1. Welcome to the HMN Webinar Series! To ensure the quality of your experience, please: ▪ Use the Audio Set up Wizard (located under Meeting) to ensure that your audio is working properly. ▪ Check to see if your speaker is activated. When activated, the speaker icon at the top of the screen should appear green. To ask a question/make a comment at any point throughout the webinar, type using the chat room in the bottom of the screen. We’ll address your questions during the discussion portion of the webinar. Thank you! We will begin shortly!

2. Data-Driven Approaches to Evaluation and Improvement of Campus Mental Health Services and Systems Sarah Ketchen Lipson, EdM Assistant Director, HMN, University of Michigan Nance Roy, EdD Clinical Director, JED Foundation JED and Clinton Health Matters Campus Program HMN Webinar Series | Session #14, November 2015

3. Welcome and About HMN The Healthy Minds Network Research-to-practice network based at University of Michigan Public health approach to mental health among young people HMN Research-to-Practice Objectives: (1) produce knowledge (research) (2) distribute knowledge (dissemination) (3) use knowledge (practice)

4. HMN Announcements ▪ Annual College Mental Health Research Symposium (March 8-9, 2016) in Ann Arbor ▪ Depression on College Campuses Conference (March 9- 10, 2016) in Ann Arbor ▪ Next HMN webinar: December 8, 2015 at 2pm (Crisis Text Line)

5. Today’s Webinar ▪ Data-Driven Approaches to Evaluation and Improvement of Campus Mental Health Services and Systems ▪ Presenters: Sarah Ketchen Lipson (HMN) and Nance Roy (JED) ▪ Discussion Please submit questions at any point throughout the webinar using the chat box!

6. Webinar Overview  Introduction  Guiding public health principles  Overview of the Campus Program  Overview of the Healthy Minds Study  CP-HMN partnership  Discussion 6

7. Introduction About the Campus Program (CP)  Works with schools to develop comprehensive approach to wellbeing/suicide/substance abuse prevention by engaging cross-campus teams  Assists teams in developing strategic plan focused on feasibility, sustainability, assessment CP-HMN Partnership  Complementary goals and activities  When implemented together, these initiatives yield a comprehensive approach to using research to enhance campus mental health programs and policies 7

8. Public Health Principles  Public health principles motivate CP and HMN  Provide framework for investigating and understanding the causes of the issue through programming, policies, advocacy  Define problem  Identify factors that effect risk  Investigate prevention efforts  Prevention in a wide range of settings  Monitor outcomes 8

10. Work Together: CP Team  Form campus-wide task force  Introductory webinar  Self-assessment survey (3 administrations)  Detailed feedback reports (3) from self-assessment survey tailored to campus  3 sessions to discuss feedback  Report, strategic plan, next steps  Develop strategic plan to address wellness, substance abuse, suicide prevention  On-going technical assistance to help fill in gaps and offer resources, which vary by campus  Participation in CP learning community  Assist schools in evaluation of efforts and promoting achievements  Maintain confidentiality

11. Healthy Minds Study About HMS  Began in 2007  Population-level survey (random sample of students)  >120,000 respondents 3 Standard Modules  Demographics  Mental and Emotional Health (validated screening tools)  Mental Health Service Utilization/Help-Seeking 11

12. HMS Elective Modules (Choose 2) Stress and Competition Sleep Habits Knowledge and Attitudes Sexual Assault Persistence/Retention Eating/Body Image Substance Use Diversity and Campus Climate Resilience/Coping Financial Stress Upstander/Bystander Behaviors Overall Health

13. CP-HMN Partnership  Value of assessing systems change (CP) and student attitudes/behaviors (HMS)  Identify trends that point to correlations between enhancing systems, policies/programs and student attitude/behavior change (service use, awareness, stigma, etc.)  Assess progress over time and strengthen case for maintaining/expanding resources/programs  When implemented together, these initiatives yield a comprehensive approach to using research to enhance campus mental health programs and policies 13

14. Participation in CP- HMN Partnership CP Year 1CP Year 2CP Year 3CP Year 4 HMS #1HMS #2 14  $3,000 to receive two iterations of HMS (spread out by 2 or 3 years to measure progress)  ~50% the normal cost for participating twice  Enrollment process:  Step 1: Register for CP  Step 2: Campus manager determines interest in HMS  Step 3: CP directs interested campuses to HMS team  Step 4: Enroll in HMS

15. Benefits to Participating Campuses  By participating in HMS and CP, institutions have ideal combination of student-reported survey data, institution-reported survey data, and consultative services  Identify trends in relationship between systems change (CP) and student attitude/behavior change (HMS)  Analysis of special populations to determine changes in students' attitudes/behaviors as institution targets these populations  Data reporting to campuses  Customized data set  Customized data report  Access to data interface with comparison to peer institutions  Customized memo describing economic case 15

16. Customized Data Reports

17. Data Interface data.healthymindsnetwork.org

18. Economic Case: Quantifying the Need 1-page memo UM example:  ~33% of UM students experiencing at least one significant mental health problem (~14,000 students)  Among these students, ~40% have received recent mental health services, whereas 60% have not (8,400 students with untreated mental health problems) 18

19. Economic Case: Benefits of Services and Programs  While many of these students would get better without intervention, mental health services greatly improve their chances  Counseling services lead to large reductions in symptoms and improvements in functioning  Depression associated with two-fold increase in risk of student departure from an institution  Increasing availability of evidence-based services or preventive programs can reduce this risk and increase student retention 19

20. Translating Benefits into Student Retention and Economic Returns  At UM, suppose clinical services were expanded to reach 1,000 students with untreated mental health problems  Improve wellbeing of hundreds of students  Retention of ~20 students who would have otherwise departed  This could save approximately $1.2 million in tuition revenue  Increase students’ total expected lifetime earnings by >$4 million  On average, providing high-quality mental health services to these students would cost no more than $1 million  Note mental health is correlated with higher satisfaction in college and higher reported likelihood of donating as a future graduate 20

21. ROI Calculator (http://www-personal.umich.edu/~daneis/) Parameters (customizable): Student population (enrollment) Percentage of students depressed Institutional drop-out rate per year Tuition Cost of mental health providers Outcomes: Number of drop-outs averted due to programs/services Total additional revenue for institution Total additional lifetime earning (productivity) for graduates 21

22. Summary  Goal: assess and improve campus mental health systems  Campuses experiencing higher prevalence/severity of mental health problems than ever before  >20 million enrolled in U.S. postsecondary education  Improving campus mental health  large-scale, long-term implications  Campuses are ideal setting for prevention and intervention  Research has not kept pace with expansion of programs and initiatives  Administrators and policymakers need to know which programs and policies are most effective  This requires a large-scale collaboration between researchers and campuses adopting significant mental health reforms  CP+HMN 22

23. Discussion (Q&A) To pose a question, please submit your question using the “Chat Room” in the bottom corner of the screen.

24. More Information Healthy Minds Network www.healthymindsnetwork.org | healthyminds@umich.edu Jed and Clinton Foundation Health Matters Campus Program www.thecampusprogram.org | nroy@jedfoundation.org