Students report shortage of adequate mental health care

By Gabriela Esposito, The Daily Campus

Novem­ber 15, 2021

Pic­tured is a woman hold­ing a lap­top with the words “Men­tal Health” dis­played on it in big, black let­ters. Stu­dents of UConn have been com­plain­ing recent­ly about not receiv­ing ade­quate men­tal health care from school psy­chi­a­trists. Pho­to cour­tesy of Polina

Uni­ver­si­ty of Con­necti­cut and Cen­tral Con­necti­cut State Uni­ver­si­ty stu­dents have report­ed being unable to book appoint­ments with men­tal health pro­fes­sion­als amidst a grow­ing men­tal health crisis. 

Bri­an­na Deca­pua, a sev­enth-semes­ter mar­ket­ing major at CCSU, not­ed being unable to book an appoint­ment with a sin­gle psy­chi­a­trist despite call­ing every psy­chi­a­trist list­ed under her insur­ance for the past month. 

“All except one of them said that they are not accept­ing new patients and the one that is only had the ear­li­est appoint­ment in Feb­ru­ary. They are nice and try to redi­rect me to a dif­fer­ent office who might be, but it’s always the same thing,” she said. 

Deca­pua has been expe­ri­enc­ing anx­i­ety and trou­ble focus­ing. She said that this semes­ter it got to the point where she need­ed to see a psychiatrist. 

Deca­pua said she is open to dri­ving far to find a good psy­chi­a­trist that is cov­ered by insur­ance. For this rea­son, the list of Con­necti­cut and Mass­a­chu­setts offices her insur­ance gave her was lengthy. 

Accord­ing to Deca­pua, there were at least 50 offices and she called all of them. All gave the same response: they are ful­ly booked. 

“I would some­times sit in my car at ran­dom times dur­ing the day, like, in between class­es and just call peo­ple to check,” she said. 

Deca­pua said she had nev­er sought help or been seen by a behav­ioral spe­cial­ist before. How­ev­er, this is not just an issue for Deca­pua and oth­er men­tal health care new­com­ers. Accord­ing to stu­dents who are sea­soned patients, they still get turned away for weeks to months. 

“This wasn’t my first time seek­ing ther­a­py, but def­i­nite­ly the hard­est time try­ing to set an appoint­ment since COVID-19,” Jai­da Williams, a fifth-semes­ter polit­i­cal sci­ence major at UConn, said. 

Williams said she had to wait 10 weeks to see her ther­a­pist after ini­tial­ly call­ing for an appoint­ment. Williams said she emailed her avail­abil­i­ty back in Sep­tem­ber, but has not yet heard back from the therapist. 

Unable to put her men­tal health on hold, Williams called anoth­er psy­chi­a­trist. Accord­ing to her, the clin­i­cian was unable to see her due to per­son­al leave, but once back, the wait would be a month. 

“I hon­est­ly gave up at two tries and just decid­ed to try and work through things myself,” Williams said over the phone. 

Psy­chi­a­trists who clin­i­cal­ly diag­nose and med­icate patients are dif­fer­ent from ther­a­pists who spe­cial­ize in talk ther­a­py. Accord­ing to Williams, the first doc­tor she saw was a trau­ma ther­a­pist and the sec­ond was a psychiatrist. 

Williams was not sure about resort­ing to med­ica­tions just yet, she said. She was not reach­ing out to the psy­chi­a­trist pure­ly for a pre­scrip­tion, but with the hope she would find some form of ade­quate men­tal health ther­a­py, cov­ered par­tial­ly by her insurance. 

Though she might have con­tem­plat­ed the more-than-a-month wait for help, Williams said she was wary of see­ing a psy­chi­a­trist because of a past experience. 

“The last time I went to a dif­fer­ent psy­chi­a­trist, she was very weird and wasn’t inter­est­ed in lis­ten­ing to me, which makes no sense since that’s what they are sup­posed to do to plan a course of treat­ment,” she said. 

Because of that expe­ri­ence, Williams said it was hard­er for her to gain the emo­tion­al ener­gy to reach out again only to be left more dis­tressed by her experience. 

“I don’t trust peo­ple often because of that expe­ri­ence, and have been uncom­fort­able call­ing oth­er places,” Williams said. “I didn’t want the [psy­chi­a­trist with over a month’s wait] to try and put me on some ran­dom med­ica­tion because she assumed she knew what I was going through based on just look­ing at me and not listening.” 

Williams and Deca­pua are not the only ones who are exhaust­ed by their expe­ri­ences. For many stu­dents, find­ing the time and courage to seek pro­fes­sion­al help for their men­tal health is a strug­gle in itself, exac­er­bat­ed by what they are seek­ing the help for. 

Luke Phillips, a fifth-semes­ter polit­i­cal sci­ence major at UConn, has felt the same thing as he attempt­ed to find a therapist. 

“Try­ing to get ther­a­pists right now is a task and a half… very lit­tle open­ings for new patients any­where,” Phillips said in a phone message. 

The dilem­ma, faced by Phillips, Williams and Deca­pua, is not news to med­ical pro­fes­sion­als in New Eng­land like Chiara San­tavenere, a UConn Health alum­na. Since grad­u­at­ing in 2019, Sanavenere has worked as a nurse at North Shore Com­mu­ni­ty Health in Peabody, Mass. 

“The wait time is very long. Like weeks to months for social work­ers, ther­a­pists and psy­chi­a­trists. So we usu­al­ly have the client speak with a provider first (doc­tor, NP) before, to eval­u­ate and pre­scribe them meds if need­ed before they can get to see a behav­ioral health spe­cial­ist,” Sanavenere said in a Face­book message. 

“I DON’T TRUST PEOPLE OFTEN BECAUSE OF THAT EXPERIENCE, AND HAVE BEEN UNCOMFORTABLE CALLING OTHER PLACES. I DIDN’T WANT THE [PSYCHIATRIST WITH OVER A MONTH’S WAIT] TO TRY AND PUT ME ON SOME RANDOM MEDICATION BECAUSE SHE ASSUMED SHE KNEW WHAT I WAS GOING THROUGH BASED ON JUST LOOKING AT ME AND NOT LISTENING.”

Jai­da Williams

Over the past year, Sanavenere has wit­nessed more and more patients come in for behav­ioral health-relat­ed issues. 

“There just has been such an uptick in the need for behav­ioral health after the pan­dem­ic,” she said. 

The rapid upsurge of patients seek­ing help for feel­ings of depres­sion, anx­i­ety, mood dis­or­ders, eat­ing dis­or­ders and atten­tion deficit dis­or­ders among oth­er men­tal health issues has not been bal­anced by an increase in help avail­able, accord­ing to Sanavenere. 

“So the demand is high, but there’s a lim­it­ed num­ber of behav­ioral health providers,” she said. 

What Sanavenere described is hap­pen­ing through­out the nation. A New York Times arti­cle writ­ten in Sep­tem­ber states: “Many say that they are lan­guish­ing on wait­ing lists, mak­ing call after call only to be turned away, with afford­able options tough to find. Providers, who have long been in short sup­ply, are stretched thin.” 

The Times and many pro­fes­sion­als like Sanavenere point to the pan­dem­ic as the source of high unmet demand. How­ev­er, for Con­necti­cut col­lege stu­dents, the issue began before the pandemic. 

In 2019, the CT Mir­ror and the CT Post report­ed on UConn and oth­er Con­necti­cut col­leges’  strug­gle to pro­vide ade­quate men­tal health care to the rapid rise in stu­dents seek­ing help who could not get it elsewhere. 

Dur­ing the pan­dem­ic, UConn and oth­er uni­ver­si­ties grew their men­tal health cen­ters. As of this week, stu­dents can make an appoint­ment just a few days in advance. 

“TRYING TO GET THERAPISTS RIGHT NOW IS A TASK AND A HALF…VERY LITTLE OPENINGS FOR NEW PATIENTS ANYWHERE.”

Luke Phillips

How­ev­er, in these appoint­ments, patients may only be seen by the avail­able licensed mar­riage and fam­i­ly ther­a­pist and/or a licensed clin­i­cal social work­er. Nei­ther of which can take on the role of a psy­chi­a­trist who can pre­scribe medication. 

Aside from this, UConn offers 24/7 hour ser­vices includ­ing the Men­tal Health Hot­line and UConn Advice Nurse. 

How­ev­er, for stu­dents like Philips and Williams, look­ing to the school for help is a last resort. Deca­pua, who is look­ing for a psy­chi­a­trist, can­not prac­ti­cal­ly receive this from her school, CCSU. All stu­dents inter­viewed report­ed they had not reached out to their uni­ver­si­ty resources. 

Accord­ing to Williams, she thought about mak­ing an appoint­ment with the Health Cen­ter, but is hes­i­tant because of how hard it is to find an effec­tive and trust­wor­thy ther­a­pist. Though UConn ther­a­pists have the same pol­i­cy of client con­fi­den­tial­i­ty as any oth­ers, Williams feels it is more of a risk to open up to a ther­a­pist asso­ci­at­ed with her university. 

“I’m more hes­i­tant on get­ting help from UConn, because if I say any­thing poten­tial­ly alarm­ing, [it] could mess up my aca­d­e­m­ic world… So I’m not sure if I am com­fort­able to receive help from a ther­a­pist at UConn because of that fear,” she said. 

Williams and Deca­pua both report­ed that they put their search for a psy­chi­a­trist and ther­a­pist on hold because it became too stress­ful.  Phillips is still looking.