Mental and Behavioral Health
In Inside Higher Ed, Ted Mitchell, the president of the American Council on Education, and Suzanne Ortega, the president of the Council of Graduate Schools, argue that mental health should not be solely the responsibility of campus counseling centers. They write that administration, faculty and staff all have a role to play in ensuring student wellbeing. According to Mitchell and Ortega, “The goal of campus leaders should be to put in place an effective and innovative campus-wide network of friends, mentors, advisers and services that is equipped to teach, reach, support and assist students with their personal and academic success.”
In Psychology Today, Marcia Morris M.D., a psychiatrist at the University of Florida and author of The Campus Cure: A Parent’s Guide to Mental Health and Wellness for College Students, looked at the results of the Mary Christie Foundation’s recent survey on college student parents’ perspectives on mental health. Based on the survey results, she recommended that college student parents review with their child how to access mental health resources on campus, stay in touch with a child who seeks treatment until they have established care with a therapist and/or psychiatric provider, encourage them to sign a HIPAA release of information form if they are being seen by a mental health professional, and ask them to sign a FERPA release of information form that allows parents to see semester grades. She writes, “This research demonstrating parents’ efforts to promote college wellness and mental health gives me hope. I encourage parents to continue advocacy for their children’s safety and well-being and develop strategies to work around the roadblocks in the system.”
In an episode of Harvard EdCast, a weekly podcast featuring conversations with education leaders and innovative thinkers, Dr. Stephanie Pinder-Amaker, the founding director of McLean Hospital’s College Mental Health Program in Massachusetts, discusses the factors leading to mental distress on campus, how colleges can create better responses, and how awareness of and supports for mental health issues should begin long before students get to college. She says, “We want to think about how do we connect with students early, get students more aware at the earlier stages of what some warning signs may be to look for, and then how do we direct resources that maybe aren’t as expensive or as intensive as direct services psychotherapy.”
In Education Dive‘s President Speaks series, Ithaca College President Shirley Collado writes of the need to invest more and creatively in addressing students’ well-being. According to Collado, “The cultivation of student wellness must be one of our greatest, most urgent priorities.” Collado argues that schools must take an “institution-wide approach to student wellness,” integrating support every step of the way and giving students the tools to thrive on their own. Ithaca College has invested across campus, bringing on new counselors and case managers, expanded mental health services to provide counselor access 24/7, and created the ICare Team, which receives and reviews reports of students in distress to determine what support is needed.
The suicide of Boston College student Alexander Urtula is the latest incident to highlight the growing mental health crisis on college campuses. Urtula died in May, just hours before he was scheduled to receive his diploma. Earlier this week Boston prosecutors charged Inyoung You, a 21-year-old from South Korea, with involuntary manslaughter in Urtula’s death, alleging that she subjected him to psychological torture and encouraged him to kill himself. The story of Urtula, a son of Filipino immigrants, highlights the particular challenge of reaching students of color, who are less likely to seek mental health help. Some of the disparity may be due to a fear that students will be misunderstood by counselors who don’t understand their cultural issues. Along with hiring more counselors of color, colleges are trying to retain more faculty and staff of color. “I think colleges are doing what they think is best,” Alfiee Breland-Noble, the executive director AAKOMA Project, which works on mental health issues among African-American youth said. “But there are spaces in which we need colleges need to do a lot more.”
Students at Harrisburg Area Community College held sit-ins in response to the announcement that on-campus mental health resources will be cut due to funding. HACC President John Sygielski said when the college eliminates the 20 on-campus counselor positions next year, they will refer students seeking mental health services to a third-party off-campus resource. He says the off-campus counselors will be able to provide more comprehensive round-the-clock care at low to no cost to students.
At the University of Virginia, students are sharing their struggles with mental health publicly to help erase the stigma that comes with anxiety and depression. In 2016, graduate student Alexandra Pentel founded If You’re Reading This – an interactive, online forum addressing mental health issues. Having an online forum helps reduce a lot of barriers. The site is free. Students can access it anytime, from the privacy of their dorm or apartment. The concept has grown over time, with a professor posting an essay, eventually followed by UVA President Jim Ryan, Dean of Students Allen Groves and men’s basketball coach Tony Bennett. “It’s awesome because I think what that shows students is that we’re all people, and even the people you think have it together or are really winning, like with Tony Bennett and the NCAA championship … we all struggle with things,” Pentel said. “It’s OK to admit that and we kind of have to lean on each other.”
Stanford is continuing to strengthen its framework of support for student mental health and well-being by piloting a new resource called the Stanford Red Folder, which serves as a guide to help faculty and staff respond to and assist students in distress. According to John Austin, special assistant for mental health and well-being at Vaden Health Center, the folder was created after some university employees expressed concern about how to properly respond to a student showing signs of personal hardship. “We heard from faculty and staff that sometimes they are just not sure what to say or what is appropriate or inappropriate because no one wants to further traumatize someone in distress,” he said. “So we came up with a process to help them.”
THRIVE at IC, a new program at Ithaca College, held its first wellness workshop with the aim of offering tips to students on how to balance the social, emotional and physical aspects of their lives. THRIVE workshops are drop-in sessions, designed to be more accessible to students. Kristen Lind, health promotion specialist in the Office of Counseling and Wellness, said the program works with a “Resilience Pyramid” that focuses on the needs of students at the college. The pyramid, which was adapted from a similar model used at Cornell University, organizes basic needs like maintaining a balanced diet, getting enough sleep and allowing time for self-reflection and a social life. The pyramid functions as a guide for students to find ways to balance these sectors in their own lives. She said the goal of the program is to find actionable and realistic ways to help students create better habits.
META, the creators of a teletherapy smartphone app for college students, released the results of a survey of college students about the availability of mental health services and support on campus. According to the report, “Barriers to Accessing Mental Health Services and Support on Campus,” 80% of college students do not feel completely comfortable with on-campus counseling centers. Even though most students (74%) have access to an on-campus counseling center, 40% believe the delivery options for those services are lacking. When asked if they feel comfortable utilizing the on-campus resources offered to them, only 20% of students responded with either “very comfortable” or “extremely comfortable.” When asked about barriers to accessing mental health services and support on campus, students replied that “busy schedules” (57%), “stigma” (49%), “lack of information” (36%), and “hours of service” (35%) most commonly stand in the way. By way of response times, 68% of students say it takes a week or longer to receive support from an on-campus counseling center, which isn’t as fast as they would like. 80% would like help in one week or less. According to META’s survey, 81% of students suffer from some form of mental health condition, most commonly anxiety (66%), depression (55%) or suicidal thoughts (38%). These results differ from other nationally reported statistics.
The Daily Trojan, University of Southern California’s student newspaper, reported on the Undergraduate Student Government’s town hall for mental health and well-being, where university staff told a small audience that mental health is a community issue. Kelly Greco, USC Student Health’s assistant director of outreach and prevention services, discussed some mental health resources the University currently offers, including anonymous counseling services and the Healthy Minds survey, which will be taken again in the spring. Ilene Rosenstein, associate vice provost for campus wellbeing and education, presented a video about a new artificial intelligence tool dubbed “Ask Ari,” which will launch next month as a tool for students to “reflect on the issues that they’re having.” It includes an interactive chat service for students to discuss their emotional well-being and learn about campus support resources. One student at the town hall said she and others have experienced frustration with the 30-minute phone consultation system that students are required to take part in before scheduling an appointment. She said the system often requires students to go through the process twice. Counseling and Mental Health Director Broderick Leaks responded that, “The reason why we switched to that model was because years ago … we had so much demand and so many students seeking services that students were waiting a month before they even talked to us the first time.” She said that under the new system, most students can schedule appointments within a few days.
In an op-ed in the Columbia Spectator, Anna Gergen writes about her experience applying to colleges using an essay that described her mental health issues. Gergen believes she was rejected by schools because she was viewed as a “liability.” When Gergen changed her essay to remove mentions of her struggle with mental health, she was accepted to Columbia University. Gergen writes, “There is important work being done on campus related to student mental health, yes. But so many people are still not participating in the dialogue, especially many in admissions offices across the country. Additionally, we need resources that can help students address their mental illness throughout the admissions process as they move on to graduate school or their professions.”
Dylan Firsick, a USC clinical and sports psychologist told USC Annenberg Media that the destigmatization of mental health is allowing more college athletes to open up about their struggles. Firsick, who has seen a rise in college athletes seeking mental health resources, points to nation-wide efforts underway. In 2013, Chief Medical Director for the National Collegiate Athletic Association (NCAA) Brian Hainline developed guidelines for schools to follow regarding college athletes who suffered from mental health issues. “Student-athlete mental health is an under-recognized health issue, and if managed improperly, leads to poor performance in sport and the classroom, and can potentially lead to life-threatening emergencies,” Hainline said in an interview with an NCAA reporter. His efforts with the NCAA resulted in a shift toward educating coaches, administration and athletes about mental health.
This summer, Gov. Gavin Newsom and the California Legislature passed a $214 billion budget that includes $5.3 million earmarked for improving mental health services in the University of California system. In an op-ed in Cal Matters, Emily Estus, a graduate student at UC Berkeley’s Goldman School of Public Policy and School of Public Health, who researches mental health outcomes with the Berkeley Institute for Young Americans and Well Being Trust, writes that this funding is a temporary stopgap, forestalling a serious and still growing funding crunch for mental health at the University of California. According to Estus, to really improve services and get students the help they need, California must break the cycle of perpetually underfunding student health and counseling by changing how we think about providing and funding care.