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Always been semi-interested in the work of psychologists that work in campus counseling centers. Have not heard good things about the pay, is there any real variability to it at all?
I have never seen good pay and the lifestyle has taken a dive as students come in with more serious MH concerns now and most depts are underfunded. Seemed like a chill gig 20+ years ago.
Any theories on why the acuity of presentations at CCCs has been increasing? Difficulty finding treatment elsewhere? Increased willingness to seek treatment? More folks attending college in general ergo more people with high acuity presentations? I'm sure lots of ink has been spilled about this, but I haven't seen it.
I don't have a theory personally and my UCC practicum was over a decade ago now but wow I saw the highest level of psychopathology in all my career there (and I work in a VA now.) Was basically a first episode clinic.Any theories on why the acuity of presentations at CCCs has been increasing? Difficulty finding treatment elsewhere? Increased willingness to seek treatment? More folks attending college in general ergo more people with high acuity presentations? I'm sure lots of ink has been spilled about this, but I haven't seen it.
I think part of it might be that more mental illnesses are treatable to functionality and k-12 accommodations are better, so kids that might have dropped out of high school or not gone to college in earlier generations with prodromal mental health symptoms are able to be functional enough to go to college, where the added stress can often push them into a full-blown active disease state. FWIW, one of my fellow post-docs did first episode psychosis work, and she found that, upon interview, a lot of the early-20s first episode patients had been prodromal for years prior to the episode, but the families were just keeping it below psychosis. Same type of deal with depression, etc--in most households/schools, there's enough support that these kids can function okay with symptoms/prodromal stuff, but the stress of going away to school often changes that equation.Any theories on why the acuity of presentations at CCCs has been increasing? Difficulty finding treatment elsewhere? Increased willingness to seek treatment? More folks attending college in general ergo more people with high acuity presentations? I'm sure lots of ink has been spilled about this, but I haven't seen it.
I think part of it might be that more mental illnesses are treatable to functionality and k-12 accommodations are better, so kids that might have dropped out of high school or not gone to college in earlier generations with prodromal mental health symptoms are able to be functional enough to go to college, where the added stress can often push them into a full-blown active disease state. FWIW, one of my fellow post-docs did first episode psychosis work, and she found that, upon interview, a lot of the early-20s first episode patients had been prodromal for years prior to the episode, but the families were just keeping it below psychosis. Same type of deal with depression, etc--in most households/schools, there's enough support that these kids can function okay with symptoms/prodromal stuff, but the stress of going away to school often changes that equation.
The enrollment changes are more likely a combination of the birth rate decline and the increasing costs of post-secondary ed/people opts to try without college for a bit and see how they do, IMO (and the data supports this as well).Seems plausible. Again, will be curious to see how this shakes out with enrollment changes. Are these the folks now opting out of college? I'd actually guess not, but I haven't seen good data yet on characteristics of the group no longer pursuing college that normally would have done so.
That's less than I make ... as an RA at a VAMC. How on earth is that justified?Graduate student at a state university. An absolutely stellar clinician, leader, and clinical director was being paid 55k just a couple of years ago at our UCC. They left to work at an AMC and now make double their salary.
Graduate student at a state university. An absolutely stellar clinician, leader, and clinical director was being paid 55k just a couple of years ago at our UCC. They left to work at an AMC and now make double their salary.
This was exactly what I was thinking and a big part of my focus is on the college age population who have had treatment for a long time for serious and chronic conditions. Too few recognize the direct causal role that life transitions and increase in stress has on pre-existing mental health conditions. We also miss how much support is provided by the level of external structure and availability of social support. Many of my patients have a really tough time making friends so they need to be able to hang out at our office a bit more than the average kid.I think part of it might be that more mental illnesses are treatable to functionality and k-12 accommodations are better, so kids that might have dropped out of high school or not gone to college in earlier generations with prodromal mental health symptoms are able to be functional enough to go to college, where the added stress can often push them into a full-blown active disease state. FWIW, one of my fellow post-docs did first episode psychosis work, and she found that, upon interview, a lot of the early-20s first episode patients had been prodromal for years prior to the episode, but the families were just keeping it below psychosis. Same type of deal with depression, etc--in most households/schools, there's enough support that these kids can function okay with symptoms/prodromal stuff, but the stress of going away to school often changes that equation.
Great question. Equally great question is why people take it.That's less than I make ... as an RA at a VAMC. How on earth is that justified?
Quite a shame, seems like a fun population to work with, but the money at these places is almost beyond criminal for the amount of schooling required to get to that point. Somedays I already feel a bit behind/shafted when my friends ahead of me in education/training like in a medical residency are talking about low starting numbers from recruiters such as ... 350K.Great question. Equally great question is why people take it.
My post-docs make 60k and we're discussing increasing that center-wide. Admittedly they don't get "all" the university benefits with that title, but still. A CC gig was never in the cards for me for multiple reasons, but it always baffled me people took roles like those instead of staying post-docs. Barring situations where money is simply <NOT> a consideration at all, but most of the staff at the CCs I am familiar with were not people with exceptionally wealthy spouses/families.
Having worked in a non-mental health role at a liberal arts college for 4 years before grad school, it was by far the most collegial and fun atmosphere in terms of coworker interactions and general lack of pressure regarding things like productivity and metrics.Equally great question is why people take it.
Well, don't ever expect phone calls in that ballpark in this field unless you are prescribing. There are no w-2 gigs for that kind of money.Quite a shame, seems like a fun population to work with, but the money at these places is almost beyond criminal for the amount of schooling required to get to that point. Somedays I already feel a bit behind/shafted when my friends ahead of me in education/training like in a medical residency are talking about low starting numbers from recruiters such as ... 350K.
Having worked in a non-mental health role at a liberal arts college for 4 years before grad school, it was by far the most collegial and fun atmosphere in terms of coworker interactions and general lack of pressure regarding things like productivity and metrics.
Generally speaking, we were treated like adults and given a lot of autonomy with usually minor micromanagement. You know what you basically need to do and as long as you're a pleasant person who's in the ballpark with your professional work, nobody is giving you a hard time.
Plus, college towns can be fun places to live in, especially non-metros where the college brings in a lot of entertainment and culture to your doorstep for free.
And working with young adults in mental health can be a big plus compared to some of the people in my VA caseload (individuals in their 50s and 60s who most likely will never be open to the types of changes they need to make but will absolutely continue to utilize mental health services regularly).
But man does that pay suck! I left in 2011 but the most I made was around $26,000 for a full-time role in student affairs. But I was still in the undergrad mindset and sharing a cheap rental house with 5 good friends in a super cheap area so I was able to cover my expenses, have money for fun things like outdoor trips, and start my undergrad loan payments.
Then again, I'd also say the same thing for teachers, people who do front line work for non-profits, EMTs, etc.
I know some soft money people in our field at AMCs can get close to that number ... but they all work like dogs to get there.Well, don't ever expect phone calls in that ballpark in this field unless you are prescribing. There are no w-2 gigs for that kind of money.
I know some soft money people in our field at AMCs can get close to that number ... but they all work like dogs to get there.
All bets seem to be off in forensics PP. I've heard of people making enough to make surgeons blush, but they do seem like the extreme exceptions.
125K max in the Bay area is not something most could swallow, unless you were independently wealthy.Several of my colleagues started at UCCs, most have moved around, some have left UCC work, some have gone to the VA. I interned and postdoc'd at one and was open to staying. I enjoyed the variety of the clinical work, the students, the focus on education and training, the integrated care model (we were in the same building as the campus medical center), my colleagues, the hours, the access to university events, and the overall location. Not so great was the bureaucracy inherent in a large system, the somewhat competing interests re: image vs. reality of campus mental health, and unrealistic expectations from non-mental health campus leadership.
Pay was ~90k iirc about 8 years ago, in a high COL area. Not terrible, but still could be tough for some to make it out here on that salary.
For reference here are current openings (type psychologist into the search bar) $104-125k
Are these numbers all forensics numbers?I know folks that could make neurosurgeons blush, but none of them are w-2 gigs with recruiters calling. More like the business owners the recruiters are calling you for...
Are these numbers all forensics numbers?
125K max in the Bay area is not something most could swallow, unless you were independently wealthy.
350 is quite high-end even for AMCs and usually doesn't happen without leadership roles. 200-250 is pretty standard for full profs though. I think I've only had one full prof on my grants below the NIH salary cap (currently 212k) and it was only below it by a hair (and in an area with a relatively modest COL).I know some soft money people in our field at AMCs can get close to that number ... but they all work like dogs to get there.
All bets seem to be off in forensics PP. I've heard of people making enough to make surgeons blush, but they do seem like the extreme exceptions.
This is a great question and one I've wondered myself, albeit not enough to actually look into. I think the answer will play a key role in determining how "under threat" these positions are as university budgets tighten up.Does anyone know why universities have UCCs? Is there a federal mandate? Is it just a service to retain enrollment numbers? Something else?
Usually it is important to know why you are being hired.
I googled this for 2 minutes while waiting in line for lunch so I'm basically an expert now.Does anyone know why universities have UCCs? Is there a federal mandate? Is it just a service to retain enrollment numbers? Something else?
Usually it is important to know why you are being hired.
I googled this for 2 minutes while waiting in line for lunch so I'm basically an expert now.
Looks like it's a way to keep retention and boost performance metrics. Doesn't seem to be a federal mandate as it seems like most universities globally have counseling centers or that it's a standard.
Part of me now wonders if it all started at one the ivy leagues back in the day because rich parents were worried one of their kids that struggles with SMI wouldn't be able to handle all the new stressors and transitions ... and said Ivy league actually having the money to create a counseling center with counselors on call. I will now await someone who actually knows something on this topic to chime in and say the actual reasons.
We might have the same friendI have a friend who spent their entire training preparing for a UCC career. Prac, internship, and post doc at UCCs. They are now at the VA because the financial situation was just untenable.
In short, liability. Especially if you are offering room & board to the student body.Does anyone know why universities have UCCs? Is there a federal mandate? Is it just a service to retain enrollment numbers? Something else?
We might have the same friend
There are colleges where this is fully what happens. Not particularly small ones either.Great, so that means they can keep one guy in a basement for $50k and advertise they have a college counseling center.
I think a lot of places used to let staff run after hours PPs out of the university CCs. I can’t imagine the liability problems with that.I'm not sure, but I wonder if part of the reason the pay is low is because once upon a time, in addition to being lower acuity, the positions were thought of as more part-time with the opportunity to do something else, and then the pay never kept up with the increasing responsibility? That, and the general salary depression that unfortunately can occur in academia (outside of administration and football coaches).
I think a lot of places used to let staff run after hours PPs out of the university CCs. I can’t imagine the liability problems with that.
Sorry—then them run the pp in the UCC offices. I just woke up when I wrote that 😂There is no "let" people run their own PP. Outside of work hours, you are free to do anything you want with your time. If the employer wants you to be on call, they are bound to compensate you for being on call. Medicine has established that.
I think a lot of places used to let staff run after hours PPs out of the university CCs. I can’t imagine the liability problems with that.
I think UCCs used to be pretty safe, secure, stable jobs with decent benefits. For a person who wants to do counseling but doesn’t want to or doesn’t know how to manage a private practice I guess that could be appealing. In my own mind I would probably be more likely to think, hey maybe that’s a skill I could learn if it doubles or triples my pay.
I also think, combined with that, UCCs also used to be pretty safe havens for running a basic interpretation of rogerian therapy. I recall staff during my training who saw students through their entire 4 years of college, when the folks didn’t really have anything going on MH-wise. Even when session limits were brought in I’m aware that some places let staff skip the limits for a some clients (imo the decision was not based on clinical need, that I saw), or a request to extend session limits was just rubber-stamped. In one training clinic I was at (which no longer exists) there was pretty heavy resistance to doing cbt or to reading research about client conditions.
I would imagine administration is even more of a pain than it was when I trained at a UCC, with people who have no clue about clinical work making mandates. I remember one time a decision came from on high that the UCC can’t see anyone who “might become suicidal.” Obviously I don’t need to explain the problems with that on this forum, but they were lost on the admin. I would also be pretty skittish about working at one in Texas or Florida, where i think it’s possible that staff will have to declare that they aren’t conducting lgbtq+ affirming treatment, aren’t addressing mh implications of systemic racism, etc. in the not distant future.
I think where it’s been allowed it has always been after hours.That sounds amazing! Let me just cancel all of my appts and still collect a salary. Maybe that is just my malicious compliance side speaking. I always assumed that the historical draw to the gig was only having to work with YAVIS patients.
That said, I hear a lot apologizing/reasoning for the low pay. I just assume it is an artifact of the person paying for the care not actually receiving the services. It isn't like any of these colleges forgot to raise their President's pay. The president of my public undergrad was pulling down $500k 20 years ago (and sitting on multiple corporate boards of companies that services the campus at the same time).
There's a greater conversation to be had here, but I truly wonder how the field Is allowing themselves to be "on call" for like 70K a year? I know this isn't the norm, and most of you elders are doing quite well.There is no "let" people run their own PP. Outside of work hours, you are free to do anything you want with your time. If the employer wants you to be on call, they are bound to compensate you for being on call. Medicine has established that.
This seems like California. UCLA pays their UCC staff psychologists about as well as their AMC, albeit still far below what they should be making given SoCal's COL.Former staff psychologist at LARGE UCC in high cost of living location...best pay I had seen in a UCC and hovered around $120k. Great benefits. Including time off d/t school closures etc. VERY high acuity and variability, always pushing against session limits for complex cases. Wonderful colleagues. Amazing being part of the larger campus community w. attendant amenities (libraries, lectures, gallerys to walk to during lunch, gyms etc. Motivated and intelligent clients, with rampant personality disorders?
My bad. Sorry, I get a bit ardent when people are not getting paid.Sorry—then them run the pp in the UCC offices. I just woke up when I wrote that 😂
There's a greater conversation to be had here, but I truly wonder how the field Is allowing themselves to be "on call" for like 70K a year? I know this isn't the norm, and most of you elders are doing quite well.