News, Views and Careers for All of Higher Education
Nov. 1, 2006
Another major university has settled a major lawsuit challenging its treatment and handling of a mentally ill student.
Within months of settlements by the Massachusetts Institute of Technology and the City University of New York’s Hunter College, George Washington University said Tuesday that it had reached a confidential agreement to resolve a lawsuit filed last year on behalf of Jordan Nott, who challenged George Washington’s policies after he said he was forced to leave the university after seeking help for depression at the university’s counseling center.
Nott’s lawsuit alleged that the university had violated the Americans With Disabilities Act and other local and federal laws by charging him through the student disciplinary process and barring him from the campus; George Washington officials have consistently defended Nott’s removal from the campus as necessary to protect other students and Nott himself.
Statements released by the university and the Bazelon Center for Mental Health Law, which was helping to represent Nott said that the parties declined to disclose the terms of the settlement, which came as lawyers in the case were in the “discovery” phase of the lawsuit, collecting evidence, interviewing witnesses, and the like.
“This was a very difficult situation. We were attempting to serve the best interests of Mr. Nott while also considering the well being of all of our students,” said John F. Williams, George Washington’s provost and vice president for health affairs. “While we recognize that some steps in the process may not have been perfect, we stand by the result. We appreciate Mr. Nott’s support in resolving this matter, and we wish him continued success.”
Nott said: “I hope that this difficult experience will result in positive changes in how student mental health issues are handled at campuses across the country. And I certainly hope that other universities will not discipline their students for seeking mental health treatment.”
Karen Bower, a lawyer for the Bazelon center, said that she was “pleased that GW is reviewing and revising its policies, and hope that Jordan’s case and others will prompt universities to adopt policies that do not penalize students for seeking mental health treatment and that are not linked to the disciplinary process.”
A George Washington spokeswoman, Tracy Schario, said the university had been reviewing its policies on students’ “involuntary withdrawal for medical mental health reasons” since before the lawsuit was filed, and that it expects to announce a revised policy soon. The specific goal of the revised policy will be to develop an administrative process for removing mentally ill students against their will, but without involving disciplinary action; at the time Nott was suspended, and even now, “the only tool we have is the disciplinary process” when the university wants to remove a student because it believes he or she poses a threat because of mental health, Schario said.
She noted that while hundreds of students at George Washington each year experience depression or are potentially suicidal, it is “an extraordinary case” in which the university seeks to have the student leave against his or her will. Schario said the university’s evolving policy would probably align in important ways with a framework released this summer by the Jed Foundation.
Colleges and universities have faced increasing litigation over their policies related to mentally ill students, and in recent months, George Washington becomes the latest to settle highly visible cases. In April, the Massachusetts Institute of Technology announced a confidential agreement to resolve a lawsuit brought by the family of a student who lit herself on fire in her dorm room and died in 2000, and in August, Hunter College agreed to pay $65,000 to settle a lawsuit challenging the public college’s policy governing students deemed to be at risk of suicide.
Bower of the Bazelon center said she hoped the settlements at Hunter and George Washington would discourage colleges from having policies, “however well intended,” that punish students rather than discourage them from “getting the needed help,” which are often adopted as an “overreaction to liability concerns.”
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You are not alone. I have a 12 year old daughter who has been suffering since the age of 4 with severe anxiety. It has been a rough 7 years with the School district. Last year she missed a total of 65 days of school regarding this and they still did not want to help me. I went to an outside advocate and got some help, things are still going bad and like you I am the bad one. I have hired a lawyer and my daughter is going to recieve homebound services untill we can get her the help she needs in the district. Do not give up. Fight for what is right. She has had 7 years of her life taken away from her at school and I have had enough. Contact the state, Contact the ISD and Contact an attorney. It is the only way they will stand up and listen. I wish you all the luck in getting help for your daughter.
Rose W., at 10:05 am EST on March 8, 2008
I am glad to view this article. Most of the students and teens where suffering from depression and mental illness. In addition to these some also get into addiction. These students must be handled very carefully. I am happy to hear your service to help these guys. Thanks a lot..
_____stalinboy.
Addiction Recovery Alaska
stalinboy, at 10:05 am EDT on June 28, 2008
The case seems to raise the issue that the univeristy has a legal duty to the student to ascertain his mental state of mind before forcing him to leave and the univeristy violaetd that duty.
edd welsh, professor at Mesa Community College, at 7:55 am EST on November 1, 2006
Too many colleges and universities in the U.S. follow the same illegal procedures in mental health as well as physical assault, rape, and sexual harassment cases. In order to avoid liability, they get rid of the student who seeks help. The only option for the student is to sue.
AB, at 8:50 am EST on November 1, 2006
All due respect to George Washington, this was really shockingly poor conduct and, most certainly, illegal as well.
This policy ought not be revised. It ought be scrapped.
And GWU ought apologize, loud, long and publicly.
Michigan Administrator, at 9:00 am EST on November 1, 2006
I experienced a similar situation as Nott did. Unfortunately for me, it was prior to the ADA’s implementation so I had no legal recourse. These lawsuits point to two key issues in this area—1) the stigma against mental health problems that continues in this country and, related to this, 2) I was kicked out when I did what they’d asked, which was to ask for help before I did any harm to myself. I did what they’d asked and contracted with me to do in the event of feeling badly. And that was my reward? To get kicked out! Yes, I still feel anger to this day over that situation. It’s no wonder that college students see mental health services as a joke and do not ask for help when needed, sometimes with tragic consequences for all involved.
Jill, at 9:00 am EST on November 1, 2006
Institutions of higher education and institutions in general do not seem to know how to handle mental health issues, an amazing phenomenon considering, for better or for worse, the pharmaceutical empire’s marketing and advertising campaigns. Common conditions such as depression are still considered somehow an anomaly, and policy overall does not seem to have kept pace with the growing awareness of these conditions. A large percentage of those suffering from mental illness are not dangerous to others, and those who could be dangerous generally can be treated to allow for a certain amount of mainstreaming IF they receive adequate intervention. I would have hoped higher education would be at the forefront of this more enlightened movement, and it looks like George Washington will be heading in the right direction.
kgotthardt, at 9:00 am EST on November 1, 2006
Colleges and universities DO have federal and local law enforcement guidelines to follow in mental health as well as physical assault, rape, and sexual harassment cases. In too many instances, however, they choose to get rid of the student who seeks help and to take illegal measures to hide the problem. Again, their objective is to avoid liability. This is not unenlightened conduct; it is criminal.
AB, at 9:55 am EST on November 1, 2006
Mr. Welsh, The lawsuit did nothing of the sort! None of that was asserted in the complaint. The lawsuit alleged that the school 1) failed to follow its own rules in kicking the student off campus; and 2) failed to comport with a federal statute doing same. There is no free-standing duty of a college to assess a student’s mental health, unless the institution begins to treat the student or provide them with counseling.
AB, As a legal matter, a school which treats all students the same, and provides reasonable accommodations within the meaning of the ADA will not be subject to liability of a mentally ill student injures someone. Finally, as to your second comment, the school violated no criminal statute. I will admit that I am wrong if you can point to a single statute with a criminal penalty attached that the school violated. Otherwise, you have absolutely no basis for that statement, and, as an academic, you should understand the dangers of making such untrue and unresearched representations about the US Code, which is freely available.
Michigan, There is no reason to apologize for anything. This doesn’t help the discussion. Similar situations happen from time to time. In my experience, they are the result of wayward administrators with too much power and too little legal advice. Usually they say something stupid in a deposition.
Jill, Even before the ADA you likely had “legal recourse” under state law since schools must follow their own rules regarding expelling students, anyway. On the other hand, as someone who doesn’t believe in mental illness on a personal level, I think you have only yourself to blame for talking to people about your problems.
There are some outstanding issues that were not resolved in the suit, namely 1) the extent to which, under the ADA, a school must accommodate a suicidal student (who likely would not hurt others, anyway); 2) the extent to which the ADA’s and the 14th amendment partial abrogation of the 11th amendment applies in the District of Columbia to students which such mental problems.
Somehow schools keep thinking that students can’t be treated like adults. They are. Adults that do illegal things can be dealt with via the criminal justice system. Adults that act a little weird will be ignored. Adults that complain of health problems can see a doctor (and these students all have health insurance). Somehow some administrators think that they are parents of these kids, which they are not.
Larry, at 10:35 am EST on November 1, 2006
Numerous federal (DOJ) studies, such as Uniform Crime Reports, along with those conducted by law enforcement agencies and independent organizations (such as securityoncampus.org) have shown repeated conduct by both public and private universities and colleges to avoid liability (either real or perceived) in cases involving mental health of students, along with assault, rape, and sexual harassment.
I invite “Larry” ( a first-year law student?) to check out the following sources:
http://www.securityoncampus.org/
Especially: Security On Campus, Inc. | Campus Security and Crime Victim Resources
Campus Safety Audit (Newly Updated For 2006; PDF Document)available at the same website.
Clery Act Campus Crime Reporting Handbook
Educational Videos and handbooks also available, along with:
What Title IX Requires In Campus Rape Cases
AB, at 12:16 pm EST on November 1, 2006
Kudos for a well-written explanation. I always read your letters to flesh out these legal matters. Thanks.
Abby, assoc. prof., at 12:16 pm EST on November 1, 2006
You can’t always tell the trolls from the serious participants in a discussion by looking at the length and development of their comments. Above, we have a long, developed essay by a troll: someone joining a discussion of mental illness who doesn’t “believe” in mental illness, and who has All The Answers. If you don’t “believe” in the reality of the illness, don’t join in.
On the other hand, we find some short posts using blunt language that happen, in this case to be right. Colleges and universities are wrong to set up parallel systems to handle serious medical or criminal cases. Students raped on campus are also citizens raped in the community — they are to be protected by the justice system, not handled by some campus review board. Call the police. Similarly, students with health problems are citizens with health problems who have a right to pursue their education. Treat them. Getting rid of such students is purely wrong and, yes, arguably criminal.
rm, at 12:16 pm EST on November 1, 2006
Larry,
I don’t know that it’s always so much that administrators don’t think students can be treated as adults. Rather, often we seem to take the stance that it is our responsibility as Student Affairs Practitioners to challenge these students to grow and develop, rather than simply leave them to judicial proceedings.
I’ve worked in several residence life programs over the years at both public and private institutions, and the policies regarding the treatment of students who present with mental health issues ranges from one end of the spectrum to the other. The underlying similarity, however, seems to be to protect the department and the individual administrator from liability (but who can really say how best to do that?).
Of course, we folks in res life just love to help people even when our help does more harm than good. My general experience has been that there are many mid- and lower- level professionals that are being told any number of things by our superiors regarding how to respond, and few of us have much if any legal basis to know how best to protect ourselves. So, we’re in a constant struggle to really want to care for the student(s) and/or the community, but to be completely honest, I want to care for myself more and insure a continuing paycheck in the morning. Unfortunately that leads to a lot of confusion and personal motivations, and I can very well see how many would choose to just boot someone from the campus in order to try and protect themselves — I mean, the STUDENT (sorry).
Is it right? Perhaps. Is it wrong? Probably. I’m in no position to say. I’m too busy trying to get past all the rhetoric and figure out exactly what I can and can’t and shouldn’t and probably want to do in this particular case, but not in that one that’s pretty similar.
JA, at 1:45 pm EST on November 1, 2006
The other part of this story, which never seems to come up, is that Mr. Nott sought help in the fall of 2004 — about a month after the 3rd suicide GW faced since December of 2003. 7 GW students died during the 03/04 academic year, including two drownings ruled accidental. GW was receiving a lot of press for the large spike in student deaths, particularly the suicides. The student body (and their parents) was demanding answers, and a commission was charged with researching the university response to the situation. I think GW acted selfishly out of concern for their own image — if Mr. Nott is another likely suicide, why not get him off campus? The worst part of the whole situation is that at the time Mr. Nott sought help, the counseling office and administrators were doing heavy outreach to students to do just that.
I hope that students at GW, who were outraged at the time, continue pushing back until some real changes are made there. Students who are proactive about their mental health should not be punished for doing so.
HM, GW Alum, at 1:46 pm EST on November 1, 2006
JA, Thank you for your insightful comments. To begin, while I disagree that the role of an administrator is to help a student grow, at least you are being honest. If there is any growth to be accomplished in college, in my view, it should be in a purely academic manner. Administrators, by virtue of their position, have little to offer students. As to how to avoid liability, the best way is to consult your lawyers, who will probably tell you that the school should carefully define its role, and not take on duties that they can’t fulfill. This means: act like a landlord. Not like a parent or doctor.
AB, Most people here know that I have been in practice for well over a decade. You did not provide any actual criminal statutes, so now it seems that your claim that somehow GWU is subject to criminal liability is untrue. A statute would look something like this 18 U.S.C. Sec. 241 (this is the “conspiracy to violate civil rights” statute).
RM, I am not trolling. I don’t believe in mental illness. My culture frowns upon its use. Whether or not you respect my culture is immaterial. To be clear, if I ever felt depressed, angry, suicidal, or whatever I would not see a shrink. On the other hand, if I ever had a client whose interests fit within the current state of the law regrading mental illness, I would aggressively advocate for them. If I was a judge I would apply the law as it is given regardless of whether or not I personally believed in it. Therefore, there is no moral or ethical reason why I should not express my views on the law.
Larry, at 2:35 pm EST on November 1, 2006
HM—I agree that students who are proactive about seeking help for their mental health conditions shouldn’t be penalized for it. That’s why when I did so at my former college, I was so angry that they gave me the boot.
It would have been one thing, Larry, if the college had not specifically requested that I seek help instead of hurting myself (which I was likely to do at the time). Then, I could understand them giving me the boot for a suicide gesture. However, what baffled me then and perplexes me now, is that I did as they’d asked and then got the boot anyway.
I may only have myself to blame for reaching out for help, but it is a sign of strength rather than weakness to do so, regardless of the consequences.
It is unenlightened attitudes such as those that Larry, among others to be fair, espouses about mental health that keeps real progress from evolving in the mental health field, particularly on college campuses.
I agree that college students shouldn’t be treated like kids. A suicidal gesture is immature behavior. Asking for help when in trouble is a sign of maturity. As such, signs of maturity ought to be rewarded, not penalized simply because of an institution’s fear of lawsuits and other repercussions.
Jill, at 9:25 am EST on November 2, 2006
Larry,
Could you please clarify what you mean by saying that you don’t believe in mental illness? I appreciate you letting us know that some of your views are culturally informed (and thus, one could argue, arbitrary (i.e. born into it), unless you coincidentally explored various value systems, and ended up choosing one that happened to parallel your culture’s). Some cultures don’t believe in medicine, or probably law, for that matter. My own chosen culture believes in abiding by, but also questioning, law.
I am saddened to hear that, if you were suffering mentally, you would not seek appropriate help. Sad for you, for sure, but for me, as well, since what seemed like thoughtful arguments you presented are now harder to take seriously. That is, let’s say that, hypothetically, you happened to suffer from delusions, or a narcissistic or antisocial personality disorder, and didn’t seek help for it, your words could hold less weight, for me.
It is also sad that you seem to be less questioning of the law or your cultural values, but very quick to dismiss mental illness (or at least your own potential mental health needs). But that is your choice, of course. I am sharing my thoughts because it may be valuable to discuss, and consider, in this public forum, how this discussion may be limited and/or limiting.
Matt, at 9:50 am EST on November 2, 2006
Jill, I realize that your views on mental illness differ from the views that are prevalent in my culture. However, you seem to be demanding that I internalize your views of mental illness, rather than just accept the fact that I view mental conditions as a legal matter, and I accept the state of “the law” as it exists on this, and I don’t see any reason to change things to comport with my cultural beliefs. (Though I would note that in my culture, it is your beliefs that would be considered “unenlightened.”)
Matt, A few clarifications. I am not sure if people can or cannot believe in “law” is “law” is, according to some jurisprudes, used to describe any kind of ordering. Therefore, even if a “law” isn’t written, or one doesn’t want to abide by it, one is still existing in a field of “law.” (I guess this is akin to someone who states that they don’t believe in “quantity.)
As to my beliefs in mental illness. I was raised to not believe that one could be mentally “ill” or “well.” To that end, concepts such as depression, schizophrenia are culturally alien to me. If someone is depressed, I view it – and its associated behaviors – as their fault. By the same token, intuitively, I various legal definitions of insanity do not comport with my personal beliefs, because they imply that different people simply have different brains than others. On the other hand, when a person is experiencing, for example, hallucinations, this may tend to negate an element of wilfulness. Anyway, as I said above, I respect the “law” as it stands on this matter, and therefore, this puts me comfortably in the camp of the students who have been malpractice upon.
Finally, Matt, I am very questioning of “the law.” However, in order to question the law on a serious level one needs to have a very in-depth understanding of it. For example, after attending law school, one should probably study constitutional law for about five to ten years before they can seriously muster an opinion about the validity of a constitutional interpretation.
LArry, at 10:10 am EST on November 2, 2006
Larry,
I appreciate that you are clear about your views, and you are aware they are mostly culturally determined. And I am glad that you potentially seek you own opinion, even if it is after 5-10 years and deep study (e.g. of the law, as you reference).
My hope is that after 5-10 years of exposure to mental illness and discussions like this one, you may begin to form more of an individually-determined, and not cultural-bound, view of mental illness.
Perhaps you will come to see, for example, that if a woman has her clitoris removed at age 12, then is discriminated against and demeaned for most of her life, her resulting depression may not be entirely “her fault.”
I personally am comfortable forming a new opinion about certain things without 5-10 years of study. But then again, I was raised in a culture that seems to encourage individual thought (to some extent) and awareness of others’ experiences. So i do give you the benefit of the doubt, and figure I am not holding much issue with Larry, here, but rather some rich and deep culture who’s values may have been more adaptive in the past, but may not be so much now.
So I do think that GW should apologize (but they probably won’t if that is the legal advice), if only for their own public image, which is quite tarnished in general (it is a top-ten most expenive school in the US, with a counseling center that charges around $50/session and almost always refers out by the 10th session, or so i have heard). They panicked, and handled the situation very poorly, IMHO. Even if they don’t apologize, i hope (for the sake of their students), that they are ashamed.
Matt, at 1:30 pm EST on November 2, 2006
Matt, As bad as it sounds, if a woman whose body was mutilated commits a crime, in my culture they would be punished. However, since my cultural values are, by and large, not the laws in the US, there is some chance that she could avoid criminal liability. (And, if I was her lawyer, you can bet that I would do a damn good job limiting her criminal liability to the absolute minimum.)
While my culture encourages individual thought, too, it is considered rude to talk about things that you don’t know about. My undergraduate studies were sick-making, because, day after day, students would not only not do the reading, but interject their feelings about anything and everything into a body of thought that they were trying to master. Strangely, these same students, 10 and 20 years later, by the time they could be qualified to opine on issues, are the least likely to take divergent positions and generally follow the orthodox mode of thought.
I don’t really care about apologies. They mean little. Besides, institutions are incapable of feeling shame. Individuals might feel shame. But, my guess is that the people who made bad decisions were either let go, or were told “...don’t do it again” or perhaps “Do it again, but cover yourself better.”
GW’s reputation is hardy tarnished. The fact is, that students are not going to avoid going to GW because of this settlement. Heck, they wouldn’t avoid GW if it lost at a jury trial, which was affirmed on appeal. The only thing that makes a student avoid going to GW is getting an offer from a school the student perceives as having a better reputation. Unfortunately, these students might be opening themselves up to improper treatment by the school, but rarely do students (or their parents) make decisions on the basis of the robustness of the school’s ability to follow its own rules or the ADA.
Larry, at 4:01 pm EST on November 2, 2006
I am SO glad that Jordan Nott has finally gotten some measure of justice for himself, and compensation for all the hardship and trauma that he has been forced to endure.
I wish that all of us, who have been discriminated against, and treated like common criminals.
Even those who should know better, like the nurses and doctors in hospital emergency rooms, discriminate against people seeking treatment for mental illness, treating them worse than a mass murderer, tying them to their bed, not giving them anything to eat or drink for hours on end, and even keeping them using the toilet, until they are ready to. It’s inhumane the way that those with mental illnesses are dealt with, compared to those who seek treatment for diabetes, chest pain, or car accidents.
However, it is finally a step in the right direction, that Jordan Nott was awarded a settlement, somewhat small though it was.
It’s about time that people wake up and realize that this is not the 18th or 19th century, and that people with mental illnesses are NOT helped by being treated like they have been possessed by the Devil and locked away in an insane asylum. THis is the 21st century, and we should NOT be treating the mentally ill like it’s the Middle Ages.
SHAME on GWU for perpetuating and promoting the already present stigma attached to mental illness.
After reading about recent cases like this, I just contacted the Bazelon Center about my options in filing a lawsuit against my former school district.
When I was in high school (public school) I was a “cutter"(a person who cuts/mutilates themselves not as a means of suicide, but rather as a way to cope, and deal with the stress, pain and trauma in their lives)
Even though I was in treatment, just because I had been suicidal in the past, my jerk principal, kept suspending me, each and every time he saw any cuts, scars, marks, or scratches on me.
Then he lied, and knowingly used forged documents to force me to graduate, when I did not have enough credits, and was not ready to graduate.
Since then, my life has been in shambles. Because I missed so many classes in high school, I was totally unable to pass, or even keep up in college classse — even remedial community college courses.
So after failing at one college after another, I finally gave up and dropped out. But especially without a college degree, in today’s economy, it’s practically impossible to get any decent job.
I have been out of work and looking for a job ever since I got laid off in January 2001 and still have not been able to find any decent employment.
Its been 10 years since I was forced to graduate, and I am still struggling — all because of my principal’s prejudice against mental illness.
I hope that I can still file a lawsuit against my former school district and high school principal, to not only get compensation, but also to finally get some justice for being discriminated against, and all that I have had to endure because of it.
Its not just colleges and universities that need to change and overhaul their current policies. Its the regular school districts too. Principals and other school administrators need to learn and realize that mental illness is just like any other physical illness, that it’s NOT contagious, and just as you would not suspend or keep a person who had a non-communicable disease from school, neither should you do so for those who suffer from depression, bipolar disorder, borderline personality disorder and other mental illnesses.
Ami, at 4:35 pm EST on November 26, 2006
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Mental Health Injustice
My daughter is only in 2nd grade and I am going through the same problems with the public school she attends.She has been diagnosed with a severe anxiety disorder and a school environment makes her day very difficult. The school treats her as a problem and something they desire to get rid of because they do not want to deal with it. Thus increasing her anxiety and my own, it is already stressful being a single mom of a child with such anxieties on a day to day basis. I have had her psychiatrist send her recommendations, her mental health counselor etc... and made myself known but they still treat her as a “bad” child rather than a child with an anxiety disorder. They threaten to suspend her if she is having a panic attack, if she is not sitting in her seat by the time the bell rings they threaten to count her absent/tardy even if she is in the building having an attack etc... It has gotten really ridiculous, they act as if it is me against them! A child should not be punished for a disorder they have, they need help!
Michelle M., at 11:55 am EST on March 6, 2008