ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

A MULTI-CAMPUS MENTAL HEALTH INTERVENTION

STUDYWestern Interstate Commission on Higher Education (WICHE)Tamie DeHay, Maurene Flory, Mimi McFaul, Nicole Speer, Jessica Tomasko, Stan Xu (Kaiser) Survey Sciences Group:

Scott CrawfordSara O’Brien

University of MichiganDaniel Eisenberg, Cheryl King, Steve Brunwasser

Presentation for College Mental Health Research SymposiumAnn Arbor, MI March 9, 2010

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Acknowledgments

Funding from NIMH Challenge Grant RC1 MH089757: “Mental Health First Aid for

College Students: A Multi-Campus Randomized Control Trial of a Community Health Intervention”

Participating campuses Thus far: North Dakota State (ND), Alaska-Anchorage (AK),

Liberty (VA), Miami (OH), Illinois Tech (IL), Mary Baldwin (VA), School of the Art Institute of Chicago (IL), Scripps (CA)

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Mental Health in College Students

Mental illnesses are highly prevalent among college students, and most go untreated

Knowledge and stigma are key barriers

Gatekeeper trainings have become popular, but supported by sparse evidence

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Mental Health First Aid

MHFA is a 12-hour training to give laypersons skills to help people developing a MH problem or experiencing a MH crisis.

MHFA shown to have positive effects on trainees (higher knowledge, lower stigma, higher confidence in helping behaviors)

No evidence to date on effects on community members (much harder to test)

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Overall Study Design

Focus on residences (trainings for RAs)

Random assignment of trainings both across campuses and within campuses

Outcomes measured by pre- and post- surveys, as well as counseling center counts

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Study Overview: Year 1

Fall 2009 Winter Break Spring 2010Cohort 1

Treatment Pre-test Training Post-testControl Pre-test --- Post-test

Cohort 2Treatment

Control

8 campuses involved in Cohort 1

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Study Overview: Year 2

Fall 2010 Winter Break Spring 2011Cohort 1

Treatment Pre-test Training Post-testControl Pre-test --- Post-test

Cohort 2Treatment Pre-test Training Post-test

Control Pre-test --- Post-test

Additional 24 campuses involved in Cohort 2

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Study Design: Primary outcomes

RAs trained in MHFA # of students with whom MH was discussed # of students referred to MH services

Regular students (non-RAs) MH service utilization Help for MH from nonprofessional

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Study Design: Secondary outcomes

Both groups Level of stigma Psychological distress Depressive symptoms Symptoms of anxiety disorders Suicidal ideation Substance use

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Study Design: Secondary outcomes

RAs trained in MHFA Specific knowledge of MH and treatment Self-perceived ability to help with MH

Regular students (non-RAs) Perceived need for help for MH Basic knowledge about MH and treatment

ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADANEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING

Discussion Questions

Ideas on recruiting campuses for Year 2?

Additional variables/analyses to consider?

What would be the next study?