Nov 27, 2019 10:59 AM

Kan. colleges see a rise in cost of mental health care for students

Posted Nov 27, 2019 10:59 AM

In the past year, the University of Kansas saw a 64 percent increase in students seeking mental health treatment for the first time. It's part of a statewide and national trend of college students experiencing more mental health issues. Nomin Ujiyediin / Kansas News Service


Kansas News Service

When Dan Hoyt started graduate school at the University of Kansas in 2016, he knew he had anxiety and depression. He worried about being able to find a job after graduation. And, sometimes, he couldn’t get through his assigned reading.

“When you have anxieties, that gets impossible,” he said. “I'll think about the same things over and over and over again.”

But when he reached out to KU’s counseling services, he was told he had to wait five months before he could get an appointment with a therapist at the Lawrence campus. And getting there from KU’s Overland Park campus, where he took classes, complicated things.

It was already hard enough to cope with depression, Hoyt said, and being denied immediate help felt even worse: “That's the equivalent of just being told no.”

Hoyt needed treatment more quickly, and ended up seeing a private therapist who costs $63 a session after insurance.

Thousands of students at Kansas’s public universities have sought out mental health treatment, to the point that the Kansas Board of Regents says schools are spending more money on such care — though it couldn’t provide an exact total.

That’s why the regents plan to ask for more state funding in the 2020 session, according to board president and CEO Blake Flanders.

“Our demand for mental health services is growing dramatically on our campuses,” Flanders said. “I don't anticipate that cost driver reducing.”

And it’s not just in Kansas: There’s a national trend of college students experiencing more anxiety and depression. Between 2007 and 2017, the rate of college students receiving mental health treatment rose from 19% to 34%.

Staff shortages

An influx of money would be well spent, said Pam Botts, a psychologist who helps run KU’s Counseling and Psychological Services (CAPS). The clinic provides individual and group therapy, psychiatric evaluations and education. It charges students $15 per therapy session — much less than a typical private therapist’s $100 or more an hour.

Since the KU center started drop-in appointments in February, it no longer has monthslong wait times for initial appointments. But, she said, it needs 10 more therapists to meet the demand. Plus, it could use more office space.

“Budget is an issue. We have no more funds,” she said. “If we had the funding, we would hire more clinicians.”

KU Counseling and Psychological Services is located in the Watkins Memorial Health Center in Lawrence. Credit Nomin Ujiyediin / Kansas News Service

Between September 2018 and September 2019, CAPS saw a 64% increase in first-time appointments, Botts said. And the 13 therapists who currently work for CAPS can only see students once every three or four weeks, rather than the ideal of every other week.

A university report shows it’s a trend: From the 2017-2018 school year to the 2018-2019 school year, CAPS saw a 32% increase in initial assessments and a 21% increase in the total number of students treated. The number of individual therapy appointments increased by 18%.

That same year, Fort Hays State University also saw a 20% increase in students using campus mental health services.

And schools like Kansas State University have started offering classes intended to help students deal with the stresses of adjusting to adulthood.

What’s behind the rise?

Emporia State University is seeing more students looking for mental health treatment, too, said Lindsay Bays, the school’s director of Counseling Services. Her office offers therapy and prevention programs for suicide, sexual violence and alcohol and drug abuse.

Emporia’s counseling program is funded entirely through student fees, so students don’t have to pay out of pocket. Bays said she and her staff can see students as often as they need — once a week or more, if necessary.

Between the 2016-2017 and 2017-2018 school years, Emporia State saw a 19% increase in students using mental health services. In 2018-2019, the number didn’t budge.

But in the first semester of this school year, the number of students seeking treatment has outpaced last year’s, Bays said.

She thinks the increase could be caused in part by young people’s frequent use of social media. Facebook or Snapchat can serve as constant reminders of a recent breakup, family troubles or a mass shooting.

“I really believe that that instant access to information has caused an increase of stressors or anxiety symptoms,” Bays said. “They could now look and see their ex-partner with a new person immediately on Snapchat.”

But social media can have a positive impact too, Bays said, by encouraging young people to share their feelings and talk about their mental health in public.

“You see articles on Facebook about self-care and you see friends are talking about going and getting help,” she said. “It's more accessible and it's okay to get counseling.”

Cole Johnson, a first-year student at KU, has struggled with depression for about three years and recently saw a doctor on campus who prescribed him medication. He said there’s less of a stigma now.

“With other generations it was kind of just like, ‘deal with it, you'll get through it,’” he said. “I think we’re a little bit more accepting and understanding of those kinds of problems.”

His generation also deals with issues that older people haven’t had to face, Johnson said, including the pressure of keeping up appearances on social media and rising tuition fees.

“Thinking about the future and after college … and how long you're going to be paying off the degree you got,” he said, “I would say it definitely adds to anxiety."

Nomin Ujiyediin reports on criminal justice and social welfare for the Kansas News Service. Follow her on Twitter @NominUJ or email [email protected] 

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Nov 27, 2019 10:59 AM
Kan. foster care agency trains social workers to be ‘personal 911’ for kids

Kansas Department for Children and Families' social workers hold up sheets of papers illustrating the story of a 17-year-old boy who they expect in five years to be in prison or dead if they don't find him help. Evert Nelson / The Topeka Capital-Journal


Kansas News Service

The foster kid is a 17-year-old boy who was kicked out of his home when he was 10, started using drugs by 13, and in five years is expected to be in prison or dead.

Kansas Department of Children and Families social workers check on him every day and there’s been some progress: He’s now in an independent living facility and he’s not using drugs anymore. But he still has many needs, including a coming heart transplant.

How can he be helped?

About 100 social workers from the Kansas Department for Children and Families considered that question at a bootcamp-stype workshop in Topeka on Friday with Kevin Campbell, creator of a national model called Family Finding.

Campbell said the team assigned to the boy must find relatives or people who care about him and have them intervene in the boy’s life.

“Basically you are building the personal 911 system for this kid,” Campbell said. “We call it a firehouse intervention. Quite literally, he needs a personal fire department ready to help him respond to the life he lives, which is a crisis every day.”

The goal of Family Finding is getting kids connected to someone who loves them in hopes of keeping them out of the foster care system and potentially preventing further trauma. It’s one of several programs DCF has implemented since Gov. Laura Kelly came into office this year aimed at reforming the long-embattled foster care system.

The social workers being trained on Friday came from DCF, the state’s two private contractors, and advocates from the community, said Tanya Keys, deputy DCF secretary. A strategic plan will be formed next month, while training is being implemented across the state, she said.

“The idea is that (social workers) go back and start planting these seeds, talking about these concepts and we'll get materials out to them so we can start that readiness for implementation,” Keys said.

Kevin Campbell, founder of the Center for Family Finding and Youth Connectedness, trains about 100 Kansas social workers Friday in a national model called "Family Finding." Credit Evert Nelson / The Topeka Capital-Journal

Campbell, founder of the Center for Family Finding and Youth Connectedness and a former foster parent, began his research in 2000 after years of hearing “This kid’s got nobody.”

He found that most foster children actually have a large family and that if they could be connected with five to eight adults who would make a “permanent relational commitment” to the child, it could change outcomes.

“The training is really about, how do you heal children who have had such harm done to them?” he said. “And importantly, how do you heal the whole family? Because this kind of generational experience has to stop somewhere.”

The training was sponsored by the Casey Foundation and Aetna Better Health of Kansas, which provides health care services for the state foster care system. Kellie Hans Reid, foster care coordinator with Aetna Better Health of Kansas, said research shows that traumatic experiences affect children’s health. 

Groups of Kansas Department for Children and Families' social workers at a 'Family Finding' boot camp on Friday at the Topeka Capital Plaza Hotel. Credit Evert Nelson / The Topeka Capital-Journal

“That, in turn, will affect their life course and their mortality, their metabolic issues, their cardiac issues,” she said. “What we know is that trauma affects the body.”

After the training this week, the team of social workers went back to the 17-year-old boy they’d been working with. He had told them he didn’t have anyone in his life to help, but through talking with him about people from his past, social workers found some — including a former school principal and a former foster father who taught him jujitsu, a sport he loves.

The social worker, who could not be identified because she works undercover to find missing foster kids, said she was trying to “give him a family, like it doesn’t have to be blood, just someone who cares about him.”

“He went from having two of us,” she said, “to having 26 of us in this week.” 

Peggy Lowe is a reporter at KCUR and is on Twitter at @peggyllowe.