News, Views and Careers for All of Higher Education
March 29, 2006
The problem many colleges are facing in providing help to students with severe psychological problems is getting worse, according to findings from the 2005 National Survey of Counseling Center Directors. And a majority of counseling directors say that college administrators have a long way to go in improving the situation.
Over 90 percent of directors reported an increase in the last year in the number of students with severe psychological problems and who are entering college already on psychiatric medication, according to the survey, which is published by the International Association of Counseling Services. That number is up from 85.8 percent in 2004.
Seventy-eight percent of respondents said that the increase in students with more serious problems has become a growing concern for administrators.
Still, less than half of directors reported that their institutions provide adequate campus-wide public education to prevent suicide, related programs for parents and student support networks, and programs for after a suicide takes place. Directors who participated in the study said that there were a total of 154 suicides on their campuses in the past year. That number was 137 in 2003-4. Both figures are only a fraction of the suicides that took place because only 366 centers participated in the survey in 2005, while 339 participated in 2004.
The author of the report, Robert P. Gallagher, a professor at the University of Pittsburgh, says that this year’s survey asked more questions about suicide, since there are many lawsuits ongoing nationwide involving students who’ve killed themselves on campus — and disputes over who’s to blame.
“The majority of those who do commit suicide on campus have never sought out counseling,” says Gallagher. “Campuses need to do more to reach out to students and help them not be fearful.”
Gallagher believes that when administrators institute policies that somehow punish students for seeking help, getting help becomes stigmatized. For the 2006 survey, the researcher said he plans to ask counseling center directors whether they believe administrators should be involved in the treatment process of students.
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Mr. Gallagher implies that the reason that students in crisis do not seek the help of professional counselors is because of fear of punishment by the administration. To clarify this “problem” he intends to include a question asking counseling center directors if administrators should be involved in treating students.
The reality is that students are far more likely to go to “administrators” than to counselors in the first place. These administrators include residence hall directors, student affairs staff, deans of students, etc. Students in crisis are much more likely to go to these “administrators” when they are in crisis as opposed to going to the counseling center between 9 and 5, Monday through Friday. Indeed, a significant protion of students who seek pyschological counseling do so precisely because administrators intervene in the first place.
I think Mr. Gallagher should include a question on his 2006 survey asking counseling center directors what they should do with all the suicidal students who do not come to see counselors once the “administrators” are removed from the process.
Brad, at 11:10 am EST on March 29, 2006
Campus counselors should deal with problems like test anxiety, time management, and alcohol over-use. If a student is suffering from schizophrenia, major depression, or addiction, the student should be referred to an outside mental health provider. While student health insurance should cover most of the cost, universities need to get out of the business of playing doctor.
This may be a problem for rural campuses. Here they should look into privatizing the mental health services they provide now.
Mike, at 2:55 pm EST on March 29, 2006
As the mother of a large state university college student who was suicidal but fortunately has now recovered from his severe depression let me offer these real life observations.
The school offered many freshman help programs. But he was too overwhelmed to attend them. They offered councelors but he was too overwhelmed to find them. They offered support but he was too overwhelmed to seek it out. He was like a person drowning while the life guard sat in the lifeguard stand and said: Okay, I hear you tell me he is drowning — if he will simply swim back to shore and walk over to the lifeguard stand we will help him. Some kids are too far out — these are the ones at terrible risk. We were lucky. What can the college do? I don’t know. But these are the ones who fall between the cracks.
We brought our son home, enrolled him in a community college for a year where he learned study skills, gained confidence and just matured another year. He goes back this fall to the college and we are hoping for a better outcome this time.
Betty, at 4:25 pm EST on March 29, 2006
Betty, Did it ever occur to you that there was something wrong with your son before he went to school and unlike most other students, he was simply ill-prepared to live on his own? I hate to be harsh on you, but it seems that your soon just couldn’t handle doing what most of us do on a daily basis: live independently and cope with stress. By the time we are 18, we know how to do it.
Larry, at 8:00 am EST on March 30, 2006
I am a parent who has dealt with a child with bipolar disorder,& psychosis, and am a mental health professional and professor of psychopathology, so I offer this: Most mental health issues interfering with daily functioning emerge when stress increases, during transitions, changes in life situations: therefore the appearance of serious mental health problems WILL appear in college. Usually there are NOT signs to alert parents. Developing mental illness is a slow and insidious process usually. My daughter, a gifted student, literally fell apart during her first year of college, yes we knew there were some issues before she went, so she took a year off for help before attending the college. I also teach students who suffer from anxiety disorders, depression, and all the other major mental illnesses. Check the stats..if we kept all the kids out of school who have a mental health problem, we’d have a nation of uneducated people!! IT is THAT prevalant. Sending the really sick kids to a mental health counselor out of school environmnet is probably the most effective and most confidential way to deal with this. And it’s only going to get worse! Most 18 yr olds have grown up with poor coping skills...and are NOT prepared to live on their own! Pat
Pat Donovan, professor, at 11:45 am EST on March 30, 2006
I’d like to add a different perspective. I’m a graduate student. I’m also bipolar. I’ve had episodes of depression since I was a child and had learned to deal with it through family support and therapy. I was quite capable and independent and there was no reason to belive that college would present any real problems for me. However, like most people who suffer from bipolar disoder (and most schizophenics, too), my disease manifested fully, and without any particular provocation, when I was 20. Having learned how to deal with the flu, I suddenly had ebola.
Obviously, not everyone who has mental health problems in college follows this pattern, and I’m sure that many of them are having trouble with study skill and test anxiety. But it is naive to assume that we can know ahead of time when mental health problems will occur. And it is certainly not true that all such problems reflect a lack of preparation or coping skills. We can only educate ourselves and others about the warning signs and keep an eye out for them.
On another note, I tried, quite persistently, to get help from the health facilities at my (large, well-known) university. I got the run around like you would not believe. Everyone told me to talk to someone else, sometimes to the person who had refered me to them in the first place! Accomplishing anything while depressed is shockingly difficult; persevering in the face of this kind of bureaucratic disaster was almost impossible.
I think that the best and simplest thing that colleges can do is make it clear to students what resources are available and under what circumstances each one should be contacted. Because when a person really needs help is also when they are least able to ask or fight for it.
Katie, at 6:00 am EST on March 31, 2006
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There is something quite insidious about these studies: they all justify their own existence and the continued growth of a community of people that seeks to solve student’s mental “problems.”
The problem is that colleges should only be admitting people that can handle living on their own. Likewise, since going to a mental health professional will, for better or worse, often foreclose people from future study and many careers, students do so at their peril. Despite their protestations that “counselors” keep things confidential, there are a so many exceptions to these rules (that they are not up front with students about) and counselors rarely fight subpoenas or warrants (or simply disclose information when asked) that for most students, a university-connected counselor might as well be a dean.
Perhaps college administrators should stick to making sure the computers work and the buildings don’t fall down (concerns of all members of a university community), rather than trying to get inside the heads of students in a way that faculty would consider offensive. Indeed, despite faculty-members’ constant concerns about insurance and healthcare, administrators never seem too eager to insist that faculty be channeled into “counseling” for their problems.
Larry, at 11:05 am EST on March 29, 2006