Increasing Counseling Center Utilization: Yeshiva University's Experience

Barriers and facilitators of help-seeking for eating, weight, and shape concerns among college students

Objective: Prevalence of disordered eating among college students is concerning, but professional help-seeking rates are low. This study examined barriers and facilitators of help-seeking for eating, weight, and shape concerns in this population. Participants: A non-clinical sample of undergraduates (N = 134; 64.7% females; 63.9% White; 61.7% freshman) were recruited from a research pool. Methods: Participants reported on help-seeking barriers, facilitators, intentions, and behaviors, as well as disordered eating, anxiety, and depression. Results: Commonly endorsed facilitators of help-seeking for disordered eating included desire to get better and other mental health issues. Commonly endorsed barriers highlighted themes of self-reliance. Recent and lifetime help-seeking behaviors suggested preferences for informal sources of help. Greater disordered eating predicted more endorsed facilitators of help-seeking, whereas greater depression predicted more endorsed barriers. Conclusion: Findings-highlighting self-reliance and preferences for informal sources of help-can facilitate efforts to better serve students who may be experiencing disordered eating.

Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and University Campuses

This article reviews the role of psychiatry in colleges and universities, and argues that psychiatrists are significantly underutilized as consultants and educators in managing emotionally troubled students. Focusing on the 2007 Virginia Tech mass shooting case as a sentinel event, the article outlines mental health issues facing post-secondary institutions and legal issues related to psychiatric services, including the following: the increased need for psychiatric services on campus; communication challenges among campus groups involved in managing high-risk students; efforts to balance patient confidentiality with public safety; confusion over privacy laws; and the changing role of the campus psychiatrist. An important conclusion is that psychiatrists working in campus settings have distinctive, vital skill sets that enable them to go far beyond their traditional roles of psychiatric evaluation and treatment and to serve in critical leadership, educational, and consultative capacities to benefit both emotionally troubled students and the wider campus community.