Keynote Address by Dr. Peter Cornish
Stepped Care 2.0 – Scaffolding for Rapid Care Access in the Context of a Thriving Campus Community
Conference 2017: Innovation, Opportunities & Challenges in Campus Mental Health
Creating a healthy campus community involves institutional policies, physical environment, counselling and crisis intervention, curriculum, training of faculty and staff, competency-building for students, and more. It requires a proactive, systemic approach. Creating a healthy campus community involves everyone – including faculty, support staff, administrators, student leaders, and students. It requires the campus community to be engaged in understanding and enacting the role they play in creating a healthy campus.
A whole-campus approach to building a culture of wellbeing is an approach that explores the impact of wellbeing on learning and personal growth that’s spreading quickly across institutions, both within Canada and internationally. To facilitate this discussion, we look at the key components for campus mental health strategy development, as established by the Canadian Association of College and University Student Services (CACUSS) and the Canadian Mental Health Association (CMHA).
- Institutional Structure: Organization, Planning and Policy
- Supportive, Inclusive Campus Climate and Environment
- Mental Health Awareness
- Community Capacity to Respond to Early Indications of Student Concern
- Self-Management Competencies and Coping Skills
- Accessible Mental Health Services
- Crisis Management
Each of these components represents an individual stream under this year’s conference theme. We are especially interested in program submissions that integrate ideas under each of the seven streams into an overall campus mental health strategy, showcase innovation and research within the streams, and set the course for having a campus-wide strategy in place.
October 30, 2017
Dr. Natasha Saunders is a general pediatrician in the Division of Pediatric Medicine at The Hospital for Sick Children, an Associate Scientist at the SickKids Research Institute, and an Adjunct Scientist at the Institute for Clinical Evaluative Sciences (ICES). A core focus of her research program relates to better understanding health outcomes, specifically mental health and injuries, of pediatric immigrants and identifying ways to improve access to care for these children. As a Principal Investigator with the Mental Health and Addictions Team at ICES, she worked as a co-author to create the 2017 Scorecard for the Mental Health of Children and Youth in Ontario.
October 31, 2017
Dr. Peter Cornish is an Associate Professor and Director of the Student Wellness and Counselling Centre (SWCC) at Memorial University of Newfoundland. Dr. Cornish is a strong advocate for interprofessional collaboration and encourages the development of partnerships with a broad range of disciplines within the university and within the public health sector. His clinical and research interests include online mental health, stepped care programming, mental health service innovations, change management, interprofessional team functioning, interpersonal and group dynamics, wellness community development and gender issues. He is known for developing and implementing the Stepped Care model at Memorial University, which is a 9-step model of wellness service care and management with potential for electronic medical record integration and commercialization.
Concurrent Session Information
A1: Wellness in Two Worlds: A Holistic Approach to Supporting Indigenous Students
Speakers: Laurie Schnarr, Cara Wehkamp & Natasha Young
In a context of building an inclusive campus and fostering cultural safety, the University of Guelph has researched and developed a collaborative support model that focuses on holistic (mental, emotional, spiritual, physical) wellness for Indigenous postsecondary learners. By harmonizing aspects of Indigenous knowledge and worldviews with appropriate, western-based therapeutic approaches, the aim is to more effectively engage and support Indigenous students where they are in their personal healing and wellness journeys. Participants will gain an understanding of the holistic wellness needs of First Nations, Métis and Inuit learners, how we work with our colleagues and partners to create a community of care, and they will explore opportunities for enhancing mental health and wellness support for Indigenous learners.
A2: Engaging Staff & Faculty in Campus-Wide Mental Health Initiatives
Speakers: Kate Klein & Jacqueline Macchione
A large part of students’ social and emotional support system is comprised of teachers and other staff who help them navigate their college journey. When staff and faculty feel confident in their ability to support students both proactively (through systems, policies, procedures, built environments, curriculum, etc.) and responsively (through direct support), students have access to a network of mentors, cheerleaders, and practical guides that can make the difference between flourishing and languishing. For this reason, George Brown College’s Healthy Campus Initiative has placed a strong focus on helping staff and faculty at the college expand their knowledge and skills related to promoting mental health and supporting students throughout all stages of their college experience. This session will explore GBC’s efforts to engage staff and faculty in its Healthy Campus Initiative, with a focus on two major projects: the Foundations for Flourishing workshop series and the FacultyConnect online learning hub.
A3: Campus Mental Health Policy & Planning: Insights from Five-years of Longitudinal, Outcome-based Data
Speaker: Tayyab Rashid, Danielle Uy, Andrew Cooper, Ary Maharaj, Sonya Dhillon
There is an ongoing debate in the mental health field as to whether the rate of psychological distress is increasing among students in post-secondary institutions. Based on qualitative, quantitative, and longitudinal data, we address this question empirically by exploring a dataset of more than 2500 students who sought counselling services at an urban, culturally diverse post-secondary campus. Integrating demographics, academics, and clinical characteristics, collected through routine clinical procedures, self-report measures of symptoms and strengths, and patterns of health and mental health service use, this presentation attempts to provide answers to following questions; (1) whether psychopathology among postsecondary students has increased over the past five years; (2) what are pre-dominant clinical and non-clinical presenting concerns at postsecondary institutions; (3) what predicts suicidal ideation and risky behaviour; (4) what are patterns of service use and how many sessions it takes to observe clinically significant improvements; (5) what is students’ perspectives on mental health services provided; and (6) how knowledge of strengths may affect therapeutic outcomes across symptom presentations. While responding to each of these six questions, we offer concrete policy recommendations.
A4: Postsecondary Education Partnership –Alcohol Harms: Framework, Implementation and Data
Speaker: Bryce Barker
The Canadian Postsecondary Education Partnership- Alcohol Harms (PEP-AH) provides an evidence-informed framework to encourage and support post-secondary educational (PSE) institutions to reduce alcohol-related harms on Canadian campuses. The collaborative currently has 36 postsecondary partners across Canada. This session will provide attendees with an understanding of PEP-AH’s socio-ecological framework, identifying common indicators of reduced harm. Finally, this session will show how PEP-AH engages students as leaders and partners in reducing alcohol harms.
B1: Extending the Healthy Campus Online: Considering Distance Student Mental Health
Speaker: Rose Singh
For post-secondary students studying at a distance or online, institutional services to support their mental health may be inaccessible to them. Increasing online enrolments, and the expansion of online courses and programs, requires reconsideration of the boundaries of the healthy campus community to include online contexts. Online services and supports, available regardless of time or place, offer students help when and where they may need it most.
This research highlighted the experiences of distance education social work students with mental health (dis)Abilities, with suggestions for better supporting students’ mental health online. Recommendations and potential applications of the research will be discussed. Conference participants will also be invited to share their own experiences and practices for promoting and addressing student mental health online.
B2: The Inquiring Mind: A New Program to Address Mental Health in Post-secondary Settings
Speakers: Andrew Szeto & Keith Dobson
The Inquiring Mind is a program that has been built on evidence-based principles and practices, and is adapted from other programs that have been evaluated in a variety of settings. The program includes the mental health continuum model, which re-conceptualized how one think and talks about mental health and mental illnesses. As well, other core components include stigma reduction methods (e.g., contact-based education) and the development of healthy coping strategies. The Inquiring Mind was developed using best practices in adult education, including both didactic and experiential exercises, and the use of peers as presenters, to maximize the uptake of the content of the program. In this workshop, participants will learn about the development, implementation, and evaluation of the program, along with some of the core content. Participants will also get a chance to experience some of the components of the program through group exercises, scenarios, and discussion.
B3: Engaging Students in Developing A Mental Health Strategy
Speakers: Colin Aitchison & Nadia Bathish
In order to create a healthy campus climate, all aspects of the campus community must be engaged. This presentation will draw on OUSA’s research regarding the experiences of students on Ontario’s university campuses, and will stress the importance of partnering and engaging with both everyday students and student groups when exploring institutional policies, changes to the physical environment, counselling and crisis intervention services, curriculum development and employee training. It will explore the recommendations that students have developed to address gaps that they have identified in their campuses, with the hopes of leaving the audience with thoughts about how to better integrate the needs of students into their campus mental health strategies, and how to better engage and consult students.
B4: Lowering Risk on Campus: Canada’s Lower-Risk Cannabis Use Guidelines
Speakers: Tamar Meyer & Farihah Ali
Campuses are a key setting for promoting low-risk cannabis consumption. Canada’s Lower-Risk Cannabis Use Guidelines (LRCUG) are an evidence-based tool, allowing people who use cannabis to modify and reduce risks for harms associated with cannabis use. The LRCUG were developed by an international team of renowned addiction and health experts, and based on a rigorous review and expert guideline process. The LRCUG were published in the American Journal of Public Health in June 2017.
This session will:
- Introduce key concepts and content of Canada’s Lower-Risk Cannabis Use Guidelines
- Discuss prevalence of cannabis use amongst postsecondary students
- Discuss ways to promote awareness of LRCUG and reduce cannabis harms on campus
C1: Advancing a Mentally Healthy Campus
Speaker: Stephanie Francis
1 in 5 Canadians experience mental illness, but all of us have mental health, and it is vital that Universities invest in supporting all community members. York University’s mental health strategy goes beyond supporting students, and focuses on staff and faculty as well, so that all members of our community can support one another. Join us to learn about how we adapted the CACUSS Mental Health Framework to develop a strategy that focuses on the well-being of our entire campus community. We will provide you with tips to take back to your own institution, ideas for building campus partnerships and highlights from our first year.
C2: Creating a Mental Health Hub
Speaker: Janice Beatty
It is well documented that college students today face a variety of mental health challenges. Although colleges are not health care facilities, there are structures and supports that can be engaged to help students and institutions with the issues they face and thereby enhance student success and institutional strength. The presentation will provide an overview of the mental health hub structure as well as provide information on some key support areas.
C3: Implementing Stepped-Care 2.0 in Postsecondary Settings
Speaker: Peter Cornish
Following a brief overview of Stepped Care 2.0 © (see Closing keynote description for details on the model), participants will be invited to discuss in small groups successes and pain points in their efforts to meet rising demand, increase access and improve outcomes. Whether you are familiar with the model or new to it, this workshop is aimed at driving innovation and sharing emerging creative efforts at improving campus mental health. Following the workshop, data generated through the exercise will be organized into themes and made available to participants for further processing on a shared platform. Participants will be encouraged to join one of two existing stepped care communities of practice which meet monthly via web conferencing to share implementation experiences and access mentors who can support professional development.
C4: Re-thinking How Students Access and Receive Mental Health Support on Campus – A Collaborative & Data Driven Approach
Speakers: Dr. Puneet Seth & Areeba Athar
In fall 2016, the University of British Columbia Campus Health took a bold step towards improving the care they provided to their students by migrating their health record system from a traditional EMR to a cloud-based Collaborative Health Record (CHR). In doing so, the fundamentals of how students access and receive mental health care entirely changed. By shifting to a system of engagement, students can book appointments online, have direct message conversations with their care team, report their symptoms and quality of life, connect with a virtual visit and receive tailored education – all through the click of a mouse. This presentation will take a look at the novel model of mental health delivery being utilized at UBC, some of the challenges they’ve faced in the transition, as well feedback from staff and students alike, and also hear from the audience on barriers and experiences they might perceive in deploying a similar solution in their institutions.
E1: A Post-Secondary Harm Reduction Based Approach to the Opioid Crisis
Speaker: Ben Bridgstock
In the early 1980’s there was a growing understanding and concern around HIV infection rates in injecting drug user populations. This led to significant changes in service provision – with harm reduction based strategies being used to great effect in substance abuse for the first time. Now, over 30 years later we have an opioid crisis in both the US and Canada that calls for significant changes in service delivery models if the crisis is to be managed effectively. Utilizing the lessons learnt from implementing harm reduction based interventions in the 1980’s can and should inform post-secondary institutions response to the current opioid crisis. This presentation will highlight evidence based harm reduction based strategies that can be used to address the current crisis in the post-secondary sector.
E2: Changing the Culture of Mental Health on Campus
Speakers: Andrew Szeto & Debbie Bruckner
It has been a year and a half since the University of Calgary launched it Campus Mental Health Strategy in December 2015. Implementation of this Strategy is ramping up with a majority of the 28 recommendations well underway and the implementation advisory committee guiding the process. This session will provide a brief overview of the Strategy development process and some of the current implementation highlights. More importantly, this session will focus on the implementation processes, barriers and challenges to implementations, and lessons learn from implementation. Through group work and discussion, this session will provide useful information for campuses looking to develop or implement their own mental health strategy.
E3: Accessible Mental Health Services
Speaker: Mahadeo Sukhai
Postsecondary students who experience mental health issues can be grouped into three categories: (1) Those students who have been diagnosed with a mental health condition prior to starting graduate school; (2) Students who have been diagnosed with a mental health condition in addition to identifying with other disabilities prior to starting graduate school; and, (3) Students who develop mental health conditions during their graduate training. In the “Landscape of Accessibility and Accommodation in Canadian Postsecondary Education” project, the National Educational Association of Disabled Students (NEADS) has undertaken a significant effort to understand the student experience of students experiencing mental health disabilities in Canada, through student, student life professional, faculty and service provider consultations and surveys. In this presentation, we will discuss the current data collected for the project, as well as some significant outstanding issues we have identified through our research. We will highlight, where possible, population survey data, innovative practices, narratives, and new, previously unidentified, specific challenges. Key areas for discussion have been identified as the challenges associated with transitions (high school to postsecondary education (PSE), PSE to employment) as well as the challenges associated with professional and graduate education.
E4: Apps in Mental Health
Speaker: Dr. Simon Hatcher
Dr Hatcher will talk about the advantages and disadvantages of using apps to prevent and treat mental disorders. This will be based on his experience as a clinician and a research program looking at the use of technology in underserved populations. Further background information can be found here https://hatchingideashub.com or follow @HatchingHub.
Conference Presentation Slides
Keynote Address by Dr. Peter Cornish