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      The World Health Organization World Mental Health International College Student initiative: An overview

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          Abstract

          Objectives

          The college years are a developmentally crucial period and a peak age for the onset of mental disorders.

          Methods

          The World Health Organization World Mental Health International College Student (WMH‐ICS) initiative is aimed at developing and implementing a system for improving prevention and early interventions for mental health problems among college students.

          Results

          The initiative consists of three core elements. The first element is a web‐based survey to assess the magnitude and nature of emotional problems, the effects of these problems on students' functioning, and barriers to seeking treatment. All first‐year students in participating colleges are invited to participate, and we plan to expand the survey to all students in the future. The second element is an infrastructure to test internet‐based interventions aimed at the prevention and early intervention in mental health problems. Participating colleges can develop and test internet‐based interventions in randomized trials. The first pilot tests on such interventions now been done. The third element is the dissemination and continuous quality improvement monitoring of the evidence‐based interventions developed in WMH‐ICS.

          Conclusions

          By addressing these three core elements, the WMH‐ICS aims to integrate epidemiological and clinical research to offer scalable and effective evidence‐based interventions for mental health problems at a critical life course stage.

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          Most cited references29

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          The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)

          This paper presents an overview of the World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and a discussion of the methodological research on which the development of the instrument was based. The WMH‐CIDI includes a screening module and 40 sections that focus on diagnoses (22 sections), functioning (four sections), treatment (two sections), risk factors (four sections), socio‐demographic correlates (seven sections), and methodological factors (two sections). Innovations compared to earlier versions of the CIDI include expansion of the diagnostic sections, a focus on 12‐month as well as lifetime disorders in the same interview, detailed assessment of clinical severity, and inclusion of information on treatment, risk factors, and consequences. A computer‐assisted version of the interview is available along with a direct data entry software system that can be used to keypunch responses to the paper‐and‐pencil version of the interview. Computer programs that generate diagnoses are also available based on both ICD‐10 and DSM‐IV criteria. Elaborate CD‐ROM‐based training materials are available to teach interviewers how to administer the interview as well as to teach supervisors how to monitor the quality of data collection. Copyright © 2004 Whurr Publishers Ltd.
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            WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders.

            Increasingly, colleges across the world are contending with rising rates of mental disorders, and in many cases, the demand for services on campus far exceeds the available resources. The present study reports initial results from the first stage of the WHO World Mental Health International College Student project, in which a series of surveys in 19 colleges across 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States) were carried out with the aim of estimating prevalence and basic sociodemographic correlates of common mental disorders among first-year college students. Web-based self-report questionnaires administered to incoming first-year students (45.5% pooled response rate) screened for six common lifetime and 12-month DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, alcohol use disorder, and substance use disorder. We focus on the 13,984 respondents who were full-time students: 35% of whom screened positive for at least one of the common lifetime disorders assessed and 31% screened positive for at least one 12-month disorder. Syndromes typically had onsets in early to middle adolescence and persisted into the year of the survey. Although relatively modest, the strongest correlates of screening positive were older age, female sex, unmarried-deceased parents, no religious affiliation, nonheterosexual identification and behavior, low secondary school ranking, and extrinsic motivation for college enrollment. The weakness of these associations means that the syndromes considered are widely distributed with respect to these variables in the student population. Although the extent to which cost-effective treatment would reduce these risks is unclear, the high level of need for mental health services implied by these results represents a major challenge to institutions of higher education and governments. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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              Mental disorders among college students in the World Health Organization World Mental Health Surveys.

              Although mental disorders are significant predictors of educational attainment throughout the entire educational career, most research on mental disorders among students has focused on the primary and secondary school years.
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                Author and article information

                Contributors
                p.cuijpers@vu.nl
                Journal
                Int J Methods Psychiatr Res
                Int J Methods Psychiatr Res
                10.1002/(ISSN)1557-0657
                MPR
                International Journal of Methods in Psychiatric Research
                John Wiley and Sons Inc. (Hoboken )
                1049-8931
                1557-0657
                06 January 2019
                June 2019
                : 28
                : 2 , WHO World Mental Health International College Student (WMH‐ICS) initiative ( doiID: 10.1002/mpr.v28.2 )
                : e1761
                Affiliations
                [ 1 ] Department of Clinical, Neuro and Developmental Psychology Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam Amsterdam the Netherlands
                [ 2 ] Department of Psychiatry Columbia University New York New York
                [ 3 ] Department of Epidemiologic and Psychosocial Research National Institute of Psychiatry Ramón de la Fuente Muñiz Mexico City Mexico
                [ 4 ] Center for Public Health Psychiatry Dept. Neurosciences KU Leuven Leueven Belgium
                [ 5 ] Department of Psychology, Clinical Psychology and Psychotherapy Friedrich‐Alexander University Nuremberg‐Erlangen Erlangen Germany
                [ 6 ] Department of Health Care Policy, Harvard Medical School Boston Massachusetts
                Author notes
                [*] [* ] Correspondence

                Pim Cuijpers, Professor of Clinical Psychology, Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, Amsterdam 1081 BT, the Netherlands.

                Email: p.cuijpers@ 123456vu.nl

                Author information
                https://orcid.org/0000-0001-5497-2743
                https://orcid.org/0000-0003-2319-4744
                https://orcid.org/0000-0002-4569-6094
                https://orcid.org/0000-0002-0330-3694
                https://orcid.org/0000-0001-6820-0146
                https://orcid.org/0000-0002-0071-2599
                https://orcid.org/0000-0003-4831-2305
                Article
                MPR1761 IJMPR-Jul-2018-0071
                10.1002/mpr.1761
                6590455
                30614123
                e1a162b1-5e19-4d14-8845-24c500a1be8a
                © 2019 The Authors International Journal of Methods in Psychiatric Research Published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 July 2018
                : 01 December 2018
                Page count
                Figures: 0, Tables: 0, Pages: 6, Words: 3974
                Funding
                Funded by: ZonMw
                Award ID: 636110005
                Categories
                Special Issue
                Special Issues
                Custom metadata
                2.0
                mpr1761
                June 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.4 mode:remove_FC converted:24.06.2019

                Clinical Psychology & Psychiatry
                affective disorders,depression,early intervention,prevention,psychotherapy

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