How do you know if your college is providing enough mental health services?
When a student attempts to take their life on-campus, how much is a university held responsible?
At Indiana University, a long wait list meant an imminently suicidal student was placed at the end of a two-week wait queue. During this gap in care, the student attempted suicide.
In a special investigation, the Indiana Daily Student looked into this case and found that their counseling center had serious holes in the care they offered. Under the guidelines set by the International Association of Counseling Services, IU was nine counselors short of the recommended 31, the IDS found.
The reporters also used the data to see how Big 10 schools matched up in comparison, and found Northwestern and Rutgers Universities were the only schools that followed the recommended student-to-counselor ratio.
IDS did a deep dive into the services offered by IU’s program, breaking down the different types of sessions into an easy-to-read graph that showed how demand for services has increased over the years. The report also explored the center’s budget to see the costs of services, sources of funding and plans for expansion.Â
The Chronicle of Higher Education recently reported a discrepancy between family expectations for top care at expensive elite universities and what schools say these programs can feasibly offer. Critics point to long wait times plaguing college counseling services, and schools have scrambled to find solutions, adding quick-fix emergency hotlines and group sessions.
The pressure is high for schools, who can also face lawsuits from families of the deceased or survivors who felt their cases were largely brushed off by the counseling staff.
But when these cases pop up, there is no clear legal case, since there is no nationwide standard for what qualifies as strong mental health care. Schools respond by saying that they provide as many counselors as their budget allows, and that the demands are so high it is impractical to have a counselor instantly on-call for everyone.
They aren’t exaggerating about demand: The Center for Collegiate Health found that in the last school year, almost half of college students attended counseling for mental health, and counseling centers are getting busier.
To duplicate IDS’ investigation into your school’s counseling services, use the guidelines of 1 counselor per 1,600 students to see if it measures up. Then, request the size and average time of the wait list for a student at your university’s center. Also request the center’s budgets over the past decade to see how funding has changed over the years and what future proposals are.
For help with records requests, check out the SPLC’s public-records letter generator.
(Post updated 9/29 to correct information about the other Big 10 schools.)