Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness.
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Preventing Addiction and Mental Health Issues in College Students
Dr. Dawn-Elise Snipes
Objective
Review some of the unique triggers for co-occurring disorders in adolescents and college students
Identify current best practices for preventing those
Explore ways to enhance college student engagement in prevention and health promotion activities
College Student Issues
Almost half of college-age individuals had a psychiatric disorder in the past year which was not different between college-attending and their non-college attending peers.
Anxiety disorders 11.9% (& AUD in females)
Depression 9% / 6.7% Suicidal ideation / Tobacco & cannabis
ADHD 8%
ASDs 2%
Eating Disorders 10%
Suicide Prevention Interventions
Educate faculty, staff (janitors, residence life, counselors, food service, library, coaches)
Require students to take a health literacy / suicide prevention course
Reduce the stigma of seeking help
Make information and resources available in a culturally sensitive fashion both in person and online (posters, bathrooms, online…)
Promoting wellbeing in a holistic manner (individual and elements of their sociocultural environment)
Biopsychosocial factors conspire to limit the quantity of sleep for many adolescents resulting in a number of negative consequences
The suprachiasmatic nucleus of the hypothalamus is the circadian timekeeper (biological clock)
Melatonin levels rise just before sleep onset.
In adolescence, the timing of melatonin release shifts to a later time, making it much harder for teenagers to fall asleep before about 10 pm
Self-reported sleep duration was positively correlated with bilateral hippocampal grey matter volume in the frontal and anterior cingulate cortex.
Interventions
There is no single EBP that has shown effectiveness
Later class starting times (8:30)
Limited late-night activities (Close the student union at 10 on weekdays, dim dormitory hall lights at 9 on weekdays)
Health Education (Prevalence, Risks, Interventions) and Stigma Reduction
Integrative approaches to student health
Motivational Interviewing approaches have been shown to increase engagement with the college student population
FRAMES: Feedback, Responsibility, Advice, Menu, Empathy, Support
Reduce peer pressure and address campus-wide negative messages
Interventions
Information about goal setting
Self-esteem enhancement messages (like what??)
Increase self-efficacy (tutoring, extracurriculars, mentoring)
Improving interpersonal skills and assertiveness
Improving stress tolerance and coping skills
Encourage daily pleasant activities
Educate students about learning styles to enhance classroom experience
Increase social support (group activities in classes, RH activities, clubs, campaigns (Random acts of kindness, Smile a day) Mental health first aid
Peer specialist facilitated online and f2f support groups
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