Be REAL

College students consistently report feeling anxious and overwhelmed, many of them untethered by high levels of stress and the perception that they, alone, are struggling. What if colleges and universities offered these, and all students, a preventative well-being course where they learned resilience and coping skills, realistic perceptions of stress, and self-care? Would their levels of anxiety lessen? Would they feel more grounded?

This is the theory behind Be REAL, a mindfulness-based cognitive-behavioral coping program developed at the Center for Child and Family Well-being at the University of Washington (UW). The Be REAL Program (REsilient Attitudes & Living), is a six-week course that teaches students and staff a variety of skills that help improve well-being, starting with the acknowledgement that struggling is part of living.

While it partnered with the UW counseling center during the initial study, Be REAL is not a clinical solution. Rather, it is a population-based, preventative strategy aimed at helping all students thrive. 

“I think we are seeing a strong need to go from an individual approach to supporting mental health and well-being to a collective and a community approach,” said Sara McDermott, who leads the Be REAL training at the research center. “This is really important because our well-being is not related to one thing.  It’s related to our relationships, our stress levels, our politics, the food we have on the table, if we feel safe.”

The design of the Be REAL program is as sensible as its name. Typically, groups of students convene once a week for 90 minutes to learn mindfulness, stress management and cognitive behavioral skills that help with focus and executive functioning as well as self-compassion and compassion to others. In a combination of activities that build on themselves, the program is aimed at increasing students’ resilience by strengthening key protective factors, such as effective coping, perceptions of stress, and self-kindness, all of which can be in low supply among high performing students in demanding academic environments.

Originally launched as a study with a cohort of students living in residential halls at UW, the course is now available in a variety of settings. The flexibility built into the program is designed to meet students where they are, literally – whether it be dorms, classrooms or academic advising sessions.  As a general studies course, Be REAL can be a credit-bearing class for psychology students, or a mid-year elective for students needing to pick up one credit. (The Be REAL promotional video is featured on UW’s academic department web sites.) As a co-curricular program, it can be offered as a student support option for staff in residential life, advising, disability services, or any student-facing group.

“We are training folks in this work that already have relationships with students so we are supporting them in a way that is coming from the community,” said McDermott.  “That speaks volumes about how we can offer a collective approach to well-being.”

This “task-sharing model” does not require clinical skills but instead involves training people who work with students to facilitate groups, or to incorporate practices from the program into their work. Staff take the course themselves as part of their training to deliver the program in an effort to relate to and interpret what the students are experiencing which McDermott says is a benefit to both parties. “It’s really empowering to be able to say to students ‘Yeah, I tried that practice, and I found it really hard to do when you’re feeling a lot of different things.’”

McDermott says the program can also offer an opportunity for students to break out of the prescriptive patterns their majors demand. The self-compassion dynamic, and the sense of shared humanity, offers a different kind of learning experience. In an evaluation of the program, one student wrote, “the course created a space within academia where I felt seen and heard.”

One of the program’s unique advantages is its position within a major university research center. Since its launch, the Be REAL program has been studied by researchers at UW’s Center for Child and Family Well-being and funded by patrons such as the Maritz Family Foundation and Brad and Judy Chase.  The  third study included 325 undergraduate students and 100 staff members at UW.  The published results noted, “Compared to students in the assessment-only group, students participating in Be REAL showed significant improvements in mindfulness, self-compassion, flourishing, resilience, happiness, emotion regulation problems, executive control, active coping, social connection, and depression and anxiety symptoms. These effects were maintained at follow-up.” 

In 2017 and 2018, the program conducted an evaluation in the UW residential halls and found that compared to students who had not yet received the program  students who participated in Be REAL reported improved well-being measures, including mindfulness, executive control, active coping, self-compassion, social connectedness, resilience and flourishing.  A majority of these changes were maintained at a three-month follow-up. 99% of the students agreed that the program helped them learn ways for reducing stress.  These and subsequent studies recommend the task-sharing model as an opportunity to include the entire campus community in the work of improving student and staff well-being.

McDermott says the proven efficacy of the program is both personally and practically rewarding.  With evidence comes additional funding and with funding, the program can expand.  Be REAL is now being offered in other colleges in addition to UW as well as with high-school-age teens. 

To learn more about the Be REAL program, including training opportunities to bring this program to your campus, contact, Sara McDermott, Be REAL Program Manager at saramcd@uw.edu