Leading the Next Chapter of College Mental Health

When Eric Wood talks about the future of college mental health, he does so from the front lines. The longtime director of Texas Christian University’s Counseling and Mental Health Center and past president of the Texas University and College Counseling Directors Association has just been elected the next president of the Association for University and College Counseling Center Directors (A.U.C.C.C.D.). His tenure will begin in October 2026. 

Known for his innovative Comprehensive Collaborative Care Model and award-winning e-book, “A New Narrative for College Mental Health,” Wood is stepping in to lead the nation’s largest organization for campus counseling leaders at a moment when the field, like all of higher ed, is confronting change. We caught up with him fresh off hosting a national symposium on performing artists and athletes and took the opportunity to ask him about A.U.C.C.C.D.’s plans and priorities.

LW: Congratulations on your election as president-elect of A.U.C.C.C.D. What do you see as the major challenges for the organization in the coming year?

EW: We as counseling centers have done a really good job capturing the narrative of how important college mental health is. College mental health has a lot more significance than people realize. If you think about the demographic we serve, the traditional 18- to 25-year-olds, that’s a prime demographic for pretty much anything — substance use, suicide, emerging disorders. It’s also the best time to treat them because if you can treat them then, they may have fewer episodes later, or none at all. Whereas if they wait 10 or 15 years, it’s a lot more ingrained and harder to treat. 

Colleges and universities have greater access to that demographic than any other health-care system. They live, walk by, and travel by our campuses every day. So the question is: What opportunities does that create if government and other organizations really recognize this?

LW: You’ve become known for T.C.U.’s innovative model of collaborative care. Can you explain what that is and how it ties into your national leadership goals?

EW: We call it the Comprehensive Collaborative Care Model, and it’s reshaping how universities think about their role in mental health. We started it during the pandemic. The mindset had always been that college counseling centers were designed for developmental concerns — the stress that comes from change — not necessarily for students with high mental health needs. But those dynamics have shifted. Now we have students with much higher needs, and our systems weren’t designed for that.

So instead of building hospital-style treatment centers, we built bridges. We partner with community providers who were designed to work with individuals with high needs but who lack the infrastructure and access we have. They come onto our campus, use their programs, and our students stay in school, on our campus, in programs with other college students. It’s a win-win-win: The student’s insurance covers most costs so there’s just the co-pay, and we’ve gotten grants and donors so the treatment centers have the chance for little or no overhead. We’ve trained over 100 schools to replicate various parts of the model. 

LW: You mentioned that politics and policy changes are affecting mental health care on campuses. What are you seeing?

EW: If you’re in a university that’s depending on federal funding, there’s a new level of raised exposure. There’s a perception that if a state or federal funding source doesn’t like something at your institution, they’re going to cut your funding off. People don’t realize that even if it had nothing to do with college counseling centers, it is going to trickle down if schools have that cut in funding. When universities face federal or state funding cuts, that trickles down to us. A 20 percent budget cut across campus means a 20 percent cut for the counseling center, too. And yet the demand for services has never been higher.

A lot of the culture-war legislation, like D.E.I. bans, has had unintended consequences. Some states have medical exemptions for those laws, but others don’t. We’ve seen schools cut services that were never meant to be targeted, like gender specific groups with mental health and addiction issues. This is an age group much more likely to seek help on campus than they would after graduation, so when you remove those options, you lose opportunities to intervene early.

“When policymakers pass laws or set funding priorities, I hope they think carefully about how that affects college mental health.”

We’re trying to make lawmakers aware that mental health has never been a partisan issue. Surveys show eight out of ten Americans believe schools are responsible for providing health care to students. The narrative we’re pushing is: “Look at the possibilities higher education offers society. Why would you want to limit that potential?”

LW: What other issues are most pressing for college counseling centers right now?

EW: We’re still seeing the ripple effects of the pandemic. And we do know that in this age group one of the things that spiked is their likelihood to transfer. The students entering college now were in middle school during the shutdowns — the classes of 2028 through 2030. That’s a critical cohort with a lot of struggles. They missed key developmental years, and those formative years had a lot of disruption going from middle school to high school, and we see that in their social and academic adjustment carrying over to higher education. 

And as digital natives engaged in all the social platforms, they’re used to absorbing all the culture and content and polarizations in society. That’s their reference point, and a lot of them may not know what it’s like to not have that level of polarization. So they’re bringing that to campus. When they see politicians saying certain words or treating each other some way, you’re going to see that carry over to how they treat faculty. They see that people just break rules; you see that happening in politics and society, and that carries over into the res halls because that’s the frame of reference. 

We’re also seeing a higher level of parental involvement. Their parents spent more time with them during lockdowns, engaged in a closer front-row seat to their education, so now we’re seeing that continue — sometimes helicopter-level involvement — in college life. 

LW: What’s on your personal wish list as incoming president?

EW: To keep building that narrative and have a stronger voice nationally. We’ve had some success getting attention from politicians and national outlets, but there’s so much more to do. When policymakers pass laws or set funding priorities, I hope they think carefully about how that affects college mental health.

And college is where the developmental concerns play out because this is the prime age. The reason why colleges created counseling centers wasn’t because we thought every student had a clinical diagnosis. Most students do not. The centers exist because we define stress as heightened in times of major change, and a major one is when you start college. You only have about four or five of those moments in your life when everything can change. So starting college is one of them — you change where you eat, where you live, your identity, everything — and then graduating college is a second one. So you have so much change bookmarking the college experience. And then you do have associated stressors, like navigating the social environment, and we know that demographic tends to engage in high-risk behavior, so a lot of prevention work is important. That is why college counseling centers exist, and I contend colleges and universities are the best in the world at doing that. But because there’s currently a lot more students with high mental health needs coming to campus, the disconnect occurs that we aren’t good at what we’re doing. That couldn’t be further from the truth.

The mental health of young people is always going to be a popular, bipartisan cause. We just need to remind people of that and continue the collaboration.

LW: How do you see that collaboration playing out at the national level?

EW: Collaboration is essential. Some states have strong organizations, like Texas, but not all do. One of my goals is to help develop those networks. State laws affect us differently, so we need local collaboration as well as national unity. There’s strength in numbers, whether it’s state collectives, regional conferences, or collaborations across university systems, like the athletic conferences.

It’s also about mutual support. A lot of what’s in the headlines about higher education doesn’t directly involve counseling directors, but it still affects us through funding cuts, political pressures, or staffing shortages. Directors need to come together because having a collaborative amplifies our method, our messages. We need each other to stay resilient.

LW: You just hosted a symposium on athletes and performing arts. What can you tell us about the thinking behind spotlighting those populations?

EW: It really came out of conversations we were having on our campus about performing artists and athletes — two groups that represent the university in powerful ways but have very different kinds of support systems. Varsity athletes get a lot of institutional support, but there are just as many performers and non-varsity athletes who face similar pressures and injuries without the same safety nets. 

For example, if a student athlete gets hurt, the university often covers the care, and they can still progress toward their degree. But if a dancer or musician gets injured, they often can’t progress toward their degree because performance is part of their coursework. That difference really highlights why universities need to think more broadly about how they support these students. 

So we decided to organize a symposium to explore that. We reached out to experts from Johns Hopkins, Stanford, Harvard — literally the pioneers of performing arts medicine — and every single one of them said yes. We even had ballerina Tiler Peck as a keynote. It turned into a two-day virtual event that drew about 100 sign-ons per session; many of them were in classrooms watching together. It was the first time we’d done anything like it, and it really underscored how much synergy there is between athletic and performing-arts wellness.

LW: How long have you been at T.C.U., and what do you think your election says about A.U.C.C.C.D. and where it’s headed?

EW: I started at T.C.U. right out of my Ph.D. program in 2007 and became director in 2019, so I had one good semester before the pandemic hit. Everything we’ve built since then has been about adapting to change and meeting students where they are.

I’m honored by the role. I think part of the reason I was elected is because we’ve done a good job at innovation at T.C.U., and I think it shows a shift in the narrative about college mental health. For a long time, the assumption was that we as colleges were limited — that if a student had a serious mental health disorder, they needed to go elsewhere, just like you wouldn’t expect a university to perform surgery. But that’s changing. For example, one of our specialized programs is an intensive outpatient program on campus. I’d love to see every residential campus in America have one. The impact would be generational.

So, I think my election signals that people are starting to recognize the potential and the possibilities of what we can do — and that we can do it at a fraction of the cost, using programs that already exist. And why would you want to do anything to ruin that potential? To have my colleagues across the country say, “We want that kind of innovation leading us forward” — that’s deeply meaningful. It tells me people see the potential of college mental health, and they’re ready to invest in it.

Uncertainty Weighs on Mental Health Researchers

Last year, social psychologist Kathleen Ethier was going on 26 years at the Centers for Disease Control and feeling hopeful about the growing response to national mental health concerns, especially among America’s youth. 

The Covid-19 pandemic had ushered in new urgency to understand why young people were struggling and find solutions, including ones schools and colleges might help implement.

“In the 35 years that I had spent in the field, I had never seen us all come together in that way,” said Ethier, who was the director of the C.D.C.’s division of adolescent and school health for eight years. 

But that was another time and another administration. When Ethier left her post in January of her own volition to enter the private sector, her faith in the progress of her field was slipping. The conversations that had been fueling her optimism seemed to stop. “We were no longer talking about youth mental health,” she said. 

Since the beginning of the year, widespread cuts to federal funding for scientific inquiry have been chipping away at the advancement of work on student mental health. Despite the issue’s record of bipartisan support, pertinent research and services have become casualties amid slashes to government agencies, programs, and grants

On college campuses, the fallout is multi-fold, threatening the wellbeing of not only students who struggle with their mental health but researchers and practitioners who now find their livelihoods at risk. 

“All of these high points of funding were just taken away,” Ethier said of the shift under the second Trump administration. “Everyone on the other end of that — whether those are school systems or universities or researchers — are all suffering from the loss of those resources, which means the loss of viable alternatives for young people.”

This summer, a group of mostly Harvard University-affiliated researchers released their findings on the total cost of mental health- and substance abuse-related grants cancelled between February 28 and April 11: The estimated loss is more than $2 billion from 474 grants across the National Institutes of Health, National Science Foundation, and Substance Abuse and Mental Health Services Administration.

On college campuses, the fallout is multi-fold, threatening the wellbeing of not only students who struggle with their mental health but researchers and practitioners who now find their livelihoods at risk. 

While some grants have been reinstated since the spring, others still hang in the balance. An online database, Grant Witness, continues to update a list of all grants cancelled by both the N.I.H. and N.S.F. As of November 3, the tracker marked around 140 grants from the National Institute of Mental Health, spanning less than $50,000 to more than $9 million, as “terminated.”

In an unfortunate but telling irony, Grant Witness co-founder Scott Delaney launched the database after being conditionally laid off from his work as a researcher at the Harvard T.H. Chan School of Public Health, where a federal funding freeze had affected his salary. The former lawyer turned climate scientist called Grant Witness a “tool to fight for these grants and to fight for American science.” 

“We’re losing a huge competitive advantage in global research. We’re losing health benefits from research,” Delaney said of some of the concerns motivating his work. He also contributed to the report on mental health-related grant losses this spring.

Those N.I.M.H. grants that remain terminated had been supporting research on a range of populations and neurological and behavioral conditions. Researchers at the University of North Carolina at Chapel Hill, for example, had a $3.8 million grant cancelled that was funding a longitudinal study following preschoolers into adolescence to determine early risk factors of psychopathology. At the University of Michigan, Ann Arbor, another $3 million grant was cancelled that had been designated to help strengthen understandings of “Aging, Major Life Transitions, and Suicide Risk.”

Certain grants were terminated for backing projects deemed in conflict with the Trump administration’s orders against the promotion of ideas like “gender ideology” and diversity, equity, and inclusion. In the mental health context, these cancellations could threaten developing understandings of unique factors and barriers affecting the wellbeing of racial, gender, and sexual minority groups. More than one lawsuit is now underway in an effort to reverse these types of cuts to research on “disfavored topics and populations.” 

Another subset of grant losses has been the result of funding freezes on entire universities. Because these kinds of actions are targeting institutions, rather than particular research areas, mental health is one of countless disciplines implicated.

At Harvard Medical School, Professor Haiden Huskamp had been overseeing multiple training and research projects supported by the N.I.H. when the Trump administration froze more than $2 billion worth of federal funding for the Ivy League institution. 

The freeze came in April after Harvard refused to comply with a list of demands from the Trump administration that the Cambridge university considered overreach and an attempt to curb academic freedom. (These same events led to the frozen salary of Scott Delaney from Grant Witness.) 

For Huskamp, the fallout meant her research on the impact of telemedicine for the treatment of mental illness and opioid use disorder was put on hold. While Harvard launched a lawsuit to restore the funding, she grappled with the uncertainty of both her work and her team.

 “You’re in the middle of a project, and you’re moving full steam ahead, but you basically just have to stop,” she said. “You worry that, depending on how long it goes, will you have to lay people off? Will you not be able to keep accessing data? Will you be able to pick it up easily?”

After around five months, Huskamp was able to reclaim her funding when a judge sided with Harvard and ruled the government’s funding freeze unconstitutional. But the damage of the delay was done.

Harvard’s researchers may not be completely out of the woods. President Trump has promised to appeal the judge’s recent ruling in favor of the university, while his administration already launched separate proceedings to bar Harvard from all business — grants included — with the government.

For other mental health researchers, the challenge is not having lost grants but rather trying to raise money for the first time in this new funding environment. 

At Kent State University in Kent, Ohio, psychology professors Karin Coifman and John Gunstad are seeking support for what they hope will become one of the largest lifetime longitudinal studies ever on college student health, including mental health. For the aptly named Student Life Study, the researchers aim to recruit 10,000 students and collect health data from them throughout their lives. 

With an initial $450,000 from their institution to get them started, Coifman and Gunstad knew they would need to raise the rest of their funds — the majority — from other sources. What they couldn’t have anticipated was a confusing standstill at the N.I.H. this winter, just when they started applying for federal grants.  

In February, the N.I.H. temporarily stopped reviewing grant applications after the Trump administration blocked the agency from calling the necessary meetings. About 16,000 applications and $1.5 billion in funding hung in the balance as a result. At the same time, more than 1,000 employees at the N.I.H. had been laid off.

Given the upheaval, Coifman held off from reapplying for N.I.H. funding this spring. She only decided to reenter the fray in the fall after she served on a panel to review N.I.H. grant proposals and found things were once again proceeding smoothly.

Still, with the 2026 federal budget up in the air, the potential scarcity of available funds continues to stoke concern. President Trump proposed to slash the N.I.H. discretionary budget by a daunting 40 percent, or $18 billion, although his plans seem unlikely to pass given Congress’ push for funding at current levels or higher.

Preparing for all scenarios, Coifman said she will continue pursuing funding from every possible source: at the state level, as well as from private foundations and corporations. She understands other researchers, feeling a similar crunch, will be doing the same.

“There’s a lot of uncertainty and there’s a lot of vulnerability,” Coifman said. “Because we don’t really understand the processes and how they’re shifting.”

Eric Wood, the director of counseling and mental health at Texas Christian University, called the evolving state of federal funding at universities a “pendulum swing back and forth.” 

“I think what most people would want is just stability — just to be able to predict what’s going on,” he said.

Wood is also sensitive to what he believes to be growing perception of higher education as generally unstable. This narrative, he worries, could prevent not only researchers but clinicians like himself from wanting to work at universities, if they think the job security is precarious. 

“People wanted to work in higher education because you get so many different avenues, where you can explore different treatments; you have different populations of students,” Wood said. “But now I think people are saying, ‘Would I just have more freedom working in private practice?’”

“That obviously disadvantages our students if we can’t fill a position,” he added, referring to job openings for counseling staff.  

According to Sara Abelson, an assistant professor at Temple University’s Lewis Katz School of Medicine, graduate students who once planned for careers in research are similarly reconsidering their paths. Lately, they’ve been expressing their skepticism about the availability of future opportunities. 

“What can I do with my timing? How can I not come out as a new trained researcher in the current moment? Is it a safe and stable field to go into?” Abelson said students have been asking her.

So while Abelson has personally avoided funding cuts to her work, she maintains a front row seat to the fallout for not only colleagues but the wider mental health field. The message she said she and fellow staff are hearing is to “play it safe — pick something safe and do it perfectly.” She worries about how innovation in mental health work will suffer — about the capacity to make headway on behalf of all students going forward, and not just some.

“There’s no doubt that it is impacting the field,” she said of the funding upheaval. 

“It’s impacting the mental health and wellbeing of those who are the focus of the grants and those leading the work, and it’s going to have lasting impacts.”

You can reach LearningWell Reporter Mollie Ames at mames@learningwellmag.org with comments, ideas, or tips.