students in distress: guidelines for intervention and referrals mary anne knapp, msw, lcsw...
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Students in Distress: Guidelines for Intervention and Referrals
Mary Anne Knapp, MSW, LCSWCounseling and Psychological Services (CAPS) 501 Student Health Center 814-863-0395
Students in Distress: Guidelines for Faculty & Staff Interventions The Importance of Your Role w/ Students College Student Issues/Distress The Center for Counseling and Psych
Services (CAPS) Tips for Recognition Guidelines for Intervention/Referral Dealing with Specific Situations Evaluation and Ending
Young Adult/College Context
Pressures for Academic Performance Overwhelming Life Changes Financial Issues Limited Social Support Network Losses/Traumas Identity Issues Lifestyle/Body Abuse Limits of Current Coping Skills/Strategies Development of Disorders in Adulthood
Penn State Counseling Contactsat University Park CAPS 2500 + students per year for clinical
assessment and treatment Up to 16,000 clinical contacts per
year 5000 outreach contacts with
students including programs & postventions following crises/deaths on campus
Center for Counseling and Psychological Services (CAPS)
Office: 501 Student Health Center
Hours: Mon-Fri 8 am.-5pm.
Phone: 863-0395
Center for Counseling and Psychological Services (CAPS) Initial Interview-Appt. and Crisis Individual Short Term Counseling Couples Short Term Counseling Group Therapy- 25 groups/semester Psychiatric Services (Medication Evals) Outreach Services-Workshops Consultation Referrals
CAPS GROUPS
General Interpersonal Therapy Groups Women’s and Men’s Therapy Depression Group Stress Management Group Anxiety Group ADHD Support group Recovery Groups Discussion/Support Groups
Discussion/Support Groups
LGBT Graduate Therapy Group Students of Color Support Group International Student Group Blended Heritage Discussion Group Dialogues About Race Groups
Center for Counseling and Psychological Services (CAPS) Initial Interview- Appts. & Crisis Individual Short-term Counseling Group Therapy Psychiatric Services Outreach Services-Workshops Consultation Referrals - Campus and Private
CRISIS RESOURCES
CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS) Mon- Fri 8 am - 5 pm
CENTRE COUNTY CAN HELP LINE 24 hr. 1-800-643-5432
911- For emergency Police/Ambulance
863-1111 Police Services on Campus 863-0342 Judicial Affairs
Areas of Observation
Difficulty with Academic &/or Social Functioning
Unusual Behaviors and Appearance References to Stressful Life Events References to Suicide, Homicide or
Death
Difficulties with Academic & Social Functioning
Absences Withdrawal Excessive anxiety re performance Disruptive behavior
Unusual Behavior or Appearance
Depressed mood or functioning Hyperactivity or pressured speech Deterioration in hygiene or self care Dramatic weight loss or gain Strange or bizarre behavior/Loss of
contact with reality Problems with boundaries
&expectations Observable Signs of injury
References to Stressful Life Events
Experiencing death of a significant other
Experiencing a sexual or physical assault
Experiencing discrimination/alienation
Experiencing legal difficulties Any problem or situation viewed as a
loss
References to Suicide, Homicide or Death
Overwhelming hopelessness & helplessness
References to suicide or self harm References to homicide or assaultive
behaviors Isolation/withdrawal
Basic Helping Skills
Structuring the Contact Passive Listening and Attending Active Listening-Reflections and
Clarifying Questions Expressions of Support, Feedback
and Validation- “I” messages, Sharing Information
Defining Limits and Making Referrals
General Intervention Guidelines
Arrange for a private place and a time when you won’t be interrupted
If you initiate the contact, express concerns in a behavioral and non-judgmental way.
Let the student talk. Listen for both content and feelings.
Intervention (continued)
Give Realistic Hope. Help student know their options and resources and assure them that things can get better.
Avoid a judging, distant or critical style
Maintain clear and consistent boundaries and expectations
Suggest and Normalize referral
Intervention (continued)
Be sensitive to timing-Is this a crisis?
Escalate and Facilitate as needed Prepare the student for what to
expect Arrange a time to follow-up Consult when in doubt about an
intervention
Suicide
If someone alludes to suicide or you aren’t sure, It’s important to follow-up and ask. “Has this reached a point where you feel so badly you have thought of suicide?”
If suicidal, Refer for Help and Escalate as needed: Voluntary through CAPS or CAN HELP (24 hr crisis) or Involuntary through Judicial Affairs or Police Services.
Danger to Others
If someone is making vague threats, it’s important to follow up and ask if they are serious.
Refer and Escalate as needed. Voluntary intervention through Police
intervention depending on the extent and immediacy
CRISIS RESOURCES
CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES
(CAPS) Mon- Fri 8 am - 5 pm CENTRE COUNTY CAN HELP LINE
24 hr. 1-800-643-5432 911- Emer.-Police/Ambulance Judicial Affairs 863-0342
863-1111 Police Services on Campus