six model university-based mental health programs: what will work for your campus? angela andrade...
Post on 20-Dec-2015
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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]
Workshop Overview
Model Programs Small Group Discussions Large Group Discussion
Small Group Discussions Campus Needs SMH Recommendations Program Critiques
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
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
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
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
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
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
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
CSM Team (Approx. 20) Membership from across campus Available on short notice Assessment after each CSM Monthly trainings
Postvention Program
Outcomes Students feel taken care of Administrators like having a protocol Response leaders feel prepared
Postvention Program
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
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
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
Annual Program Costs $10,000 Administration (Suicide Team) $40,000 Assessment $1.35 per enrolled student
Mandatory Suicide Assessment Program
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
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
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
NYU Mental Health Prevention Program
Social marketing Increased access to MH professionals Crisis response
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
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
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
Gatekeeper Program “Campus Connect,” original curriculum Suicide prevention grant from Substance Abuse and Mental Health Services Administration Basic suicide statistics, facts, and warning signs
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
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
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
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