Distressed & Distressing Students Creating a Safety Net For High Risk Students E

Distressed & Distressing Students Creating a Safety Net For High Risk Students E www.phwiki.com

Distressed & Distressing Students Creating a Safety Net For High Risk Students E

Engelhardt, Loy, News Director;Producer has reference to this Academic Journal, PHwiki organized this Journal Distressed & Distressing Students Creating a Safety Net For High Risk Students Elizabeth Downing, M.D. UCSB Medical Director Burt Romotsky, L.C.S.W. Student Health Social Worker distressed students UCSB & Community Mental Health Resources CASE – College Alcohol & Substance Education SAM – Skills, Awareness & Motivation REST – Recovery Enhancement Success Training SBIR – Screening, Brief Intervention & Referral Distressed Student Protocol – SW point of contact Coaching Program – support as long as ADHD/LD students Hos as long as d Clinic – campus sliding scale counseling PAC – Psychological Assessment Clinic CLAS – Campus Learning Assistance Services

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Pilot Project students Social Worker hired 11/2002 with ADA Advisory group in addition to Student Health funds Campus Social Work role developed Brochures developed Education/Outreach to campus community Distressed Student Protocol committee distressed Why a Social Worker students Complicated in addition to time-consuming student situations Multiple department contacts Single point of contact High risk students Early intervention Crisis intervention distressed Student Health – Next Exit students Increasing number of UC students are taking psychotropic medication (UC student Mental Health Committee, 2006) distressed

National Trends of Distressed Students students distressed National Trends of Distressed Students students 85% of college counseling centers reported an increase in the number of students they treat as long as psychological problems UC Davis, Counseling & Psychological Services, “Responding to Distressed or Distressing Students”. distressed National Trends of Distressed Students students 62% of college students reported feeling hopeless, 44% said they felt so depressed they could barely function, 79% were very sad in addition to 9% felt suicidal American College Health Association-National College Health Assessment (ACHA-NCHA) Web Summary. Available at http://www.acha-ncha.org/data-highlights.html 62 9 79 2005-2006 44 distressed

National Trends of Distressed Students students Top 10 physical in addition to mental problems American College Health Association-National College Health Assessment (ACHA-NCHA) Web Summary. Available at http://www.acha-ncha.org/data-highlights.html.2006. 2005-2006 distressed National Trends of Distressed Students students Suicide is the 3rd leading cause of death among 15-24 year olds in addition to the 2nd leading cause of death among college students 44% of college students describe themselves as binge drinkers 13.3% of college women say they have been as long as ced to have sex in a dating situation UC Davis, Counseling & Psychological Services, “Responding to Distressed or Distressing Students”. distressed Why are College Students Distressed students Kadison, R. & DiGeronimo, T. (2004) “College of the Overwhelmed”. distressed Normal developmental issues Pressure in addition to competition: academic, extracurricular, parental, racial & cultural Financial worries Social fears Feeling hopeless in addition to helpless: depression, sleep disorders, substance abuse, anxiety disorders, eating disorders, self-harm

The Millennials students Highly structured academic life High parental involvement High levels of individual attention Emphasis on per as long as mance Little experience with failure distressed The Millennials students Increasing competition High admissions st in addition to ards Limited coping resources Difficulty being average Helicopter parents distressed Hovering Parents/ Needy Students students distressed

Distressed Student Trends at UCSB students Crisis cases have increased each year since 1991 Severity of cases have increased Counseling Services provides assistance to approximately 10% of the UCSB student population More students are referred to Student Health psychiatrists each year Concerns of distressed student affect academic per as long as mance to a significant degree distressed Social Worker Role students Single point of contact Psychosocial assessment Case management of “at risk students” Crisis services Safety net: collaboration with clinicians, faculty, staff, hospitals Closure SOCIAL WORK SERVICES ARE AVAILABLE TO STUDENTS AT NO COST distressed Social Work Student Referral Issues students Parental Concerns Mental Health Concerns Triage Financial Issues Crisis Intervention distressed

Social Work Student Referral Issues students Academic Concerns Health Insurance ER & Psychiatric Hospitals Withdrawal & Re-entry distressed Coordinating Resources & Treatment Distressed Student Social Worker Campus Student Health Counseling Services Alcohol & Drug Program OSL Resource Center as long as Sexual & Gender Diversity EOP Women’s Center Office of International Students & Scholars DSP Judicial Affairs Residence Halls Campus Police & Paramedics Financial Assistance Academic Advisors Faculty & Staff CLAS Community Parents Peers/roommates Therapists – private insurance Home community mental health treatment Medical & psychiatric hospitals Country Mental Health Treatment Government Assistance Child Care Rehabilitation Services Health Insurance Pharmacy Waiver Programs Paramedics Police/Sheriff Emergency Food & Shelter Religious Organizations ADHD Treatment at Student Health Established Diagnosis And no Suspected Psychiatric Co-Morbid Conditions SHS Primary Care MD Established Diagnosis in addition to Suspected Psychiatric Co-Morbid Conditions No Established Diagnosis in addition to Suspected Psychiatric Co-Morbid Conditions SHS Psychiatry Counseling Services Student Self Referral Disabled Students Program Hos as long as d Clinic & Psychological Assessment Center Consult / Refer to SW Triages Service Needs Campus / Community Assessment & Treatment Services Free ADHD / LD Screening Psychological Assessments Hos as long as d & PAC (see above) Coaching Services Counseling Services Disabled Student Program Campus Learning Assistance Services Community Assessment /Treatment

Community Collaboration students Psychiatric Emergency/Hospital County Mental Health County Public Health County Social Services Social Security/State Disability State Department of Rehabilitation Therapists/Counseling Clinics distressed Distressed Student Response Protocol students Intervention guide Referral identifiers: student behaviors in addition to /or reactions to these behaviors Early intervention Coordination of care Campus resources Referral procedures distressed www.sa.ucsb.edu/distressedstudentsguide Distressed Student Response System Faculty/Staff Roommates/Peers Family Judicial Affairs Student Affairs Housing Police Hospitals Counseling Services SW Notified of Continued At Risk Behaviors Distressed Student Meeting Scheduled ASAP Core Student Affairs Team Members in addition to impacted departments. Student Health Urgent Care Psychiatry Social Worker Intervention Plan Parental Notification Housing Issues Treatment Issues

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Campus Outreach students Provide “Referring Distressed Student” protocol training with representation from Student Affairs core team members Encourage early intervention Involve departmental representatives/liaisons regarding distressed student concerns distressed Campus Outreach students Student brochure Web listings Parent newsletters Media coverage distressed Confidentiality students HIPAA: Health Insurance Portability in addition to Accountability Act FERPA: Family Educational Rights in addition to Privacy Act Confidentiality exceptions: medical providers vs. staff/faculty Releases of in as long as mation distressed

Challenges students Parental Notification Outreach to Students Treatment Compliance Eviction from Housing Health Insurance/Pharmacy Coverage/ Medi-Cal distressed Challenges students Intensive Treatment Options Impact on campus community After-hours issues Data collection distressed Resources students The Jed Foundation. (2006). Framework as long as developing institutional protocols as long as the acutely distressed or suicidal college student. New York, The Jed Foundation. The Jed Foundation. (2002) Safeguarding Your Students Against Suicide. New York, The Jed Foundation. www.jedfoundation.org Benton, S.A. in addition to Benton S.L. (Eds.). (2006). College Student Mental Health: Effective Services in addition to Strategies Across Campus. National Association of Student Personnel Administrators (NASPA), Inc. Kadison, R. in addition to T. DiGeronomo (2004) College of the Overwhelmed, The Campus Mental Health Crisis in addition to What to Do About It. San Francisco: Jossey-Bass. Martha Anne Kitzrow. (2003). The Mental Health Needs of Today’s College Students: Challenges in addition to Recommendations, Vol. 41: No. 1, Article 9. Suicide Prevention Resource Center. (2004). Promoting Mental Health in addition to Preventing Suicide in College in addition to University Settings. Newton, MA: Education Development Center, Inc. University of Cali as long as nia, Office of the President. (2006). Report of the University of Cali as long as nia Student Mental Health Committee. University of Cali as long as nia. www.ucop.edu/sas/studentaffairs in addition to services/SMHCommittee2006.pdf www.jedfoundation.org/framework.php distressed

More In as long as mation students Elizabeth Downing, M.D. downing-e@sa.ucsb.edu 805-893-2251 Burt Romotsky, L.C.S.W. romotsky-b@sa.ucsb.edu 805-893-3380 distressed

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