University Of California: Student Mental Health Statewide - - PowerPoint PPT Presentation
University Of California: Student Mental Health Statewide Coordination Workgroup (9/18 9/19) Taisha Caldwell, PhD. Mental Health Clinical Coordinator/Program Manager Outline College suicide and the University of California The
Taisha Caldwell, PhD. Mental Health Clinical Coordinator/Program Manager
(ISP)
– Overview – Implementation – What does it cost
feedback
– Is it worth it?
partners
– About 30 percent of college students reported feeling "so depressed that it was difficult to function" at some time in the past year (ACHA–NCHA, 2011) – More than 6 percent of college students reported seriously considering suicide (ACHA–NCHA, 2011)
U.S. colleges and universities, an estimated 80% of students who die by suicide each year have not utilized these services (Gallagher, 2005)
students’ lack of awareness of available services, but rather, something in their life experiences, ways of thinking, and fears and concerns (Downs & Eisenberg, 2012)
with mental health issues with greater frequency and complexity than ever before
UC students are entering college already on medication
demand, we were forced to reduce prevention efforts
– Tier 1 – Responding to Critical Mental Health and Crisis Response Services
– Tier 2 – Targeted Interventions for Vulnerable Groups
– Tier 3 – Creating Healthier Living Environments
Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention Tier 1
who helps them more clearly identify the problems they are experiencing and work through the barriers that are preventing them from getting treatment.
– UC San Diego
– Targeted email invitation from department – Anonymous online screening re: stress, depression & anxiety – Tailored response from UC psychologist (24 – 48hrs) – Option to dialogue w/ UC psychologist
time
– Psychologist builds rapport and offers counseling services, refers to auxiliary services, or recommends no treatment
UC Counseling Center Resources Informs student of the type of intervention Emergency Services
Custom response & offer for anonymous dialogue
– $5,000 – initial year, $2,500 for subsequent years – Includes initial website, domain and security fees, training of local program staff and technical support
12,000 students.
– Requires daily checking and response to notifications
– Clinicians switch duties each week
– One person designated to check ISP during times when no invitations have been sent – Requires staff time for set-up, management, responding, clinical time, consulting
*Numbers based on UC San Diego ISP implementation since April 2012
61 154 241 5 50 100 150 200 250 300 1A 1B 2 3
Questionnaire Respondents
Tier
Invited 3274 Responded 463 Dialogued 69 Sought Treatment 33*
being in treatment at the time of the survey.
at the time of the survey.
5 10 15 20 25 30 35 40 45 50 Sought Service More Likely Neutral Less Likely
How did feedback affect likelihood to seek counseling services?
10 20 30 40 50 60 70 More Likely Neutral Less Likely
Overall how did program affect likelihood to seek counseling services?
10 20 30 40 50 60 Positively Neutrally No Change Negatively
Overall, how did program affect your impression
10 20 30 40 50 60 Yes, definitely Yes, probably No, probably No, definitely
Would you recommend this program continue?
– Allows staff and faculty to respond to tragic events in meaningful ways (demonstrate concern for students well- being)
– Some students could be left out
– Unpredictability for level of engagement and response rate at any given time – could confound with in-person clinical demand
*Ideal model. Pragmatically, chosen target population may be driven by this model & relationships with existing campus partners, and readiness to buy-in/collaborate.
– Brief presentations, attend meetings, send emails, etc. – Include literature/slides on ISP and draft of invitation email – Discuss risks and benefits
– Must include certain language about confidentiality, anonymity, and limits of the resource (i.e. not a crisis line, or online counseling)
– Strategize: Who do students actually read emails from?
partners which students are being invited to take ISP and when – their services may be impacted during this time
– University Health Services, advisors, front-line staff, other relevant student services, etc.
groups to get ahead of the peer influence
– Currently sponsoring UC ISP implementation
than risks and costs
– Individual campus decision – Some campuses already committed to allocating staff resources to ISP beyond the contract
mental health initiatives to fulfill promise of the 3-tier model
– Lead by the Student Mental Health Oversight Committee
Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention Tier 1