Scope of Practice
This document is a supplement to the Washtenaw Community College Counseling office’s standard Scope of Practice and does not replace it. All aspects of this document for treatment in that document apply to telemental health (TMH) treatment.
Personal TeleMental Health (TMH) Counseling at Washtenaw Community College (WCC): is intended to assist students enrolled in the current semester in meeting their academic, career, and personal needs. Personal TMH Counseling offers students an opportunity to explore, organize, and process numerous issues. Personal TMH Counseling at WCC uses a short-term, therapeutic, solution-focused model. This generally means 4-8 sessions.
When appropriate, students may be referred to services offered within WCC to assist them in addressing multiple issues common in a college setting. Some of the issues that are commonly addressed in the short-term model at WCC may include but are not limited to the following:
(1) Personal Issues such as anxiety, depression, loneliness, guilt, low self-esteem, grief, stress and adjustment
(2) Academic Concerns such as performance anxiety, low motivation, self-management and underachievement
(3) Career Counseling such as goal setting, information gathering, and decision making
(4) Crisis Intervention
TMH refers to counseling sessions that occur via phone or videoconference using a variety of technologies. TMH is offered to improve access to counseling services to Washtenaw Community College students when significant barriers of travel to campus for counseling services exist. Our Licensed Professional Counselors have all completed specific training in TMH. However, the results of TMH cannot be guaranteed or assured. TMH services may not be appropriate, or the best choice of service for reasons including, but not limited to: heightened risk of harm to oneself or others; lack of access to, or difficulty with, communications technology; significant communications service disruptions; or need for more intensive services. In these cases, a WCC Counselor will assist with establishing referrals to other appropriate services.
What to Expect
WCC students enrolled in the current semester are entitled to an initial consultation. Options for future services will be discussed in the first appointment. Personal counseling sessions are generally scheduled once per week and will last between 45 and 50 minutes, depending upon the presenting concern. There are periods each semester when the demand for scheduled appointments may exceed our resources. During those times and depending on circumstances, students may be referred to off-campus resources. Students diagnosed with long-term psychiatric conditions will receive support with academic-related issues, crisis intervention, and referrals to mental health providers. If a student desires more intense or long-term services, a referral will be provided.
Some students may benefit from services that extend beyond the short-term model or from services not offered at WCC. In these cases, WCC provides referral services either after initial triage or as these factors become more apparent during the course of services. Some of the issues that are commonly addressed through referral to services outside of WCC include:
(1) A need for intensive treatment that will likely exceed the 8 counseling sessions limit as indicated by:
- Need, or request, to be seen more than once a week
- Desire for uninterrupted, long-term counseling/therapy
- Prior history of hospitalizations
- Prior history of long-term psychiatric treatment
- Chronic suicidality and/or self-injury behaviors or potential to be harmful to others
- Indication that short-term therapy may be detrimental or non-beneficial
- High likelihood that the student may develop a need for long-term treatment
- History of longstanding maladaptive interpersonal patterns that create difficulty in relationships
- Students whose needs fall outside the clinical scope of our staff
(2) Students who need specialized services not available through WCC, as indicated by, but not limited to:
- Presence of significant drug and/or alcohol problems, for example, substance dependence, primary substance abuse, and/or past failed treatments
- Presence of significant eating disorders
- Request for psychological testing
- Need, or request, for treatment modality not provided by WCC staff
Limits to Service
Long-term TMH Counseling Services:
- Counseling services provided by counselors are not all inclusive and are not intended to be utilized for long-term use, psychotherapy, treatment for severe psychological disorders, or court-mandated treatment. Counselors do not diagnose or treat specific mental disorders. Referrals to an outside agency for certain specialized areas such as substance abuse issues, personality disorders, and/or severe depression may be made.
Mandated TMH Counseling:
- WCC does not provide counseling services or treatment to students mandated to see a counselor by the legal system or by one’s attorney due to legal difficulties.
Personal Motivation for Counseling/Lack of Progress on Counseling Goals:
- To receive counseling services, a student must exhibit personal motivation. Referral to other resources may be made if the student is not achieving progress on established counseling goals.
Assessments for Employment, Volunteer, or Related Purposes:
- Counseling services do not conduct assessments or make recommendations/predictions regarding student suitability for employment in various work settings (e.g. Peace Corps, Federal Government, security clearances for the FBI or CIA, military, etc.), volunteer placements, etc.
- If a student has substance abuse concerns, counselors are available to: a) meet with the student for up to 3 sessions to provide support; b) conduct a safety assessment if necessary; c) determine if the student’s counseling needs can be adequately addressed by receiving counseling services at WCC; and/or d) refer the student to other resources.
Privacy, Confidentiality and Records
- Information shared by students is kept in strict confidence. Legal constraints and ethical guidelines require that all client interactions are confidential. No record of counseling is contained in any academic, education, or job placement file. We make every reasonable effort to ensure the security of written and electronic records. All counseling personnel have been trained in policies and procedures to protect the security of records and sensitive information. WCC counseling professionals operate as a team and as part of the WCC Care Team and may consult with each other in order to provide the best services to students.
There are a few exceptions to confidentiality: If a student is a danger to him/herself or someone else; if a student tells us about current child abuse or neglect; if a court of law orders us to release information; or if a student gives us written permission to share information.
Updated 7/7/2015, 07/30/2020