Annual Report on Student Mental Health Policies

Introduction

In January 2025, the University of Waterloo created a new centralized website used to publish the University’s student mental health policies and rules. This new centralized website includes:

  • Student-centred principles that demonstrate the institution’s commitments to its student population with respect to mental health and well-being;
  • Easy access to information on programs, policies, services, and supports available with respect to student mental health, including resources on campus and in the community;
  • Information on how the institution protects privacy and confidentiality for individuals accessing campus mental health and wellness services; and
  • A holistic range of approaches, such as upstream measures like mental health and wellness promotion, and downstream measures like mental health intervention and crisis response.

In accordance with the Ontario Ministry of Colleges and Universities Directive on Student Mental Health, the University of Waterloo has embedded a comprehensive mental health and well-being framework through Campus Wellness that aligns with sector expectations for accessible, holistic and evidence-informed supports. The University’s student mental health policies are supported by integrated medical care, counselling, health promotion and community engagement initiatives designed to meet the diverse needs of the student population. This framework is aligned with the Directive’s emphasis on ease of access, prevention, and early intervention, and a range of approaches to mental health and well-being. 

The University continues to action Okanagan Charter commitments and align its student mental health policies and practices with the National standards of Canada.  In addition to advancing its Okanagan Charter commitments, the University has sustained momentum through the Committee on Student Mental Health (CoSMH), which was struck to lead the implementation of key recommendations from the President's Advisory Committee on Student Mental Health and embed a culture of wellness across campus.  CoSMH's efforts, alongside persistent advocacy from student leadership, were instrumental in the recent re-establishment of the Office of the Ombudsperson, a confidential, impartial resource that further strengthens transparency accountability, and student support at the University.

Implementation

Implementation of student mental health policy is reflected in both service and programming capacities.  For example, the centralized platform on student health and well-being includes easily accessible information on the availability of mental health services, as well as instructions on how to access those services. It also contains information related to early intervention, prevention, and mental health promotion.

Between February 1 - December 31, 2025, Campus Wellness delivered 20,621 counselling service appointments to 3,654 unique clients, alongside 27,212 health services appointments for 7,978 unique clients, and 1,550 specialized care appointments for 512 clients, demonstrating a high volume of integrated clinical and wellness engagement. 

Expanded offerings have included single-session counselling options, same-day health appointment, crisis supports, and targeted wellness programs, with increased appointment availability and reduced wait times as well as improved responsiveness to urgent needs. As one example of the implementation and effectiveness of practices focused on student mental health, Campus Wellness eliminated the counselling waitlist to ensure that students leave intake appointments with a scheduled counselling session.

Effectiveness

Effectiveness of these services is supported by robust client experience data and measurable outcomes. Effectiveness is demonstrated through service quality, outcomes, student experiences, and engagement, and through efforts made towards continuous improvement. 

In client satisfaction surveys administered across the last two terms (W25 and F25), the following was shared:

of students reported that they were comfortable sharing concerns with their provider;

of students indicated that providers prioritized their perspectives

of students felt involved in the decisions about their care

This data indicates strong student engagement and perceived quality of care.

The greatest demand for mental health training is ‘Responding to Students in Distress’. This training has equipped students and student supporters with the knowledge and confidence to: recognize warning signs of distress; respond to signs of distress; and refer to resources and supports. In 2025, 216 students and student supporters participated in the training; 96% of participants indicated that they can respond to someone in distress (33% increase from pre-training survey), contributing to a more informed and supportive campus environment.

Continuous Improvement

The University has also prioritized the integration of student engagement with equity-driven practices and collaborative service delivery. Students contribute meaningfully through placements, co-op roles, peer health initiatives, and advisory committees, ensuring programs reflect their needs and perspectives. Equity-informed strategies and culturally responsive approaches remain central, promoting accessibility for diverse populations. Interdisciplinary collaboration across health, academic and support teams strengthens inclusivity and enables comprehensive care, fostering continuity and seamless transitions between services. These efforts underscore a commitment to holistic, student-centered wellness and continuous improvement in mental health support.