{"id":172472,"date":"2016-07-28T12:06:33","date_gmt":"2016-07-28T18:06:33","guid":{"rendered":"http:\/\/nmpolitics.net\/index\/?p=172472"},"modified":"2016-07-28T16:04:39","modified_gmt":"2016-07-28T22:04:39","slug":"nmsu-considers-merging-medical-counseling-services-for-students","status":"publish","type":"post","link":"https:\/\/nmpolitics.net\/index\/2016\/07\/nmsu-considers-merging-medical-counseling-services-for-students\/","title":{"rendered":"NMSU considers merging medical, counseling services for students"},"content":{"rendered":"<p>New Mexico State University Chancellor Garrey Carruthers decided last week not to outsource student health services as part of efforts to reorganize the university and cut the budget.<\/p>\n<div id=\"attachment_142880\"  class=\"wp-caption module image alignleft\" style=\"max-width: 336px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-142880\" src=\"http:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/04\/CampusHealthCenter-336x209.jpg\" alt=\"Campus Health Center\" width=\"336\" height=\"209\" srcset=\"https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/04\/CampusHealthCenter-336x209.jpg 336w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/04\/CampusHealthCenter-768x477.jpg 768w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/04\/CampusHealthCenter-771x479.jpg 771w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/04\/CampusHealthCenter-1170x726.jpg 1170w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/04\/CampusHealthCenter.jpg 1200w\" sizes=\"auto, (max-width: 336px) 100vw, 336px\" \/><p class=\"wp-media-credit\">Billy Huntsman \/ The Round Up<\/p><p class=\"wp-caption-text\">The Campus Health Center on the main NMSU campus in Las Cruces.<\/p><\/div>\n<p>The decision followed discussions with the student body president and other university leaders, according to\u00a0<a href=\"http:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/07\/072216-NMSUs-Student-Health-Center.pdf\" target=\"_blank\">a July 22 memo<\/a> Carruthers sent to the entire campus.<\/p>\n<p>\u201c&#8230;we have decided NMSU will not house a privately operated health center on campus and will continue to operate our Student Health Center as a university entity,\u201d\u00a0Carruthers wrote.<\/p>\n<p>NMSU is in the process of negotiating a no-bid contract with a private company\u00a0to outsource employee health services \u2013 which have been\u00a0provided by NMSU\u00a0in the Campus Health Center along with health services for students. The last day NMSU will offer on-campus employee health services\u00a0is Friday.<\/p>\n<p>Now that student health services aren\u2019t heading toward outsourcing, Carruthers wrote in his memo, the university plans to \u201csoon issue a request for proposals on how best to design an integrated and comprehensive student health facility on campus.\u201d<\/p>\n<p>Officials acknowledge that \u201cintegrated\u201d could mean somehow combining the NMSU Counseling Center with medical services for students provided at the Campus Health Center \u2013 though they say no decision has been made. Currently the two are housed in separate buildings and considered separate entities.<\/p>\n<p>Carruthers told NMPolitics.net earlier this month that a merger\u00a0could come in the future.<\/p>\n<p>\u201cThe Counseling Center is not in this mix at the moment,\u201d the chancellor\u00a0said. \u201cIf anything happens to the Counseling Center, it will happen after we make <a href=\"http:\/\/nmpolitics.net\/index\/2016\/07\/nmsu-cuts-on-campus-employee-health-services-equestrian-team-surveying-engineering-program\/\" target=\"_blank\">these cuts<\/a> (such as\u00a0<a href=\"http:\/\/nmpolitics.net\/index\/2016\/07\/nmsu-plans-to-eliminate-126-jobs\/\" target=\"_blank\">eliminating jobs<\/a>\u00a0and\u00a0<a href=\"http:\/\/nmpolitics.net\/index\/2016\/07\/nmsu-changes-mind-gives-equestrian-team-one-more-year\/\" target=\"_blank\">defunding the equestrian team<\/a>). That\u2019s not a decision I have to make today.\u201d<\/p>\n<p>But plans change. The equestrian team is getting funding for a year longer than Carruthers initially intended. Student health services aren\u2019t being outsourced. And the Board of Regents still has\u00a0to vote on whether to approve Carruthers&#8217; proposal to <a href=\"http:\/\/nmpolitics.net\/index\/2016\/07\/decision-to-cut-nmsu-surveying-engineering-program-isnt-yet-final\/\" target=\"_blank\">eliminate\u00a0the Surveying Engineering academic program<\/a>.<\/p>\n<p>Now, apparently, integration of various campus health-related offices is under consideration. Some campus leaders, including the student body president, favor a plan to merge or integrate health and counseling services.<\/p>\n<p>\u201cTo me it just makes perfect sense,\u201d said ASNMSU President Matt Bose. \u201cStudents coming in are provided the discreet service they deserve. Unfortunately, there is a stigma associated with seeking help, especially mental health, and when a student walks into the Counseling Center, anybody walking by can assume that they&#8217;re receiving some sort of help. Moving it to the health center would provide some much-needed privacy.\u201d<\/p>\n<p>Another advantage of a potential merger could be full medical records available to nurses and doctors in the Student Health Center, he said.<!--more--><\/p>\n<p>\u201cDoctors seeing these students can fully understand what&#8217;s going on in a student&#8217;s life and diagnose and treat accordingly,\u201d Bose said.<\/p>\n<p>NMSU\u2019s student regent, Amanda L\u00f3pez Askin, said it seems to her \u201cthere would be a lot of benefits (to a merger), but at this point, I think we\u2019re still trying to establish that.\u201d<\/p>\n<p>\u201cBecause it is still a \u2018potential,\u2019 there\u2019s a lot of moving pieces and I don\u2019t have all of the information on how that would affect the Counseling Center, as well as the Student Health Center,\u201d Askin said.<\/p>\n<p>Askin is pursuing a doctorate in educational leadership and has a master\u2019s degree in marriage and family therapy. For the past 11 years, she has worked at the N.M. Department of Health as a school mental health advocate. She said she has \u201cpromoted and advocated for integrated health centers at high schools across the state\u201d and \u201cbelieves in integrated health.\u201d<\/p>\n<p>During her time with the DOH, she has seen students \u201cwith physical symptoms\u201d that frequently can be \u201cassisted with mental health services.\u201d She said integrated health centers can benefit students, as well as staff.<\/p>\n<p>\u201cI don\u2019t know if that\u2019s the best fit for NMSU,\u201d Askin\u00a0said. \u201cI think that\u2019s something we have to establish. But I do know that it\u2019s something that has worked in high schools across New Mexico.\u201d<\/p>\n<h3>Opposition from the Counseling Center<\/h3>\n<p>Counseling Center staff, on the other hand, say \u201cintegrated\u201d \u2013 the word Carruthers used in his recent memo \u2013 means \u201cmerged.\u201d Karen Schaefer, the director of the NMSU Counseling Center, said staff at the center unanimously prefer not to merge.<\/p>\n<p>\u201cA medical operation and a counseling operation are fundamentally different things,\u201d said Corey Vas, the Counseling Center\u2019s associate director. \u201c\u2026Remaining autonomous is what is best for the students.\u201d<\/p>\n<p>One big difference: An appointment at the Student Health Center lasts about 15 minutes, with the focus on diagnosis and treatment of symptoms, while appointments at the Counseling Center are typically 50 minutes and diagnosis and treatment of symptoms are nowhere near as quick, Schaefer said. Vas said the average student who utilizes the Counseling Center has 6-7 sessions.<\/p>\n<p>Counseling is an integral part of retaining students to graduation, which has been a problem for NMSU for several years now, Vas said.<\/p>\n<p>The Counseling Center and the Student Health Center already work in tandem, Vas said. The Counseling Center often refers clients to the Student Health Center in order to receive medication. The Student Health Center refers clients to the Counseling Center for services.<\/p>\n<p>Further, Schaefer said, the Counseling Center is already \u201cintegrated\u201d with other offices \u2013 and she is concerned that a merger with the Student Health Center might dismantle that.<\/p>\n<p>The Counseling Center is part of Counseling and Student Development Services (C&amp;SD) \u2013 various health and wellness-related offices that are housed in Garcia Annex. Along with the Counseling Center, they include the Career Exploration Center, Social Work Services and the Wellness, Alcohol and Violence Education (WAVE) program.<\/p>\n<p>As an example of integration between those offices, doctoral interns in the Counseling Center are required to perform outreach. Many choose to do this with the WAVE program. Examples of outreach, Schaefer said, include giving presentations on topics such as campus sexual assault, eating disorders and suicide.<\/p>\n<p>Another example is providing impromptu counseling services to the community.<\/p>\n<p>\u201cThis past spring WAVE showed the film<em> The Hunting Ground<\/em> about rape on campus,\u201d Schaefer said. \u201cAnd there were several of us counselors there in case any one of the people who were in attendance became upset.\u201d<\/p>\n<p>Counseling Center interns are able to get outreach credit because WAVE is headed by Debra Darmata, a mental health counselor with a master&#8217;s in clinical psychology. Supervision by a licensed psychologist, such as Counseling Center counselors, or someone with adequate training, such as Darmata, is required to complete the internship.<\/p>\n<p>The Student Health Center has no licensed psychologists on staff.<\/p>\n<p>If WAVE becomes \u201can arm\u201d of health education as a result of a merger between the Counseling and Student Health centers, Schaefer said she fears the focus will shift to health education, rather than counseling, and will no longer prove an effective outreach program for Counseling Center interns.<\/p>\n<p>The offices that are part of C&amp;SD are not solely focused on counseling, Schaefer said, but also on outreach, supervision and consultation of staff, interns and clients. A merger, Schaefer said, could shift the focus solely to therapy.<\/p>\n<p>\u201cThe concern then becomes will staff stay?\u201d Schaefer said. \u201cBecause they come here for the variety of things we offer.\u201d<\/p>\n<p>Schaefer said salaries at the Counseling Center are low, but staffers are drawn to NMSU\u2019s Counseling Center because it\u2019s not solely focused on therapy. If a merger were to happen, \u201cWe could wind up losing some experienced staff\u201d who came to NMSU to help students in a variety of capacities, she said.<\/p>\n<p>\u201cAnd if the staff leave, then there are no supervisors for the interns,\u201d Schaefer said.<\/p>\n<p>\u201cAnd the internship ends,\u201d Vas said.<\/p>\n<h3>Accreditation, internship program may be at risk<\/h3>\n<p>Because the philosophies of the Counseling Center and the Student Health Center are inherently different, Vas said, there would be a high chance of friction between the center\u2019s merged staffs, as is often reported nationally by universities that have merged their counseling and health centers. Vas said somewhere between 26 and\u00a027 percent of universities nationwide have merged their counseling center and health center services, and that it\u2019s a growing trend.<\/p>\n<p>However, a merger between the two centers does not have to entail an integration of services, Vas said.<\/p>\n<p>\u201cThere are different models for merging,\u201d he said.<\/p>\n<p>One entails having both entities inhabit a single building\u00a0but on different floors.<\/p>\n<p>Schaefer likened this potential setup to how Memorial Medical Center and the Sexual Assault Nurse Practitioner (SANE) program are arranged.<\/p>\n<p>\u201cThe SANE program is less institutionalized, has a warmer and caring atmosphere, is in a building connected to MMC but not within the hospital itself,\u201d Schaefer said. \u201cThat is similar to the nature of our work \u2014 so much of what we do is work with folks dealing with trauma and it helps to have an atmosphere that is conducive to talking about difficult experiences.\u201d<\/p>\n<p>Without significant and costly renovations, this model would not work at NMSU.<\/p>\n<p>On the other extreme of merger possibilities would be the sharing of medical records, Schaefer said. While there may be advantages to counselors and physicians sharing records, as Bose pointed out, there are also drawbacks.<\/p>\n<p>One of the most significant Schaefer pointed out is the potential loss of one of the Counseling Center\u2019s two accreditations, this one from the International Association of Counseling Services (IACS).<\/p>\n<p>\u201cThe guidelines that they have do not permit us to share front-desk staff (such as with the Student Health Center),\u201d Schaefer said. \u201cThere also has to be a separate entrance. Records need to be maintained separately. We can\u2019t have student employees interacting with clients.\u201d<\/p>\n<p>The Counseling Center is already in danger of losing its IACS accreditation because it does not have a sufficient ratio of counselors to enrolled students, Vas said. Per IACS guidelines, Vas said, there needs to be one counselor for every 1,500 students. Currently the NMSU Counseling Center has six counselors &#8212; about one for\u00a0every 2,600 students, according to a 2015 demographic of enrolled students at NMSU\u2019s main campus.<\/p>\n<p>\u201cThe advantage of having an IACS accreditation is that, every seven years, you\u2019ve got a site visit where quality control is looked at,\u201d Schaefer said. \u201cIt\u2019s the only accrediting body for university counseling centers.\u201d<\/p>\n<p>While many university counseling centers do not have IACS accreditation, Schaefer said, she likes having it, as it \u201ckeeps us on our toes.\u201d<\/p>\n<p>\u201cIt\u2019s a best-practices model,\u201d said Vas.<\/p>\n<p>In an email to Carruthers, Schaefer said the Counseling Center would be willing to lose its IACS accreditation for \u201ccost-saving purposes,\u201d so long as it remained its own separate entity.<\/p>\n<p>But if a merger\u00a0were to happen and, as she fears, the offices within C&amp;SD were\u00a0\u201cfarmed out\u201d to various other parts of Campus Health, the Counseling Center\u2019s second accreditation and internship program through the American Psychological Association (APA) could also be in danger. The Counseling Center currently has four clinical interns. In addition, a fifth is due in 2017 as part of an $890,000 grant obtained by Eve Adams, a professor in the Clinical &amp; Educational Psychology Department. This fifth intern will work 80\/20 at the Counseling Center and at La Clinica de Familia.<\/p>\n<p>These interns help ease the workloads of counselors in the NMSU Counseling Center, which in turn benefits students, Schaefer said.<\/p>\n<p>\u201cIntern pay is less than I would like it to be,\u201d Schaefer said, but paying four doctoral-level counseling interns is more cost-effective than paying three master\u2019s-level counseling students, as the doctoral interns are able to perform more services.<\/p>\n<p>Without the intern program, master&#8217;s level-counselors would have to fill the void, Schaefer said.\u00a0 And while the master&#8217;s-level counselors are trained to see clients, there are services currently offered to NMSU students, such as ADHD or disability assessments, that they are not trained to offer.\u00a0 Consequently, there would be an increase to the already-full workloads of the staff psychologists, Schaefer said.<\/p>\n<p>Further, the doctoral interns at the Counseling Center supervise doctoral practicum students. These practicum students see five to seven patients a week at no cost to the Counseling Center (they are compensated with course credit).<\/p>\n<p>Without the internship program, it would be more difficult for practicum students to gain clinical experience at the Counseling Center because they would have to be supervised by licensed psychologists, and the Counseling Center is already understaffed, Schaefer said. Master\u2019s students could not supervise the practicum students because master\u2019s students are not licensed.<\/p>\n<p>Losing the APA accreditation would additionally prevent NMSU from recruiting doctoral interns, who come from other APA-accredited programs throughout the country,. That\u00a0would in turn harm the Counseling Center\u2019s ability to help students, Vas said.<\/p>\n<p>Schaefer said she has a meeting on Aug. 4 with Provost Dan Howard to discuss the effects a merger would have on the Counseling Center\u2019s internship program.<\/p>\n<h3>What\u2019s next?<\/h3>\n<p>If merger talks continue, Schaefer said she hopes she will be brought in to give her perspective.<\/p>\n<p>\u201cI really hope the chancellor is receptive to our being part of that discussion about the proposals,\u201d Schaefer said.<\/p>\n<p>Andrea Joseph, an associate professor in NMSU\u2019s Department of Criminal Justice, has already shared her concerns about a merger in an email to Carruthers. Joseph took a student to the Counseling Center for reasons she did not disclose in that email. In the waiting room, \u201cpeaceful and private\u2026with a TV with beach scenes and the rolling sound of gentle waves,\u201d Joseph waited with her student until a counselor came.<\/p>\n<p>\u201cIt was in this quiet space that (the student) felt comfortable disclosing the fact she was raped,\u201d Joseph said. \u201cI do not believe such progress would have occurred in the hustle and bustle of the health center.\u201d<\/p>\n<p>\u201cI strongly encourage you not to merge the Counseling Center with the health center,\u201d states Joseph\u2019s email, which Schaefer provided to NMPolitics.net.<\/p>\n<p>Carruthers and Lori McKee, director of the Student Health Center, declined NMPolitics.net&#8217;s interview requests.<\/p>\n<p>\u201cNo direction has been decided on yet. It\u2019s too premature to say one way or another,\u201d NMSU spokesman Justin Bannister said.<\/p>\n<p>Bose, meanwhile, said NMSU \u201cis currently transforming to be the best university we can be.\u201d He participated in talks about health services and was instrumental in preventing the outsourcing of the Student Health Center.<\/p>\n<p>\u201cAlong with that came a decision to analyze the services that the health center offered and evaluate any potential changes that could be made to better serve our students,\u201d he said.<\/p>\n<p>NMSU plans to soon send out a request for proposals \u201cto evaluate the strengths and weaknesses of our health center,\u201d Bose said.<\/p>\n<p>\u201cWe anticipate being able to evaluate that proposal in the very near term,\u201d Carruthers\u2019 July 22 memo states.<\/p>\n<p>\u201cAnd at that point,\u201d Bose said, \u201cwe will make changes to better accommodate our students&#8217; needs.\u201d<\/p>\n<p><em>A prior version of this article incorrectly stated that Darmata is\u00a0a licensed psychologist. It has been corrected. The article has also been updated to clarify what the Counseling Center&#8217;s clinical interns do.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The student body president favors a merger, while staff at the Counseling Center do not. \u201cA medical operation and a counseling operation are fundamentally different things,\u201d said Corey Vas, the Counseling Center\u2019s associate director.<\/p>\n","protected":false},"author":2959,"featured_media":142880,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[196,125,117,133],"class_list":["post-172472","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-and-analysis","tag-budget","tag-education","tag-health-care","tag-nmsu"],"_links":{"self":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts\/172472","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/users\/2959"}],"replies":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/comments?post=172472"}],"version-history":[{"count":0,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts\/172472\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/media\/142880"}],"wp:attachment":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/media?parent=172472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/categories?post=172472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/tags?post=172472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}