_at college behavioral and emotional issues生活在大学的行为和情感问题课件

FGCU Health and Wellness Services Prevention they live, learn, and relate through technology (new tribalism) multi-task well not learn from failure have exposure to vast information but go less in-depth. be as intent on their education as their parents (they have been pushed by adults to study hard and to succeed) be interdependent on friends, family, teachers, role models value their interpersonal relationships highly and success in these relationships is primary (high value on peer bonding) be the most stressed and anxious generation ever Tough Times for Some Students Consider the titles of popular books about college students: When Fear and Hope Collide College of the Overwhelmed Generation on a Tightrope The Data is In! CORE Survey National College Health Assessment II The Association for University and College Counseling Center Director & National Counseling Center Directors Surveys of 2011 Counseling Center Director Surveys of 2011 Average mental health staff to students was 1:1879 Over a third of counseling centers reported having a waiting list 91% reported they believed that the trend of students with severe psychological problems continues to be true on campuses 40% of the clients treated had severe psychological problems Counseling Center Director Surveys of 2011 Survey Highlights The average number of students seeking services was 11% with the percentage going down as the size of the institution goes up. 25% of counseling center student clients were taking psychotropic medications 16% of clients have suicidal thoughts/behaviors (.6% died from suicide) Frequency of presenting concerns: Anxiety-41% Drug abuse-8% Depression-37%Self Injury-9% Relationships-35%Eating Disorders-7% ADHD/LD-15.6% Sexual Assault-7% Alcohol Abuse-11% The NCHA II Survey - Fall 2011 National Results (FGCU Results) 81% felt exhausted (not from physical activity) (82%) 74% of students found some aspect of their life being traumatic/very difficult to handle (79%) 44% reported Academics (53%) 35% reported Finances (41%) 31% reported Intimate relationships (36%) 28% reported Family problems (33%) 25% reported Sleep difficulties (30%) The NCHA II Survey - Fall 2011 National Results (FGCU Results) 50% felt overwhelming anxiety (52%) 45% felt hopeless once during the year (49%) 36% felt overwhelming anger (41%) 30% reported being “so depressed that it was difficult to function” (32%) 7% seriously considered suicide (6%) 5% intentionally injured themselves (6%) What gets in the way of college student success? The NCHA II Survey - Fall 2011 National Results (FGCU Results) Top Impediments to Academic Performance Stress- 29% (32%) Sleep Difficulties- 20% (25%) Anxiety- 20% (23%) Cold/Sore Throat- 15% (20%) Work- 13% (17%) Concern Family or Friend- 11% (14%) Relationship Difficulty- 10% (13%) Depression- 12% (12%) Internet/ Games- 12% (12%) Extracurricular Activities- 10% (7%) ADHD- 5% (6% ) What about Relationships & Sex National Results (FGCU Results) Violence & Abusive Relationships: 18% reported receiving a verbal threat (24%) 10% reported an emotionally abusive intimate relationship (14%) 9% reported unwanted sexual activity (10%) Overall one in four college women still report being a victim of unwanted sexual activity Sexual Behavior: 68% had a sexual partner in the last 12 months (73%) Confirming Study Birth Cohort Increases in Psychopathology Among Young Americans, 1938-2007: A Cross-temporal Meta-analysis of the MMPI An article written by Twenge, J. M., Gentile, B., DeWall, C. N., Ma, D., Lacefield, K., & Schurtz, D. R. and published in Clinical Psychology Review, 30, 145-154 (2010). (Is psychopathology rising in emerging adults?) In plain language: more students are characterized by unrealistically positive self-appraisal, overactivity, and low self-control. more students feel isolated and misunderstood. more students may be described as sensitive and sentimental. more students are narcissistic, self-centered general symptoms of anxiety are on the rise. more students are predicted to experience moodiness, sadness, restlessness, worry, dissatisfaction, and instability. What explains this data? The extrinsic versus intrinsic model - linear increase in MMPI scoreseach successive generation showed an increase. This suggests that a shift in American culture toward materialism, individualism, striving for status, unrealistic expectations, and unstable relationships may account for the increase in psychopathology in young people. “At the very least, college campuses now have a larger percentage of students with more serious mental health problems” College Students Drink ! (they also use pot) 2004200820102012 Reference Group Consumed alcohol in past year 81%83%81%77%82% Consumed alcohol in past 30 days 69%64%64%58%69% Under age consumed in past 30 days 65%54%50%49%66% Binge drinking in previous 2 weeks 38%37%38%35%43% Average # drinks a week 4.6 Driven Under the influence 18%27%26%21%29% FGCU CORE Survey Comparison 200820102012 Reference Group Used Marijuana in past year 31%36%30%31% Used Marijuana in past 30 days 18%14%18.4%18.1% Used illegal drug other than Marijuana in past year 16%14%12.5%12% Used illegal drug other than Marijuana in past 30 days5%6%5.3%6% The Core Alcohol and Drug Survey was developed to measure alcohol and other drug usage, attitudes, and perceptions among college students at two and four-year institutions. Development of this survey was funded by the U.S. Department of Education. The survey includes several types of items about drugs and alcohol. One type deals with the students attitudes, perceptions, and opinions about alcohol and other drugs, and the other deals with the students own use and consequences of use. There are also several items on students demographic and background characteristics as well as perception of campus climate issues and policy. FGCU CORE Survey Comparison Substance Used (within last 30 days) Actual UsePerceived Use Alcohol62% (59%)94% (96%) Marijuana14% (16%)79% (89%) All Other Drugs13% (14%)75% (86%) National Results (FGCU Results) The NCHA II Survey - Fall 2011 National College Health Assessment Student Perceptions of Alcohol Use 18% makes me sexier 18% makes men sexier 27% makes women sexier 42% makes it easier to deal with stress 50% facilitates female bonding 52% facilitates sexual opportunities 59% facilitates male bonding Student Perceptions of Alcohol Use 61% facilitates a connection with peers 63% allows people to have more fun 68% gives people something to talk about 74% gives people something to do 74 % enhances social activity 75% breaks the Ice Every year over 1,100 college students die! From suicide: Second leading cause of death among students One study found that if you separate accidents from alcohol related deathsit is # 1 Rate of suicide is 7.5/100,000 The reason we do suicide awareness and intervention programs for the university community Student Health Services (SHS) Location: Wellness Center SHS is nationally accredited by AAAHC Hours: *8:15 am 4:45 pm Mon.-Thurs *9:00 am-4:45 pm Fri *Hours subject to change per semester Phone: 590-7966 Service is provided appointment only except in emergencies Health Center Services All Services Are Confidential SHS Uses Electronic Health Records Provides Routine Medical Care General Physicals Womens Health Vaccinations Birth Control/ Limited Medications Sexually Transmitted Infection Testing After Hours Medical Advice Phone Service Supplies e.g. (bandages, crutches,condoms) Top Two Diagnostic Reasons Students Seek Health Services Upper Respiratory Infection Contraceptive Management Student Health Services Staff and Insurance Staffed by: Medical Doctors Nurse Practitioners Registered Nurses Students under age 18, need parental consent to be treated. (forms available) Student Health Insurance is voluntary through Gallagher Koster Health Plans (available for the year or by semester) not required to receive services at SHS The Student Health Center A busy place! Over 14,309 student visits in 2012 (recommend appointments*) o9570 Female o3749 Male Over 45% of the student population visit the health center in a year For over 77.5% of students the health center is their usual source of care and/or primary care provider while enrolled at FGCU* *Stats for Health Fee *Data Source ACHA Fall 2012 survey results N=405 The Student Health Center A busy place! One student sample indicated that over 20% of FGCU students do not have health insurance 95% were satisfied that their confidentiality and privacy were carefully protected when they visit the health center* 85.4% students report being satisfied with there visit to the center* *Stats for Health Fee *Data Source ACHA Fall 2012 survey results N=40 Tips for Parents If your student is sick, tell them to go to the health center first (its free, accessible and a good first response). If they are told to take pain relievers, drink fluids, and get plenty of rest, please encourage them to follow. Tips for Parents Remind them about after hours medical advice phone service. There will be cost recovery charges for labs and medications. Ask them if they are keeping up with sleep and dietary needs (FYI - nutritionist services are available at no cost). Prevention and Wellness (PWS) Location: Wellness Center Hours: *9:00am 5:00pm Mon Friday *Hours subject to change per semester Phone: 590-7733 Students can walk in to speak with our staff, pick up some free information, ask about resources, inquire about a program or check on upcoming events. Visitors are always welcome! Prevention and Wellness Services (PWS) Health Education Programming Alcohol and Drug Education Peers C.A.R.E (Wellness Peer Education group) Programming and Guest Speaker Services Work with Housing, Greeks, Athletics, Student Groups, etc. Prevention outreach (Gazebo, Cash Cab, Prize Patrol, etc.) Social Norms campaign MyStudentB (online for all students and parents) Prevention and Wellness Programs Total number of programs=333 Participants=11,967 MSB Accounts Created=2647 Cookies, Coke and Conversation series (7 week series for freshmen, SV) Cash Cab (like the TV show, but with wellness questions) Social Hosting/Alcohol Bystander Workshop (Student Organizations/Greeks) Tackling Mount Stressmore (stress management) Sexual Jeopardy (sexual health) College Chef (nutrition) Prevention and Wellness Programs Total number of programs=333 Participants=11,967 MSB Accounts Created=2647 Party Smart (alcohol) This is Why Im Hot (body image) New Kids on the BlockIs this real life? (diversity) Dont be a Zombie (sleep tips) Relationship Red Flag (abusive relationships/dating violence) Eagles Aware (suicide prevention) MyStudentB Requirement for incoming freshman under 21 This flyer is in each parent and student bag. Essentials Course of MSB contains three modules: Alcohol, Drugs and Sexual Violence. Takes 1-3 hours to complete. 70% passing is required. Please encourage your student to complete this task ASAP to avoid delays with their course registration. Your student will be getting emails (Eagle Mail) with information and instructions. They can also visit the website listed in the flyer. Students who pass by August 31st are entered to win a FREE iPAD! MSB or similar programs are a requirement of in-coming freshman at many institutions around the country. Becoming a best-practice in prevention. There is a Student Center tab that includes other wellness info for students, such as nutrition and stress. PARENTS! MSB has stuff for you too! Go to https:/www.MyStudentB and use school code “eaglesparent” for articles and tips to help parents talk to their students about difficult topics. Counseling and Psychological Services (CAPS) CAPS is Nationally Accredited by IACS Located: Second Floor Howard Hall, Suite 228 Hours 8:00 6:00 Mon.-Thurs. 8:00 - 5:00 Friday Phone: 590-7950 Provides 24 hour Emergency Services CAPS Services Personal Counseling & Therapy Group Counseling & Therapy Career Counseling Psychiatric Services Consultation Referral Case Management Outreach Programs Assessment Services (neuropsych testing for LD/ADHD) After Hours and Emergency On-call (24/7 availability) /Counseling/ (mental health screening and other electronic resources) CAPS Visits Sessions AttendedUnique Users 20073499657 20084620765 20095150827 201066741007 201180911120 201284341206 CAPS Visits High Student Satisfaction Ratings from 2006-2011 - for example Over 95% agree that they were comfortable using CAPS services, would use them again and would refer others to CAPS 64% agree that counseling made them better able to focus on academic and study requirements 62% report that counseling made it possible for them to continue as a student. Top 6 Reasons Students Come to CAPS (2008-2012) Anxiety65% Stress53% Depression 46% Self Esteem Issues 24% Family Concerns 24% Relationship Concerns23% When should I be concerned about my students mental and emotional health? Social Withdrawal Marked change in appearance, self care, hygiene Excessive self criticism Tearful calls outnumber the others Talk of hopelessness When should I be concerned about my students mental and emotional health? Loss of motivation Excessive fatigue or lethargic mood Extreme increases in energy, rapid speech and thoughts Inability to think and concentrate, dramatic change in grades References to self harm or suicide Parent Tips (developing the supportive partnership) If your