Document Tag: mental health

Help seeking and African American college-aged men: An integrated literature review through somebodiness. (2024)

African American male college students (AAMCS) underutilize counseling services in the face of rising mental health needs. This article is aimed at situating the help-seeking experiences of AAMCS from the theory of somebodiness, recognizing the agency and meaningfulness with which AAMCS author their own lives in the face of dehumanization. The methodology for this article was a narrative literature review, which consisted of reviewing empirical and conceptual peer-reviewed journal articles using a combination of the keywords African American, Black, male college students, help seeking, and counseling. This review was designed to consider the contextual factors that affect AAMCS decisions to seek counseling. Those factors were shared racial identity, access to mental health information, relational norms, spirituality, mental health stigma, and gender socialization. This article concludes with future research and implications for counseling practices to encourage mental health service use among AAMCS populations.

ECMC Foundation Basic Needs Initiative Evaluation Report 1: Sustaining Basic Needs Services at Postsecondary Institutions (2023)

In the past few decades, the cost of college has risen significantly, while federal, state, and institutional financial aid and family income have remained stagnant or declined (Goldrick-Rab, 2018). As a result, many college students struggle to afford the full cost of college attendance, which includes tuition and fees, expenses to cover food, housing, transportation, child care for student parents, school supplies and access to the internet, and other living expenses (Duke-Benfield & Sponsler, 2019). College students may experience basic needs insecurity, including the lack of access to healthy food, stable housing, reliable transportation, affordable child care, physical and mental health care services, the internet and technology, and other necessities they need to survive and thrive in a postsecondary academic setting. Meeting college students’ basic needs is essential to their well-being and ability to learn and succeed in college (Daugherty et al., 2016; Goldrick-Rab, 2021; Hallet & Freas, 2018; Haskett et al., 2020; Maroto et al., 2015; Phillips et al., 2018; Silva et al., 2017; Trawver et al., 2020; Zhu et al., 2018). To support students’ postsecondary success, ECMC Foundation launched the Basic Needs Initiative, funding seven organizations (hereafter “BNI grantees,” see sidebar) to further the development and sustainability of basic needs services at postsecondary institutions through direct service, technical assistance, and research.

Basic Needs Insecurity in Texas Community Colleges: Landscape Analysis (2023)

During the COVID-19 pandemic, Texas community colleges increasingly focused on addressing students’ basic needs insecurities (BNI), such as food and housing insecurity, so that students could continue to make progress towards their academic goals. As colleges continue to recover from the pandemic lockdowns and prepare for the winding down of historic levels of government support, faculty, staff, and administrative leaders are poised to consider how best to refine, scale, and sustain their BNI service offerings to most effectively support student success.
Over the past decade, the research on BNI has grown dramatically, documenting the widespread prevalence of BNI among the student population, the negative effects of BNI on student outcomes, and promising solutions colleges have implemented to best support students. This report documents findings across several critical issue areas relevant for community college leaders to consider as they make plans for enhancing BNI service offerings.

Revisiting Health Disparities Linked to “Some College”: Incorporating Gender and High School Experiences (2023)

In the United States, “some college” is attained more frequently than a 4-year college degree. However, attainments below 4-year college vary considerably in terms of credentials and years of higher education, and gender differences in health disparities remain overlooked. Additionally, high school experiences may confound any estimated health gains. We draw on national longitudinal data (Add Health; Waves IV and V) to estimate associations between subbaccalaureate education and general health during young adulthood and again at early midlife. Relative to attaining no education past high school, women’s greater self-rated health with all levels of postsecondary attainment is robust to high school experiences, with the exception of vocational/technical training without a degree, in young adulthood and in early midlife. Greater health gains are linked to associate degrees compared to some college without a degree. For men, health benefits are found only among 4-year degree holders. For both genders, depressive symptom buffering linked to subbaccalaureate education is inconsistent and sometimes not robust to high school experiences. Overall, these findings offer a compelling case for recasting college health gains in terms of distinct postsecondary endpoints by gender.

Persistent and Changing Food Insecurity Among Students at a Midwestern University is Associated With Behavioral and Mental Health Outcomes (2023)

Purpose
To assess associations between persistent and changing food insecurity and behavioral and mental health outcomes in college students.
Design
Online surveys conducted November 2018 and March 2019 (freshman year), and March 2020 (sophomore year) were used to assess food insecurity, which was then used to create 4 food security transitions: persistent food insecurity, emergent food insecurity, emergent food security, and persistent food security.
Setting
Large Midwestern university.
Sample
593 students completing all 3 surveys.
Measures
Dietary intake and behavioral and mental health outcomes (eating disorders, anxiety, depression, sleep quality) were assessed using validated instruments.
Analysis
Associations between food security transitions and dietary intake, behavioral, and mental health outcomes were examined using generalized linear models.
Results
Compared to persistent food security, emergent and persistent food insecurity was associated with lower (7% and 13% respectively) intake of fruits and vegetables combined; persistent food insecurity was associated with 17% lower intake of fruits, 6% lower intake of fiber and 10% higher intake of added sugar from beverages. Compared to persistent food secure students, eating disorder symptom risk was higher for emergent food insecure (OR = 7.61, 95% CI: 3.32, 17.48), and persistent food insecure (OR = 6.60, 95% CI: 2.60, 16.72) students; emergent (OR = 2.05, 95% CI: 1.14, 3.71) and persistent (OR = 2.55, 95% CI: 1.34, 4.87) food insecure students had higher odds of poor sleep quality, and persistent food insecure, emergent food insecure, and emergent food secure students had higher odds of anxiety and depression (OR range 2.35-2.85).
Conclusion
Food security transitions were associated with aspects of low diet quality and poorer behavioral and mental health outcomes among college students.

Addressing Social Determinants of Mental Health to Improve College Access, Retention, and Completion (2023)

Addressing non-medical factors that adversely impact mental health, wellness, and academic persistence is important to increasing access to college for vulnerable college students. This systematic review synthesized 63 articles on interventions to address college students SDOMH (social determinants of mental health) challenges. Researchers found that SDOMH themes were addressed in intervention studies at different rates, specifically, healthcare access and quality (n = 27; 42.3%), education access and quality (n = 24; 37.5%), social and community context (n = 11; 17.4%), economic stability (n = 3; 4.7%), and neighborhood and built environment (n = 1; 1.6%). Implications for higher education stakeholders conclude the article.

Resilience-Thinking Training for College Students: Evidence from a Randomized Trial (2023)

We conducted a randomized evaluation of a universal primary prevention intervention whose main goal was to increase the resilience of students from a large broad-access Hispanic Serving Institution and commuter urban college. In a 90-minute workshop, students were: introduced to the resilient-thinking approach, which offers conceptual tools to cope with unexpected negative shocks; worked individually and in groups to identify challenges in their community; and brainstormed strategies to address them. We find that the intervention increased by 5 percent of a standard deviation the short-run resilience of the average student. Importantly, the intention-to-treat effects were larger for students with lower levels of baseline resilience. The intervention was most effective among students with weaker individual protective factors at baseline (the most vulnerable students, those with lower resilience, and with higher mental health problems), and for those with stronger community protective factors, suggesting that individual and community factors mediate differently within this intervention. The intervention effects on students’ resilience persisted over time. These effects were mostly driven by an improvement in students’ collaboration (i.e., maintenance and formation of support networks and personal relationships), and vision (i.e., sense of purpose and belief in an ability to define, clarify, and achieve goals).

How Community Colleges Can Support Student Mental Health Needs (2023)

Community colleges in the study have expanded their mental health support programs through integrating them in the broader college environment.
While community colleges in this study offered multiple levels of mental health supports, most lack a clear organizing framework.
Community college leadership should consider explicitly supporting prioritization of student mental health—and broad staff buy-in is important. Community colleges struggle to meet students’ mental health needs because of limited resources. Financial support for student mental health should extend beyond high school.

No food for thought: Food insecurity is related to poor mental health and lower academic performance among students in California’s public university system (2018)

This study examined the relationships between food insecurity, mental health, and academic performance among college students in a California public university system (N = 8705). Structural equation modeling was performed to examine a direct path from food insecurity to student grade point average and an indirect path through mental health, controlling for demographic characteristics. Food insecurity was related to lower student grade point average directly and indirectly through poor mental health. These findings support the need for future interventions and policy on the importance of providing students with the basic needs to succeed both academically and in the future.