1. Gary Petiprin, Ph.D. Counseling Center Director Shawna Dellecave, M.A. Case Manager

2. Defining the problem Disruption Threat Distress

3. Response Process Disruptive Redirect Dean of Students Distressed Counseling Center Campus Security Care Team Threatening

4. Care Team  Purpose: identify students at emotional/ health risk; coordinate efforts to support students; assess levels of potential threat  Function: meet bi-weekly and identify plan of action and monitor situation  Process: any member of team may be notified about student of concern; communicates concern to other members

5. Care Team Members  Leslie Maxie-Ashford  Elizabeth Cassady  Shawna Dellecave  Gary Petiprin  Alice Kimble  Ronda Purdy  Joseph Frye  Jim Breslin

6. Signs that a student is distressed  Emotional  Reactions exaggerated or disproportionate  Chronic sadness, anxiety, anger  Cognitive  Decline in focus or performance  Bizarre or irrational thoughts  Statements of aggression, hopelessness, worthlessness  Behavioral  Sudden shift in behavior  Poor hygiene/disheveled  I solation/withdrawal

7. Examples  Student writes about traumatic event in her past  Student gets angry during discussion, yells, and storms out of class  Student begins crying while meeting with you  Midway through semester, student begins looking tired in class, stops participating, and  Student writes reflection paper about feelings of suicide  Others…

8. What not to do  Ignore  Minimize  Try to fix  Panic  Make false promises

9. What to do  Meet privately  Express concern  Remain calm & patient  Use reflective listening  Be empathic  Instill hope but be realistic  Connect to resources

10. Referral to Counseling Center  Emotional issues are impacting functioning  not going to class  harming relationships  not sleeping or eating well  problems with concentration  Issues are chronic (repetitive or prolonged)  Potential harm to self or others  In crisis  Needing or desiring confidentiality

11. Making a referral  Ask about their openness to counseling  Explore thoughts and attitudes about counseling  Provide basic information and correct any misconceptions  Confidentiality  Fees  Staff  Offer to call from your office (x8480)  Offer to escort to first visit  Follow up  Call us for guidance and visit our web site: www.bellarmine.edu/studentaffairs/counselingcenter

12. Role Play…