six model university-based mental health programs: what will work for your campus?
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Six Model University-Based Mental Health Programs: What Will Work for Your Campus?. Angela Andrade Disabilities Specialist Special Assistant to the Student Mental Health Committee UC Santa Barbara [email protected]. Workshop Overview. Model Programs Small Group Discussions - PowerPoint PPT PresentationTRANSCRIPT
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Six Model University-Based
Mental HealthPrograms:
What Will Work for Your Campus?
Angela AndradeDisabilities Specialist
Special Assistant to the Student Mental Health Committee
UC Santa [email protected]
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Workshop Overview
Model Programs Small Group Discussions Large Group Discussion
Small Group Discussions Campus Needs SMH Recommendations Program Critiques
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Six Model Programs Columbia: Residence Halls-Based Counseling Georgetown: Postvention Program University of Illinois: Mandatory Suicide Assessment University of Washington: Suicide Prevention Program New York University: Mental Health Prevention Program Syracuse University: Gatekeeper Training Program
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Six Model Programs Columbia: Residence Halls-Based Counseling Georgetown: Postvention Program University of Illinois: Mandatory Suicide Assessment University of Washington: Suicide Prevention Program New York University: Mental Health Prevention Program Syracuse University: Gatekeeper Training Program
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Residence Halls-Based Counseling
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Residence Halls-Based Counseling
Six University Counselors--Two Residence Halls Why?
Daily contact with students Increased visibility of psychological services Lowered barriers to care Help-seeking behavior destigmatized
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Residence Halls-Based Counseling
Role of Counselors Drop in--no appointment necessary 10 pm, 4 nights/week Fully integrated into Residential Life Resource for Residential Life staff, informal and increased access
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Residence Halls-Based Counseling
Outcomes 2004-5: 311 drop-ins; 119 new students Ambivalent students sought counseling Challenges in tracking students Expanded to more halls
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Postvention Program
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Postvention Program Model for post-crisis response Why?
Begin healing process Address broad impact on students Coordinated campus response, led by an experienced team Ever-improving model Flexibility based on student need
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Postvention Program
Community Support Meetings (CSMs)
Held where students are Provide structure and consistency Get students talking about events Suggestions and support for survivors Campus and Community resources
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CSM Team (Approx. 20) Membership from across campus Available on short notice Assessment after each CSM Monthly trainings
Postvention Program
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Outcomes Students feel taken care of Administrators like having a protocol Response leaders feel prepared
Postvention Program
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Mandatory Suicide Assessment
Program
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Mandatory Suicide Assessment Program
Requires 4 counseling sessions after a reported suicidal threat or attempt in order for the student to stay in school Based on:
The premise that most students who attempt have not seen a counselor
The finding that for most completed suicides there was a public threat or previous attempt
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From 1984 to 2006, 2000 students participated in mandatory counseling
One student declined counseling No student in the program committed suicide while at UI
Mandatory Suicide Assessment Program
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While the national suicide rate remained stable . . . Suicide rates at UI from 1984-2003 did the following:
Declined 100% for females Declined 44% for males Declined 78% for undergraduates Increased 62% for graduate students
Mandatory Suicide Assessment Program
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Annual Program Costs $10,000 Administration (Suicide Team) $40,000 Assessment $1.35 per enrolled student
Mandatory Suicide Assessment Program
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Suicide Prevention Program
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Suicide Prevention Program Third year of pilot
Mandatory 4 sessions for reported suicidal gesture or threat Mandatory reporters--SA and Res Life Suicide team evaluates report Senior staff member in Student Affairs office meets with student
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All students have accepted offer for counseling Approx 10% were already in counseling Estimated 20-30% continue with counseling Most reports come from Res Life staff Catches young people at risk for impulsive suicide, but may be missing graduate students and older students
Suicide Prevention Program
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NYU Mental Health Prevention Program
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Jed Foundation’s Prescription for Prevention
Promote Mental Health Awareness & Well-Being &
Prevent Suicide• Communication• Policies• Risk Surveillance• Leadership
Screening to:• ID high-risk students• Provide (determine) campus landscape• Work proactively
Mental Health Service to:• Train providers• Refer cases• Institute procedures• Enhance accessibility• Do prevention & outreach
Means Restriction to:• Limit access to potentially lethal means
Crisis Management to:• Establish policies/ programs that respond to suicidal/ high-risk behavior• Respond w/ comprehensive postvention• Create interface between disciplinary process/MHS
Life Skills Development to:• Improve students’ management of rigors of college life• Equip students with tools to recognize and manage stressors
Education Programs to:• Train gatekeepers and students to
• Identify signs of distress• Take steps for help
• Train confidentiality/legal
Social Marketing to:• Stimulate cultural change to de-stigmatize, remove barriers, encourage help- seeking behavior• Target high-risk & general pop
Social Network Promotion to:• Reduce isolation; encourage belonging• Encourage development of groups within larger campus community
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NYU Mental Health Prevention Program
Social marketing Increased access to MH professionals Crisis response
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Social Marketing Interactive emails on MH issues-- GoalQuest All newly enrolled students attend reality program highlighting MH issues
Produced by NYU actors/writers
NYU Mental Health Prevention Program
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Increased Access to MH Professionals Email access to a wellness social worker 24-hour hotline staffed by NYU social workers by day and MH professionals from Protocol on nights and weekends Walk-in hours during evenings and weekends
NYU Mental Health Prevention Program
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Crisis Response In-house mobile crisis team
Clinical social worker 24-hours/day Face-to-face evaluations Transportation to hospital if necessary
NYU Mental Health Prevention Program
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Gatekeeper Training Program
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Gatekeeper Program “Campus Connect,” original curriculum Suicide prevention grant from Substance Abuse and Mental Health Services Administration Basic suicide statistics, facts, and warning signs
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Importance of relationship with student
Prepare responders for the emotional intensity of a student crisis Focus on listening and empathy Experiential exercises (e.g., photo exercise)
Gatekeeper Program
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Assessment of acquired skills to deal with a student in crisis
Pre- workshop: equivalent to first-year undergrad psychology major Post-workshop: close to a master’s -level counselor Value of experiential exercises
Gatekeeper Program
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Six Model Programs Columbia: Residence Halls-Based Counseling Georgetown: Postvention Program University of Illinois: Mandatory Suicide Assessment University of Washington: Suicide Prevention Program New York University: Mental Health Prevention Program (Jed Foundation) Syracuse University: Gatekeeper Training Program
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Creating Healthier Campus
Communities: A Tiered Model for Improving Student
Mental Health
Tier 3Creating Healthy Learning Environments:A Comprehensive Approach to Prevention
Tier 2Targeted Interventions
Tier 1Critical Mental
Health and Crisis Response Services
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Questions?
Small-Group Breakout