A massive expansion in student numbers in higher education, coupled with an overall reduction in funding, has led to higher staff Á/student ratios and a reduction in the amount of staff time available to support students. This has been linked to rising demands being placed on student support services. This article draws on case studies of five students experiencing mental health difficulties, to provide insight into these issues from the student perspective. The students confirmed that aspects of the higher education environment had exacerbated their difficulties. An innovative model of support is described. Traditionally interventions for students with mental health difficulties have focused at the individual level. We argue that attention also needs to be paid to changing aspects of the environment and that this would improve the learning experience for all students.
Higher education in the UK has been through a period of major change since the mid-1980s. A massive expansion in the number of students has been coupled with a reduction in the unit of resource, increased inter-institutional competition and greater accountability. Within this demanding context, pressure has also been applied to institutions to improve accessibility for disabled people, through funding council mechanisms, quality assurance procedures and, more recently, changes in legislation. Drawing on the ®ndings of an ESRC-funded research project, Disabled students and multiple policy innovations in higher education, involving a survey of higher education institutions, the article describes and discusses the current state of policy and provision for disabled students in higher education in Scotland and England. It concludes that, while there are de®nite signs of progress in the development of provision for disabled students, many areas need much further attention. A particular area of concern is teaching and learning. Effecting real change in this area means addressing questions which challenge conventional notions of effective teaching and learning practice. It is argued that improvements in provision for disabled students in this area would mean improvements for all students. Disability is still seen as a fairly distinct policy area, mainly addressed by student support services. Further signi®cant progress can only be made if disability is embedded into all institutional policies and procedures. Its relocation, particularly in the area of teaching and learning, however, will demand a signi®cant commitment on the part of all institutions.
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