The development, implementation, and evaluation of a mental health strategy
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Transcript of The development, implementation, and evaluation of a mental health strategy
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1University of Calgary Mental Health Strategy
ANDREW SZETO, PHD & DANIELLE STEWART-SMITH, DC MPH
HEALTHY MINDS HEALTH CAMPUSES ANNUAL SUMMIT 2017APRIL 4, 2017
Working toward well-being on post-secondary campuses: The development, implementation, and evaluation of a mental health strategy
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2University of Calgary Mental Health Strategy
• Andrew Szeto, PhD
• Director of the Campus Mental Health Strategy, Office of the Provost, UCalgary
• Assistant Professor, Department of Psychology, UCalgary
• Principal Investigator, Mental Health Commission of Canada
• Danielle Stewart-Smith, DC MPH
• Coordinator, Health Campus Alberta
• Chiropractor in Private Practice
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3University of Calgary Mental Health Strategy
Objectives
• Present a case example of a post-secondary institution that has gone through the process of developing and implementing a Campus Mental Health Strategy
• Develop concrete actions towards developing, implementing, or evaluating a mental health strategy for their own campus
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4University of Calgary Mental Health Strategy
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5University of Calgary Mental Health Strategy
Overview
• UCalgary CMHS
• Development
• Implementation
• Facilitated Discussion/Group Work
• UCalgary CMHS
• Evaluation
• Facilitated Discussion/Group Work
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6University of Calgary Mental Health Strategy
DEVELOPMENT OF THE UCALGARY CMHS
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7University of Calgary Mental Health Strategy
• What is a campus mental health strategy?
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8University of Calgary Mental Health Strategy
Background and Rationale
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9University of Calgary Mental Health Strategy
Faculty and Staff
• Top reasons employees access counselling services: stress, anxiety, and depressive symptoms.
• Top presenting reason employees access the Employee and Family Assistance Program: Mental Health.• 16% of employee sick leaves cases and 33% of employee
long-term disability cases due to mental illness.
• Mental illness leaves are 60% longer on average than other types of sick leaves.
Human Resources and Staff Wellness in May, 2015
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10University of Calgary Mental Health Strategy
Students: NCHA UCalgary
NCHA Mental Health Concern 2013 %
Felt things were hopeless 53.0
Felt overwhelmed by all you had to do 90.3
Felt exhausted (not from physical activity) 89.0
Felt very lonely 64.0
Felt very sad 67.2
Felt so depressed that it was difficult to function 36.7
Felt overwhelming anxiety 57.9
Felt overwhelming anger 42.1
Seriously considered suicide 8.2
Attempted suicide 0.8
2016 %
56.3
89.2
87.5
65
72.5
39
60.2
42.2
12
1.8
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11University of Calgary Mental Health Strategy
Mental Health Task Force
• An Ad Hoc Committee reporting to the Provost and Vice President (Academic) of the University of Calgary (Jan 2015)• Mandate: produce a mental health strategy for the
campus
• Steering Committee• Set the direction and guide the process
• Working Group• Produce the strategy content
• Subgroups: Lit review, gap analysis, environment scan
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12University of Calgary Mental Health Strategy
Steering Committee
• Dru Marshall, Co-Chair, Provost and Vice President (Academic)• Glenda MacQueen, Co-Chair, Cumming School of Medicine• Debbie Bruckner, SU Wellness Centre• Beverly Adams, Cumming School of Medicine • Gayla Rogers, Academic Leadership Academy• Marcia Buchholz, Human Resources• Andrew Estefan, Faculty of Nursing• Keith Dobson, Faculty of Arts• Susan Barker, Student Experience• Courtney McVie, Office of the Provost (Committee Support)
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13University of Calgary Mental Health Strategy
Working Group
•Debbie Bruckner, Chair Wellness Centre
•Jonah Ardiel Students’ Union
•John Baker Faculty Association
•Shawna Bava Wellness Centre
•Troy Brooks Student Experience (Conduct Manager)
•Katie Chapman Human Resources (Worklife and Well-Being)
•David Este Faculty of Social Work
•David Hodgins Faculty of Arts (Psychology)
•Ashley Humeniuk Student Experience (Mental Health)
•Monique Jericho Cumming School of Medicine/AHS (Psychiatrist)
•Natasha Kenny Teaching and Learning (Taylor Institute)
•Rhonda Pylychaty Human Resources
•Marc Simard Staff Wellness
•Andrew Szeto Faculty of Arts (Psychology)
•Jennifer Thannhauser Wellness Centre (Psychologist)
•Lianne Tomfohr Faculty of Arts (Psychology)
•Kristin von Ranson Faculty of Arts (Psychology)
•Carol Wert MaPS
•Danica MacDonald Graduate Students’ Association
•Marina Geronazzo University Relations
•Penny Werthner Faculty of Kinesiology
•Margaret Savard AUPE
•Danielle Tougas Student/Community Advisor, Residence Education Team
•Michael Zwiers Werklund School of Education (Counselling Psychology)
•Heather Smith-Watkins Office of the Provost (Committee Support)
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14University of Calgary Mental Health Strategy
Development Process
• Jan 2015 - Steering Committee started meeting
• Jan 2015 - Working Group started meeting
• May 2015 - Draft document created by
• Summer 2015 - Consultation with various groups
• Fall 2015 - Reviewed final draft
• Oct 2015 - General Faculties approval
• Dec 7th 2015 - Strategy launch
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15University of Calgary Mental Health Strategy
CMHS Framework
Individual level
Program level
Cultural/Institutional level
1. 2.
3.
4.5.
6.
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16University of Calgary Mental Health Strategy
28 Recommendations
• Sourced from identified gaps and opportunities
• Aligned with best practice
• Organization of recommendations
• Based on what we will:
• Expand
• Enhance
• Develop
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17University of Calgary Mental Health Strategy
STRATEGIC FOCUS AREA 1: Raising Awareness and Promoting Well-being
Recommendations
Expand what we offer
1.1 Mental health literacy programs should be expanded to include diverse, vulnerable, and at
risk populations.
1.2 Anti-stigma initiatives, including contact-based and online anti-stigma programs should be
expanded, utilizing internal and externally developed resources, such as peer support resources.
Enhance what we do
1.3 Develop a robust evaluation strategy to measure the long-term impact and sustainability of
the collective mental health and well-being initiatives.
Develop new initiatives for the campus community
1.4 Create a strategy to promote responsible alcohol use, accessing the experience of internal
and external community.
1.5 Develop a centralized website to provide efficient and effective access to mental health
information for students, faculty, and staff. Incorporate on-campus champions in programming,
planning and marketing initiatives.
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18University of Calgary Mental Health Strategy
STRATEGIC FOCUS AREA 2: Developing Personal Resilience and Self-Management
Recommendations
Expand what we offer
2.1 Increase availability of programming and training for students, faculty, and staff to build
personal resilience and wellness and to promote academic and professional success.
2.2 Expand available resources and programming for parents/families of students.
2.3 Increase engagement in a full range of holistic health promoting activities.
Enhance what we do
2.4 Enhance support during critical transition times for all members of the campus
community.
Develop new initiatives for the campus community
2.5 Develop a for-credit resiliency and wellness course.
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19University of Calgary Mental Health Strategy
STRATEGIC FOCUS AREA 3: Enhancing Early Identification and Response
Recommendations
Expand what we offer
3.1 Increase educational programming to enable students, faculty, and staff to identify signs of
mental distress in both self and others. Ensure programming and on-line resources are easily
accessible to families.
Enhance what we do
3.2 Support the implementation and expansion of an early alert program for students who are
academically at risk.
3.3 Enhance and promote a student case management strategy to ensure needs of individuals are
being met and concerns are monitored.
Develop new initiatives for the campus community
3.4 Establish supportive response mechanisms to check-in with students, faculty, or staff in cases
of concern or unreported absences.
3.5 Adopt and promote web-based self-screening programs for students, staff and faculty.
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20University of Calgary Mental Health Strategy
STRATEGIC FOCUS AREA 4: Providing Direct Service and Support
Recommendations
Expand what we offer
4.1 Work with external partner organizations to expand support in faculties, alternate locations,
and through various modalities and hours of services including the provision of 24-hour access to
mental health resources on campus and within the community.
4.2 Strengthen targeted mental health supports for vulnerable populations or at risk subgroups,
considering specific mental health issues at key transition points.
Enhance what we do
4.3 Optimize referral protocols in counselling and case management systems.
4.4 Enhance training in crisis management for managers and campus leaders.
Develop new initiatives for the campus community
4.5 Develop inter-cultural competence in mental health promotion and in service delivery,
working with internal and external partners.
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21University of Calgary Mental Health Strategy
STRATEGIC FOCUS AREA 5: Aligning Institutional Policies, Processes, and Procedures
Recommendations
Expand what we offer
5.1 Promote integrated response options and supportive change management processes
including expanded consultation and feedback mechanisms for new processes.
Enhance what we do
5.2 Promote broad-based training and provide guidance on compliance with policy and
legislative requirements.
Develop new initiatives for the campus community
5.3 Develop a process to ensure that relevant campus policies and processes are supportive
of mental health.
5.4 Create a committee responsible for implementation of the Mental Health Strategy, and
report outcomes at least annually.
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22University of Calgary Mental Health Strategy
STRATEGIC FOCUS AREA 6: Creating and Sustaining a Supportive Campus Environment
Recommendations
Expand what we offer
6.1 Expand conditions for meaningful participation in the campus community by promoting
mentorship and peer support programs, building community inside and outside the
classroom/workplace, and providing spaces to build connections.
Enhance what we do
6.2 Ensure that design standards are in place when creating informal and formal learning and
working spaces to consider the impact of the built environment on mental health.
6.3 Promote teaching and learning practices that integrate inclusive curriculum and
pedagogy and that include concepts of mental health and wellness.
Develop new initiatives for the campus community
6.4 Ensure psychological health and safety is recognized by adopting the Standard for
Psychological Health and Safety on campus.
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23University of Calgary Mental Health Strategy
IMPLEMENTATION OF THE UCALGARY CMHS
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24University of Calgary Mental Health Strategy
Since Strategy Launch
• May 2016 – Mental Health Strategy Implementation Advisory Committee created
• June 2016 – MHSIAC first meeting• July 1st 2016 – Director started• Summer 2016 – Consultation with various
stakeholders; ongoing implementation• August 17th 2016 – MHSIAC recommendation
prioritization• September 23rd 2016 – subcommittees created
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25University of Calgary Mental Health Strategy
MHSIAC Members
• Debbie Bruckner (Co-Chair)
• Marcia Buchholz (Co-Chair)
• Beverly L. Adams
• Katie Chapman
• Keith Dobson
• Ann Laverty
• Jodie Jeworski
• Erin Kaipainen
• Natasha Kenny
• Patrick Ma
• Anna Manko
• Rhonda Pylychaty
• Ricky Ramdhaney
• Brian Sembo
• Marc Simard
• Kathy Steinhauer
• Andrew Szeto
• Wendy Thatcher
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26University of Calgary Mental Health Strategy
Subcommittees
• Evaluation
• Programs
• Teaching and Learning
• Communications
• Budget/Grant review
• Future subcommittees as needed
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27University of Calgary Mental Health Strategy
• lots of programing development and expansion (e.g., TIM, TWM) (various)• developing new mindfulness programing for staff/faculty (2.1, 2.3)
• 24 hr access for students (4.1)• new EAP provider (Homewood) offering expanded counselling access (4.1)• Crisis management training (4.4)
• policy review through mental health lens (university level) (5.3)• repurposing existing spaces and changing design standards to
acknowledge its impact on mental health…consulting with campus planning and university architect (6.1, 6.2)
• subcommittee on T&L looking at curriculum and pedagogy (6.3) • the Standard for Psychological Health and Safety in the workplace (6.4)
Strategy Implementation Highlights
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28University of Calgary Mental Health Strategy
Keys to Success
• Development
• Opportunity/Environment
• Champions
• Implementation
• Champions
• Values (e.g., Collaborate, Inclusive, Equity)
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29University of Calgary Mental Health Strategy
Challenges
• Top-down vs Bottom-up
• Engagement
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30University of Calgary Mental Health Strategy
Discussion
• Consider your campus development…
• Who are your champions?
• Can you identify opportunities to step into?
• How does the environment (campus, community and provincial) set the stage for development?
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31University of Calgary Mental Health Strategy
Discussion
• Consider the principle of implementation…
• What values are currently embedded within your campus community (inclusivity, collaboration, equity)?
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32University of Calgary Mental Health Strategy
EVALUATION OF THE UCALGARY CMHS
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33University of Calgary Mental Health Strategy
Evaluation of the CMHS
• Evaluation Subcommittee
• Works closely with Programs subcommittee
• Evaluate the CMHS at 4 levels
• Program
• Recommendation
• University
• Process
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34University of Calgary Mental Health Strategy
Research Partnerships
• Taylor Institute for Teaching and Learning
• Mathison Centre for Mental Health Research and Education (Hotchkiss Brain Institute)
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35University of Calgary Mental Health Strategy
Discussion
• Consider evaluation…
• How can evaluation be integrated into your campus journey?
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36University of Calgary Mental Health Strategy
ucalgary.ca/mentalhealth
• Questions or comments?