1. NEOMED TEMPLATE CampuS SAFETY AND MENTAL HEALTH:
Developing a Comprehensive Mental Health Promotion and Suicide Prevention Plan for Ohio’s Colleges and Universities
Department of Psychiatry
Northeast Ohio Medical University
Natalie Bonfine, M.A.
Mark R. Munetz, M.D.
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2. What is Northeast Ohio Medical University (NEOMED)?
Formerly known as Northeastern Ohio Universities Colleges of Medicine and Pharmacy (NEOUCOM)
Northeast Ohio: Recognizes the university’s history, heritage and the geographic region it serves
Medical: Recognizes its education, research and service mission in medicine, pharmacy, graduate research and graduate studies
University: Recognizes its three colleges and its status as one of 14 public universities serving the citizens of Ohio
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3. Acknowledgements Material in some of the slides was provided by:
Dr. Jerry Kay, Chair of Psychiatry, Boonshoft School of Medicine, Wright State University
Toni Notaro, Mahoning County Mental Health Board
Natalie Bonfine, NEOMED, Department of Psychiatry
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4. Why is Campus Mental Health a Concern?
Nearly 18 million students attend colleges/universities
More students asking for help
More students presenting with acute or serious disturbances
More students matriculating with mental disorders
Campus administrators turning to mental health services for:
Binge drinking
Student stress
Suicide risk
Gender issues
Psychological trauma
Eating disorders
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5. In the past 15 years on college campuses:
Depression doubled
Suicidal behavior tripled
Sexual assaults quadrupled
45% of students self-report depression
10% of students report suicidal ideation
44% binge drink
Are college years the best years of your life?
(Kadison, 2005)
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6. 2005 National Survey of Directors of Counseling Centers (Gallagher, 2006)
Many student mental health services in large eastern universities do not participate
9% of students sought mental health services and Depression on College Campuses Report indicated visits to 11 large Midwestern universities rose 42% over last ten years (Voelker, 2003)
58.5% of schools offer psychiatric services and provide on average 23.8 consultations weekly (double since 2004)
25.1% of students in mental health centers are on psychiatric medication (increased from 9% in 1994) and 95% of directors report an increase in students receiving medication
90.3% of directors believe there has been an increase in number of students with severe psychological problems
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7. 2005 National Survey of Directors of Counseling Centers (Gallagher, 2006)
375 cases of obsessive pursuit reported with 92 students injured and 4 killed
2,462 students were hospitalized for psychiatric disorders
Of 154 suicides in preceding year:
26% used firearms
21% hanged themselves
14% took toxic substances
13% jumped
32% made previous attempts
40% on psychiatric medication
20% had a previous psychiatric hospitalization
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8. National Survey of Directors of Counseling Centers (Gallagher, 2006)
Greatest concerns expressed in every category over previous survey
Increase in self-injury reports
Need to find better referral sources for longer term care
Growing demand for services without increased resources
Increased need for crisis intervention
Increased need for services for learning disabled students
Increase in number of eating disorders
Increase in number of sexual assault cases
Increase in number of students reporting earlier sexual abuse
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9. 15% sought counseling or took medication
Student Care Patterns University of Michigan (N=2,843) (Eisenberg Medical Care, 2007)
15% sought counseling or took medication
9% took psychiatric medication
48% got prescription from primary care doctor
31% from psychiatrist
13% from other MH professional (nurse specialist)
9% got medication without a prescription
Those receiving psychotherapy/counseling
50% went to university professionals
25% went to local non-university professionals
35% saw professionals in other communities (hometown)
Majority, therefore, are not treated on campus
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10. Campus Safety Extremely small portion of the 18,000 homicides per year in the U.S. occur in the college setting
Body copy goes here. Bolded phrases in orange.
Second bullet.
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Drysdale, D., Modzeleski, W., and Simons, A. (2010). Campus Attacks: Targeted Violence Affecting Institutions of Higher Education. U.S. Secret Service, U.S. Department of Homeland Security, Office of Safe and Drug-Free Schools, U.S. Department of Education, and Federal Bureau of Investigation, U.S. Department of Justice. Washington, D.C., 2010.

11. Suicides on Campus
There are an estimated 1,100 suicides among our nearly 18 million college students per year
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12. Violence Prevention and the Ohio Criminal Justice Coordinating Center of Excellence
What is the Ohio Criminal Justice CCoE?
Operated at NEOMED since 2001
The mission of the Criminal Justice CCoE is to encourage communities throughout Ohio to forge collaborative relationships between the mental health and criminal justice systems so that individuals with mental disorders receive the care they need.
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13. From Campus Safety to Campus Mental Health
The Criminal Justice CCoE’s most visible success has been Ohio’s statewide dissemination of Crisis Intervention Teams (CIT)
Early on, this included training campus police and security officers in a number of counties
After Virginia Tech, providing CIT training for campus police officers became a priority for CJ CCoE
FY 08 ODMH awarded Transformation State Incentive Grant (TSIG) funds to the CCoE to incentivize counties to start or expand CIT to campus police and security
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14. Suicide Prevention is Violence Prevention
Deaths on campus are far more likely to be the result of suicide than homicide
Virginia Tech, Northern Illinois University were murder/suicides
Prevention of such incidents requires a comprehensive approach to addressing mental health on campus
Overarching issues to consider include:
Suicide prevention
Substance abuse issues
Availability of mental health services
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15. From Campus Safety to Campus Mental Health
In 2009 and 2010 the CJ CCoE received small TSIG awards from Ohio Department of Mental Health to expand the campus safety initiative beyond CIT
Goal was to address mental health on campus in a more comprehensive manner
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16. Based on the Jed Foundation Framework
Education/ Awareness
CIT on Campus
A Comprehensive Mental Health Promotion and Suicide/Violence Prevention Plan for Ohio’s Colleges and Universities
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Outreach/ Stigma Reduction
Addressing Systems Issues
Based on the Jed Foundation Framework

17. Advisory Committee on Campus Safety in the Mental Health Context
Statewide committee formed and operated by the Criminal Justice CCoE
Includes local and state partners from colleges/universities, community mental health, state advocacy, Ohio Board of Regents, Ohio Suicide Prevention Foundation, and Ohio Department of Mental Health
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18. Focus of the Advisory Committee
Stakeholders have focused on prevention of crises on campuses
Appropriate training for campus police/security (CIT)
Promote early identification of mental health problems, help-seeking behavior and stigma reduction
Better understanding of counseling services and health services on and off campus
Suicide prevention
Identifying and overcoming systems issues and barriers between the campus and broader community mental health system
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19. Collaborative Program Development Grants
Type of Program
Mental Health Education 14
Suicide Awareness and Prevention 12
Stigma Reduction 7
CIT on Campus 5
Multiple programs 15
Focus on student veteran 9
Number of counties with programs 20
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20. Psychological First Aid for Colleges/Universities
Experts from ODMH, Bowling Green State University and the University of Cincinnati adapted existing curriculum for college/ university communities
Train-the-trainer session held at NEOMED now on streaming video and available to all:
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21. Regional Suicide Prevention Gatekeeper Training
Partner with the Ohio Suicide Prevention Foundation
Two regionally-based gatekeeper training sessions in rural areas of the state
Key audiences: college/university staff, faculty, administrators and students
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22. Ohio’s Program for Campus Safety and Mental Health, August 2011
NEOMED received a three-year Garrett Lee Smith Suicide Prevention Grant from the national SAMHSA
The Margaret Clark Morgan Foundation and the Health Foundation of Greater Cincinnati provided matching funds for the first year
We are recruiting a full-time project coordinator
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23. Next Steps
We want to expand our Advisory Committee on Campus Safety and Mental Health
We hope this will include statewide representatives from all institutions of higher education and mental health systems (ADAMHS Boards and others) in the state
We intend to send out Requests for Proposals for Collaborative Development Grants in the fall of 2011
Requires a partnership between one or more institution of higher education and its local ADAMHS Board
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24. Next Steps Ideally, this effort will be ongoing.
As such, we need a sustainability plan.
If this is of the value we believe it will be, then each participant will need to contribute.
We hope to continue our conversation with the Ohio Board of Regents and others to develop a long-term sustainability plan.
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25. Partners Going Forward Please join us!
The Margaret Clark Morgan Foundation
Health Foundation of Greater Cincinnati
Ohio Board of Regents
ODMH
ODADAS
Ohio Suicide Prevention Foundation
Ohio Association of County Behavioral Health Authorities
American Psychiatric Foundation
NAMI Ohio
The University of Akron
Bowling Green State University
Wright State University

26. What You Can Do Today Let your colleagues know of this effort.
If you or anyone you know wants to join the network of professionals and advocates interested in campus safety and mental health, please contact me:
Mark R. Munetz, M.D.
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27. Thank you!