A decade after University of South Florida student-athletes helped bring mental health into the American Conference’s athletics conversation, the message behind Powerful Minds remains relevant: competitive strength and emotional well-being should not be treated as opposing priorities.
On October 15, 2026, the University of South Florida published a retrospective examining the initiative’s development and the continuing role of student-athletes in challenging mental-health stigma.
The report, written by USF Athletics senior writer Joey Johnston, revisited the contributions of former Bulls football center Cameron Ruff, who helped establish the initiative through the conference’s Student-Athlete Advisory Committee.
Now 31 and coaching offensive line at Jesuit High School in Tampa, Florida, Ruff returned to speak with South Florida’s Student-Athlete Advocacy Council during the American Conference’s Mental Health and Powerful Minds Week.
His visit connected the program’s early advocacy with a new generation of athletes facing competitive expectations, demanding schedules and increasingly visible online scrutiny.
Current USF football player Greg Otten, women’s lacrosse player Kerrigan Gilmore and Director of Sport Psychology Dr. Lee Dorpfeld were among the people highlighted in the university’s coverage.
The discussion demonstrated why athlete mental health remains an important part of college sports, even as universities expand awareness campaigns and professional support resources.
According to USF Athletics’ October 15 report on Powerful Minds, the initiative continues to encourage athletes to discuss psychological challenges and recognize when professional assistance may be appropriate.
The anniversary also raises a broader question: what does meaningful progress in student-athlete mental health look like after years of awareness campaigns?
The answer involves more than public messaging. It requires examining athlete leadership, access to qualified professionals, confidentiality, coaching culture and whether students feel comfortable using the resources available to them.
South Florida Revisits The Powerful Minds Mental Health Initiative
Powerful Minds is an athlete-led mental-health awareness initiative associated with the American Conference.
Its purpose is to challenge stigma, increase awareness of available resources and encourage student-athletes to recognize mental well-being as an important part of their overall health.
The initiative developed through the conference’s student-athlete advisory structure, giving athletes a role in shaping conversations about issues that directly affect their lives.
USF’s October 2026 retrospective described the campaign as a decade-long effort, emphasizing the contributions of athletes who helped establish its direction.
There is an important distinction in the historical timeline.
The American Conference’s official Powerful Minds history identifies fall 2017 as the formal inception of the campaign. The conference also documented mental-health awareness activities beginning in September of that year.
Therefore, USF’s ten-year retrospective is best understood as a reflection on approximately a decade of athlete-led advocacy rather than confirmation that the formally named campaign launched in 2016.
That distinction does not diminish the program’s significance.
It provides a clearer picture of how mental-health advocacy developed within college athletics during the late 2010s.
The campaign has included conference-wide awareness activities, public messaging and participation from athletic programs.
Its central objective has remained consistent: athletes should know that mental-health concerns deserve attention and that seeking appropriate help is compatible with competitive participation.
However, awareness and treatment are not interchangeable.
An initiative can encourage discussion without providing clinical evaluation or counseling.
The effectiveness of any broader mental-health system depends on whether awareness efforts connect athletes with qualified professionals and reliable services.
Cameron Ruff Helped Bring Athlete Mental Health Into The Conversation
Cameron Ruff played offensive line for South Florida from 2014 through 2017.
During that period, he became involved in the American Conference’s Student-Athlete Advisory Committee and contributed to the development of the mental-health initiative.
His perspective was shaped by the contrast between how athletic programs typically respond to physical injuries and how psychological difficulties have sometimes been treated.
Athletes who experience physical setbacks often have established pathways to athletic trainers, physicians, rehabilitation professionals and other specialists.
Mental-health concerns have not always received the same visibility or acceptance.
Ruff’s advocacy challenged the idea that psychological struggles indicate weakness or a lack of competitive commitment.
In his October 2026 comments, he recalled how athletes could face dismissive judgments when discussing mental-health difficulties.
His goal was to encourage a more supportive understanding of those experiences.
That distinction matters because mental toughness is frequently discussed in sports as the ability to endure pressure.
Persistence and discipline can be valuable athletic qualities, but they do not eliminate the need for professional mental-health care.
An athlete may be highly motivated, physically prepared and successful in competition while also experiencing concerns that deserve evaluation.
Ruff’s message did not suggest that every difficult emotion represents a clinical condition.
Instead, it emphasized recognizing when concerns become significant and understanding how to obtain appropriate support.
The former USF player now works with younger athletes as an offensive-line coach at Jesuit High School, his alma mater.
That transition gives his advocacy a different context.
He is no longer speaking only as a former college athlete. He is also working in an environment where adults have responsibilities for the safety and well-being of developing players.
For high school coaches, the appropriate role is not to diagnose psychological conditions.
It is to foster respectful communication, recognize when additional assistance may be needed and follow established procedures for connecting students with qualified professionals.
Powerful Minds Continues Through South Florida’s Student-Athlete Council
During the 2026 Powerful Minds Week, Ruff addressed South Florida’s Student-Athlete Advocacy Council, commonly known as SAAC.
According to USF Athletics, the council includes student-athlete leaders representing each of the university’s 21 varsity sports.
This structure gives the initiative a broader reach than a single team or athletic discipline.
Football players, lacrosse athletes and competitors from other sports may face different schedules and competitive environments.
Yet they can share concerns involving academic responsibilities, public expectations, performance pressure and access to support.
Student-athlete representation can help universities understand those experiences from the perspective of the people directly affected.
Athletes may identify barriers that are not immediately apparent to administrators.
For example, a university might offer professional counseling while students remain uncertain about confidentiality, appointment procedures or whether seeking care could affect their standing within a team.
An advisory council can provide a forum for discussing those concerns.
However, student representatives should not be expected to serve as informal therapists.
Their responsibilities are different from those of licensed mental-health professionals.
Peer leadership can support education, encourage respectful conversations and help communicate where resources are available.
Clinical assessment, diagnosis and treatment must remain with appropriately qualified providers.
The value of a student-athlete council lies partly in its ability to connect athlete experiences with institutional decision-making.
That connection becomes more meaningful when university leaders listen to feedback and examine whether support systems are accessible in practice.
Greg Otten Highlights The Pressure Of College Athletic Schedules
Current USF football player Greg Otten, the Student-Athlete Advocacy Council’s vice president, contributed to the university’s October 2026 discussion.
Otten emphasized the time demands associated with college athletics.
Student-athletes frequently move between training, academic work, competition and other responsibilities.
For some, that schedule may leave limited opportunities to decompress or reflect on difficult experiences.
Otten also discussed the importance of managing pressure and learning to move forward after mistakes.
These concerns are familiar across competitive sports.
A football player may have to prepare for the next game shortly after a disappointing performance.
A student may face an examination while managing travel and practice commitments.
A team leader may feel responsible for supporting teammates while also handling personal obligations.
None of these circumstances automatically indicates a mental-health disorder.
However, they illustrate why college athletes may benefit from clear support systems and opportunities to discuss concerns before they become overwhelming.
Otten identified Dr. Lee Dorpfeld as an important resource for South Florida athletes.
His comments highlighted the value of having a qualified professional associated with the athletics environment.
That access can make it easier for students to understand where support is available.
It does not mean that every athlete will require clinical treatment or that the same approach is appropriate for everyone.
The practical objective is to ensure that athletes know their options and can seek qualified assistance when needed.
Kerrigan Gilmore Raises Concerns About Social Media Comparison
Women’s lacrosse player Kerrigan Gilmore, the current SAAC secretary, offered another perspective.
She described the combination of academic work, athletic expectations, relationships, nutrition responsibilities and social-media exposure that many young athletes navigate.
Gilmore expressed concern about how online comparisons can affect the way athletes evaluate themselves.
Social media can provide opportunities for communication, community and personal expression.
It can also expose athletes to criticism, unrealistic comparisons and public commentary about their performances.
The effects vary considerably.
Some athletes may find online engagement positive or manageable.
Others may experience pressure from negative comments, expectations about appearance or comparisons with competitors.
Gilmore’s comments reflected her personal perspective rather than a clinical assessment of other athletes.
Her observations are nevertheless relevant to broader NCAA research.
In February 2026, the NCAA reported findings from its 2025 Growth, Opportunities, Aspirations and Learning of Students in College study.
Among Division I men’s basketball respondents, 51% reported receiving social-media abuse related to their athletic performance.
The same group reported a 46% rate of negative or threatening messages from someone who had bet on their game.
Those figures apply to the specific surveyed population and should not be generalized to all USF athletes or all college sports.
The NCAA’s 2026 social-media harassment findings nevertheless demonstrate that online abuse is a documented concern within college athletics.
For athletes, the practical response may involve understanding available reporting mechanisms, establishing reasonable boundaries around online engagement and discussing distressing experiences with trusted people.
When online harassment contributes to persistent distress or affects everyday functioning, professional mental-health support may be appropriate.
Athletes should not be expected to tolerate threatening behavior as an unavoidable part of competition.
Dr. Lee Dorpfeld Connects Awareness With Professional Support
A major part of South Florida’s mental-health environment involves Dr. Lee Dorpfeld, the university’s Director of Sport Psychology.
USF Athletics identifies Dorpfeld as a professional who provides support to student-athletes and helps address mental-health and performance-related concerns.
His role is particularly relevant because awareness campaigns can encourage athletes to seek help, but professional services provide a different level of support.
The university’s athletics department has a longer history of mental-health programming than Powerful Minds itself.
According to USF’s official Sport Psychology Department information, South Florida began providing in-house mental-health and performance-enhancement services for student-athletes in 2014.
The department states that USF was the first athletics program in the American Athletic Conference to establish that type of in-house service.
That history helps explain why the university’s 2026 discussion extends beyond a single awareness initiative.
South Florida’s approach combines athlete-led advocacy with an established professional support structure.
Sports psychology can involve performance-related concerns such as concentration, confidence and adjustment to competitive pressure.
Clinical mental-health care may involve evaluation and treatment of conditions that affect an athlete’s emotional or psychological functioning.
The distinction between these services depends on professional qualifications, licensure and the individual athlete’s needs.
The NCAA emphasizes that formal mental-health evaluation and treatment should be performed by appropriately licensed providers acting within their professional scope.
Athletes should be able to ask questions about confidentiality, available services and referral procedures.
They should also understand that coaches and teammates are not substitutes for qualified clinicians.
The presence of a professional such as Dorpfeld is a meaningful component of USF’s support structure, but the October 15 retrospective does not provide clinical outcome data demonstrating the effects of his services.
NCAA Research Shows Athlete Mental Health Extends Beyond Competition
Powerful Minds operates within a national college athletics environment where mental-health concerns have received increasing attention.
The NCAA’s 2022–23 Student-Athlete Health and Wellness Study collected responses from approximately 23,000 student-athletes across its three divisions.
The study examined mental health, substance use, nutrition, body image and other aspects of well-being.
According to the NCAA Student-Athlete Health and Wellness Study, reported mental-health concerns had improved compared with 2020 but remained elevated overall.
The research identified academics, planning for the future and finances among the major stressors affecting student-athletes.
These findings reinforce the importance of considering the whole student rather than focusing exclusively on athletic performance.
A competitor’s well-being may be influenced by educational responsibilities, financial concerns, relationships and uncertainty about future opportunities.
Athletes also differ in their experiences.
The NCAA reported disparities in mental-health challenges across student populations, highlighting the importance of approaches that recognize different backgrounds and support needs.
Research findings should not be used to diagnose individual athletes.
A population-level survey describes patterns among respondents. It does not establish whether a particular student has a mental-health condition.
For universities, the findings support the need for accessible services, appropriate screening procedures and clear referral pathways.
For athletes and families, they demonstrate why mental health deserves attention alongside physical health and academic development.
NCAA Mental Health Best Practices Establish Institutional Responsibilities
The NCAA’s second edition of its Mental Health Best Practices became effective on August 1, 2024.
The framework provides evidence-informed and consensus-based guidance for supporting student-athlete mental health.
NCAA member schools are required to make mental-health services and resources available in a manner consistent with these best practices.
The framework emphasizes four major responsibilities.
First, universities should establish environments that promote mental health and well-being.
Second, institutions should have procedures for identifying potential concerns, including appropriate psychological-distress screening.
Third, schools should maintain written mental-health action plans with clear pathways to routine and emergency care.
Fourth, formal evaluation and treatment must be overseen by appropriately licensed professionals.
The NCAA also recommends screening student-athletes for psychological distress at least once annually using a validated tool in consultation with qualified healthcare providers.
Screening is not a diagnosis.
A screening result may indicate that further assessment is appropriate, but clinical decisions belong to qualified professionals.
The NCAA Mental Health Best Practices also address coaching culture, social media, athlete transitions and the importance of collaboration.
These responsibilities provide a useful standard for evaluating awareness initiatives such as Powerful Minds.
A campaign may help normalize conversations about mental health.
A university must also ensure that appropriate services and procedures exist when students need more than information or encouragement.
The October 2026 USF retrospective highlights advocacy and professional support, but it does not independently establish the university’s compliance with every component of the NCAA framework.
What Ten Years Of Advocacy Can And Cannot Demonstrate
The continued visibility of Powerful Minds suggests that student-athlete mental-health awareness remains an institutional priority within the American Conference.
Ruff’s return to South Florida provides a connection between the initiative’s early advocates and the students currently involved.
Otten and Gilmore’s participation shows that current athletes continue to raise concerns about pressure, time demands and online comparison.
The university’s established sport psychology services provide another important element of its broader support environment.
However, longevity alone does not demonstrate that a mental-health campaign has improved clinical outcomes.
The October 15 report does not provide data showing changes in counseling participation, reduced mental-health symptoms or improvements in access to treatment attributable specifically to Powerful Minds.
It would therefore be inaccurate to describe the initiative as a proven clinical intervention.
Its documented role is educational and advocacy-oriented.
That role can still be valuable.
Mental-health education may help athletes recognize available resources and encourage conversations that otherwise might not occur.
Student leadership can also provide universities with feedback about how athletes experience their support systems.
To understand longer-term effectiveness, institutions would need additional information about accessibility, student experiences and the quality of care available.
Those evaluations should respect confidentiality and avoid requiring students to reveal private medical information.
The distinction between awareness and measurable outcomes helps maintain realistic expectations.
An effective mental-health culture is not demonstrated solely by campaign participation, public statements or social-media engagement.
It also depends on whether athletes can obtain appropriate support when they need it.
Coaches And Families Have A Role Without Replacing Mental Health Professionals
Ruff’s transition from college football player to high school coach illustrates how athlete mental-health advocacy can extend beyond university campuses.
Coaches influence the environments in which athletes train, compete and respond to setbacks.
Families may provide emotional connection and practical support outside sport.
Both groups can help create conditions in which athletes feel respected and comfortable discussing concerns.
However, their responsibilities have limits.
A coach should not attempt to diagnose a psychological condition or provide treatment outside their qualifications.
A family member should not assume that an athlete’s performance reveals the state of their mental health.
An athlete may compete successfully while experiencing distress, just as a temporary decline in performance does not necessarily indicate a mental-health disorder.
Supportive communication involves listening without judgment, respecting privacy and helping someone understand how to access appropriate assistance.
It also means recognizing that athletes differ in how they prefer to discuss personal concerns.
Some may feel comfortable speaking with a coach.
Others may prefer a healthcare professional, family member or another trusted person.
There is no single conversation style that works for everyone.
For coaches working with younger athletes, appropriate safeguarding and referral procedures are particularly important.
The objective is not to turn every adult into a counselor.
It is to ensure that concerns are handled respectfully and that qualified support is available when needed.
Student-Athletes Should Know When Professional Support May Be Appropriate
Mental-health awareness is most useful when it helps people distinguish ordinary challenges from concerns that may require professional attention.
Competitive disappointment, occasional worry and frustration can be part of everyday life.
They do not automatically indicate a clinical disorder.
However, persistent distress, significant changes in sleep or appetite, difficulty concentrating, withdrawal from usual activities or problems managing everyday responsibilities may warrant a conversation with a healthcare professional.
The National Institute of Mental Health advises people to seek professional assistance when severe or distressing symptoms persist, particularly when they interfere with daily functioning.
Its guidance on recognizing when mental-health help may be needed provides general information about symptoms and available support options.
Athletes should not delay seeking help simply because they believe they must appear mentally tough.
Nor should they assume that teammates, coaches or social-media advice can replace professional assessment.
Students can begin by contacting a campus counseling service, an appropriately qualified athletics mental-health professional or a primary healthcare provider.
Current eligibility, confidentiality arrangements and appointment procedures should be confirmed with the institution.
In the United States, people experiencing a mental-health crisis can call or text 988 or use the 988 Suicide & Crisis Lifeline for confidential support.
Anyone facing immediate danger should contact emergency services.
Powerful Minds Shows Why Athlete Leadership Still Matters
South Florida’s October 2026 retrospective offers a useful picture of how student-athlete mental-health advocacy has evolved.
Cameron Ruff helped bring the issue into conference-level discussions during his years as a Bulls football player.
Nearly a decade after the formal Powerful Minds campaign began in 2017, he returned to Tampa as a high school coach to speak with a new generation of student-athlete leaders.
Greg Otten discussed the demands of balancing sport and other responsibilities.
Kerrigan Gilmore raised concerns about social-media comparison and the pressures facing young competitors.
Dr. Lee Dorpfeld’s role highlighted the importance of professional support within an athletics department.
Together, these perspectives demonstrate that athlete mental health cannot be reduced to a question of motivation or competitive toughness.
It involves personal experiences, institutional resources, respectful communication and access to qualified care.
Powerful Minds has helped keep that conversation visible within the American Conference.
Its continuing relevance lies in encouraging athletes to understand that psychological well-being deserves attention and that requesting assistance does not diminish their commitment to sport.
For universities, the next challenge is ensuring that awareness remains connected to dependable services, appropriate clinical boundaries and meaningful student feedback.
For coaches and families, the responsibility is to listen respectfully and recognize when professional support may be needed.
For athletes, the central message remains straightforward: competitive achievement and personal well-being both matter, and neither should require someone to manage serious difficulties alone.