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Behavioral Health and Vanderbilt Students: Resources and Needs Feedback John W. Greene

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VU Faculty Senate. Student Life Committee. Mental Health Subcommittee. Clint Carter, Agnes Fogo, ... Increase across US in college mental health issues ... – PowerPoint PPT presentation

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Title: Behavioral Health and Vanderbilt Students: Resources and Needs Feedback John W. Greene


1
Behavioral Health and Vanderbilt Students
Resources and NeedsFeedback John W. Greene
  • VU Faculty Senate
  • Student Life Committee
  • Mental Health Subcommittee
  • Clint Carter, Agnes Fogo,
  • Craig Anne Heflinger, Cathy Reisenberg

2
National Trends
  • Increase across US in college mental health
    issues
  • Adolescents identified with MH problems early,
    effective treatment
  • Eligible for admission
  • Universities recognizing more students with MH
    problems
  • Consistent with VU data and reports

3
National Issues
  • Lawsuits again universities (and individual
    personnel)
  • For failure to inform parents
  • For failure to identify and treat
  • For dismissal or forced leave because of MH
    problems
  • None have occurred at Vanderbilt

4
Vanderbilt Context
  • Best and brightest being admitted to
    undergraduate, professional, and graduate
    programs
  • SAT, GRE scores, etc
  • Increases in those
  • Coming to the attention of the Deans of Students
    in the Colleges (Deans Meeting and communication)
  • Seeking services from PCC and SHC
  • Reporting prescription psychiatric medication

5
Vanderbilt Context
  • Mental health
  • Substance Abuse Dependence
  • Alcohol
  • Any use lt21 years is illegal
  • Illegal drugs
  • Marijuana
  • Cocaine
  • Recreational or Academic use of prescription
    drugs
  • Stimulants Adderall, Ritalin, etc.
  • Opioid Pain Medications
  • When does use become abuse?
  • Definitions vary for Problem use vs.
    abuse/addiction
  • Relationship between adolescent substance use and
    mental health issues
  • Self Medication
  • Dual Diagnoses are common

6
Information From
  • Deans of Students or Designated Contacts
  • AS Francielle Bergquist, Associate Dean
  • Peabody Ellen Brier, Assistant Dean
  • Blair Cynthia Cyrus, Associate Dean
  • Engineering Art Overholser, Associate Dean
  • Divinity Alice Hunt, Associate Dean
  • Owen Kelly Christie, Director of Academic
    programs
  • Law Julie Sandine, Assistant Dean
  • Medical School Scott Rodgers, Assistant Dean
  • Graduate School at VUMC R. Chalkey, Sr.
    Associate Dean and Darrell Smith, Ph.D.
  • Nursing School Sarah Ramsey, Director of
    Student Affairs

7
Information From
  • Student Health Wellness
  • Psychological Counseling Center (PCC)
  • Student Health Center
  • Office of Alcohol, Tobacco and Other Drugs
    Prevention (OATDP)
  • Office of Religious Life
  • Housing - OHARE
  • Panhellenic Advisors
  • Student Conduct and Academic Integrity
  • VU Police Department (VUPD)
  • VU Emergency Department
  • Margaret Cuninggim Womens Center
  • Bishop Joseph Johnson Black Cultural Center
  • Opportunity Development Center (ODC)
  • Disability Services

8
VU Data Available Problems
  • Undergraduates reporting frequently depressed

CIRP
9
VU Data Available Problems
  • Undergraduates reporting substance use

Core Alcohol Drug Survey(OATDP) (n69 first
year students, Sp 2006)
10
VU Data Available Problems
  • When larger sample of all undergrads surveyed in
    dorms (n2,657)
  • 71 Alcohol past 30 days
  • 43 Binge drinking past two weeks
  • 21 Marijuana use

Quality of Life Survey (Student Life) (all in
dorms, 2004)
11
VU Behavioral Health Services
  • Student Health and Wellness
  • Psychological Counseling Center
  • Student Health Center
  • OATDP
  • Religious Life
  • OHARE Housing
  • Office of Student Conduct and Academic Integrity
  • VUPD
  • ODC
  • VU Emergency Department
  • VUMC Referrals

12
VU Data Available Problems
  • Intake information, Psychological Counseling
    Center (PCC)
  • 60 met criteria for mental health diagnosis at
    intake
  • 15 considered suicidal at intake
  • 40 on psychiatric medication
  • 1/3 of those on 2 meds

13
VU Data Available Problems
  • Prescription information, Student Health

14
VU Data Available Resources
  • Service information, Psychological Counseling
    Center (PCC)
  • 10 increase/year in hours of therapy for students

15
VU Data Available Resources
  • Psychiatric service information, Student Health
  • 34
  • 24
  • 16

16
How Do Students Get Identified and Help?
  • Orientation for new students
  • Websites
  • www.vanderbilt.edu
  • Students
  • Health and Wellness
  • Psychological and Counseling Center
  • Student Health Center
  • Wellness Resource Center/Student Recreation
    Center
  • Office of Alcohol, Tobacco and Other Drugs
  • Office of Religious Life

17
How Do Students Get Identified and Help?
Psychological Counseling Center
  • http//www.vanderbilt.edu/pcc/

18
How Do Students Get Identified and Help?
  • First responders
  • Residential advisors OHARE
  • RA
  • Head Resident
  • Area Director
  • Faculty and staff/Deans of Students
  • VUPD
  • Special centers for certain students
  • Womens Center
  • Black Cultural Center

19
How Do Students Get Identified and Help?
  • Differences across
  • Schools Very Consistent for AS, Blair and
    Peabody with regular communication and meetings
    e.g. Blair e-mail from Dean Cyrus regarding
    concern for a student
  • Undergrad vs. grad/professional
  • Incoming students vs. others
  • Postdoctoral fellows Darrell Smith, Ph.D.
  • International students - ISSS

20
How Do Students Get Identified and Help?
  • Related programs for the incoming first year
    students (undergrads) 2006
  • AlcoholEdu
  • http//college.alcoholedu.com/login.aspx
  • Demo Login 6C221999DEMO
  • Click sign up and follow on-screen prompts

21
How Do Students Get Identified and Help?
  • Vanderbilt Visions (started August 2006)
  • Linked to VU Community Creed but also building
    meaningful relationships and connections
  • Scholarship
  • Honesty
  • Civility
  • Accountability
  • Caring
  • Discovery
  • Celebration
  • http//www.vanderbilt.edu/visions/schedule.html

22
Level of Resources at VU
  • Feedback from colleagues at other universities
  • VU works hard to retain students
  • VU relatively understaffed

23
Lessons Learned From Other Universities
  • Other Universities should consider building a
    cohesive network of concerned professionals
    similar to those that exist at Vanderbilt.
  • The Student Welfare Committee
  • A student is identified as having a problem e.g.
    alcohol abuse
  • The students academic dean, OHARE, PCC, SHC and
    (as necessary) a representative from the
    University counsels office work to develop a
    plan for the student

24
Barriers to Meeting Student Needs
  • Perceived (Lack of ) knowledge of first
    responders, especially faculty
  • (Lower than needed or lower than average for
    similar Universities) level of resources
  • Structural barriers
  • Organizational structure reorganized September
    2006
  • Coordination/communication greatly enhanced
    September 2006
  • Administrative attitudes about drinking changed
    with the reorganization

25
Recommendations
  • That the Senate commend VU for
  • Admitting well-qualified students regardless of
    mental health problems
  • Providing services to keep and support students
    at VU
  • Can we move to a more proactive, preventive
    stance?
  • Coordination of Services
  • Health and Wellness Approach
  • Vanderbilt Visions
  • MAPS

26
Recommendations
  • Build on current VU strengths
  • Undergraduates
  • Wraparound links between academics (deans of
    students), housing, student health, psychological
    counseling center in place
  • School of Medicine program for graduate students
    and postdoctoral fellows
  • Separation from academic program
  • In-house service and link to other resources

27
Recommendations to the Administration
  • ONE point of contact
  • Phone referral center/ 24 hours/7 days a week
  • Options are available for a variety of costs
  • For Profit Companies and Crisis Lines
  • Vanderbilt ED Staff ED Staffing
  • Student Health Center 24 hour operation
  • Integrated, regardless of school, grad v.
    undergrad, faculty v. staff v. student
  • Website access/coordination
  • Needs catchy acronym, easy to remember
  • Healthy Dores vs. Salubrious Site vs. SHAW vs.
    other

28
How Do Students Get Identified and Help? Wellness
Resource Center
29
Linked Spheres of Personal Well-bing
30
Continuum of Health Wellness
31
Student Health and Wellness Resources Healthy
Dores vs. SHAW vs. Salubrious Site
  • Beating the Blues
  • Alcohol/Drugs
  • Diet/Nutrition
  • Body Image
  • Diversity
  • Contraception/STD
  • Stress Management

32
Personal Well-being
  • Meaning
  • Sense of Control
  • Identity
  • Competence
  • Self Esteem
  • Optimism about the future
  • Physical Health
  • Psychological Health

33
Meaningful Relationships
34
Relational Well-being
  • Bonding
  • Support
  • Collaboration
  • Participation
  • Respect
  • Affection
  • Cohesion

35
Recommendations to the Administration
  • Improve the infrastructure
  • We commend the recent change in administrative
    structure
  • Dean of Students and Dean of Commons named, to be
    directed by Provost
  • Student Health and Wellness
  • More resources needed for early identification,
    support
  • Address differential access among groups of
    students

36
Recommendations to the Administration
  • Improve the infrastructure
  • Work on balancing student privacy versus need to
    know
  • ODC information on disabilities
  • ED information on student visits Dependent upon
    the cooperation from VUMC
  • Examine discrepancies/gaps in student insurance
    The Student Insurance Committee has campus-wide
    representation

37
Recommendations to the Administration
  • Improve/coordinate data
  • To monitor the need, response, and quality
    control over time in progress
  • Coordinate within-VU information
  • Move to regular, universal surveys Pat Helland,
    PhD
  • Participate in other national surveys CORE
    Survey
  • How to make these data available to the VU
    community?

38
Recommendations to the Administration
  • Monitor/enhance orientation
  • For students
  • Undergraduate Routinely done
  • Professional Upon Request
  • Medical
  • Nursing
  • Graduate
  • One general session by Invitation
  • For parents of undergraduates
  • The Right Mix in 06 presentation to parents
  • Over VU Parents Newsletter
  • For new faculty and staff

39
Recommendations to the Administration
  • Address the discrepancy in the alcohol policy and
    enforcement
  • Recognize that repeated alcohol/drug offenses
    indicate
  • Abuse and addiction issues
  • High probability of accompanying mental health
    issues
  • These issues have been addressed for the since
    the reorganization and are continuing to be

40
Recommendations to the Administration and the
Faculty
  • Improve awareness of the VU community
  • Address the stigma of seeking help in progress
  • Initial focus on the first responders Multiple
    training sessions in the Residence Halls for
    Resident Advisors are mentioned by Dean Bandas
  • PCC Rhonda Venable

41
Recommendations to the Administration and the
Faculty
  • Improve knowledge of first responders
  • Especially faculty Faculty Senate role
  • September 2006 FS meeting
  • Online training modules (e.g., Compliance, VUMC)
  • New faculty orientation
  • Advisor training
  • Blanket mailing
  • Resident Advisors and other Student Mentors
  • Other ports for students
  • Womens Center
  • Black Cultural Center

42
Questions?
  • Handouts on resources
  • PCC and MAPS
  • SHC - Stress
  • The Right Mix in 06
  • Questions/suggestions?
  • Please email
  • c.heflinger_at_vanderbilt.edu
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