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Dutta T, Agley J. College leadership decisions and experiences during the COVID-19 pandemic: an elite interview study. J Am Coll Health 2024:1-11. [PMID: 38498604 DOI: 10.1080/07448481.2024.2328139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 02/28/2024] [Indexed: 03/20/2024]
Abstract
OBJECTIVE This study at a US Native American-serving Nontribal Institution (NASNTI) deeply analyzed collegiate leadership's responses and experiences during the first year of the COVID-19 pandemic. PARTICIPANTS Elite interviews were conducted between April and June 2021 with the college president, provost, dean of student engagement, human resources director, and chief of police. Interviewees were purposively selected due to their positions of authority. METHODS Each one-hour interview used a semi-structured guide for standardization and was conducted either virtually or in-person while following COVID-19 protocols. The general inductive method was used to identify nodes and categories within the transcripts. RESULTS Six nodes (conceptual domains) and 18 categories were identified. Though there was variability in interviewee emphasis, the respondents described the motivations, drivers, and sentiment behind their decision-making in a transparent way. CONCLUSIONS NASNTI leadership reported being able to navigate the pandemic by emphasizing transparency and engaging students, while working alongside the community.
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Affiliation(s)
- Tapati Dutta
- Public Health Department, Health Sciences Division, Fort Lewis College, Durango, Colorado, USA
| | - Jon Agley
- Prevention Insights, Department of Applied Health Science, School of Public Health Bloomington, Indiana University, Bloomington, Indiana, USA
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Friedman NMG, Bartho MJ, Koenig GJ. Promoting a health-centered approach to acute mental health crises on college campuses: The case for collegiate-based emergency medical services. J Am Coll Health 2022:1-3. [PMID: 35943954 DOI: 10.1080/07448481.2022.2104616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2021] [Revised: 06/09/2022] [Accepted: 07/17/2022] [Indexed: 06/15/2023]
Abstract
As college and university campuses re-open during the COVID-19 pandemic, there is increased concern for mental health crises. Current trends in campus mental health care emphasize providing quality care in a safe, non-judgmental, and non-punitive manner. Collegiate-based emergency medical services organizations are well-positioned to respond to acute mental health crises on college campuses. Campus health professionals and administrators seeking to promote a health-centered approach toward mental health crises should support the growth and development of collegiate-based emergency medical services organizations.
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Affiliation(s)
- Nicholas M G Friedman
- National Collegiate Emergency Medical Services Foundation, West Sand Lake, New York, USA
- School of Medicine, Stanford University, Stanford, California, USA
| | - Murray J Bartho
- National Collegiate Emergency Medical Services Foundation, West Sand Lake, New York, USA
- Department of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California, USA
| | - George J Koenig
- National Collegiate Emergency Medical Services Foundation, West Sand Lake, New York, USA
- Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
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Gatdula N, Costa CB, Rascón MS, Deckers CM, Bird M. College students' perceptions of telemental health to address their mental health needs. J Am Coll Health 2022:1-7. [PMID: 35271419 DOI: 10.1080/07448481.2022.2047697] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 12/30/2021] [Accepted: 02/23/2022] [Indexed: 06/14/2023]
Abstract
Objective: To understand the feasibility of using telehealth for mental health services among college students. Participants: College students (N = 16) attending a university in Southern California, 18 years or older, and living in the residential halls. Methods: Two face-to-face semi-structured focus groups were conducted using a semi-structured moderator guide. Written consent and a demographic survey were completed. Descriptive thematic analysis was conducted independently by members of the research team. Results: Participants reported mixed feelings about their level of comfort using technology to access mental health services. Some participants acknowledged the value of using technology, while many voiced issues of distrust and privacy, in addition to the loss of empathy and personal connection with the mental health practitioner. Conclusion: Offering a menu of telehealth options including a hybrid approach (in-person/telehealth) may be necessary to address the issues of comfort, privacy, and trust to effectively reach college students with technology-based mental health services.
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Affiliation(s)
- Natalia Gatdula
- Center for Latino Community Health, Evaluation, and Leadership Training, California State University Long Beach, Long Beach, California, USA
| | - Christine B Costa
- School of Nursing, California State University Long Beach, Long Beach, California, USA
| | - Mayra S Rascón
- Center for Latino Community Health, Evaluation, and Leadership Training, California State University Long Beach, Long Beach, California, USA
| | - Cathleen M Deckers
- School of Nursing, California State University Long Beach, Long Beach, California, USA
| | - Mara Bird
- Center for Latino Community Health, Evaluation, and Leadership Training, California State University Long Beach, Long Beach, California, USA
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Zhu J, Racine N, Xie EB, Park J, Watt J, Eirich R, Dobson K, Madigan S. Post-secondary Student Mental Health During COVID-19: A Meta-Analysis. Front Psychiatry 2021; 12:777251. [PMID: 34955924 PMCID: PMC8709535 DOI: 10.3389/fpsyt.2021.777251] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 11/05/2021] [Indexed: 12/11/2022] Open
Abstract
The COVID-19 pandemic has posed notable challenges to post-secondary students, causing concern for their psychological well-being. In the face of school closures, academic disruptions, and constraints on social gatherings, it is crucial to understand the extent to which mental health among post-secondary students has been impacted in order to inform support implementation for this population. The present meta-analysis examines the global prevalence of clinically significant depression and anxiety among post-secondary students during the COVID-19 pandemic. Several moderator analyses were also performed to examine sources of variability in depression and anxiety prevalence rates. A systematic search was conducted across six databases on May 3, 2021, yielding a total of 176 studies (1,732,456 participants) which met inclusion criteria. Random-effects meta-analyses of 126 studies assessing depression symptoms and 144 studies assessing anxiety symptoms were conducted. The pooled prevalence estimates of clinically elevated depressive and anxiety symptoms for post-secondary students during the COVID-19 pandemic was 30.6% (95% CI: 0.274, 0.340) and 28.2% (CI: 0.246, 0.321), respectively. The month of data collection and geographical region were determined to be significant moderators. However, student age, sex, type (i.e., healthcare student vs. non-healthcare student), and level of training (i.e., undergraduate, university or college generally; graduate, medical, post-doctorate, fellow, trainee), were not sources of variability in pooled rates of depression and anxiety symptoms during the pandemic. The current study indicates a call for continued access to mental health services to ensure post-secondary students receive adequate support during and after the COVID-19 pandemic. Systematic Review Registration: PROSPERO website: https://www.crd.york.ac.uk/prospero/, identifier: CRD42021253547.
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Affiliation(s)
- Jenney Zhu
- Department of Psychology, University of Calgary, Calgary, AB, Canada
- Alberta Children's Hospital Research Institute, Calgary, AB, Canada
| | - Nicole Racine
- Department of Psychology, University of Calgary, Calgary, AB, Canada
- Alberta Children's Hospital Research Institute, Calgary, AB, Canada
| | | | - Julianna Park
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Julianna Watt
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Rachel Eirich
- Department of Psychology, University of Calgary, Calgary, AB, Canada
- Alberta Children's Hospital Research Institute, Calgary, AB, Canada
| | - Keith Dobson
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Sheri Madigan
- Department of Psychology, University of Calgary, Calgary, AB, Canada
- Alberta Children's Hospital Research Institute, Calgary, AB, Canada
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Freske E, Malczyk BR. COVID-19, Rural Communities, and Implications of Telebehavioral Health Services: Addressing the Benefits and Challenges of Behavioral Health Services via Telehealth in Nebraska. Societies 2021; 11:141. [DOI: 10.3390/soc11040141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Telehealth has been in use, in various forms, for over a century and is growing increasingly more popular. The current research sought to examine the prevalence, benefits, and challenges of telehealth for behavioral and mental health services in the state of Nebraska with a particular focus on rural communities. The COVID-19 pandemic coincided with the research endeavors and impacted the questions that were asked related to the use of telebehavioral health. Specifically, the research included an investigation of the rates of use of telebehavioral health across agencies and whether/how the pandemic impacted the use of telehealth services. The research included an initial examination of more than 50 behavioral health agencies to assess overall utilization of telehealth. Researchers then conducted interviews with 15 practitioners to discuss the challenges and benefits associated with telehealth services. Key results suggest that implementation of telehealth in Nebraska has resulted in increased access to services among rural residents and has deeply impacted clinical practice. Additionally, clinicians identified specific benefits and challenges of telebehavioral health. It was also noted that the majority of clinicians plan to continue providing services via telehealth if the policies and regulations remain as they are post-COVID-19. Implications of this research highlight the efficiency and effectiveness of using telehealth to increase access.
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