Wednesday, November 11, 2015

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SINCE 1891

THE BROWN DAILY HERALD WEDNESDAY, NOVEMBER 11, 2015

VOLUME CL, ISSUE 104

UNDER PRESSURE As more students reach out to CAPS, the understaffed office struggles to find the resources to help students confront mental health BY KATE TALERICO SENIOR STAFF WRITER

ARJUN NARAYEN / HERALD

Though Allie scheduled an appointment at Counseling and Psychological Services, she did not receive treatment in time to prevent a panic attack that left her gasping for breath.

MARIANNA MCMURDOCK / HERALD

Sherri Nelson, director of Counseling and Psychological Services, said the University is committed to eliminating the seven-session limit on CAPS appointments by Fall 2017.

INSIDE

This story is the first in a three-part series about mental health at Brown and students’ attempts to navigate the gaps in treatment and understanding.

MIND THE GAPS Allie couldn’t breathe. She had experienced panic attacks before, but never like this. Though she had been battling depression since high school, the panic attacks were relatively new to her, beginning earlier this year. She called Counseling and Psychological Services in early September for an appointment but was unable to schedule one until the middle of October. But just a few days after her phone call to CAPS, Allie sat in Metcalf Auditorium in the midst of her worst panic attack yet. For a moment, she forced herself not to stand up — she did not want to make a scene within the crowded auditorium. But the pressure around her was too much. She began gasping for air. “I got up and walked out of Metcalf, bawling,” she said. People turned in their seats, watching Allie leave in tears. “It was clear that people didn’t want to show that they were staring, but they were confused.” “It got much worse before it got better,” Allie said. “I feel I could have avoided that if I had been able to talk to someone sooner.” Allie, whose last name has been omitted to preserve her anonymity, is one of many students who has called CAPS in the middle of a mental health crisis and had treatment deferred due to CAPS’ long waitlist. As more students reach out for help, CAPS finds itself underresourced and understaffed, making it difficult for students to receive timely help. Turning to CAPS At college campuses nationwide, more students than ever are facing mental health challenges, said Sara Abelson, vice president for student health and wellness at Active Minds, a national nonprofit working to eliminate the stigma surrounding mental health. “Students are increasingly coming to campus with mental health concerns,” Abelson said. “Making sure that resources can grow as the population of students with concerns grows is a real challenge.” CAPS, the University’s provider of mental health services, has 12 staff members, eight of whom are full-time therapists and counselors. The office offers short-term

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t h e r a p y, group therapy and referrals to all enrolled students. All services are covered by the Health Services fee. Last year, CAPS saw 18.9 percent of Brown’s student body, including graduate and medical students, said Sherri Nelson, director of CAPS. Utilization was highest for undergraduates, one in five of whom had visited, she said. About 43 percent of seniors have visited at least once over the course of their time at Brown, according to a poll of undergraduates conducted by The Herald last month. Campuses are not always equipped to serve the diversity of their student body, which may deter some students from seeking treatment, Abelson said. “We know that many LGBT students are facing the most concerns but are not being seen at that same rate,” she said. At Brown, 22.8 percent of heterosexual students have been to CAPS at least once compared to 46.4 percent of gay students and 45.7 percent of bisexual students, according to the poll. Additionally, 8.9 percent of gay students and 5.7 percent of bisexual students had seen CAPS seven times and received outside help, whereas only 1.9 percent of heterosexual students had done the same. Athletes may also face barriers to receiving care from on-campus counseling centers, Abelson said. Daytime practices on top of classes may leave athletes with no time to visit counselors, who typically work only during regular business hours. CAPS, for example, is open from 8:30 a.m. to 5 p.m. Abelson said the competitive athletic environment can also create it “tough-it-up culture.” “We want to make sure that coaches and staff are educated about the need for mental health and are able to communicate that it’s not problematic to seek help,” she said. A disparity exists along lines of gender as well. Nationwide, women visit college counseling centers at

higher rates than men do, Abelson said. At Brown, 29.7 percent of women have gone to CAPS at least once, compared to only 21.9 percent of men, according to the poll. Of people who hit the sevensession limit and received off-campus help, 70 percent were women, and 26.7 percent were men. “In society, help-seeking is portrayed more as a feminine thing,” said Marc Peters, men’s health coordinator. “From a young age, men are taught to tough things out, to not show emotion other than anger and to take things upon themselves because they aren’t » See CAPS, page 2

WEATHER

WEDNESDAY, NOVEMBER 11, 2015

POLL RESULTS See the full results and methodology of The Herald’s Fall 2015 undergraduate poll

METRO Mayor Jorge Elorza forms advisory council to reduce gun violence in Providence

COMMENTARY Conrad ’18: Involvement with the Swearer Center provides new perspective on privilege

COMMENTARY Horowitz ’16: Opportunities outside Brown’s classrooms and academic offerings are invaluable

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