MentalHealthPromotion:aunifiedeffortacrossunits

JulieSanem,MPHDirectorofHealthPromotionKateElwell,MPH,CHES,CPHHealthPromotionSpecialist

WhatisHealthPromotion?

• Theprocessofenablingpeopletoincreasecontrolovertheirhealthanditsdeterminants,andtherebyimprovetheirhealth(WHO)

SocialDeterminantsofHealth

SocioecologicalModel

HealthPromotioninHigherEducation

• Healthisthecapacity ofindividualsandcommunitiestoreachtheirpotential

• Thespecificpurposeofhealthpromotioninhighereducationistosupportstudentsuccess

• Healthpromotionprofessionalsinhighereducationpracticeprevention(ACHA)

COLLEGESTUDENTHEALTHSURVEY

CollegeStudentHealthSurvey

• Spring2015• 17PostSecondaryInstitutionsAcross

Minnesota• Over12,000respondentsstatewide• UofMN2,023respondents• 34%responserate

MentalHealthConditionDiagnosis

• 32.7%ofUniversityofMinnesota—TwinCitiesstudentsreportbeingdiagnosedwithatleastonementalhealthconditionwithintheirlifetime

MentalHealthConditionDiagnosesOverTime

PoorHealthandGradePointAverage

Stress• Stressisthemostcommonissuereported

byUniversityofMinnesota—TwinCitiesstudents(72.6%)– 45.6%reportedthatstressaffectedtheiracademics

Stress• Sixtypercent(60%)ofstudentsreportat

leastonemajorlifestressorinthepast12months– Roommate/housemateconflict– Deathofsomeoneclosetoyou– Terminationofapersonalrelationship– Seriousphysicalillnessofsomeonecloseto

you– Parentalconflict

StressManagement• 34.7%ofstudentsreportedtheyareunabletomanagetheirstresslevel

StressandDiagnosisofMentalHealth,Acute,andChronicConditions-Past12Months

Condition

Percentreportingdiagnosisinthepast12months

ManagedStress

UnmanagedStress

Anyacutecondition 14.4 17.7

Anychroniccondition 10.9 14.2

Anxiety 6.7 17.1

Depression 4.6 13.3

Obsessive-CompulsiveDisorder 0.5 1.5

PanicAttacks 2.7 7.3

SocialPhobia/PerformanceAnxiety 1.6 6.4

MentalHealthStressorsandRiskyBehavior

GPAbyReportedNumberofMentalHealthStressors

p<0.0001

GPAbyPerceivedAbilitytoManageStress-Past30Days

AbilitytoManageStress

MentalHealthServices

•Animportantstrategyforaddressingstudentmentalhealthistoassureservicesmeetdemand.

•Inthepast2years,Boyntonhasadded4.75FTEstotheMHC,increasingstudentaccesstomentalhealthservicesandeliminatingthewaitlist.

PublicHealthApproach

•WearenowworkingtosupplementtheclinicalapproachwithaPublicHealthapproach:– populationbased– focusedonprevention

BOYNTONHEALTHPROMOTION’SPLAN

Approach

• Literaturereview– HealthyMindsstudy– JedFramework(suicideprevention)– Mentalhealthpromotion– Behaviorchangetheories

• PeerInstitutions– ActiveMindsHealthyCampusAward(2015)

IntegratedBehaviorModel

• CombinationofTheoryofPlannedBehavior,TheoryofReasonedAction

• IBMhasbeenusedfor:– Condomuse– Bingedrinking– Physicalactivity

perceivedcontrol:determinedbyone’sbeliefsaboutwhetherenvironmentalfactorsmakeiteasyordifficulttoperformastressreductionactivity

instrumentalattitude:beliefsaboutdoingthebehavior,basedonbeliefsaboutoutcomesaboutthe

behavior

Attitude

injunctivenorm:others’expectationsofyou

descriptivenorm:perceptionsaboutwhatothersinone’snetworkaredoing(particularlyinsituations

wherethereisastrongsocialidentity)

PerceivedNorm

experientialattitude:feelingsaboutdoingastressreductionactivity

self-efficacy:one’sbeliefintheireffectivenessinperformingastressreductionactivity

PersonalAgency

Intention

Skills

EnvironmentalConstraints

Behavior

StressReductionActivity

1

3

2

ThementalhealthpromotionstrategicplanisinformedbytheIntegratedBehaviorModelandaimstoencourageall

studentstodeveloparegularstressreductionpracticeasaproactivestrategy

tosupporttheirmentalhealth.

APPLICATIONTOANEVENT:MakeTimetoPAWS

EventObjectives

1)Toprovideexposuretoabroadrangeofstressreductionactivities.

EventObjectives

2)Toincreasestudents’intenttoengageinstressreductionactivities.

Event Objectives

3)Toincreasestudents'self-efficacyrelatedtoregularlyengaginginstressreductionactivities.

EventObjectives

4)Toimprovestudents’attitudesaboutregularlyengaginginstressreductionactivities.

APPLICATIONTOADEPARTMENT:YourDepartment

Activity--brainstorm

• Howcanyourdepartmentsupportstudents’regularstressreductionpracticeinitsdailywork?–Interactionswithstudents/clients/patients–Interactionswithstudentemployees–Standardprocedures–Documentationandforms–Otherways

Thankyou!

JulieSanem,MPHsanem006@umn.edu