Mental Health Program Higher Education and Behavioral Health: Needs in Your Backyard and Beyond February 2, 2018 Liza Tupa, PhD WICHE MHP Director of Education & Research 30 minutes. An opportunity to give perspective on behavioral health. CHLLEGE AUDIENCE TO – NO MATTER WHAT Discipline you are from, you can touch behavioral health. This is what we see and what we have been involved with- and universities play a role in that. Promote scholarly research, unive program design and development, impact they have in partnering with agencies to do program (like funding, research TA), developing and “curing” the future workforce- healthcare, education, ect. AHEC is there and work with clinics in the area.   Do a PowerPoint Intro – WICHE- Telelearning, distance learning, WUE? Distance learning info from Dennis? Preparing future workforce, MT has a Native Trauma Center -Nat’l Center for Child Traumatic Stress WICHE projects that are in line with this- get examples from Dennis Push rural academic learning Permanent Supportive Housing? PE Supported Education- see if we can find out how much Montana is involved already Campus Sexual Violence in rural areas

Western Interstate Commission for Higher Education Regional organization created by the Western Regional Education Compact and adopted in the 1950s by Western states to facilitate resource sharing among the higher education systems of the West. 1953 in Eugene, OR, moved to its present location in Boulder, CO, in 1955. Governed by three gubernatorially appointed commissioners from each member state. 15 Western states, Guam, and the Commonwealth of the Northern Mariana Islands. Western Undergraduate Exchange. What the heck is WICHE?

Rapid Evolution from Distance Education to Technology Enhanced Teaching and Learning Not That Long Ago…

Internet Course Exchange Enables students, through home institutions, to access high quality online courses and programs offered by other four- and two-year ICE member institutions. Collaborative model fosters faculty engagement, resource sharing, innovation. Stay in academic sequence toward degree. Ex., Wyoming offers an MSW certificate in Rural Clinical Practice. Internet Course Exchange

WICHE Mental Health Program Dedicated to improving behavioral health systems of care in the West and beyond Behavioral health workforce development Technical assistance, education, consulting and research services Interstate Compact Psychology Internship Consortiums State needs assessments/strategic planning Toolkit QA/QI Hawaii, South Dakota, Alaska WICHE Mental Health Program OR, AK, CO, HI, TX, NV currently UT

Mental Health Does Matter: Prevalence on College Campuses Colleges across the country have reported large increases in enrollment, or at least increased access for students. Mental Health Does Matter: Prevalence on College Campuses Meanwhile college counseling centers have also observed an increase in the prevalence and severity of mental health issues reported by students and an increase in the number of students taking psychotropic medications. NAMI: National Alliance on Mental Illness

Mental Health Does Matter: Prevalence on College Campuses 75% of lifetime cases of mental health conditions begin by age 24. 1 out of 4 young adults between the ages of 18 and 24 have a diagnosable mental illness. More than 11% of college students have been diagnosed or treated for anxiety in the past year. More than 10% reported being diagnosed or treated for depression. Second leading cause of student death: Suicide. Sexual assault remains a serious campus issue. Mental Health Does Matter: Prevalence on College Campuses

Mental Health Does Matter: Prevalence on College Campuses More than 40 % of college students have felt more than an average amount of stress within the past year. More than 80 % of college students felt overwhelmed by all they had to do in the past year and… 45 % have felt things were hopeless. Almost 73 % of students living with a mental health condition experienced a mental health crisis on campus. Yet, 34.2 % reported that their college did not know about their crisis. Mental Health Does Matter: Prevalence on College Campuses

Mental Health and Academic Success Of students who are diagnosed with a mental illness while in college, 64% withdraw. Primary diagnoses ; depression, bipolar disorder and posttraumatic stress disorder. 31% percent of college students have felt so depressed in the past year that it was difficult to function and more than 50% have felt overwhelming anxiety, making it hard to succeed academically.

HIGHER EDUCATION INSTITUTIONS have the opportunity to build the workforce to serve the growing needs of campus & community

What can campuses do? Stigma reduction campaigns Substance use awareness campaigns Counseling Center capacity issues: Partner with outside MH agencies, non- profits Internship programs- psychology, Master’s level, MSWs, LCSWs Sexual Violence prevention Must be coordinated across campuses Best practices; WICHE MHP 360 assessment and TA Supported Education Research, Grants Suicide Prevention What can campuses do?

Another Campus Resource Upstream digital well-being portal designed to build resilience and promote health Customized for each university with campus specific resources Personalizes over 700 evidence-based/supported resources for each unique student Comprehensive approach to well-being; acknowledgment that mental health challenges do not occur in a vacuum, increasing engagement and preventing crises before they occur Another Campus Resource www.YOUatCollege.com

Defining behavioral health workforce Wide range of Services treatment prevention housing employment Providers peers psychologists counselors nurses Defining behavioral health workforce Disciplines psychiatry psychology social work nursing Professional Levels paraprofessional to graduate level

primary care, corrections, Rural Behavioral Health Trends Changing demographics Aging population Technological innovations Increase in Medicaid as funding source Workforce competition from parallel systems Demand- driven system primary care, corrections, VA, etc. cost, consumer satisfaction, quality

What existing data tells us Rural professionals shortage rates unchanged for the past five decades Few rural-specific educational or training programs Rural BH systems average higher staff vacancy Providers with rural training & practice more likely to be retained in rural practice Inadequate supervision a major retention factor What existing data tells us

Some sobering statistics > 60% of rural Americans live in mental health professional shortage areas. > 65% of rural Americans get their mental health care from their primary care provider. Rural Americans: -enter care later in the course of their disorders, -more advanced symptoms, -more intensive and expensive interventions. > 90% Of all psychologists and psychiatrists, and 80% of MSWs, work in metropolitan areas.

Strategies for rural workforce Create new rural educational delivery methods and models Grow your own Partnering, natural community supports and leadership Overall strateges Develop a plan if you don’t know where you want to go, you will never arrive….

Create new rural educational delivery methods & models Develop health career pathways & ladders Use technology to improve access to training & career support Address strategies to reduce student debt load through rural service Create applied educational & training programs

Grow your own – higher ed contributions Increase mental health literacy Grow your own – higher ed contributions Incentives: $$ returning to the community Increase career information & recruitment efforts in middle schools and high schools Recruit People living in rural areas Develop specialized training

For example: Alaska’s Articulated Pathway WICHE rural psychology internship initiative Northern Marianas college – UAF; 2+2 degree in social work RWJF jobs to careers initiative – work, learn, earn RWJF Careers National Health Service Corps loan repayment For example:

Education and Training Applied Training (internships etc.) Specialized BH Higher Education Supporting Practice Change and Continuing Ed Work Based Education & Training Focused Community Education Workforce Analysis & Planning Education and Training + Funding - - People +

Facilitate partnerships higher education public mental health system, local community Partnering Campus programs Grants - on campus and off Specialized training (rural, underserved, cultural) Residency programs Outcome studies Program evaluation Find these folks at stakeholder groups, advisory boards, call and they will come!

Thank you!! Contact Us 1 - 303 - 541 - 0311 ltupa@wiche.edu WICHE 3035 Center Green Dr. #200 Boulder, CO 80301 30 minutes. An opportunity to give perspective on behavioral health. CHLLEGE AUDIENCE TO – NO MATTER WHAT Discipline you are from, you can touch behavioral health. This is what we see and what we have been involved with- and universities play a role in that. Promote scholarly research, unive program design and development, impact they have in partnering with agencies to do program (like funding, research TA), developing and “curing” the future workforce- healthcare, education, ect. AHEC is there and work with clinics in the area.   Do a PowerPoint Intro – WICHE- Telelearning, distance learning, WUE? Distance learning info from Dennis? Preparing future workforce, MT has a Native Trauma Center -Nat’l Center for Child Traumatic Stress WICHE projects that are in line with this- get examples from Dennis Push rural academic learning Permanent Supportive Housing? PE Supported Education- see if we can find out how much Montana is involved already Campus Sexual Violence in rural areas