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Mental health of students in higher education

Mental health of students in higher education - Royal College of ...

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College Report CR166undergraduates act as ‘parents’ for those newly arrived. Another importantsource <strong>of</strong> support is the personal tutor system. The 2008 MWBHE surveyshowed that about 80% <strong>of</strong> respond<strong>in</strong>g <strong>in</strong>stitutions had a personal tutorsystem <strong>in</strong> place. However, <strong>in</strong> <strong>in</strong>stitutions with deteriorat<strong>in</strong>g staff:studentratios, provid<strong>in</strong>g responsive and available personal advice at a departmentallevel can be challeng<strong>in</strong>g. The majority (71%) <strong>of</strong> the respondents to the 2008MWBHE survey rated their overall <strong>in</strong>stitutional provision as good or very goodand for a further 25% it was adequate. However, 4% felt that their provisionwas poor or non-existent. Survey comments suggested that rat<strong>in</strong>gs largelyreflected the quality <strong>of</strong> what was provided; many mentioned <strong>in</strong>creas<strong>in</strong>gpressure on their resources <strong>in</strong> terms, primarily, <strong>of</strong> student demand, but also<strong>in</strong>stitutional demand on specialist staff for tra<strong>in</strong><strong>in</strong>g, guidance and <strong>health</strong>promotion events (Grant, 2011).Legislative and policy frameworkThis section summarises the key legislative background perta<strong>in</strong><strong>in</strong>g tothe widen<strong>in</strong>g access to <strong>higher</strong> <strong>education</strong> and to <strong>in</strong>stitutional responses tothe <strong>in</strong>creas<strong>in</strong>g burden <strong>of</strong> mental <strong>health</strong> difficulties encountered <strong>in</strong> <strong>higher</strong><strong>education</strong>. This is reviewed <strong>in</strong> association with emergent governmentalreports and policy documents. The responses <strong>of</strong> <strong>higher</strong> <strong>education</strong> <strong>in</strong>stitutionsto the legislation and governmental reports are evaluated. The resultantstrategic development and organisational framework <strong>of</strong> student servicedepartments <strong>in</strong> <strong>higher</strong> <strong>education</strong> to support <strong>students</strong> with mental <strong>health</strong>problems is also reviewed. The time frame concentrates primarily ondevelopments s<strong>in</strong>ce the DDA came <strong>in</strong>to force <strong>in</strong> 1995. The legal def<strong>in</strong>ition<strong>of</strong> disability <strong>in</strong> the Act is that ‘a person has a disability … if he has a physicalor mental impairment which has a substantial and long-term adverse effecton his ability to carry out normal day-to-day activities’ (Part 1, Section 1).The legal def<strong>in</strong>ition <strong>of</strong> ‘student services’ <strong>in</strong> the Act is quite general. Inpractice, student services may comprise disability services and counsell<strong>in</strong>gservices and may <strong>in</strong>clude a general practice. In larger <strong>in</strong>stitutions, theremay be more specialised personnel such as a mental <strong>health</strong> advisor, staff toadvise on f<strong>in</strong>ancial and accommodation matters and, <strong>in</strong> some <strong>in</strong>stitutions,<strong>in</strong>-house psychiatric provision.Government policiesS<strong>in</strong>ce the Robb<strong>in</strong>s Report was produced <strong>in</strong> the 1960s (Lord Robb<strong>in</strong>s, 1963),recommend<strong>in</strong>g a huge expansion <strong>in</strong> the number <strong>of</strong> <strong>students</strong> admittedto <strong>higher</strong> <strong>education</strong>, there have been a number <strong>of</strong> key reports, <strong>in</strong>quiriesand legislative changes that have changed the landscape with<strong>in</strong> <strong>higher</strong><strong>education</strong>, lead<strong>in</strong>g to a population <strong>of</strong> <strong>students</strong> that has changed <strong>in</strong> terms <strong>of</strong>their demographic characteristics, mental <strong>health</strong> status and disability. In the1960s, the student population was not representative <strong>of</strong> the population as awhole, nor is it today, but there is now a more substantial overlap.The legal framework broadly embraces the legislation perta<strong>in</strong><strong>in</strong>g todisability, discrim<strong>in</strong>ation and equality, data protection and human rights.Related and <strong>in</strong>tertw<strong>in</strong>ed with the legislation are key government reports,NHS and <strong>higher</strong> <strong>education</strong> strategies as well as an understand<strong>in</strong>g <strong>of</strong> duty <strong>of</strong>care issues, liability for negligence, and the duty to promote equality.34 http://www.rcpsych.ac.uk

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