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LEADERSHIP

Campus mental health concerns are continuing to increase. As I have explained in my Key Insight about mental health, EXSC 410 taught me that there are innumerable sources of stressors leading to diminished mental health, resulting in “a rising number of college students are seeking treatment at campus counseling centers for serious mental health problems” (American Psychological Association, 2020). I feel it is fair to extrapolate these conclusions to students at the University of South Carolina. Surveys of students at UofSC show that 45% report their stress level in the past 12 months as being higher than average, and 27% reporting that stress had affected their academic performance in the past 12 months (UofSC Student Health Services, 2020).

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A survey was conducted in both 2009 and 2018 by the American College Health Association to assess a myriad of college student health statistics, including mental health. In 2009, 87,105 students were surveyed; 46.0% felt things were hopeless, 57.7% felt very lonely, 49.1% felt overwhelming anxiety, and 30.7% felt so depressed that functioning was difficult (American College Health Association, 2009). In 2018, 88,178 students surveyed reported on the same categories, in the same order respectively: 53.4% up from 46.0%, 62.8% up from 57.7%, 63.4% up from 49.1%, and 41.9% up from 30.7% (American College Health Association, 2018). In both 2009 and 2018, both surveys found an approximately 87% of students feeling generally overwhelmed. When these numbers of students report >10% increases in overwhelming anxiety and debilitating depression, universities in the United States are facing a crisis. 


In revelation of these findings, I feel that at a minimum most every student at the University of South Carolina will experience some form of mental health concern during their time as an undergraduate, even if only minimal and/ or brief. UofSC has many programs and resources in place to help students remedy their concerns, but I feel that adding alternative preventative and mitigating measures may be highly worthwhile, especially if these measures could be taught for lifelong impact. Furthermore, efforts to de-stigmatize mental health have progressed both culturally and on campus, but it still seems that many students still have a stigma. To continue working toward minimizing stigma as much as possible, new alternative measures could be beneficial to supplement existing efforts. So, what is the solution?

To help mitigate the severity of mental health issues, teach lifelong methods to improve mental health, and help destigmatize all aspects of mental health, I propose that one credit hour of any Physical Education (PEDU) course offered at the University of South Carolina shall become mandatory, and would be added to the Carolina Core curriculum. The classes would be slightly readjusted to include education illustrating the benefits that exercise/ physical activity (PA) has on mental health, which I will explain momentarily. The goal is that all students (with exception) would take these courses, and they would all learn how exercise is a tool they can use to help mitigate the impacts of negative mental health outcomes. Additionally, I believe that these mutual experiences would further de-stigmatize mental health by enabling conversations about the PEDU courses everyone would have in common; this is akin to nearly all students being able to relate to common experience, such as gameday, tripping on the bricks on the Horseshoe, or seeing Cocky walking around. As mentioned in Key Insight 2, BIO 302L taught me that having a question or proposition needs a protocol to be carried out if you want to see the results. How could this be implemented?

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Implementation

Step 1: Foundation and Rationale

The proposal to make PEDU courses a part of the Carolina Core first needs its scientific rationale explained. In addition to physical health benefits, exercise/ physical activity “improves mental health by reducing anxiety, depression, and negative mood and by improving self-esteem and cognitive function” (Sharma, Madaan, & Petty, 2006). EXSC 410, the Psychology of Physical Activity teaches that exercise helps prevent as well as treat chronic stress and depression by fostering social interaction & reinforcement, increasing self-esteem and self-efficacy, opportunity for skill/ activity mastery, and providing a break from negative thoughts. Furthermore, other hypotheses suggest that endorphin release counteracts symptoms, or anthropology suggesting that humans are evolutionarily meant to be physically active more often than not. Independent of the true mechanism(s) of physical activity reducing depressive symptoms, the conclusions found show that exercise does help to alleviate symptoms (Cooney, et al., 2013). Combining the rise of mental health concerns with evidence suggesting that exercise may be an often-neglected intervention in mental health care, I feel that there is a strong case to be made for adding PEDU to the Carolina Core. From a moral and ethical standpoint (1), we owe it to our students to make every effort to prevent mental health decline as well as treat existing concerns. It is also worth considering the symptoms of depression that lead to decreased academic performance, which include loss of energy and motivation, increased difficulty with concentrating, and difficulty with memory. Universities function first and foremost as academic institutions, so from a purely purpose standpoint (2), making additional efforts to prevent students from dropping out or significantly lowering their GPAs should be imperative. Universities have statistics on average GPAs as well as drop-out rates, and keeping the former high and the latter low are necessary to attracting new students each year; because student tuition makes up a tremendous proportion of revenue, additional efforts to reduce depression also make sense from a business standpoint (3).

            With the scientific basis and three standpoints in mind, implementing one credit hour of PEDU into the Carolina Core seems to be quite reasonable. The Carolina Core applies to all students, but in the scenario of disabled individuals, a mandatory physical education course is problematic. The solution to this is that any student registered with the Student Disability Resource Center may fill out an exemption form if they choose to. In addition, transfer students and non-traditional students may also opt for exemption with the Registrar if they choose to. Outside of these groups, individuals in more rare/ unique situations may also opt for exemption with the Registrar, which would be reviewed on a case by case basis. The overall objective of the added PEDU requirement is one credit hour, and is by no means meant to burden students with non-traditional circumstances. The PEDU requirement could be fulfilled at any point from matriculation to graduation, and until it’s viability and effectiveness is established, this requirement is optional to non-Columbia campuses such as USC Aiken, Beaufort, etc.

Step 2: Proposal for Trial Implementation

            Utilizing all of the information up to this point, creating a proposal and submitting it to the relevant administration entities would be the next step. Similar to the transition document in my second Key Insight, writing the proposal involves articulating the idea clearly, creating a methodology to test/ implement it, then analyze the future results. If UofSC Columbia agrees to give the program a trial run, it should apply only to the freshman class beginning the coming academic year at earliest. Existing students should not be mandated to take the PEDU courses, but perhaps an option for them to opt in could be established so that they can provide additional data in future.

Step 3: Evaluation and Permanent Implementation

            After X number of years of PEDU being a part of the Carolina Core, annually gathered data on mental health should be evaluated to determine if the newly mandatory course is effective or not. If the data shows any improvement in reducing the prevalence of mental health concerns, and/or students express positive feedback about the requirement, the trail implementation should become a permanent implementation. When I say “any” improvement, I firmly believe that preventing even one suicide means the implementation should become permanent; even with potential confounding variables influencing the data, the possibility that PEDU caused the improvement should not be discredited. Data should continue to be collected to make a compelling case to other universities that physical education courses deserve consideration as a core course. Or, initiatives and programs encouraging physical activity as a means to benefit mental health could become more widespread. It may be worth following up with students who had the PEDU requirement post-graduation, and surveying them to see if exercise has become a lifelong method they’ll use to prevent and treat mental health symptoms.

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Works Cited

American College Health Association. (2009). American College Health Association-National College Health Assessment II: Reference Group Executive Summary Spring 2009. Linthicum, MD: American College Health Association.
American College Health Association. (2018). American College Health Association-National College Health Assessment II: Reference Group Executive Summary Spring 2018. Silver Spring, MD: American College Health Association.
American Psychological Association. (2020). Campus Mental Health. Retrieved from American Psychological Association: https://www.apa.org/advocacy/higher-education/mental-health/
Centers for Disease Control and Prevention. (2019, May 20). Physical Activity for People with Disabilities. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/features/fitness-disabilities/index.html
Cooney, G., Dwan, K., Greig, C., Lawlor, D., Rimer, J., Waugh, F., . . . Mead, G. (2013, September 12). Exercise for Depression. Cochrane Database of Systematic Reviews.
Lauriello, S. (2019, January 25). The Real Reason Record Numbers of College Students Are Seeking Mental Health Treatment. Retrieved from Health.com: https://www.health.com/condition/depression/anxiety-depression-college-university-students
Sharma, A., Madaan, V., & Petty, F. D. (2006). Exercise for Mental Health. The Primary Care Companion to The Journal of Clinical Psychiatry, 8(2), 106.
UofSC Student Health Services. (2020). Stress Management. Retrieved from University of South Carolina: https://www.sc.edu/about/offices_and_divisions/student_health_services/wellness-prevention/stress-management/index.php

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