1. The Citadel Counseling Center
AAR
12 May 2016
The Citadel Counseling Center

2. 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

3. 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

4. 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?

5. 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?

6. 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

7. 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