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Student mental health and well-being: Overview and Future Directions

Published online by Cambridge University Press:  27 November 2020

M. Hill*
Affiliation:
Consultant Psychiatrist and University Lead for Student Mental Health and Wellbeing, University College Cork, Cork, Ireland
N. Farrelly
Affiliation:
Consultant General Adult Psychiatrist, College Health Service, Trinity University College Dublin, Dublin 2, Ireland
C. Clarke
Affiliation:
Senior Registrar in Psychiatry, Dublin North Mental Health Services, Dublin 9, Ireland
M. Cannon
Affiliation:
Consultant General Adult Psychiatrist Beaumont Hospital, and Professor of Youth Mental Health, Royal College of Surgeons, Dublin 2, Ireland
*
*Address for correspondence: Michele Hill, Student Health Department, Consultant Psychiatrist and University Lead for Student Mental Health and Wellbeing, University College Cork, College Rd, Cork, Ireland. (Email: Michele.hill@ucc.ie).

Abstract

The mental health of third-level students is of major societal concern with the gap between the demand for services and supports offered at crisis level. In Ireland, similar to elsewhere, colleges have responded to this need in vastly differing ways, with student counselling services available to all institutions, and student health departments and sessional psychiatry in some of the larger institutions, with none operating as a single multidisciplinary service. There is an increasing recognition for a more systematised approach, with the establishment of International Networks, Charters and Frameworks. These advocate for a whole institutional approach to student mental health, in addition to the development of an integrated system of supports with effective pathways to appropriate care. This paper, by members of the Youth and Student Special Interest Group of the College of Psychiatrists of Ireland, contextualises student mental health currently and describes future directions for this emerging field. It is a call to action to develop a structure that supports the needs of students with mental health problems across the full range of the spectrum from mild to severe.

Type
Perspective Piece
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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References

AHEAD (2017). Numbers of students with disabilities in higher education in Ireland. (–https://www.ahead.ie/part-rates-launch-2017–18). Accessed 21 January 2020.Google Scholar
Arie, S (2017). Simon wessely: every time we have a mental health awareness week my spirits sink. BMJ (Clinical Research Ed.) 358, j4305.CrossRefGoogle Scholar
Auerbach, RP, Alonso, J, Axinn, WG, Cuijpers, P, Ebert, DD, Green, JG et al. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine 46, 29552970.CrossRefGoogle ScholarPubMed
Auerbach, RP, Mortier, P, Bruffaerts, R, Alonso, J, Benjet, C, Cuijpers, P, Demyttenaere, K, Ebert, DD, Green, JG, Hasking, P, Murray, E, Nock, MK, Pinder-Amaker, S, Sampson, NA, Stein, DJ, Vilagut, G, Zaslavsky, AM, Kessler, RC, WHO WMH-ICS Collaborators (2018). WHO world mental health surveys international college student project: prevalence and distribution of mental disorders. Journal of Abnormal Psychology 127, 623638.CrossRefGoogle ScholarPubMed
Barkham, M, Broglia, E, Dufour, G, Fudge, M, Knowles, L, Percy, A, Turner, A, Williams, C, the SCORE Consortium (2019). Towards an evidence-base for student wellbeing and mental health: definitions, developmental transitions and data sets. Counselling and Psychotherapy Research 19, 351357.CrossRefGoogle Scholar
Bewick, B, Koutsopoulou, G, Miles, J, Slaa, E, Barkham, M (2010). Changes in undergraduate students’ psychological well-being as they progress through university. Studies in Higher Education 35, 633645.CrossRefGoogle Scholar
Dooley, B (2019). My World Survey 2. (http://myworldsurvey.ie/). Accessed 14 December 2019.Google Scholar
Duffy, A, Saunders, KEA, Malhi, GS, Patten, S, Cipriani, A, McNevin, SH, MacDonald, E, Geddes, J (2019). Mental health care for university students: a way forward? The Lancet Psychiatry 6, 885887.CrossRefGoogle ScholarPubMed
Eisenberg, D, Golberstein, E, Gollust, SE (2007). Help-seeking and access to mental health care in a university student population. Medical Care 45, 594601.CrossRefGoogle Scholar
Haase, C, Heckhausen, J, Silbereisen, R (2011). The interplay of occupational motivation and well-being during the transition from university to work. Developmental Psychology 48. doi: 10.1037/a0026641.CrossRefGoogle Scholar
HEA (2011). National Strategy for Higher Education to 2030. (https://hea.ie/assets/uploads/2017/06/National-Strategy-for-Higher-Education-2030.pdf). Accessed 11 January 2020.Google Scholar
HEA (2020). National Student Mental Health and Suicide Prevention Framework. (https://hea.ie/assets/uploads/2020/10/HEA-NSMHS-Framework.pdf). Accessed 28 October 2020.Google Scholar
HEFCE (Higher Education Funding Council for England) (2015). Understanding provision for students with mental health problems and intensive support needs. (https://eprints.lancs.ac.uk/id/eprint/80492/1/HEFCE2015_mh.pdf). Accessed 11 January 2020.Google Scholar
Higher Education Authority (2019). National Plan for Equity of Access to Higher Education 2015–2019. (–https://hea.ie/policy/access-policy/national-access-plan-2015–2019/). Accessed 11 January 2020.Google Scholar
Houghton, A-M (2019). Academic and departmental support. In Student Mental Health and Wellbeing in Higher Education: A Practical Guide (ed.  N. Barden and  R. Caleb). SAGE  Publications: London.Google Scholar
Hughes, G, Spanner, L (2019). The University Mental Health Charter. Leeds: Student Minds. (https://www.studentminds.org.uk/charter.html). Accessed 10 February 2020.Google Scholar
Hunt, J, Eisenberg, D (2010). Mental health problems and help-seeking behavior among college students. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine 46, 310.CrossRefGoogle ScholarPubMed
Hyland, A (2011). Entry to Higher Education in Ireland in the Twenty-first Century. Transition or Transaction. NCCA-HEA. UCD. https://hea.ie/assets/uploads/2017/04/Aine-Hyland_Entry-to-Higher-Education-in-Ireland-in-21st-Century-2011.pdf. Accessed 11 January 2020.Google Scholar
IACS (2011). International association of counseling services: standards for university and college counseling services. Journal of College Student Psychotherapy 25, 163183.CrossRefGoogle Scholar
IAYMH (2019). International Association for Youth Mental Health. (https://www.iaymh.org). Accessed 12 December 2019.Google Scholar
IDA (2019). Education & Skills in Ireland. IDA Ireland. (https://www.idaireland.com/invest-in-ireland/education-and-skills). Accessed 14 December 2019.Google Scholar
ISHA (2019). Irish Student Health Association. (https://www.isha.ie). Accessed 10 February 2020.Google Scholar
Jones-Davies, S (2019). The legal position: obligations and limits. In Student Mental Health and Wellbeing in Higher Education: A Practical Guide (ed.  N.  Barden and  R. Caleb). SAGE Publications: London.Google Scholar
Karwig, G, Chambers, D, Murphy, F (2014). Reaching out in college: help-seeking at third level in Ireland. https://au.reachout.com/wp-content/uploads/2015/11/research-report-final-lo-res.pdf. Accessed November 2018.Google Scholar
McAuliffe, D, Boddy, J, McLennan, V, Stewart, V (2012). Keeping the door open: Exploring experiences of, and responses to, university students who disclose mental illness. Journal of Social Inclusion 3, 117129.CrossRefGoogle Scholar
McGorry, PD, Mei, C (2018). Early intervention in youth mental health: progress and future directions. Evidence Based Mental Health 21, 182184.CrossRefGoogle ScholarPubMed
McGorry, PD, Purcell, R, Hickie, IB, Yung, AR, Pantelis, C, Jackson, HJ (2007). Clinical staging: a heuristic model for psychiatry and youth mental health. The Medical Journal of Australia 187, S40S42.CrossRefGoogle ScholarPubMed
McKinney, J (2005). On the margins: a study of the experiences of transgender college students. Journal of Gay & Lesbian Issues in Education 3, 6376.CrossRefGoogle Scholar
McLafferty, M, Lapsley, CR, Ennis, E, Armour, C, Murphy, S, Bunting, BP, Bjourson, AJ, Murray, EK, O’Neill, SM (2017). Mental health, behavioural problems and treatment seeking among students commencing university in Northern Ireland. PLoS ONE 12. doi: 10.1371/journal.pone.0 188 785.CrossRefGoogle Scholar
Morgan, H, Houghton, A-M (2011). Inclusive Curriculum Design in Higher Education: Research Portal|Lancaster University. (–http://www.research.lancs.ac.uk/portal/en/publications/inclusive-curriculum-design-in-higher-education(1d2e0ede-93d2–4be4-b71c-38397947bca2).html). Accessed 15 January 2020.Google Scholar
National Office for Suicide Prevention (2016). Connecting for life: Ireland’s national strategy to reduce suicide 2015–2020. (https://assets.gov.ie/15758/e6c74742547a48428e4640e3596a3d72.pdf). Accessed 8 March 2020.Google Scholar
Nic Fhlannachadha, S (2018). DARE HEAR Facts and Figures Report 2017–2018: Summary. Irish Universities Association. (https://accesscollege.ie/dare/about-dare/research-stats/). Accessed 15 January 2020.Google Scholar
Nunez-Mulder, L (2018). Researcher cautions against initiatives to reduce student suicide that lack evidence. BMJ (Clinical Research Ed.) 362, k3969.CrossRefGoogle ScholarPubMed
Okanagan Charter (2015). Okanagan Charter: An International Charter for Health Promoting Universities and Colleges. (https://Okanagan.Mcmaster.ca/App/Uploads/2019/06/Okanagan-Charter.Pdf). Accessed 20 January 2020.Google Scholar
Olson, T, Riley, J (2009). In practice: weaving the campus safety net by integrating student health issues into the curriculum. About Campus 14, 2729.CrossRefGoogle Scholar
Orygen (2017). Under the Radar: the mental health of Australian university students. The National Centre of Excellence in Youth Mental Health. (https://www.orygen.org.au/Policy/Policy-Reports/Under-the-radar). Accessed 12 December 2019.Google Scholar
PCHEI (2019). Psychological Counsellors in Higher Education Ireland (PHCEI). (https://www.pchei.ie/). Accessed 12 December 2019.Google Scholar
Rickwood, D, Paraskakis, M, Quin, D, Hobbs, N, Ryall, V, Trethowan, J, McGorry, P (2019). Australia’s innovation in youth mental health care: the headspace centre model. Early Intervention in Psychiatry 13, 159166.CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists (2011). Mental health of students in higher education. College Report CR166. (https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr166.pdf?sfvrsn=d5fa2c24_2). Accessed 10 November 2019.Google Scholar
SMarTeN (2019). (n.d.). Student Mental Health Research Network. (https://www.smarten.org.uk/). Accessed 14 December 2019.Google Scholar
Streatfield, N, Prance, L (2016). Managing a multidisciplinary wellbeing team. (https://www.bacp.co.uk/bacp-journals/university-and-college-counselling/march-2016/managing-a-multidisciplinary-wellbeing-team/). Accessed 12 January 2020.Google Scholar
The Insight Network and Dig-in (2019). University student mental health survey 2018. The Insight Network. (https://www.theinsightnetwork.co.uk/research/). Accessed 14 January 2020.Google Scholar
Thorley, C (2017). Not by degrees: improving student mental health in the UK’s universities. (https://www.ippr.org/research/publications/not-by-degrees). Accessed 5 February 2020.Google Scholar
Union of Students in Ireland (2019). USI National Report on Student Mental Health in Third Level Education. Union of Students in Ireland. (http://usi.ie/). Accessed 15 September 2019.Google Scholar
Universities UK (2017). StepChange: Mental Health in Higher Education Framework. (https://www.universitiesuk.ac.uk/stepchange). Accessed 10 February 2020.Google Scholar
University of Manchester (2019). Joint student mental health centre for greater Manchester. (https://www.manchester.ac.uk/study/international/why-manchester/student-support/student-services-centre/). Accessed 10 February 2020.Google Scholar
Victor, C, Qualter, P, Barreto, M (2019). What is loneliness: insights from the bbc loneliness experiment. Innovation in Aging 3, S373S373.Google Scholar
Vyas, NS, Birchwood, M, Singh, SP (2015). Youth services: meeting the mental health needs of adolescents. Irish Journal of Psychological Medicine 32, 1319.CrossRefGoogle ScholarPubMed
Wendlandt, N, Rochlen, A (2008). Addressing the college-to-work transitionImplications for university career counselors. Journal of Career Development 35, 151165.CrossRefGoogle Scholar
Xiao, H, Carney, DM, Youn, SJ, Janis, RA, Castonguay, LG, Hayes, JA, Locke, BD (2017). Are we in crisis? National mental health and treatment trends in college counseling centers. Psychological Services 14, 407415.CrossRefGoogle ScholarPubMed