1. brought to you by United Educators Strategies for Handling Student Mental Health Issues on Campus Dr. Linda Wolszon, Texas Christian University Robert Duston, Esq., Saul Ewing LLP Heather A. Salko, United Educators (Moderator)

2. brought to you by United Educators Today’s Speakers  Dr. Linda Wolszon Director Counseling and Mental Health Texas Christian University  Robert Duston, Esq. Partner Saul Ewing LLP (Washington, DC) Student Mental Health on Campus 2

3. brought to you by United Educators Road Map  National Statistics and Increasing Demand on Campus  Identifying and Intervening with At- Risk Students  Scenario 3 Student Mental Health on Campus

4. brought to you by United Educators Poll – Student Demand for Services How would you describe the student demand for counseling services at your institution over the past two to three years? a.Increasing b.About the same c.Decreasing 4 Increasing Student Demand for Mental Health Services

5. brought to you by United Educators National Statistics  Overall increase in student enrollment in colleges and universities  58% of students felt overwhelming anxiety within the past 12 months (2015 NCHA)  2015 CCMH Annual Report—survey of students attending counseling: 49% had mental health concerns 10.2% had been hospitalized for mental health issues 9.5% had made at least one suicide attempt 5 Increasing Demand for Student Mental Health Services

6. brought to you by United Educators Scenario—Part 1 6 Increasing Demand for Student Mental Health Services

7. brought to you by United Educators Mental Health Issues at TCU  45% increase in students seeking mental health services over past three years  Generally reflects national statistics  Encourage help-seeking  Students who have been in counseling in the past continue to need care 7 Increasing Demand for Student Mental Health Services

8. brought to you by United Educators Poll—Waitlists and Limits My institution: a.Has a waitlist for counseling services on a regular basis b.Occasionally has a waitlist for counseling services c.Imposes a cap on the number of counseling sessions for each student each academic year d.Has no cap on counseling services 8 Increasing Demand for Student Mental Health Services

9. brought to you by United Educators Legal Concerns  Not required to provide mental health services  If provided, set expectations correctly for students and parents in recruiting and admissions process  Set fair and reasonable limits on all students  Make sure limits are set professionally 9 Increasing Demand for Student Mental Health Services

10. brought to you by United Educators TCU—Waitlists and Caps on Visits  2015: No waitlist policy adopted  Faster triaging of emergent issues—walk-in sessions/same day assessment  24/7 helpline implemented using ProtoCall  Seven times/semester counseling session limit 10 Increasing Demand for Student Mental Health Services

11. brought to you by United Educators Question & Answer Session 11 Increasing Demand for Student Mental Health Services

12. brought to you by United Educators Scenario—Part 2 12 Student Mental Health Issues and Discipline

13. brought to you by United Educators Connection Between Disciplinary Issues and Student Mental Health Issues  Decentralized campus  Behavior due to mental health issues violates student disciplinary code  Try to avoid it being “too late” for students to get help when disciplinary issues arise  Don’t ignore severe behavioral problems related to mental health issues  Focus students on “healthy choices” 13 Student Mental Health Issues and Discipline

14. brought to you by United Educators Role of Alcohol and Drugs  26.7% of students felt need to reduce own alcohol/drug use (2015 CCMH report)  Focus on the behavior  Alcohol violations require meeting with alcohol counselor at TCU  ADA regulations and disability definition 14 Student Mental Health Issues and Discipline

15. brought to you by United Educators Question & Answer Session 15 Student Mental Health Issues and Discipline

16. brought to you by United Educators Scenario—Part 3 16 Identifying and Intervening with Students in Trouble

17. brought to you by United Educators BIT/CARE Teams  Now standard at many institutions  Cross-disciplinary teams that may overlap with institution’s threat assessment team  Pitfalls of BIT/CARE Teams  Keep discussion focused on student’s behavior 17 Identifying and Intervening with Students in Trouble

18. brought to you by United Educators TCU Identification and Intervention Efforts  Garrett Lee Smith grant for suicide prevention  Increased access to counseling and other resources  Crisis hotline  Enhance student life skills  Training for faculty and staff on identifying at-risk students 18 Identifying and Intervening with Students in Trouble

19. brought to you by United Educators Scenario—Part 4 19 Identifying and Intervening with Students in Trouble

20. brought to you by United Educators Direct Threat and Student Withdrawals  Can remove student or intervene if direct threat to others  Waiting for guidance on self-injurious behavior  Set safety rules for all students  Focus on adverse effects of behaviors on others 20 Identifying and Intervening with Students in Trouble

21. brought to you by United Educators Returning Students to Campus  TCU requires documentation of help-seeking, including completion of provider checklist  Provider documentation reviewed by Dean of Students and Director of Counseling and Mental Health  Include monitoring or self-help plan  Consider any modifications the student may need for a successful return 21 Identifying and Intervening with Students in Trouble

22. brought to you by United Educators Question & Answer Session 22 Student Mental Health Issues and Discipline

23. Copyright © 2016 by United Educators Insurance, a Reciprocal Risk Retention Group. All rights reserved. Contents of this document are for members of United Educators only. Permission to post this document electronically or to reprint must be obtained from United Educators. Please visit www.EduRiskSolutions.org for more information on student mental health and other topics.