Mental health of students in higher education

More documents

Recommendations

Info

Appendix 5University general practice –University of Sheffield healthserviceThe University of Sheffield aims to be proactive with regard to mental health.The university health service, university counselling service and the disabilityand dyslexia support service are all represented in the University MentalHealth Strategy Group (see also Appendix 2).Within the university health service there is a lead GP for mentalhealth, who oversees the provision of care for students with mental healthdifficulties. All students are asked to complete a health questionnaire beforethey come to university and any declaring a current or past history of amental health difficulty including an eating disorder are offered a one-to-oneinterview with a doctor during our intro week. The aim of this session is toensure that the student is aware of the range of support available as well asto assess current need at the time of transition. The university health servicehas worked with the counselling service to devise a care pathway for themanagement of anxiety and depression using a stepped care model (Fig. 1).Self-help books are available on prescription and CDs with informationon sleep disorder and exam-related anxiety can be purchased from thehealth service. Workshops on managing low mood and stress and anxietyare run by the primary mental health worker (funded by the primary caretrust). These complement group sessions on relaxation, assertiveness,exam stress and confidence building held by the counselling service. Thehealth service has invested Quality and Outcomes Framework (QOF) moniesin the provision of cognitive–behavioural therapy (CBT). This is offeredto students with obsessive–compulsive disorder, phobias, habit disordersand post-traumatic stress disorder, allowing these patients to be seenreasonably promptly within the familiar setting of the practice. The healthservice also has an eating disorders clinic which provides nurse-led, guidedself-help based on CBT principles for students with mild to moderate eatingdisorders. The clinic liaises closely with the local voluntary sector and theNHS specialist eating disorders service. In addition to the QOF-funded CBTand eating disorders clinic, the practice has a high-level Improving Accessto Psychological Therapies worker 1 day a week.The university health service is actively involved in health promotionand takes part in healthy campus weeks providing clinical staff at the studentunion as well as literature on mental health promotion and alcohol-relatedissues.Royal College of Psychiatrists83
College Report CR166Providing effective mental health services for a list size of 23 000 is anongoing challenge within the current financial climate, but if as a result ofaccessing these services students are enabled to manage their difficultiesand fulfil their academic potential, the benefits are likely to be lifelong.First presentation with mental health problemsGP appointment – check risk and complete PHQ-9Anxiety or depression?Self-help leaflets/information on podcasts/books/CDsUHS basic psychoeducational workshopeither ‘anxiety’ or ‘low mood’Skills for life groups/workshops?*GP reviewAntidepressant?GP case management PCMHW Referral for UCS assessment Computerised CBTGroup work1:1 counsellingSkills for life groupsWorkshopsUCS review*GP reviewGP case managementReferral to secondary care,including for 1:1 CBTCBT, cognitive–behavioural therapy; GP, general practitioner; PCMHW, primary care mental health worker; PHQ-9, 9-itemPatient Health Questionnaire; UCS, university counselling service; UHS, university health service.*GP review to include: (i) risk assessment; (ii) scores, PHQ-9; (iii) self-reported narrative of onset and course of problems.Fig. 1 University health service and university counselling service care pathways for depression and anxietydisorders (drawn up by Dr Alison James, Sheffield University Health Service).84 http://www.rcpsych.ac.uk
Page 1 and 2:
Mental healthof studentsin higher e
Page 3 and 4:
DisclaimerThis guidance (as updated
Page 5 and 6:
Working groupPrincipal contributors
Page 7 and 8:
AcronymsAMOSSHE, Association of Man
Page 9 and 10:
College Report CR166Epidemiological
Page 11 and 12:
College Report CR166Care pathwayThe
Page 13 and 14:
College Report CR166Psychiatrists w
Page 15 and 16:
College Report CR166Promotion of Me
Page 17 and 18:
IntroductionThe purpose of this doc
Page 19 and 20:
College Report CR166managing mental
Page 21 and 22:
College Report CR166Students who ex
Page 23 and 24:
College Report CR166Students must a
Page 25 and 26:
College Report CR166of postgraduate
Page 27 and 28:
College Report CR166alcohol use. Fo
Page 29 and 30:
College Report CR166driving, unsafe
Page 31 and 32:
College Report CR166the first, the
Page 33 and 34: College Report CR166ConclusionsWhen
Page 35 and 36: College Report CR166undergraduates
Page 37 and 38: College Report CR166and the Institu
Page 39 and 40: College Report CR166body. The EHRC
Page 41 and 42: College Report CR166and provision o
Page 43: College Report CR166consultation to
Page 46 and 47: Higher education contextConclusions
Page 48 and 49: Higher education contextMental heal
Page 50 and 51: Higher education contextHealthy Uni
Page 52 and 53: Higher education contextImproving h
Page 54 and 55: Pathways to psychiatric careIn coun
Page 56 and 57: Pathways to psychiatric careand is
Page 58 and 59: What to do if a psychiatric patient
Page 60 and 61: What to do if a psychiatric patient
Page 62 and 63: Mental health issues facedby intern
Page 64 and 65: Mental health issues faced by inter
Page 66 and 67: Medical and other healthcare studen
Page 68 and 69: ReferencesAdams, T. & Moore, M. (20
Page 70 and 71: ReferencesJumaian, A. (2001) Preval
Page 72 and 73: ReferencesSocial Exclusion Unit (20
Page 74 and 75: Appendix 1understanding of, student
Page 76 and 77: Appendix 2Internal liaison within h
Page 78 and 79: Appendix 3Different models of psych
Page 80 and 81: Appendix 3see this as a step forwar
Page 82 and 83: Appendix 4I have also been involved
Page 86 and 87: Appendix 6Initiatives from counsell
Page 88 and 89: Appendix 6The Westminster mentoring
Page 90 and 91: Appendix 6to the volunteer and then
Page 92 and 93: Northampton Assessment CentreUniver
Page 94 and 95: Appendix 8AimsThe aims of the MWBHE
Page 96 and 97: Appendix 8Current projectsThe group
show all

Mental health of students in higher education

Create successful ePaper yourself

Delete template?

Save as template?