Full Text of HB2152 101st General Assembly
HB2152ham002 101ST GENERAL ASSEMBLY | Rep. Emanuel Chris Welch Filed: 3/26/2019
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| 1 | | AMENDMENT TO HOUSE BILL 2152
| 2 | | AMENDMENT NO. ______. Amend House Bill 2152 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 1. Short title. This Act may be cited as the | 5 | | Mental Health Early Action on Campus Act. | 6 | | Section 5. Intent. This Act is intended to address gaps in | 7 | | mental health services on college campuses across Illinois, | 8 | | including both 2-year and 4-year institutions, through | 9 | | training, peer support, and community-campus partnerships. | 10 | | Section 10. Findings. The General Assembly finds all of the | 11 | | following: | 12 | | (1) Mental health is a pressing and growing issue on | 13 | | college campuses across this State and the country. A | 14 | | recent national survey found that one in 4 college students | 15 | | are treated for or diagnosed with a mental health condition |
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| 1 | | and one in 5 has considered suicide. | 2 | | (2) About 75% of all mental health conditions start by | 3 | | age 24, with higher rates of diagnosed disorders in | 4 | | college-aged students. College counseling center directors | 5 | | believe mental health conditions among students on their | 6 | | campuses are increasing, signaling a growing issue that | 7 | | must be addressed. | 8 | | (3) Students who come from low-income households are | 9 | | more likely to have a mental health condition. | 10 | | (4) Between 2007 and 2017, the diagnosis rate of | 11 | | college students increased from 22% to 36%, indicating a | 12 | | higher need for services. Treatment rates over the same | 13 | | period increased by 15%. | 14 | | (5) Young adults are less likely to receive mental | 15 | | health support than any other age group. College campuses | 16 | | can play a big role in addressing this challenge. Over 70% | 17 | | of Illinois high school graduates enroll in a postsecondary | 18 | | program shortly after graduation. | 19 | | (6) College-aged students are more accepting of mental | 20 | | health services than the general population, but most | 21 | | struggle accessing them. An overwhelming 96% of college | 22 | | students reported they would provide support to peers whom | 23 | | they knew were thinking about suicide. | 24 | | (7) Many students lack knowledge of mental health signs | 25 | | and symptoms and do not know how to help or where to refer | 26 | | their friends for services. |
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| 1 | | (8) Services offered by most college campuses are | 2 | | limited in scope and capacity, with 67% of campus | 3 | | counseling center directors saying that their campus | 4 | | psychiatric service capacity is inadequate or does not meet | 5 | | student demand. | 6 | | (9) Combined with a dearth of available services, the | 7 | | vast majority of students do not seek out services, and | 8 | | many students who complete a suicide never received | 9 | | on-campus services. Paying for community-based services is | 10 | | an issue for about half of students. Combining insufficient | 11 | | on-campus services with unaffordable community resources | 12 | | leaves students on their own. | 13 | | Section 15. Purpose. The purpose of this Act is to | 14 | | accomplish all of the following: | 15 | | (1) Further identify students with mental health needs | 16 | | and connect them to services. | 17 | | (2) Increase access to support services on college | 18 | | campuses. | 19 | | (3) Increase access to clinical mental health services | 20 | | on college campuses and in the surrounding communities for | 21 | | college students. | 22 | | (4) Empower students through peer-to-peer support and | 23 | | training on identifying mental health needs and resources. | 24 | | (5) Reduce administrative policies that put an undue | 25 | | burden on students seeking leave for their mental health |
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| 1 | | conditions through technical assistance and training. | 2 | | Section 20. Definitions. As used in this Act: | 3 | | "Advisor" means a staff member who provides academic, | 4 | | professional, and personal support to students. | 5 | | "Campus security" means a law enforcement officer who has | 6 | | completed his or her probationary period and is employed as a | 7 | | security officer or campus police officer by a public college | 8 | | or university. | 9 | | "Linkage agreement" means a formal agreement between a | 10 | | public college or university and an off-campus mental health | 11 | | provider or agency. | 12 | | "Mental health condition" means a symptom consistent with a | 13 | | mental illness, as defined under Section 1-129 of the Mental | 14 | | Health and Developmental Disabilities Code, or a diagnosed | 15 | | mental illness. | 16 | | "Public college or university" means any public community | 17 | | college subject to the Public Community College Act, the | 18 | | University of Illinois, Southern Illinois University, Chicago | 19 | | State University, Eastern Illinois University, Governors State | 20 | | University, Illinois State University, Northeastern Illinois | 21 | | University, Northern Illinois University, Western Illinois | 22 | | University, and any other public university, college, or | 23 | | community college now or hereafter established or authorized by | 24 | | the General Assembly. | 25 | | "Recovery model" means the model developed by the federal |
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| 1 | | Substance Abuse and Mental Health Services Administration that | 2 | | defines the process of recovery and includes the 4 major | 3 | | dimensions that support a life in recovery, which are health, | 4 | | home, purpose, and community. | 5 | | "Resident assistant" means a student who is responsible for | 6 | | supervising and assisting other, typically younger, students | 7 | | who live in the same student housing facility. | 8 | | "Telehealth" means the evaluation, diagnosis, or | 9 | | interpretation of electronically transmitted patient-specific | 10 | | data between a remote location and a licensed health care | 11 | | professional that generates interaction or treatment | 12 | | recommendations. "Telehealth" includes telemedicine and the | 13 | | delivery of health care services provided by an interactive | 14 | | telecommunications system, as defined in subsection (a) of | 15 | | Section 356z.22 of the Illinois Insurance Code. | 16 | | Section 25. Awareness. To raise mental health awareness on | 17 | | college campuses, each public college or university must do all | 18 | | of the following: | 19 | | (1) Develop and implement an annual student | 20 | | orientation session aimed at raising awareness about | 21 | | mental health conditions. | 22 | | (2) Assess courses and seminars available to students | 23 | | through their regular academic experiences and implement | 24 | | mental health awareness curricula if opportunities for | 25 | | integration exist. |
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| 1 | | (3) Create and feature a page on its website or mobile | 2 | | application with information dedicated solely to the | 3 | | mental health resources available to students at the public | 4 | | college or university and in the surrounding community. | 5 | | (4) Distribute messages related to mental health | 6 | | resources that encourage help-seeking behavior through the | 7 | | online learning platform of the public college or | 8 | | university during high stress periods of the academic year, | 9 | | including, but not limited to, midterm or final | 10 | | examinations. These stigma-reducing strategies must be | 11 | | based on documented best practices. | 12 | | (5) Three years after the effective date of this Act, | 13 | | implement an online screening tool to raise awareness and | 14 | | establish a mechanism to link or refer students of the | 15 | | public college or university to services. Screenings and | 16 | | resources must be available year round for students and, at | 17 | | a minimum, must (i) include validated screening tools for | 18 | | depression, an anxiety disorder, an eating disorder, | 19 | | substance use, alcohol-use disorder, post-traumatic stress | 20 | | disorder, and bipolar disorder, (ii) provide resources for | 21 | | immediate connection to services, if indicated, including | 22 | | emergency resources, (iii) provide general information | 23 | | about all mental health-related resources available to | 24 | | students of the public college or university, and (iv) | 25 | | function anonymously. | 26 | | (6) At least once per term and at times of high |
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| 1 | | academic stress, including midterm or final examinations, | 2 | | provide students information regarding online screenings | 3 | | and resources. | 4 | | Section 30. Training. | 5 | | (a) The board of trustees of each public college or | 6 | | university must designate an expert panel to develop and | 7 | | implement policies and procedures that (i) advise students, | 8 | | faculty, and staff on the proper procedures for identifying and | 9 | | addressing the needs of students exhibiting symptoms of mental | 10 | | health conditions, (ii) promote understanding of the rules of | 11 | | Section 504 of the federal Rehabilitation Act of 1973 and the | 12 | | federal Americans with Disabilities Act of 1990 to increase | 13 | | knowledge and understanding of student protections under the | 14 | | law, and (iii) provide training if appropriate. | 15 | | (b) The Technical Assistance Center under Section 45 shall | 16 | | set initial standards for policies and procedures referenced in | 17 | | subsection (a) to ensure statewide consistency. | 18 | | (c) All resident assistants in a student housing facility, | 19 | | advisors, and campus security of a public college or university | 20 | | must participate in a national Mental Health First Aid training | 21 | | course or a similar program prior to the commencement of their | 22 | | duties. Training must include the policies and procedures | 23 | | developed by the public college or university referenced under | 24 | | subsection (a). |
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| 1 | | Section 35. Peer support. | 2 | | (a) Because peer support programs may be beneficial in | 3 | | improving the emotional well-being of the student population, | 4 | | each public college or university must develop and implement a | 5 | | peer support program utilizing student peers to support | 6 | | individuals living with mental health conditions on campus. | 7 | | Peer support programs may be housed within resident assistant | 8 | | programs, counseling centers, or wellness centers on campus. | 9 | | (b) Peer support programs must utilize best practices for | 10 | | peer support, including, but not limited to: (i) utilizing the | 11 | | tenets of the recovery model for mental health, (ii) adequate | 12 | | planning and preparation, including standardizing guidance and | 13 | | practices, identifying needs of the target population, and | 14 | | aligning program goals to meet those needs, (iii) clearly | 15 | | articulating policies, especially around role boundaries and | 16 | | confidentiality, (iv) systematic screening with defined | 17 | | selection criteria for peer supporters, such as communication | 18 | | skills, leadership ability, character, previous experience or | 19 | | training, and ability to serve as a positive role model, (v) | 20 | | identifying benefits from peer status, such as experiential | 21 | | learning, social support, leadership, and improved | 22 | | self-confidence, (vi) continuing education for peer supporters | 23 | | to support each other and improve peer support skills, and | 24 | | (vii) flexibility in availability by offering services through | 25 | | drop-in immediate support and the ability to book appointments. |
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| 1 | | Section 40. Local partnerships. | 2 | | (a) Each public college or university must form strategic | 3 | | partnerships with local mental health service providers to | 4 | | improve overall campus mental wellness and augment on-campus | 5 | | capacity. The strategic partnerships must include linkage | 6 | | agreements with off-campus mental health service providers | 7 | | that establish a foundation for referrals for students when | 8 | | needs cannot be met on campus due to capacity or preference of | 9 | | the student. The strategic partnerships must also include (i) | 10 | | avenues for on-campus and off-campus mental health service | 11 | | providers to increase visibility to students via marketing and | 12 | | outreach, (ii) opportunities to engage the student body through | 13 | | student outreach initiatives like mindfulness workshops or | 14 | | campus-wide wellness fairs, and (iii) opportunities to support | 15 | | awareness and training requirements under this Act. | 16 | | (b) Through a combination of on-campus capacity, | 17 | | off-campus linkage agreements with mental health service | 18 | | providers, and contracted telehealth therapy services, each | 19 | | public college or university shall attempt to meet a benchmark | 20 | | ratio of one clinical, non-student staff member to 1,250 | 21 | | students. If linkage agreements are used, the agreements must | 22 | | include the capacity of students providers are expected to | 23 | | serve within the agency. Two years after the effective date of | 24 | | this Act, and once every 5 years thereafter, the Technical | 25 | | Assistance Center developed under Section 45 must propose to | 26 | | the General Assembly an updated ratio based on actual ratios in |
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| 1 | | this State and any new information related to appropriate | 2 | | benchmarks for clinician-to-student ratios. The updated | 3 | | benchmark must represent a ratio of no less than one clinical, | 4 | | non-student staff member to 1,250 students. | 5 | | (c) Each public college or university must work with local | 6 | | resources, such as on-campus mental health counseling centers | 7 | | or wellness centers, local mental health service providers, or | 8 | | non-providers, such as affiliates of the National Alliance on | 9 | | Mental Illness, and any other resources to meet the awareness | 10 | | and training requirements under Sections 25 and 30 of this Act. | 11 | | Section 45. Technical Assistance Center. The Board of | 12 | | Higher Education must develop a Technical Assistance Center | 13 | | that is responsible for all of the following: | 14 | | (1) Developing standardized policies for medical leave | 15 | | related to mental health conditions for students of a | 16 | | public college or university, which may be adopted by the | 17 | | public college or university. | 18 | | (2) Providing tailored support to public colleges or | 19 | | universities in reviewing policies related to students | 20 | | living with mental health conditions and their academic | 21 | | standing. | 22 | | (3) Establishing initial standards for policies and | 23 | | procedures under subsection (a) of Section 30. | 24 | | (4) Disseminating best practices around peer support | 25 | | programs, including widely accepted selection criteria for |
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| 1 | | individuals serving in a peer support role. | 2 | | (5) Developing statewide standards and best practices | 3 | | for partnerships between local mental health agencies and | 4 | | college campuses across this State. | 5 | | (6) Collecting, analyzing, and disseminating data | 6 | | related to mental health needs and academic engagement | 7 | | across this State. | 8 | | (7) Housing data collected by each public college or | 9 | | university related to Section 50 and analyzing and | 10 | | disseminating best practices to each public college or | 11 | | university and the public based on that data. | 12 | | (8) Monitoring and evaluating linkage agreements under | 13 | | Section 40 to ensure capacity is met by each public college | 14 | | or university. | 15 | | (9) Facilitating a learning community across all | 16 | | public colleges or universities to support capacity | 17 | | building and learning across those institutions. | 18 | | Section 50. Evaluation. Each public college or university | 19 | | must evaluate the following programs under this Act in the | 20 | | following manner: | 21 | | (1) Awareness and training programs under Sections 25 | 22 | | and 30 must be monitored for effectiveness and quality by | 23 | | the public college or university. Monitoring measures | 24 | | shall include, but are not limited to: (i) increased | 25 | | understanding of mental health conditions, (ii) reduced |
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| 1 | | stigma toward mental health conditions, (iii) increased | 2 | | understanding of mental health resources available to | 3 | | students, (iv) increased understanding of resources for | 4 | | mental health emergencies available to students, and (v) | 5 | | viewing each mental health resource website or mobile | 6 | | application of the public college or university. | 7 | | (2) Peer support programs under Section 35 must be | 8 | | monitored for effectiveness and quality by the public | 9 | | college or university. Monitoring measures shall include, | 10 | | but are not limited to: (i) improved symptomatology, (ii) | 11 | | if needed, connection to additional services, (iii) | 12 | | student satisfaction, (iv) wait time for drop-in | 13 | | appointments, (v) wait time for scheduled appointments, | 14 | | and (vi) satisfaction with the training curriculum for peer | 15 | | supporters. | 16 | | (3) Local partnership programs under Section 40 must be | 17 | | monitored for effectiveness and quality by the public | 18 | | college or university. Monitoring measures shall include, | 19 | | but are not limited to: (i) wait time for drop-in | 20 | | appointments for on-campus or off-campus telehealth | 21 | | therapy providers, (ii) wait time for scheduled | 22 | | appointments for on-campus or off-campus telehealth | 23 | | therapy providers, (iii) the ratio of clinical, | 24 | | non-student staff to student population and the number of | 25 | | linkage agreements and contracts in place based on student | 26 | | population, (iv) student satisfaction with on-campus or |
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| 1 | | off-campus telehealth therapy providers, (v) range of | 2 | | treatment models offered to students, (vi) average length | 3 | | of stay in treatment, (vii) number and range of student | 4 | | outreach initiatives, such as telehealth mindfulness | 5 | | workshops or campus-wide wellness fairs, and (viii) number | 6 | | of students being served annually. | 7 | | Section 55. Funding. This Act is subject to appropriation. | 8 | | The Commission on Government Forecasting and Accountability, | 9 | | in conjunction with the Illinois Community College Board and | 10 | | the Board of Higher Education, must make recommendations to the | 11 | | General Assembly on the amounts necessary to implement this | 12 | | Act. The initial recommendation must be provided by the | 13 | | Commission no later than December 31, 2019. Any appropriation | 14 | | provided in advance of this initial recommendation may be used | 15 | | for planning purposes. No Section of this Act may be funded by | 16 | | student fees created on or after July 1, 2020. Public colleges | 17 | | or universities may seek federal funding or private grants, if | 18 | | available, to support the provisions of this Act.
| 19 | | Section 99. Effective date. This Act takes effect July 1, | 20 | | 2020, except that Section 55 and this Section take effect upon | 21 | | becoming law.".
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