Assessment Referral to treatment Our team does not have access to a mental health provider answered question skipped question 69.9% 43.4% 78.3% 13.3% 100 62 112 19 143 16 Does your college have a designated Veteran's Center? Answer Options Response Percent Response Count Yes No answered question skipped question 69.8% 30.2% 111 48 159 10 Does your community/2 year college provide personal/mental health counseling services (provided by counselors who are college employees)? Answer Options Response Response Percent Count Yes No answered question skipped question 82.4% 17.6% 131 28 159 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 11 If your college has no mental health counseling services, who responds to student mental health concerns and/or students in acute distress? Answer Options Response Response Percent Count Our college DOES employ its own Personal/Mental Health Counselors Counseling services are outsourced by contract to non-college counselors, or an independent agency Threat Assessment/Behavioral Intervention/Student Care Team, or equivalent Campus Police/Public Safety Disabilities Services Career Services Dean of Students or Designee Health/Wellness Services or Nurse (on-campus) Other Administrator Other non-licensed, non-clinical staff We immediately refer the student to an off-campus provider Local Police Emergency Medical Services or Emergency Room Other (please specify) answered question skipped question 7.1% 21.4% 10.7% 7.1% 0.0% 0.0% 0.0% 3.6% 7.1% 3.6% 17.9% 0 0.0% 3.6% 17.9% 28 131 Answer Options Response Percent Response Count Associate's Degree Bachelor's Degree Master's Degree Doctoral Degree Medical Doctor answered question skipped question 0.8% 0.8% 81.2% 17.3% 0.0% 1 108 23 133 26 12 What degree you hold? American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 13 What state license(es) you hold? Answer Options Response Percent Response Count Licensed Mental Health Counselor / Licensed Professional Counselor (or equivalent) Licensed Psychologist Licensed Independent Clinical Social Worker (or equivalent) Licensed Marriage and Family Counselor Licensed Alcohol and Drug Counselor (or equivalent) Working Towards State Licensure Other Not Applicable answered question skipped question 47.3% 62 9.9% 9.2% 13 12 3.1% 4.6% 9.9% 9.9% 15.3% 13 13 20 131 28 Answer Options Response Percent Response Count National Certified Counselor Certified Clinical Mental Health Counselor National Certified School Counselor Master Addictions Counselor Other Not Applicable answered question skipped question 28.7% 0.9% 2.6% 0.9% 8.7% 63.5% 33 10 73 115 44 Answer Options Response Percent Response Count 12 month contract Less than 12 month contract answered question skipped question 66.4% 33.6% 87 44 131 28 14 What national certification(s) you hold? 15 What type of contract you hold? American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 16 How are you evaluated? Answer Options Response Percent Response Count Annual, Formal Evaluation More than annual, Formal Evaluation Less than annual, Formal Evaluation Informal Evaluation only No Evaluation answered question skipped question 65.4% 7.5% 16.5% 7.5% 3.0% 87 10 22 10 133 26 17 What is your current salary? (only aggregated salary results will be released) Answer Options Response Percent Response Count $0-20K $21-30K $31-40K $41-50K $51-60K $61-70K $71-80K $81-90K $91-100K $100K+ answered question skipped question 2.3% 3.8% 5.3% 15.0% 27.1% 14.3% 12.8% 9.8% 6.8% 3.0% 20 36 19 17 13 133 26 18 What social networking tools are you using to outreach or provide programming to students? Answer Options Response Response Percent Count None at this time College website/home page Facebook Twitter Online Mental Health Screening tool Ulifeline Other answered question skipped question 10.0% 83.1% 37.7% 14.6% 20.8% 20.8% 10.0% 13 108 49 19 27 27 13 130 29 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 19 What accreditation does your counseling center hold? Answer Options Response Percent Response Count International Association of Counseling Services (IACS) None Other (please specify) answered question skipped question 1.6% 90.7% 7.8% 117 10 129 30 20 How many full-time (FTE) counselors/therapists are on staff? Answer Options Response Percent Response Count 10+ answered question skipped question 5.3% 27.5% 19.8% 12.2% 9.9% 5.3% 4.6% 0.0% 0.8% 3.1% 11.5% 36 26 16 13 15 131 28 10 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 21 How many part-time counselors/therapists are on staff? Answer Options Response Percent Response Count 10+ answered question skipped question 56.3% 18.8% 5.5% 3.9% 0.8% 5.5% 2.3% 2.3% 0.0% 0.8% 3.9% 72 24 7 3 128 31 22 How many counseling interns (trainees) are on staff? Answer Options Response Percent Response Count 5+ answered question skipped question 76.2% 11.5% 6.2% 0.8% 2.3% 3.1% 99 15 130 29 11 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 23 How many administrative support positions are on staff? Answer Options Response Percent Response Count 5+ answered question skipped question 29.5% 34.1% 14.7% 7.8% 7.0% 7.0% 38 44 19 10 9 129 30 24 Do you have a Psychiatrist or other licensed prescriber either on staff or contracted to provide services? Answer Options Response Response Percent Count Yes No answered question skipped question 10.7% 89.3% 14 117 131 28 25 Does your college have a dedicated staff member for student case management? Answer Options Response Response Percent Count Yes No answered question skipped question 22.1% 77.9% 29 102 131 28 26 Are counseling staff who provide personal/mental health services at your college required to hold independent State licensure? Answer Options Response Response Percent Count yes No answered question skipped question 50.8% 49.2% 12 66 64 130 29 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 27 Do you have students sign an Informed Consent document for personal/ mental health counseling? Answer Options Response Response Percent Count Yes No Please explain your answer above: answered question skipped question 70.2% 29.8% 92 39 36 131 28 28 What limits you place on the number of counseling sessions? Answer Options Response Percent Response Count No limits to the number of sessions Emergency sessions only - sessions - 10 sessions 11 - 15 sessions 15 - 20 sessions answered question skipped question 57.3% 4.8% 16.9% 16.9% 4.0% 0.0% 71 21 21 124 35 29 What PERCENTAGE of your student body does your office see for mental health counseling in any given academic year (approximately)? Answer Options Response Response Percent Count 01 - 05% 06 - 10% 11 - 15% 16 - 20% 21 - 25% 26 - 30% 31 - 40% 41 - 50% More than 50% Do not know answered question skipped question 38.0% 23.1% 6.6% 5.0% 5.8% 2.5% 1.7% 0.8% 0.0% 16.5% 13 46 28 20 121 38 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 30 What is the AVERAGE NUMBER of counseling SESSIONS in any given semester (approximately)? Answer Options Response Response Percent Count Only or Sessions 3-5 - 10 11 - 15 16 - 20 21 - 25 26 - 30 More than 30 Sessions answered question skipped question 8.1% 47.2% 22.0% 5.7% 2.4% 0.8% 0.8% 13.0% 10 58 27 1 16 123 36 31 What is your AVERAGE WEEKLY CASELOAD SIZE for mental health counseling (approximately)? Answer Options Response Response Percent Count 1-5 - 10 11 - 15 16 - 20 21 - 25 25 - 30 31 - 40 More than 40 answered question skipped question 36.1% 21.8% 16.0% 12.6% 8.4% 1.7% 1.7% 1.7% 43 26 19 15 10 2 119 40 32 When are you available/have office hours/open for students? Answer Options Weekdays Weekends Response Count Early Morning (Before 8am) Daytime (8am - 5pm) Evening (5pm - 8pm) Late Evening (8pm - 10pm, or later) answered question skipped question 13 124 52 0 13 124 52 124 35 14 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 33 Does your counseling center provide personal/mental health counseling only or does it also provide other related student counseling/services (e.g., Career Counseling, Academic Advising)? Answer Options Response Response Percent Count We provide personal/mental health counseling only We provide personal/mental health counseling and other related student counseling/services answered question skipped question 18.7% 23 81.3% 100 123 36 34 What other duties you regularly perform (or are provided by your office) IN ADDITION to providing personal/mental health counseling for students? Answer Options Response Response Percent Count Not Applicable Academic Advising Career Counseling Admissions Advising Disabilities Services Teaching Tutoring Administration / Management Duties Committee Work Psychoeducational Programming Other answered question skipped question 0.0% 61.0% 68.3% 23.6% 28.5% 43.1% 4.9% 50.4% 82.1% 72.4% 22.0% 75 84 29 35 53 62 101 89 27 123 36 Answer Options Response Percent Response Count Stand Alone Location (e.g., house or separate building) Student Affairs/Student Development Office Health Services Office/Infirmary Disabilities Services Academic School/Division answered question skipped question 10.5% 13 70.2% 4.0% 4.0% 11.3% 87 5 14 124 35 35 Where is your office housed or located? 15 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 36 How does your counseling center handle "walk-in" appointments? Answer Options Response Percent Response Count We see walk-ins for crisis intervention only We generally welcome walk-ins and/or set time aside for walk-ins We welcome a combination of crisis and general walk-ins We generally not allow walk-ins; students must make an appointment answered question skipped question 22.0% 22.0% 27 27 56.1% 69 0.0% 123 36 37 Do you provide after-hours "on call" crisis services for students? Answer Options Response Percent Response Count Yes No answered question skipped question 15.3% 84.7% 19 105 124 35 38 If your school became aware of a student who was potentially violent or suicidal, would you: Answer Options Response Response Percent Count Almost always, will involve the parents, guardian or support others in the student’s life Many times, will involve the parents, guardian or support others in the student’s life Rarely, will involve the parents, guardian or support others in the student’s life Never, will involve the parents, guardian or support others in the student’s life answered question skipped question 16 21.3% 26 58.2% 71 18.0% 22 2.5% 122 37 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 39 Does your center provide mandated assessment for suicidal or violent students? Answer Options Response Response Percent Count Almost always Many times Rarely Never answered question skipped question 28.5% 23.6% 26.0% 22.0% 35 29 32 27 123 36 40 Does your center provide mandated treatment for suicidal or violent students? Answer Options Response Percent Response Count Almost always Many times Rarely Never answered question skipped question 13.0% 25.2% 25.2% 36.6% 16 31 31 45 123 36 41 How would you describe the level of acuity/severity of the clinical issues that you are seeing, relative to past years? Answer Options Not Sure Lower Same as Higher Rating Response Severity Previous Severity Average Count Years Overall Acuity / Severity 11 58 50 3.20 123 answered question 123 skipped question 36 17 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 42 What are the most common presenting problems? Answer Options Response Percent Response Count Crisis Intervention Depression Bipolar Disorder Other Mood Disorders Anxiety Disorders Adjustment Disorders Sleep Disorders Eating Disorders Substance-Related Disorders Addictions (other than substances) Pervasive Developmental Disorders Attention-Deficit / Disruptive Disorder Learning Disabilities Schizophrenia/Schizoaffective Disorders Personality/Axis II Issues Academic Problems Anger Career/Vocational Issues Discrimination/Harassment Identity Problems Loss/Grief Non-Suicidal Self-Injury Physical Abuse/Physical Assault Relational Issues Self-esteem Sexual Abuse/Sexual Assault Stress Test anxiety/Procrastination Triage and/or Referral Other answered question skipped question 56.9% 88.6% 35.0% 24.4% 94.3% 45.5% 12.2% 12.2% 25.2% 18.7% 12.2% 35.0% 42.3% 11.4% 18.7% 78.9% 30.1% 52.0% 10.6% 22.8% 50.4% 25.2% 25.2% 76.4% 55.3% 30.9% 91.9% 72.4% 26.8% 5.7% 70 109 43 30 116 56 15 15 31 23 15 43 52 14 23 97 37 64 13 28 62 31 31 94 68 38 113 89 33 123 36 18 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 43 What are your most common referral sources? Answer Options Response Percent Response Count Academic Support Center/Tutoring Services Academic Advisor/Advising Office Administrator or Dean Athletics/Coach/Recreation Center Career Services Office Disabilities Services Office Email Outreach Faculty/Professor/Instructor Friend Health Services/Nurse/Infirmary Orientation Session Other College Employee Parent(s) Poster/Flyer/Brochure Program or Classroom visit Relative (other than parents) Website/Online Screening Tool Other answered question skipped question 42.7% 60.5% 33.1% 12.1% 27.4% 60.5% 16.9% 76.6% 25.8% 16.9% 14.5% 39.5% 10.5% 19.4% 28.2% 1.6% 18.5% 21.0% 53 75 41 15 34 75 21 95 32 21 18 49 13 24 35 23 26 124 35 44 Please estimate how much time PER WEEK you spend on mental health counseling? Answer Options Response Response Percent Count 01 - 05 Hours 06 - 10 Hours 11 - 15 Hours 16 - 20 Hours 21 - 25 Hours 26 - 30 Hours 31 - 40 Hours More than 40 Hours answered question skipped question 32.0% 13.9% 13.9% 15.6% 15.6% 6.6% 2.5% 0.0% 19 39 17 17 19 19 122 37 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 45 How you document and track clinical data, progress, and statistics? Answer Options Response Percent Response Count Typed or Handwritten Notes & Tracking Internal or custom college Software Package Titanium Schedule Software Package Therapist Helper Software Package TheraScribe Software Package Microsoft Office applications (e.g., Outlook, Excel) Other (please specify) answered question skipped question 41.5% 20.3% 13.0% 0.0% 0.0% 8.9% 16.3% 51 25 16 0 11 20 123 36 46 How you evaluate the effectiveness of personal/ mental health counseling services? Answer Options Response Response Percent Count Student satisfaction survey Student feedback in session Calculating student persistence rates Counselor report/perception Formal assessment tool or validated process (e.g., logic model) We currently not evaluate effectiveness answered question skipped question 51.6% 43.4% 9.0% 37.7% 3.3% 63 53 11 46 23.8% 29 122 37 47 Does your college have trained counselors providing career counseling or other staff perform this duty? Answer Options Response Response Percent Count Trained career counselors Other staff answered question skipped question 70.2% 29.8% 20 87 37 124 35 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 48 Do you have students sign an Informed Consent document for career counseling? Answer Options Response Response Percent Count Yes No Please explain your answer above: answered question skipped question 18.3% 81.7% 21 94 41 115 44 49 What types of mental health screening days you offer? Answer Options Response Percent Response Count None Internet-based screening tools Alcohol screening Anxiety screening Depression and other mood disorder screening Domestic Violence screening Eating disorder screening Suicide prevention Trauma/PTSD screening answered question skipped question 41.1% 26.6% 29.0% 25.0% 43.5% 13.7% 14.5% 21.0% 8.9% 51 33 36 31 54 17 18 26 11 124 35 50 Are you a member of the American College Counseling Association (ACCA)? Answer Options Response Percent Response Count Yes No answered question skipped question 48.4% 51.6% 59 63 122 37 21 American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 List of Participating Colleges: Adirondack Community College Alexandria Technical and Community College Allen Community College Anoka Technical College Arkansas State University - Mountain Home Atlantic Cape Community College Austin Community College AVTEC - Alaska's Institute of Technology Barton Community College Bellevue College Bellingham Technical College Bismarck State College Black Hawk College Blacksburg Borough of Manhattan Community College Brookdale Community College Brookhaven College Butler Community College Central Ohio Technical College Central Piedmont Community College Central Wyoming College Chandler Gilbert Community College Cisco College Clackamas Community College Clarion University Venango College College of DuPage College of Lake County College of Southern Nevada College of the Sequoias Collin College Colorado Mountain College Columbia Basin College Community College of Allegheny County Community College of Baltimore County Cottey College Crowder College Cumberland County College CUNY Kingsborough Community College Del Mar College Delaware Technical Community College Stanton Campus NY MN Dine College Dutchess Community College East Arkansas Community College East Central College Eastern Arizona College Eastern Maine Community College El Paso Community College Estrella Mountain Community College Everett Community College Florida Gateway College Garrett College Gateway Technical College Genesee Community College Grays Harbor College Great Basin College Great Bay Community College Greenfield Community College HACC Central Pennsylvania's Community College Halifax Community College Harcum College Hillsborough Community College Hocking College Howard Community College Illinois Central College Ivy Tech Community College Ivy Tech Community College-Southwest Jackson State Community College Jamestown Community College Jefferson Community & Technical College Johnson County Community College Kankakee Community college Kellogg Community College Lake Area Technical Institute Lake Region State College Lake Washington Institute of Technology Lakeland Community College Lakeshore Technical College Leeward Community College Lehigh Carbon Community College Lone Star College - Kingwood Lone Star College System MassBay Community College KS MN AR NJ TX AK KS WA WA ND IL VA NY NJ TX KS OH NC WY AZ TX OR PA IL IL NV CA TX CO WA PA MD MO MO NJ NY TX DE 22 AZ NY AR MO AZ ME TX AZ WA FL MD WI NY WA NV NH MA PA NC PA FL OH MD IL IN IN TN NY KY KS IL MI SD ND WA OH WI HI PA TX TX MA American College Counseling Association Survey of community/two year college Counseling Services 2014-2015 Merced College Middlesex Community College Midlands Technical College Mineral Area College Mitchell Community College Monroe Community College Moraine Park Technical College Mount Wachusett Community College Muskegon Community College Normandale Community College Northeast Wisconsin Technical College Northern Essex Community College Northern Virginia Community College Oakland Community College Oakton Community College Owens Community College Palm Beach State College Pennsylvania Highlands Community College Pierce College - Puyallup Pierce College Fort Steilacoom Portland Community College Prince George's Community College Professional School Pueblo Community College Quincy College Quinebaug Valley Community College Quinsigamond Community College Resurrection University Richland College River Valley Community College Roane State Community College Rock Valley College Rockingham Community College San Antonio College CA MA SC MO NC NY WI MA MI MN WI MA VA MI IL OH FL PA San Diego City College San Jacinto College Santa Fe Community College SAU Tech Schenectady County Community College Shoreline Community College South Plains College South Puget Sound Community College South Suburban College Southern State Community College Southwest Virginia Community College St Philip's College Suffolk County Community College SUNY Broome Community College Surry Community College Tarrant County College Technical College of the Lowcountry Texas State Technical College Truckee Meadows Community College Tulsa Community College Tunxis Community College Turabo Community College United Tribes Technical College UNT Dallas Wallace Community College Dothan Waukesha County Technical College West Los Angeles College West Virginia Northern Community College Western Technical College Wytheville Community College Yavapai College York Technical College WA WA OR MD PR CO MA CT MA IL TX NH TN IL NC TX 23 CA TX NM AR NY WA TX WA IL OH VA TX NY NY NC TX SC TX NV OK CT PR ND TX AL WI CA WV WI VA AZ SC