Tag: counseling

  • Free College Admissions Counseling for Cancer Survivors

    Free College Admissions Counseling for Cancer Survivors

    Anthony Gallonio has spent most of his career working in higher education admissions and financial aid, watching young people select, apply to and enroll in colleges. But when his daughter Grace received a cancer diagnosis 14 years ago, when she was a year old, he realized there was an underserved group of teens who needed support in college exploration: cancer patients.

    “I remember looking at these kids coming in [to the hospital] thinking, ‘How are they doing it?’” Gallonio said. “Their lives are still going on, high school is taking place, college is still in the future. We know one missed application or one missed form or one missed deadline could mean the difference between getting into a school or not or getting tens of thousands of dollars in scholarships or not.”

    In 2011, Gallonio established the National GRACE Foundation, a nonprofit that offers free information and advice on higher education for families of young people who survived childhood cancer. The group is supported by volunteers across the country who work in higher ed, illuminating the hidden curriculum to encourage student success.

    The background: GRACE, named after Gallonio’s daughter and short for Growing, Recovering and Achieving a College Education, is designed to break down barriers to enrollment for childhood cancer survivors and support parents and caregivers navigating college applications and beyond.

    “The whole goal has been to take the stress out of the college admissions and financial aid process for families who have a lot of stress going on and try to help them avoid the mistakes that I have seen over the years,” Gallonio said.

    A 2019 study of 16,700 childhood cancer survivors found that about half graduated from college; those reporting chronic conditions were even less likely to complete a degree by age 25.

    Many pediatric cancer survivors Gallonio works with aspire to careers in helping roles, including in health care, social services or research, he said. Getting into and through college is just the first step in that journey.

    How it works: GRACE provides a range of services, including offering advice on financial aid, tracking upcoming deadlines, explaining confusing terminology or jargon, and highlighting various colleges and programs that might be a good fit for the student. A majority of the students and parents come from low- or middle-income families, and they often find the foundation through word of mouth or through partnerships with hospitals.

    “I think about our services in the way that a family might hire college consultants, but we do it all for free,” Gallonio said. “That’s the group that we’re seeing—those folks who need help but also don’t have necessarily the resources to pay for [a consultant].”

    GRACE volunteers also provide in-person and webinar events for parents and caregivers on topics like college costs and scholarships.

    Once students are enrolled, GRACE supports their persistence by working as a liaison between institutions and families. They might appeal for more financial aid, for instance, or advocate for student supports through disability services offices. “We know what [families] are going through, we know what these school are going through, we kind of speak their language,” Gallonio said.

    The organization has up to 30 volunteers at any point in the academic year, but “we are always looking for volunteers in the higher ed landscape—anywhere in the country, at any type of institution,” to provide counseling to pediatric cancer survivors, Gallonio said.

    Building better: Since launching in 2011, GRACE has assisted over 300 young people in their pursuit of a college degree, and Grace, the foundation’s namesake, is “a happy and healthy 15-year-old,” Gallonio said. Families have also secured over $3 million in scholarships through the foundation’s advocacy work.

    Olivia Falzone, a rising first-year student at the College of Charleston and cancer survivor, receives the Isabel Helen Farnum Scholarship from the National Grace Foundation.

    Anthony Gallonio/National GRACE Foundation

    Over the years, GRACE has expanded services beyond the Northeastern U.S., where Gallonio is located, to support prospective students from coast to coast. As the foundation’s reach has grown, so has its perspective on postsecondary education.

    Initially, the focus was to help cancer patients have a good shot at a competitive institution. It has since expanded to highlight the value of higher education in any capacity and offer vocational or alternative pathway support as well.

    “A lot of it has to do with breaking down that [college] can be done, that it can be affordable,” Gallonio said. “The stories that we hear about debt, about the $90,000 colleges—that’s not every college, and there are colleges in every state that a family can afford to go to.”

    Gallonio is considering changing GRACE’s acronym to “Growing, Recovering and Continuing Education,” to reflect the wider range of pathways available to young people.

    This fall, GRACE will launch a mobile application and webpage so prospective students and parents can explore colleges and universities’ disability services, careers and trades, financial aid information, and selectivity rates. The app also includes a personalized scholarship search service, allowing individuals to put in their information and receive tailored suggestions for scholarships to apply for.

    “We try to make it a one stop,” Gallonio said. “We’re not charging them for usage or anything like that. Hopefully it saves our volunteers and us time.”

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  • College campus counseling center usage and staffing

    College campus counseling center usage and staffing

    Counseling services are a key element of student retention in higher education due to elevated numbers of students reporting mental health conditions, but creating a sustainable practice that addresses students and staff needs remains a challenge, according to survey data from the Association for University and College Counseling Center Directors (AUCCCD).

    The association’s annual report, published Feb. 25, highlights a tapering off of the increased demand for mental health services from students, but continued pressure to support clinician and nonclinical staff members through challenging work conditions.

    Methodology

    The survey includes responses from 367 counseling center directors from the U.S. and its territories and 14 from other countries. The majority of respondents work at four-year institutions and urban campuses. The reporting period ranges from July 1, 2023, to June 30, 2024.

    Student engagement: While students continue to report high levels of mental health concerns, some counseling centers are seeing a decline in student demand.

    The majority of respondents at four-year institutions reported a decline or no change in the number of unique clients seen (68 percent) and the number of appointments provided (58 percent). Among two-year colleges, 33 percent reported a decrease in the number of unique clients seen and 43 percent reported a decrease in overall appointments provided.

    One in four counseling center directors (24 percent) indicated their centers did not have trouble meeting demand for services.

    Around 11 percent of students at four-year institutions accessed counseling services, and just under 5 percent of students at community colleges received counseling center support. “Centers at smaller schools served, on average, much larger proportions (8 to 19 percent) of their enrolled populations than centers at larger schools (7 to 8 percent),” according to the report.

    Student data indicated a correlation between student success and counseling center usage: 73 percent of clients reported that counseling services positively impacted their academic performance, and 71 percent said it helped them stay in school.

    Staffing: The four-year college had 9.2 full-time-equivalent clinical employees, while the average for community colleges was 4.5 employees. Around 2 percent of centers were staffed by only one person, but this was a decline compared to the year prior, when 3.5 percent of directors indicated they were a one-person center.

    Diversity of directors who completed the survey continues to rise, with 30 percent of respondents identifying as a person of color, up from 16 percent in the 2012–13 survey.

    Staff turnover remains a concern for college counseling centers, with 12 percent of all nontrainee clinical positions and 10 percent of all nontrainee positions turning over in the past fiscal year. The top reasons staff left their roles were low salary (48 percent) and work conditions (32 percent), though fewer staff cited leaving the field as a reason for departure this year, compared to prior surveys.

    Embedded counseling services remain limited, with around 30 percent of institutions utilizing counselors assigned to work within other departments. Athletics was the most frequently reported area where embedded clinicians work, followed by a specific school, student affairs office and residence life.

    Services: Most clinical sessions were delivered in person (81 percent), followed by video (15 percent) and phone (3 percent). This mirrors the Center for Collegiate Mental Health’s data, published earlier this year, which found 64 percent of clients received exclusively in-person counseling and 13 percent received video-only care.

    While a slight majority of centers do not have formal session limits (55 percent), 43 percent of institutions limit the number sessions a student can access by year, with some flexibility in the model. Only 0.6 percent of respondents indicated their campus has a hard session limit with no exceptions.

    Teletherapy continues to be a popular offering among institutions, with 53 percent of four-year institutions and 35 percent of community colleges employing a third-party vendor to provide services. Use by students varies widely, even among similarly sized institutions, but the average number of participating students was 453.

    “Overall, regardless of the type of service provided by a third-party vendor, the majority of directors reported utilization was less than hoped for or met their expectations,” according to the report.

    The number of unique students who attended a crisis appointment averaged across centers was 125, and the average number of crisis appointments was 166. A majority (65 percent) offered psychiatric services within the counseling center, elsewhere on campus or in both locations.

    In addition, a majority of respondents indicated their center provides formal or informal consultation services to the community.

    Looking ahead: While the report focuses on the previous fiscal year, there remains a need to continue to provide accessible and high-quality counseling services, says Cindy M. Bruns, survey coordinator for AUCCCD. “By fostering a supportive campus culture and ensuring that mental health resources are available, colleges can help students navigate political and social environments while promoting resilience and well-being.”

    Some counseling directors have noticed students are experiencing “elevated levels of anxiety, uncertainty, threats to their sense of safety and belonging on campus” due to federal action under the second Trump administration, Bruns says, which could prompt an increase in the number of students seeking services.

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