1. Randolph-Macon Academy Constance Richards, PhD, LCSW Clinical Counselor

2.  Student verbalizes or exhibits  Suicidal ideation or desire to harm self  Homicidal ideation or desire to harm others  Self-destructive behaviors  Non-suicidal self-injury (NSSI)

3.  Staff/faculty contact the clinical counselor  Student is assessed by the clinical counselor  Assessment is based on several factors including: Seriousness of the threat Any immediate circumstances that have occurred If student is a current client

4.  If student stays  Safety plan created  Appropriate staff informed  Clinical counselor contacts parents

5.  If student cannot stay  Parent/guardian picks up student We stay with student until parent/guardian arrives Provide letter of understanding regarding medical leave and ability to return Provide copy of Readmission form  Verbal permission to transport We transport to public mental health clinic or ER Student is prescreened by qualified mental health provider If unsafe to transport, contact local police to assist

6.  If student deemed able to return:  Qualified health care or mental health professional completes and signs Readmission form  Clinical counselor contacts parents/guardians

7.  If student meets criteria for hospitalization  Local hospital/ambulance service will transport  If parent/guardian wishes to transport, stay with student until they arrive  Inform parent/guardian of Readmission form policy and provide letter of understanding via email at a later time

8.  Return to school  Readmission form must be completed and signed by attending physician, mental health provider, case manager  Clinical counselor follows up with parents, student, and discharging facility  Student may be required to attend therapy with clinical counselor

9.  Conclusion: This process has been successful in:  Providing guidance in a crisis situation  Enabling students to receive the services they need  Allowing a process for the student to be safely maintained  Providing a process for student to safely return school