Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2024


Doctor of Nursing Practice (DNP)

Primary Advisor

Dr. Karen J. Whitt


Background: College students are significantly impacted by anxiety, depression, and mental health disorders during a time of great physical, emotional, social, and environmental transition. Mental health professionals need innovative methods to complement traditional therapies to meet the increased demands for mental health services.

Aims/Objective: Evaluate the impact of an online multimodal mental health service platform on the utilization of mental health services at a four-year minority-serving institution of higher education.

Methods: This quality improvement project provided all enrolled students (n=13,352) with unrestricted access to an online multimodal mental health service platform (online platform) during the Fall of 2023 and compared the impact on services provided by the on-campus mental health counseling center and university police department’s psychiatric calls. Descriptive statistics and Mann-Whitney U tests were used to compare differences in demographics and utilization trends between students who used the online platform and on-campus mental health services.

Results: Demographics were similar for students who used the online platform or on-campus mental health services; most were female (68%) between 18-24 (69%). The main reasons students accessed the online platform were stress (55%), anxiety (47%), and depression (32%). The online platform had a utilization rate of 3.39% while the on-campus counseling center had a utilization rate of 2.53% among matriculated students in Fall 2023. The mean number of monthly on-campus counseling center visits (2022 M(SD)=168(8.5); 2023 M(SD)=112(24); z=-1.964, p=.05) and police calls (2022 M(SD)=11(2); 2023 M(SD)=5(3); z=-1.964, p=.05) significantly decreased from Fall 2022 to Fall 2023.

Conclusion: The online platform had a slightly higher utilization rate among students than the on-campus counseling center. As the need for mental health services continues to increase, incorporating alternative therapy services will complement the work of onsite campus counselors. Providing both options creates a comprehensive approach to mental health needs.

Open Access


Available for download on Tuesday, April 22, 2025