Telehealth Transforms the Future of the Fresno Family Counseling Center

How the counseling center has overcome the challenges presented by the tumultuous COVID-19 pandemic by performing online counseling services, remaining a priceless asset to the community. 

There were many anxious thoughts floating across the minds of the Fresno Family Counseling Center staff when the COVID-19 shutdown was announced. Countless tearful goodbyes were said in the warm, familiar halls of the center as a deep weight of dread and uncertainty settled over everyone. Their deeply-rooted passion to heal mental health and guide individuals back to a sense of wholeness was temporarily put on hold. 

For nearly three months the counseling center was shut down as it scrambled to convert everything to a digital format, causing a tremendous upheaval for both the staff and the students in the M.S. in Marriage, Family and Child Counseling program

Individuals, children, couples and families in the Central Valley rely on the counseling center for mental health services. In addition to Fresno State graduate students, who use the center as a training facility for highly structured and intensely supervised training to fulfill degree and licensure requirements.

The financial impact to the center was devastating as they were unable to accept online payment transactions during the initial stages of the shutdown. Even before the pandemic, the counseling center was already on a minimal budget due to their tremendously discounted session rates, allowing services to meet the needs of marginalized and underserved populations in the community.

Traditional private practice sessions normally range anywhere from $120-$250 an hour. The median payment that the Fresno Family Counseling Center receives is $20 per session, a figure that drops to $5 per session based on the financial status of the client.

The counseling center impacts a remarkably vast region of clients, stretching as far north as the Oregon border and as far south as the San Diego desert, amounting to 115,000 square miles worth of individuals who access their services from a range of 17 different counties in California. For over 35 years, the counseling center has addressed the mental health needs of countless individuals, making immense strides in the name of progress. 

While the COVID-19 pandemic posed numerous difficulties, the counseling center did not let these obstacles deter them. They adapted to the new environment by resuming sessions via Telehealth, an online counseling service. This new implementation increased their number of clients at a staggering rate. Convenience and accessibility were two main factors which manifested themselves with the advent of Telehealth. 

Dr. Christopher Lucey

Dr. Christopher Lucey, the director of the center who specializes in crisis intervention and a Fresno State professor, addresses some of the more beneficial aspects which have arisen thanks to Telehealth. 

“A positive that can be found in the conversion to Telehealth is that rural communities who have experienced a lack of access to mental health in the past, whether due to transportation issues or other isolation-related barriers, can now have their needs met via the internet,” said Lucey, beaming with pride. 

Telehealth has helped the counseling center broaden its geographic reach, especially in areas where mental health services are nonexistent. It offers a new level of convenience and accessibility, especially for those with busy schedules who find it difficult to set aside time for their mental health. It also provides peace of mind for those who struggle with extreme anxiety and for whom planning a long commute behind the wheel of a car would be detrimental. 

The M.S. in Marriage, Family and Child Counseling program has also found creative ways to acclimatize to the changing times. The State of California has allowed students to meet their licensure requirements for the Board of Behavioral Sciences through Telehealth due to the impact of the pandemic. There has been an increase in the amount of students enrolling in the program with the onset of online learning. Graduates of the program are highly sought after with nearly 100% of graduates finding employment within six months if they are actively looking for a job. The program is among only one of four accredited institutions in California that provide this specific type of training. 

Amber Hernandez

Amber Hernandez, a student in the Marriage, Family and Child Counseling graduate program, who will be graduating at the end of this semester, talks about her experience throughout the online conversion. 

“There were a lot of concerns going around with us students as to how we were going to accumulate our hours, how we we’re going to meet with clients, how COVID-19 was going to affect the quality of the services we we’re providing,” Amber explains, remembering back to the inception of the pandemic. 

“Our previous clinical director, Maira Martinez Hernandez, did an amazing job at facilitating everything for us through the training. Since we weren’t allowed to be at the office, she stayed there and held everything together. Dr. Lucey also played a huge part in making sure that the students were still able to accumulate their hours and access the support they needed.”

Through the counseling program, Hernandez has discovered her love of working with children. After initially entering graduate school, she had planned to focus primarily on Latinx families since she herself is both bilingual and first generation. However, she found an even deeper connection through seeing the level of rapport that can be built with children by observing how open and honest they become when they feel that they can trust someone. 

She describes how when one of her sessions was at an end, her child client was reluctant to leave because he was afraid of hurting her feelings. Hernandez explains how it is precious moments like these that feed her soul. 

“The Fresno Family Counseling Center has been a true blessing to my growth and to my graduate experience. I’ve always heard good things about the center, but now, being able to experience it first-hand and be trained by Dr. Lucey and many of the other wonderful therapists there has brought to life how much of an asset the Fresno Family Counseling Center really is, not only for Fresno State, but for the entire community,” said Hernandez. 

The expansion which the counseling center has undergone from its initial inception until now is tremendous in retrospect. When Lucey took over in 2006, the center was performing a total of 426 sessions a year. That number has now risen to over 45,000 in the last five years. Regardless of gender, ethnicity, or age, the individuals who attend sessions through the center show significant recorded improvement. Telehealth has only accelerated that improvement, allowing individuals to schedule sessions more frequently and from the comfort of their own home. 

The counseling program recently finished a site-visit with its national accrediting body; Council for the Accreditation of Counseling and Related Education Programs and left a favorable testimonial regarding the counseling center:  

“The Fresno Family Counseling Center is a crown jewel not only for the MFCC program, but the department as a whole. From students to the CSU-Fresno’s President, the Fresno Family Counseling Center is seen as an exemplar of a community-based training center providing exceptional clinical services to the Fresno community. The center serves as a valued bridge between the university and the community.” 

(Written by Audra Burwell, a creative writing student in the Kremen School of Education and Human Development)

Internship Spotlight: Cristofer Araujo

Cristofer Araujo

Cristofer Araujo is currently interning both at the Fresno State Kremen School of Education and Human development, as well as at Fresno City College with the Dream Center, while also pursuing his masters in Student Affairs and College Counseling (SACC) which he will be receiving in spring of 2022. Cristofer’s internship at Kremen has prepared him in a variety of ways by allowing him to work directly with students, integrating what he has learned in the classroom into his academic sessions, as well as gaining the experience he’ll need when he finishes his master’s degree and begins searching for employment.

He has been learning new programs such as PeopleSoft and Bulldog Connect, while also gaining crucial social skills. He enjoys making students feel validated by acknowledging what the student needs in order to provide them with the full assistance they require to get back on track with their academics and find balance in all aspects of life. Providing friendly customer service to each of the students that he contacts is one of the specialized approaches that Cristofer has acquired during his internship. Making every meeting approachable by establishing professional student relationships is something he prides himself on. 

One of the highlights of his internship at Kremen is being able to network with other professionals in his field and feeling welcomed by the academic community as they continue to treat him as a true professional. One of his favorite memories while interning was the first day he walked into the office. The staff warmly embraced him and welcomed him onto their team, involving Cristofer in all of their events and allowing him to connect with each of the members.

While interning, he also learned more about organizations such as the Student Support Network, discovering the numerous tools they provide for students who struggle with time management, exam anxiety, while also offering ways a student can achieve balance in their life.

Cristofer has also acquired many interpersonal communication skills during his internship, learning in great detail all of the procedures that students must perform in order to reach a specific point in their academic career, such as which forms to fill out and how to do so. He is now able to explain topics more thoroughly and create new ways to interact with students who may have a difficult time understanding particular procedures. The overall tone of his internship at Kremen is friendly, professional, inclusive and inviting, allowing his natural talents to grow and develop. 

(Written by Audra Burwell, a Creative Writing student employed by the Kremen School of Education and Human Development .)

The Divergent Publication Award for Excellence in Literacy in a Digital Age Research

Dr. David Low and Dr. Earl Aguilera of the Kremen School of Education and Human Development at Fresno State, were both recently recognized as 2023 recipients of the Divergent Publication Award for Excellence in Literacy in a Digital Age Research. This award recognizes the most outstanding publications during the past two years that bring to the forefront the importance and impact of this work, given by the Initiative for Literacy in a Digital Age.

The Initiative for Literacy in a Digital Age, established in 2014, recognizes the importance of literacy in a digital age, those who diverge from traditional pedagogies and research approaches, and the indelible contributions of educators and scholars who have dedicated their careers to the theoretical and practical study of 21st century literacies. 

“We received a record number of nominees for the 2023 class. The educators, librarians, community organizers, college and career leaders, and students honored by this recognition are paving the way for equity, diversity, inclusivity, and access to texts and tools for all learners.”

Dr. Shelbie Witte, founding director of the Initiative.
Pedagogies: An International Journal (Taylor & Francis)

Dr. Low’s publication award is for a 2021 article titled “Youth Identities and Affinities on the Move: Using a Transliteracies Framework to Critique Digital Dichotomies,” which he co-authored with Sarah Rapp, a UCSC doctoral student and incoming faculty member at Sonoma State University. The article was published in Pedagogies: An International Journal (Taylor & Francis) and argues that oppositional framings of digitality do not adequately convey the creativity, permeability, messiness, and movement of youth literacies in practice. The authors used a transliteracies framework to examine youths’ textual production and identity mediation across physical and virtual domains, focusing on student participation in affinity spaces.

Dr. Aguilera’s publication award is for co-editing a Special Issue of Pedagogies: An International Journal titled “Critical Literacies in a Digital Age” in 2021 with Dr. Jessica Zacher Pandya, Dean of the School of Education at CSU Dominguez Hills. In this Special Issue, Drs. Aguilera and Pandya curated a number of research studies that together examined the resurgent social, political, cultural, and economic tension – in part facilitated by emerging information and communication technologies – which underscore the need to cultivate new forms of critical literacy in our digital age. Drs. Aguilera and Pandya framed their Special Issue around the following question:

In an educational context increasingly marked by volatility and uncertainty, but also connection and creative potential, in what ways might a focus on CDL inform pedagogical theory and practice?

Drs. Low and Aguilera, among other 2023 honorees, will be sharing their work as part of the Literacy in a Digital Age lecture series in April 2023.