The College Years: UMass Medical School How Students with Lived - - PowerPoint PPT Presentation

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The College Years: UMass Medical School How Students with Lived - - PowerPoint PPT Presentation

Laura Golden Amanda Costa Maryann Davis Transitions to Adulthood Center for Research The College Years: UMass Medical School How Students with Lived Experience Navigate Academics & Mental Health Management The Transitions to Adulthood


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The Transitions to Adulthood Center for Research

The College Years:

How Students with Lived Experience Navigate Academics & Mental Health Management Laura Golden Amanda Costa Maryann Davis Transitions to Adulthood Center for Research UMass Medical School

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The Learning & Working Center at Transitions RTC is a national effort that aims to improve the supports for youth and young adults, ages 14-30, with serious mental health conditions to successfully complete their schooling and training and move into rewarding work lives. We are located at the University of Massachusetts Medical School, Worcester, MA, Department of Psychiatry, Systems & Psychosocial Advances Research Center. Visit us at:

http://w //www.umassmed ed.ed edu/T /TransitionsRTC

The contents of this presentation were developed under a grant with funding from the National Institute on Disability, Independent Living, and Rehabilitation Research, and from the Center for Mental Health Services of the Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services (ACL GRANT # 90RT5031, The Learning and Working Transitions RRTC). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). Additional funding provided by UMass Medical School’s Commonwealth Medicine division. The contents of this presentation do not necessarily represent the policy of NIDILRR, ACL, HHS, SAMHSA, and you should not assume endorsement by the Federal Government.

Acknowled edgem emen ents

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The Transitions to Adulthood Center for Research

Mental Health in Higher Education

  • Roughly 1/3 of undergraduates have clinically

significant symptoms of mental health problems such as depression and anxiety1

  • Students with mental health conditions who attend

college experience high dropout rates - one of the highest of any disability group.2

  • Positive mental health is strongly correlated to

academic success, retention, and ultimately vocational success, adult resiliency & Return on Investment.3

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The Transitions to Adulthood Center for Research

The PASS Model

An Overview

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The Transitions to Adulthood Center for Research

Peer eer Ac Academic S Sup upports f for Suc uccess ss (PAS ASS):

An empirically supported peer coach intervention to help students with MHC succeed academically

PHAS HASE 1 1 PHAS HASE 2 2 PHAS HASE 3 3 PHAS HASE 4 4

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The Transitions to Adulthood Center for Research

Inspiration for PASS Model

  • Qualitative interviews with faculty,

ODS/Counseling Staff and students

  • Tw

Two pre-existing college coaching models:

  • 1. Wright State University’s Raiders on the

Autism Spectrum Excelling (RASE) program for students on the Autism Spectrum

  • 2. Boston University’s college coaching model

for students with mental health conditions

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The Transitions to Adulthood Center for Research

PASS Model: Core Competencies

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The Transitions to Adulthood Center for Research

Making the model “hands on”

Mental H Healt lth

  • Best practices in college MH
  • Myth-busting
  • Practicing self-care
  • Helping a student in distress

Academi mic

  • Coaching principles and ethics
  • Building Support
  • Setting goals and expectations
  • Social Supports
  • Prep for mid-terms
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The Transitions to Adulthood Center for Research

Peer Coaching Structure

  • Upperclassmen at

Boston University

  • Academically

successful and thriving on-campus

Coaches (n=10)

  • Undergraduates at

Boston University

  • Mental health

conditions

  • Academic impairment

Students (n=14)

  • 1x/week in person

coaching session

  • Up to 4 hours of

coaching/week

Coaching Structure

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The Transitions to Adulthood Center for Research

Lessons from Feasibility Open Trial

Modifications to the PASS Intervention

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The Transitions to Adulthood Center for Research

Data Sources

Peer C Coach S Supervision N Notes Monthly p peer c coach ch s self-asses essmen ent Student a assessments o

  • f peer c

coach ches Student f focus group Peer c coach f focus g groups

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Peer Coach/Supervisor Reflections

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The Transitions to Adulthood Center for Research

Making Manual Interactive!

Peer Coach Manual being under-utilized 3 ring binder with interactive coaching tools!

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Coaching Tools

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The Transitions to Adulthood Center for Research

Peer Coach Reflections

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The Transitions to Adulthood Center for Research

Setting Expectations

  • 1. Students non-responsive to peer coaches
  • 2. Lack of clarity about peer coach role for

both students and peer coaches Student-Peer Coach Agreement!

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Pe Peer-Coach ach S Studen ent Agreem eement

  • document to be reviewed

and signed by both student and peer coach at their first coaching session

  • establishes mutual

expectations and commitment to the peer coaching relationship

Clarity on roles: student and peer coach Communication expectations Attendance commitment

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The Transitions to Adulthood Center for Research

Peer Coach Reflections

“How to encourage students to guide the meetings more than having me set the agenda.” “I most worry about the student not feeling as though my time with her is effective…”

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The Transitions to Adulthood Center for Research

Meeting Agenda

2. Logistics/ House- keeping 1. Rapport Building 3. Discussion

  • f Topic

4. Action Activity 5. Review of Student & Coach Tasks for Next Week 6. Final Thoughts

  • r

Concerns

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Template Agendas – Activities

Meeting 1 – Completing Student-Peer Coach Agreement Meeting 2 – Identifying student’s short and long term goals Meeting 3 – Strategizing about how to handle triggers/stressful situations Meeting 4 – Social Outing Meeting 5 – Mid-term preparation

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Peer Coach Reflections

“…how little she spoke. I anticipated the student being immediately excited to discuss what she needed” “I need to encourage my shy student to be more active in determining what they want from our meetings and from the program

  • verall”
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Student Workbook Framework

Empower

Empower: Agenda prep

Inform

Inform: Mapping health to academic timelines

Prepare

Prepare: Peer coaching session activities

Support

Support: Framing relationship and expectations

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Our Key Takeaways

Role clarity difficult to achieve – role definitions need lots of attention

1

Students need support in taking ownership over sessions with peer coach

2

Materials that involve a lot

  • f reading and are

informational in nature are not utilized, need more interactive materials

3

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The Transitions to Adulthood Center for Research

Transitions ACR Tip Sheets

  • Tools for School: Accommodations for

College Students with Mental Health Challenges

  • Outside-the-Box Accommodations: Real

Support for Real Students

  • My Mental Health Rights on Campus
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Contact us

Email us at:

  • Laura.Golden@UMassMed.edu
  • Amanda.Costa@umassmed.edu
  • Maryann.Davis@Umassmed.edu
  • Ian.Lane@UMassMed.edu

Or visit us at:

  • https://www.umassmed.edu/TransitionsACR/
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The Transitions to Adulthood Center for Research

References

  • 1. Eisenberg, D., Hunt, J., & Speer, N. (2013). Mental health in American colleges

and universities: Variation across student subgroups and across campuses. Journal of Nervous and Mental Disease, 201(1), 60–67.

  • 2. Salzer MS, Wick LC, & Rogers JA. (2008) Familiarity with and use of

accommodations and supports among postsecondary students with mental

  • illnesses. Psychiatric Services; 59(4):370-375.
  • 3. Borjas, G.J. 2013. Labor Economics. New York, NY: McGraw-Hill Irwin.