ABSTRACT The onset of the COVID-19 pandemic initiated a cascade of stressors that occurred concurrently with increasing issues of racism and racial injustice events. These compounded healthcare and societal stressors significantly impacted the mental health of individuals worldwide, including university students. To address the needs of students, a survey was administered to undergraduate, graduate, and professional students at a large public university in the southeastern United States. Qualitative data were collected regarding student mental health, recommendations for institutional resources, and support needs therein. Thematic analysis of qualitative responses from 1050 university students indicated six areas students stated they wanted the university to address to support their mental health needs: (1) Communication, (2) Academic Concerns, (3) Mental Health Resources and Connections, (4) COVID-19 Safety, (5) Social Injustice, and (6) Financial Concerns. To address these areas, we propose a set of evidence-based recommendations within the Social-Ecological Framework for colleges and universities to adopt to support student mental health considering all races, backgrounds, and experiences. Additionally, we propose strategies for university and college counseling centers to provide an essential leadership role on campuses to move these recommendations forward and positively impact the mental health of students.
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