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Moving Forward Mental Health, Substance Use, and Wellbeing in Higher Education NCBI Bookshelf

Publicado em 12.fev.2026

Without institutional support and leadership, progress in providing needed supports may allow too many students with problems to fall through the cracks. Rather, the committee includes in this chapter a discussion of the major issues confronting institutions of higher education as they strive to better meet students’ needs and ways those problems or barriers to progress might be addressed. For example, a community college with a predominantly commuter student body is likely to encounter a very different constellation of issues and have different resources available to deal with them than a four-year university. The increased prevalence of mental health and substance use problems has many academic leaders and policymakers describing the situation in near-crisis terms and looking for solutions. By creating an environment that promotes seeking help, students can feel supported in their journey towards recovery.

The Association of University and College Counseling Center Directors’ 2019 survey of 562 university and college counseling center directors found that “37.2 percent of counseling centers used a version of stepped care, offering a campus-wide menu of service options ranging from no care at all to weekly therapy at the counseling center. The range of clinical services that college and university centers provide varies substantially. Nonetheless, some evaluations have provided insights into the context-specific needs of suicide prevention programs and site readiness for programs. GLSMA grants require an evaluation plan, but the purpose of these grants is to fund programs and non-clinical services, not research. Figure 4-1 shows various suicide prevention strategies employed by GLSMA grantees, from outreach and awareness training to traditional healing practices.

addressing substance misuse on campus

Third, many behaviors of adolescents, including substance use, are related to their experiences in school. Examples include peer group pressure interventions and family-school cooperation interventions. Hispanic and Latino Student Mental Health Guide The results on the program confirmed the value of peers in substance use intervention in adolescents.

addressing substance misuse on campus

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addressing substance misuse on campus

No significant associations were observed, and therefore we did not control for implementation of the alcohol education course in the analyses. These potential confounds, which were entered in each regression model as an undifferentiated block, included total number of undergraduates for each college and the percent who were white, male, living on campus, and involved in Greek organizations. We ran a separate ordinary least squares (OLS) regression model for each dependent variable and each alcohol prevention domain rating, as well as the overall alcohol prevention rating. All study procedures were approved by the Institutional Review Board of the Pacific Institute for Research and Evaluation (PIRE), including our commitment to protect the identities of all participating colleges and survey respondents.

  • These strategies include increasing enforcement of the minimum legal drinking age laws, implementation and enforcement of other laws to reduce alcohol-impaired driving, restrictions on alcohol outlet density, increased prices and excise taxes on alcoholic beverages, and responsible beverage service policies have also been evaluated as ways in which to curb high risk college student drinking e.g., 22,23,24.
  • Additionally, by making specific forms of behaviorally focused mental health services readily available within the primary care setting, psychiatric consultation through telehealth to primary health care providers can serve as a mechanism to improve access.
  • The impact on students who often don’t get the care they need is unimaginable.
  • They may be curious about the new options that are available to them, and this curiosity often leads to trying and experimenting with drugs.42 This curiosity is compounded with the sudden access to alcohol and drugs that are readily provided at college gatherings.

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addressing substance misuse on campus

Among students who used drugs in the past month, men used marijuana more days of the month and past month drinking effected drug related negative consequences as well as students’ interest in interventions. Most of the above phrases ended or including a clarification of (because of, when, due to) “using drugs.” Items also were used to estimate diagnostic criteria for substance abuse (6, 10, 15, 16, 19, 20, 22) and dependence (6, 7, 8, 11, 18 23, 24) based on the Diagnostic and Statistical Manual-IV-TR (American Psychiatric Association, 2000). In contrast to the extensive college drinking assessment, prevention, and treatment literature, a review by Larimer, Kilmer, and Lee (2005) emphasized both the scope of the drug problem on college campuses and the scarcity of prevention and intervention approaches.

This assessment should include the extent that students are aware of and know how to access available resources, both on campus and in the local community, to address students’ mental health and substance use problems. While colleges and universities share a similar set of challenges in supporting student mental health, the issues, priority areas, and available resources on campus vary substantially across institutions. In developing the framework, the Steve Fund, Jed Foundation, and McLean Hospital’s College Mental Health Program carried out a nationwide survey of campus programs intended to support mental health and wellbeing among students of color in an effort to identify promising practices. Institutions of higher education must establish and/or maintain a culture that accepts and supports, to the extent possible, students experiencing problems with mental health and substance use and fosters a sense of wellbeing for all students. By implementing preventive measures and providing support, colleges and universities can create an environment that encourages healthy choices and reduces the risk of substance abuse. Promoting a culture of help-seeking behavior is essential in addressing substance abuse in college students.

addressing substance misuse on campus

Examining factors related to relapse can provide an empirical basis for identifying effective intervention approaches . Furthermore, for cannabis use, a significant reduction of 11.6% from post-intervention to 12 months of follow-up was reported during the follow-up. Differences between experimental group (EG) and control group (CG) adolescents on post-intervention and follow-up.