Clinical Load Index (CLI)

Developed by the Center for Collegiate Mental Health (CCMH), with support from the International Association of Counseling Services, Inc. (IACS) and the Association for University and College Counseling Center Directors (AUCCCD), the CLI represents a reliable, comparable, and intuitive distribution of staffing levels that can be used to inform decisions about the resourcing of mental health services in colleges and universities. In brief, the CLI describes the relationship between the demand for and supply of mental health services in college and university counseling centers. The CLI helps to shift the question that institutions should be asking from, “How many staff should we have?” to “What experience do we want our students to have?”

To calculate your CLI, please visit the CLI site. Before using the CLI calculator, all users should understand the following concepts.  

  • Utilization: The total number of students with at least 1 attended appointment between July 1st and June 30th.
  • Clinical Capacity: The total number of contracted/expected clinical hours for a typical/busy week when the center is fully staffed (not including case management and psychiatric services). Download our Tracking Sheet!
  • Clinical Load Index (CLI): The CLI can be thought of as the average annual caseload for a clinician at the center. 
2020-2021 CLI site
2020-2021 CLI Peer Report (request form)
2018-2019 CLI site
2017-2018 CLI site

2020-2021 Distribution

  • July 1, 2020- June 30, 2020 
  • 563 colleges and universities
  • Minimum: 12
  • Maximum: 314
  • Mean: 90
  • Median: 84
  • Standard Deviation: 43
  • Zones
    • Low: less than 48
    • Mid: 48 to 133
    • High: greater than 133

 2018-2019 Distribution

  • July 1, 2018- June 30, 2019 
  • 567 colleges and universities
  • Minimum: 30
  • Maximum: 310
  • Mean: 119
  • Median: 112
  • Standard Deviation: 47
  • Zones
    • Low: 30 to 72
    • Mid: 73 to 167
    • High: 168 to 310

2017-2018 Distribution

                                                                

  • July 1, 2017- June 30, 2018
  • 432 colleges and universities
  • Minimum: 37
  • Maximum: 308
  • Mean: 118
  • Median: 114
  • Standard Deviation: 44