91福利

Four years, no waitlist: How 91福利 connects students with mental healthcare

Finding a mental health provider can mean waiting months for an appointment. At the University of Maine, students typically have their first counseling appointment within about a week of their initial call.

The 91福利 Counseling Center has maintained no waitlist for four consecutive years. Counseling is free, with no session limits.

鈥淥ne of the ways that we do that here is we got rid of unnecessary hoops to jump through,鈥� said Angela Fileccia, director of the Counseling Center and Student Wellness Resource Center.

The center鈥檚 annual report for the 2025 to 2026 academic year highlights its reach:

鈥� 976 individual students served, nearly 10% of the student body

鈥� 4,306 mental health and substance use appointments

鈥� 267 urgent care appointments, the fourth consecutive year exceeding 265

鈥� 8,292 students and staff impacted by outreach, prevention and education

In this Q&A, Fileccia explains the decisions behind the center鈥檚 approach, its campus partnerships and its role in training future clinicians. Her responses have been edited for clarity and brevity.

What changes have helped the center maintain access to counseling?

Some counseling centers schedule a phone consultation to see what your needs are. They get a lot of information, but it鈥檚 not a true intake. Then they schedule you for an intake.

Why not just schedule you for an appointment and do the intake?

When I talk about a waitlist, I mean a waitlist for intake. Some counseling centers will say, 鈥淲e鈥檙e full. We can鈥檛 schedule any more students right now.鈥� They take your name and call you when they get an opening.

We don鈥檛 have to do that. We can schedule people.

What can students expect when they begin counseling?

One of the things I did when I took over was change our model so that we are meeting students where they are developmentally. Very often, this is the first time students have ever made an appointment for themselves. Typically, particularly at that traditional college age, their parents have been making appointments.

We try to be as low barrier as possible.

We use a model focused on immediate goals and solutions. We ask students, 鈥淲hat brought you in? What are the goals you want to work on?鈥� Let鈥檚 get to working toward those goals.

What happens when a student needs help that day?

We have time designated for urgent care and crisis appointments. We do what we call a brief consultation. You could think of it as a triage appointment.

If a student has failed a test, we鈥檒l say, 鈥淚鈥檓 sorry you failed this test. What鈥檚 going on? Let鈥檚 talk about it. How do we help you cope in the moment?鈥�

Then we鈥檒l get them scheduled so we can talk about developing other coping skills going forward. But let鈥檚 see if we can solve this problem today.

If the student鈥檚 need is more acute 鈥� thoughts of suicide for example 鈥� we make sure to provide an immediate crisis session so that students are cared for a safe.

We have a really good team. If several students in distress walk in, we get our people to rally. If I鈥檓 available, I鈥檓 going to help. If our associate director is available, we鈥檙e getting her.

How does the broader campus community help students connect with support?

Sometimes a faculty member will call with a student or even walk the student over.

We work closely with the Division of Student Life. 91福利 an hour before this conversation, our dean of students called after a faculty member raised concerns about a student鈥檚 mental health. She asked, 鈥淲hat do you think? What do we need to do?鈥� Those conversations happen frequently.

We also work extremely closely with 91福利 police. If a student is unsafe and really in crisis, and we think they need a higher level of care, we can coordinate with campus emergency responders to help get them a hospital screening.

We don鈥檛 ever want to be in a position where there is an emergency and we鈥檙e not prepared.

How does the center help train future mental health professionals?

We serve as a training site for master鈥檚 students in social work. We have also hosted students in the psychology doctoral program.

For social work students in their final clinical placement, we can provide an opportunity to see students for therapy with a lot of supervision.

Historically, we have also worked with doctoral students before they leave for their yearlong internship.

One doctoral student last year was really interested in crisis work. We were able to give her direct experience with crisis appointments and opportunities to shadow clinicians. What does that look like? How do we do that?

As part of an academic institution, I think it鈥檚 important that we鈥檙e also providing learning opportunities for students.

Connecting with support

The Counseling Center is in Cutler Health Center, facing Gannett Hall. It is open Monday through Friday, 8 a.m. to 4:30 p.m.

Students can call 207-581-1392 or visit in person to schedule an appointment. Services are free for students enrolled in 91福利 classes and located in Maine. Faculty, staff and concerned adults can also call for consultation.

Counseling is confidential, with limited exceptions described on the center鈥檚 website.

Visit the 91福利 Counseling Center website for eligibility, confidentiality and appointment information.

Contact: David Nordman, david.nordman@maine.edu