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1 Mind, Body and SportUnderStanding and SUpporting StUdent-athlete Mental WellneSSOctober 2014editorGary T. BrownaSSociate editorSBrian Hainline, NCAA Chief Medical OfficerEmily Kroshus, Postdoctoral Research Fellow at the Harvard School of Public Health and the NCAA Sport Science InstituteMary Wilfert, Associate Director, NCAA Sport Science Institute deSignArnel Reynon, Publishing Director, Sport GraphicsAmanda Goehlert, Art Director, Sport GraphicsChannon Seifert, Designer, Sport GraphicsphotographyNCAA PhotosCopyright 2014 NCAAAll rights reserved.

2 No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission requests, contact Mary Wilfert at or write to the NCAA Sport Science Institute at the address , Body and Sport: Understanding and Supporting Student-Athlete Mental Wellness( ISBN # 978-1-4951-3175-2 )

3 Is published by the National Collegiate Athletic Association,700 West Washington Street, Indianapolis, Indiana 46206-6222 Copies of this book are available at is a trademark of the National Collegiate Athletic AssociationMIND, BODY AND SPORT Acknowledgmentsncaa Mental health taSk ForceNCAA Chief Medical Officer Brian Hainline convened nearly two dozen scientists, clinicians, policy experts, team physicians, administrators, coaches and student- athletes in November 2013 to discuss the myriad mental health issues facing today s NCAA student- athletes .

4 Those discussions from the Mental Health Task Force prompted development of this publication, and several task force members contributed Anderson, MD; Director of Sports Medicine, University of ConnecticutChris Carr, , HSPP; St. Vincent Sports Performance, Indianapolis; Consulting Sport Psychologist, Purdue University Athletics DepartmentKenneth L. Chew, Jr., ; Director of the Student Counseling Center, Indiana State UniversityJamie Davidson, ; Associate Vice President for Student Wellness, University of Nevada, Las VegasJeffrey L.

5 Derevensky, ; Director of the International Center for Youth Gambling Problems and High-Risk Behaviors, McGill UniversityScott Goldman, ; Director of Clinical and Sport Psychology, University of ArizonaMichael Grandner, ; Center for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of MedicineRain Henderson, CEO, Clinton Health Matters Initiative at the Clinton FoundationJames Jackson, ; Professor of Psychology and Director of the Institute for Social Research, University of MichiganChris Klenck, MD; Head Team Physician, University of Tennessee, KnoxvilleAndrew LeDonne, Track and Field Student-Athlete, NCAA Division III Student-Athlete Advisory Committee Representative, Lewis & Clark CollegeDavid Lester.

6 Distinguished Professor of Psychology, Richard Stockton College of New JerseyBradley Maldonado, Track and Field Student-Athlete, NCAA Division II Student-Athlete Advisory Committee Representative, Lincoln Memorial UniversityCindy Miller Aron, LCSW, CGP; Samaritan Health Services, American Group Psychotherapy AssociationAlbert Moore, Director of Community Engagement, Gulf South ConferenceNicki Moore, ; Senior Associate Athletics Director, Director of Student Life, University of OklahomaTimothy Neal, MS, ATC; Assistant Director of Athletics for Sports Medicine, Syracuse UniversityMargot Putukian, MD, FACSM; Director of Athletic Medicine and Head Team Physician, Princeton UniversityMarcia Ridpath, MAR Educational Consulting, Association on Higher Education and DisabilityTimothy Saltys, Track and Field Student-Athlete, NCAA Division I Student-Athlete Advisory Committee Representative, Indiana University-Purdue University, Fort WayneVictor Schwartz, MD.

7 Clinical Associate Professor, New York University School of MedicinePenny Semaia, Senior Associate Athletics Director of Student Life, University of PittsburghRachel Sharpe, ATC; Assistant Athletic Trainer, University of South Carolina, ColumbiaBren Stevens, Director of Athletics, University of Charleston (West Virginia)Todd Stull, MD; International Society for Sport PsychiatryAaron Taylor, CBS SportsRon Thompson, , FAED, CEDS; Consulting Psychologist, Indiana University, Bloomington, Department of AthleticsFrank Webbe, ; Professor of Psychology, Florida Institute of TechnologyJim Whitehead, Executive Vice President and CEO, American College of Sports MedicineGary Williams.

8 Director of Athletics, Wittenberg UniversityTerrie Williams, The Terrie Williams AgencyDeborah Wilson, Associate Athletics Director, Academic Services, George Mason UniversityCathy Wright-Eger, Academic Adviser, Purdue UniversityMIND, BODY AND SPORTtaBle oF contentSintrodUctionBrian hainline, (NCAA Chief Medical Officer)chapter 1 FirSt-perSon perSpectivegaMe Face iS not the only Face (By Aaron Taylor, former football student-athlete)Former Notre Dame All-American offensive lineman and first-round NFL draft pick Aaron Taylor discusses his battle with the dreaM and Waking Up to reality (By Cathy Wright-Eger, former coach)Former NCAA Division I head swim coach Cathy Wright-Eger describes the challenges coaches face in supporting student- athletes with mental health , eMpathy and trUe toUghneSS (By Molly McNamara, cross country and track student-athlete)

9 Stanford cross country runner Molly McNamara describes her journey through illness, personal stressors and injury to creating a student-led mental health group that collaborates with the athletics coach S X and o: pay attention, give perMiSSion (By Mark Potter, current coach)NCAA Division II head men s basketball coach Mark Potter discusses how his experiences battling depression have helped him help understand student- athletes who are suffering with mental health the eXperience poSitive (By Bradley Maldonado, Division II Student-Athlete Advisory Committee)

10 Former Lincoln Memorial cross country student-athlete Bradley Maldonado outlines strategies to make a healthy transition to college and effectively manage the stressors that may be present with this life-changing the Mental health pUzzle (By Rachel Sharpe, current assistant athletic trainer)South Carolina athletic trainer Rachel Sharpe describes challenges that athletic trainers face in helping student- athletes with mental health issues. chapter 2 poSitioning the eXpertSthe pSychologiSt perSpective (By Chris Carr and Jamie Davidson)Psychologists can play an important role in addressing student-athlete mental health issues, but there may be barriers on campuses that limit their full pSychiatriSt perSpective (By Todd Stull)Many student-athlete mental health issues are appropriately addressed in consultation with a psychiatrist.