New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A4224 Compare Versions

Only one version of the bill is available at this time.
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11 ASSEMBLY, No. 4224 STATE OF NEW JERSEY 221st LEGISLATURE INTRODUCED MAY 2, 2024
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1515 Sponsored by: Assemblywoman ANDREA KATZ District 8 (Atlantic and Burlington) Assemblyman DAVID BAILEY, JR. District 3 (Cumberland, Gloucester and Salem) SYNOPSIS "Mental Health Early Action on Campus Act"; requires institutions of higher education to implement mental health programs and services. CURRENT VERSION OF TEXT As introduced.
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1919 Sponsored by:
2020
2121 Assemblywoman ANDREA KATZ
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2323 District 8 (Atlantic and Burlington)
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2525 Assemblyman DAVID BAILEY, JR.
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2727 District 3 (Cumberland, Gloucester and Salem)
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3737 SYNOPSIS
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3939 "Mental Health Early Action on Campus Act"; requires institutions of higher education to implement mental health programs and services.
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4343 CURRENT VERSION OF TEXT
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4545 As introduced.
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4949 An Act concerning mental health programs at institutions of higher education and supplementing chapter 3B of Title 18A of the New Jersey Statutes. Be It Enacted by the Senate and General Assembly of the State of New Jersey: 1. This act shall be known and may be cited as the "Mental Health Early Action on Campus Act." 2. As used in this act, "telehealth" means the evaluation, diagnosis, or interpretation of electronically transmitted patient-specific data between a remote location and a licensed health care professional that generates interaction or treatment recommendations. 3. a. An institution of higher education shall implement a mental health awareness program. The purpose of the program shall be to: (1) identify students with mental health needs and connect them to mental health support services; (2) increase access to mental health support services on campus; (3) increase access to mental health support services in the surrounding communities; (4) empower students through peer-to-peer support and training on identifying mental health needs and resources; and (5) reduce the administrative policies that place an undue burden on students seeking medical leave for their mental health conditions through technical assistance and training. b. An institution's mental health awareness program, required pursuant to subsection a. of this section, shall include, but need not be limited to: (1) the development and implementation of an annual student orientation session designed to raise awareness about mental health conditions; (2) the assessment of courses and seminars available to students through their regular academic experience and the implementation of mental health curricula if opportunities for integration exist; (3) the creation and prominent display on the institution's website or mobile application of information dedicated specifically to the mental health resources available to students on campus and in the surrounding community; (4) the distribution of messages related to mental health resources that encourage help-seeking behavior through the on-line learning platform of the institution, including on-line mental health screenings, at least once per term and during periods of high stress in the academic year including, but not limited to, mid-terms or final examinations. The messages and strategies shall be based on documented best practices; and (5) beginning in the first full academic year three years following the effective date of this act, the implementation of an on-line screening tool to raise awareness and establish a mechanism to link or refer students to services. The screenings and services shall be available to students the entire academic year and shall, at a minimum: (a) include validated screening tools for depression, anxiety disorders, eating disorders, substance abuse, alcohol-use disorders, post-traumatic stress disorder, and bipolar disorder; (b) provide resources for immediate connection to services, if indicated, including emergency resources; (c) provide general information about all mental health-related resources available to students; and (d) maintain the anonymity of students using the screening and services. 4. a. The governing board of an institution of higher education shall establish an expert panel to develop and implement policies and procedures to: (1) advise students, faculty, and staff on the proper procedures for identifying and addressing the needs of students exhibiting symptoms of mental health conditions; (2) promote understanding of the rules of section 504 of the federal Rehabilitation Act of 1973 (29 U.S.C. s.794) and the federal Americans With Disabilities Act of 1990 (42 U.S.C. s.12101 et seq.) to increase knowledge and understanding of student protections under the law; and (3) provide training if appropriate. b. An institution of higher education shall require all student advisors, resident assistants in student housing facilities, and campus security personnel to participate in a national Mental Health First Aid training course or a similar program prior to the commencement of their duties. The training shall include the policies and procedures developed pursuant to subsection a. of this section. 5. An institution of higher education shall establish and implement a student peer support program. The program shall utilize student peers to support students living with mental health conditions on campus. Peer support programs may be housed within resident assistance programs, counseling centers, or wellness centers on campus. A peer support program shall utilize best practices for peer support including, but not limited to: a. utilizing the tenets of the recovery model for mental health developed by the federal Substance Abuse and Mental Health Services Administration; b. adequate planning and preparation, including standardizing guidance and practices, identifying needs of the target population, and aligning program goals to meet those needs; c. clearly articulating policies, specifically concerning role boundaries and confidentiality; d. systematic screening with defined selection criteria for peer supporters including, but not limited to, communication skills, leadership ability, character, previous experience or training, and ability to serve as a positive role model; e. identifying benefits from peer status, including but not limited to, experiential learning, social support, leadership, and improved self-confidence; f. continuing education for peer supporters to support each other and improve peer support skills; and g. flexibility in availability by offering services through drop-in immediate support and the ability to book appointments. 6. a. An institution of higher education shall form strategic partnerships with local mental health service providers to improve overall campus mental health wellness and augment on-campus capacity. The partnerships shall include linkage agreements with off-campus mental health service providers that establish a foundation for referrals for students when a student's mental health needs cannot be met on campus due to capacity concerns or preference of the student. The partnerships shall include: (1) avenues for on-campus and off-campus mental health service providers to increase visibility to students via marketing and outreach; (2) opportunities to engage the student body through student outreach initiatives including, but not limited to, mindfulness workshops or campus-wide wellness fairs; and (3) opportunities to support mental health awareness and training provided for pursuant to this act. b. Through a combination of on-campus capacity, off-campus linkage agreements with mental health service providers, and contracted telehealth therapy services, each institution shall attempt to reach a benchmark ratio of one clinical, non-student staff member to 1,250 students. If linkage agreements are used, the agreements shall include the capacity of students that the mental health service providers are expected to serve within the agency. Two years after the effective date of this act, and once every five years thereafter, the Technical Assistance Center established pursuant to section 7 of this act shall propose to the institutions an updated ratio based on actual ratios in this State and any new information related to appropriate benchmarks for clinician-to-student ratios. The updated benchmark shall represent a ratio of no less than one clinical, non-student staff member to 1,250 students. c. An institution of higher education shall work with local resources, including on-campus mental health counseling centers or wellness centers, local mental health service providers, or non-providers, such as affiliates of the National Alliance on Mental Illness, and any other resources to meet the awareness and training requirements required pursuant to section 3 and section 4 of this act. 7. The Secretary of Higher Education shall develop a Technical Assistance Center. The center's responsibilities shall include: a. developing standardized policies for medical leave related to mental health conditions for students, which may be adopted by an institution of higher education; b. providing tailored support to the institutions in reviewing policies related to students living with mental health conditions and their academic standing; c. establishing initial standards for policies and procedures of the expert panel established pursuant to subsection a. of section 4 of this act; d. disseminating best practices concerning peer support programs established pursuant to section 5 of this act, including widely-accepted selection criteria for individuals serving in a peer support role; e. developing Statewide standards and best practices for partnerships between local mental health agencies and institutions of higher education; f. collecting, analyzing, and disseminating data related to mental health needs and academic engagement throughout the State; g. housing the data collected by each institution of higher education pursuant to section 8 of this act and analyzing and disseminating best practices to each institution and to the public based on that data; h. monitoring and evaluating the strategic partnerships between local mental health service providers and institutions of higher education required pursuant to section 6 of this act to ensure capacity is met by each institution; and i. facilitating a learning community across all institutions of higher education to support capacity building and learning across the institutions. 8. An institution of higher education shall evaluate the programs and services required pursuant to this act for effectiveness and quality in the following manner: a. For the mental health awareness program established pursuant to section 3 of this act and the training required pursuant to section 4 of this act, the monitoring measures shall include, but are not limited to: (1) an increased understanding of mental health conditions; (2) a reduced stigma toward mental health conditions; (3) an increased understanding of mental health resources available to students; (4) an increased understanding of resources for mental health emergencies available to students; and (5) viewing of the institution's mental health resource website pages or mobile applications; b. For the student peer support program established pursuant to section 5 of this act, the monitoring measures shall include, but are not limited to: (1) improved symptomatology; (2) connection or referral to additional services, if needed; (3) student satisfaction; (4) wait time for drop-in appointments; (5) wait time for scheduled appointments; and (6) satisfaction with the training curriculum for peer supporters; and c. For the partnerships with local mental health service providers formed pursuant to section 6 of this act, the monitoring measures shall include, but are not limited to: (1) wait time for drop-in appointments for on-campus or off-campus telehealth therapy providers; (2) wait time for scheduled appointments for on-campus or off-campus telehealth therapy providers; (3) the ratio of clinical, non-student staff to student population and the number of linkage agreements and contracts in place based on student population; (4) student satisfaction with on-campus or off-campus telehealth therapy providers; (5) the range of treatment models offered to students; (6) the average length of stay in treatment; (7) the number and range of student outreach initiatives, including but not limited to, telehealth mindfulness workshops or campus-wide wellness fairs; and (8) the annual number of students being served. 9. This act shall take effect immediately. STATEMENT This bill the "Mental Health Early Action on Campus Act," requires institutions of higher education to implement certain mental health programs and services. Under the bill, an institution of higher education is required to implement a mental health awareness program which must include, at a minimum: (1) the development and implementation of an annual student orientation session designed to raise awareness about mental health conditions; (2) the assessment of courses and seminars available to students through their regular academic experience and the implementation of mental health curricula if opportunities for integration exist; (3) the creation and prominent display on the institution's website or mobile application of information dedicated specifically to the mental health resources available to students on campus and in the surrounding community; (4) the distribution of messages related to mental health resources that encourage help-seeking behavior through the on-line learning platform of the institution at least once per term and during periods of high stress in the academic year; and (5) the implementation of an on-line screening tool to raise awareness and establish a mechanism to link or refer students to services. The bill requires an institution of higher education to establish and implement a student peer support program. The program will utilize student peers to support students living with mental health conditions on campus. Peer support programs may be housed within resident assistance programs, counseling centers, or wellness centers on campus. A peer support program will utilize best practices for peer support including, but not limited to: (1) utilizing the tenets of the recovery model for mental health developed by the federal Substance Abuse and Mental Health Services Administration; (2) adequate planning and preparation, including standardizing guidance and practices, identifying needs of the target population, and aligning program goals to meet those needs; (3) clearly articulating policies, specifically concerning role boundaries and confidentiality; (4) systematic screening with defined selection criteria for peer supporters including, but not limited to, communication skills, leadership ability, character, previous experience or training, and ability to serve as a positive role model; (5) identifying benefits from peer status including, but not limited to, experiential learning, social support, leadership, and improved self-confidence; (6) continuing education for peer supporters to support each other and improve peer support skills; and (7) flexibility in availability by offering services through drop-in immediate support and the ability to book appointments. The bill also requires each institution to form strategic partnerships with local mental health service providers to improve overall campus mental health wellness and augment on-campus capacity. The partnerships will include linkage agreements with off-campus mental health service providers that establish a foundation for referrals for students when a student's mental health needs cannot be met on campus due to capacity concerns or preference of the student. The partnerships will include: (1) avenues for on-campus and off-campus mental health service providers to increase visibility to students via marketing and outreach; (2) opportunities to engage the student body through student outreach initiatives including, but not limited to, mindfulness workshops or campus-wide wellness fairs; and (3) opportunities to support mental health awareness and training. Under the bill, the Secretary of Higher Education will develop a Technical Assistance Center. The center's responsibilities will include: (1) developing standardized policies for medical leave related to mental health conditions for students, which may be adopted by an institution of higher education; (2) providing tailored support to the institutions in reviewing policies related to students living with mental health conditions and their academic standing; (3) establishing initial standards for policies and procedures of the expert panel; (4) disseminating best practices concerning peer support programs, including widely-accepted selection criteria for individuals serving in a peer support role; and (5) developing Statewide standards and best practices for partnerships between local mental health agencies and institutions of higher education.
5050
5151 An Act concerning mental health programs at institutions of higher education and supplementing chapter 3B of Title 18A of the New Jersey Statutes.
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5555 Be It Enacted by the Senate and General Assembly of the State of New Jersey:
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5959 1. This act shall be known and may be cited as the "Mental Health Early Action on Campus Act."
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6363 2. As used in this act, "telehealth" means the evaluation, diagnosis, or interpretation of electronically transmitted patient-specific data between a remote location and a licensed health care professional that generates interaction or treatment recommendations.
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6767 3. a. An institution of higher education shall implement a mental health awareness program. The purpose of the program shall be to:
6868
6969 (1) identify students with mental health needs and connect them to mental health support services;
7070
7171 (2) increase access to mental health support services on campus;
7272
7373 (3) increase access to mental health support services in the surrounding communities;
7474
7575 (4) empower students through peer-to-peer support and training on identifying mental health needs and resources; and
7676
7777 (5) reduce the administrative policies that place an undue burden on students seeking medical leave for their mental health conditions through technical assistance and training.
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7979 b. An institution's mental health awareness program, required pursuant to subsection a. of this section, shall include, but need not be limited to:
8080
8181 (1) the development and implementation of an annual student orientation session designed to raise awareness about mental health conditions;
8282
8383 (2) the assessment of courses and seminars available to students through their regular academic experience and the implementation of mental health curricula if opportunities for integration exist;
8484
8585 (3) the creation and prominent display on the institution's website or mobile application of information dedicated specifically to the mental health resources available to students on campus and in the surrounding community;
8686
8787 (4) the distribution of messages related to mental health resources that encourage help-seeking behavior through the on-line learning platform of the institution, including on-line mental health screenings, at least once per term and during periods of high stress in the academic year including, but not limited to, mid-terms or final examinations. The messages and strategies shall be based on documented best practices; and
8888
8989 (5) beginning in the first full academic year three years following the effective date of this act, the implementation of an on-line screening tool to raise awareness and establish a mechanism to link or refer students to services. The screenings and services shall be available to students the entire academic year and shall, at a minimum:
9090
9191 (a) include validated screening tools for depression, anxiety disorders, eating disorders, substance abuse, alcohol-use disorders, post-traumatic stress disorder, and bipolar disorder;
9292
9393 (b) provide resources for immediate connection to services, if indicated, including emergency resources;
9494
9595 (c) provide general information about all mental health-related resources available to students; and
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9797 (d) maintain the anonymity of students using the screening and services.
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101101 4. a. The governing board of an institution of higher education shall establish an expert panel to develop and implement policies and procedures to:
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103103 (1) advise students, faculty, and staff on the proper procedures for identifying and addressing the needs of students exhibiting symptoms of mental health conditions;
104104
105105 (2) promote understanding of the rules of section 504 of the federal Rehabilitation Act of 1973 (29 U.S.C. s.794) and the federal Americans With Disabilities Act of 1990 (42 U.S.C. s.12101 et seq.) to increase knowledge and understanding of student protections under the law; and
106106
107107 (3) provide training if appropriate.
108108
109109 b. An institution of higher education shall require all student advisors, resident assistants in student housing facilities, and campus security personnel to participate in a national Mental Health First Aid training course or a similar program prior to the commencement of their duties. The training shall include the policies and procedures developed pursuant to subsection a. of this section.
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113113 5. An institution of higher education shall establish and implement a student peer support program. The program shall utilize student peers to support students living with mental health conditions on campus. Peer support programs may be housed within resident assistance programs, counseling centers, or wellness centers on campus. A peer support program shall utilize best practices for peer support including, but not limited to:
114114
115115 a. utilizing the tenets of the recovery model for mental health developed by the federal Substance Abuse and Mental Health Services Administration;
116116
117117 b. adequate planning and preparation, including standardizing guidance and practices, identifying needs of the target population, and aligning program goals to meet those needs;
118118
119119 c. clearly articulating policies, specifically concerning role boundaries and confidentiality;
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121121 d. systematic screening with defined selection criteria for peer supporters including, but not limited to, communication skills, leadership ability, character, previous experience or training, and ability to serve as a positive role model;
122122
123123 e. identifying benefits from peer status, including but not limited to, experiential learning, social support, leadership, and improved self-confidence;
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125125 f. continuing education for peer supporters to support each other and improve peer support skills; and
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127127 g. flexibility in availability by offering services through drop-in immediate support and the ability to book appointments.
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131131 6. a. An institution of higher education shall form strategic partnerships with local mental health service providers to improve overall campus mental health wellness and augment on-campus capacity. The partnerships shall include linkage agreements with off-campus mental health service providers that establish a foundation for referrals for students when a student's mental health needs cannot be met on campus due to capacity concerns or preference of the student. The partnerships shall include:
132132
133133 (1) avenues for on-campus and off-campus mental health service providers to increase visibility to students via marketing and outreach;
134134
135135 (2) opportunities to engage the student body through student outreach initiatives including, but not limited to, mindfulness workshops or campus-wide wellness fairs; and
136136
137137 (3) opportunities to support mental health awareness and training provided for pursuant to this act.
138138
139139 b. Through a combination of on-campus capacity, off-campus linkage agreements with mental health service providers, and contracted telehealth therapy services, each institution shall attempt to reach a benchmark ratio of one clinical, non-student staff member to 1,250 students. If linkage agreements are used, the agreements shall include the capacity of students that the mental health service providers are expected to serve within the agency. Two years after the effective date of this act, and once every five years thereafter, the Technical Assistance Center established pursuant to section 7 of this act shall propose to the institutions an updated ratio based on actual ratios in this State and any new information related to appropriate benchmarks for clinician-to-student ratios. The updated benchmark shall represent a ratio of no less than one clinical, non-student staff member to 1,250 students.
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141141 c. An institution of higher education shall work with local resources, including on-campus mental health counseling centers or wellness centers, local mental health service providers, or non-providers, such as affiliates of the National Alliance on Mental Illness, and any other resources to meet the awareness and training requirements required pursuant to section 3 and section 4 of this act.
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145145 7. The Secretary of Higher Education shall develop a Technical Assistance Center. The center's responsibilities shall include:
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147147 a. developing standardized policies for medical leave related to mental health conditions for students, which may be adopted by an institution of higher education;
148148
149149 b. providing tailored support to the institutions in reviewing policies related to students living with mental health conditions and their academic standing;
150150
151151 c. establishing initial standards for policies and procedures of the expert panel established pursuant to subsection a. of section 4 of this act;
152152
153153 d. disseminating best practices concerning peer support programs established pursuant to section 5 of this act, including widely-accepted selection criteria for individuals serving in a peer support role;
154154
155155 e. developing Statewide standards and best practices for partnerships between local mental health agencies and institutions of higher education;
156156
157157 f. collecting, analyzing, and disseminating data related to mental health needs and academic engagement throughout the State;
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159159 g. housing the data collected by each institution of higher education pursuant to section 8 of this act and analyzing and disseminating best practices to each institution and to the public based on that data;
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161161 h. monitoring and evaluating the strategic partnerships between local mental health service providers and institutions of higher education required pursuant to section 6 of this act to ensure capacity is met by each institution; and
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163163 i. facilitating a learning community across all institutions of higher education to support capacity building and learning across the institutions.
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167167 8. An institution of higher education shall evaluate the programs and services required pursuant to this act for effectiveness and quality in the following manner:
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169169 a. For the mental health awareness program established pursuant to section 3 of this act and the training required pursuant to section 4 of this act, the monitoring measures shall include, but are not limited to:
170170
171171 (1) an increased understanding of mental health conditions;
172172
173173 (2) a reduced stigma toward mental health conditions;
174174
175175 (3) an increased understanding of mental health resources available to students;
176176
177177 (4) an increased understanding of resources for mental health emergencies available to students; and
178178
179179 (5) viewing of the institution's mental health resource website pages or mobile applications;
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181181 b. For the student peer support program established pursuant to section 5 of this act, the monitoring measures shall include, but are not limited to:
182182
183183 (1) improved symptomatology;
184184
185185 (2) connection or referral to additional services, if needed;
186186
187187 (3) student satisfaction;
188188
189189 (4) wait time for drop-in appointments;
190190
191191 (5) wait time for scheduled appointments; and
192192
193193 (6) satisfaction with the training curriculum for peer supporters; and
194194
195195 c. For the partnerships with local mental health service providers formed pursuant to section 6 of this act, the monitoring measures shall include, but are not limited to:
196196
197197 (1) wait time for drop-in appointments for on-campus or off-campus telehealth therapy providers;
198198
199199 (2) wait time for scheduled appointments for on-campus or off-campus telehealth therapy providers;
200200
201201 (3) the ratio of clinical, non-student staff to student population and the number of linkage agreements and contracts in place based on student population;
202202
203203 (4) student satisfaction with on-campus or off-campus telehealth therapy providers;
204204
205205 (5) the range of treatment models offered to students;
206206
207207 (6) the average length of stay in treatment;
208208
209209 (7) the number and range of student outreach initiatives, including but not limited to, telehealth mindfulness workshops or campus-wide wellness fairs; and
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211211 (8) the annual number of students being served.
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215215 9. This act shall take effect immediately.
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221221 STATEMENT
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223223
224224
225225 This bill the "Mental Health Early Action on Campus Act," requires institutions of higher education to implement certain mental health programs and services.
226226
227227 Under the bill, an institution of higher education is required to implement a mental health awareness program which must include, at a minimum:
228228
229229 (1) the development and implementation of an annual student orientation session designed to raise awareness about mental health conditions;
230230
231231 (2) the assessment of courses and seminars available to students through their regular academic experience and the implementation of mental health curricula if opportunities for integration exist;
232232
233233 (3) the creation and prominent display on the institution's website or mobile application of information dedicated specifically to the mental health resources available to students on campus and in the surrounding community;
234234
235235 (4) the distribution of messages related to mental health resources that encourage help-seeking behavior through the on-line learning platform of the institution at least once per term and during periods of high stress in the academic year; and
236236
237237 (5) the implementation of an on-line screening tool to raise awareness and establish a mechanism to link or refer students to services.
238238
239239 The bill requires an institution of higher education to establish and implement a student peer support program. The program will utilize student peers to support students living with mental health conditions on campus. Peer support programs may be housed within resident assistance programs, counseling centers, or wellness centers on campus. A peer support program will utilize best practices for peer support including, but not limited to:
240240
241241 (1) utilizing the tenets of the recovery model for mental health developed by the federal Substance Abuse and Mental Health Services Administration;
242242
243243 (2) adequate planning and preparation, including standardizing guidance and practices, identifying needs of the target population, and aligning program goals to meet those needs;
244244
245245 (3) clearly articulating policies, specifically concerning role boundaries and confidentiality;
246246
247247 (4) systematic screening with defined selection criteria for peer supporters including, but not limited to, communication skills, leadership ability, character, previous experience or training, and ability to serve as a positive role model;
248248
249249 (5) identifying benefits from peer status including, but not limited to, experiential learning, social support, leadership, and improved self-confidence;
250250
251251 (6) continuing education for peer supporters to support each other and improve peer support skills; and
252252
253253 (7) flexibility in availability by offering services through drop-in immediate support and the ability to book appointments.
254254
255255 The bill also requires each institution to form strategic partnerships with local mental health service providers to improve overall campus mental health wellness and augment on-campus capacity. The partnerships will include linkage agreements with off-campus mental health service providers that establish a foundation for referrals for students when a student's mental health needs cannot be met on campus due to capacity concerns or preference of the student. The partnerships will include:
256256
257257 (1) avenues for on-campus and off-campus mental health service providers to increase visibility to students via marketing and outreach;
258258
259259 (2) opportunities to engage the student body through student outreach initiatives including, but not limited to, mindfulness workshops or campus-wide wellness fairs; and
260260
261261 (3) opportunities to support mental health awareness and training.
262262
263263 Under the bill, the Secretary of Higher Education will develop a Technical Assistance Center. The center's responsibilities will include:
264264
265265 (1) developing standardized policies for medical leave related to mental health conditions for students, which may be adopted by an institution of higher education;
266266
267267 (2) providing tailored support to the institutions in reviewing policies related to students living with mental health conditions and their academic standing;
268268
269269 (3) establishing initial standards for policies and procedures of the expert panel;
270270
271271 (4) disseminating best practices concerning peer support programs, including widely-accepted selection criteria for individuals serving in a peer support role; and
272272
273273 (5) developing Statewide standards and best practices for partnerships between local mental health agencies and institutions of higher education.