Health and U.Va. Department of Student Health Counseling and Psychological Services “Without health there is no happiness. An attention to health, then, should take the place of every other object.” ~ Thomas Jefferson, Founder, 1826

Joint Commission on Accreditation of Healthcare Organizations 2013 Parents Handbook p

Student Health Services 12:30am-2:30pm Resource Fair Today Newcomb Hall Ballroom. Turn in Pre-Entrance Health Forms. Pick up application for health insurance. Ask questions of representatives of various services.

Services in Student Health (2013 Parents Handbook) General Medicine Gynecology Student Disability Access Services (SDAC) Counseling & Psychological (CAPS) Health Promotion Joint Commission on Accreditation of Healthcare Organizations

Services covered by Tuition/Fees Covered: Professional visits (e.g. MD, NP, RN, RD, PhD, MSW) 24 hr triage, on-call Health promotion programs Not Covered: Prescriptions –Most insurance cards honored Lab tests –Filed to insurance Vaccines/EKG/IV fluid –Charge to Bursar Referral services –X-rays, CT, MRI –Physical Therapy –Specialty Referral –Emergency Room

Confidentiality & Consent 18 year olds are “adults” in Virginia –Protected by privacy and confidentiality statutes –May consent to any treatment Parental consent needed for minors except as provided by law For 18 year olds (and minors for certain conditions) we need written or verbal permission to speak with a parent.

Insurance Requirements Health insurance required by university Adult children ≤ 26 can be covered by parent’s employer policy after January 1, 2011.

Insurance Requirements Adult children on parental insurance: –Out of network benefits in college community Specialty care, elective procedures, mental health –Daughters may not have maternity coverage –Travel coverage abroad (e.g. med evac) –Adult children may be concerned about confidentiality –Cost differential between employer and college plan Pretax payment of premiums employer plans.

Insurance Requirements Health insurance required by university Any licensed insurance plan for domestic students is acceptable. University-endorsed insurance plan –Details at resource table & on website –International students must meet hard waiver criteria

Immunizations $100 Late fee after Aug. 31 Required Measles, Mumps, Rubella (MMR) Td, Polio Meningitis –At least one dose after the 16 th birthday. Hepatitis B Tb testing/screening Recommended Varicella Flu (October 23 rd ) Tdap (adolescent pertussis) replaces Td HPV

Alcohol U.Va. Dangerous alcohol consumption is declining Negative health consequences are decreasing Wellness Fair 2008

Negative Consequences Due to Student’s Own Drinking U.Va. Health Promotion Survey, , All U.Va. Undergraduate students - 83% - 81%- 70%

We Believe that Most Parents… Do not provide alcohol for underage students Model responsible celebration Talk with their student about alcohol Learn about BAC (Blood Alcohol Concentration)

BAC: Blood Alcohol Concentration BAC Cards or Smart phone apps

Counseling & Psychological Services - CAPS Student Health Center

Who We Are 12 Psychotherapists Coming Soon – a Case Manager Most CAPS clinicians are generalists 3 PT Psychiatric Providers (80 hours weekly) 6 Trainees

What kind of Difficulties do we Treat Anxiety Depression Adjustment Alcohol or Substance Abuse Eating Issues & Body Image Concerns Relationship difficulties Grief and Loss Trauma

What we Do Individual Psychotherapy Crisis Intervention Group Psychotherapy Psychiatric Medication Services Consultation and Referral Outreach and Education

How to Make an Appointment Students call Will be scheduled for brief screening phone call within 1 to 2 days.

How to Make an Appointment Based on serious of situation and level of distress, student will be scheduled for: –Same day emergency appointment – most often for suicidal risk –Urgent Intake, 1 to 3 days –Standard Intake, usually 2-9 days After-hours emergency on-call clinician –Call:

After Hours Emergency Services If a student feels as though s(he) may harm him/herself or someone else, CAPS has an after-hours emergency on-call clinician available at: Or: Call 911 Or: Go to UVa Emergency Room

Most Utilized Services – Group Psychotherapy Interpersonal Groups Topical Groups –Eating Issues / Body Image Concerns –Adjusting to College –Anxiety Management –Coping with Emotions

Most Utilized Services – Group Psychotherapy Groups for particular affiliations –Black Talk – for students of color –Gay Men’s Support Group –International Students’ Group

Individual Psychotherapy Brief Treatment Model: 6 to 10 sessions Focus upon rapid return to necessary functioning Referrals to private sector for longer-term psychotherapy

Psychiatric Medication Approximately 15% of students in treatment at CAPS receive medication prescriptions ( ) Black box warnings taken very seriously – close follow-up provided

Use of CAPS as Consultants CAPS staff available to respond to parental concerns Written release, signed by student, required to allow communication with parents

Parental Notification Parents notified of student psychiatric hospitalization due to –Danger to self –Danger to others –Incapacity to protect of care for self