mental health trends, strategies, and resources

38
Scott Becker, PhD, LP Director, MSU Counseling Services Interim Associate Director, Counseling and Psychiatric Services Co-Chair, Health and Wellness Pillar CAS Faculty November 3, 2017 Mental Health Trends, Strategies, and Resources

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Page 1: Mental Health Trends, Strategies, and Resources

ScottBeckerPhDLPDirectorMSUCounselingServices

InterimAssociateDirectorCounselingandPsychiatricServicesCo-ChairHealthandWellnessPillar

CASFacultyNovember32017

MentalHealthTrendsStrategies

andResources

OverviewNationalandMSUMentalHealthTrends

ParadigmShiftinUniversityMentalHealth

NationalTrends

Increasedacuityofpresentingconcernsatuniversitycounselingcenters Prevalenceofseverepsychologicaldisordershasnearlytripled Increaseinhigh-riskbehaviorssuchasharmtoselfandothers Increaseinpsychiatricmedication Increaseinhospitalizations

Increaseddemandforserviceswasreportedby93ofuniversitycounselingcenterdirectors(AUCCD2012) StaffofUCCshaveonaveragenotgrowninthepast15yearsMSUCCincreaseof100instudentsseenindirectservicefrom2006-2017

Estimatedvalues Percentageofstudents

Depression 31

Generalizedanxiety 31

Eatingdisorder 9

Eatingconcerns 33

Self-injury(pastyr) 21

Suicidalideation 11

Lifetimedxofmentalhealthdisorders 36

Psychiatricmedication(pastyr) 22

Mentalhealthcounselingpsychotherapy(pastyr) 24

Anymentalhealthcounselingandorpsychiatricmedicationamongstudentswithpositivedepressionoranxietyscreens(pastyr)

51

Personalstigma 6

Perceivedpublicstigma 47

NationalTrendsHealthMindsStudy2016-2017

Whatisnotchanging

(national)PriorTreatment

PriorCounseling PriorMedUse PriorHospitaliza^on

102

331

488

102

326

480

100

340

480

80

320

480

70

300

450

2011 2012 2013 2014 2015

Whatischanging(national)

ThreattoSelf

00

100

200

300

400

Self-Injury Seriouslyconsideredaaemp^ngsuicide AaemptedSuicide

95

329

250

89

309

238

90

300

232

80

255

225

79

238218

2011 2012 2013 2014 2015

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 2: Mental Health Trends, Strategies, and Resources

OverviewNationalandMSUMentalHealthTrends

ParadigmShiftinUniversityMentalHealth

NationalTrends

Increasedacuityofpresentingconcernsatuniversitycounselingcenters Prevalenceofseverepsychologicaldisordershasnearlytripled Increaseinhigh-riskbehaviorssuchasharmtoselfandothers Increaseinpsychiatricmedication Increaseinhospitalizations

Increaseddemandforserviceswasreportedby93ofuniversitycounselingcenterdirectors(AUCCD2012) StaffofUCCshaveonaveragenotgrowninthepast15yearsMSUCCincreaseof100instudentsseenindirectservicefrom2006-2017

Estimatedvalues Percentageofstudents

Depression 31

Generalizedanxiety 31

Eatingdisorder 9

Eatingconcerns 33

Self-injury(pastyr) 21

Suicidalideation 11

Lifetimedxofmentalhealthdisorders 36

Psychiatricmedication(pastyr) 22

Mentalhealthcounselingpsychotherapy(pastyr) 24

Anymentalhealthcounselingandorpsychiatricmedicationamongstudentswithpositivedepressionoranxietyscreens(pastyr)

51

Personalstigma 6

Perceivedpublicstigma 47

NationalTrendsHealthMindsStudy2016-2017

Whatisnotchanging

(national)PriorTreatment

PriorCounseling PriorMedUse PriorHospitaliza^on

102

331

488

102

326

480

100

340

480

80

320

480

70

300

450

2011 2012 2013 2014 2015

Whatischanging(national)

ThreattoSelf

00

100

200

300

400

Self-Injury Seriouslyconsideredaaemp^ngsuicide AaemptedSuicide

95

329

250

89

309

238

90

300

232

80

255

225

79

238218

2011 2012 2013 2014 2015

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 3: Mental Health Trends, Strategies, and Resources

ParadigmShiftinUniversityMentalHealth

NationalTrends

Increasedacuityofpresentingconcernsatuniversitycounselingcenters Prevalenceofseverepsychologicaldisordershasnearlytripled Increaseinhigh-riskbehaviorssuchasharmtoselfandothers Increaseinpsychiatricmedication Increaseinhospitalizations

Increaseddemandforserviceswasreportedby93ofuniversitycounselingcenterdirectors(AUCCD2012) StaffofUCCshaveonaveragenotgrowninthepast15yearsMSUCCincreaseof100instudentsseenindirectservicefrom2006-2017

Estimatedvalues Percentageofstudents

Depression 31

Generalizedanxiety 31

Eatingdisorder 9

Eatingconcerns 33

Self-injury(pastyr) 21

Suicidalideation 11

Lifetimedxofmentalhealthdisorders 36

Psychiatricmedication(pastyr) 22

Mentalhealthcounselingpsychotherapy(pastyr) 24

Anymentalhealthcounselingandorpsychiatricmedicationamongstudentswithpositivedepressionoranxietyscreens(pastyr)

51

Personalstigma 6

Perceivedpublicstigma 47

NationalTrendsHealthMindsStudy2016-2017

Whatisnotchanging

(national)PriorTreatment

PriorCounseling PriorMedUse PriorHospitaliza^on

102

331

488

102

326

480

100

340

480

80

320

480

70

300

450

2011 2012 2013 2014 2015

Whatischanging(national)

ThreattoSelf

00

100

200

300

400

Self-Injury Seriouslyconsideredaaemp^ngsuicide AaemptedSuicide

95

329

250

89

309

238

90

300

232

80

255

225

79

238218

2011 2012 2013 2014 2015

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 4: Mental Health Trends, Strategies, and Resources

NationalTrends

Increasedacuityofpresentingconcernsatuniversitycounselingcenters Prevalenceofseverepsychologicaldisordershasnearlytripled Increaseinhigh-riskbehaviorssuchasharmtoselfandothers Increaseinpsychiatricmedication Increaseinhospitalizations

Increaseddemandforserviceswasreportedby93ofuniversitycounselingcenterdirectors(AUCCD2012) StaffofUCCshaveonaveragenotgrowninthepast15yearsMSUCCincreaseof100instudentsseenindirectservicefrom2006-2017

Estimatedvalues Percentageofstudents

Depression 31

Generalizedanxiety 31

Eatingdisorder 9

Eatingconcerns 33

Self-injury(pastyr) 21

Suicidalideation 11

Lifetimedxofmentalhealthdisorders 36

Psychiatricmedication(pastyr) 22

Mentalhealthcounselingpsychotherapy(pastyr) 24

Anymentalhealthcounselingandorpsychiatricmedicationamongstudentswithpositivedepressionoranxietyscreens(pastyr)

51

Personalstigma 6

Perceivedpublicstigma 47

NationalTrendsHealthMindsStudy2016-2017

Whatisnotchanging

(national)PriorTreatment

PriorCounseling PriorMedUse PriorHospitaliza^on

102

331

488

102

326

480

100

340

480

80

320

480

70

300

450

2011 2012 2013 2014 2015

Whatischanging(national)

ThreattoSelf

00

100

200

300

400

Self-Injury Seriouslyconsideredaaemp^ngsuicide AaemptedSuicide

95

329

250

89

309

238

90

300

232

80

255

225

79

238218

2011 2012 2013 2014 2015

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 5: Mental Health Trends, Strategies, and Resources

Estimatedvalues Percentageofstudents

Depression 31

Generalizedanxiety 31

Eatingdisorder 9

Eatingconcerns 33

Self-injury(pastyr) 21

Suicidalideation 11

Lifetimedxofmentalhealthdisorders 36

Psychiatricmedication(pastyr) 22

Mentalhealthcounselingpsychotherapy(pastyr) 24

Anymentalhealthcounselingandorpsychiatricmedicationamongstudentswithpositivedepressionoranxietyscreens(pastyr)

51

Personalstigma 6

Perceivedpublicstigma 47

NationalTrendsHealthMindsStudy2016-2017

Whatisnotchanging

(national)PriorTreatment

PriorCounseling PriorMedUse PriorHospitaliza^on

102

331

488

102

326

480

100

340

480

80

320

480

70

300

450

2011 2012 2013 2014 2015

Whatischanging(national)

ThreattoSelf

00

100

200

300

400

Self-Injury Seriouslyconsideredaaemp^ngsuicide AaemptedSuicide

95

329

250

89

309

238

90

300

232

80

255

225

79

238218

2011 2012 2013 2014 2015

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 6: Mental Health Trends, Strategies, and Resources

Whatisnotchanging

(national)PriorTreatment

PriorCounseling PriorMedUse PriorHospitaliza^on

102

331

488

102

326

480

100

340

480

80

320

480

70

300

450

2011 2012 2013 2014 2015

Whatischanging(national)

ThreattoSelf

00

100

200

300

400

Self-Injury Seriouslyconsideredaaemp^ngsuicide AaemptedSuicide

95

329

250

89

309

238

90

300

232

80

255

225

79

238218

2011 2012 2013 2014 2015

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 7: Mental Health Trends, Strategies, and Resources

Whatischanging(national)

ThreattoSelf

00

100

200

300

400

Self-Injury Seriouslyconsideredaaemp^ngsuicide AaemptedSuicide

95

329

250

89

309

238

90

300

232

80

255

225

79

238218

2011 2012 2013 2014 2015

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 8: Mental Health Trends, Strategies, and Resources

ImpactofThreat-to-Selfon

ofAppointments(national)

Self-Harm Self-HarmampSuicidalIdea^on

10397999881757779

No Yes

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 9: Mental Health Trends, Strategies, and Resources

Condition National MSUCC DiffAnxiety 42 58 +16Depression 36 61 +25Relationshipissues 36 25 -11Psychotropicmedication 24 28 +4Suicidalthoughts 16 36 +20Significantpriortreatment 14 23 +9Alcoholabusedependence 10 20 +10ADHD 9 8 -1Sexualphysicalassault 9 17 +8Self-injuriousbehavior 9 15 +6Eatingdisorders 6 11 +5Oppression(racismsexismhomophobia) 6 9 +3

NationalPrevalenceComparedtoMSUCC

SourceAUCCCDsurvey

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 10: Mental Health Trends, Strategies, and Resources

ClientsatMSUCC2016-2017SortedbyCollege

CAS67

percentagesareprimarilyafunctionoftotalCollegeenrollmentnotnecessarilyoveralldistressorprevalenceofmentalhealthissues

oftotalclients(n=2691)

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 11: Mental Health Trends, Strategies, and Resources

UndergraduateandGraduateProfessional

StudentsatMSUCC

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 12: Mental Health Trends, Strategies, and Resources

UnitedStates289(68)

48CountriesofOriginInternational137

(32of426)

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 13: Mental Health Trends, Strategies, and Resources

ofClientsbyDiagnosticClusters

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 14: Mental Health Trends, Strategies, and Resources

NCHASURVEY

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

GraduateStudentMentalHealth

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 15: Mental Health Trends, Strategies, and Resources

Loneliness43

Overwhelminganxiety44

Overwhelmed88

Sodepresseditwasdifficulttofunction32

Suicidalideation5

MentalHealthIssuesPrevalenceAmongGraduateStudents

SourceNationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 16: Mental Health Trends, Strategies, and Resources

bull BigTenStudentSuicideStudy10-yearanalysisof261suicidesat12Midwesternuniversitiesfrom1980to1990graduatestudentswereatgreaterriskforsuicidethanundergraduatestudents

bull BerkeleyGraduateStudentMentalHealthSurvey

45percentexperiencedldquoanemotionalorstress-relatedproblemthatsignificantlyaffectedtheirwellbeingandoracademicperformancerdquo10percentldquoseriouslyconsideredsuiciderdquoNearly25percentdidnrsquotknowabouttheuniversityrsquosmentalhealthservices(evenfewerinternationalstudents)Femalestudentsldquoweremorelikelytoreportfeelinghopelessexhaustedsadordepressedrdquo

SuicidalIdeationOtherStudies

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 17: Mental Health Trends, Strategies, and Resources

DxInsomnia3

DxwithAnxiety12

HistoryofDxDepression19

USgraduatestudents234

Internationalgraduatestudents10

MentalHealthIssuesPrevalenceofDiagnosedConditions

AmongGraduateStudents

Source2012NationalCollegeHealthAssessment(NCHA)SortedbyAllysonRogersMAOlinHealthCenter

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 18: Mental Health Trends, Strategies, and Resources

PossibleExplanations

Improvedavailabilityofmentalhealthtreatmentforchildrenandadolescents Changesinparenting(anxietyagrave over-protection) Socioeconomicstressors Financialstressors Competitionforgradesinternshipsjobs

Collectiveanxiety(911VirginiaTechclimatechangepoliticaldivide) Recognitionandreportingoftraumaabuseassault De-stigmatizingofmentalhealthincreasedhelp-seeking Over-useofsocialmediavideogamesdigitaltechnology

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 19: Mental Health Trends, Strategies, and Resources

ldquoThisisanissueasimportantandunprecedentedasclimatechangerdquo --SusanGreenfieldProfofPharmacologyOxfordU

IncreasedMediaExposure Sleep AttentionMemoryandLearning AnxietyandOCD Addiction Depression EmotionRegulation IdentityandRelationships Empathy

DigitalTechnologyandMental

Health

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 20: Mental Health Trends, Strategies, and Resources

IMPLICATIONS

MentalHealthTrends

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 21: Mental Health Trends, Strategies, and Resources

Millennial(Digitalnative)students Morelikelytobeinpsychologicaldistress Shorterattentionspans Lessabletomodulateemotions Lessabletogiveandreceiveempathy Lessinterestedindirectface-to-face

contact Morenarcissisticthanpreviouscohorts Lessabletoevaluateinformationandto

placeinabroadercontext Morediffusepersonalandprofessional

identity

Implications

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 22: Mental Health Trends, Strategies, and Resources

Whathasbeenconsiderednormalpsychologicalandintellectualdevelopmentisincreasinglylessnormative

Psychologicalinterventions(mindfulnesstrainingpsychotherapy)helpmitigatedeficitsinattentionemotionregulationidentityrelatednessandcapacityforintegrativeinformation-processing

Implications

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 23: Mental Health Trends, Strategies, and Resources

Thementalhealthparadigmhasshiftedfromsecondaryinterventions(ietreatmentofsymptomaticindividuals)toafocusonprimarypreventionandpopulation-basedpublic-healthapproaches

Thereisanincreasingneedformentalhealthresourcesnotonlytointervenewithstudentsindistressbuttocorrectanegativetrendinsocialemotionalandintellectualdevelopmentthatisincreasinglypresentinthegeneralpopulation

Implications

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 24: Mental Health Trends, Strategies, and Resources

Shareinformationonstressmentalhealthandresourcesinclassandorinsyllabi

Createsafetybybeingopenandapproachable

Encouragestudentstomonitorstress Encouragehelp-seeking Normalizeandde-stigmatizementalhealthissues(datacanhelp)

Beproactivendashwhenitdoubtconsult Trustyourreactionsperceptionsandintuitions

PublicHealthandPrevention

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 25: Mental Health Trends, Strategies, and Resources

Classroomlabmanagement Increasedabsenteeismandpresenteeism

Increaseddisruptivebehavior Increaseddistressedbehavior

AcademicAdvising Greaterneedforprofessionalandcareeridentitydevelopment

Increasedpsychologicaldistressneedforcrisisintervention

High-riskbehaviors(selfandothers) Increasedstressdecreasedcoping Decreasedrelatednesscommunication

Productivity Multitaskingagrave poorlong-termmemory

Difficultywithinformation-processingindepthandcontext

Difficultieswithplanningorganizationtime-managementconcentration

Implications

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 26: Mental Health Trends, Strategies, and Resources

MentalhealthandacademicperformanceArtandscience

o Interiority

o Depth

o Dialogue

o Empathy

o Reflection

o Imagination

o Relatednessandbelonging

Memory

Intuition

Creativity

Innovation

Syntheticthinking

Lateralthinking

Impulse-control

Performance

Persistence

Retention

Motivation

Productivity

Conductandsafety

Mental-health Right-hemisphere Academictreatment functions outcomes

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 27: Mental Health Trends, Strategies, and Resources

Signs Distress Disruptivebehaviors High-riskbehaviors

Strategies Classroom

Lab Advising Prevention

Resources Safetyandconduct Clinicalservices

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 28: Mental Health Trends, Strategies, and Resources

Definition Behaviorsthatimpactastudentrsquosabilityto

functioneffectivelyeitherinactivitiesofdailylivingacademicperformanceorbothThesedonotnecessarilyconstituteanimminentthreatofharmtoselforothersThesearetypicallynon-emergentbehaviors

Examples crying statementsthatindicatepossible

depressedmood(egldquoIdonrsquotwanttodoanythingrdquoldquoIrsquomsadallthetimebutIdonrsquotknowwhyrdquo)

excessiveworry irritability panic reportsofexcessivedrinkingormarijuana

use(ieself-medication) abuseofstimulants

Distress

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 29: Mental Health Trends, Strategies, and Resources

Definition Behaviorthatisnotconducivetotheteachingandlearningprocess(eitherintheclassroomorinothersettingssuchaslabsoradvising)andthatinterfereswiththefunctionsandservicesoftheUniversityThesebehaviorsaretypicallyaviolationoftheStudentCodeofConduct

Examples verbalaggressiontowardtheinstructororstudents loudordisrespectfulcomments inappropriateuseoftechnologyintheclassroom(egviewingillicitwebsitesduringclass)

beingintoxicatedorundertheuseofinfluenceofsubstances

frequentinterruptingoflecture pressuredspeech bizarreoroddbehavior pervasiveattendanceproblems frequentconflictwithofficemates sexualharassment

DisruptiveBehavior

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 30: Mental Health Trends, Strategies, and Resources

Definition BehaviorsthatthreatentoharmselforotherspsychosisorbecomingextremelywithdrawnordepressedTheseareseverementalhealthissuesthatoftenconstituteurgentoremergentsituations

Examples suicidalorhomicidalstatements(particularlythosethatindicateaspecificplanandoraccesstomeans)

makingthreatsofphysicalviolence delusionalthinking experiencinghallucinationsdisorientation indicationsofadrugoverdose cuttingorotherself-injuriousbehavior stalking reportsofsexualassault Carryingafirearmorotherweapontoclass

High-RiskBehavior

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 31: Mental Health Trends, Strategies, and Resources

Strategies Talktothestudent Acknowledgehowtheyarefeeling Listen Offersympathyempathysupport Encouragehelp-seeking Normalizeandcontextualizethe

experience ConsultwithCAPS

Resources CAPS StudentHealthServices

StrategiesandResourcesDistressedStudents

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 32: Mental Health Trends, Strategies, and Resources

Strategies Setlimits-addressthebehaviorasithappens(iedonotignore)

Meetwiththestudentoutsideofclasslab Bespecificandconcretegiveexamplesofdisruptivebehaviors

Providereasons(authoritativenotauthoritarian)

Askaboutintentunderlyingdistress Offerreferralsifstudentisopentothis CAPS StudentHealthServices

Resources Consultwithcolleagueschairdeans ConsultwithStudentConduct ConsultwithCAPS ConsultwithMSUPDregardingimminentoremergentsituations

StrategiesandResourcesDisruptiveStudents

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 33: Mental Health Trends, Strategies, and Resources

Strategies Safetyfirst Ifemergentorimminentriskcall911 IfnotemergencywalkthemtoCAPS ConsultwithMSUPD ConsultwithCAPS ReporttoBTATonline

Resources MSUPD CAPS JudicialAffairs BTAT

StrategiesandResources

High-RiskStudents

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 34: Mental Health Trends, Strategies, and Resources

IncidentsThatShouldBeReportedtoBTAT

bull Anythingthatraisessuspicionorconcernbull Persistentdisorderlyorsubstantiallydisruptivebehavior

bull Unusualbizarreordisturbingbehaviorbull Threatsofviolenceorphysicalharmbull Destructivebehaviorbull Stalkingbehaviorbull Actsofviolencebull Possessionofadangerousweaponorfirearmoncampus

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 35: Mental Health Trends, Strategies, and Resources

Resources

BehavioralThreatAssessmentTeam(BTAT) Webbtatmsuedu Reportingformhttpscmmaxientcom

reportingformphpMichiganStateUnivamplayout_id=1 Emailrayapolicemsuedu Phone517-355-2222

MSUPolice Webpolicemsuedu Emergencies9-1-1 Non-emergencies517-355-2222

StudentConductandConflictResolution Webhttpstudentlifemsuedusccr Emailjudaffrsvpsmsuedu Phone517-355-8286

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 36: Mental Health Trends, Strategies, and Resources

CounselingandPsychiatricServices(CAPS)

Websitehttpscapsmsuedu

Phone-CounselingServices(517)355-8270Fax(517)353-5582

Phone-PsychiatricServices(517)353-8737willbephasedintoCounselingphone

Incaseofanemergencycall911EmailusatCAPSmsuedu

OurNewLocationFall2017 MSUCounselingampPsychiatricServices OlinHealthCenter 463EastCircleDr3rdFloor EastLansingMI48824

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 37: Mental Health Trends, Strategies, and Resources

MSUCAPS-Highlights

NewlocationOlinHealthCenterndash3rdFloorOnepointofaccessIntegratedmentalhealthcareServices

IndividualandgroupcounselingpsychotherapyPsychiatricservicesincludingmedicationCrisisinterventionReferraltocommunityprovidersConsultationGatekeepertrainingPublichealtheducationprevention

Page 38: Mental Health Trends, Strategies, and Resources