Department or Program



College students have reported higher anxiety, depression, and suicidality rates over the past decade; consequently, college counseling centers have been overwhelmed by the demand for services (Center for Collegiate Mental Health, 2020). Using the EPIS model, this mixed methods research study aims to explore undergraduate attitudes toward three treatment models to inform college counseling center practices. A diverse sample of undergraduate students (largely, but not exclusively students at Bates College) participated in an online anonymous survey (N = 186). Gender was important in assessing preferences for isolated treatment strategies and male participants were more likely to endorse lower intensity treatments than females. Furthermore, when assessing stepped care acceptability, BIPOC students were less likely to find therapist assisted steps acceptable. Overall, individualized therapy methods were more highly endorsed than any other kind of therapy regardless of demographic characteristic. These results informed a proposed new college counseling center model. Research, clinical implications, and recommendations are discussed.

Level of Access

Restricted: Embargoed [Bates Community After Expiration]

First Advisor

Low, K.G.

Date of Graduation


Degree Name

Bachelor of Arts

Number of Pages



Available to Bates Community via local IP address or Bates login on Monday, May 01, 2028.