Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness.

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Preventing Addiction and Mental Health Issues in College Students
Dr. Dawn-Elise Snipes
Objective
 Review some of the unique triggers for co-occurring disorders in adolescents and college students
 Identify current best practices for preventing those
 Explore ways to enhance college student engagement in prevention and health promotion activities
College Student Issues
 Almost half of college-age individuals had a psychiatric disorder in the past year which was not different between college-attending and their non-college attending peers.
 Anxiety disorders 11.9% (& AUD in females)
 Depression 9% / 6.7% Suicidal ideation / Tobacco & cannabis
 ADHD 8%
 ASDs 2%
 Eating Disorders 10%
Suicide Prevention Interventions
 Educate faculty, staff (janitors, residence life, counselors, food service, library, coaches)
 Require students to take a health literacy / suicide prevention course
 Reduce the stigma of seeking help
 Make information and resources available in a culturally sensitive fashion both in person and online (posters, bathrooms, online…)
 Promoting wellbeing in a holistic manner (individual and elements of their sociocultural environment)
 Biopsychosocial factors conspire to limit the quantity of sleep for many adolescents resulting in a number of negative consequences
 The suprachiasmatic nucleus of the hypothalamus is the circadian timekeeper (biological clock)
 Melatonin levels rise just before sleep onset.
 In adolescence, the timing of melatonin release shifts to a later time, making it much harder for teenagers to fall asleep before about 10 pm
 Self-reported sleep duration was positively correlated with bilateral hippocampal grey matter volume in the frontal and anterior cingulate cortex.
Interventions
 There is no single EBP that has shown effectiveness
 Later class starting times (8:30)
 Limited late-night activities (Close the student union at 10 on weekdays, dim dormitory hall lights at 9 on weekdays)
 Health Education (Prevalence, Risks, Interventions) and Stigma Reduction
 Integrative approaches to student health
 Motivational Interviewing approaches have been shown to increase engagement with the college student population
 FRAMES: Feedback, Responsibility, Advice, Menu, Empathy, Support
 Reduce peer pressure and address campus-wide negative messages
Interventions
 Information about goal setting
 Self-esteem enhancement messages (like what??)
 Increase self-efficacy (tutoring, extracurriculars, mentoring)
 Improving interpersonal skills and assertiveness
 Improving stress tolerance and coping skills
 Encourage daily pleasant activities
 Educate students about learning styles to enhance classroom experience
 Increase social support (group activities in classes, RH activities, clubs, campaigns (Random acts of kindness, Smile a day) Mental health first aid
 Peer specialist facilitated online and f2f support groups

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