 Other national and international associations include National Association of Student Personnel Administrators (NASPA) and National Intramural-Recreational Sports Association (NIRSA).Ever increasing levels of college health often requires comprehensive environmental management, the coordination of resources, and institutional accountability for addressing the negative health impacts from alcohol use disorder and other substance abuse, mental illnesses such as depression and general anxiety disorders, sexual assault and discrimination among others.The creation of innovative strategies to address the behavioral determinants of health among post-secondary students continues to pose challenges for institutions worldwide.