The Peer-To-Peer Approach

New DORA College Program (Depression OutReach Alliance) Highlights the Importance of Peer Intervention in an Effort to Save Lives

“Where I was, was a very dark place, and I felt like I was in a hole and I couldn’t get out,” said Melissa of her college experience.

This student, along with more than two-thirds of college students nationwide, will make this confession to a peer such as a roommate, romantic partner or a friend. Only 11 percent of students will actually share their suicidal thoughts with a counseling professional.

Not surprisingly, college life presents the push and pull of dependence and independence and an increasingly wider and influential peer network—from classmates, teammates, and roommates, among others. Using this vast network of peers that students’ not only seek out, but also identify with, is what serves as the foundation for creating a peer-education suicide prevention program.

New from Screening for Mental Health (SMH) is The DORA College Program (Depression Outreach Alliance), a mental health wellness and suicide peer-to-peer prevention program. The main teaching tool of the program is an educational DVD (recently chosen as a finalist in the 2010 New York Festivals®) that profiles college students who struggled with depression and suicidal ideation while in school and are now in recovery thanks to the support of peers and mental health professionals. Along with these interviews, the DVD also features an acted scenario modeling a successful intervention as well as input from college counselors (watch a preview of the DVD).

“Including students in the process of creating and maintaining an inclusive campus environment, which provides opportunities for students to connect with one another along commonly experienced feelings of stress, depression and self-destructive thinking, will provide students with both a sense of social responsibility and a lasting culture towards good mental health practices,” says Douglas G. Jacobs, M.D., associate clinical professor of psychiatry at Harvard Medical School and founder of SMH.

The DORA College Program is meant to be administered to small groups of students by peer leader groups working in conjunction with clinical professionals on campus. The program consists of several activities designed to teach students the importance of early intervention and professional help-seeking when it comes to suicide prevention.

This past spring, a number of schools participated in a pilot program for The DORA College Program. The feedback received from peer leaders and students reinforces the importance and need for peer-to-peer programming on college campuses nationwide. Peer leaders noted that of the many issues raised by students during the discussion session, reducing stigma and raising awareness about mental illness were considered very important. Other issues that the students discussed included not knowing how to broach the subject of mental illness, informing faculty members about student mental health crises, and wanting to feel capable of truly helping. In addition to peer leaders’ comments, participating students were asked about their thoughts and reaction to the DVD and educational materials. For confidentiality purposes, names and school affiliation are removed.

“I felt connected. I felt that I wasn't the only one who is or was going through that.”

“I think this video really impacted me. I feel capable to help others more than before and that's exciting! It's good to feel capable of helping others.”

“The feelings that this video generated helped me focus on the educational information presented. It helped me relate things to my own life and think about the people around me that are or could be affected by mental health issues.”

The DORA College Program Kit is $100 and includes: 1) One implementation guide for peer leaders; 2) 15 individual student workbooks with screening forms; 3) One educational DVD; 4) Access to a downloads page with extra materials including a PDF of the poster, multimedia links, and public relations materials for use with the school newspaper.

To download a copy of the CollegeResponse brochure, go to https://mentalhealthscreening.org/college/ and click on the registration form PDF in the “What’s New?” column. You can also register online by click here. For more information about The DORA College Program, please contact college@mentalhealthscreening.org or call 781-239-0071.



© 2010 Screening for Mental Health, Inc.