MHSC Interviews Dr. Hughes-Troutman, Director of CARE

Tiffiny Hughes-Troutman, Ph.D.
Director of the Center for Assessment, Referral, and Education (CARE)

Interviewer: Jordan McKinney

Date: 7/17/2020

Question 1:
What are some of the top problem’s students bring to CARE? What does CARE do to help students address these problems?

Dr. Hughes-Troutman:
For decades, college students have faced issues such as anxiety and depression, and what we see in CARE closely mirrors that. Interestingly, when I first started in collegiate mental health, and examined that data, depression was the number one concern. About 6 or 7 years ago anxiety became the #1 concern followed by depression. These are the top concerns we see in CARE now. Other concerns include relationship concerns, stress, and academic concerns. The shift in anxiety issues show that students are more anxious than depressed, although there can be features of both. More recently due to COVID-19 as well as other recent local and national issues related to racial injustice, anxiety has spiked. So, what we are finding is that students who already have had pre-existing anxiety and been in treatment or having anxiety and not deciding to seek treatment are now stepping forward to seek help because of these numerous stressors. I’ll also add that we predominantly help students who are having academic concerns or who speak to academic adjustment concerns that may relate to the culture and environment. Tech is also a high-stress, high-performance environment, so students come here having been at the top of their class and have very high expectations for themselves. But I think the general thread across all of that is students really want to do their best, and then feel like they’re failing if they don’t get As or if they’re not at the top of their class. I think that’s a unique cultural aspect to Tech, so independent or not of whether a student steps forth with a clinical concern, they’re always talking about the academic stress and pressure, and so that’s an underpinning.
CARE is a single point of access for mental health resources and services on and off campus, and we opened in August of last year. We are the triage, assessment, and referral department. Some students are a bit confused and think we’re another counseling center or think we are a part of the campus Counseling Center. We’re actually a separate department where students come to get an assessment and then referral to appropriate resources on and off campus. Student need to start with us to receive services from the Georgia Tech Counseling Center or Stamps Psychiatry. But in CARE the referrals include so much more than the clinical referrals because we want to support a student’s health and well-being. Students leave CARE with a customized CARE plan, or listing of resources – many resources we refer students to support their well-being including mindfulness or self-care. There also referrals to academic, career, and student services resources to their identity. At CARE we know that students’ well-being can be impacted on a number of levels, but we also want to make sure we are helping students flourish, so what CARE does is makes sure students leave with a good understanding of as many resources as possible to help, independent of whether they need a clinical resource. We strive in CARE to destigmatize and hopefully demystify the whole process, as well as to normalize it, because our whole motto is “Come to CARE” no matter what you’re facing. It doesn’t have to be a big thing. By coming to CARE we help a student get closer to the help they need, whatever that looks like for them.

Question 2:
What can students expect out of the CARE assessment process? (In other words, how are you different from the Counseling Center and how do you work together?)
a. What other resources do you refer students to?

Dr. Hughes-Troutman:
First, I do need to point out that fall operations will look different from the way we operated last year due to COVID-19, however, our service delivery will remain unchanged. Students can call us at 404-894-3498 for an appointment. We are operating primarily virtually and have successfully done so since March. Eligibility is that students have to be enrolled as a degree-seeking student at the Institute. Our services are confidential and there are no charges or fees. You fill out your paperwork, meet with a licensed clinician via the BlueJeans platform or phone, hear a recommendation on what your next step(s) are, and get a CARE Plan that identifies your next appointment. Streamlining this process in one step is really big shift for our mental health system because before CARE opened, students would access the Counseling Center and Stamps Psychiatry independently and would encounter long wait times and a prolonged period of time to get started in treatment. In CARE we collaborate with the Counseling Center and with the Psychiatry Clinic heavily to coordinate that care. Because we are operating mainly virtually, students will receive a communication about that next appointment that day or the next day. When we were operating physically, the student would leave our office that next day with their next appointment.
Regarding the distinction between CARE and the Counseling Center, the Counseling Center provides treatment and no longer provides assessments. Their services include clinical resources such as individual therapy, group therapy, workshops, and testing but they also provide outreach and other forms of prevention. They’ve always done that; the only difference is they use to do assessments too. The main idea is that since CARE is providing all the assessments now, that will open up more resources for the Counseling Center to allocate individual or group therapy appointments. So very intentionally we realize the demand on the Counseling Center, and the idea is siphon off of the assessment responsibilities of the Counseling Center to open up more slots for therapy. It’s an innovative approach that other campuses have expressed great interest in. Again, students need to start in CARE but some students don’t need counseling even though they believe they do – it’s our job to appropriately figure that out in collaboration with the student.
We also work together very collaboratively with Psychiatry. Similar to our referral relationship with the Counseling Center, students need to start in CARE in order to receive a referral to the Stamps Psychiatry Clinic. In the past, students would try to make appointments at both the Counseling Center and Psychiatry because of the long wait times in an attempt to see where they could get in first. But the unfortunate part about this was students didn’t need both and often didn’t understand the difference between the two, so there was a need for greater education on those services. The Psychiatry Clinic is staffed by board certified psychiatrists who predominately specialize in assessment, medication management and referrals. Their care coordinators are case managers who support this care and conduct an extensive amount of referrals and case management. The Counseling Center is staffed by licensed mental health professionals – psychologists, professional counselors, and social workers who are trained in psychological assessment, treatment and clinical case management. So, in the past, a student may have gone to Psychiatry just wanting to talk to someone and find out later on that the Counseling Center is a better option, or vice versa if they needed medication management. The role of CARE is to figure that out for the student, to provide education, decrease wait times, and to decrease that confusion and shuffling back and forth that students at Tech have experienced for years.

Question 3:
In your opinion, how has the stigma around mental health and resources on campus negatively impacted student treatment?

Dr. Hughes-Troutman:
Unfortunately, mental health stigma is a real problem. To a large degree, it doesn’t exist for other types of illnesses. A student wouldn’t hesitate to go to Stamps if there was an ache or pain or if they needed treatment for a chronic physical health condition, but they do hesitate or are ashamed to talk to someone about something happening mentally. So, there’s a distinction between the mental and physical that we still have unfortunately. We know that when you have a clinical depression, your brain looks different. So, education on the etiology mental health may also help with the conversation. Because stigma, students do not step forward and receive help or delay seeking help to the extent that it becomes an impairment. They may have sought help earlier if there was less of a stigma. Unfortunately, stigma is real and strong, and I know that there is a lot of interest and engagement in conversations on trying to fight that.
I think one strategy that helps is peer to peer messaging, as well as projects such as the one that you are doing now through MHSC that helps de-stigmatize mental health. It helps to put a name to the face and helps students say to other students that it’s okay to reach out for help. That’s important because messages, we know from research, are better heard from peers than from professionals. My staff or I can go out and talk all day to students about the importance of going to CARE, but if you hear it from a student who’s gone to seek help or who had a positive experience, it’s going to make such a big difference. But even with that, stigma is still difficult to combat and on campus we are engaged in a lot to help with that. The Counseling Center is spearheading a partnership with the JED Foundation, so we are a JED campus to help us reduce barriers to access and to help with peer to peer messaging. There are a lot of wonderful programs we’ve done at Tech. In 2018, I spearheaded he first Fresh Check Day, which was a peer-to-peer suicide prevention mental health event. The idea for this was to really fight stigma. Health Initiatives sponsored this event again last year, and it was very successful. Another example of effective stigma prevention is through the Active Minds organization and NAMI. Given the fact that at Tech students already have such high expectations of themselves and already expect themselves to perform at the top, so when they are encountering a mental illness – maybe even for the first time at 18 or 19 years of age – it’s even harder for them to step forward. I think that underscores why we are doing all that we can to fight the stigma.

Coronavirus

Question 4:
What can people staying at home do to keep their minds healthy?

Dr. Hughes-Troutman:
Given the COVID-19 pandemic, there’s a lot of messaging about social distancing. Physical distancing is important for our health and safety, but social connection is more important than ever. We need to find ways to stay connected as best as we can because students are facing a lot of isolation and loneliness- which in fact is an epidemic itself. This was an issue before COVID-19, and now that
COVID-19 has happened there’s less of an opportunity to connect in person, so I think the message needs to drift to the importance of staying connected, the importance of having virtual meetings and meet up groups, and whatever other ways we can continue to engage. I’m aware that Zoom and BlueJeans can create virtual fatigue, which is a very real thing, and the quarantine fatigue is real as well. Of course, it’s important to practice safety and well-being, especially now that we are seeing spikes in COVID-19, so it doesn’t diminish the fact that we are still practicing physical distance which is why it’s so important to find a way to do it virtually and stay in touch. In terms of mental health support, it is positive that we are all doing virtual telebehavioral health now. CARE, the Counseling Center, and the Stamps Psychiatry Clinic provide treatment through BlueJeans and/or telephone, so that’s still an abundance of available resources for students who need formal treatment and resources.
I acknowledge and realize that these are really tough times because students may be at home with less than ideal living situations or living in places that they did not anticipate being in. Certainly, practice self-care, and while being safe – get outside and take part in some physical activity, as it’s so important and critical for everyone’s mental health. Also make sure to get enough sleep, as well as engage in other self-care practices- including grounding yourself through mindfulness. I think the last main point to mention is the cognitive issue of feeling like this pandemic will last forever, but it will not. We will get through this, as our health officials are working really hard for solutions to help with a number of these issues. I also think it’s important to mention to those who need formal treatment that it will always be there. It may not be face-to-face, but its still there virtually – and what we are hearing from students is that they’re pleased with seeing our practitioners through BlueJeans. While it isn’t the exact same, it simulates the therapeutic environment well it and it is most importantly safer for everyone involved.

Question 5:
Can students still call CARE during this pandemic and receive care?
What if they are not actively enrolled in classes in the summer?

Dr. Hughes-Troutman:
All students need to do is call us at (404) 894-3498 and say is that they need to talk to someone. There will be a couple of questions we will ask them to get started followed by some online paperwork. Now if you are physically located in Georgia you will be connected with a case manager or a physician that will conduct a full assessment either through the telephone or through BlueJeans, which ever the student prefers. So, they’ll get a full assessment and then a referral to appropriate resources, as well as a CARE plan that will be sent electronically. If the student is located physically out of the state of Georgia, they can still call us and get a brief consultation and referral. We wanted to extend this to students because we realize, due to COVID-19, some students have to go home or out of the state, so we wanted to make sure we were extending flexibility and still providing that student with that appointment. We wanted to make sure we were practicing good clinical care without exclusion, but at the same time to get the full assessment our scope of service is still with in-state students. Really all they need to do is call us. Now that the fall semester has started, we are back on campus but because the need for us to practicing physical distancing and safety, we will have an appointment-based model and students will need to still call.

Personal

Question 6:
What inspired you to go into a profession helping college students?

Dr. Hughes-Troutman:
When I was an undergraduate, I was considering going to medical school to become a psychiatrist or going to graduate school to become a psychologist. I made that decision relatively late in my senior undergraduate year, but I ultimately decided to go to graduate school because I wanted to talk to individuals about their problems and have always enjoyed talking and listening to stories. I felt that would be a better fit for me rather than going to medical school and primarily prescribing medication. So, I went to graduate school and got my Ph.D. in counseling psychology from the University of Illinois at Urbana-Champaign. I completed practicum which are training experiences through the college counseling center and in a clinic that served college students, and I also taught courses as a teaching assistant. Additionally, I worked for the Graduate College as a graduate assistant in a bridge program helping to bring more ethic minority students to the university. My internship was at Virginia Tech in their Counseling Center and I liked that a lot and felt like it was a good fit for me. I didn’t want to go to private practice, and I decided that college counseling was a good fit for me. Also working in an academic environment enables you to practice, supervise, work on committees and conduct preventative outreach. I’ve always liked school and so it was really a good fit for me to be in that type of environment where research is going on and there’s so much intellectual capital.
Post-graduate school, my first positions were at the Georgia Tech Counseling Center as a postdoc and staff psychologist. I also served as an Assistant Director of Outreach and Wellness there. Then I worked in Health Initiatives as Director of Health Behavior for two years, and in that role supervised VOICE sexual violence prevention and advocacy team as well as spearheaded “positive psychology” initiatives which focuses on resilience, mindfulness, optimism and happiness. I worked to coordinated those program on campus with faculty and staff and students. Then in June 2019, I accepted the role of Inaugural Director of CARE. Because I have worked at Tech for a number of years in different departments, this role was an easy transition because I know the campus mental health system and a lot of resources. It’s very rewarding to help students. I also enjoy serving the Institute on other levels. I served as co-lead for Institute Strategic Planning’s ‘Cultivate Well-being’ theme which is one of President Cabrera’s strategic teams that’s wrapping up Phase 2. So, my work allows me to do what I like to do, not just clinically, but to continue to make an impact on students’ well-being on a broader level.

Question 7:
What is one of the most rewarding things about being a case manager/psychologist, etc.?

Dr. Hughes-Troutman:
I am a psychologist, so I think one of the most rewarding things is just seeing a student feel better and just getting the chance to meet with students and shape their path or perspective a bit. Students at Tech are very bright and very resourceful. When they step forward to see us, they are really doubting themselves or disappointed at some level .So, what’s rewarding for me most is me being able to provide that perspective and saying “ You can do it” or “ You are resilient” or acknowledging that it is a temporary struggle and there is always help. And then being able to follow up with a student and see them feel better. At CARE we have the unique ability to do that. As I mentioned we do provide case management, it’s not just that one appointment, so we do follow up with students. We check in to see how they’re doing, make sure they get the help that they needed, and most importantly we get to hear their stories. Seeing the trajectory or path that student took to meet their goals, get better, and see that it is okay and that they’re strong ia an amazing part of my role.

MHSC Interviews Charles “CD” Wright, Clinical Case Manager for CARE

Charles “CD” Wright
Clinical Case Manager for the Center for Assessment, Referral and Education (CARE)

Interviewer: Tony Wang

Date: 8/4/2020

Question 1:

What can students expect out of the CARE assessment process? (In other words, how are you different from the Counseling Center and how do you work together?)

So we are the single portal of entry for the counseling center among other things. So in essence, in order to get an appointment through the counseling center, you must go through CARE. But I want to be clear: That’s not all we do; that’s only one of the functions we serve. For anyone who wants to get counseling at the STAMPS center or Georgia Tech counseling center, they come through us first. We are all licensed therapists. We do an assessment and we look at whether the student should be referred to the counseling center. Would long term therapy work? Does this person need psychiatry. That sort of thing. We pretty much triage everything. 

Question 2:

What other resources do you refer students to?

We have students coming in saying that they don’t necessarily need psychiatric help; they just want a positive environment. We also refer people to veteran’s affairs that are veterans. They are kind of an overlooked community at Tech. People who need financial assistance such as food and security issues. People who are looking to socially link with others. Referrals to the dean’s office and referrals to the office of disability rights. We work hand in hand with VOICE. VOICE works with sexual violence survivors. I work a lot at Health Initiatives, which is at the STAMPS building, which focuses on programs for student health. And the list goes on. There are a lot of great resources at campus. We try to give a good assessment of the student and like them to stuff at Georgia Tech or any surrounding communities. 

Question 3:

How has working at GT been different than working in other settings?

I have worked in a lot of settings. I was a private practitioner for 15 years. I’ve worked at some universities and have done consulting and contract work at some universities. I have worked in mental health for a long time about 28 years. I know I look very young, but don’t let that fool you. One thing I think is unique at CARE is that it really is state of the art in terms of having a referral agency that is embedded in the university. A lot of times, at other universities, you just go to the counseling center, and the counseling center can refer you. But that takes a lot of time. A lot of outpatient clinical therapists aren’t really in tune with what’s going on or  what resources are available on campus. For us, we are all licensed therapists with a history of providing therapy, and during the assessment, there is some situational counseling, but our goal is to provide a holistic perspective of what is going on with the student and link them up with services that can help. So students can come and just say “I’m feeling very stressed”, which is quite common here. So we try to help the student determine what caused the stress and what’s going on. What positive buffers that are helping you hold you up? Has there been any history of stress? There’s a lot of questions we ask. When someone says they are stressed, we try to quantify that and find what the roots really are. Because sometimes, it might be academics, but other times, it might be “I’m isolating myself”, “I’m too self critical”, “I got competitiveness with other students”, “I don’t spend enough time with my girlfriend”. There’s a lot of things that are really compounding that. We try to figure that out and try to find resources. Like I said we are really like preventive intervention and there is some intervention, but there is a big preventiveness part as well. So we do a thorough assessment and ask a lot of questions. Because, 9 times out of 10, there are things we can refer the student to that they weren’t even aware of when they first came to CARE. 

I guess short story; Georgia Tech is very unique in the services it provides. We have been really popular. The first day last fall, they had no idea what this would be like. We got 40 students showing up the first day. We got roughly 140 the first week. It all played out from August to December, where school ended. About 1000 students came in total, which is very impressive. Spring has come in par with that. So the system is very well used and received. 

Question 4:

In your opinion, how has the stigma around mental health and resources on campus negatively impacted student treatment?

Good question. We had this discussion recently. So behavioral health stigma is being shifted all the time, which I think is great. 10 or 20 years ago, not a lot of students would use this service, because they did not like to talk about mental health which was supposed to be private. And it still is private, the services we provide are confidential and we follow FERPA, so it is a private thing and people don’t really talk about it much. Like all social issues, it is being discussed more and more. So I would say with this generation of students, there is less stigma that I have seen than in recent years. I think in part this is due to apps such as relaxation and mental health apps. Mental health is presented differently in film and pop culture, which I think is great. A lot of people have been talking about it – I think it’s been 4-5 years ago Jay Z came out about going to therapy. And there are a lot of singers and actors coming out about it as well. People looking at therapy as a therapeutic coach rather than a medical model. Back then in the medical model, it was looked more as a sickness. And that is not a good way to look at it. Now that’s not the norm. People are taking a lot more time to care for their mental health. 

The thought in the past was that “You just suck it up” for anxiety and depression, and that still somewhat applies in the present, but it used to be exhaustion and people really falling apart and not doing well and affecting their lives. So people now are doing a better job looking to get a sense of balance. When you are a student, it’s regardless easier said than done, but I see a lot of students now prioritizing that. And I think that’s great that so many students are showing up. 

Question 5:

How can students reverse this stigma?

Just keep doing what they’re doing; it’s working! I kind of touched upon that earlier, but really just seek a sense of balance. A sense of balance is really important in your life in general. You know, it’s like “Work Hard; Play Hard”. I see a lot of students need a lot more recreation. Georgia Tech students are brilliant and are doing wonderful stuff, but sometimes they forget to take care of themselves in the process. So it is very important that students still strive for balance and seek help when they need help. Sometimes look at the holistic view. Like maybe you don’t need therapy, but instead you need to eat properly. The health trifecta: If you’re sleeping off, if your eating is off, if your exercising is off – if anything is off – it is probably going to throw other things off emotionally and mentally. So those things are very important, and Georgia Tech has a lot of resources for that such as nutritional counseling, the CRC, which is an amazing facility. We have a pool from the Olympics there. So that’s a lot of the reason why we ask students these questions; we want to look at the holistic view such as drinking and social life. The health stuff will certainly impact your psychologically if for a long time. 

Coronavirus

Question 6:

What are some of the biggest mental health concerns that have come from the

Pandemic?

Stress and anxiety. Certainly. We are blessed to have a lot of international students and they are wonderful, and that puts them on a whole nother level. The virus impacted a lot of people. A lot of them come from other countries that have been impacted by it before we were. We were hearing about it a lot before it was really making it over here in the news. Not just stress for yourself, but like stress for other places where your family is such as China, Europe, or India. That’s been part of a lot of stress with the students. 

Additionally, social isolation. A lot of students had internships in places such as New Zealand, so they did not sign up for summer classes. They couldn’t make it to their internships, so they’re stuck in Atlanta with no classes. So they’re living in an apartment by themselves and not going out to see people. So social anxiety and stress and uncertainty about what the fall in school is going to be like. 

Question 7:

Can students still call CARE during this pandemic and receive care?

Absolutely and they have been. The process currently is, since we were walk-in from 8 to 5 before. You would do the electronic assessment and you would see someone that day, or it could be you fill that out at 4pm and you see someone the next day. Or we work it around your schedule. The way it is now; students can call whatever time. The admin will check the phone. Then they will call clinical case workers such as myself. Then we will send over the paperwork where they can access it online and it’s confidential and very secure. They will fill that up and we will set up a Bluejeans meeting. We would conduct that meeting like we would in an office. And if someone wants to go to psychiatric help, we can write a referral to STAMPS and more. It’s been very successful; it’s worked beyond our expectations and just as good as in person meetings. 

Question 8:

What if they are not actively enrolled in classes in the summer?

So this summer, we have been doing the right thing. Typically you need to be enrolled to access our services, but because no one planned for this to happen, and our goal is to help the students, we still help them. We’re still providing services and doing all of that. 

Question 9:

How can students access CARE resources remotely?

So that process I stated earlier. Call the office, leave a message, the admin will get back to you and ask for your info, the admin will contact clinical case managers. We will reach out via phone or email because we will send the links or paperwork. Do the paperwork and enter it into the system. We will then set up a Bluejeans meeting and do the assessment. We will then email the outcome. Once you do an assessment, you can always reach out back to us. If other needs come up such as meeting the dean or ADHD testing or more, it’s now much easier since you are now in the system. You could just call and ask for the clinical case manager without doing the additional paperwork. 

Personal

Question 10:

What is your favorite Georgia Tech tradition?

I don’t know; I just like showing up! It’s been great! I’ve been at Georgia Tech for only a year, but I love it. The students are outstanding; I’ve enjoyed campus and have been very active. I’ve met a lot of people. I’m going to miss eating lunch at the Campanile everyday outside when on campus. So you know, seeing the Ramblin’ Wreck on the sidewalks; I always saw that as very interesting. I’ve been to plenty of other universities; I have never seen a car riding on a sidewalk. The first time I saw that, I was like “What is that”. Then I got closer and found out. So I thought that was neat how they do that. I do like the Ramblin’ Wreck. And I was behind the Ramblin’ Wreck in Starbucks on Spring Street so that was kind of funny. So you know, it gets around. 

Question 11:

Do you have any suggestions for how students can take care of their mental health on their own?

Number 1 is just the health trifecta. It’s copyrighted by me, so make sure you credit me when you use it! Just kidding. But yeah, sleeping, eating and exercise. Super important for everyone. It is mega important for students to keep their balance and stress low. I try to remind a lot of students: “Be proud of yourself.” A lot of students lose track of that; I mean, you are Georgia Tech, and you earned it! It’s not an easy university to get into. And there can be this kind of competitive nature, and I try to remind people that “You can’t forget your own process and journey that got you here. You are clearly intelligent and hard working.” But a lot of folks forget that, and I try to remind them of that. Like I get it to a point, but you have to remind yourself that you are in a room with other smart, hard working people not just from Atlanta but from places such as Russia, China, and India. It’s a global community, and that’s great; you’re there with people from all over. A lot of valedictorians, you know what I mean? I see it happen to a lot of students, so it’s important to stay in touch with that part of yourself. Keep your goals in mind and remind yourself that you’ve done amazing things to get here. 

Question 12:

What are some ways to relax and have fun during this time?

Well, you have to be creative. Exercise is very important, and I have told students – and I practice what I preach; I walk to Midtown and campus all the time. I’ve been a fan of the fitbit for some time. I have told people literally that I have walked 5 miles in my parking deck – I’m not kidding! I know what it’s like to walk 20 flights of stairs. So you have to be creative with that. I think having some element of exercise is important even if it’s just old school such as push ups and situps. Also, try having a schedule. For example, try to have a time when you go to sleep. I’m going to get up, have a shower, eat breakfast, see how the day goes, and then I might have Netflix. But to try to balance your work and night. For some folks, they get up and sleep whenever. They don’t really shower consistently timewise. They start their day out with Netflix; that will all impact your day later. So if you can have some schedule and also build in time for exercise and chill such as listening to music and watching TV. Also, go to your hobbies. Middle of the day, reward yourself such as reading or playing music for an hour. Then go back to work. Social life as well. Take your time to be social especially if you’re feeling isolated. Call someone via phone or Zoom. Or, walk 5 miles in a parking deck everyday!

Question 12:

Do you have any specific initiatives you are involved in on campus?

I definitely try to volunteer a lot on campus. I’m the Well Being Director on CARE, which is a wellness program for staff. And then I would say us, a little better than other departments, we partner with pretty much all departments. We are pretty ubiquitous on campus. Everything from athletics to professors to the Dean’s office, the CRC, Health Initiatives, psychiatry, women’s center, LGBTQIA, veterans, pretty much you name it – we’re involved with them. We partner with everyone and have relationships with everyone on campus. 

MHSC Interviews Dr. Bowers, Associate Director of the GT Counseling Center

Mack Bowers, PhD
Associate Director for Training for the Georgia Tech Counseling Center

Interviewers: Tony Wang & Jordan McKinney

Date: 6/24/2020

Question 1:

What are some of the top problems students bring to a college counseling center? What does our Counseling Center do to help students address these problems?

Dr. Bowers:

The most common, presenting problems we see at Tech, or at least the three big ones, are anxiety, depression and general relationship problems whether that be conflicts with romantic partners, roommates, family members, or even professors. Those are the three more common presenting concerns. I think especially at Tec,  anxiety generally ranks slightly above depression, although that’s not the case at every other school. In fact, the other schools I was at, depression was the common one, but at Tech standards and pressures are high, as well as expectations, so I think that’s why anxiety tends to be a more presenting concern over the others. But then it really covers the whole gamut in terms of the people we see. Everything from eating disorders to substance abuse to traumatic events, but the most are generally anxiety and depression, along with relationship concerns.

We have a step chair model, so we offer a whole range of services based on what the student’s need is and what they have. Sort of at the least extreme, or lowest equiniti level, we have preventive things such as workshops on stress management, how to study for tests, or how to manage relationships with family and romantic partners. These workshops are psychological based, and we offer them through generating them on our own or in response to the community whether that be a professor in a certain class asking for study strategies or sororities and fraternities inviting us in on how to deal with certain things going on in that community. We also partake in national things such as depression screening day on campus in the student center where people can fill out screening equipment to determine if they have any qualities of depression. 

Moving from that, down the continuum, we also have a peer coaching program. These are Georgia Tech students that go through a training program with us. They provide support and encouragement. We don’t call them peer counselors; we call them peer coaches because they take on a coaching role. That might be what seems to be the most appropriate for the student coming in seeking help. Then we move to group counseling, we do offer a wide range of groups, and group therapy can be more appropriate for certain types of concerns especially. It can be really helpful for all kinds of things like social anxiety, and other types of anxiety based concerns. We also have interpersonal groups where people are able to get close to their group members and facilitate a strong bond and connection with others. Then of course we have individual counseling, which is available as well. Students tend to think that individual counseling is the only thing offered, but we also have a whole range of other things offered in addition. We also do couples counseling as well. These include people who have romantic partners or who are married or just dealing with things that come up with relationships.

Question 2:

What can students expect out of the Counseling Center? (In other words, what makes GT Counseling different from long term counseling and how do the resources at Tech bridge that gap for students?)

Dr. Bowers:

So, as a university counseling center, and this is how many universities are across the country, we’re generally based more on what you would call a ‘brief treatment model’. We don’t pretend to be an inpatient facility, as we don’t take cases that may involve many years of treatment or intensive, highly specialized treatment like a detox center for substance abuse or an intensive treatment program for eating disorders. That’s sort of beyond our scope of practice. We don’t really have the resources to be able to devote to that in an effective way. So, we primarily deal with the kinds of things that can be treated through a brief model. For people that might require more than that, we have an extensive referral database that we maintain, of which we have case management services that are available. Two case managers are included on our staff. They help to facilitate referral to the appropriate level of treatment for people who might require something beyond the scope of what our counseling center can provide. The referral service is not like we’re sending people away, rather it acts as facilitating them to get the appropriate treatment for what their presenting concerns are. And we do follow up and make sure that the connections were effectively made and that they are able to follow through with getting help off campus.

Question 3:

How has working at GT been different than working at the counseling center of other schools?

Dr. Bowers:

Well, I think Georgia Tech is a special, unique place in many ways. The students at Tech are driven, motivated. They are problem solvers and focused on making the world a better place. It’s been a great place for me to work, and the reason I have been here for over 20 years. The other counseling centers I’ve worked at were quite different in some ways because Tech is more stem based, whereas my previous university was a liberal arts school. They were similar in terms of the kind of problems that traditional age college students go through like individuating from their family of origin, developing a sense of themselves, or developing a career path. Those kinds of things were similar in my experience at the various places I’ve worked. But like I said, Tech does have a unique place. We occupy a fairly high visibility spot in the state of Georgia, the southeast, and even in the nation. So, I think there’s more of a spotlight on you and there’s more pressure overall. Are we doing everything we can to make the city a better place? And so, in that way I do really like the mission of the institute and the way it attracts students that are driven to do similar kinds of things to make the world a better place.

Question 4:

Coronavirus Question

What can people staying at home do to keep their minds healthy?

Dr. Bowers:

That’s a great question. Certainly, I would say, at a specific sort of level, there always things that help us manage stress better or manage change better. Things like making sure you get enough sleep, making sure you eat a balanced diet that has a healthy variety of vegetables, fruits, and grains and protein and all that. So you know, the sleeping and the eating thing those are always things you need to be doing. And then exercise of course. Exercise, there are three things that are very important in stress management, and exercise is one of them. So, you know, getting some exercise – you don’t need to be training for a marathon necessarily – but just getting your heart rate up for 20 minutes every day, taking a brisk walk, going on your bicycle, or even doing something like yoga at home. Those types of things are maintenance types of things that are very important. We can do that at home; it doesn’t require interacting with people. YOu can maintain social distancing. You can still take care of yourself in terms of protecting yourself from the virus. Definitely, staying in touch with people. With modern technology, that’s easier to do now than it used to be. So making sure you keep up with your friends and family. Surround yourself virtually with people who are supportive and encouraging to be with. I’ve been playing games on the zoom platform with my nieces and nephews – my son has been really enjoying it as well. So keeping in touch with others is very important. 

Another thing is trying to maintain a positive attitude on things. Sometimes that’s hard to do since a lot of news is bad news, whenever the top news tells you how many people have been diagnosed or died from the virus. But trying to maintain a positive attitude, so maybe limiting how much bad news you hear everyday and focusing on what are the positive, good things in my life, about this time even if it’s not something or somewhere I want to be or doing right now. I’ve really enjoyed this time spent with my sons. They did come home; you know, it’s something that I did not expect I would get. After high school, they left, and they’ll always be off somewhere. So it’s a nice thing to be focusing on; this is a positive aspect that I get to spend time with my boys. And there are other things about self-quarantine as well. You don’t need to deal with traffic. You don’t need to deal with some headaches that come with living in Atlanta. So being able to hold onto that even if at the same time, we are trying to be responsible about concern and care about other people. 

Question 5:

How can students access Counseling Center resources remotely?

Dr. Bowers:

So yeah that’s a good question. We have moved to an online platform. We have moved to an online platform, so we can still meet with clients on the Bluejeans platform. We have put into place; we have implemented systems to maintain confidentiality and privacy through Bluejeans. We still do virtual workshops; you can sign up for those on our website. There is a substantial self help section on our website as well, resources such as relaxation podcasts, meditation podcasts, mindfulness exercises and so on. So there are still a lot of things available to students for managing your mental health and psychological well being. 

In order to set up an appointment, you can go to the GTCare website. GTCare is the entry portal for everybody, and you can set up an appointment to see one of their intake counselors. And then talk to them to be referred onto the counselling center. And we will reach out to you to start therapy and see if you can join the groups available there. 

Personal Questions

Question 1:

What inspired you to go into a profession helping college students?

Dr. Bowers:

Yeah I guess I had an idea I would really like to be a psychologist. It helps have happier lives and things like that. So early on, I was still in high school – I was still young- I decided I wanted to pursue a career in psychology. After I got into undergraduate work and just the whole college scene the whole college atmosphere, such an exciting time of life, people are developing a sense of who they are as individuals. I thought it would be very cool to stay in an environment like this and maybe play a part in helping students navigate that transition from being children living with their parents to adults who function happily in the world. So that is a big part of what I did. 

I did an internship during my doctoral work at the University of Florida and worked in the counseling center. And that was when I thought this was a good fit for me. I had done previous work with children in the community health center. I liked working with children, but I liked working with college students more; it was more rewarding to me. So I am very grateful that I can do that and stay in this arena through the bulk of my career.

Question 2:

What is your favorite Georgia Tech tradition?

Dr. Bowers:

It’s hard to say because there’s so many I like. One thing I like is cars, so I like the Ramblin Wreck. I think it’s cool that part of the Georgia Tech community is the Ramblin Wreck driving around and blowing the horn. And there are so many cool things about Tech; I think it’s very cool that we honor the people that have passed away every year when the whistle blows, I think it’s a real meaningful ceremony; it’s an acknowledgement of people who have been important in our community. I think it’s kinda cool that they still remember a favorite pet that they had with sideways, the little grave they have there. It happened years ago, but people still honor his memory, and we acknowledge that kind of thing. It’s not a typical thing you would have on a college campus, so there are a lot of things about Georgia Tech that I like.  

Question 3:

Do you have any suggestions for how students can take care of their mental health on their own?

Dr. Bowers:

I think that fits in with what I was talking about earlier about taking care of yourself during this time. The important three things about making sure you get enough sleep – most people don’t realize the amount of sleep they need as adults; you really need 9 hours of sleep. People say that “oh I get 7 hours of sleep; I’m really happy about that”. Some people say that they get 5 and they can make it. Yes, you can make it on that, but it’s not really enough. So aiming for good sleep hygiene is really important. This means you go to bed at the same time every night and you wake up the same time every morning and try to have 9 hours in between those periods of time. It will make you feel better; it will make you handle stress better. It will put you in a better disposition to deal with the demands Georgia Tech has. Getting exercise and staying healthy and surrounding yourself with people who are positive influences. Paying attention to your own emotional state. If you are feeling distress or you are feeling intimidated or you are feeling frustrated at things, examine what is the source of that and how can I modify my response to that. Is there any way I can make my life less stressful. 

Question 4:

What are some ways to relax and have fun during this time?

Dr. Bowers:

Gameplaying seems a lot of fun. We learned several new table games. I would recommend Phase 10, I would recommend Quick. I would recommend Ticket to Ride; there are a lot of cool games you can play especially if you are quarantining with members of your family or friends. Another thing is appreciating nature since you have a lot more time to be outdoors now than you normally would. I get to take my dog for a walk every morning. I get up and have one or two meetings. Then I get to walk him down the street. I really do appreciate the outdoors, how pretty the flowers are when they are blooming, what it sounds like to have birds singing in the trees – those sorts of mindful experiences when you are outdoors having a mindful walk as opposed to rushing to get to work. So those are the kinds of things that are important. It is a time to self reflect. I think people have a lot more time alone. So how can I use this time to grow and learn more about myself? I’ve been keeping a corona journal; it’s a journal that I write each evening. It’s a journal that helps remind me what I did today and a reflection of what I come up with since I have more time to myself than I have had in the past. Those are all interesting things to do. 

Student, Sydney Morlan, Interview on Fitness

Sydney Morlan, Georgia Tech Student

Interviewer: Jordan McKinney

Date: 5/24/2020

Question 1:

What motivated you to start doing fitness?

Sydney:

Starting in high school I got really into fitness. I had played golf all throughout high school and was involved in a lot of training programs which Starting in high school I got really into fitness. I had played golf all throughout high school and was involved in a lot of training programs which taught me the science behind doing certain workouts that’d better my golf skills. Once I realized I wasn’t going to be playing golf, I still wanted to focus on working out. At one point my habits became obsessive, and it got unhealthy really quick. I started going down a path that wasn’t good to be going down. My senior year of high school I turned around my mindset and began the journey of finding a good relationship with fitness and eating.

Question 2:

How has the quarantine changed how you work out? What challenges have you faced, and what did you do to overcome them?

Sydney:

Learning that the gym was really closed was super stressful because it was really my safe place and where I had my “me” time. I had gone on this journey for so long to mind my relationship with a healthy lifestyle and finally had found peace with being there. So, starting quarantine, with all of that closing, I was super nervous about being home and using the small amount equipment that was available to me at my home. Really, we only have an old treadmill, my mom’s pair of ankle weights, and one set of small dumbbells, and I had just started my fitness Instagram so I was worried I wouldn’t be able to post any workout videos. But when I was on spring break, I thought to myself that I should try and post a video that’s at home with no equipment. So, I fell in love with this idea of making creative and fun workouts to do. And it’s crazy because I thought my relationship with working out and my health had been healed after my first two years of college, I think the past two months have showed me that working out should not be confined to just four walls of a gym.

Question 3:

Do you like working out alone or with others?

Sydney:

Since I started teaching classes, I’ve really enjoyed working out with others, especially now that I’ve begun Instagram live classes during quarantine. It feels more personal and uplifting because people will send messages that are so encouraging. It encourages me when other people are working hard and seeing results they want to see. At the same time, I’m very much so an introvert, so I tend to exert a ton of energy teaching these big groups of people. I need some time to relax when I teach a lot, like going on walks and listening to podcasts. It’s always a balance between the two.

Question 4:

How does staying active impact your own mental health?

Sydney:

I think staying active is important for everyone’s mental health, including my own. Not only is there so much science behind it with releasing endorphins and chemicals in the brain, but what it all boils down to is our bodies were made to move; that’s what they were created to do. Putting all the health benefits aside (yes, cardio helps your cardiovascular system and decreases your chance of getting cancer and other diseases), the feeling you get after even just spending 20 minutes working out, those 20 minutes are for yourself and you know those 20 minutes you’re not doing anything for anyone else. I think it’s such a great way to get away, get stress off your back, and do something good for you. And when you look at it that way, it can turn your day around.

Question 5:

How does having a balanced diet helped with your mental health and your energy throughout the day?

Sydney:

I think a balanced diet is so important. I actually just released a video on my Instagram about how to have a balanced diet. In today’s world there are so many different diets that people follow in a culture that jumps from diet to diet and workout to workout. People then tend to get frustrated after two weeks of doing a certain diet. Consistency (intermittent fasting, keto, paleo, etc.) and they’ll jump to the next one. I always tell people the diet that’s best for you isn’t a number of calories or limiting a certain food group, it’s about finding foods that make you energized and consistently make your body feel good. So, I think it’s important to find out what diet that may be and practice it now when you have access to a kitchen and all of that stuff. Find what fuels your body and workouts, because everyone will be different.

Question 6:

Who has been your biggest support in starting your fitness page/videos? What has that support meant to you?

Sydney:

I had a friend I went to high school with that started teaching barre our senior year. I went and took her classes and that’s when I started barre. I got really into it and then she mentioned that I should try out teaching. So, I eventually tried it out this semester. It became my favorite part of the week, so that’s how I started out. A huge motivator has been my friends at tech. A lot of them will pass me on the street and say, “Sydney I tried your workout and loved it!” so it’s really cool, especially since quarantine, because people will send pictures of their family doing my workouts.

Question 7:

Are you always motivated to get up and get moving every day? What gets you going on days you might not feel like doing a workout?

Sydney:

Absolutely not. I totally have those days where I don’t want to do anything and not even get out of my bed. And those can be days when I’m struggling internally (mental health wise) or physically am too tired. I think it’s important to find the difference between “you’ve been working hard, and your body deserves rest” or “me going down a spiral of insecurity and basically falling into a trap”. So, when I need rest, I will take a rest. I think I’ve learned in the past couple of months and through my recovery how to create this balance. At the same time, getting up and doing small exercises like yoga or walking really can lift my mood.

Question 8:

What does positive body image mean to you?

Sydney:

So, this is something I’m incredibly passionate about. Again, I think it goes back to the world we live in today with social media. I think it’s human nature to want to strive for perfection and try to fit this image of whatever is your ultimate goal. But in reality, if you look back in history, there are so many different ideal body types that have cycled throughout history every decade. So, I think being body positive is accepting the fact that you will never be completely satisfied with something that comes from an outward appearance and the fact that fitness and nutrition are tools that enable a healthy lifestyle. Accepting the body you’re in and doing the workouts that make you feel good all help you find peace with the body you have. I think it’s tough because it’s hard to say something that’ll resonate for everyone because everyone is dealing with something specific to them, but I think it goes back to eating foods that make you feel good and finding workouts that resonate with you and make you want to keep moving.

Question 9:

What tips do you have for people struggling to get started with being active and eating healthy (living a healthy lifestyle)?

Sydney:

Consistency is a huge tip I have. I always tell people it takes 21 days to break a habit and if you start with 10, that’s already 10 days in the book and 11 more after that. That’s why I wrote the 10-day reset for people to use, because I think the 10 days helps them get started. So, I just challenge people to start small, build it into their routine for 10 days and see how it goes and how it feels. Then try it for another 10 days and you’re closer to building a habit and a routine that is sustainable.

MHSC Interviews Dr. Bradley, Director of the GT Counseling Center

Carla Bradley, PhD
Director of the Georgia Tech Counseling Center

Interviewer: Sophia Martin

Date: 6/17/2020

Question 1: 

What can students expect out of the Counseling Center? In other words, what makes GT Counseling different from long-term counseling services and how do the resources at Tech bridge that gap for students?

Dr. Bradley:

What students can expect is a short-term, problem solving focused approach. We use what’s called a stepped care approach, meaning that we recommend an intensity level (step) of service that best matches the student’s needs.  When a student comes into GT CARE for their assessment, they can expect to leave GT CARE with a personalized plan for how to approach the concern that they walked in the door to discuss.  A student who is referred to the Counseling Center, (because not all students who go to GT CARE are ultimately referred to the Counseling Center, there are many different kinds of mental health and wellness service options on and off campus) they can expect to make use of whichever of our services were recommended.  Recommended services might be things like workshops, skills groups, counseling groups, couples counseling, individual counseling, or case management services. We offer a variety of services and we do our best to meet the individual needs of each student referred to us. 

Usually the course of individual counseling is generally less than a semester and is focused on trying to help resolve the student’s original concern. If it’s something that isn’t resolvable within that time, GT CARE will try to anticipate that possibility and match the student with a longer-term resource. That may also include matching them with the Counseling Center for longer-term group treatment. So, we can provide short-term individual counseling and longer-term group care, as well as many other services.

Question 2:

In your opinion, how has the stigma around mental health and resources on campus negatively impacted student treatment, and how can students reverse this stigma?

Dr. Bradley:

That’s an interesting question!  I think the question may presuppose that there is stigma, and I’d like to clarify that I don’t think stigma exists across the board for everyone. I think some constituencies may hold some ideas about counseling that may not match well with how their peers view people who come to counseling. 

For instance, it’s important to know that what Georgia Tech students tell us (primarily through the Healthy Minds Study) is that the primary reason they forgo counseling when they perceive it may be needed is they become too busy to seek help. The secondary reason is that they are concerned about taking someone else’s spot, which may be another way of saying ‘I’m not sure if my problems rise to the level that would warrant individual counseling.’ And of course, we want every student who has that question to come into GT CARE for an assessment. If a student doesn’t want individual counseling our campus offers many other service options. 

All that being said, I think there is an echo of a negative narrative that has been on campus for several years now, and which just doesn’t match the wealth of mental health and wellness services that Georgia Tech offers.  This narrative may have a large root in the campus tragedy of 2017 and may have been echoed on some communication media, perhaps often by people with no real first-hand knowledge and experience of the breadth and depth of campus resources.  And the Counseling Center can’t really comment on incorrect information that’s perpetuated on social media—it’s not ethical for us to do so since the nature of counseling is so very private and confidential.  That leaves us a bit hampered in our ability to do a lot of impression management with a lot of negative and incorrect information that is circulated about us on social media.  (Although we do have our own social media, and I’d invite your readers to follow us on Facebook and Twitter!).  We try to work through positive means to get our message out, which is why I appreciate this interview!  We want to let students know about the incredibly broad range of services that are available, the deep commitment of Counseling Center staff, the expertise that we hold in mental health for college students, and to try to let students know that we’re here and we care. Just like in any other area of life, people may believe a sincere and genuine message, or they may not, but we certainly try to offer that message as much and as often as possible and in as many places as we can. 

Interview:

I think that was a great response for students because I think we put so much blame on this one word, ‘stigma,’ and you did a really good job of what it is, what it’s not, and the problems that we have on campus, so thank you for that clarification.

Dr. Bradley:

You’re welcome!  If I can say one more thing about stigma–what the research in higher education counseling center studies has suggested to us is that if I am a student and I think that I might need counseling, I worry about what other people will think if they know I’m going to counseling. But when somebody asks [a student], ‘Do you stigmatize other students who go to counseling? What would you think if your best friend or a loved one, or someone in the class seat next to you went to counseling?’ There are very low levels of stigma there. Very few people say, ‘I’m going to judge someone else for getting help.’

Interviewer:

[So, the stigma is in] that perceived judgement.

Dr. Bradley:

Right.

Question 3:

What resources does Georgia Tech offer to students remotely for mental health, especially during this pandemic?

Dr. Bradley:

All of our counseling and workshop services have been operationalized remotely through our website, or through individual Telebehavioral health counseling.  Telebehavioral health uses a synchronous audio/visual platform which is compatible with HIPPA privacy regulations.  We are in the planning and piloting process of getting all of our group offerings available through Telebehavioral health. We also have ‘Let’s Talk’ discussions available by remote.  Let’s Talk is not a counseling/therapy service, it’s just a problem-solving conversation or a simple touch-base with a counselor.  No paperwork, and often just a one-time chat.  It’s easy to register for Let’s Talk through our website.  [https://counseling.gatech.edu/]   

We are also responding to the incredible times that we are all facing in history with the pandemic and with the tragedy of the murder of Mr. Floyd and the tragedies and protests which continue. The Counseling Center is responding with heart-felt outreach to the campus, particularly to African-American and Black students, students of color, and allies.  We’re offering Restorative Circles each week which are support and discussion groups, not counseling groups.  We have Restorative Peace Circles specifically for students who identify as Black and/or African American, and/or POC, and we have concurrent Restorative Ally Circles. Those circles are opportunities for communities to come together to talk in safe spaces where that can be done. This is one of the ways in which the Counseling Center reaches out to students and offers needed services at this time.  [https://counseling.gatech.edu/inclusion-and-advocacy-events]

Question 4:

What are some of the biggest mental health concerns that have come from the pandemic?

Dr. Bradley:

The mental health concerns, I think, include some of what you’d expect, like feeling isolated. When we are physically distant, how do we remain fully connected? We know that we can do that as best we can through technology. We also know that technology can tend to get a bit exhausting. People talk about Zoom meeting exhaustion [for example]. So, isolation is a primary one. 

I think restlessness and irritability, and some increase in domestic violence is something that we’re seeing with the pandemic.  Domestic violence may not be as prominent in the college age generation, but it’s certainly present. I think the corollary that is showing up in college students is more along the lines of environments that may be toxic for the student. Some students unfortunately are returning to home environments where the emotional tone is toxic. I also want to acknowledge that what the pandemic has shown us in terms of mental health and wellbeing is that there are great disparities in privilege for students in terms of the circumstances to which they return. Students returned to a wide continuum of different circumstances around factors like family financial security, financial access, quality of housing, whether a parent or parents may or may not be employed, the type of job in which a parent may be employed and the vulnerability and risk to virus exposure.  If they are a healthcare worker, for example, the exposure level is one of greater risk, and the student returned to a more vulnerable family environment. So, health worries are certainly increased as a result of the pandemic. 

So, I mentioned isolation, anxiety and depression, restlessness, irritability, increases in domestic violence, and for students nationally, concerns about what kind of environment are they living in? It may be emotionally toxic, there may also be concerns around different levels of privilege in the environment and what the student is having to try to navigate at any given time.

Question 5:

What is one of the most rewarding things about counseling and helping students?

Dr. Bradley:

The most rewarding thing for me is the opportunity to love the next generation. To love, to support, to help in some way that may allow our incredibly gifted students to help further their journey to make their place in the world, contributing their gifts to world. So, for me, as a psychologist with several decades of experience working in higher education, it really boils down to the opportunity to love and support the next generation.

Question 6:

What is your favorite Georgia Tech tradition?

Dr. Bradley:

Well, my favorite Georgia Tech tradition, I think, involves the Wreck and the fight song, ‘I’m a rabblin’ wreck from Georgia Tech and a heck of an engineer!’ My father, who just passed away in April, was a great admirer of Georgia Tech and was also an engineer.  When I accepted the GT Counseling Center directorship two years ago, I called him up and said, ‘Dad, I’m taking a new job. Here’s a clue about where I’m going,’ and I sang the first line of the Georgia Tech fight song. And I remember him laughing–he was quite happy for me.

Become an MHSC Community Ambassador!

The Mental Health Student Coalition (MHSC) is looking to reach every corner of campus to offer information about the mental health resources available to students. In order to better do this, we are looking for ambassadors from communities around campus to relay information to us about the needs of their community, and how to best address them. The ambassador position is a small time commitment, expect one meeting (~2 hours) a month. Please click on the link below to fill out the MHSC Community Ambassador application:

https://docs.google.com/forms/d/e/1FAIpQLSdTENatBJlJ04-FtnVFuIcBKKKGpoP6GoKwbw0qL4D-PGQP0A/viewform

 

If you would like to collaborate with us for an event or if you have any suggestions for future events, please email either:

Collin Spencer – cspencer@gatech.edu

Savannah Skram – sskram3@gatech.edu

You do not have to be affiliated with MHSC to promote mental health! Be the change you want to see on campus by promoting mental health practices and resources within your friend group and organizations.

 

Facebook:  https://www.facebook.com/GTmentalhealth

Twitter:  https://twitter.com/gtMHSC