Mental and Behavioral Health
The Boston Globe reports on implications of a new law suit filed by the parents of Luke Tang, a Harvard University student who died by suicide in 2015 two weeks after arriving on campus for his sophmor year. The parents are suing the university and several employees for allegedly failing to protect him from self-harm. The case builds on a 2018 ruling by the Massachusetts Supreme Judicial Court that found schools have a “limited duty” to prevent suicides if they know a student is at risk. After a suicide attempt the previous year, school officials required that the 19-year-old sign a contract promising to follow his doctors’ treatment plan, and keep up with mental health services after going away for the summer. He didn’t, and Harvard officials apparently did not check up with him upon his return in the fall. His death prompted concerns about the particular vulnerabilities of Asian students at Harvard and other rigorous schools across the United States, and raises new questions about the responsibilities of universities to prevent suicides on campus.
In Salon magazine, Sophia A. McClennen, a professor of International Affairs and Comparative Literature at the Pennsylvania State University, explores why college students today are more stressed than other generations. A new study by the American Psychological Association (APA) reports that Gen Z outpaces all older generations in stress, with 9 in 10 Gen Zs between the ages of 18 and 21 reporting stress in the last month compared to around 75 percent of their elders. According to McClennen, many perceive the reasoning behind the phenomenon to be the fact that today’s students are “snowflakes” with a lack of resilience shaped by helicopter parents, smartphones, and a sense of entitlement. But McClennen examines recent research, finding that students today are stressed about the nation’s future, and particularly mass shootings, as well as student debt, heavy course loads, and part-time jobs.
Harvard College is opening its new Academic Resource Center, which replaces the Bureau of Study Counsel (BSC) in providing academic support. The Dean of Undergraduate Education, Amanda Claybaugh, said the move marked a shift away from the BSC’s “hybrid model,” which sought to address both students’ academic and personal circumstances which led some undergraduates to worry that the new center won’t include mental health-related services, previously provided by BSC. Associate Dean of Undergraduate Education Sindhumathi Revuluri said the BSC’s counseling was not in line administrators’ beliefs that the center should have a primarily academic focus, and that the BSC “came about at a time when we did not have institutionalized or robust mental health services. And so things like the Bureau of Study Counsel took on a much more kind of advisory, mentorship, pastoral role, which actually meant that there was a lot less focus on academic issues.” Since classes resumed, many of the office’s undergraduate noted their positive experiences with the BSC’s approach to academic counseling and cited long lines at Counseling and Mental Health Services.
The death by suicide of Gregory Eells, the relatively new leader of counseling and psychological services at the University of Pennsylvania and a mental health professional who held national counseling posts, has had reverberations on campus and throughout the country. The Penn community was jarred by the suicide of the man who oversaw programs for students designed to help prevent such acts. “If someone at the highest level of this resource ladder doesn’t have access to the resources they need to feel safe, I really do worry for everyone else,” said Melissa Song, 20, a senior neuroscience student from Tempe, Ariz., and director of Penn Benjamins, a peer counseling organization. At least 14 Penn students have died by suicide since 2013, spurring calls for the nearly 26,000-student school in West Philadelphia to improve its mental health services. The university has expanded counseling center hours and reduced wait times for an appointment and last year appointed its first “chief wellness officer,” charged with improving mental well-being. In addition, the university has begun embedding counselors in some of the schools so that access is easier. Students said they hope Eells’ death will lead to more introspection from the university community. Student government leaders across Penn’s campus are looking inward to improve wellness in their own groups and committing to campus-wide mental wellness initiatives. Student groups are also seeking to partner closely with CAPS to extend existing programs.
Missouri University held its annual Mental Health Summit featuring panels on resources for student veterans both on and off campus. Topics included suicide prevention and future research on the student-veteran experience. At a panel focused on adjusting to civilian life and the struggles that returning service members face, David Hammer, a Vietnam War combat veteran and founder of All the Way Home, an organization aimed at helping veterans, talked about his experience with late-onset PTSD and how fellow veterans struggle with seeking help. “The veterans cannot do it without the help of the community,” he said. “Without compassion or care, they’re walking a long, lonely road.”
The University of Southern California Undergraduate Student Government released a statement reaffirming its commitment to campus mental health following the deaths of two students last week. The statement also emphasized a need for diverse and substantive mental health services. “Students from all backgrounds and experiences deserve accessible mental health resources that accommodate their needs,” the statement said. “We vow this commitment will be met with concrete actions … Senators are committing to working on and prioritizing initiatives that address this need on our campus and in our community.”
In an op-ed in the University of South Carolina’s student newspaper, The State, university President Robert Louis Caslen Jr. wrote about new initiatives at the school that will address mental health. The Resiliency Project is an effort to help residential students develop coping skills, build resilience and create connections with other students. Another initiative backed by a grant from the Substance Abuse and Mental Health Services Administration, aims to increase access to mental health and substance abuse services and resources, focusing on student populations including student veterans, LGBTQ students, students of color, students with low economic resources and students who display high-risk behavior.
In a letter to the campus, USC’s Office of Student Affairs announced a new mental health awareness initiative that provides wellness and self-harm education and incorporates weekly on-campus mental health activities to promote well-being. One of these activities includes Trousdale Outreach and Awareness, a joint effort between Outreach and Mental Health Services and Undergraduate Student Government to provide mental health information and a space for students to connect with others dealing with trauma. The program includes discussions with clinical professionals and opportunities for students to participate in stress-reduction activities and personal skill-building. The announcement also introduced the #BeThe1To campaign as another source of mental health education. Created by the National Suicide Prevention Lifeline, the #BeThe1To campaign is a five-step approach students can use to reach out and assist others contemplating suicide. The campaign stresses interpersonal contact, support of others and connection to external mental health resources. The letter, signed by Vice President of Student Affairs Winston Crisp and Student Health Chief Health Officer Sarah Van Orman, comes shortly after two students died by suicide last week and one student died following a vehicle collision during Welcome Week.
A series in the Wall Street Journal, This Future View, explores the sharp increase in depression, anxiety and suicidal thinking reported by college students over the last decade. The Journal asked current students about the causes of the mental health crisis on campus. Students listed technology, college preparation, and unhealthy competition as contributing factors. One responded, “Students today do everything they can to make the sacrifices of paying tuition seem worthwhile, but the uncertainty of the investment and the debt they are piling up loom over everything. The stress can be debilitating, especially after something starts to go wrong-a bad grade, a breakup, or the simple realization that time is running out on your college years. Maybe it’s not healthy for the stakes to feel so high.”
Last spring, following an increase in students seeking help, the University of Delaware Center for Counseling and Student Development (CCSD) instituted a new policy allowing for walk-in style appointments to increase access. Brad Wolgast, director of the CCSD, said that the first seven days of classes this year have seen even greater numbers of students coming through the door. According to Wolgast, the CCSD is in the process of creating easier access and more support groups for students of color and students of different identities so that there is an environment for people to feel comfortable in taking care of their particular needs.
Talkspace, a telebehavioral health company, announced a partnership with Williams College that will provide students with online messaging therapy with licensed clinicians year-round. Dr. Wendy Adam, Director of Integrative Wellbeing Services for Williams College, said, “At Williams, we are well-resourced and have a high utilization rate for our services, about 30% of our student population each year, yet we continue to pursue ways to reach students who may not choose to access traditional mental health services, who study abroad or have limited access to care when on school breaks.”
The family of a Georgia Tech student who was shot and killed by a campus police officer has filed a wrongful death lawsuit against the school, The Board of Regents, and officer Tyler Beck. In September of 2017, student Scott “Scout” Schultz was having a mental breakdown, holding a multi-tool, telling the campus police to shoot him. Beck shot him in the chest. The incident was captured on campus surveillance video.
Kathy and Jeffrey Schussler filed a wrongful-death case against Iowa State, partly in an effort to see the medical records of their son Dane following his death in November 2015. They learned that he was seen at Iowa State University’s overstretched counseling office by an unlicensed and unsupervised graduate student. During a session, Dane Schussler, who had no history of mental illness, told the counselor he was having suicidal thoughts for the first time that “led him to research information on suicide and possible methods,” according to court documents. The lawsuit claims the counseling center didn’t take adequate steps to respond to the sudden change in his mental health, “continued to provide him with an inadequately supervised counselor, and failed to refer him to a more appropriate source.” A jury found the state of Iowa 50% responsible for Dane’s death.
The University of Virginia chapter of the National Alliance on Mental Illness, NAMI on Campus at UVA, has launched a petition calling for better mental health education and improved mental health resource allocation. The petition calls for the implementation of educational programs, increased funding for mental health resources and an initiative to coordinate mental health efforts. NAMI organizers plan to submit the petition to the Board of Visitors, University President James Ryan and Provost Liz Magill for consideration when they reach their target goal of between 300 and 400 signatures.
Davidson University rebranded and restructured the Student Counseling and Health Center – changing its name to the Center for Student Health and Well-Being and hiring several new staff members, including a therapy dog named Pepper. “We wanted to expand our outreach and promote ourselves as a center that offers more than just basic health and counseling necessities,” said Dr. David Graham, the new Director of Student Health and Well-Being. “We were trying to be intentional in our name, and we realized that the key word we were missing was well-being.” The center will continue the Mental Health Ambassador (MHA) program, created last year. Student volunteer MHAs raise awareness and implement programming about mental health issues that are specific to the college experience. Additionally, Health Advisors are student volunteers who implement campus-wide health education and peer support. Georgia Ringle, the Center’s Health Educator said, “The MHA and Health Advisor programs are two groups that offer lots of programming and support to students. It can be easy to get isolated in the center because we are busy working with students behind closed doors,” she acknowledged. “We want to increase our outreach and work more with student groups and organizations to better help serve their needs.”