ASU Campus Care

1. ASU Campus Care Funded by SAMHSA through the Garrett Lee Smith Campus Suicide Prevention Grant ProgramCohort 1 and Cohort 3 www.asu.edu/counseling

2. www.asu.edu/counseling Four Campuses in the Phoenix, AZ metropolitan area- over 50 miles area Fall 2010 enrollment 70,440 • 9,544 first year students • 12,500 university housing students (approx.)

3. …thinking in LARGE VOLUME Wellness Counseling Other campus partners www.asu.edu/counseling

4. 7.7% of ASU students reported seriously considering attempting suicide during the school year • 4600 ASU students… • enough to fill Gammage Auditorium twice www.asu.edu/counseling

5. 1.4% reported having made an attempt-which is around 660 ASU Students www.asu.edu/counseling

6. 7.7% seriously considered attempting suicide during the school year 1.1 % had made an attempt www.asu.edu/counseling

7. Focus Only on High Risk Mortality threshold Identify and treat high-risk Population Low High Suicide risk www.asu.edu/counseling

8. Treating Only High Risk Mortality threshold Identify and treat high-risk Population Low High Suicide risk www.asu.edu/counseling

9. Focus on Population Mortality threshold Move population risk Population Low High Suicide risk www.asu.edu/counseling

10. Spectrum www.asu.edu/counseling

11. IOM Report • Emphasis on prevention • Inclusion of mental health promotion • Back to fundamentals www.asu.edu/counseling

12. Emphasis on Prevention -- IOM Report, p. 19 • Informed by a public health approach – concerned with: • Preventing, not just treating disease. • Health of the population. • Identifying and intervening with known risk factors. • Population health results from the interaction of a range of factors beyond the individual.

13. Mental Health Promotion www.asu.edu/counseling • Prevention emphasizes the avoidance of risk factors • Promotion: focus on healthy outcomes: • promote supportive family, school, and community environments; and • identify and imbue in young people protective factors: • traits that enhance well-being and provide the tools to avoid adverse emotions and behaviors.

14. Mental Health Promotion www.asu.edu/counseling Definition: “…includes efforts to enhance individuals’ ability to achieve developmentally appropriate tasks (competence) and a positive sense of self-esteem, mastery, well-being, and social inclusion and to strengthen their ability to cope with adversity.”

15. SPRC/Jed Foundation Comprehensive Approach www.asu.edu/counseling

16. thinking beyond the counseling center • leveraging resources • “prevention + response” Counseling Center perspective shifts… www.asu.edu/counseling

17. Prevention – River Babies www.asu.edu/counseling

18. Working “Upstream” MH/ Substance Abuse Disorders Whole Population Heightened Risk Warning Signs Ideation/ Planning Suicide Death Suicide Attempt MH Promotion Prevention MH Treatment ID & Refer Increase Help-Seeking Crisis Mgmt Means Restriction Life Skills Social Networks Langford, 2009

19. Thinking Beyond the Counseling Center • College/University Partners • Reduce fear and stigma • See selves as part of the solution • Understand role and role boundaries • Address alternate messages • Counseling Center Staff • Think preventative • Work as actively as part of college/university community • Engage with others collaboratively www.asu.edu/counseling

20. Stress Distress www.asu.edu/counseling

21. First experience Stress Most students who Experience distress www.asu.edu/counseling

22. So the idea is to address risk here …so fewer end up here www.asu.edu/counseling

23. Strategies for Prevention Universal Prevention Selective Prevention Indicated Prevention Caring community Involvement Feeling words Communication Reduce stigma Stress mgmt Coping Problem solving Connection Positive relationships Fitness Rest/sleep Healthy eating Barriers to help Warning signs Alcohol abuse Identify students at risk Ask about suicide risk Assist someone to get help Referral resources Counseling Management of difficult students Crisis intervention www.asu.edu/counseling

24. www.asu.edu/counseling

25. Awareness and Skill Building Training www.asu.edu/counseling • Work together to create a caring campus. • Identify isolated students and get them involved. • Create opportunities for involvement. • Use feeling words to cultivate norms for expressing feelings.  • Provide opportunities for caring communication. • Use effective and compassionate listening skills. • Identify students at risk of suicide. • Refer them to resources that can help.

26. ASU Suicide Prevention Logic Model Training Protective environment Social Marketing Help-seeking Stress Management Referrals Connection & involvement Suicidal Behavior Take OHA Participation in wellness Feel Better Workshop Healthy lifestyle Peer Education Protective environment Change in culture/norms Coalition www.asu.edu/counseling

27. ASU Suicide Prevention Logic Model Training Knowledge/ attitudes ID qualities and benefits of healthy campus Protective environment Social Marketing Help-seeking Stress Management ID stress and distress Referrals Awareness of health/ stress status /habits Connection & involvement Suicidal Behavior Take OHA Referrals to wellness programs Participation in wellness Feel Better Workshop Healthy lifestyle Activism/ visibility Stigma reduction Peer Education Protective environment Change in culture/norms Policies & programs Coalition www.asu.edu/counseling

28. Online Wellness Program www.asu.edu/counseling • Semester Survey of Participants shows: • Achieving program objectives • Increased knowledge of personal health status. • Increased knowledge of health and wellness. • Increased knowledge and utilization of campus wellness resources.

29. Increase knowledge of personal health status www.asu.edu/counseling

30. Results www.asu.edu/counseling

31. Students at Risk Source: American College Health Association- National College Health Assessment (2009) (n=2,230) www.asu.edu/counseling

32. Questions? www.asu.edu/counseling