PCC 2017-18 Service: Student FAQs
Does the Psychological & Counseling Center (PCC) limit individual therapy session limits to 6 sessions?
The PCC does not have session limits. Rather, the average number of sessions a student receives is six sessions. When a student is approaching six sessions, PCC providers will write a brief clinical summary containing goals, progress, acuity, and circumstantial factors to the PCC clinical review team. This team will assess and determine continuity of care, which may include more sessions at the PCC, a referral to a campus or community partner, or a more intensive treatment recommendation. VUMC has found this medical review of treatment to be effective in allowing therapists to draw on perspectives other than their own in recommending the best course for an individual patient, and this is best practice in the medical community.
Use patterns by Vanderbilt students have historically ranged from one session to 135 sessions. Data from the Center for Collegiate Mental Health (CCMH) 2016 Annual Report shows that nationally: one is the most common number of appointments for individual therapy; clients averaged 5.86 appointments (Range: 1-117); and 20 percent of clients accounted for over 50 percent of all appointments, with 5 percent of clients accounting for 25 percent of service use. Thus, our patterns of use fit national norms.
Our goal is to ensure that all of our students are receiving the appropriate type and level of care at the right time. We have not and will not place a limit on the number of sessions available to students seeking help. Rather, an average of 6 sessions is typical for students that are appropriate for care at the PCC, but the exact number of sessions will be determined based on each individuals treatment needs.
Yes, the majority of the services at the PCC are provided at no additional cost to students, with the exception being LD/ADHD assessments. Although psychiatric services are free of charge, students need to use their insurance to cover prescription medication.
What is likelihood of continuing to receive long-term care at PCC for students who have already been receiving it?
Students who have already been receiving care will also go through the clinical review after the sixth session—the beginning of the academic year resets their session count.
The PCC employs a short-term model of care. Our model of care has been, and will continue to be, structured around an emphasis on connecting students to a network of care that best suits their individual needs. If PCC services are appropriate for a student, the PCC determines the frequency and duration of counseling sessions based on an assessment of student need for services. The question of clinical need drives the model of care. We want to ensure that students are receiving the appropriate type and level of care at the right time while maximizing access opportunities for all students to obtain services.
Research supports short-term care as an effective intervention for students. For instance, short-term psychotherapies have consistently produced comparatively fast improvement on the psychosocial functioning and quality of life of clients who struggle from mood or anxiety disorders (Baldwin, Berkeljon, Atkins, Olsen & Nielsen, 2009; Knekt, Heinonen , Härkäpää, Järvikoski, Virtala, Rissanen, & Lindfors, 2015; Monti, Tonetti, & Ricci Bitti, 2016; Nordberg, Castonguay, McAleavey, Locke, & Hayes, 2016). The nature of short-term care can vary, but this approach to care emphasizes access for all students, rather than special services for a more limited population.
The PCC is part of a holistic and coordinated system of care, which also includes the Student Health Center, Center for Student Wellbeing, VUMC physicians and specialty clinics, other faculty and staff, and community providers. To determine the appropriate health and wellness resources to meet your unique need, the PCC has developed an interactive decision tool.
- The PCC has added a new group, The Navigating Distress Group, designed for students waiting to receive services at the PCC. Students may visit this group on a drop-in basis to receive support from PCC staff in the wait for their PCC appointment.
- The PCC has increased group times, by offering groups later in the day to accommodate student academic schedules.
- The PCC has created a staff position designated to working with Graduate and Professional Students and Post-Doctoral Scholars, and has collaborated with the Graduate School to offer a workshop series, the Psychology of Peak Performance -specifically for Graduate and Professional students and and Post-Doctoral scholars.
- The PCC actively collaborates with the Center for Student Wellbeing, which was established in fall 2016, to provide a broad range of services for differing level of student needs.
- The PCC has reached out to connect and coordinate with community providers that have expressed an interest in working with Vanderbilt students.
If after clinical review PCC clinicians determine a community provider will best serve your needs, they will work with you to identify an appropriate community provider. Community providers may be located within specialty clinics at the Vanderbilt University Medical Center or in the general Nashville community. Vanderbilt and the PCC have been actively working to build relationships with community partners to expand our network of care. Some providers take insurance and others use a sliding scale. If providers do not take insurance, clients will need to pay upfront and then file a claim with their insurance carriers.
Vanderbilt students have a variety of health insurance plans, and there are many community providers, so there is no singular answer to this question. However, one of our overarching goals is to make your care options as affordable and accessible as possible.
The Gallagher Student Health Insurance Plan has a $250 per insured person, per policy year deductible that applies to services received from a Preferred or an In-Network Provider and a $500 per insured person, per policy year deductible that applies to services received from an Out-of-Network Provider. Services provided by a Preferred Provider are generally covered at 90%; services provided by a Preferred Provider are generally covered at 90%; and services provided by an Out-of-Network Provider are generally covered at 80%.
For Graduate and International Students:
The Gallagher Student Health Insurance Plan has a $150 per insured person, per policy year deductible that applies to services received from a Preferred or an In-Network Provider and a $500 per insured person, per policy year deductible that applies to services received from an Out-of-Network Provider. Services provided by a Preferred Provider are generally covered at 90%; services provided by an In-Network Provider are generally covered at 85%; and services provided by an Out-of-Network Provider are generally covered at 65%.
More information on the student health insurance is available here.
We’ve worked diligently to ensure that the mental health and wellbeing care needs of our graduate and professional student population are met. We understand that you deal with real and significant challenges that are unique.
- Dr. David Sacks serves as the PCC’s designated liaison to support the Graduate and Professional student population.
- The Graduate School and the PCC engage in active cross-training to proactively address the needs of the Graduate and Professional student population, a more mature audience that needs enhanced support with respect to family and work concerns.
- The Graduate Process Groups at the PCC provide a group space for graduate students with a broad spectrum of mental health concerns to offer each other support and feedback in working toward change.
To help students navigate the complexities of student health insurance, the Graduate Student Council will host a forum this fall discussing utilizing student health insurance.
Over the last year students have actively participated in several town halls and focus groups dedicated to mental health and wellness. As we continue to enhance mental health services for Vanderbilt students, there are several ongoing mechanisms for providing input:
- Complete the PCC’s Student Satisfaction Survey
- Share other feedback with the PCC
- Share your concerns with the Chancellor’s Strategic Planning Committee on Mental Health and Wellbeing
- Engage in dialogue with your elected leaders with the VSG or GSC
If you or your colleagues have other recommendations for topics of inclusion on this FAQ document, please send them to Adriana.Kipper@Vanderbilt.Edu