Deconstructing ‘Climate Anxiety’

On April 8, 2025, the Trump Administration announced the end to $4 million in funding for research programs at Princeton University exploring risks associated with climate change. At the time, it was the latest instance in an ongoing wave of federal cuts to environmental initiatives. But this case sparked interest for another reason: According to the press release, at least one of the programs was eliminated because it was allegedly “contributing to a phenomenon known as ‘climate anxiety,’ which has increased significantly among America’s youth.” 

Environmental experts were quick to denounce the idea that the solution to anxiety about climate change would come from avoiding research on the topic. But it’s not the first time the phrase “climate anxiety” has been summoned for political gain, on either side of the aisle. The truth is the term gets used to describe all variations of distress over the state of the Earth. Parsing out the possible interpretations is an important exercise for educators, practitioners, and students themselves. 

2024 study of “climate emotions” in 16- to 25-year-olds found that up to 85 percent are “worried” about climate change and its potential impact; and for around 38 percent, these worries negatively affect daily life. Concern over climate change has become so widespread among young people that it’s affecting how they vote, whom they choose to work for, what products they buy, even their decision to have children. But are young people’s responses to climate change a clinical issue to be treated? Or do they fall in line with those to most social problems, just with a catchier, more damning name?

The framing of “climate anxiety” presents something disordered in need of a cure, but from a clinical perspective, there is a distinction between an anxiety disorder and experiencing some sense of anxiety. After all, the vast majority of young people may feel worried about climate change; the majority don’t have an anxiety disorder.

“Anxiety or worry on its own isn’t necessarily a problem or something to be treated,” said Kaitlin Gallo, a Boston-based psychologist whose practice focuses on young adults and college students. She said she’s encountered a spectrum of concerns when it comes to climate change. Even among her patients who tend to have clinical-grade issues, their climate concerns do not necessarily map onto an anxiety disorder. “Oftentimes, the worry is occurring outside of the context of an anxiety disorder, and it’s just what I might call sort of a normal or understandable worry given the state of the world,” she said. 

“Anxiety or worry on its own isn’t necessarily a problem or something to be treated.”

It’s when the worry becomes “hard to control or to move on from” that it could begin to signal a deeper anxiety disorder demanding a more clinical response, Gallo said. Even then, the end goal may not be to try to get rid of the concerns.

“I think sometimes when worries are realistic, then there’s just a different way to deal with them,” she said. “Sometimes it might not be reasonable or helpful to change the thought, but rather to think about how you want to live your life in the face of that concern.”

People who experience an anxiety disorder are certainly susceptible to dark fears about a fiery end. For others, particularly young people who have more time on the earth, climate distress, even fear, may be an unavoidable part of living. 

Olivia Ferraro, a 25-year-old living in New York, said dismissals of climate change are what really makes her crazy.  

“To watch business as usual go on around you with very little recognition of how distressing the state of the planet is can be really confusing. Because you’re like, ‘Am I insane?’” she said. “This feels like a problem that we should be moving to solve with World War II urgency. Everything needs to be mobilized to prevent catastrophe.”

When she first started experiencing more acute distress about the state of the climate and its future, Ferraro was surprised at the lack of sympathy she met from family and friends, especially those she expected to understand. If anyone had asked them, she knew they would say they cared about the environment.

Realizing her regular network might not be able to give her support she needed, she started exploring other options. She was especially interested in talking to people her age, given climate change, she said, “is a threat felt uniquely the younger that you are.”

“I wanted to be with people who could share that experience of, ‘I’m freaked out because I don’t know if I’m going to have a child anymore,’ or ‘I will be my parents’ age when a lot of these predicted catastrophic shocks happen. How can I think about my life when I’m 50 where I can’t get water from the tap?’” Ferraro said.

“I wanted to be with people who could share that experience of, ‘I will be my parents’ age when a lot of these predicted catastrophic shocks happen.'”

The support group she ended up finding was one she had to help create. Eager for an in-person space in New York, she started hosting “climate cafes,” or listening circles that bring together people with environmental concerns to share how they’re feeling. 

A grassroots initiative, climate cafes have popped up with chapters nation-wide. Ferraro said they can offer relief from advocacy-related burnout or help someone who doesn’t even identify as an “environmentalist” learn about new ways to contribute to the cause. On the website for Climate Cafe NYC, the branch refers to itself as “the social home of NYC climate action.”

“A lot of it is holding hands with people as they kind of walk into that unknown, knowing that you’re doing it together and that there are other people who are experiencing this,” Ferraro said. 

Part of the purpose is helping each other avoid hopelessness. “We can be sad, but to be despaired is a totally other feeling. That’s when you’ve given up,” Ferraro said. “We want to help people avoid despair and avoid nihilism and really, even though it’s very hard work, stay openhearted and willing to connect with people and understand how we can work together.” 

The need for these kinds of outlets is evident in the many students who are bringing their climate-related concerns to school with them. Professor Sarah Jaquette Ray said the emergence of this distress in her classes pushed her down a path towards a new expertise: emotions and the environment. Now she’s chair of the environmental studies department at Cal Poly Humboldt.

As recently as a decade ago, Ray said environmentalists were trying to ramp up concerns about climate change, with what she calls the “scare-to-care” approach. Opening young people’s eyes to the devastation that could come, the thinking went, would inspire them to act, before it was too late.

The strategy may have worked, but too well. Ray said she saw students becoming more enthusiastic about climate-related issues, but they also seemed more despairing. “I was noticing my students were not coping very well with the material,” she said. “I didn’t think my teaching was changing, but something was changing about the students.”

Up to that point, Ray had felt like her students were taking the issues in stride, embracing problem solving. With time, she said, “It felt more like an existential crisis for them.” She decided part of the problem was that students were learning a lot about what was going wrong and a lot less about how to manage their own response to the problems. “They weren’t learning all that stuff alongside coping skills or emotional intelligence or any kind of cultural frame as to why these things might be getting worse,” she said.

She set out to fill the gap. Research into the spiritual and therapeutic tools activists have used in other social movements became the basis of an understanding about how to deal with climate concerns. This mental health-forward approach to environmental issues also appears in her book “A Field Guide to Climate Anxiety: How to Keep Your Cool on a Warming Planet.”

Still, Ray continues to wait for the day when higher education institutions have integrated trauma-informed instruction and emotional intelligence into environmental education. That component “is just beginning to percolate on the edges of the tipping point,” she said. 

William Throop, professor emeritus and former provost at Green Mountain College, is also interested in activating a more personal dimension of environmental studies. For the philosopher-by-training, with a background teaching environmental ethics, it’s important to not only present possible climate change solutions to students but equip them with the life skills to enact them. This is an approach he views as part of “character education,” which he said prioritizes “the student as a person, not just as a collector of information.”

By learning what he calls “skillful habits,” Throop said, students stand to become “better critical thinkers, better ethical thinkers and actors.” In his book, “Flourishing in the Age of Climate Change,” he discusses a set of “hope skills” particularly helpful for confronting climate issues.

“Hope communication,” for example, is a skill Throop suggests could be particularly pertinent for tackling climate change. “How do you describe in a clear way the facts of a situation which are problematic and yet don’t turn people off?” he said. “How do you motivate people who address those facts in the way you communicate about them?”

Teaching hope, Throop said, might sound “like something a psychologist ought to do.” He thinks otherwise. “It’s something that should be embedded in curricula addressing these issues.”

As some faculty become more in tune with how students react to learning about climate change, students continue to turn towards each other to process the emotions they are experiencing. 

Eva Salmon, a rising junior at Barnard College, said she doesn’t usually struggle with anxiety in other facets of life; yet concerns about the climate are a constantly “simmering undertone” in the back of her mind. “In general, seeing everything happening in the world, it feels like my heart is constantly breaking, and I’m constantly experiencing a sense of betrayal.”

“Anytime it’s relevant, I can feel the grief. I can feel the anxiety. It really is there,” she said.

Compounding these emotions for students is the sense that their institutions are leaving them to lead the way alone. That’s the consensus among many members of Sunrise Columbia, the Columbia University branch of the Sunrise Movement, a national youth climate activism effort. 

Because it’s independent from the university, Sunrise Columbia can hold the administration’s feet to the fire in ways a club receiving school funding can’t. The student-run group conducts its own investigations into the university’s use of funds from fossil fuel companies to fund climate research. 

“Complicit Columbia” is the 53-page report the students published on their findings that the university accepted at least $43.7 million from fossil fuel companies between 2005 to 2024. More than a third of the funds benefitted the university’s research hub, the Center on Global Energy Policy.

Salmon, one of the student authors of the paper, said she takes issue with the fact that students, rather than university personnel, were the ones to take on this initiative. “The university needs to be more attuned and aware and doing its own research into these things. But for now, this is what we have,” she said.

The group of friends Salmon collaborates with has been key to keeping her motivated despite her frustrations. In general, she said she believes “a lot of the bad that’s happening in the world” is the result of “not prioritizing community” and disconnect among people. It’s a problem she feels grateful not to have. 

“To have found community and the space in the way that I have really has brought me a lot of peace and joy,” she said. The sense of support pushes her activism to the next level. “I think I would’ve done it regardless, but I don’t think I would’ve felt quite as empowered and impassioned.”

“At the end of the day, even if all this is happening around us, we have each other. And that feels like a very powerful, powerful thing,” she added.

Salmon’s overriding objective is to stay positive, to concentrate on the friends that are supporting her and the work they do together that bring her relief. “I really try and focus on recognizing the beauty in every step I take or recognizing things I like around me and just expressing gratitude for that,” she said. 

Olivia Ferraro, the climate cafe host, has adopted a similar outlook. While “climate anxiety” may be more apparent in her life than it was a few years ago, that discomfort has fed a deeper appreciation for the time she has left and a desire to make the most of it. It’s a guiding force that has changed her approach to relationships and decision-making.

“It’s been really freeing, honestly,” she said. “I like my life a lot more now than I ever did before.”

Personal Politics

The two most visible student political groups at the University of Texas at Austin are also the most opposed.

“There’s College Republicans, which is rah-rah Republicans, and there’s College Democrats, which is rah-rah Democrats,” soon-to-be senior Carson Domey said. He gravitated towards neither and wondered how an in-between space could be so hard to come by among more than 40,000 undergraduates.

The 21-year-old eventually arrived at a solution, the Annette Strauss Institute for Civic Life, a leadership development group that promotes “people instead of partisanship.” The “room for exchange of ideas” drew him in, Domey said, but the difficulty getting there explains his interest in a new insight from the Harvard Youth Poll, a semi-annual, national survey from the Institute of Politics (IOP) at the Harvard Kennedy School. This spring’s poll, released in April, offers a window into youth politics, including that only 34 percent of young people who identify as Independent or unaffiliated report a sense of belonging, compared to 51 percent of Democrats and 56 percent of Republicans. 

This latest iteration of the Harvard poll homes in on the impact of mental health in more ways than one. When it comes to today’s youngest — and most anxious and depressed — voters, the intersection of personal wellbeing and political formation is the object of growing concern. 

In 2000, the Harvard Youth Poll emerged after two undergraduates noticed a curious trend among their classmates: They seemed interested in public service but also appeared to prefer community service activities over more traditional political engagement. Was there something different, the students wondered, about their generation’s relationship with politics?  

Was there something different, the students wondered, about their generation’s relationship with politics?  

To find out, they approached John Della Volpe, then-president of an opinion research firm with ties to the IOP, to help design and conduct a survey of their peers’ political attitudes and activities.

Fifty polls later, the project has stayed true to its original mission, although the form changes every time. Della Volpe, now director of polling at the IOP, said the different questions season-to-season reflect “each cohort’s unique views” and how “they’re interested in understanding perspectives of their generation.”

While the poll’s founders delved into trends in political engagement, the students of 2025 probed more personal categories. In addition to views on federal leadership, DEI initiatives, and foreign policy, this spring’s survey inquires about social connections, financial stress, and life goals.

One of the resounding themes this time is, as Carson Domey pointed out, feelings of belonging. Among its major findings, the final report highlights that fewer than half of respondents say they feel a sense of community, and only 17 percent feel “deeply connected” to a community.

From there, the survey correlates sense of belonging and civic engagement. Forty percent of those who report feeling “deeply connected” to a community say they consider themselves politically engaged, compared to 14 percent of those without a strong sense of belonging.

To Domey, the struggle for belonging among young Independents seems to reflect the impact of polarization on Gen Z and the longing for community and the pressure to identify with a party as a result. Party affiliation, from his standpoint, may have as much to do with political theory as want of personal connection. 

Party affiliation may have as much to do with political theory as want of personal connection. 

The Covid-19 pandemic certainly didn’t help these feelings of disconnect. One in five respondents to the Harvard poll indicate they became more socially isolated during the 2020 lockdown, and these people are in turn more likely to be dealing with symptoms of depression now — five years later.

Those at major transition points, either starting high school or college, during the initial quarantine are most likely to report a lasting negative impact on their social lives. They are now 19 and 23 years old, respectively. 

John Della Volpe said he is wary of the over-attribution of certain political trends among Gen Z to their experience during the pandemic. Yet the way that the emergency disrupted their lives is important, and all the more for being just one of many crises they’ve encountered so far.

For Della Volpe, the real eye opening moment on the weight so many young people carry came before the term “Covid-19” existed. He was conducting a focus group, not long after the 2016 mass shooting at a gay nightclub in Orlando, Fla. that left 49 killed and 53 wounded. 

“The way you think about your taxes or your finances,” one student told him, “that’s the way we think about living and dying every time we walk into a classroom.” 

Within around two years, the same young people read about, or perhaps witnessed, the white nationalist rally in Charlottesville, Va. during which a car attack killed one and injured 35 others, including students from the University of Virginia; the mass shooting at a concert in Las Vegas, Nev. that killed 58; and the mass shooting at a high school in Parkland, Fla. that killed 17 staff and students.

“This generation’s not monolithic, and everyone’s experience is different,” said Rachel Janfaza, a youth politics expert. “But across the board, it would be hard to say that their politics is not at least somewhat interwoven with the fact that they have grown up amid crisis, and it is taking a toll on their mental health.”

Overfamiliarity with catastrophe does seem to dovetail with another major finding of the Harvard survey: widespread disapproval and distrust in the government. Only 15 percent say they think the country is “heading in the right direction,” and 19 percent say they trust the federal government to do the right thing most or all the time.

This discontent does not discriminate by party. While Donald Trump’s approval rating is about the same (31 percent) as in 2017, approval of Democrats in Congress dropped from 42 to 23 percent.

Janfaza imagines young people have become suspicious that “adults, elected officials pretend to know what they’re doing and have it all figured out.” Following the trials of the Covid-19 pandemic, she said, “the curtain has been peeled back.” 

“What I will definitely say is there is a mass feeling of uncertainty that’s on both sides of the aisle.” Domey said. 

Now that uncertainty seems to be affecting young people’s plans for the future. In what might be the most important finding for generations to come, less than half of the Harvard poll respondents rated having children as “important.”  

This trend may be the result of financial anxiety, with a quarter of respondents saying they are “barely getting by.” But Janfaza mentioned a conglomeration of factors: “Less stigmatization around not wanting to have kids, paired with rising cost of living, and fear about climate change, and just overall gloom and doom.”

Still, if frustrated, Gen Z-ers are not resigned. “They are showing up. They are saying they want to be involved,” Janfaza said. “Their lives are affected by these issues in their communities, and they are speaking up and out about it in a number of ways.”

To Domey, the Harvard poll feels like a call to help students cultivate new sources of much-needed certainty in their lives, whether through community or other senses of purpose.

“Like, how do we care for the whole person in college?” he said.

Taking It to the States

For 20 years, the Louisiana Center Addressing Substance Use (LaCASU) had been making strides in its work supporting state colleges and universities struggling with drug and alcohol prevention efforts. By all accounts, LaCASU’s research, training, and data collection made strong contributions to treatment and recovery at Louisiana State University and beyond. But gaining real traction, not to mention funding, required the power and gravitas of merging with an official state government body.

“My emails went over a little bit different coming from a board of regents email address,” Dr. Allison Smith, former associate director at LaCASU, half-joked to a crowd in Baltimore, Md. on April 23. She was participating in a panel discussion at the conference, “Building Resilience and Success: State and System-Level Mental Health Innovations,” hosted by SHEEO (State Higher Education Executive Officers Association) and The Jed Foundation.

In an age when federal funding is uncertain, campus leaders are looking for novel sources of state-based support for student mental health. The conference in Baltimore highlighted a number of ideas, options, and success stories. A new resource guide, “Engaging State Policymakers to Support College Student Mental Health,” presented by the American Council on Education (ACE), offers more to take home. 

“It was sort of like, well, in the current administration, where does it make sense to direct our energy?” said Hollie Chessman, director and principal program officer at ACE. “How do we continue to move the needle on mental health on our nation’s campuses?” The answer, she found, was rooted in pulling the right (state) policy levers.

“In the current administration, where does it make sense to direct our energy? How do we continue to move the needle on mental health on our nation’s campuses?”

While data suggests small improvements trending in some aspects of mental health in college students, anxiety and depression remain rampant. The 2024 Healthy Minds Study reported depression and anxiety symptoms had decreased three and two points, respectively, compared to the previous year. Yet 38 percent of students still reported struggling with depression, and 34 percent with anxiety.

The scale of the issue, which escalated year-over-year from 2007 to 2022, has drawn concern from both sides of the political aisle. Several bills promoting mental health interventions on college campuses, and at all education levels, have received bipartisan support in recent years. In 2022, the aptly titled Bipartisan Safer Communities Act, including initiatives targeting the reduction of gun violence, passed with $1 billion earmarked for school mental health services. In April, the Trump administration canceled this funding

Chessman and her colleagues at ACE had been worried about this kind of fallout for student mental health programs. In 2024, they were spearheading a $13.8 billion bill to back research, training, and other services at universities. This year, they refocused their attention on other projects, including a toolkit to illustrate a pragmatic route towards a solution. 

Coalescing with peers provided the path forward. Talks with a mental health coalition of leaders in the field, such as the American Psychological Association, Active Minds, and the Healthy Minds Network, revealed a gap ACE might fill: The experts were anticipating a pivot towards state-level advocacy, but needed direction on how to go about it. “From that conversation,” said Ngan Nguyen, ACE government relations associate, “we started to think about drafting a toolkit.” Nguyen and her co-associate Alexander Cassell became the lead authors.

The final guide features four main parts. First comes an emphasis on data collection to specify campus needs, with links to surveys for assessing mental health and a Return on Investment Calculator for College Mental Health Services and Programs. Then, the toolkit outlines a series of talking points. The first point covers the prevalence of mental health issues and their implications for college attrition and basic needs insecurity. Others home in on the interventions state funding in particular can promote, and the benefits of telehealth. The third and longest section delves into examples of work other institutions have done in partnership with states to advance mental health. The fourth lays out a final host of resources, including other organizations and assessment tools, to further university advocacy efforts. 

One of the main goals, and challenges, of designing the toolkit was ensuring relevance across states and for a range of professionals and institutions, Nguyen said. She thought about whether the strategies would be helpful for campuses in a variety of political climates; for those just launching advocacy efforts and others far along in the process; for university higher-ups, as well as general staff and students. The tools needed to be easy to customize.

 “The toolkit gives folks a really solid foundation, and then [they can do] whatever makes sense for them,” Chessman said. She added that not just the process but the end result might look different depending on the school or the state. “Maybe the climate in their state has the opportunity to ask for money. But it doesn’t have to be for money.”

Gathering data on return on investment for mental health initiatives struck Nguyen as one of the most crucial and broadly relevant recommendations. Tom Harnisch, vice president for government relations at SHEEO, agreed. (Harnisch also serves on the LearningWell editorial board.) “Investments in student mental health are important, but they’re going to be in a competitive environment, with a range of other items, vying for a limited pool of available state funding,” he said. “The focus on return on investment and student success is critical.”

Harnisch also highlighted the toolkit’s section listing examples of successful state mental health policymaking. “Policies to expand access to student mental health services. Growing the pipeline of mental health professionals. Boosting state funding. Addressing basic needs insecurity,” he recounted with enthusiasm. “There are so many ways that states can make a difference.”

Knitting in Class

Mary Beatty was stressed about the upcoming presidential election. It was fall 2024, and Beatty, then a senior at the University of Richmond, was spending her final year of college classes mindlessly doom scrolling on her laptop. 

Her mom suggested she try knitting. One day, Beatty, a leadership studies major, brought a beginner’s crochet kit to her classes, which ranged from five to 25 people. The repetitive, small movements required to crochet a blue narwhal—an item the kit provided instructions on how to create—forced her off her laptop and drew her into the class. 

 “I’m able to absorb the information better if my hands are doing something tactile,” she said. 

Beatty is among a new crop of students who are turning to an old craft to help them focus and relieve stress. Knitting has emerged in classrooms across the country, at liberal arts colleges and state universities alike. Student knitters and educators tout knitting’s unique ability, backed by research, to reduce stress and enhance focus.

Annabel Xu knits throughout all five of her first-year courses at Harvard Law School and has the wardrobe to show for it. This spring semester, she knit a blue sweater, a purple top, and a pink cardigan, which she made for her mom for her birthday.

During class, Xu will occasionally place her needles and yarn aside to jot down notes on paper or answer a cold call—a term for the fear-inducing Socratic method in which a professor peppers a student with probing questions.  

Xu said she received permission from her professors to knit in their classes after explaining that knitting helps her concentrate. “I’m not slacking off,” she assured them. 

Xu, who learned to knit on YouTube during the coronavirus pandemic, uses the continental stitch, a repetitive, rhythmic movement that she said keeps her hands occupied without requiring much brain power. 

There is a misperception, she said, that students who knit in class are not paying attention.

“People will say things to me like, ‘It’s funny that you were knitting, but then when you got called on, you knew the answer.’ And I’m like, ‘Yeah, because I was paying attention.’”

“People will say things to me like, ‘It’s funny that you were knitting, but then when you got called on, you knew the answer.’ And I’m like, ‘Yeah, because I was paying attention.’”

Research supports anecdotal evidence that knitting promotes mindfulness and focus, according to Teresa May-Benson, a life-long knitter and occupational therapist who practices outside of Philadelphia. 

“Sensory and motor activities help regulate the brain,” Benson said. “Doing things with your hands, especially if it is something productive, is very organizing. It is common that students, especially those with ADHD and other attention issues, find it helpful.” 

Not everyone in the classroom benefits from knitting. Harvard Law School student Nikhil Chaudhry said peers knitting in his classes has interfered with his ability to concentrate on the professor.

In one of Chaudhry’s classes, a student knits directly behind him, which he said sends the noise of metal needles clinking into his ears. In another class, a different student knits directly in his line of sight to the professor. 

“Knitting looks so different from everything else that it’s really a visual distraction,” said Chaudhry, who is surprised that professors tolerate students knitting in their classes. 

“It is disrespectful,” he said. “You have an eminent legal scholar, who you’ve paid $80,000 a year to learn from—and you’re knitting.”

A Harvard Law School spokesman did not respond to a request for comment on the school’s policy regarding classroom knitting. 

Harvard Law School Professor Rebecca Tushnet said that while she would allow students to knit in her classes, other professors may find it “off putting,” especially if they expect students to take notes. 

“Anecdotally, students have knitted in classes for a long time. I’ve spoken to a number of lawyers who either did it or remember a classmate who did it,” she wrote in an email. “I would allow a student to knit because I know from personal experience that it can aid focus on the class, as long as the knitting is simple enough.”

Students and teachers have not always supported students knitting in class or engaging in other sensory activities.

Beatty, the University of Richmond student, said her public high school in Connecticut banned all types of fidget instruments, such as friendship bracelets and fidget spinners. 

“There was a belief that you couldn’t get away with that in the real world,” she said. “The mentality was, ‘This would not fly in college.’” 

Samuel Abrams, a professor of politics at Sarah Lawrence College in New York, suggested knitting may be more prevalent at schools that promote a progressive approach to education, compared to schools that “may expect more traditional behavior.” 

“I believe in a progressive education and progressive teaching,” he said. “The result of which is I want to be as accommodating and open to whatever learning styles suit my students in the best possible way.”

Abrams said, in total, he has had more than a dozen students—of different genders—knit in his classes. 

He said he allows students to knit because it is an evidence-based intervention to promote focus that has few drawbacks relative to other accommodations he has granted. Abrams said a student once brought a support animal to class that went loose and caused students to scream. (He declined to name the kind of animal to protect the student’s anonymity.) 

“As with most things, it’s about having the right tone and recognizing that we want to try to maximize everyone’s needs and set the right conditions in our classrooms to make it work for people,” Abrams said.

Knitting may be out of the ordinary and visually conspicuous. But it is far from the only behavior taking place in the classroom that could be viewed as distracting.

Mary Esposito, a junior at the University of North Carolina at Chapel Hill, said she has seen students use their computers during class to play video games, shop for clothes, and even watch porn.

“Students are going to do what they’re going to do,” the business major said. 

Esposito went viral on Instagram for a video following the TikTok trend “there’s always that one kid in class” and depicting her crocheting a pink scarf toward the back of a lecture hall.

The video garnered roughly five million likes and 15,000 comments. Esposito, who said she is diagnosed with autism, uploaded a series of follow-up posts responding to the comments and dispelling beliefs that she knits in class to bring attention to herself or because she is not serious about academics.

“As someone who is on the spectrum, this is really helpful for me to do in class because my hands need to be doing something,” she said. “It’s more of a tool for engagement—not distraction. That was the bigger dialogue that this video started aside from being just a silly, funny trend.”

After posting the video, Esposito said, people came forward telling her they also knit during class. “All the sudden, going viral, it proved there were actually other people like me.” 

Esposito said her grade point average is a testament to knitting’s educational benefits (she has made the dean’s list the last two semesters). She recommended anyone struggling to focus in class travel to their nearest arts and crafts store to purchase needles and yarn.

A Framework for Flourishing 

If you studied or worked at a health-promoting university, would you know it? Would you recognize the institution’s commitment to wellbeing in your daily activities, your relationships, your environment? For the colleges and universities that are part of the U.S. Health Promoting Campuses Network (USHPCN), the answer to these questions is yes, or at least, that is the aspiration. 

The USHPCN is a coalition of colleges and universities dedicated to infusing health into their everyday operations, business practices, and academic mandates. It was launched in 2015 to promote the “Okanagan Charter: An International Charter for Health Promoting Universities and Colleges,” which offers a blueprint for making wellbeing an institution’s foundational principle.

As it celebrates its 10-year anniversary, the Okanagan Charter (OC) is now an institutional priority at 39 schools in the United States. Around 300 others are not official “adopters” of the charter but participate as “members” of its broader network. For these colleges and universities, the O.C. serves many purposes. It is a pledge, a road map, and in some cases, a license to experiment with new approaches outside the traditional lanes of higher education. More than anything perhaps, the Okanagan Charter is a major shift in thinking about what constitutes wellbeing on campus, as well as who is responsible.  

The Okanagan Charter is a major shift in thinking about what constitutes wellbeing on campus, as well as who is responsible.

“With the Okanagan Charter, institutions around the country are reimagining higher education as a catalyst for human and planetary flourishing on every campus, everywhere,” said Sislena Grocer Ledbetter, chair of USHPCN and associate vice president of counseling health and wellbeing at Western Washington University. 

International, Indigenous Origins 

The Okanagan Charter reflects an international recognition of the influence of higher education on “people, place, and planet”—the three domains frequently cited within the common language the OC provides. “Higher education,” the charter goes, “plays a central role in all aspects of the development of individuals, communities, societies and cultures—locally and globally.” Indeed, colleges and universities serve as not only large institutions but major employers, creative centers of learning and research, and educators of future generations. 

The OC grew out of the work of the World Health Organization’s Health Promoting Universities movement of the 1990s.  The document was formally launched at a 2015 International Conference on the University of British Columbia’s Okanagan campus in Kelowna, Canada. The first draft of the charter was based on input from 225 people with the support of a writing team and an additional 380 delegates who critiqued and refined the document. Its introduction includes an acknowledgement that the OC was developed on the territory of the Okanagan Nation.  

In addition to recognizing the influence of universities on people, place and planet, the charter’s creation and early appeal was in response to the growing international crisis in mental health. According to the Healthy Minds Study, the rate of (mental health) treatment (for college students) increased from 19% in 2007 to 34% by 2017, while the percentage of students with lifetime diagnoses increased from 22% to 36%. By 2015, it was becoming apparent that campuses in the United States were indeed not well. 

One recent paper, “The Okanagan Charter to improve wellbeing in higher education: shifting the paradigm,” suggests a public health approach is the way to solve this problem which led to overwhelmed counseling resources and concerns over inconsistent help-seeking. One of the authors is Rebecca Kennedy, assistant vice president for student health and wellbeing at the University of Alabama at Birmingham, the first school in the United States to sign the Charter. 

“For many years now, universities have been trying to help students on their campuses thrive and flourish, increasing the availability of services on campus,” Kennedy and her co-authors explain. “Many of these services, including mental health treatment, are directed towards individuals, which is important for that individual, but does nothing to create conditions that prevent the need for these services at the population level.” 

In their research, the authors found a paucity of population-based strategies and little examination on system-wide approaches. “There was little evidence of policy, systems, or settings wellbeing strategies in the higher education literature. There was a lack of scientific investigation and evaluation examining the impact of changes to public policies, regulations and laws that impact the health of college students.”

The Okanagan Charter is an effort to fill that void first by creating a framework for improved wellbeing at the population-level on campus and then capturing data that will show its effect over time. According to the charter, “Health promotion requires a positive, proactive approach, moving ‘beyond a focus on individual behaviour towards a wide range of social and environmental interventions’ that create and enhance health in settings, organizations and systems, and address health determinants.” 

For colleges and universities, this means applying a “settings and systems” approach to scenarios one might think of as singular or isolated. One example the authors offer is the diet of college students. While adding more nutritional food to the dining hall menu may be one (downstream) solution to improving students’ notoriously unhealthy eating habits, keeping dining halls open and accessible after hours or during breaks so students avoid resorting to vending machines would be the upstream approach. A Campus Determinants Model, within the Okanagan Charter and mapped to person, place and planet, further demonstrates these distinctions.  

Understanding What Institutional Wellbeing Looks Like

The document, which is 11 pages, provides institutions with a common vision, language, and principles on how to become health and wellbeing-promoting campuses. It includes two calls to action: “Embed health into all aspects of campus culture, across the administration, operations, and academic mandates; and lead health promotion action and collaboration locally and globally.”

What that looks like for campuses within a sector as diverse and tenuously connected as higher education is the big question and the primary work of  the USHPCN. Associated with the International Health Promoting Universities & Colleges Network, the USHPCN supports campuses in interpreting and operationalizing the Okanagan Charter framework, acknowledging the unique factors that influence the OC’s adoption on each campus. Designees from the institutional members, as well as from the schools who have formally adopted the charter, work as a network, meeting regularly and sharing best practices and metrics.  

Julie Edwards is the assistant vice president of student health and wellbeing at Cornell University and the chair-elect of the steering committee of the USHPCN. She is well known among the OC community, as she chairs the potential adopter cohort and is frequently called upon to consult with schools just starting their journey. She urged Cornell to adopt the Charter in 2022 and has made it a pillar of her work and that of the entire university with the full engagement of partners, from faculty members and facility managers to the president’s office.  

“First and foremost, the Okanagan Charter gives us shared language and a shared vision,” Edwards said of the OC’s implementation at Cornell. “An unintended but powerful outcome is that people have become genuinely excited to understand this health-promoting concept and their role within it. Wellbeing is no longer looked at as just an initiative from Cornell Health.”

Edwards said Cornell had an existing foundation of wellbeing support for students, staff, and faculty, as well as for the planet through sustainability initiatives. The Okanagan Charter was the Venn diagram that put it all together. After the adoption of the Charter, the school created multiple guidelines that align with the guiding principles. For example, if you’re thinking of revising or creating a new policy at Cornell, you are asked to consider the question, “Is this health promoting?”  

These criteria are used in decision-making throughout campus. To diffuse some of the academic stress among Cornell’s high performing students, changes have been made to transcript policies, including to avoid discriminating against students who have had to take an incomplete. Many colleges have also implemented credit caps to reduce stress of taking over 20 credits in a semester. Another recent policy change is that employees at Cornell are now allowed two additional floating holidays to use as they please.  

Through the Okanagan Charter, Cornell developed a Community of Practice—a structure that Edwards describes as “bringing together diverse folks who have shared goals to work together to solve complex problems.” With the participation of about 150 people on campus, the Community of Practice is also working on assessing the impact of the policies that have been adopted. 

“My hope is that when students, staff and faculty come to Cornell, they can feel a sense of care and compassion and support for their wellbeing. They can feel that they have equitable access to the services that are provided, and they are able to connect with others in meaningful ways to flourish.” 

At a very different campus, the team from University of Massachusetts, Amherst is equally as enthusiastic, though less far along in the OC process.   “We’ve been forming relationships, listening to speakers, really cementing the excitement for this concept as we move into implementation,” said Elizabeth Cracco, the assistant vice chancellor of campus life and wellbeing. 

Cracco said the Okanagan Charter, which is now part of the university’s strategic plan, came into view after the pandemic when every stakeholder on campus focused on a common goal. “During the pandemic, there was such a great demonstration of serving the greater good of the campus, and that made us want to keep going, to keep thinking collectively around wellbeing.”

Connecting the OC’s population-based approach to student mental health is a welcome strategy for Cracco, who is a trained clinical psychologist with student counseling within her purview. She said the Okanagan Charter allowed her to add a layer to this work, expanding their existing focus on providing individual mental health support.

“The systems we have built to deal with students who are in distress have not gone away,” she said. “But using this collective impact framework, we are able to consider larger issues, such as, ‘How are we going to undo some of the intended or unintended consequences of everyone’s attention going to a screen instead of each other or themselves?’ That’s a whole campus problem. That’s faculty, staff and students.” 

Cracco said what excites her the most about the work is the unexpected partnerships it is forging with other stakeholders on campus. As was the case during the pandemic, she is working alongside numerous teams on campus that are experimenting with new ideas, including creating a greater sense of belonging in the classroom and even making changes to the built environment. “We have a faculty member in the school of architecture who is working with her senior students on the redesign of our residence hall lounges,” Cracco said. 

Cross-sector partnerships are a commonly reported benefit for schools who have adopted the Okanagan Charter. For some, like Furman University in South Carolina, the OC framework was a natural extension of what was already happening on campus. Since 2018, the school has offered the trademarked initiative “The Furman Advantage,” a student-centered pathway that requires a first- and second-year program combining academic advising and student wellbeing.  

Furman’s involvement in the Okanagan Charter, first as an institutional member and then as a full adopter, was initiated by the Wellbeing Strategy Committee, co-chaired by Dean of Students Jason Cassidy and Meghan Slining, a faculty member in health sciences who is a well-known public health expert on campus.  

Cassidy said he had a good feeling about the Okanagan Charter right away and appreciated being part of a learning community that the USHPCN provides. 

 “People from campuses all over the country are really open to sharing what they’ve done, how they’ve done it, and meeting with you one-on-one,” said Cassidy. “But there’s no playbook. They give us a unified skeleton, and then it’s up to us to put the meat on the bones that makes the most sense for our campus community. I think that’s the only way you could get something like this accomplished.” 

While the adoption of the OC may have been an easy lift at Furman, it still represents a significant change in thinking on campus. Slining said she is frequently asked to explain the OC to people who, in another world, would never be expected to understand it. Their response continues to pleasantly surprise her.  

“This is not business as usual where the only people who care about health and wellbeing are from the health sciences,” she said. “Centers and groups all over campus are writing the language into their mission statements and figuring out how to incorporate it into their work. They’re fired up.” 

Purposeful Information  

For more than a decade, colleges and universities have been relying on the Healthy Minds Study to help them understand the mental health of their students and those at other schools throughout the country. Indeed, this annual indicator and benchmark has become the bellwether for the state of college student mental health, capturing the dramatic increase in the prevalence of mental health issues among college students beginning around 2014.   

But as important as this survey data continues to be, the Healthy Minds Network’s principal investigators, Drs. Sarah Lipson and Daniel Eisenberg, stress that surveillance is only the start of a larger public health approach to helping every student on campus thrive. This mindset has led to strong partnerships with institutions and non-profits working to understand how mental health data can be interpreted and applied, particularly when it comes to policy changes and institutional investments.  

The latest example of this research-to-practice approach is a new report by the Healthy Minds Network, UNCF (United Negro College Fund), and the Steve Fund on the mental health and wellbeing of students at Historically Black Colleges and Univeristities (HBCUs) and Predominently Black Institutions (PBIs). Released earlier this month, the report, “Flourishing: Bolstering the Mental Health of Students at HBCUs and PBIs,” ties Black students at HBCUs to better mental health outcomes than both Black students at Predominantly White Institutions (PWIs) and a national sample of students of all races. 

Akilah Patterson, the study’s project manager and a Ph.D. candidate at the University of Michigan School of Public Health, said she was unsurprised by the results. Citing the strong sense of community HBCUs foster as a reason for students’ apparent wellbeing, she said, “nothing can really replace that.”

The concept and funding for the study came from UNCF, a major advocate and donor to HBCUs and their students. It partnered with the Healthy Minds Network to lead data collection and assessment, while the Steve Fund, a nonprofit promoting mental health among young people of color, contributed expertise.

Between spring and fall 2023, more than 2,500 students from 18 different HBCUs responded to a tailored version of the Healthy Minds Study. They answered questions from the standard Healthy Minds Study, along with a “Black College Mental Health Module,” added to provide insight into the Black college student experience.

The results suggest relatively better wellbeing among HBCU students across a number of scales. HBCU students report to be flourishing more (45% compared to 38% of Black students at PWIs and 36% of students nationally) and experiencing more campus belonging (83% compared to 72% of Black students at PWIs and 73% of students nationally).

The results suggest relatively better wellbeing among HBCU students across a number of scales.

While loneliness is endemic among students everywhere, significantly fewer students at HBCUs (56%) are experiencing “high loneliness” than Black students at PWIs (58%). Students at HBCUs are also less likely to keep negative feelings to themselves (74%) than Black students at PWIs (86%) or students nationally (83%).

Patterson said the wellbeing of HBCU students is an understudied area. “It’s not that it hasn’t been studied at all,” she explained, “but it hadn’t been studied in this way, on such a large scale, and also using some of the measures we chose to use.” 

In addition to insight into how HBCU students are already thriving, Patterson’s study suggests their institutions have room to improve support. Financial anxiety, for example, is the most reported stress factor among students at HBCUs. Twenty-three percent of HBCU students, compared to 18% of students nationally, say their financial situation is “always stressful”—an indicator correlated with greater risk of having one or more mental health problems.

Students’ financial struggles can be difficult for their institutions to tackle, Patterson said. But she hopes research like hers, and other projects going forward, encourage the kind of investment in HBCUs that, in turn, provides relief for the students. Empirically, she added, she believes the research “speaks for itself.” 

“We’ve been doing the work. HBCUs have been very committed for decades to the success and excellence of their students, and that’s not going to change.”

The Flourishing Factor

The spirit of this latest report from the Health Minds Network reflects an evolution of sorts for the data leader, along with many of its peers in the mental health research community. Their stronger focus on “flourishing” allows for greater examination of the many determinants that comprise mental health, such as financial wellbeing. 

In its 2023-2024 report, the Healthy Minds Network made headlines with news of slight improvements in student mental health, which had been trending negatively for several years. Lipson was particularly inspired by the 6% increase in student flourishing for several reasons, including the fact it is an outcome colleges mayhave some level of control over. 

“The web of causation for flourishing is much wider and often within an institution’s control,” she said. “When we think about what goes into flourishing—a sense of belonging, decreases in isolation, maximizing our built environment—there are levers here that institutions can pull, maybe not all of them, but more so than depression or anxiety.”

Flourishing has many definitions but is most often associated with healthy growth in a variety of domains. So anyone can flourish, with or without a mental health diagnosis. Additionally, while anxiety and depression are still alarmingly prevalent, not all students will experience either. From a public health perspective, flourishing is an outcome that is relevant to the entire population.  

Lipson said what is important about this measure, and indeed all of this research, is it helps administrators understand where to spend time and money based on what the evidence suggests is the best investment. To this end, the Healthy Minds Network has launched the creation of a best practices repository. While still a work in progress, the repository will provide that advice for a number of campus interventions.  

What is important about this research is it helps administrators understand where to spend time and money based on what the evidence suggests is the best investment. 

“What we should be investing in from a population, public health approach is a really difficult question given what little data currently exists,” Lipson said. “With the data repository, you can go to a publicly available resource and consider, ‘What are my options? What does the evidence look like? What schools have implemented this successfully, and who could I talk to there?’”

The University of Virginia Builds a Headquarters for Wellbeing

At noon three days a week, a room overlooking the pond at the University of Virginia falls into quiet meditation while the rest of campus churns with mid-day activity. Some students sit, some lay on the floor. A facilitator leads with guided thoughts and modes of breathing, but you’re welcome to do your own thing. After about 20 minutes, everyone is back on their way to lunch and afternoon classes.

“It’s very accessible to all kinds of people. It’s a nice break in the day, and it’s powerful for the people who have discovered it so far,” says Dearing Fife, a sophomore who organizes the sessions at the Contemplative Commons.

Dearing is a student advisor at the Commons, a new soaring glass and fieldstone building that is home to the Contemplative Sciences Center (CSC). For more than 12 years, the CSC had been operating from UVA’s religion department with multidisciplinary research, experiential learning, and mindfulness initiatives. The construction of the Commons represents more than an impressive new building to house a department and some activities. It is headquarters for the interdisciplinary face of wellbeing on campus—from grounding activities like yoga and meditation to scholarship on the many intersections of contemplation and nature, art, and technology.

The construction of the new Commons makes tangible President Ryan’s desire for UVA to be a top school for holistic student life while pushing boundaries on what higher education can look like in terms of mental health promotion. For many years, UVA had been the administrative backbone of the Flourishing Academic Network (FAN), an inter-institutional collaboration aimed at promoting student flourishing through higher education.

A Contemplative Commons

On the western edge of campus, the new 57,000-square-foot building sits beside the serene 11-acre pond and watershed area known as The Dell. Its U-shape wraps around a Ginkgo tree-lined courtyard, and connects to central campus via a pedestrian bridge over Emmet Street inspired by the High Line in New York, with benches and plantings. It’s hard to imagine a location better suited for a center dedicated to research, teaching, and outreach for contemplative experience.

“Our building is designed around the three themes of nature, art, and technology, and all three combine together to create contemplative opportunities for individuals,” says Kelly Crace, Executive Director of the Contemplative Sciences Center. “It’s intentionally multidisciplinary, creating wonderful spaces where students just love to come and study, whether they want to come into our art galleries, or come into our Conservatorium and experience light and sound in a variety of ways, or connect with nature through our biophilic design.”

The Commons houses, and reflects, work being done at UVA’s Contemplative Sciences Center. The facility’s purpose is to support student flourishing through a host of indoor-outdoor spaces, academic classrooms, immersive learning and events. It will soon include art installations and flexible studios that can be configured as classrooms, research labs, or even yoga studios.

Technology plays an interesting role in both design and practice in the Commons, used both to enhance mindfulness experiences and to create intentional tech-free spaces for deeper reflection. The Conservatory is an immersive room with floor to ceiling windows, sounds and light panels, with state-of-the-art audio to mimic natural soundscapes—think ocean waves, rainforests, waterfalls, wind, and buzzing bees. Other areas at the Commons are tech-free zones, encouraging students to disconnect altogether.

Innovative Classrooms, both labs and studios, are designed as multi-modal spaces that allow instructors to change the room setup based on the session’s needs. Classes can alternate between traditional seating, or more free-form setup using yoga mats or meditation cushions. Some rooms feature sprung floors, ideal for movement-based practices like Tai Chi, or facilities conducive to a Japanese tea ceremony. Others serve as academic classes that faculty members would prefer to hold in something other than a traditional classroom building.

“There’s one class that meets in the Commons, for example, on medical Spanish. This professor has her own deep contemplative practice, and she incorporates it into every class that she leads,” says Connie Kresge, chief of staff of the CSC. “She’s not just bringing in somebody who’s pre-med to learn a few vocabulary words. She is saying, ‘Okay, you are going to be the front line of working with humans. How do you imbue your practice with understanding of this population and a contemplative, compassionate approach?’ And so they also get the benefit of a setting like the Commons.”

Research and Practice

In a world increasingly defined by speed, competition, and information overload, the CSC represents a shift in higher education. Housed within UVA’s Provost’s Office, CSC benefits from strong institutional support, ensuring its programs are not peripheral but central to the university’s academic mission. As Michael Sheehy, CSC’s Director of Research, points out, UVA’s investment in contemplative education is unique among public universities, positioning it as a leader..

With its three-pronged mission, CSC is reshaping how students, faculty, and the broader academic community engage with education, wellbeing, and leadership. Work and programming at the Contemplative Sciences Center is organized around three pillars: Research, focus on advancing contemplative studies through scholarship; University Life, integrating mindfulness into students’ days; and Systems Change, expanding contemplative education globally through leadership and K-12 initiatives.

At the heart of CSC’s work is a research lab known as CIRCL, which stands for Contemplative Innovation, Research, and Collaboration Lab. There, scholars study many aspects of the ways meditation, nature, and technology shape our well-being from a collaborative, cross-disciplinary perspective.

One of the current projects examines how different environments impact contemplative experiences, explains Sheehy. As part of the methodology, participants will be studied meditating in five different settings, and researchers then track brain activity, heart rate, and emotional responses. “If you meditate in a garden, does it feel different than if you meditate in a featureless white room?” he  asks. “What happens in your brain and body when you practice mindfulness in nature?” Sheehy is also editor of the Journal of Contemplative Studies and also Contemplative Currents, which  are uniquely poised to cover both peer-reviewed academic studies and open public scholarship.

Research, academics, and collaborations go well beyond the study of nature and meditation. CSC is diving into diverse studies such as virtual reality experiences, lucid dreaming research, and exploration of leadership and public policy.

“We’re having professors coming in from our Batten School of Leadership and Public Policy to talk about policy and leadership from a contemplative perspective, professors from religion to come talk about Buddhism, and we’re exploring collaborative work of how we can do things with the school of data science,” says Crace. “What’s really cool is getting a sense of the breadth and diversity that’s possible. People might initially think, Oh, so this is where you do yoga, or this is where you do mindfulness, that type of thing. Yes, and we’re so much more than that. Being able to bring in that diversity of collaboration, I think, is really important.”

University life          

But the CSC isn’t just about research—it’s about making curiosity and mindfulness part of daily student routines to support an overall culture of thriving. The CSC hosts monthly salons, where students and faculty can discuss contemplative topics with leading interdisciplinary scholars.  A Citizen Leaders Fellowship offers students a year-long leadership opportunity to gain skills needed to flourish during their time at UVA and after graduation.

Beyond the lab and classroom, the CSC and Commons are uniquely poised to support student flourishing with a wide range of campus programming—beginning with a celebratory weekend of concerts, food and activities in April to mark the grand opening of the Commons. Going forward, a weekly calendar of programming and well-being initiatives include regular yoga, meditation, Tai Chi, reflective writing, and spaces to cultivate mindfulness and resilience.

It’s a bold push against what Crace calls the “stress-glorification culture” of modern academia.

People ask, Why would a university have a building for contemplation? They don’t ask, Why do you have a building for the arts, and a building for sports?

 “’I stayed up two nights. Well, I stayed up three.’ It’s this constant one upping, where we’re trying to find distinction through how hard I’m working,” he says. “It’s not only how hard I’m working, but it’s important for you to know how hard I’m working, and it just creates a very toxic culture that really disrupts flourishing. We want to be a disruption to that stress culture.”

Systems Change

Flourishing is a key word in the overall picture of contemplative sciences and its place in a larger ecosystem of institutions helping young adults maturing in a way that best supports their wellness and full potential. Appropriately enough, the Flourishing Academic Network (FAN) grew out of key individuals at UVA committed to flourishing, including David Germano, a religious historian at the University of Virginia and Crace’s predecessor as former director of CSC, and alumni Jeffrey Walker, a finance executive, philanthropist, and member of the board.

“What we’re trying to do with FAN is taking a system orientation and looking at how we can prepare students for the real world, and allow them to succeed in higher ed,” says Walker. “It means giving them tools when they arrive, and educating them about what kind of tools there are out there, working on things like social emotional learning models, meditation, yoga, body movement, breath practices, peer to peer support, and also managing ego and collaborative models, and looking at leadership models.”

For real systemic change, the third pillar of the CSC reaches beyond the campus into the wider scope of academia with FAN, and reaching K-12 classrooms and international leadership programs.

 “The systems change work can be thought of as expanding what we do reaching outward,” says Kresge. One major initiative is the Compassionate Schools Project, a groundbreaking K-12 mindfulness curriculum leading new practices in Louisville, Kentucky. Another is the Dalai Lama Fellows Program, which trains young leaders around the world in mindfulness-based social change. In 2024, CSC took 17 Fellows to meet His Holiness the Dalai Lama.

CSC is also working on a national initiative to integrate contemplative education into higher education policy. By partnering with education policymakers and university administrators, CSC hopes to make contemplative practices a core part of the American educational experience—and something both more easily understood and more widely undertaken.

“People ask, Why would a university have a building for contemplation? They don’t ask, Why do you have a building for the arts, and a building for sports? No one stops and says, what do you mean by arts?” says Kresge.. “We don’t have that barrier in our colloquial understand of the words arts and sports, but we do in our conversation of what contemplation is.”

Leaders like Kresge hope there would be a greater understanding of mindfulness and meditation as an ongoing tool and practice—like exercise—and not a one-time thing that can be taught in a seminar and crossed off a list.

Sheehy learned meditation from his grandmother when he was about 10 years old, and it made a lasting impression. “I’ve had the chance to live most of my life with access to knowledge about contemplative practices, because I’ve had experiential access to as a constant reference point,” he says. “That’s why I think the research we do is important, because we’re showing people how these practices wok, how powerful and empowering they can be, and give them agency over transforming their lives.”

Dearing Fife also had access to these practices at an early age, and the addition of the Contemplative Commons at UVA cements her belief she could not have found a better place for herself to attend school. A self-described “anxious kid,” she discovered meditation in middle school, and it’s been a core part of her life ever since. “Like brushing my teeth,” she says. “A non-negotiable.” She grew up knowing that learning to handle it was just going to be her thing.

“Everyone manages something in their life, and I have to manage my anxiety,” she says. She meditates once or twice a day, and believes it’s a tool many more college students would benefit from. She is aware of a first-year student who shows up to the noon meditations regularly, and likes to envision that it’s making a difference in her life—and that in a small way, as organizer of the sessions, Dearing contributes to that.

“It’s a big school, and I’m in Greek life, and that’s been great,” she says. “But I also wanted an academic realm where it’s like, This is my place, and this is where I’m going to impact the university,” she says. “And this, working at the Commons and CSC, is it.”

“Woven In”

New research out of Vassar College links institutional efforts to address student mental health with higher graduation rates. 

The article, “‘Woven in’: Mental Health and College Graduation Rates,” published in The Journal of College Student Retention, pinpoints four mental health interventions common among colleges with “higher-than-expected” graduation rates—that is, rates higher than predicted based on factors like endowment per student, instructional expenses per student, and more.

For other schools interested in improving retention, the authors, who include Vassar President Elizabeth Bradley, suggest implementing these practices may be a step in the right direction.

Retention at four-year colleges is an ongoing concern, as less than half of students are graduating within six years of matriculating. Still, the number of students applying to these programs has risen, along with the price tag to attend.

Previous research shows mental health issues, along with a range of financial, social, and academic factors, can stand in the way of students’ graduating on time or at all. What mental health strategies colleges should use to curb these negative outcomes, however, has been less clear. 

The researchers behind “‘Woven in’” set out to determine these strategies by conducting case studies of five colleges with model graduation rates. The schools selected remain anonymous throughout the paper but reflect diversity in terms of student body size, geography, and “ownership type” (public, nonprofit, or for-profit).

Each case study involved a site visit and interviews with between 28 and 41 people, including administrators, faculty, and students. The interviewees answered general questions about school culture and experience, as well as more targeted ones about retention-related programs.  

Together, the responses highlight four practices, shared among the colleges, for tackling student mental health on campus: 

1. “Recognition of the breadth and depth of mental health needs” 

At each of the five schools, researchers found a proclivity to name student mental health as an increasing problem on campus. Both staff and students recognized the issue and proposed possible reasons for it. An Associate Vice Chancellor suggested mental health concerns were more often responsible for educational leaves of absence, which can delay graduation, than academic reasons.

2. “Proactive Approaches: Early Detection and Outreach”

Another commonality between the schools was a proactive approach to mental health. Each had measures in place to reach struggling students before their problems became serious. Some ran formal programs to report concerns about students and assigned a point person to intervene. Others cultivated a strong culture of faculty referrals. 

Regarding retention strategies, one Vice Provost mentioned the value of mid-semester reports, which faculty at his school complete on behalf of their students and turn into the dean’s offices. “Sometimes we pick up care issues where a student will say, ‘You’re right. I’m not doing well.’”

3. “Diversity of Mental Health Resources and Quality Improvement”

Every school also offered a wide range of services, recognizing the diversity of needs and importance of adapting to meet new ones. “I think the myriad of mental health resources that [the college] has contributed to why people stay at [the college] and why our graduation rates are high,” a student said. “Because if you are struggling, you will get the help that you need.” 

Services included not only traditional counseling but education, recovery, and maintenance programming. They also addressed “identity-related needs,” specifically around race and ethnicity. 

4. “Embedding Mental Health in the Larger Social System”

Finally, all five schools integrated mental health services into “the larger social support and academic structures,” the authors wrote. Administrators and faculty alike expressed commitment to student wellbeing and working together to address it. By confronting these problems across offices and departments, they could foster a culture that normalized talking about mental health and asking for help. 

“Whether in the classroom or beyond, ‘[Mental health] is always kind of woven in.’”

As one administrator said, whether in the classroom or beyond, “[Mental health] is always kind of woven in.” 

Influencers for Life

A continuation of our series on answers to the question:  “What experience or person in college most influenced your development as a human being?”

When Carter Jones left for college, he was thrilled to be moving on to the next chapter of his life, until a familiar anxiety dampened his excitement.  Would he fit in? – “like, really fit in” – as a student of color in a predominantly white school? He’d done it before, attending a suburban high school 15 miles outside his home in the city. His friends there had his back, but every new situation is a do-over when it comes to belonging. 

On one of the first days of school, Carter met Derrick, also a first-year student, and the two connected immediately. What they did not share in background (Derrick is White, from the suburbs, Carter is Black and Dominican from the inner city), they made up for in their mutual passions – sports, music, technology, and where to get the best pizza. The two became close friends. 

Halfway through that first year, Derrick shared with Carter that he had been struggling with his mental health. Like Carter, he had been worried about finding his place in a new environment. He  seemed preoccupied with his body image, though Carter said, “he looked fine to me.” In fact, Carter wasn’t aware how distressed his friend had become until he told him he was leaving school. It was then that Derrick explained that in his senior year of high school, he was so despondent, he had barely gone to school at all.   

When Derrick left college for home, it could have been the end of their friendship, but in many ways, it was just the beginning.

“I was like ‘are you kidding me?’ Here I find this great friend to go through school with and suddenly he leaves,” said Carter. “It was so disappointing.”

When Derrick left college for home, it could have been the end of their friendship, but in many ways, it was just the beginning. 

Then Carter did what Carter does.  He made it work.  Derrick lived in a town not far from campus and Carter found a way to visit often.  They’d watch football together, eat junk food and hang out. Soon, the family came to expect his Sunday visits and Derrick’s dad, Don, would pick Carter up at school and drop him off after dinner.  On those rides, they’d talk, and Carter was surprised to learn that Don, a successful businessman, had little money growing up.  He had put himself through college – the same college –  with loans and part-time jobs.  He could not afford to party in the dorms like the other students and, he, too, could feel out of place. 

“His upbringing was more like mine,” said Carter. “He was scaping by, hoping the next loan would come in to pay tuition.”

Derrick made the decision to return to school around the same time Carter was struggling to secure the money for that semester’s tuition.  “I am not going back without my best friend,” he told Carter, and they went to Don for advice.  Don created a financial plan for Carter that included working with aid officers, even the school’s president, to streamline tuition and allow for online participation so that Carter could graduate with a degree in computer science. When he needed an internship one summer, Don connected Carter with one of his own friends from college who was in technology.  

“His support for me was unbelievable,” said Carter.  “But it wasn’t just opening doors.  He was really invested in how I did and checked in all the time about my grades, how I was doing socially. I thanked him over and over again and he’d just say – stop, you are like a son to me.”

Asked how Don’s support changed his outlook on life, Carter said “Before, I felt like I was just getting by, not caring much about how I did but knowing how much faith Don had in me, it made me think of myself differently.  I began to really care about doing well. It mattered to me.”

Six years later, Derrick and Carter remain best friends and Carter continues to be part of Don’s family.  Carter may not ever know the depth of Don’s gratitude for showing up for his son, or how much of himself he saw in Carter, though it would benefit him for the rest of his life. But that’s not what this story is about – nor how it started.  It is about two college kids who find friendship and are smart or lucky enough to hold onto it. 

“It is amazing to me what relationships can do for your life,” said Carter. 

Names have been changed for this story.

Be REAL

College students consistently report feeling anxious and overwhelmed, many of them untethered by high levels of stress and the perception that they, alone, are struggling. What if colleges and universities offered these, and all students, a preventative well-being course where they learned resilience and coping skills, realistic perceptions of stress, and self-care? Would their levels of anxiety lessen? Would they feel more grounded?

This is the theory behind Be REAL, a mindfulness-based cognitive-behavioral coping program developed at the Center for Child and Family Well-being at the University of Washington (UW). The Be REAL Program (REsilient Attitudes & Living), is a six-week course that teaches students and staff a variety of skills that help improve well-being, starting with the acknowledgement that struggling is part of living.

While it partnered with the UW counseling center during the initial study, Be REAL is not a clinical solution. Rather, it is a population-based, preventative strategy aimed at helping all students thrive. 

“I think we are seeing a strong need to go from an individual approach to supporting mental health and well-being to a collective and a community approach,” said Sara McDermott, who leads the Be REAL training at the research center. “This is really important because our well-being is not related to one thing.  It’s related to our relationships, our stress levels, our politics, the food we have on the table, if we feel safe.”

The design of the Be REAL program is as sensible as its name. Typically, groups of students convene once a week for 90 minutes to learn mindfulness, stress management and cognitive behavioral skills that help with focus and executive functioning as well as self-compassion and compassion to others. In a combination of activities that build on themselves, the program is aimed at increasing students’ resilience by strengthening key protective factors, such as effective coping, perceptions of stress, and self-kindness, all of which can be in low supply among high performing students in demanding academic environments.

Originally launched as a study with a cohort of students living in residential halls at UW, the course is now available in a variety of settings. The flexibility built into the program is designed to meet students where they are, literally – whether it be dorms, classrooms or academic advising sessions.  As a general studies course, Be REAL can be a credit-bearing class for psychology students, or a mid-year elective for students needing to pick up one credit. (The Be REAL promotional video is featured on UW’s academic department web sites.) As a co-curricular program, it can be offered as a student support option for staff in residential life, advising, disability services, or any student-facing group.

“We are training folks in this work that already have relationships with students so we are supporting them in a way that is coming from the community,” said McDermott.  “That speaks volumes about how we can offer a collective approach to well-being.”

This “task-sharing model” does not require clinical skills but instead involves training people who work with students to facilitate groups, or to incorporate practices from the program into their work. Staff take the course themselves as part of their training to deliver the program in an effort to relate to and interpret what the students are experiencing which McDermott says is a benefit to both parties. “It’s really empowering to be able to say to students ‘Yeah, I tried that practice, and I found it really hard to do when you’re feeling a lot of different things.’”

McDermott says the program can also offer an opportunity for students to break out of the prescriptive patterns their majors demand. The self-compassion dynamic, and the sense of shared humanity, offers a different kind of learning experience. In an evaluation of the program, one student wrote, “the course created a space within academia where I felt seen and heard.”

99% of the students agreed that the program helped them learn ways for reducing stress.  

One of the program’s unique advantages is its position within a major university research center. Since its launch, the Be REAL program has been studied by researchers at UW’s Center for Child and Family Well-being and funded by patrons such as the Maritz Family Foundation and Brad and Judy Chase.  The  third study included 325 undergraduate students and 100 staff members at UW.  The published results noted, “Compared to students in the assessment-only group, students participating in Be REAL showed significant improvements in mindfulness, self-compassion, flourishing, resilience, happiness, emotion regulation problems, executive control, active coping, social connection, and depression and anxiety symptoms. These effects were maintained at follow-up.” 

In 2017 and 2018, the program conducted an evaluation in the UW residential halls and found that compared to students who had not yet received the program  students who participated in Be REAL reported improved well-being measures, including mindfulness, executive control, active coping, self-compassion, social connectedness, resilience and flourishing.  A majority of these changes were maintained at a three-month follow-up. 99% of the students agreed that the program helped them learn ways for reducing stress.  These and subsequent studies recommend the task-sharing model as an opportunity to include the entire campus community in the work of improving student and staff well-being.

McDermott says the proven efficacy of the program is both personally and practically rewarding.  With evidence comes additional funding and with funding, the program can expand.  Be REAL is now being offered in other colleges in addition to UW as well as with high-school-age teens. 

To learn more about the Be REAL program, including training opportunities to bring this program to your campus, contact, Sara McDermott, Be REAL Program Manager at saramcd@uw.edu