Building on the success of these first two projects, The Research Consortium implemented a psychotherapy process/outcome study to investigate the impact of counseling services on the mental health concerns of college students. Students were recruited for the study during the 1997-98 school year when they came to the counseling centers for their initial appointment. The student agreed to participate by filling out a consent form and was then instructed to complete the Counseling Concerns Survey and the Stages of Change Measure before the first session. Before each subsequent individual therapy session, the client filled out the Outcome Questionnaire-45 (OQ-45). An optional, though highly recommended, measure that each center was encouraged to include is the Working Alliance Inventory completed by both the client and the therapist before the start of the fourth session of therapy. Six weeks after the date of termination, the student was mailed the OQ-45 and the Service Satisfaction Scale-30 as follow-up measures. Information about therapist theoretical orientation was obtained using the Coan Theoretical Orientation Survey. Data were obtained on 4,500 clients and 241 therapists across 42 centers.
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