Mental health interventions require continued attention

The University of Bristol’s “Science of Happiness” course showed that teaching students the science of happiness improved their wellbeing, but only temporarily. Unless students kept up the habits, like gratitude, exercise, journaling, meditation, the gains evaporated. Professor Bruce Hood put it plainly: “It’s like going to the gym. We can’t expect to do one class and be fit forever.”

We have built an industry around the one-class model. Wellness modules during orientation. Awareness weeks. A counseling center with a six-week waitlist. Apps. Webinars. Posters in the dining hall. The architecture of campus mental health too often treats psychological distress in the way a freshman seminar treats critical thinking, as a unit to be covered, checked off, and rarely returned to.

Meanwhile, the American College Health Association still finds roughly 30% of students saying anxiety hurts their academic performance, and more than a third receiving mental health services in the past year, as Insight into Academia reported. Inside Higher Ed’s reporting on what’s actually driving the crisis surfaces what frontline staff already know: students are working, caring for children, taking on loans, paying tuition as they go. The survey snapshot, as one researcher told the publication, misses that on any given day a student could be up against any number of barriers. The crisis is a portrait of the exceedingly complex lives students are actually living.

The burden of mental health is not evenly distributed. Higher Ed Dive’s reporting on campus climate found that about half of Black and Indigenous students reported negative experiences with cyberbullying — the highest of any racial group — and roughly 60% of Black and Asian students reported negative racial comments on campus. New Trevor Project research, covered in Inside Higher Ed, found LGBTQ+ young people in very accepting communities attempted suicide at less than a third of the rate of those in very unaccepting ones, 6% versus 18%. More than 500 anti-LGBTQ+ bills have been introduced in the U.S. this year. The mental health of these students is a contextual problem produced by the environment they are asked to learn inside, which is more than just a clinical issue that has a clinical solution.

Higher education’s initial response was to medicalize the issue, but further analysis of root causes leads to more nuanced understanding. BetterHelp’s review of the financial-stress data is brutal: 57% of students have had to choose between college expenses and basic needs, and 78% say financial pressure has hurt their mental health. The Trellis Strategies research on loneliness, covered in Inside Higher Ed, found that students who frequently feel lonely are far less likely to recommend their institution — just under 11% would. A counseling appointment does not pay rent. A wellness app does not replace a community. As we understand more about the systemic issues, finding broader solutions that can address the stressors become available and imperative.

The institutions doing the most interesting work have figured this out. Georgia State, which Insight into Academia profiled, uses predictive analytics on course logins, assignment submissions, and attendance to flag students before they spiral — not to surveil, but to reach out. “The power of data is not just in identifying who needs help,” Dr. Alison Brown told the publication. “It’s in helping us reach out in a way that feels supportive, not punitive.” This redesign of the support system is the type of holistic solution that institutions can embrace to make meaningful improvements. eCampus News’ coverage of social prescribing a practice that started in the U.K., of connecting people to community activities, nature programs, art classes, and social clubs as part of clinical care, describes a model gaining traction in U.S. higher ed that treats belonging as health infrastructure giving students the appropriate permission to do the things that they often discount due to the investment of time and money they are putting towards their education.

The temptation, especially now, is to outsource the whole problem to AI. The chatbots are cheap, scalable, available at 2 a.m., and as the AMFM treatment review documented, can be dangerous in exactly the moments they’re most needed. Researchers found many systems either underestimated suicide risk or responded to self-harm intent with generic encouragement, and many failed to direct users to emergency services. A 24/7 chatbot that misreads a crisis is not better than no chatbot. It is worse, because it absolves the institution of the harder work.

That harder work is structural and utilizes a holistic, systems based approach like Georgia State’s early-alert architecture, which presumes the institution is responsible for noticing and Bristol’s recognition that wellbeing is a practice, not an event. And that embedding habit infrastructure into the academic calendar and not just in orientation week is crucial to long term success. It looks like financial aid policies designed around the 57% who are choosing between tuition and food. It looks like, for LGBTQ+ students in hostile state environments, the campus deciding what it will and will not be.

The institutions that redesign the conditions students learn inside are the ones that will build resiliency into their campuses and student bodies. They will still need to fund counseling centers and Mental Health Awareness Week, but we need to do more to make the numbers move.The choice in front of provosts and presidents this month is not whether student mental health is important, everyone agrees that it is. The choice is to stop treating it as a service line and start treating it as a design problem that the whole institution is responsible for, and often capable of, solving.

Leading the way in
thought leadership.