Reports & Publications

2016 Annual Report

The 2016 Annual Report summarizes data contributed to CCMH during the 2015-2016 academic year, closing on June 30, 2016. De-identified data were contributed by 139 college and university counseling centers, describing 150,483 unique college students seeking mental health treatment (a 50% increase over last year); 3,419 clinicians; and over 1,034,510 appointments.

The 2016 Report includes important highlights on what’s happening in college student mental health including the impact of the increasing demand for mental health services on college campuses, the most common mental health concerns for students, reasons why students terminate treatment, and more.

Previous Annual Reports:


CCMH strives to bridge the gap between science and practice. One of the ways that this is accomplished is through clinically informed research. Below is a comprehensive list of CCMH publications that utilize CCMH’s Practice-Research-Network model.

In Press

  • Bartholomew, T. T., Lockard, A. J., Folger, S. F., Low, B. E., Poet, A. D., Scofield, B. E., & Locke, B. D. (in press). Symptom reduction and termination: client change and therapist identified reasons for saying goodbye. Counselling Psychology Quarterly
  • Bartholomew, T. T., Perez-Rojas, A. E., Lockard, A. J., & Locke, B. D. (in press). “Research doesn’t fit in a 50-minute hour”: The phenomenology of therapists’ involvement in research at a university counseling center.Counselling Psychology Quarterly.
  • Kawamoto, A., Youn, S. J., Bartholomew, T. T., Castonguay, L. G., & Locke, B. D. (in press). Inter- and intra-group differences in presenting concerns among international students. Counselling Psychology Quarterly.


  • Lefevor, T.G., Janis, R.A., Park, S.Y. (2017). Religious and sexual identities: An intersectional, longitudinal examination of change in therapyThe Counseling Psychologist, 45, 387-413.
  • Perez-Rojas, A.E., Lockard, A.J., Bartholomew, T., Janis, R.A., Carney, D.M., Xiao, H., Youn, S.J., Scofield, B., Locke, B.D., Castonguay, L.G., & Hayes, J.A. (2017). Presenting concerns in counseling centers: The view from clinicians on the ground. Psychological Services, 14, 416-427.
  • McAleavey, A.A., Youn, S.J., Xiao, H., Castonguay, L.G., Hayes, J.A., & Locke, B.D. (2017) Effectiveness of routine psychotherapy: Method matters. Psychotherapy research, 2-17.
  • Scofield, B.E., Stauffer, A.L., Locke, B.D., Hayes, J.A., Hung, Y., Nyce, M.L., Christensen, A.E., Yin, A.Y. (2017). Examining the relationship between students’ contact with counseling centers and long-term educational outcomes. Psychological Services, 14, 461-469.
  • Xiao, H., Carney, D.M., Youn, S.J., Janis, R.A., Castonguay, L.G. Hayes, J.A., & Locke, B.D. (2017). Are we in crisis? National mental health and treatment trends in college counseling centers. Psychological Services, 14, 407-415.


  • Coduti, W., Hayes, J.A., Locke, B.D., & Youn, S.J. (2016). Mental health and professional help seeking among college students with disabilities. Rehabilitation Psychology, 61, 288-296.
  • Hayes, J.A., Lockard, A.J., Janis, R., & Locke, B. D. (2016). Construct validity of the Self-Compassion Scale-Short Form among psychotherapy clients. Counselling Psychology Quarterly, 29, 405-422.
  • Hayes, J.A., McAleavey, A.A., Castonguay, L.G., & Locke, B.D. (2016). Psychotherapist effects with white and racial/ethnic minority clients: First, the good news. Journal of Counseling Psychology, 63, 261-268.
  • Nordberg, S.S., McAleavey, A.A., Duszak, E., Locke, B.D., Hayes, J.A., & Castonguay, L.G. (2016). The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale. Counselling Psychology Quarterly, 1-17.
  • Nordberg, S.S., Castonguay, L.G., McAleavey, A.A., Locke, B.D., & Hayes, J.A. (2016). Enhancing feedback for clinical use: Creating and evaluating profiles of clients seeking counseling. Journal of Counseling Psychology, 63, 278-293.


  • Castonguay, L.G. & Muran, J.C. (2015). Fostering collaboration between researchers and clinicians through building practice-oriented research: An introduction. Psychotherapy Research, 25, 1-5doi: 10.1080/10503307.2014.966348
  • McAleavey, A.A., Lockard, A.J., Castonguay, L.G., Hayes, J.A., & Locke, B.D. (2015).Building a practice-research network: Obstacles faced and lessons learned at the Center for Collegiate Mental Health.  Psychotherapy Research, 25, 134-151.
  • Ratanasiripong, P., Wang, C. D., Ratanasiripong, N., Hayes, J. A., Kaewboonchoo, O., & Kathalae, D. (2015). Development and cross-cultural validation of the Counseling Center Assessment of Psychological Symptoms – Thai version.  The Counseling Psychologist43, 248-271. doi: 10.1177/0011000014566991
  • Youn, S. J., Castonguay, L. G., Xiao, H., Janis, R., McAleavey, A. A., Lockard, A. J., . . . Hayes, J. A. (2015). The counseling center assessment of psychological symptoms (CCAPS): Merging clinical practice, training, and research. Psychotherapy, 52, 432-441.


  • Effrig, J.C., Maloch, J.K., McAleavey, A.A., Locke, B.D., & Bieschke, K.J. (2014). Change in depressive symptoms among treatment seeking college students who are sexual minorities. Journal of College Counseling, 17, 271-285. doi: 10.1002/j.2161-1882.2014.00063.x
  • Johnson, M.C., Graceffo, J.M., Hayes, J.A., & Locke, B.D. (2014). Examining treatment-seeking college students with and without military experience and trauma histories. Journal of College Counseling, 14, 260- 270. doi: 10.1002/j.2161-1882.2014.00062.x
  • Lockard, A.J., Hayes, J.A., Neff, K. & Locke, B.D. (2014). Self-compassion among college counseling center clients: An examination of clinical norms and group differences. Journal of College Counseling, 17, 249- 259. doi: 10.1002/j.2161-1882.2014.00061.x


  • Castonguay, L.G., (2013). Psychotherapy outcome: A problem worth re-revisiting 50 years later. Psychotherapy, 50, 52-67.
  • Castonguay, L.G., Barkham, M., Lutz, W., & McAleavey, A.A. (2013). Practice-oriented research: Approaches and application. In M.J. Lambert (Eds.). Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change (sixth edition). New York: Wiley.
  • Lockard, A.J., Hayes, J.A., Graceffo, J.M., & Locke, B.D. (2013). Effective treatment for racial/ethnic minority clients: Examining changes in a practice research network. Journal of College Counseling, 15, 243-257. doi: 10.1002/j.2161-1882.2013.00040.x
  • Maloch, J. K., Bieschke, K. J., McAleavey, A. A., & Locke, B. D. (2013). Eating concerns in college women across sexual orientation identities. Journal of College Counseling, 16, 275-288. doi: 10.1002/j.2161-1882.2013.00042.x
  • Nordberg, S. S., Hayes, J. A., McAleavey, A. A., Castonguay, L. G., & Locke, B.D. (2013). Treatment utilization on college campuses: Who seeks help for what? Journal of College Counseling, 16, 258-274.


  • Boswell, J.F., McAleavey, A.A., Castonguay, L. G., Hayes, J.A., & Locke, B. D. (2012). Previous mental health service utilization and change in counseling clients’ depressive symptoms. Journal of Counseling Psychology, 59, 368-378.
  • Graceffo, J. M., Hayes, J. A., Chun-Kennedy, C., & Locke, B. D. (2012). Characteristics of high-risk college student drinkers expressing high and low levels of distressJournal of College Counseling, 15, 262–273. doi: 10.1002/j.2161-1882.2012.00020.x
  • Lockard, A. J., Hayes, J. A., McAleavey, A. A., & Locke, B. D. (2012). Change in academic distress: Examining differences between a clinical and nonclinical sample of college students. Journal of College Counseling, 15, 233-246. doi: 10.1002/j.2161-1882.2012.00018.x
  • Locke, B.D., Bieschke, K.J., Castonguay, L.G., & Hayes, J.A. (2012). The Center for Collegiate Mental Health (CCMH): Studying college student mental health through an innovative research infrastructure that brings science and practice together. Harvard Review of Psychiatry, 20, 233-245.
  • Locke, B.D., McAleavey, A.A., Zhao, Y., Lei, PW., Hayes, J.A., Castonguay, L.G., Li, H., Tate, R. & Lin, Y.C.  (2012). Development and initial validation of the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34). Measurement and Evaluation in Counseling and Development, 45, 151-169.
  • Martin, J. L., Hess, T. R., Ain, S. C., Nelson, D. L., & Locke, B. D. Locke (2012). Collecting multidimensional client data using repeated measures: Experiences of clients and counselors using the CCAPS-34. Journal of College Counseling, 15,  247–261. doi: 10.1002/j.2161-1882.2012.00019.x
  • McAleavey, A. A., Nordberg, S. S., Hayes, J. A., Castonguay, L. G., Locke, B. D., & Lockard, A. J. (2012). Clinical validity of the Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62): Further evaluation and clinical applications. Journal of Counseling Psychology, 59, 575-590. doi: 10.1037/a0029855
  • McAleavey, A. A., Nordberg, S. S., Kraus, D., Castonguay, L. G., (2012). Errors in treatment outcome monitoring: Implications of multidimensional and general measurements for real-world psychotherapy. Canadian Psychology, 53, 105-114.


  • Castonguay, L.G. (2011). Psychotherapy, psychopathology, research and practice: Pathways of connections and integration. Psychotherapy Research, 21, 125-140.
  • Castonguay, L.G., Locke, B.D., & Hayes, J.A. (2011). The Center for Collegiate Mental Health: An example of a practice-research network in university counseling centers. Journal of College Student Psychotherapy, 25, 105-119.
  • Effrig, J., Bieschke, K., Locke, B., (2011). Examining victimization and psychological distress in transgender college students. Journal of College Counseling, 14, 143-157. 
  •  Hayes, J.A., Chun-Kennedy, C., Edens, A., & Locke, B.D. (2011). Do double minority students face double jeopardy? Testing minority stress theories.  Journal of College Counseling, 14, 117-126. 
  • Hayes, J.A., Locke, B.D., & Castonguay, L.G. (2011). The Center for Collegiate Mental Health: Practice and research working together. Journal of College Counseling, 14, 101-104.
  • Hayes, J.A., Youn, S.J., Castonguay, L.G., Locke, B.D., McAleavey, A.A., & Nordberg, S. (2011). Rates and predictors of counseling center utilization among college students of color.  Journal of College Counseling, 14, 105-116.
  • Locke, B., Crane, A., Chun-Kennedy, C., & Edens, A. (2009). The Center for the Study of Collegiate Mental Health: A novel practice research network with national reach and a pilot study to match. Psychotherapy Bulletin, 44, 17-21.
  • Locke, B.D., Soet Buzolitz, J., Lei P.-W., Boswell, J.F., McAleavey, A.A., Sevig, T.D., Dowis, J.D., & Hayes, J.A. (2011). Development of the Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62)Journal of Counseling Psychology, 58 , 97-109. doi: 10.1037/a0021282
  • McAleavey, A.A., Castonguay, L.G., & Locke, B.D. (2011). Sexual orientation minorities in college counseling: Prevalence, distress, and symptom profiles. Journal of College Counseling, 14, 127-142.
  • Nelson, D.L., Castonguay, L.G., & Locke, B.D. (2011). Challenging stereotypes of eating and body image concerns among college students: Implications for diagnosis and treatment of diverse populations. Journal of College Counseling, 14, 158-172. 


  • Hayes, J.A., Crane, A.L., & Locke, B.D. (2010).  Save me from myself: College students’ fears of losing control and acting violently.  Journal of College Student Psychotherapy, 24, 181-202.