9th Annual Ethics Conference. Theme : Bioethics medical, legal, environmental and cultural aspects in healthcare ethics at Strathmore University, 25-26 October 2012.9th Annual Ethics Conference. Theme : Bioethics medical, legal, environmental and cultural aspects in healthcare ethics at Strathmore University, 25-26 October 2012

Doherty, Michael Dr.

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Developing a Strategy for  Student Mental Health Well BeingDr. Michael Doherty. MD FRCPsych26th October 2012University provides  students with:  Opportunities to learn in new and challenging ways Enhancement of Mental Health and Well BeingEncouragement to become confident and independent learnersSupport from faculty and fellow students to take responsibility for their own academic progressUNIVERSITIES MUST Provide a vibrant academic environment Be attuned to the learning needs of the student Develop the employability status of its students Create a culture that is supportive to the development and maintenance of health and wellbeing of students and staff (Healthy Universities Initiative, UK)Holistic ModelDr. Martin Cunningham, The Health Centre  Queen’s University, Belfast4ETHICAL PRINCIPLES RESPECT FOR AUTONOMY1) Confidentiality2) Informed Consent3) Role of familyETHICAL PRINCIPLES Professional Ethics1) Provision of Competent Care2) Adherence to Codes of Practice3) Responsibility to  student is paramount4) Honesty in professional relationships5) Keep professional boundaries in relationshipsEthical Principles Treat  Student with Dignity and Respect  Respect their personal and religious beliefs Balance between resources and needsPressures facing young people Transition from adolescence to adulthood Personality development Development of relationship skills Setting and adjusting their own expectations Biological changes of body and brain Family expectationsStudents are vulnerable to additional pressures:STRESS-DISTRESS-DISORDERPREVALENCE: anxiety and depression American College Health Association (Annual survey).ANXIETY 13.4%Depression 18.4%Prevalence: alcohol and drug misuseUSA (CASA, 2007) UK (McCall, 2001)Alcohol or drug 22.9% (students)misuse(8.5% general population)Alcohol (hazardous use)Male:    11.5%Female: 5.2%Drug misuse Cannabis: 17%Ecstasy:      3%Sub-Saharan AfricaAge range 11-24Country PopulationLifetime useCurrent useSourceKenya, 2004 1296 38.6% 1.7% Ndetei et al, 2009Lesotho, 1989 1133 48% 6.2% Meursing and Morojole, 1989Nigeria, 1988 1041 - 12% Abiodun et al, 1994Zimbabwe, 19922783 38% 2.2% Acuda and Eide, 1994Zimbabwe, 19943061 46.1 2.1 Eide and Acuda, 199613Acuda, W., Othieno, C., Obondo, A. and Crome, I. (2011) The Epidemiology of Addiction in Sub-Saharan Africa: A Synthesis of Reports, Reviews and Original Articles. The American Journal of Addictions.  20: 87-99 Mental illnesses that have an onset in adolescents Schizophrenia Depression Bi Polar Disorder Eating Disorder Alcohol misuse and dependence Drug/substance misuse and dependencePRIMARY PREVENTIONPrimary Prevention Preparation in the Schools16 Support for Families Government Embedded within University Structures  Student Health and CounsellingModel of Early InterventionRecognising the vulnerable studentDeveloping pathways to mental health careStaff trained to recognise more serious symptomsClear processes for self-harm, suicide and riskHelping Early Intervention Reducing stigma Increase education/ knowledge/understanding Clear Pathways Recognising confidentiality18Key People Necessary for Strategy Development University Medical OfficerDirector of Student Services Health Care Staff and Counsellors Students - need to be actively involved Mentors University Staff and Senior ManagementOVER-ARCHING STRATEGY

Developing a strategy for students mental health well being

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Developing a strategy for students mental health well being

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