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On January 1, 2017, the KHI News Service became part of KCUR public radio’s new initiative, the Kansas News Service. The Kansas News Service will continue to cover health policy news and broaden its scope to include education and politics. All stories produced by the former KHI News Service are archived here. Stories and photos may be republished at no cost with proper attribution and a link back to KHI.org.

KU ramps up childhood mental health clinic

Demand grows for counseling sessions with graduate students

By Andy Marso | October 07, 2016

KU ramps up childhood mental health clinic
Photo by Andy Marso/KHI News Service Julie Boydston explains how toys can serve as tools for student counselors at the University of Kansas Child and Family Services Clinic in Lawrence. The clinic provides counseling services to children and their families on a sliding scale based on income.

In a small, windowless room at the University of Kansas Child and Family Services Clinic, Julie Boydston put on a few sock puppets and explained that they’re more than just toys.

Like the dollhouse and costumes also in the room, the puppets are tools that help student counselors get children with behavioral and mental health problems to open up.

“They can’t talk to you about their feelings,” Boydston explained. “But maybe they can say what ‘Mr. Duck’ thinks or ‘the frog is sad’ and why is he sad.”

The clinic provides counseling services to children and their families on a sliding scale based on income — no insurance necessary.

Boydston, a clinical psychologist, has been involved in the clinic for more than 10 years, as an adjunct professor and supervisor. But this year she was given a new role as the clinic’s director and charged with increasing outreach to expand the clinic’s role serving families throughout northeast Kansas and sometimes beyond.

Ric Steele, the director of KU’s clinical child psychology program, said before Boydston’s position was added, faculty members served as clinic directors in addition to their other duties.

“So with this move we’ve got someone who’s dedicated to really expanding the services and to think about how we can really address the needs of this part of the state,” Steele said. “This was a long time coming, and it represents a real opportunity to provide better services for people and enhance our training.”

Steele’s department also added two faculty members this year, including one who specializes in autism. Their presence and research will help the student counselors in the clinic serve more people more effectively, he said.

The counselors — all graduate students — had 1,793 appointments in the fiscal year that ended in July, a 30 percent increase from 1,377 the year before.

The number of clients seen rose from 397 to 461.

“I would say (demand) continues to grow,” Boydston said. “There’s a high need.”

“It represents a real opportunity to provide better services for people and enhance our training.”

- Ric Steele, director of the University of Kansas clinical child psychology program

Steele said there are multiple reasons for the increase.

One is that awareness of childhood behavioral and mental health issues has grown substantially in the last decade, especially when it comes to autism spectrum conditions.

While more families are seeking services, funding for community mental health centers, which are the only providers in some areas, has remained static or even been cut in recent years.

The community mental health center funding cuts also have reduced job opportunities for the program’s graduates.

“I can think of two or three community mental health centers that are down to really kind of bare bones in terms of the number of doctoral-level providers,” Steele said. “Until that turns around, that’s an issue.”

But Steele said “a surprising number” still opt to stay in Kansas, considering that many students come to the program from other states.

There are 19 student counselors in the program this year, and six more who just started the program will be able to provide counseling at the end of this semester or beginning of the next.

Boydston said that’s about average the last few years, so physical space constraints — the program has seven counseling rooms — are becoming a limitation, especially during the evening hours when more families prefer to make appointments.

But the program’s public role continues to grow. The clinic recently hosted its first Kids Behavioral Wellness Fair at the Lawrence Public Library.

“We really do kind of fill a need,” Steele said.