Reports & Publications

2018 Annual Report

The 2018 Annual Report summarizes data contributed to CCMH during the 2017-2018 academic year, closing on June 30, 2018. De-identified data were contributed by 152 college and university counseling centers, describing 179,964 unique college students seeking mental health treatment; 3,723 clinicians; and over 1,384,712 appointments.

The 2018 Report examined the impact of two different center-level policy decisions, 8-year mental health trends, the most common mental health concerns for students, reasons why students terminate treatment, and much 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

  • Lefevor, G. T., Janis, R. A., Franklin, A., & Stone, W. (in press). Initial distress and therapeutic outcomes among transgender and gender non-conforming people of color. The Counseling Psychologist.


  • Fleming, A.R., Edwin, M., Hayes, J.A., Locke, B.D., Lockard, A.J. (2018). Treatment-seeking college students with disabilities: Presenting concerns, protective factors, and academic distress. Rehabilitation Psychology, 63, 55-67. doi: 10.1037/rep0000193.x
  • Lefevor, G. T., Sprague, B. M., Boyd-Rogers, C. C., Smack, A. C. P. (2018). How well do various types of support buffer psychological distress among transgender and gender non-conforming students? International Journal of Transgenderism. doi: 10.1080/15532739.2018.1452172.x
  • Jones, P.J., Park, S., & Lefevor, G.T. (2018). The role of support and academic distress in collegiate anxiety. The Journal of College Counseling.
  • Lefevor, G. T., Park, S., & Pedersen, T. (2018). The impact of minority stress on the mental health of sexual and religious minorities. Journal of Gay & Lesbian Mental Health, 22, 90-104.
  • Lockard, A.L., Hayes, J.A., Locke, B.D., Bieschke, K.J., Castonguay, L.G., (2018). Helping those who help themselves: Does counseling enhance retention? Journal of Counseling and Development, 97, 128-140. doi: 10.1002/j.1556-6676.2014.00000.x
  • Youn, S., Castonguay, L.G., McAleavey, A.A., Nordberg, S.S., Hayes, J.A., & Locke, B.D. (advanced publication). Sensitivity to change of the Counseling Center Assessment of Psychological Symptoms-34. Measurement and Evaluation in Counseling and Development.
  • Youn, S.J., Xiao, H., McAleavey, A.A., Scofield, B.E., Pedersen, T.R., Castonguay, L.G., Hayes, J.A., & Locke, B.D. (2018). Assessing and investigating clinicians’ research interests: Lessons on expanding practices and data collection in a large practice research network. Psychotherapy. doi: 10.1037/pst0000192.x


  • Bartholomew, T. T., Perez-Rojas, A. E., Lockard, A. J., & Locke, B. D. (2017). “Research doesn’t fit in a 50-minute hour”: The phenomenology of therapists’ involvement in research at a university counseling center.Counselling Psychology Quarterly, 30, 255-273. doi: 10.1080/09515070.2016.1275525.x
  • Bartholomew, T. T., Lockard, A. J., Folger, S. F., Low, B. E., Poet, A. D., Scofield, B. E., & Locke, B. D. (2017). Symptom reduction and termination: client change and therapist identified reasons for saying goodbye. Counselling Psychology Quarterly. doi: 10.1080/09515070.2017.1367272.x
  • Kawamoto, A., Youn, S. J., Bartholomew, T. T., Castonguay, L. G., & Locke, B. D. (2017). Inter- and intra-group differences in presenting concerns among international students. Counselling Psychology Quarterly, 31, 186-204. doi: 10.1080/09515070.2016.1274962.x
  • 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. doi: 10.1177/0011000017702721.x
  • 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.  doi: 10.1080/10503307.2017.1395921.x
  • 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. doi: 10.1037/ser0000122.x
  • 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. doi: 10.1037/ser0000159.x
  • 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. doi: 10.1037/ser0000130.x


  • 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, 31, 25-41.
  • 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.x
  • 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.x
  • Youn, S. J., Castonguay, L. G., Xiao, H., Janis, R., McAleavey, A. A., Lockard, A. J., Locke, B.D. & Hayes, J. A. (2015). The counseling center assessment of psychological symptoms (CCAPS): Merging clinical practice, training, and research. Psychotherapy, 52, 432-441. doi: 10.1037/pst0000029.x


  • 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.x
  • 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.x
  • 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 Counseling14, 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.