Mental health and university social responsibility: evidence, trends and challenges for inclusion

Purpose This study explores the intersection between mental health and university social responsibility (USR), focusing on how higher education institutions integrate psychological well-being into their social mission. This study aims to identify trends, challenges and opportunities for fostering inclusion, resilience and equity in university contexts. Design/methodology/approach A systematic literature review was conducted using Web of Science and Scopus. English and Spanish keywords related to mental health, well-being and USR guided the search. After screening and removing duplicates, 11 articles published between 1970 and 2025 were selected. Thematic analysis was applied, organizing contributions into five categories: student well-being, community health, psychosocial and contractual models, institutional resilience and historical initiatives. Findings The review reveals that USR initiatives, such as student hubs, arts-based practices, employability support, physical activity programs and university hospitals, contribute significantly to psychological well-being and social cohesion. Theoretical frameworks – including the 4Cs model, social exchange theory, psychosocial models and conservation of resources – highlight how institutional practices influence mental health outcomes. However, gaps remain, including limited longitudinal evidence, insufficient attention to diversity and weak connections with public health policy. Originality/value This study reframes mental health as a central component of USR rather than a peripheral service. By integrating mental health into universities’ social contracts, this study underscores the ethical imperative of embedding well-being in higher education strategies. The findings of this study advance interdisciplinary understanding and provide a conceptual foundation for inclusive policies that strengthen resilience, equity and social justice within and beyond university settings.