Counselors play a critical role in helping people who are experiencing mental or emotional problems to get their lives back on track. And it is one of the treatment options for mentally ill peoples for its deal with wellness, personal growth, and career, education, and empowerment concerns. The purpose of the study is to assess the practice of counseling and its effectiveness in Jimma University Teaching Hospital (JUTH) and Amanuel Mental Health Specialized Hospital (AMHSH). It guided by mixed research design, quantitative and qualitative data about study variables was collected from 123 patients from both institutions, Qualitative data were analyzed by direct quotation according to the theme of the questions. Descriptive percentage and ANOVA analysis were used to analyze quantitative data. Descriptive statistics showed that there is a difference in the applications of counseling within the institution Analysis of ANOVA showed counseling is more effective in the treatment of depression and substance abuse. The difference in counseling provision in both institutions is also supported by qualitative analysis of the data. So, JUTH has to incorporate counseling service in the part of treatment, and AMUSH has to work on addressing a huge number of in need patients by expanding the institution.

BackgroundOver the last decade, indoor pool games (IPGs) and substance abuse (SA) became a remarkable emerging addictive behavior among adolescent university students. With the failure of educational quality and retention of learners, boomerangs around the university local environment in line with the students’ learning culture were not considered in many countries including Ethiopia. Thus, this study aimed to examine the trajectory and contribution of an IPG and SA to students’ academic procrastination (AP) as determinants of quality education.MethodsA sequential explanatory mixed-methods design was employed. Self-reporting questionnaires, interview guides, and an observation checklist were used to collect data. All self-reporting items were adapted from previous scales. By using simple random sampling techniques, 237 undergraduate university students were selected for obtaining the quantitative data, and using purposive sampling, 12 interviewees were selected to collect the qualitative data. The SPSS AMOS version 25 was used to compute the multiple mediation path analysis. The Hayes PROCESS macro model was used. Furthermore, the thematic content analysis method was employed for the qualitative data.ResultsA direct path analysis was established between IPG, SA, and AP. The path analysis model indicated that IPG did not significantly predict AP. Moreover, SA significantly predicted AP. In addition, SR had a partial mediating effect on the relationship between IPG, SA, and AP.ConclusionThe study concluded that IPG and substances available around the university local environment found trajectories to students’ AP, which in turn affects the quality of education.