Mental health and wellbeing is at the forefront of our minds

Last week was University Mental Health Day (UMHD19) – a national day of events where students around the UK unite to change the narrative around student mental health.

It is a day where organisers aim to bring together the university community to make mental health a university-wide priority.

Here at Bristol the mental health and wellbeing of our students and our staff has been at the forefront of our minds and planning for some time.

You will remember that last autumn we launched a consultation with our staff and students about our new mental health and wellbeing strategies.

I said at the time that we can only get ahead of this issue if we all work together so I was delighted with the level of feedback we collected from across our community.

We received lots of honest and insightful comments as well as many supportive and innovative ideas.

That feedback was further informed by our Independent Expert Advisory Group of national and international research experts, policy makers and practitioners ensuring our approach was informed by best practice in higher education, health and social care.

Importantly, for the student focused strategy, it was developed in real partnership with our students, whose insights have brought to life the challenges faced by young people today.

This approached is echoed on the University Mental Health Day 2019 website when it says: ‘Students and members of the university community, as experts by experience, best understand the challenges that university presents and are best placed to influence change’.

Our work at Bristol has led to the publication of our new Student Mental Health and Wellbeing Strategy and to a Staff Mental Health and Wellbeing Strategy.

The steps we are taking are part of a journey that will evolve over time. New activities and initiatives will emerge as we learn from our work here at Bristol, and as all parts of our society understand more about these complex challenges.

By continuing to work together with staff and students I believe we can build an environment where everyone can thrive, and where wellbeing is central to all we do.

Please take some time to look at the strategies to see what is already underway and what is still to be delivered and let us know if you feel something is missing or highlight an area you feel we need to focus on.

Mental health is everybody’s business at our University

Two people walking in a park

This week we’re launching a feedback process for our new staff and student mental health and wellbeing strategies.

These important documents:

  • bring together the mental health supports already available to our staff and students;
  • capture the major changes and new investments we have made over the past two years to further strengthen these supports;
  • challenge us all to consider if there are additional actions we should take;
  • and ask if we can use more of our world-leading research capability to better understand contemporary mental health challenges.

The feedback period will run until 7 November, and I hope as many of our students and staff as possible will get involved and provide feedback to us. We can only get ahead of the issue if we all work together. Simply put, mental health is everybody’s business at our University.

Today, Wednesday 10 October is World Mental Health Day and much of the focus this year is on young people and mental health in a changing world. As the new academic year commences, the wellbeing of our students remains firmly at the forefront of all our minds.

I’ve really enjoyed meeting so many new students during our traditional Welcome Week activities as they embarked on their exciting journey with us here at the University of Bristol.

Many will take to university like ducks to water, while others will take a bit longer to settle in. Some will experience difficulties during their time with us such as family, relationship, financial or academic challenges, or physical or mental health issues. The one thing they can all be sure about is that they are not alone in facing such difficulties nor the first to do so.

Mental health is fast emerging as the single biggest public health issue affecting young people today, both in the UK and globally. The exact causes are difficult to determine, but there can be many contributing factors on a personal and societal level.

It’s refreshing that there’s an increased awareness of mental health among current students and a willingness to talk openly about mental health challenges – so different to my life as a student in the late 70s and early 80s.

In some situations, the natural mood swings that have always characterised the human condition (good days and bad days) and the anxiety that is a normal precursor of major events such as presentations or exams (and arguably a positive factor in terms of performance) are misinterpreted by students or misrepresented by observers as abnormal.

However, even allowing for these factors, there does appear to have been a very real surge in mental health challenges facing young people, including students.

The causes are unclear and will take time and research to tease out. Putative factors include increased academic pressure, concerns about employment, changing patterns of drug and alcohol use, student debt, and concerns about geopolitics and climate change.

Many of us worry that the sheer volume, content and pressures of social media may also be a factor. In this cyber world, there’s no longer time to daydream, to muse or to have a bad hair day without getting judged, trolled or abused.

The scale of the challenge is causing us to re-evaluate every aspect of our student support systems; to challenge established practices; to examine innovations elsewhere in the sector and beyond; to make major changes and significant additional investments where warranted; and to monitor the impact of our interventions with a view to continual improvement.

We at Bristol are taking every step we can to work with our students to help them build the life skills and resilience to cope with these pressures, and to identify vulnerable students as early as possible so that we can support them.

We are implementing an institution-wide approach to student (and indeed staff) wellbeing for this academic year and beyond. Part of this work is focused on further strengthening support for our students during their transition into University.

This includes an ‘opt-in’ policy which encourages our students to allow us to include a third party, chosen by the student themselves, in discussions on their mental or physical health where we have significant concerns.

This consent is granted via online registration, or in discussion with University staff. The named contact can be changed at any time and consent can be withdrawn or added during a student’s time at Bristol.

Universities have always been empowered by law to contact parents, guardians and others in life-threatening situations. Our new policy aims to agree upfront with students that we can involve a third party of their choosing at an earlier stage if we have significant worries about their physical health or wellbeing.

We are definitively not in loco parentis and our students are adult learners with all the rights of privacy enjoyed by other adults. We believe, however, that where someone is experiencing difficulties they may benefit hugely from the early involvement of a parent, former teacher, friend or guardian – involvement that vitally requires the student’s unequivocal consent.

In legal terms, a young person wakes up on the day of their 18th birthday with a dramatically different set of rights and entitlements. From a human, biologic and behavioural viewpoint, they are essentially the same person!

Difficult that it may be, common sense and judgement must prevail if we are to support our young people as they navigate the tricky journey from adolescence to adulthood – a vulnerable period for even well-adjusted confident individuals and an unnerving and stressful period for many more.

We’re delighted that in the first week of registrations 94% of our students, both those new to Bristol and those returning, have signed up to this new common-sense policy. It seems a simple step but one that could make a real difference in the coming year.

Other key measures to our whole-institution approach include:

  • embedding personal development, wellbeing and resilience in the curriculum through our new Bristol Futures initiative;
  • introducing a team of full-time professional services staff in our halls of residence (Residential Life Teams) who are rostered on a 24/7/365 basis and whose full-time job is to work with our established teams of live-in student peer mentors on community building and early identification and support of vulnerable students;
  • introducing a similar team of dedicated full-time professional services staff into our academic schools and departments (Student Wellbeing Advisers) working alongside our personal and senior tutors;
  • bolstering our triage, GP and Counselling Services so we can treat urgent cases on the same day if necessary while channelling less urgent cases to appropriate counselling, life-style, mindfulness and exercise programmes;
  • strengthening partnerships with external providers such as the NHS, Public Health England and the charitable sector so students in difficulty can be referred and treated promptly;
  • creating a strong focus on employability with a view to supporting our students during their second challenging transition – moving from student life to the workforce after graduation;
  • reviewing our policies and communications in difficult areas such as withdrawal and fitness-to-study ensuring students are appropriately supported by the University, their parents and others during such challenging events.

As a world-leading research-intensive university we are taking an evidence-based approach to inform our practices and to monitor outcomes. We are also investing in research to better understand risk, causation and effective treatment. I am grateful to our Elizabeth Blackwell Institute for coordinating these efforts which will soon include the appointment of a new Vice-Chancellor’s Fellow to boost research capacity in this area.

This programme clearly involves multiple components – many of which overlap – and must be underpinned by easily understood care pathways and communications channels. I have established a Vice-Chancellor’s Taskforce to coordinate our efforts across the University which, in turn, is supported by an Expert Advisory Panel of national and international experts.

But finally, it would be remiss of me as a parent, clinician and Vice-Chancellor, if I did not state that universities, while taking their pastoral care responsibilities very seriously, should not be expected to replace the NHS in provision of mental health support. For too long, mental health has been the poor relation to other NHS services – this must change.

Professor Hugh Brady, Vice-Chancellor and President of the University of Bristol

 

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