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Systemwide Student Life Retreat March 15, 2007

Systemwide Student Life Retreat March 15, 2007. Systemwide Student Mental Health Committee Report to The Regents. September 2006 Professor Joel Dimsdale Vice Chancellor Michael Young. Committee Membership. Gail J. Heit, AVC, Student Affairs, UCSC Anu Joshi, 2005-06 President, UC Student

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Systemwide Student Life Retreat March 15, 2007

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  1. Systemwide Student Life RetreatMarch 15, 2007

  2. Systemwide Student Mental Health CommitteeReport to The Regents September 2006 Professor Joel Dimsdale Vice Chancellor Michael Young

  3. Committee Membership Gail J. Heit, AVC, Student Affairs, UCSC Anu Joshi, 2005-06 President, UC Student Association Bill Ladusaw, Vice Provost and Dean of Undergraduate Education, UCSC Steve Lustig, AVC, Health and Human Services, UCB Janina Montero, VCSA, UCLA Gale Morrison, Acting Dean of Graduate Division, UCSB Thomas Parham, AVC, Counseling & Health Services, UCI Patty Robertson, Professor of Clinical OB/GYN, UCSF Adam Rosenthal, 2005-06 Student Regent Judy Sakaki, VCSA, UCD

  4. UC Student Mental Health Committee Charge • Assess trends in student mental health • Review services at UC campuses • Determine the level of services needed • Assess campus resources

  5. Broad Input Gathered • From counseling centers at six of UC’s eight national comparison institutions • From the UC campus deans of students, counseling centers, health centers, judicial affairs, international student services, disabled student services, and housing • From the Office of the General Counsel and OP’s Budget Office • From students, parents, and outside constituents

  6. Homesickness Roommates Relationships Achievement Independence Adjustment and Developmental Issues Crises VS. • Suicide • Homicide • Stalking • Sexual assault • Psychosis • Eating disorders • Drugs/alcohol

  7. National Trends • Nearly half of all college studentshave been so depressed they have trouble functioning (R. Kadison, T. DiGeronimo) Increase in students seeking counseling services nationwide: Columbia ↑40% • MIT ↑50% • University of Cincinnati ↑55% • (M. Kitzrow)

  8. UC Reflects National Trends • Increased demand at counseling centers • Increased severity of problems • 1 in 4 UC students seeking services already receiving psychotropic meds

  9. Trends in Student Mental Health Psychiatric admissions and suicidal behaviors have doubled at UCSD over the last four years.

  10. UCB Survey of Graduate Student Mental Health • In the prior 12 months: • 54% felt so depressed at some time that it had been difficult to function • 9.9% reported that they had considered suicide • (Berkeley Graduate Student Mental Health Survey, 2004)

  11. UCSB Mental Health Visits to Health CenterIncreased by 100%1994 - 2005

  12. Individual Students Seeking Mental Health ServicesEight UC Campus Counseling Centers 2000-01 to 2004-05

  13. Disability Services Trends

  14. The UC Context • 50,000students living on UC campuses • Tens of thousandsmore in adjacent and nearby communities

  15. The UC Context • Expanding andvulnerablepopulations: • International students • Lesbian, gay, bisexual and transgender students (LGBT) • Racially and ethnically under- represented students • Graduate students

  16. Historical Comparison of Registrationand Educational Fees 34% loss in buying power for Reg Fee. 87-88 05-06

  17. The Funding Context • Severe funding cuts in the 1990s • $6.3 million reduction in 2002-03 • $25.3 million reduction in 2003-04 (The UC 2006-07 Budget for Current Operations)

  18. Markers of Service Capacity • Psychologists to students = 1 : 2,300 (IACS recommends 1 : 1,000 or 1 : 1,500) 2. Wait list time – 3 to 6 weeks 3. Access to psychologists and psychiatrists - insufficient

  19. Diminished Capacity to Serve all Students • Uncompetitive salaries • Limited referrals off campus • Legal considerations

  20. Impact on Academic Environment Medical Social Worker Residential Life Staff Faculty Psychologist From Counseling Services Campus Police Other Campus Departments Student College Dean Judicial Affairs Staff Dean of Students Roommates/ Parents/ Alumni Vice Chancellor for Student Affairs Academic Department Personnel Campus Physician

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

  22. Tier 1 Tier 1 addresses critical mental health services, including bringing the staff/student ratios in our counseling centers up to the national standard of one mental health professional per 1,000 - 1,500 students, as well as reducing the current 3-6 week wait times to see a counselor for a non-crisis issue. Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  23. Tier 1 • Recommendation • Highlights: • Increase psychologists and psychiatrists • Competitive salaries • Enhance crisis response Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  24. Tier 2 Tier 2 addresses targeted inventions for vulnerable groups, especially those at highest risk such as graduate students, international students, and racially and ethnically underrepresented students, as well as the restoration of key services. Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  25. Tier 2 • Recommendation • Highlights: • Comprehensive prevention program • Targeted services and restored staffing levels • Student to student programs Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  26. Tier 3 Tier 3 establishes a stable and permanent basis for the two Tiers above it by addressing larger needs relating to the creation of a healthier campus community, including greater involvement by the faculty as key partners in student mentoring and academic support activities. Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  27. Tier 3 • Recommendation • Highlights: • Support & learning services • Student life services and programs • Campuswide awareness programs Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  28. Creating Healthier Campus Communities: The Relationship Between the Tiers Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  29. Creating Healthier Campus Communities: The Relationship Between the Tiers Tier 1 Critical Mental Health and Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments: A Comprehensive Approach to Prevention

  30. Response to Report • Response of the Regents overwhelmingly positive. • Report received strong support from the parents who led the effort to have the University of California enhance its response to the mental health crisis. They asked that the Regents adopt the report, implement the recommendations, and evaluate the implementation efforts. • President Dynes indicated that the campuses should begin to implement the recommendations immediately.

  31. Blueprint for Healthy Campuses • UC campuses have begun the assessment of specific needs and planning to implement the full complement of recommendations with the goal of building healthy learning communities • Recommendations encompass all of the work and activities of Student Life arena • Provost Hume established an oversight committee to monitor the campus implementation of the recommendations of the Student Mental Health Committee, co-chaired by Professor Joel Dimsdale and myself

  32. UC Systemwide Examples of Need • Tier One—Critical Student Mental Health Needs/Crisis Response: • Licensed psychiatrists, psychologists, • mental health professionals (e.g., social • workers) = 104.5 FTE • Disability specialists = 16.5 FTE • Judicial affairs officers = 14.0 FTE • Crisis response & case management = • 13.5 FTE • Tier Two Examples—Targeted Interventions: • Integrated prevention programs = 10.5 FTE • Targeted intervention programs = 18. 0 FTE • Restoration of student service staffing = • 72.0 FTE • Tier Three Examples—Comprehensive Response: • Expansion of academic learning services = • 29.5 FTE • Enhancing student well-being (e.g., stress- • reduction, recreation, alternative social • programming) = 33.5 FTE

  33. UCSB’s Healthy Campus Initiative • Tier One Examples: • Additional • Licensed psychologists • Disability specialists • Psychiatrists • Judicial affairs officers • Social workers • Tier Two Examples: • Counselor and Marriage Family Therapists for • Campus Alcohol Substance Education (CASE) • Office of Student Life staff for prevention and • intervention programs • Staff dedicated to graduate student needs • Tier Three Examples: • Alternative Social/Late-Night Programming • Learning Skills Counselors for CLAS • Wellness Program Expansion

  34. Funding Recommendation from Vice Chancellors • 25% increase in Registration Fee (net of return to aid) for 2007-08, which would generate approximately $41 million permanent systemwide. • After the initial increase, regular annual inflationary increases to the Registration Fee. • The Vice Chancellors determined that this is the funding necessary to substantially implement the recommendations and provide for healthy campus environments as envisioned in the report.

  35. Historical Comparison of Registrationand Educational Fees 34% loss in buying power for Reg Fee. 87-88 05-06

  36. March Regents Meeting • Item E1: Approval of Principles Underlying the Determination of Registration Fee • In order to provide adequate support for the increasing need for programs that support student well being, the President and Provost recommend that the Committee on Educational Policy recommend that The Regents approve: 1) The development of a multi-year plan to address needs as they arise, such as SMH support 2) The allocation of a significant fraction of the proposed increase in Registration Fee for 2007-08 as permanent funds as a first step towards meeting the needs of student mental health support

  37. University of CaliforniaBlueprint for Healthy CampusesQuestions?

  38. New NASPA Publication:College Student Mental HealthEdited by Sherry A. Benton &Stephen L. BentonTo order from NASPA: 301/638-1749 orwww.naspa.org/publications UC Student Mental Health Committee Report On-Line: www.ucop.edu/sas/student_affairs_and_ services/SMHCommittee2006.pdf

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