1. A UC Irvine Community Approach to Managing Students’ Mental Health Issues Presenters: Jeanne E. Manese, Ph.D. Director, Counseling Center Vivien Chan, M.D. Chief of Mental Health, Student Health Center Assistant Clinical Professor, Department of Psychiatry & Human Behavior UCI College of Medicine Acknowledgments to UCSD Counseling and Psychological Services for their contributions and collaboration in this presentation October 16, 2009

3. Goals Identify selected psychological concerns that affect students, academic functioning and student life Assist UC Irvine staff and faculty with management options for these students Provide UC Irvine and community resources

4. Mission of the Counseling Center The Counseling Center seeks to promote optimal mental health, personal growth, resilience, and the development of coping strategies. Our mission is to provide support to students through crisis intervention, assessment, time limited individual psychotherapy and psychiatric services, group counseling, and referral. We also offer campus consultation, training, and educational workshops.

5. UCI Student Health Center Outpatient Primary Care Clinic Mental Health Clinic (949) 824 1835 Individual Psychology, Psychiatry and Counseling Services in a multidisciplinary setting

6. Treatment in College – A Psychiatrist’s Perspective Determining what is normal: no treatment, or supportive growth- based counseling What is “adjustment typical to the age group:” all of Student Affairs resources are useful What requires ongoing treatment: need a mental health professional ©Gary Larsen

7. Treatment in College – A Psychiatrist’s Perspective A Brief Overview of – –Attention-Deficit/Hyperactivity Disorder – –Eating Disorders – –Autism, Asperger’s Disorder and Pervasive Developmental Disorders – –Psychosis The Language of Suicide

8. Education & Outreach Collaborative Effort of QPR: “Question Persuade Refer” suicide prevention campaign – –Have your unit call Health Education to schedule your training! – –Available to faculty, staff and student groups

9. Health Education Center Project COURAGE Ellen Thomas-Reibling, Ph.D Collaborative effort in C&HS SAMHSA Grant 2005-8 for Suicide Prevention QPR Training: Question/Persuade/Refer Award-winning Website: don’teraseyourfuture.org... Coming to a sidewalk near you on NOVEMBER 4, 2008...

10. The Language of Suicide More Helpful VocabularyLess Helpful Vocabulary Deliberate Self Injury“cutter” “self mutilator” Aborted Suicide Attempt Incomplete Suicide Attempt “suicide threat” “suicide gesture” “failed suicide attempt” Completed Suicide (Attempt)“successful suicide” Awareness that risk is always ongoing, in context of (high) potential for lethality, (low) rescue, among many other factors belief that “risk level” is static and that assessment of risk is an event

11. Managing Potentially Threatening Situations www.cmha-bc.org March 2005 www.cmha-bc.org Be aware that not all unusual behavior is dangerous or violent. If behavior is threatening, however, take the threat seriously and protect yourself by removing yourself from the situation and calling for help, including calling 911 or a peace officer. Avoid touching the person, and allow maximum personal space. Do not stand between the person and an exit, but make sure that you have access to a safe exit also. This reduces the perception of you as a threat.

12. Managing Potentially Threatening Situations www.cmha-bc.org March 2005 www.cmha-bc.org Speak slowly, calmly and quietly; do not respond to insults or aggressive talk but do respond to other questions with short answers so that the person can understand and does not feel ignored. Often persons in psychosis are experiencing auditory hallucinations (hearing voices) and cannot hear or deal with more than short, simple statements or questions. It may be necessary to repeat yourself before the person can hear and understand you.

13. Managing Potentially Threatening Situations www.cmha-bc.org March 2005 www.cmha-bc.org Do not exhibit nervous or aggressive behavior such as crossing your arms, pointing at the person, standing with your hands on your hips, or making abrupt or quick movements. Again, this reduces any perception that you are a threat. Explain what is happening – – not in terms of the person’s own experience, but what you or others are doing to help them. If the person is hearing voices, tell them that you cannot hear them but understand that they do. It’s okay to ask if they are hearing voices and what the voices are saying; this may help the person’s anxiety. Explain who you are and who others are who may arrive. Explain that you are all trying to help.

15. Proposed Model of Mental Health Services: Counseling & Health Services Student Affairs

16. Proposed Mental Health Model The following slide contains a flowchart of a proposed mental health model / system of organization for the UCI campus – –Ability to execute the model is dependent on campus support

17. Proposed Mental Health Model HIGHLIGHTS of proposal: – –One single point of entry / one telephone line for all callers to remember for help-seeking / questions – –Collaboration between units which serve students in need – –Improved data tracking for students (re)entering, (re)exiting the campus – –After-hours service, including Proto-call, with the possibility of on-site after-hours service