Investigators compared counseling outcomes among nonpaid graduate-level trainees and professional staff at a college counseling center. Counseling outcomes for 331 college student participants were measured using the Outcome Questionnaire 45.2 (OQ45.2), employing a pretest-posttest design. The two groups of service providers did not differ significantly ( p = .179; α > .05). A unique aspect of this study was the statistical control for the clients' readiness to change. The implications for practice in college counseling centers suggest the use of graduate-level trainees as effective counseling providers and a method to cope with high demand for services.University mental health clinics face high demand for services and limited resources. In light of the human resource limitations and increasing severity of students' concerns, effective, efficient, and prompt service delivery is more important than ever. There is a need to explore affordable ways to bolster services for students in need of counseling interventions. One potential solution for managing high demands for services is to utilize graduate level trainees.
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