1. Early Mental Health Interventions in a College Athletics Department: The Implications of the Development of an Embedded Mental Health Unit
- Author
-
Lenecia D. Nickell
- Abstract
In the last decade, the National Collegiate Athletics Association (NCAA) has significantly focused on student-athlete mental health, beginning with the NCAA Annual Convention in 2013 culminating in the creation of the Mental Health Best Practices document. This document and the 2023 NCAA Transformation Committee document provide suggestions for collegiate athletics departments to consider when providing mental health services to student-athletes. The purpose of this pilot study was to develop a program that provides specific structural suggestions for creating a fully embedded mental health unit within a collegiate athletics department using the guidance documents from the NCAA. This unique program engaged in the intentional training of non-mental health professionals in mental health intervention skills specifically focused on education in recognizing the signs and symptoms of individuals experiencing a mental health challenge. Additionally, the program included the development of a detailed handbook designed to provide a structured pathway for new athletic departments in creating an embedded mental health unit. Mental Health First Aid (MHFA), an evidence-based program found to increase mental health literacy and encourage health-promoting environments, was selected to demonstrate an actionable service option. Research questions for this study aimed to determine if training in MHFA increases participants' confidence to support individuals experiencing a mental health challenge, increases participant knowledge regarding common types of mental health challenges, and reduces the stigma attached to mental health for participants. This research aimed to educate individuals representing various employment positions in collegiate athletics: administration, sports medicine, staff, and coaches. Participants were trained in MHFA and Starting BLOCKS, an interpersonal processes training created by the researcher. The Mental Health Beliefs and Literacy Scale (MBLS) pre-survey was given prior to training in both interventions and the MBLS post-survey was disturbed three weeks after participants completed MHFA training. Data was collected and analyzed using quantitative methods, inferential statistics, and categorizing participants into two groups. The results indicated an increase in confidence for all participants when engaging individuals who may be experiencing a mental health challenge. Group one comprised sports medicine staff and showed a significant increase in confidence. Group two, consisting of other athletics department staff, indicated increased confidence, but not to a statistically significant amount. Developing a comprehensive handbook that specifies areas of focus for creating an embedded mental health unit is thoroughly outlined. This provides a structured pathway for new departments and proposes an assessment tool involving various stakeholders' input as student-athlete units and needs evolve. Implications for counselor education and athletics departments are addressed. These considerations include preparation for licensed mental health professionals, training options for non-licensed staff, and structure options for mental health units in collegiate athletic departments. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]
- Published
- 2024