MENTALHEALTH Text TRE NDS - Campus Health

Text

TRENDSat the

2017 REPORT

COUNSELING & PSYCH SERVICES (CAPS)

Universityof Arizona

MENTALHEALTH

1 HEALTH.ARIZONA.EDU/COUNSELING-PSYCH-SERVICES

• U1liza1on of Counseling & PsychServices (CAPS) by UA studentsis at an all-1me high.

• Data shows that CAPS significantlyimproves mental health outcomes,increasing wellbeing and loweringmarkers for depression.

• Despite con1nued efforts byCAPS to address demand, thereis s1ll unmet need for mentalhealth services among the UAstudent popula1on.

• CAPS has con1nued to bringinnova1ve programs to the UAto expand the reach of counselingservices, providing mul1pleloca1ons and formats throughwhich students can receive services.

Introduction

WELCOME TO CAPS

https://www.youtube.com/watch?v=GdI9lKvJBMM

https://www.youtube.com/watch?v=GdI9lKvJBMM

http://www.health.arizona.edu/counseling-psych-services

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Mental Health Trends at The University of Arizona • 2017 Report

COUNSELING & PSYCH SERVICES(CAPS), part of the UA CampusHealth Service, has a longstandinghistory of providing brief therapy,crisis interven1on, and psychiatryservices to UA students. CAPS is animportant support to students whoneed help coping with a variety ofproblems in order to help themachieve their academic poten1al.Opera1ng under the premise thatmental wellness is an importantfactor in crea1ng a safe and healthycampus community for all, CAPSpromotes wellbeing across theuniversity – providing directservices, educa1on and outreach,consulta1on, online tools andsupport, and other collabora1onswith the UA campus community.

Background

CAPS/Oasis promotes emotionalhealth, wellness, resilience,safety, and academic successby providing appropriate clinicalservices, consultations, outreach,and education for the diversecampus community.

CAPSMission

http://www.health.arizona.edu/



Licensed mental health professionalsat CAPS provide a wide array ofservices for the UA campuscommunity. CAPS clinical servicesfor UA students include evalua1on,treatment, care coordina1on andreferral when needed. CAPS Triageprovides students with same-daywalk-in access to mental healthservices, with no appointmentneeded. CAPS provides a numberof addi1onal treatment services,including individual counseling,psychiatric medica1on services,support groups, couples therapy,online therapy services, and mentalhealth screenings. Services forsexual assault, rela1onship violence,and trauma survivors are offeredthrough CAPS’ Oasis Program.

Elsewhere on campus, CAPS offersoutreach services where providersmay go to classrooms, departmentalmee1ngs, or other venues,providing educa1on and programson various mental health topicssuch as suicide preven1on. CAPSoutreach also includes student-driven wellness programs, such asthe Mindful Ambassadors. CAPSconsulta(on services provide aninvaluable resource for UA faculty,staff, and family members, whoneed assistance with how toapproach crises or other behavioralconcerns involving a UA student.For more informa1on on howCAPS serves the UA community,visit health.arizona.edu/counseling-psych-services.

Background (continued)




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Being ableto talk toan unbiasedsource who hasa professionalunderstandingon how to helpgave me copingstrategies thatI will use therest of my life.– UA Student, 2015

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• Trauma• Eating & Body

Image Issues• Other Issues

ImpactingPersonal &Academic Success

HOURS/LOCATION:Monday, Tuesday, Thursday & Friday 8AM-4:30PM;Wednesday 9AM-4:30PM; Closed University holidays

Highland Commons (3rd Flo or, SE Corner)

• Stress• Anxiety• Substance

Use Issues• Relationships• Depression• Sexual Assault

Want toTALK?

COUNSELING & PSYCHSERVICES (CAPS)

We’ll listen!

Counseling & Psych Services

Appointments andAfter Hours Crisis Phone Line:

(520)621-3334NO HEALTHINSURANCE NECESSARY


There is substantial need for mentalhealth services among UA students.

2013 2014 2015 2016

32% 34% 36% 35%

2017

38%

%who stated that depression or anxietymade it somewhat or very diEcult to work,study, go to class or get along with people

CHS Annual Health and Wellness Survey, 2013-2017


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• CAPS served approximately 9% ofthe total student popula1on in the2015/2016 school year, an all-1me high.However, according to the annual CHSHealth and Wellness survey, more thana third of UA students could actuallybenefit from using CAPS services.

• CHS Health and Wellness Survey datafrom 2016 showed that a substan1alnumber of students experienceddistress in the last 30 days:

- 50.1% felt overwhelmed by allthey had to do

- 48.0% felt exhausted (not fromphysical ac1vity)

- 24.1% felt overwhelming anxiety- 23.7% felt very sad- 23.1% felt very lonely

• A majority of students surveyed (57.8%)said that they felt more than average ortremendous stress in the last school yearin the CHS Health and Wellness Survey(2016). This is similar to the findingsfrom the Na1onal College HealthAssessment (2016), repor1ng 54.7%.

• Online depression and anxietyscreenings were conducted lastyear, and indicated that:

- 80% of students who wereposi1ve for depression hadnever received treatment.

- 79% of students with symptomsof generalized anxiety disorderhad never received treatment.

• CAPS has been seeing an increasein the severity of student mentalhealth issues. This, along with theincreasing u1liza1on, highlights theimportance of rapid evalua1on andtreatment op1ons.

- There have been consistent increasesin mental health hospitaliza1onsof UA students. Forty knownhospitaliza1ons for mental healthreasons occurred in the 2015/16academic year, of which 31 wereini1ated by CAPS. This representsa 63% increase in CAPS ini1atedhospitaliza1ons since 2011/12.


CAPS Trends in MentalHealth Service Utilization

2012/2013 2013/2014 2014/2015 2015/2016 2016/2017

2,793 2,967 3,186 3,394 3,625

CAPS TOTAL STUDENTS SERVED 2012-2017

More students are ge)ng help at CAPS each year. CAPS has seen a 30%increase in the number of students served each year over the last 5 years.


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<<<<ALALLL>>>>susuppppoorrtsts

ofofYYOOUU<<<<ALALLL>>>>

supports

of YOU

UA

CAMPUSHEALTH Being able totalk about myworries andhaving adifferent pointof view hashelped me seemy problemsin a moreposi1ve way.– UA Student, 2016

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CAPS Trends in Mental HealthService Utilization (continued)

2012/2013 2013/2014 2014/2015 2015/2016 2016/2017

14,087 14,396 14,088 14,816 17,300

CAPS TOTAL YEARLY VISITS 2012-2017

The number of total visits seen per year has risen steadily, increasing byalmost 23% since 2012.


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CAPS has honestly exceeded my expecta1ons – I think my experiences havebeen very helpful and are be2er than average for campus-based servicesthat I’ve received at other universi1es. – UA Student, 2016

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UA Counseling and Psych Services: 520.621.3334National Suicide Prevention Lifeline: 1.800.273.TALK (8255) Pima County Crisis Response Center: 520.622.6000Suicide Prevention at the UA: preventsuicide.arizona.eduFriend 2 Friend: f2f.health.arizona.edu

This poster was developed, in part, under grant number IU795M060532-01 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.

SSuuiicciiddee iisspprreevveennttaabbllee..

www.health.arizona.edu

It’s normal to feel downsometimes. But whenfeelings of depression,hopelessness, or anxietypersist, it may be morethan just sadness.If you want to talk,there are people andresources that can help.

NNEEVVEERR,, NNEEVVEERR,, NNEEVVEERR GGIIVVEE UUPP..– Winston Churchill



2012/2013 2013/2014 2014/2015 2015/2016 2016/2017

2,227 2,159 2,272 2,473 2,716

CAPS TRIAGE VISITS 2012-2017

More students are seeking help at CAPS. Triage visits, those in which studentswalk-in and are provided brief counseling and a follow-up appointment orreferral, rose by 22% over the last 5 years, and was at an all-1me high in 2016/17.


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I had a great fearof being judgedhowever I foundCAPS to be judgmentfree and verywelcoming/helpful.– UA Student, 2016

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UA Counseling and Psych Services: 520.621.3334 • National Suicide Prevention Lifeline: 1.800.273.TALK (8255) Pima County Crisis Response Center: 520.622.6000 • Friend 2 Friend: f2f.health.arizona.edu

Suicide Prevention at the UA: preventsuicide.arizona.edu

This poster was developed, in part, under grant number IU795M060532-01 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Departmentof Health and Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.

#UAHopeNotes

www.health.arizona.edu @UAHopeNotes@UACampusHealth

Look for UA Hope Notes posted by students around campus!Find. Snap. Share.



2012/2013 2013/2014 2014/2015 2015/2016 2016/2017

173 203295 307

374

CAPS SAME DAY CRISIS VISITS 2012-2017

More students are using CAPS to deal with immediate emo(onal crises.Same-day crisis appointments, dis1nct from first 1me visits to the CAPSTriage walk-in, have risen 116% over the last 5 years.


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breathe here now.WANT TO: CALM YOURSELF?

REDUCE STRESS?FALL ASLEEP?Try the

4-7-8 relaxingbreath exercise:It takes almost no time, requires noequipment and can be done anywhere.

Exhale completely through yourmouth, making a “whoosh” sound. Close your mouth and inhale quietly through your nose to amental count of 4. Hold your breath for a count of 7. Exhale completely through yourmouth, making a “whoosh” soundto a count of 8. This is one breath. Inhale again and repeat the cycle three moretimes for a total of four breaths.

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2

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Place the tip of your tongue against the ridge of tissue just behindyour upper front teeth, and keep it there during the entire exercise.

Do not do more than four breaths at one time for the first month of practice.

Once you develop this technique by practicing it every day, it will be a very useful tool and natural tranquilizer for the nervous system that you will always have with you.

Adapted from www.drweil.com


Counseling andmental healthprogrammingmakes a diDerence.

13%

23%

13%19%

3%7%

18%23%

“I’m feeling op!mis!cabout the future”

“I’ve been dealingwith problems well”

“I’ve beenfeeling relaxed”

“I’ve beenthinking clearly”

First visit Last measurement

Comparisons at Frst visit and last measurement:%who ‘often’ or ‘always’ experienced thefollowing over the last 2 weeks


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• Using CAPS increases posi(veemo(onal states. According to theShort Warwick-Edinburgh MentalWellbeing Scale, which studentscomplete at each visit, CAPS users showedsignificant (p< 0.001) improvements intheir overall wellbeing score from firstvisit to their final measurement. Studentsalso report a number of improvementsin individual categories.

• CAPS makes a difference for students.Coming to CAPS is associated with animprovement in nega1ve emo1onal states.Based on the CAPS Clinical Ques1onnaire,an assessment tool which is used to trackclinically relevant outcomes among studentswho have used CAPS for two or more visits,significant improvements were found fordepression, suicidality, and anxiety.

- Of those who said they had thoughts ofsuicide at their first visit: 46% showed nosigns of suicide at their last visit and 77%of those who were posi1ve for ‘severe’suicidality showed significantly improvedor no risk over the course of treatment.

- 74% of students with severe depressionindicated an improvement to a lessercategory of severity by their last visit; 68%with moderate-severe depression and55% with moderate depression showedreduced severity in the same way.

- 60% of students with severe anxietyindicated an improvement to a lessercategory of severity by their last visit,and 55% with moderate anxietydecreased severity.

• CAPS programs improve student wellbeing.The Mindful Ambassadors program, a peer-driven program in which students trained inmindfulness prac1ces provide experien1almindfulness workshops to the campuscommunity, resulted in significant decreasesin stress and several symptoms related toanxiety. Par1cipants also reported feelingsignificantly more relaxed, focused, and calmimmediately a"er a Mindful Ambassadorspresenta1on. 90% of student par(cipants feltthat what they learned helped them reducestress, and said they plan on con(nuing amindfulness prac(ce into the future.


CAPS is importantfor academic success.• A survey of CAPS users from 2015

found that:- 74% said that using CAPS helped to

improve both their overall academicsuccess and their ability to focus

- 86% said it improved their mo1va1on- 52% said using CAPS posi1vely

impacted their decision to stayenrolled at the UA

• 75% of students surveyed in 2016,right a"er their Triage visit, said thatthe problem they were seeking helpfor was interfering with their academicperformance, and 78% agreed that afollow-up appointment would improvetheir academic performance

• Of UA students surveyed in 2016,20% said that CAPS helped them toremain a UA student (CHS Healthand Wellness Survey, 2016)

• Of note, na1onal data (NCHA, 2016)indicated that students received alower grade on an exam or assignmentin the past school year due to:

- Stress (22%)- Anxiety (15%)- Depression (6%)

7 TIPS FOR FINDINGBALANCE IN SCHOOL

https://www.youtube.com/watch?v=OndLBxanDK8




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I have been affirmed and supported through mul1ple stressful experiencesduring my counseling sessions. My counselor has helped me believe inmyself again and be more trus1ng. – UA Student, 2016

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notice. care. help.A unique website for University of Arizonastudents that provides resources so you canhelp your friends stay safe and healthy. Watch out for each other...

Keep each other safe...Be a real friend.F2F.health.arizona.edu www.health.arizona.edu


HowWe AreHelping Students• CAPS provides a wide variety of

services to help students improvetheir emo1onal and behavioralwellbeing. Some of theseservices include:

- Counseling and brief therapy- Psychiatric evalua1on and

medica1on management- Oasis sexual assault

and trauma counseling- Specialized counseling

for substance abuse andea1ng disorders

- A variety of support groups(e.g. Gender Spectrum,LGBTQ, Self-Compassion)

- Mental health screenings for avariety of issues (e.g. depression,

anxiety, ea1ng disorders,substance abuse)

- Rela1onship counseling- Collegiate recovery (substance

abuse) programming- Referral to outside services

CAPS uses a stepped careapproach to provide themost eDective treatmentto the most students by‘stepping up’ moreintensive treatmentswhen necessaryand appropriate.


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UA Counseling and Psych Services: 520.621.3334

Veterans Crisis Line: 1.800.273.TALK (8255) – Press 1

Pima County Crisis Response Center: 520.622.6000

Friend 2 Friend: f2f.health.arizona.edu


Learn how to be a lifesaver. 520.621.5700

Have the courage to reach out to a veteranwho may need help.

Notice. Care. Help. Suicide is preventable.


UA Counseling and Psych Services: 520.621.3334

National Suicide Prevention Lifeline: 1.800.273.TALK (8255)

Pima County Crisis Response Center: 520.622.6000

Friend 2 Friend: f2f.health.arizona.edu



If you or someone you know maybe depressed or suicidal there is help. Choosing to help is yourstrength. Reach out and shinelight on a life in need.


~ TecumsehLegendary Shawnee Native American Chief


UA Counseling and Psych Services: 520.621.3334National Suicide Prevention Lifeline: 1.800.273.TALK (8255) The Trevor Project: 1.866.488.7386 Pima County Crisis Response Center: 520.622.6000Friend 2 Friend: f2f.health.arizona.edu



If someone you know is depressed or suicidal,there is hope.

~ Harvey Milkfirst openly gay man to be elected to the San Francisco Board of Supervisors and gay rights advocate



HowWe Are Helping Students (continued)

• CAPS uses a cu3ng-edge approachto Clinical Care Coordina(on, acrucial aspect of stepped care. TheCare Coordina1on team works hardto follow up with student referralsand high-risk students, and worksclosely with CAPS providers to ensurethat students are ge3ng the best andmost appropriate care at every level.

• CAPS has recently launchedWellTrack, an online/smartphonebased program, to provide mentalhealth assessments, tools formanaging depression and anxietyand ongoing mood check. It isavailable, at no charge, to all campuscommunity members. This part ofthe stepped-care approach allowsCAPS to extend helping resources notonly to online students or those whocannot or choose not to come to theCAPS clinic, but to faculty and staff aswell. Faculty and staff have proven to

be an important resource inenlightening students about thevalue of these tools.To use WellTrack, go to the signuppage (signup.mywelltrack.com) andenter the access code: UACAPS

• The Therapist Assisted Onlineprogram (TAO) allows CAPSproviders to follow up with clientsthrough a secure online mee1ng.This improves accessibility, allowingstudents to connect with theircounselors before their nextin-person appointment canbe scheduled.

• CAPS works to ensure that studentshave access to help, even a"er clinichours. Students can call the CAPSmain phone number (520-621-3334)and speak directly with a licensedbehavioral health professionalwhenever the clinic is closed.

https://welltrackapp.com/signup


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• CAPS Consulta(on services (Calland Consult, Parents Ma2er) providedirec1on and assistance to faculty,staff and families to help themrespond and assist students withbehavioral health issues and/or crisissitua1ons. Call & Consult (faculty/staff)and Parents Ma2er (parents, familyand friends) can be reached by callingthe main CAPS line (520) 621-3334.

• Outreach and Educa(on are animportant part of CAPS services. CAPSproviders o"en provide assistancein classrooms, campus events, orother cross-campus venues to offerknowledge, guidance, and resourcesaround mental health issues. Someexamples of these efforts include:

- Mindful Ambassadors, a peer-ledprogram providing workshops onmindfulness as a tool for stressmanagement in the campuscommunity.

- Na(onal Depression Screening Day,an annual event that raises

awareness of CAPS programs andservices, while providing freedepression screenings.

- The Body Smart Ini(a(ve, astudent-led collabora1on withHealth Promo1on and Preven1veServices with the mission ofenhancing self-worth and promo1ngposi1ve body image among allUA students.

- A variety of collabora1ons witha range of Cultural Centers at theUA, tailored to offer educa1on andresources on mental wellbeing toour diverse student body.

- General and specializedpresenta1ons on a wide varietyof behavioral health topics forclassrooms, departments andstudent groups across campus.

• You can access these resourcesand more online at our website,health.arizona.edu/counseling-psych-services




What CAPS Doesfor High-risk Students• “High-risk” students are an important

part of the popula1on that CAPS servesat the UA. While many of our clients seekservices to get help with issues such asstress, depression, anxiety, or academicissues, other students are dealing withmore cri1cal problems such as thoughtsof suicide or harm to self or others. Withregard to suicide, 9.4% of UA studentsreported having serious thoughts ofsuicide in the last year (CHS Health andWellness Survey, 2016). This numberrepresents more than 4,000 UA students.

• Depression screening and earlyinterven1on is conducted for all medicaland counseling visits at CHS. Students arescreened at every visit, regardless of thereason for the visit, and students withelevated scores are referred to CAPS. In the2015/16 school year, more than a third ofthese students originally screened in the

CHS medical clinics subsequently accessedCAPS. Over the past 8 years, this effort hashelped to iden1fy and reach many studentswho otherwise might not have receivedservices for depression, anxiety or suicidality.

• CAPS priori1zes “high-risk” students toensure that those in crisis or who have highneed have rapid access to care. This includes:

- Same-day access to CAPS Triage counselors- Same-day crisis appointments- A"er-hours telephone crisis line- Intensive care management for students

at risk of suicide or harm to others- CAPS staff representa1on on the UA

Behavioral Interven1on Team. This teamaddresses students of concern who cometo the a2en1on of the Dean of StudentsOffice, Residence Life or UAPD due tobehaviors which poten1ally impacthealth and safety.


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• Social isolation• Hopelessness• Depression• Substance abuse• Wrapping up loose ends• Giving away important possessions• Sudden change in mood

Would you recognize thepossible warning signs?

suicide...


Resources:UA Counseling and Psych Services520.621.3334National Suicide Prevention Lifeline1.800.273.TALK (8255) Pima County Crisis Response Center520.622.6000Friend 2 Friendf2f.health.arizona.edu


I would notbe alive if itweren't forthe care andunderstandinghere at CAPS.– UA Student, 2015

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By inves1ga1ng outcomes for studentswho use CAPS, we con1nue to learn moreabout the ways that CAPS’ cri1cal serviceshelp students to improve their wellbeing,so that they can achieve academic successand flourish at the UA. CAPS, as part ofthe UA Campus Health Service, iscommi2ed to u1lizing evidence basedapproaches to mee1ng student mentalhealth needs in both tradi1onal andinnova1ve ways.CAPS is commi2ed to improving theemo1onal wellbeing of UA students,as well as the en1re campus community,through clinical services, consulta1onand educa1onal outreach. Throughprogramming collabora1ons withinCampus Health and across campus,CAPS has con1nued to increase accessto services, raise awareness aboutbehavioral health and educate thecampus community.

Conclusion


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As demand for CAPS services con1nuesto increase, we face the need foraddi1onal space, counseling staffcapacity and development of newservice delivery op1ons. CAPS iscommi2ed to finding ways to ensurethat students are able to receive thehelp they need to achieve theiracademic goals and maximize theirpoten1al as individuals.

WILBUR GOES TO CAPS


This report was produced by the Counseling &Psych Services (CAPS) and Health Promo1on unitsat The University of Arizona Campus Health Service.For more informa1on, please contactMarian Binder, Director of Counseling & PsychServices, at [email protected].




http://www.health.arizona.edu/health-promotion



https://www.youtube.com/watch?v=FeuKx6Hqep4

https://www.youtube.com/watch?v=FeuKx6Hqep4


HEALTH.ARIZONA.EDU

(520)621-3334health.arizona.edu/counseling-psych-servicesHighland Commons1224 E. Lowell St., Tucson, AZ 85721





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