MUS Suicide Prevention & Mental Health Task Force Recommendations Review & COVID-19 Update
Since the onset of the COVID-19 pandemic, student mental health has been a top priority and a top concern for many across the Montana University System. This concern is reflected nationally. In an American Council of Education survey, more campus presidents across the country ranked student mental health as the most pressing issue facing them—above enrollment, online learning, and the many other challenges that the pandemic has presented.i
There is reason to be concerned. The JED Foundation and Active Minds both indicate that 60% of college students report that their mental health has worsened during the pandemic. ii The Center for Collegiate Mental Health reports that 85% of students nationally have experienced significant mental health impacts in at least one area of their lives including academics, loneliness and isolation, career development, basic needs insecurity, relationships, and finances. iii
Even while the pandemic has brought new mental health challenges for students, many campus and system leaders, administrators, clinicians, faculty, staff, and students know that student mental health has long been a rising concern. MUS institutions consistently report increase in students presenting with mental health concerns and upticks in need for services. Student well-being is inherently important, and mental health distress also has significant impacts on student’s academic performance. The 2020 Healthy Minds Study, a decade-long national study of college student mental health, shows that within a month of taking the survey, 83% of students experienced emotional or mental difficulties that hurt their academic performance.iv
In the Montana University System, supporting student mental health has long been a foundational part of our system-wide approach to student success. At the direction of Commissioner Clayton T. Christian, the MUS Suicide Prevention and Mental Health Task Force was formed in 2015 to assess student mental health services and suicide prevention efforts throughout the system. In 2016, the Task Force developed a set of eleven recommendations intended to support implementation and ongoing maintenance of best practices across the Montana University System.
Throughout the pandemic, maintaining these best practices has been as important as ever. At the same time, the pandemic has also demanded rapid response and adaptability, innovative problem-solving. While supporting student mental health will always be a necessary and ongoing part of student success and student affairs, the MUS rose to the challenge.
This report details MUS campus and system response to student mental health challenges brought on and exacerbated by the COVID-19 pandemic. The report provides an update on the ongoing work of the MUS Suicide Prevention and Mental Health Task Force to better student mental health, create holistic cultures of care across the system, and promote effective suicide prevention efforts.
Montana UniversitySystem COVID-19 Pandemic Response Highlights
- MSU Billings created a Student Health Ambassador program that supported students in being strong COVID safety advocates, supported others in quarantine and isolation by sending care packages, and supported the university in keeping student well-being at the forefront.
- Miles Community College participate in the JED Foundation's "Embrace the Awkward" campaign intended to reduce mental health stigma and give students valuable knowledge and tools in helping peers in distress.
- Montana State University's Counseling and Psychological Services hosted virtual "connection spaces" for student groups who experience more significant COVID-19 impacts including international students, student parents, graduate students, and mindfulness skills sessions.
- Helena College created a Student Wellbeing Resource & Crisis Protocol Handbook to bring the right resources to students and to share knowledge of student mental health resources and strategies with the larger campus community.
- Montana Technological University created social media campaigns to share wellness activities, provide students with information about norms during the pandemic, and promote health and safety protocols.
- The University of Montana launched Mindful Minutes, a pilot program intended to increase resilience, reduce stress, and improve mental well-being by providing students with brief 5-10 minute sessions that include evidence-based skills and practice using them.
- At Great Falls College, the Student Engagement department provided outreach and created virtual exercises for students' mental and physical health.
- The Counseling Center at MSU Northern hosted group classes and sessions on common COVID-related mental health issues such as grief and loss and burn-out. MSUN connected counseling graduate students to help facilitate sessions and to provide real-world training for students.
- Flathead Valley Community College created a COVID Quick Response Team, hired a COVID Support Specialist, and strengthened relationships with the on-campus Student Health Clinic.
You Matter MUS
In response to the COVID-19 pandemic’s impact on student mental health, the MUS Suicide Prevention & Mental Health Task Force has worked with the Office of the Commissioner of Higher Education to launch You Matter MUS, a set of services intended to augment campus efforts to support increased student mental health needs resulting from the COVID-19 pandemic.
Through You Matter MUS, every student and employee in the MUS will have access to three online mental health and wellness services and supports—a provider referral platform, a mental health literacy training, and a mental health and wellness app.
Because the mental health impacts of the pandemic will be long-lasting, You Matter resources will be available to MUS communities for the next three years. These services were funded through Coronavirus Relief Funds of the CARES Act monies allocated by Governor Steve Bullock in November 2020.
You Matter services include:
- Kognito: An online, interactive training geared at supporting student mental health and suicide prevention. The trainings include education on positive coping strategies, tools for recognizing students in distress, strategies for communicating concerns, and how to take action to find support.
- You at College: This is an app with evidence-based content, interactive tools, resources, and personalized content to help students address their mental wellness needs.
- Thriving Campus: This is an online referral platform where student and employee users can search for mental health providers and specialists in their campus and home communities. Users can search for providers by a variety of filters, including telehealth delivery, location, accepting patients, accepted insurance, and more. Campus providers can also use the platform to refer students to specific providers and close the referral loop by tracking whether students used the referral.
Though the online services are intended to directly address the specific needs of the COVID-19 pandemic, these mental health supports are also represent a holistic approach to student mental health and longstanding priorities from the MUS Suicide Prevention & Mental Health Task Force including increased access to clinical services, evidence-based mental health literacy and suicide prevention education, and promoting cultures of care and wellness.
MUS Suicide Prevention & Mental Health Task Force Recommendations Review
In 2016, the MUS Suicide Prevention and Mental Health Task Force developed a set of recommendations intended to establish shared best practices for supporting student mental health and enhancing suicide prevention efforts across the system. Even while most institutions implemented most recommendations shortly following the 2016 report, the recommendations remain foundational touchpoints for a robust system-level approach to student mental health and suicide prevention.
The Task Force periodically requests campuses to report on recommendations to highlight and share out successful approaches to implementation, to identify persistent challenges to implementing recommendations, and to identify potential areas of new or increased need. This report shares key highlights from recommendations and points to avenues for continued work in these areas. Individual campus reports can be found here:
*A full list of MUS Suicide Prevention & Mental Health Task Force Recommendations can be found here.
- Increased Clinical Services: High quality, adequate clinical staffing continues to be an essential component of supporting student mental health. MUS institutions and students have benefitted from the recommendation to have an on-staff counselor or to contract with community providers so that students have access to clinical services. MUS campuses report consistent increase in need for counseling services and strain on staff to meet that need, the shortage of community mental health care providers in rural Montana, and Institutions also report the need for staff support to address burnout and the importance of competitive salaries in this high-demand field. For institutions that do not have on-staff counselors, campuses report the need for strong partnerships to community providers, robust cultures of care on campus, and clear communication to students about availability and ease of access to counseling resources.
- Training, Education, and Collaboration: MUS institutions report delivery of robust suicide prevention training and focus on providing evidence-based education, reducing stigma, and creating cultures of care. Many institutions in the MUS provide Question, Persuade, and Refer (QPR) training, Mental Health First Aid, and Kognito. Institutions report the value in sharing common trainings across the system and building communities of practice through the Task Force, informal networks, and the Montana College Counseling Association.
- MUS institutions emphasize the importance of training for specific groups, particularly for providers, student employees such as residence hall advisors and
peer mentors, and other staff such as Behavior Intervention teams. Institutions recommend pursuing common trainings in areas including:
- Diversity, Equity and Inclusion in College Mental Health Services
- Mental Health Treatment with American Indian Students
- Suicide Assessment with College Students
- Working with Sleep Disorders
- Substance Abuse in College Students
- Short-Term Trauma Treatment Approaches
- Cutting Edge Approaches to Treating Anxiety
- Train the trainer models for mental health first aid and peer educators
- Depression screening best practices training
- Means Reduction: Reducing access to lethal means has been a priority for the task force and for MUS institutions. Institutions have undertaken significant effort through practice, policy, and campus community stakeholder engagement to reduce access to lethal means, particularly weapons including firearms, substances, and heights.
In the recommendations review, MUS institutions report concern over the impact of HB102 on access to lethal means. HB102, passed by Montana’s 67th legislature and signed into law by Governor Greg Gianforte on February 18, 2021, would allow firearms on campus. Access to firearms are of particular concern because they have high rates of lethality compared to other means.
Data collection is also an important part of reducing access to lethal means. MUS campuses report variability in collecting suicide surveillance data. Regularizing surveillance data across the system would allow consistency in metrics and data gathering methods, making data more reliable, and would help identify common forms of lethal means used in suicide attempts and completions. This could help the task force address and provide supports for means reductionefforts.
MUS Suicide Prevention & Mental Health Task Force Next Steps
- Survey campus staffing models using the Clinical Load Index metric to inform decisions about appropriate staffing levels given the needs of the student population at individual institutions as well as the services institutions commit to providing students.
- Survey MUS institution counseling center or student mental health services funding models and review funding models at peer institutions nationally.
- Develop and implement systemwide protocols to gather and report suicide surveillance data.
- Consider models for enhanced training in mental health and mental health-adjacent areas such as peer health educators, Behavior Intervention Teams (BIT) or CARE teams, and Mental Health First Aid Trainers.
- Continue efforts to gather data on college student mental health and identify common needs across campuses.
- Collaborate with the MUS Graduate School deans group to explore collaborative possibilities for mental health supports for graduate students in the MUS.
i American Council on Education Pulse Points Survey https://www.acenet.edu/Research-Insights/Pages/Senior-Leaders/College-and-University-Presidents-Respond-to-COVID-19-2021-Spring-Term.aspx
ii JED Foundation
iii Center for Collegiate Mental Health https://ccmh.psu.edu/blog
iv The Healthy Minds Study Fall 2020 Data Report https://healthymindsnetwork.org/research/data-for-researchers/