1. Six Model University-Based Mental Health Programs: What Will Work for Your Campus? Angela Andrade Disabilities Specialist Special Assistant to the Student Mental Health Committee UC Santa Barbara Andrade-a@sa.ucsb.edu

2. Workshop Overview  Model Programs  Small Group Discussions  Large Group Discussion  Small Group Discussions  Campus Needs  SMH Recommendations  Program Critiques

3. 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

4. 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

5. Residence Halls-Based Counseling

6.  Six University Counselors--Two Residence Halls  Why?  Daily contact with students  Increased visibility of psychological services  Lowered barriers to care  Help-seeking behavior destigmatized

7. 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

8. 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

9. Postvention Program

10.  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

11. 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

12.  CSM Team (Approx. 20)  Membership from across campus  Available on short notice  Assessment after each CSM  Monthly trainings Postvention Program

13.  Outcomes  Students feel taken care of  Administrators like having a protocol  Response leaders feel prepared Postvention Program

14. Mandatory Suicide Assessment Program

15.  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

16.  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

17.  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

18.  Annual Program Costs  $10,000 Administration (Suicide Team)  $40,000 Assessment  $1.35 per enrolled student Mandatory Suicide Assessment Program

19. Suicide Prevention Program

20.  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

21.  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

22. NYU Mental Health Prevention Program

23. 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

24. NYU Mental Health Prevention Program  Social marketing  Increased access to MH professionals  Crisis response

25.  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

26.  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

27.  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

28. Gatekeeper Training Program

29. Gatekeeper Program  “Campus Connect,” original curriculum  Suicide prevention grant from Substance Abuse and Mental Health Services Administration  Basic suicide statistics, facts, and warning signs

30.  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

31.  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

32. 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

33. Creating Healthier Campus Communities: A Tiered Model for Improving Student Mental Health Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention Tier 2 Targeted Interventions Tier 1 Critical Mental Health and Crisis Response Services

34. Questions? Small-Group Breakout