Empowering Student Well-Being: A New Approach to Resilient Mental Health in College Students

Guest Author: Emma Sheridan

Across campuses nationwide, the escalating prevalence of mental health disorders among students represents a significant and persistent systemic challenge. The growing mental health crisis on college campuses isn't a fresh discovery; it's a long-standing issue with truly damaging effects on student well-being and their future roles in society (Duffy et al., 2019). While university counseling centers struggle with a high demand, traditional institutional responses inadvertently worsen problems. By prioritizing symptom identification and funneling students into already overburdened referral systems, we inadvertently cultivate a culture of learned helplessness, which, in turn, diminishes the capacity of students, faculty, and staff to build essential resilience and truly thrive.

Helping vs. Empowering: Not the Same

Educational systems often approach student mental health struggles with a 'rescue' mentality that can stem from fear, manifesting as hypervigilance in identifying stressed students or pathologizing normal developmental stress through immediate referrals to already strained services. While this comes from a place of genuine care, it can inadvertently hurt the very resilience it aims to build. It might convey that students are fragile and can unintentionally reduce their sense of self-efficacy (Bandura, 1997). Conversely, equipping students with effective strategies to manage their mental health fosters resilience, independence, and a strong sense of personal control.

Psychoeducation: A Small Fix for a Big Problem

Academic responses to the mental health crisis often focus on educational programs that teach students how to recognize mental illness. These responses include awareness campaigns, online resources, and curriculum integration.  Even though these efforts are well-meaning, they frequently fall short. They tend to focus on finding problems instead of actively developing solutions or giving people practical skills (Jorm et al., 2007). Because of this focus, individuals might feel powerless before they have a major issue or crisis which increases dependency on outside experts. Research consistently shows that while psychoeducation can improve knowledge and attitudes towards mental health in the short term, its direct impact on reducing mental health symptoms or improving help-seeking behavior is often limited, and these improvements may not be sustained over time. For instance, a systematic review and meta-analysis on interventions to promote help-seeking for mental health problems concluded that while mental health literacy improved, there was no evidence that interventions effectively increased the use of informal help or consistently translated into long-term formal help-seeking for all populations. Similarly, other studies highlight that an increase in knowledge doesn't automatically translate into behavioral change or a reduction in personal stigma. This means merely providing education on a problem without providing practical coping skills can leave individuals feeling powerless, increasing reliance on experts only in crisis. To make a real difference, we need to move beyond just awareness to equipping individuals with concrete skills for resilience. 

The Referral Maze: A Cycle of Dependence and Missed Opportunities

A common systemic barrier for students seeking mental health support are the limitations of the  referral process, which directs students to counseling centers already struggling with overwhelming demand. Even when services are available, a significant proportion of referred students do not engage with counseling. For instance, data from Healthy Minds Network, a leading research organization on college student mental health, consistently indicates that many students with identified mental health needs do not access available services, with some reports suggesting that close to 60% of students with a need for mental health services don't receive care in a given year. This often stems from a variety of factors: they may not believe it will help, they might not feel "sick" enough, or they could be grappling with the shame, stigma, or embarrassment associated with seeking help. Additionally, conflicting schedules can make attending appointments difficult, and misunderstandings about confidentiality or a general mistrust of sharing personal information can act as further deterrents. The challenges that follow within the existing system—like long wait times, strict limits on sessions, and a main focus on managing emergencies—leave little room for developing lasting coping skills and the resilience needed for long-term well-being (Reetz et al., 2013). 

This dependence on a system that often struggles to meet demand perpetuates the belief that mental health is exclusively the domain of specialists, rather than something individuals can actively influence in their own lives. A singular focus on individual mental health frequently overlooks the profound power of community. Environments that cultivate belonging, genuine connection, and mutual support powerfully elevate overall well-being (Pretty et al., 2003). Instead of overlooking the key community aspect, a few campuses have begun to integrate peer support and collective effort into their mental health systems. For instance, the University of Michigan's Wolverine Support Network trains students to facilitate weekly group meetings, creating a range of peer support options that significantly enhance student feelings of belongingness and provide an accessible entry point to mental wellness. This has led to students feeling less isolated and more connected, greatly benefiting from the shared experience. We need more of this empowering approach to campus mental health.

The Ripple Effect: High Costs Down the Line

The consequences of learned helplessness in schools go far beyond campus. Graduates entering the workforce with weak coping skills face a higher risk of burnout, more missed workdays, and lower cognitive performance. This affects both their personal careers and the productivity of organizations (Lipson et al., 2019). Furthermore, the social and financial burden of untreated mental health issues is staggering, costing the U.S. economy over $280 billion annually (Abramson, 2024). It leads to more medical costs, other health problems, higher insurance prices, and financial stress (Whiteford et al., 2013). These effects, unfortunately, don't stop at the individual; they impede economic growth, burden communities with increased costs, and undermine societal well-being as a whole.

Building Systemic Resilience: A Holistic Path Forward

In order to create sustained preventive action and reduce dependency on mental healthcare, it is important to strengthen the system to build resilience among students, faculty and staff. Institutions can utilize MindArch Health "4 P's framework" - Policies, Practices, Programs, and Places, or similar models, based on a comprehensive data analysis to support decision making..  Data gathered using tools like MindArch Health’s "5-Elements of Systemic Wellbeing Framework" can be leveraged within each of these 4 Ps to identify needs within 5 domains related to mental wellbeing. This allows institutions to proactively construct systemic resilience, thereby shifting from a model predominantly focused on crisis management to one of empowerment and flourishing. Envision collegiate environments where proactive support is as fundamentally embedded in academic instruction, campus spaces, and institutional policies and practices. This holistic approach will cultivate settings in which students are equipped with essential life skills, supported by their communities, and prepared to confidently navigate the complexities of college life and beyond. Ultimately, this shift will generate a ripple effect of well-being that extends far beyond the confines of campus boundaries.

References:

  • Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.

  • Duffy, M. E., Twenge, J. M., & Joiner, T. E. (2019). Trends in mood and anxiety symptoms and suicide-related outcomes among U.S. adolescents, 2005-2017. Journal of Abnormal Psychology, 128(2), 185–199.

  • Healthy Minds Network. (2023). Healthy Minds Study 2022-2023 National Data Report

  • Jorm, A. F., Christensen, H., & Griffiths, K. M. (2007). The impact of beyondblue: The national depression initiative on the public's recognition of depression and beliefs about treatments. Australian & New Zealand Journal of Psychiatry, 41(10), 832–838.

  • Lipson, S. K., Kern, M. L., Eisenberg, D., & Lumley, M. A. (2019). The mental health of college students: An overview of prevalence, risk factors, and protective factors. In K. B. Scheff & K. K. Sideris (Eds.), The Oxford handbook of college student learning and development (pp. 518-552). Oxford University Press.

  • Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Effectiveness of interventions to promote help-seeking for mental health problems: Systematic review and meta-analysis. Psychological Medicine, 40(11), 1793-1803.

  • Hadlaczky, G., Hökby, S., Mkrtchian, A., Carli, V., & Wasserman, D. (2014). Mental health literacy and early detection of mental disorders: A systematic review. Frontiers in Public Health, 2, Article 181.

  • EAB. (n.d.). 3 Colleges & Universities Leveraging Peer Support to Meet Mental Health Demand

  • Xia, J., Merinder, L. B., & Belgamwar, M. R. (2011). Psychoeducation for schizophrenia. Cochrane Database of Systematic Reviews, (6), CD002831.

  • National Academies of Sciences, Engineering, and Medicine. (2015). Mental disorders and disabilities among older adults: The benefits of psychiatry. National Academies Press.

  • Pretty, G. M. H., Bishop, B. J., & Fraser, J. A. (2003). Psychological sense of community and its contributions to mental health. Journal of Community Psychology, 31(3), 281-294.

  • Reetz, D. R., Krylow, J., & Armitage, R. (2013). The American College Health Association-National College Health Assessment II: Reference Group Executive Summary Spring 2013. American College Health Association.

  • Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory (Form Y). Consulting Psychologists Press.

  • Abramson, B., Boerma, J., & Tsyvinski, A. (2024). Macroeconomics of mental health. Cowles Foundation for Research in Economics, Yale University. 

  • Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., ... & Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. The Lancet, 382(9904), 1575-1586.

  • Image: Canva

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