Towards an evidence-base for student wellbeing and mental health: Definitions, developmental transitions and data sets
Corresponding Author
Michael Barkham
Department of Psychology, University of Sheffield, Sheffield, UK
Correspondence
Michael Barkham, Department of Psychology, University of Sheffield, Sheffield, UK.
Email: [email protected]
Search for more papers by this authorEmma Broglia
British Association for Counselling & Psychotherapy, Lutterworth, UK
University Counselling Service, University of Sheffield, Sheffield, UK
Search for more papers by this authorGéraldine Dufour
University Counselling Service, University of Cambridge, Cambridge, UK
Search for more papers by this authorMark Fudge
Student and Academic Services, Keele University, Keele, UK
Search for more papers by this authorLouise Knowles
University Counselling Service, University of Sheffield, Sheffield, UK
Search for more papers by this authorAlan Percy
The Counselling Service, University of Oxford, Oxford, UK
Search for more papers by this authorAfra Turner
Student Counselling Service, Kings College London, London, UK
Search for more papers by this authorCharlotte Williams
The Counselling Service, Birkbeck, University of London, London, UK
Search for more papers by this authorthe SCORE Consortium
Student Counselling Outcomes, Research & Evaluation Consortium.Search for more papers by this authorCorresponding Author
Michael Barkham
Department of Psychology, University of Sheffield, Sheffield, UK
Correspondence
Michael Barkham, Department of Psychology, University of Sheffield, Sheffield, UK.
Email: [email protected]
Search for more papers by this authorEmma Broglia
British Association for Counselling & Psychotherapy, Lutterworth, UK
University Counselling Service, University of Sheffield, Sheffield, UK
Search for more papers by this authorGéraldine Dufour
University Counselling Service, University of Cambridge, Cambridge, UK
Search for more papers by this authorMark Fudge
Student and Academic Services, Keele University, Keele, UK
Search for more papers by this authorLouise Knowles
University Counselling Service, University of Sheffield, Sheffield, UK
Search for more papers by this authorAlan Percy
The Counselling Service, University of Oxford, Oxford, UK
Search for more papers by this authorAfra Turner
Student Counselling Service, Kings College London, London, UK
Search for more papers by this authorCharlotte Williams
The Counselling Service, Birkbeck, University of London, London, UK
Search for more papers by this authorthe SCORE Consortium
Student Counselling Outcomes, Research & Evaluation Consortium.Search for more papers by this authorAbstract
Against a background of huge changes in the world of university and college students since the turn of the millennium, together with a multitude of reports on student mental health/wellbeing, this article argues that the field of student mental health is hampered by the imprecise use of terms, a rush to action by universities in the absence of a robust evidence-base, and a lack of overall coordination and collaboration in the collection and use of data. In response, we argue for clearer and more consistent use of definitions of, as well as differentiations between, student wellbeing and mental health, for a longitudinal approach to the student body that captures their developmental transitions to and through university, and a strategic and systematic approach to the use of bona fide measures in the collection of data on wellbeing and on the process of outcomes in embedded university counselling services. Such a coordinated approach will provide the necessary evidence-base upon which to develop and deliver appropriate support and interventions to underpin and enhance the quality of students’ lives and learning while at university or college.
REFERENCES
- Advance HE (2018). Equality and higher education: Students statistical report 2018. Retrieved from https://www.advance-he.ac.uk/news-and-views/Equality-in-higher-education-statistical-report-2018
- American College Health Association (2018). American College Health Association-National College Health Assessment II: Reference Group Executive Summary (Spring 2018). Silver Spring, MD: American College Health Association.
- Arie, S. (2017). Simon Wessely: “Every time we have a mental health awareness week my spirits sink”. BMJ, 358, j4305. https://doi.org/10.1136/bmj.j4305.
- Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., …Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine, 46, 2955–2970. https://doi.org/10.1017/S0033291716001665.
- Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., … Kessler, R. C. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127, 623–638. https://doi.org/10.1037/abn0000362.
- Barkham, M., Bewick, B. M., Mullin, T., Gilbody, S., Connell, J., Cahill, J., … Evans, C. (2013). The CORE-10: A short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research, 13, 3–13. https://doi.org/10.1080/14733145.2012.729069.
10.1080/14733145.2012.729069 Google Scholar
- Batterham, P. J., Calear, A. L., & Christensen, H. (2013). Correlates of suicide stigma and suicide literacy in the community. Suicide and Life-Threatening Behavior, 43, 406–417. https://doi.org/10.1111/sltb.12026.
- Beckett, H., Bertolo, S., MacCabe, K., & Tulk, L. (2018). Policy paper: Student health & wellness. Toronto, ON: Ontario Undergraduate Student Alliance.
- Bewick, B., Koutsopoulou, Z., Miles, J., Slaa, E., & Barkham, M. (2010). Changes in undergraduate students’ psychological well-being as they progress through university. Studies in Higher Education, 35, 633–645. https://doi.org/10.1080/03075070903216643.
- Broglia, E., Millings, A., & Barkham, M. (2017). The Counseling Center Assessment of Psychological Symptoms (CCAPS-62): Acceptance, feasibility, and initial psychometric properties in a UK student population. Clinical Psychology and Psychotherapy, 24, 1178–1188. https://doi.org/10.1002/cpp.2070.
- Broglia, E., Millings, A., & Barkham, M. (2018). Challenges in addressing student mental health in embedded counselling services: A survey of UK higher and further education institutions. British Journal of Guidance and Counselling, 46, 441–455. https://doi.org/10.1080/03069885.2017.1370695.
- Brown, J. S. L. (2018). Student mental health: Some answers and more questions. Journal of Mental Health, 27, 193–196. https://doi.org/10.1080/09638237.2018.1470319.
- Brown, P. (2016). The invisible problem? Improving students’ mental health. Higher Education Policy Institute: HEPI Report 88. Retrieved from http://www.hepi.ac.uk/2016/09/22/3592/
- Bruffaerts, R., Mortier, P., Auerbach, R., Alonso, J., Benjet, C., Cuijpers, P., … Kessler, R. (2019). Lifetime and 12-months treatment for mental disorders and suicidal throught and behaviors among first year college students. International Journal of Methods in Psychiatric Research, 28, e1764. https://doi.org/10.1002/mpr.1764.
- Caleb, R. (2014). Uni counselling services challenged by growing demand. The Guardian. Retrieved from https://www.theguardian.com/higher-education-network/blog/2014/may/27/students-mental-health-risk-cuts-nhs-services
- Castonguay, L. G., Locke, B. D., & Hayes, J. A. (2011). The center for collegiate mental health: An example of a practice-research network in university counseling centers. Journal of College Student Psychotherapy, 25, 105–119. https://doi.org/10.1080/87568225.2011.556929.
10.1080/87568225.2011.556929 Google Scholar
- Clark, D. M. (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience. International Review of Psychiatry, 23, 318–327. https://doi.org/10.3109/09540261.2011.606803.
- Clarke, N., Mikulenaite, G., & de Pury, J. (2018). Suicide – Safer universities. Universities UK/Papyrus. Retrieved from https://www.universitiesuk.ac.uk/policy-and-analysis/reports/Documents/2018/guidance-for-universities-on-preventing-student-suicides.pdf
- Cooke, R., Barkham, M., Audin, K., Bradley, M., & Davy, J. (2004). Student debt and its relation to student mental health. Journal of Further and Higher Education, 28, 53–66. https://doi.org/10.1080/0309877032000161814.
10.1080/0309877032000161814 Google Scholar
- Cuijpers, P., Auerbach, R. P., Benjet, C., Bruffaerts, R., Ebert, D. D., Karyotaki, E., & Kessler, R. C. (2019a). Introduction to the special issue: The WHO World Mental Health International College Student (WMH-ICS) initiative. International Journal of Methods in Psychiatric Research, 28, e1762. https://doi.org/10.1002/mpr.1762.
- Cuijpers, P., Auerbach, R. P., Benjet, C., Bruffaerts, R., Ebert, D. D., Karyotaki, E., & Kessler, R. C. (2019b). The WHO World Mental Health Surveys International College Student (WMH-ICS) initiative: An overview. International Journal of Methods in Psychiatric Research, 28, e1761. https://doi.org/10.1002/mpr.1761.
- Equality Challenge Unit (2014). Equality in higher education: Statistical report 2014 – Part 2: Students. Retrieved from https://www.ecu.ac.uk/wp-content/uploads/2014/11/ECU_HE-stats-report_student_v19.pdf
- Equality Challenge Unit (2017). Equality in higher education: Students statistical report 2017. Retrieved from https://www.ecu.ac.uk/publications/equality-in-higher-education-statistical-report-2017/
- Evans, C., Connell, J., Barkham, M., Margison, F., McGrath, G., Mellor-Clark, J., & Audin, K. (2002). Towards a standardised brief outcome measure: Psychometric properties and utility of the CORE-OM. British Journal of Psychiatry, 180, 51–60. https://doi.org/10.1192/bjp.180.1.51.
- Evidence-based Practice Unit (n.d). Wellbeing measurement framework for colleges. Retrieved from https://www.corc.uk.net/media/1507/college-measures_310317_forweb.pdf
- Farrell, S., Kapur, N., While, D., Appleby, L., & Windfuhr, K. (2016). Suicide in a national student mental health patient population, 1997–2012. Crisis, 38, 82–88. https://doi.org/10.1027/0227-5910/a000412.
- Galante, J., Dufour, G., Vainre, M., Wagner, A. P., Stochl, J., Benton, A., … Jones, P. B.(2018). Effectiveness of providing university students with a mindfulness-based intervention to increase resilience to stress: a pragmatic randomised controlled trial. Lancet Public Health, 3, e72–81. https://doi.org/10.1016/S2468-2667(17)30231-1.
- Hewitt, R. (2019). Measuring well-being in higher education. Higher Education Policy Institute, HEPI Policy Note 13. Retrieved from https://www.hepi.ac.uk/wp-content/uploads/2019/05/Policy-Note-13-Paper-May-2019-Measuring-well-being-in-higher-education-8-Pages-5.pdf
- Holm-Hadulla, R. M., & Koutsoukou-Argyraki, A. (2015). Mental health of students in a globalized world: Prevalence of complaints and disorders, methods and effectivity of counseling, structure of mental health services for students. Mental Health & Prevention, 3, 1–4. https://doi.org/10.1016/j.mhp.2015.04.003.
10.1016/j.mhp.2015.04.003 Google Scholar
- Huang, J., Nigatu, Y. T., Smail-Crevier, R., Zhang, X., & Wang, J. (2018). Interventions for common mental health problems among university and college students: A systematic review and meta-analysis of randomized controlled trials. Journal of Psychiatric Research, 107, 1–10. https://doi.org/10.1016/j.jpsychires.2018.09.018.
- Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x.
- Leach, C., Lucock, M., Barkham, M., Stiles, W. B., Noble, R., & Iveson, S. (2006). Transforming between Beck Depression Inventory and CORE-OM scores in routine clinical practice. British Journal of Clinical Psychology, 45, 153–166. https://doi.org/10.1348/014466505X35335.
- Lightfoot, L. (2018). Universities outsource mental health services despite soaring demand. The Guardian. Retrieved from https://www.theguardian.com/education/2018/jul/17/universities-outsource-mental-health-services-despite-soaring-demand
- Monroe, S. M., & Simons, A. D. (1991). Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. Psychological Bulletin, 110, 406–425. https://doi.org/10.1037/0033-2909.110.3.406.
- Neves, J., & Hillman, N. (2018). 2018 student academic experience survey. Advance HE, Higher Education Policy Institute. HEPI No. 108. Retrieved from https://www.hepi.ac.uk/2018/06/07/2018-student-academic-experience-survey/
- Neves, J., & Hillman, N. (2019). 2019 student academic experience survey. Advance HE, Higher Education Policy Institute. HEPI No. 117. Retrieved from https://www.hepi.ac.uk/wp-content/uploads/2019/06/Student-Academic-Experience-Survey-2019.pdf
- New Zealand Government (2019). The wellbeing budget: 30 May 2019. Retrieved from Treasury.govt.nz/publications/wellbeing-budget/wellbeing-budget-2019
- NHS (2019). The NHS long term plan. Retrieved from https://www.longtermplan.nhs.uk/
- Nunez-Mulder, L. (2018). Researcher cautions against initiatives to reduce student suicide that lack evidence. BMJ, 362, k3969. https://doi.org/10.1136/bmj.k3969.
- Office for National Statistics (2018a). Surveys using our four personal well-being questions. Retrieved from https://www.ons.gov.uk/peoplepopulationandcommunity/wellbeing/methodologies/surveysusingthe4officefornationalstatisticspersonalwellbeingquestions
- Office for National Statistics (2018b). Estimating suicide among higher education students, England and Wales: Experimental statistics: Estimates of suicides among higher education students by sex, age and ethnicity. The author, 25th June 2018 release.
- Office for Students (2019). Innovation, partnership and data can help improve student mental health in new £14m drive. Retrieved from https://www.officeforstudents.org.uk/news-blog-and-events/press-and-media/innovation-partnership-and-data-can-help-improve-student-mental-health-in-new-14m-drive/
- Orygen, The National Centre of Excellence in Youth Mental Health (2017). Under the radar: The mental health of Australian university students. Melbourne: Orygen, The National Centre of Excellence in Youth Mental Health.
- Ramasubramanian, S. (2017). Mindfulness, stress coping and everyday resilience among emerging youth in a university setting: a mixed methods approach. International Journal of Adolescence and Youth, 22, 308–321. https://doi.org/10.1080/02673843.2016.1175361.
- Roulston, A., Montgomery, L., Campbell, A., & Davidson, G. (2018). Exploring the impact of mindfulnesss on mental wellbeing, stress and resilience of undergraduate social work students. Social Work Education, 37, 157–172. https://doi.org/10.1080/02615479.2017.1388776.
- Scottish Government (2018). Delivering for today, investing in tomorrow: The government’s programme for Scotland 2018–19. Retrieved from https://www.gov.scot/publications/delivering-today-investing-tomorrow-governments-programme-scotland-2018-19/
- Sharp, J., & Theiler, S. (2018). A review of psychological distress among university students: Pervasiveness, implications and potential points of intervention. International Journal for the Advancement of Counselling, 40, 193–212. https://doi.org/10.1007/s10447-018-9321-7.
- Sinclair, A., Barkham, M., Evans, C., Connell, J., & Audin, K. (2005). Rationale and development of a general population well-being measure: Psychometric status of the GP-CORE in a student sample. British Journal of Guidance & Counselling, 33, 153–174. https://doi.org/10.1080/03069880500132581.
- Sommers-Flanagan, R., Barrett-Hakanson, T., Clarke, C., & Sommers-Flanagan, J. (2000). A psychoeducational school-based coping and social skills group for depressed students. Journal for Specialists in Group Work, 25, 170–190. https://doi.org/10.1080/01933920008411460.
10.1080/01933920008411460 Google Scholar
- Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097. https://doi.org/10.1001/archinte.166.10.1092.
- Statistical First Release (2019). Counselling for children and young people 2017/18. Statistics for Wales, Welsh Government. Retrieved from https://gov.wales/sites/default/files/statistics-and-research/2019-03/counselling-for-children-and-young-people-2017-18-494.pdf
- Student Mental Health Research Network. SMaRteN. Retrieved from https://www.smarten.org.uk/
- Student Minds (2018). The University Mental Health Charter. Retrieved from https://www.studentminds.org.uk/charter.html
- Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., … Stewart-Brown, S. (2007). The Warwick-Edinburgh mental well-being scale (WEMWBS): Development and UK validation. Health and Quality of Life Outcomes, 5, 63. https://doi.org/10.1186/1477-7525-5-63.
- The Insight Network and Dig-in (2019). University student mental health survey 2018: A large scale study into the prevalence of student mental illness within UK universities. Retrieved from https://assets.website-files.com/561110743bc7e45e78292140/5c7d4b5d314d163fecdc3706_Mental%20Health%20Report%202018.pdf
- Thorley, C. (2017). Not by degrees: Improving student mental health in the UK's Universities. Institute for Public Policy Research. Retrieved from http://www.ippr.org/research/publications/not-by-degrees
- Trendence UK (2019). Only the lonely – Loneliness, student activities and mental wellbeing at university. Retrieved from https://wonkhe.com/blogs/only-the-lonely-loneliness-student-activities-and-mental-wellbeing/
- Twigg, E., Barkham, M., Bewick, B. M., Mulhern, B., & Cooper, M. (2009). The YP-CORE: Development and validation of a young person’s version of the CORE-OM. Counselling and Psychotherapy Research, 9, 160–168. https://doi.org/10.1080/14733140902979722.
10.1080/14733140902979722 Google Scholar
- Universities and Colleges Admissions Service (2017). Undergraduate tuition fees and student loans. Retrieved from https://www.ucas.com/ucas/undergraduate/finance-and-support/undergraduate-tuition-fees-and-student-loans
- Welsh Government (2013). Statutory guidance to Welsh local authorities on the provision of independent counselling services. Retrieved from https://gov.wales/sites/default/files/publications/2018-03/statutory-guidance-to-welsh-local-authorities-on-the-provision-of-independent-counselling-services.pdf
- Winzer, R., Lindberg, L., Gulbrandsson, K., & Sidorchuk, A. (2018). Effects of mental health interventions for students in higher education are sustainable over time: A systematic review and meta-analysis of randomized controlled trials. PeerJ, 6, e4598. https://doi.org/10.7717/peerj.4598.
- Woodrow, M. (2000). Widening participation what's it really all about? Retrieved from http://www.brad.ac.uk/admin/conted/action/context/mwabout.html