The Citadel Counseling Center AAR 2015-16 12 May 2016 The Citadel Counseling Center

Issue: Clients at the CCC Fewer clients, counseling sessions, and hospitalizations this year as compared to last year Discussion: Hypotheses: the size of the fourth-class decreased the number of cadets living in the barracks decreased the number of mandated alcohol assessment clients decreased room assignments for all cadets in their companies decreased stress improvements in professional leadership decreased stress decreased alcohol use vs. decreased identification fewer referrals to the CCC cadets discouraged from using the CCC Recommendations to Consider: Admit and retain the number of cadets consistent with the number of beds Continue emphasis on professional cadet leadership Expect that the number of clients, sessions, and hospitalizations will be influenced by the number of cadets living in the barracks – note admission goals for 2016-17

Issue: Early Identification of Cadets with Difficulties Cadets who describe ongoing, often long-term difficulties in multiple areas. Discussion: Grades -- poor academic grades including midterm grades Attendance – class absences and failure to attend military requirements Conduct – large number of punishments PT Test – failure by score or attendance Illness / Injury – with frequent Infirmary visits, X-Status Sleep – late for morning formation, napping, sleep during class/briefings Family – frequent special leave requests Recommendations to Consider: Develop, train, and use chart to identify “warning signs” T-A-C cadets – discussing specific observations of behaviors Offer variety of resources, including but not limited to the CCC

Issue: Alcohol Violations Issues: -Differences in cadets’ use vs. differences in identification and intervention -Failure to comply with deadlines on Assistant Commandant’s memos Discussion: -Number of cadets who report alcohol violations but not on chart -Number of violations on CCC chart – 5-31/battalion, 0-15/company -Number of cadets who are overdue on 1 deadline-- 46% of cadets on chart -Number of cadets overdue on 3 of 3 CCC deadlines = 24% of cadets on chart Recommendations to Consider: -Expectation – all identified incidents result in white slip and inclusion on chart -Teach – CCC is opportunity to address other issues during mandated assessment -Recognize alcohol is problem for most colleges – important for us?

Issue: Sleep Issue: Discussion: Recommendations to Consider: Fourth-class and upperclass cadets who are clients at the CCC frequently report low quantities of sleep and inconsistent sleep schedules Discussion: 4th class- misperception- shining until 2 am will result in less negative attention UC – internet and poor daytime time management results in academic work after ESP Depression and/or anxiety interferes with consistent, reasonable quantities of sleep Chronic inadequate sleep impairs performance as a student, cadet, leader Recommendations to Consider: Use impaired performance as another reason to modify morning breakfast options Determine strategies to reduce 4th class misperceptions and choices Continued T-A-C with upperclass on time management skills Refer to CCC when sleep problems may be related to depression or anxiety Recognize that sleep is an issue for most college students – important for us?

Issue: CAT Cases Issue: Discussion: Recommendations to Consider: -Involuntary medical discharges for mental health reasons -Readmission application rejections Discussion: Involuntary MD – increasingly unlikely – ADA, OCR, Discrimination Readmission rejections – unlikely if cadet served “time” for academics, discipline, mental health care, medical care Recommendations to Consider: If mental health concerns – consult early and often, refer repeatedly, escort If readmitted cadet – consider cadet “high risk” and increase observation If concerns – ask Mark Brandenburg to address legal issues later this month

Issue: Continuum of Fourth-Class Violations Fourth-class students’ reports of violations on the outprocessing form are often not consistent with their reports at the CCC Discussion: Reviewed 44 of 92 students who outprocessed 11 of 44 outprocessed in absentia – no data 21 of 33 remaining outprocessed students reported violations at the CCC Recommendations to Consider: Revise or eliminate the box on the outprocessing form Determine why students’ written reports are often different than verbal reports