More college students are turning to their schools for help with anxiety, depression and other mental health problems, and many must wait weeks for treatment or find help elsewhere as campus clinics struggle to meet demand, an Associated Press review of more than three dozen public universities found.
On some campuses, the number of students seeking treatment has nearly doubled over the last five years while overall enrollment has remained relatively flat. The increase has been tied to reduced stigma around mental health, along with rising rates of depression and other disorders. Universities have expanded their mental health clinics, but the growth is often slow, and demand keeps surging.
Long waits have provoked protests at schools from Maryland to California, in some cases following student suicides. Meanwhile, campus counseling centers grapple with low morale and high burnout as staff members face increasingly heavy workloads.
“It’s an incredible struggle, to be honest,” said Jamie Davidson, associate vice president for student wellness at the University of Nevada, Las Vegas, which has 11 licensed counselors for 30,000 students. “It’s stressful on our staff and our resources. We’ve increased it, but you’re never going to talk to anyone in the mental health field who tells you we have sufficient resources.”
The Associated Press requested five years of data from the largest public university in each state. A total of 39 provided annual statistics from their counseling clinics or health centers. The remaining 11 said they did not have complete records or had not provided records five months after they were requested.
The data shows that most universities are working to scale up their services, but many are far outpaced by demand.
Since 2014, the number of students receiving mental health treatment at those schools has grown by 35%, while total enrollment grew just 5%. By last year, nearly 1 in 10 students were coming for help, but the number of licensed counselors changed little, from an average of 16 to 19 over five years.
On some campuses, that amounts to one counselor for every 4,000 students, including at Utah Valley University. An industry accrediting group suggests a minimum of one counselor per 1,500 students, but few of the 39 universities met that benchmark.
When Ashtyn Aure checked in at the mental health clinic at Utah Valley last year, she was suffering anxiety attacks and had not slept for days. Her mind kept returning to past traumas. When she asked to see a counselor, a staff member told her the wait list stretched for months. She left without getting help.
“I was so obviously distressed, and that was the place I was supposed to go. What do you do after that? Do you go to the hospital? Do you phone a friend?” said Aure, 25, who graduated this year.
Ultimately, she turned to her church, which helped her find therapy at an outside clinic. “If it wasn’t for that,” she said, “I don’t know.”
Officials at Utah Valley said they are working to avoid such cases. If staff know a student is in crisis, they said, a counselor can see that person in a matter of minutes. But staff members have only a few moments to make an assessment.
“Unfortunately, stories like this are not that uncommon,” said Dr. William Erb, senior director of student health services at Utah Valley. “We train, review and revise these procedures so that situations like this can be avoided as much as possible.”
At most universities, students contemplating suicide or otherwise in crisis are offered help right away. Others are asked to schedule an appointment. For cases that are not urgent, the wait can range from hours to months, depending on the time of year and the design of the clinic.
Many schools that provided data to the AP said it takes weeks to get an initial appointment. At Utah Valley, students waited an average of more than four weeks last year. At the University of Washington at Seattle, it was three weeks. During busy times at Louisiana State, wait times stretched to four or five weeks.
Some other schools have adopted a model that provides screenings the same day students ask for help, but it can take weeks to get further treatment.
To some students, waiting is just an inconvenience. But it raises the risk that some young people will forgo help entirely, potentially allowing their problems to snowball.
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SOURCE: Associated Press – COLLIN BINKLEY and LARRY FENN