Educators want nothing more than for our students to feel successful and excited to learn, and to understand the importance of their education. We want our students' attention and respect to match our own. I believe that most if not all of our students desire the same, but walking through our classroom doors are beautifully complex youth who are neurobiologically wired to feel before thinking.
Mental health is a pressing concern for post-secondary students in Canada. The 2016 National College Health Association survey of Canadian post-secondary students demon-strates that a significant number of students are experiencing mental health problems and illnesses: 44.4% of surveyed students reported that at some point in the previous twelve months they felt “so depressed it was difficult to function”; 13% had seriously considered suicide; 2.1% had attempted suicide, and 18.4% reported being “diagnosed or treated by a professional” for anxiety. 1 The growing prominence of mental health issues among post-secondary students is not limited to Canada – it has been noted by practitioners
Recent media attention has brought to light the levels of sexual harassment faced by undergraduate students, and it appears that such incidents are on the rise for graduate students, too. Most of the cases reported involve faculty members as the perpetrators, yet little attention has been given to harassment among faculty members themselves, and this is a phenomenon that also affects student learning.
As health humanities programs grow and thrive across the country, encouraging medical students to read, write, and become more reflective about their professional roles, educators must bring a sense of self-reflexivity to the discipline itself. In the health humanities, novels, patient histories, and pieces of reflective writing are often treated as architectural spaces or “homes”
that one can enter and examine. Yet, narrative-based learning in health care settings does not always allow its participants to feel “at home”; when not taught with a critical attention to power and pedagogy, the health humanities can be unsettling and even dangerous. Educators can mitigate these risks by considering not only what they teach but also how they
teach it.
In this essay, the authors present three pedagogical pillars that educators can use to invite learners to engage more fully, develop critical awareness of medical narratives, and feel “at home” in the health humanities. These pedagogical pillars are narrative humility (an awareness of one’s prejudices, expectations, and frames of listening), structural competency (attention to
sources of power and privilege), and engaged pedagogy (the protection of students’ security and well-being). Incorporating these concepts into pedagogical practices can create safe and productive classroom spaces for all, including those most vulnerable and at risk of being “unhomed” by conventional hierarchies and oppressive social structures. This model then can
be translated through a parallel process from classroom to clinic, such that empowered, engaged, and cared for learners become empowering, engaging, and caring clinicians.
The promotion of mental health and well-being in our students, faculty, and staff is important to the University of Calgary. Given the symbiotic relation between health and education, Universities are increasingly recognized as places to promote the health and well-being of the people who learn, work and live within them. Research-intensive universities create cultures that demand high performance while promoting excellence and achievement, and also carry the risk of stress, stigma, and challenges to mental health. With the recognition of the importance of promoting mental health and intervening to address illness in a timely way, we join groups across Canada and beyond that are committed to enhancing the mental health of university students, faculty, and staff.
The promotion of mental health and well-being in our students, faculty, and staff is important to the University of Calgary. Given the symbiotic relation between health and education, Universities are increasingly recognized as places to promote the health and well-being of the people who learn, work and live within them. Research-intensive universities create cultures that demand high performance while promoting excellence and achievement, and also carry the risk of stress, stigma, and challenges to mental health. With the recognition of the importance of promoting mental health and intervening to address illness in a timely way, we join groups across Canada and beyond that are committed to enhancing the mental health of university students, faculty, and staff.
ABSTRACT
Findings from biannual American College Health Association-National College Health Assessment surveys have highlighted the prevalence of depression, suicidal ideation, and attempted suicides on Canadian university campuses and the need for comprehensive suicide prevention programs. This article explores how one large western Canadian university has attempted to implement the comprehensive framework for suicide prevention developed by the Jed Foundation. Based on recommendations included in this framework, a multi-faceted suicide prevention strategy was developed, focusing on seven broad intervention
areas:
1) enhanced student connectedness and engagement;
2) increased community suicide awareness;
3) gatekeeper training;
4) collaborative identifi cation and treatment of depression;
5) specialized training in assessment and treatment of suicide;
6) increased accessibility to counselling services for at-risk students; and
7) enhanced crisis management policy and procedures. This article reviews relevant empirical support for these seven intervention domains, provides examples of initiatives in each domain, and identifi es implications for best practice post-secondary policy.
RÉSUMÉ
Les résultats des sondages de la « National College Health Association» soulèvent la prévalence de la dépression, des pensées suicidaires, et des tentatives de suicide parmi les étudiants des universités canadiennes et le besoin de programmes compréhensifs de prévention du suicide. Dans cet article, les auteurs décrivent l’implantation, par une université à vocation de recherche de l’ouest canadien, d’un encadrement globale voué à la prévention du suicide développé par la Fondation Jed. D’après les recommandations de la Fondation Jed, l’approche multilatérale de la prévention du suicide englobe sept dimensions d’interventions :
1) une hausse d’engagement des étudiants dans les activités universitaires et parmi les communautés étudiantes ;
2) une sensibilisation augmentée par rapport à la prévention du suicide ;
3) la formation du personnel « fi ltre» dans l’institution ;
4) une approche collaborative à l’identifi cation et le traitement de la dépression ;
5) une formation spécialisé en identifi cation et traitement du suicide ;
6) un meilleur accès des étudiants à taux de risques relevées aux services
d’assistance psychologique ; et,
7) un enrichissement des politiques
et procédures concernant la gestion des risques. Dans cet article, les auteurs résument les données appuyant les interventions décrites ci-dessus, offrent des exemples des initiatives dans chacune des dimensions listées et proposent les implications pour le renforcement des compétences universitaires dans ces domaines.
Cheryl A. Washburn
University of British Columbia
Michael Mandrusiak
Adler School of Professional Psychology
Vancouver, BC
Chloe’s boyfriend hit her so hard she suffered a concussion, permanent hearing loss and, according to her psychologist, post-traumatic stress disorder. She says what Concordia University in Montreal did to her was worse.
Chloe, who asked that her real name not be used, was a first-year student at Concordia in September 2014 when her boyfriend, whom she’d been dating for a little over six months, punched her repeatedly in the head.
Her neighbours called the police; he was arrested and charged with assault. Chloe says the man, also a Concordia student, assaulted her twice more on campus: the first time choking her and the second hitting her in the buttocks so hard it left a bruise. After the second incident, he was arrested again and charged with violating court-imposed conditions restricting his ability to contact her.
The pressure is on Canadian universities for a scandal-free year after a string of high-profile sexual assault cases and orientation week faux pas over the past academic year spotlighted what some say is a pervasive campus rape culture.
"Things don't change overnight. It's a slow progress," said Bianca Tétrault, officially McGill University's new "liaison officer (harm reduction)" and informally the person tasked with combating sexual assault on campus. "But that doesn't mean we should be deterred from it or that we should stop."
As we approach the midpoint of the academic year, surges of campus activism will continue to unfold. Some of the issues that will pique students' interest will be obvious, while others will surprise us. No matter the issue or side of the political or philosophical spectrum, it is the commonly understood role of administrators to work with students to support activism in a way that students get their message heard and also optimizes safety and civility.
The current Annual Report uses visualizations developed from years of CCMH data to
explore college student mental health with an emphasis on individual counseling provided
by counseling centers. To start, it is worth briefly reviewing the findings from the last two
Annual Reports:
• 2015 Annual Report: Counseling center utilization increased at 5 to 6 times the rate of institutional enrollment, during the preceding five years. This increase is primarily characterized by students reporting a history of “threat-to-self ” characteristics, and these same students use about 20-30% more services.
• 2016 Annual Report: Counseling center resources devoted to “rapid access” services increased by 28%, over the prior six years, whereas resources devoted to “routine treatment” decreased by 7.6% on average.
There is no formal mandate for or tradition of inter-sectoral collaboration between community colleges and universities in Ontario. Following a regulatory change introduced by the College of Nurses of Ontario in 1998, all Registered Nurse educational
preparation was restructured to the baccalaureate degree level through province-wide adoption of a college-university collaborative nursing program model. Despite complex sectoral differences in organizational culture, mandates, and governance structures, this program model was promoted by nursing educators and policy-makers as an innovative approach to utilizing the post-secondary system’s existing nursing education infrastructure and resources. This paper provides an overview of the introduction of Ontario’s collaborative baccalaureate nursing programs and discusses some of challenges associated with implementing and maintaining such programs.
According to the World Health Organization, depression is the leading cause of disability worldwide.
If you haven’t experienced this common mental disorder, it’s likely that someone you know has, though they may not have told you. An estimated 350 million people of all ages suffer from depression, causing them to function poorly at work, at school and in the family.
Today, significant headway has been made in understanding depression and its causes, how depression can be recognized and how to treat it.
he elevated attention paid to sexual and interpersonal violence, coupled with new legislative requirements, is eading colleges and universities to improve the ways that victims and survivors can report incidents of such iolence. Providing additional resources and educating students about reporting options can lead to a significant ncrease in those reports. That is a positive step forward. However, surges in reporting can, in turn, stress nstitutional resources and delay or stop colleges and universities from shifting their focus to actually preventing sexual violence and bringing reporting numbers back down.
With a population of 13 million people, the province of Ontario covers a significant geographic distribution of 917,741 square kilometres (Statistics Canada, 2005). Fourteen per cent of the population is categorized as living in a rural, remote or northern area (Statistics Canada, 2011). Within this land mass is a rich diversity of people, systems and institutions that are privileged to call it home - including Francophone persons and First Nations, Inuit and Métis people. There are unique challenges that exist within these communities that affect access to health services: geographic distance, socioeconomic status, availability of health human resources and infrastructure. These factors have an impact on health status, wellness and the ability to offer person-centred health care.
Engaging communities in research increases its relevance and may speed the translation of discoveries into improved health outcomes. Many researchers lack training to effectively engage stakeholders, whereas academic institutions lack infrastructure to support community engagement.
The Student Mental Health and Well-Being Strategy is the culmination of the efforts of the Confederation
College Mental Health Working Group over the past two years. This strategy outlines a systemic approach to promoting mental health and well-being for all students of Confederation College. This is the realization of the first phase of development of a comprehensive mental health strategy that will enable all members of the College community to realize their potential for mental health and well-being in an environment conducive to learning, working, living and connecting with others.
Mental health promotion for employees is beyond the scope of this initial document. It is recognized that employees – faculty and staff, full and part-time, require support for their own mental health and well-being in order to fully support the mental health and well-being of students. It is hoped that the mental health and well- being of employees can be addressed strategically as part of the on going work of the Mental Health Working Group, in conjunction with partners like the Workplace Wellness Committee and Human Resources.
Anger is "an emotional state that varies in intensity from mild irritation to intense fury and rage," according to Charles Spielberger, PhD, a psychologist who specializes in the study of anger. Like other emotions, it is accompanied by physiological and biological changes; when you get angry, your heart rate and blood pressure go up, as do the levels of your energy hormones, adrenaline, and noradrenaline.
Anger can be caused by both external and internal events. You could be angry at a specific person (such as a coworker or supervisor) or event (a traffic jam, a canceled flight), or your anger could be caused by worrying or brooding about your personal problems. Memories of traumatic or enraging events can also trigger angry feelings.
This study aimed to identify and rank the personal, family-related, social, and academic correlates of depressive symptoms in first-year college students. A questionnaire that included the Beck Depression Inventory-II (BDI-II) was administered to 389 first-year college students (mean age = 18.9; SD = 3.38; 59.4% female). Eight variables contributed uniquely to the variance of depressive symptoms and were, in decreasing order of importance: (1) the absence of personal goals, (2) a high level of anxiety and (3) of dysfunctional thoughts regarding success, (4) a lack of emotional adjustment to college, (5) being female, (6) receiving little warmth and encouragement of autonomy from one’s mother and (7) from one’s father, and (8) being attracted to members of the same or both sexes. These results suggest that a multimodal intervention is required to support students’ mental health.
Many universities have implemented campus-based initiatives addressing students’ mental health with the goal of promoting well-being. One such initiative is the newly developed Counsellor-in-Residence (CIR) program at the University of Calgary, which targets students’ mental health by providing residence- based counselling services and mental health programming. In this
process evaluation, students completed three waves of data collection conducted over the academic year. Each wave measured students’ mental health literacy, using the Mental Health Literacy Scale (O’Connor & Casey, 2015), and resiliency, using the Connor-Davidson Resilience Scale-25 (Connor & Davidson, 2003). Males reported lower mental health literacy than females (p < .001), and international students reported lower mental health literacy than domestic students (p < .001). No differences in resilience levels were found between groups. These findings suggest that male and international students experience additional barriers to accessing campus-based mental health services. Implications for residence-based mental health programming that target male and international students are discussed.