“What information in a referral is most important to have regarding college-aged students in a therapy session?”

College life presents a unique set of challenges for young adults. They face a confluence of academic pressures, social adjustments, and the transition to greater independence. This period coincides with a critical window for the onset of mental health conditions. Research by Gannon et al. (2024) indicates that roughly 63% of lifetime mental health conditions begin before the age of 25. There has also been a notable rise in mental health concerns among college students (ages 18-25) in recent years.

Understanding the presenting concern, whether it manifests as anxiety, depression, academic stress, relationship challenges, or substance use, is crucial for mental health providers. A clear picture allows them to prioritize interventions and effectively address the most pressing needs of their college-aged clients. These concerns often stem from a confluence of factors, including heightened stress levels, navigating major life decisions, and establishing new social connections. Referrals that clearly outline presenting concerns play a critical role in shaping effective interventions for college students. This information provides a vital window into the student's experiences, allowing mental health professionals to tailor therapy sessions or medical interventions that address the specific challenges faced by this population. By prioritizing pre-visit planning during the referral process, providers can create more therapeutic environments and ultimately improve the well-being of their college-aged clients. The United States healthcare system presents significant challenges to navigation, even for experienced professionals. This complexity can make initiating treatment for behavioral health concerns a particularly daunting task.

Although the primary focus of a referral is often the current concern of the student or patient, it’s equally vital to provide details about their history. This includes a thorough psychiatric history encompassing past diagnoses, treatments, hospitalizations, and other relevant information. Whether these past mental health issues occurred recently or in the distant past, they can have a significant impact on the current situation and should not be overlooked.

The referring provider should also include any safety concerns, perceived contributors, and the patient’s medical history. Providing comprehensive information enables the incoming mental health professional to gain insight into the patient and ensures they are well-prepared for the session.

By Brian Jewers, PMHNP-BC Chief Executive Officer Northeast Wellness, PLLC