Pre-Workshop Survey

http://undergraduate.wvu.edu/home/aac-survey1

Academic Advising Council Workshop

CARE Team & Carruth Center

• Allison Hayes• Case Manager, Campus & Community Life CARE Team

• Kayla Meador, LGSW• Case Manager/Behavioral Health Therapist, Carruth Center

for Psychological & Psychiatric Services

• Morgan Sharpless, LGSW• Case Manager/Behavioral Health Therapist, Carruth Center for

Psychological & Psychiatric Services

Learning Objectives

• Become aware of the CARE Team & CarruthCenter

• Understand your role & boundaries

• How to make a referrals

• How to identify and respond to students in distress

What we tell students…

Collaboration

Assessment

Response

Engagement

Team

What is the CARE Team?

• A behavioral intervention team with the purpose of increasing collaborations to provide proactive interventions for at-risk students

• Scope includes identifying and intervening with students of concern to potentially prevent escalation and to assist students in accessing the supports they need to be successful at WVU

Goals

Improve Coordination

Bridge Gaps in Services

Early Intervention

Reporting

Promote Culture of Caring

Support WVU Community Members

Team MembersCore Members Ad Hoc Members

Campus and Community Life - Kim Mosby Office of Accessibility Services - Ann Richards

Office of Student Conduct - Stacy Vander-Velde Title IX - James Goins

Carruth Center - T. Anne Hawkins Legal Counsel - Kevin Cimino

Housing and Residence Life - Patricia Cendana Health Sciences - Louise Veselicky

CLASS - Joseph Seiaman Others as needed

University Police Department - Sherry St. Clair

Case Manager - Allison Hayes

Behaviors Encouraged to Report • Academic Concerns (classroom

disruption, disturbed writing, sustained absenteeism)

• Bullying/harassment/stalking (in person or via internet, phone, notes)

• Concern regarding alcohol and/or other drug use

• Disastrous or traumatic event

• Hospitalization/medical/health related concern

• Inappropriate emotional outbursts (unprovoked anger/aggression, hostility)

• Inappropriate interest in weapons

• Self-harm (noticeable cuts, burns, or mutilation)

• Sexual assault/rape/attempted rape (in addition to Title IX)

• Suicide attempt, thoughts, or threats

• Violence or threats of violence (veiled or direct; verbal or written)

• Withdrawing and/or decreased interest in activities

• Worrisome changes in hygiene or appearance

1 2 3 4 5 6 7 8 9

We all know to report escalated behaviors.

We also need the community to report lower risk behaviors.

HOW TO REFER

• CARE Team Referral Form

• http://CARETeam.wvu.edu

• Questions and support before or after submitting a referral

• CARETeam or Allison.Hayes@mail.wvu.edu

• 304-293-8862 *not monitored 24/7

Team Process• Anyone can submit a CARE Team referral form (referrals are

reviewed during business hours)

• CARE Team acts as triage for student concerns

• Chair and CM determine if referral will be routed to a campus department, case management, or to the larger team for intervention

• Team meets weekly to discuss referrals, plan interventions, and follow up on action items

Common Interventions

• Meeting with the student to discuss the reported concern

• Consultation with student and his/her/their family

• Referral to an on- or off-campus resource

• Follow up and monitoring student success

• Assistance and consultation with reporting individual or unit

• Referral to another campus or administrative process

Potomac State BIT

• http://www.potomacstatecollege.edu/campus_life/BIT.html

• For non-emergencies you can email BIT at PSC-Cares@mail.wvu.eduwith the following information:

• The name of the Individual of Concern or Group along with any known information about that individual or group

• A description of what you saw or heard (When, Who, Where, What happened, What action was taken?)

• Your contact information is not required, but helpful if further communication is needed

• Any other information that you believe is relevant

WVU Tech BIT

• For those with access, utilize the Advocate system for reporting

• For others, please contact the Dean of Students, Richard Carpinelli

• 304-929-1232

• Richard.Carpinelli@mail.wvu.edu

Carruth Center

• Physical Address: 390 Birch Street

• Behind the Rec Fields and adjacent to the Student Rec Center

• Parking for patients

• Closest PRT Station is Towers, walk the path around the Rec Fields

Services Overview 304-293-4431

• Counseling

• Individual

• Group – vary by semester (special populations or concern of focus)

• Substance Abuse (Student Assistance Program - SAP)

• Psychiatry (medication)

• MindFit Clinic

• Learning Disability/ ADHD Assessment

• Cognitive Training

• Outreach

• Consultation

• Crisis Intervention

Please come see us as soon as possible during drop-in hours:

8:15 AM - 4:45 PM

You may call to schedule an appointment or utilize drop-in hours between 8:15 AM - 4:45 PM to initiate

care.

Waiting times may be long depending upon the number of students who have already come in.

Students arriving after 3 PM may be scheduled for another day unless experiencing a crisis.

Is this a crisis?

(recent assault, death in the family, suicidal

thoughts or self-harm)

Are you looking to begin counseling?

Do you have a problem or concern you need assistance with?

How to Utilize Drop-In Hours

By scheduling an appointment you will alleviate the possibility of a wait. 304-293-4431

Scheduled AppointmentsThese services are best managed by scheduling an appointment ahead of time which may be done by calling 304-293-4431 between 8:15 AM - 4:45 PM.

• Do you need testing for accommodations or an official diagnosis?

• Have you recently been seen at CCPPS and are looking to resume care?

• Are you seeking medication for depression, anxiety or ADD/ADHD symptoms?

• Are you having academic issues and want to better understand how they can be

addressed through Mindfit?

• Are you seeking services due to an alcohol-related student conduct or court-

related infraction?

What Happens During the First Appointment?

• Greeted by the front desk

• Complete paperwork on iPad

• 30 minute meeting with a clinician

• Discuss options regarding available services• Short term, community provider, group, MindFit, psychiatry,

etc.

Potomac State Counseling Services

Reynolds Hall 104A

304-788-6976

Monday – Friday

8:30 AM to 4:30 PM

Kristin Morton, MS, LPC, NCC

• Advisors may call when needing assistance with a student.

• Call 2x, no answer during sessions

• Walk students to the counseling office

After hours crisis counseling services are

available at 304-788-6977

WVU Tech Counseling Services

Student Life House (Rm 208)

304-929-1237

Monday – Friday

8:30 AM to 4:30 PM

Mary Hoke, MSW, LCSW

• Advisors may call or walk the student over to the counseling office

• Calling @ top of the hour

After hours crisis counseling services are

available at 304-929-1237

Advisor Role & Identifying Distress

• You may be thinking…

• “I didn’t go to college to do this…”

• “I’m not their parent.”

• “Will I make it worse?”

• “Is this even my business?”

• “Will I be liable is something happens...?”

• “Do I even know what to do…?”

• Because Joe or Valerie will stalk me until I do

Why should I get involved?

Here’s why…

• 18-25 years of age is when many disorders first appear

• Advisors are a main point of contact for students to campus

• Observable behaviors/changes

• You may be the first/only to notice

• Students are more likely to open up to someone they know

• Situations often do not resolve without intervention

Sources of Stress

Academic/vocational

Personal/family/financial

Crisis/unexpected events

Developmental changes, challenges, and transitions

Signs of Distress

A Noticeable and Persistent Change in…

• Sleep patterns

• Appetite (+ or -)

• Weight (+ or -)

• Energy level, motivation

• Mood (more irritable, depressed, anxious)

• Academic performance or preparation

• Personal appearance, hygiene

• Physical symptoms that have no medical explanation

Signs of Distress

Withdrawal• From activities and social

interaction

• From emotional involvement with others

Emotional Overreaction• Crying spells

• Hypersensitivity

• Angry outbursts, inappropriate to the current situation

• Violent behavior (or threatened violent behavior)

Signs of Distress

Carelessness

• Reports of….

• Reckless driving

• Excessive risk taking

• Sexual acting out

• Excessive spending/indebtedness

• General impulsivity

• Disregard for personal safety or safety of others

Alcohol and Substance Use/Abuse

• Overuse or increased use of alcohol or other drugs

• Use of illicit drugs, including misuse of prescription drugs

• Noticeably intoxicated or impaired

Signs of Distress

Anxiety• Feeling “panicky”

• Feeling physically “shaky”

• Excessive worry

• Excessive sweating

• Reports of rapid heart rate

• Shortness of breath

• Feeling that they may pass out or die when very anxious

Distraction• Inability or decreased ability to

concentrate, focus

• Persistent memory lapses

• Restlessness

• Preoccupation

Signs of DistressPoor Contact with Reality

• Irrational conversation

• Obsessional rumination or worry

• Exaggerated suspiciousness or fears

• Distortions of reality (hallucinations, inability to distinguish fantasy from reality)

• Disorientation

• Bizarre or strange behavior

Suicidal/Homicidal Ideation

• Feeling helpless/hopeless

• Feeling that everything is “out of control”

• Talks or writes about death, suicide, or having the means for suicide

• Suddenly happy, calm, or complacent after period of depression

• Threats toward others

Risk Factors• Substance abuse or dependence (alcohol and other drugs)*

• Social alienation and isolation, lack of belonging

• Interpersonal difficulties or losses (e.g., relationship breakup, dating violence)

• School or work problems

• Conduct or behavioral problems*

• Financial problems

• Times of transition

• Negative social and emotional environment, including negative attitudes, beliefs, feelings, and interactions of staff and students

Interventions with Distressed StudentsWhat can we do?

Talk To The Student

How to talk to the student...

• Use your rapport

• Offer undivided attention

• Communicate your willingness to listen

• Acknowledge specific behavior you observed

• You’ve been acting different vs. I noticed that last semester that your GPA had dropped and you missed your last appointment that we had scheduled.

How to talk to the student…• Express empathy or concern

• I’m worried about you

• Recognize any cultural difference that may be influencing the situation

• LISTEN!!!!

• Paraphrase what you have heard

• Don’t minimize, judge, disagree, argue, discount, or correct

• Don’t say “I understand.” This may be perceived as dismissive

SKILLS• Listen

• Question

• Paraphrase

• Reflect

• Focus

• Empathize

Advisor Boundaries

• Knowing your role & limits

• Set expectations & clear boundaries to the student

• Communication with the student

• Consulting with CCPPS staff

What to do if…Combative/angry student

• Allow the student a chance to express their frustrations

• Try to understand the motivation for their anger & frustration

• Listen

• Calm, slow speech

• DO NOT…• Challenge the student directly• Raise your voice

• Ignore the problem behavior

Crying/Panic

• Help them breathe

• Distract them

• Help them reduce stress

• Normalize

• DO NOT...• Tell them they are being dramatic• Ignore their anxiety

• Touch the student without their permission

• Just tell them to go to Carruth

Get Help for Suicidal Ideation• Do not leave the student alone

• Call CCPPS!

• If during Carruth operating hours (8:15-4:45, M-F), walk the student over

• If after hours, call Carruth to speak with a trained counselor 304-293-4431

• If the student is in a life threatening situation

• Call 911

• University Police Department 304-293-COPS (2677)

How to Refer

• Let them know you care and want to help

• Be direct and specific

• Introduce seeking help as a sign of strength and courage, not weakness

• Describe seeking help as using good judgment and an appropriate use of

resources

• Provide accurate information to the student regarding related services

• Normalize mental health care…

Normalizing Care

What if we treated physical health the same way we treat mental health…

Golden Rules When Working With A Student In Crisis….• Remember to breathe

• Take your time

• Give yourself a minute

• Consult! Get some help

• You have more time than you think

• Breathe

• It is their emergency NOT yours

• Lend them your calm

Who Do We Call In What Situation?

• Is this a psychological emergency?

• Is the student willing to come to Carruth?

• Is the student reluctant to receive counseling services?

• Would there be benefit from having someone reach out to the student?

• Is there immediate risk or danger?

CARE Team vs. Carruth

Carruth• Can provide support in the

immediate moment

• Can talk with the student if they are present with you

• Can collect information

• Does not typically cold call students

CARE• Reviewed by team which determines

what action can be taken

• Flexible interventions

• Can meet with case manager

• Can track and monitor the student throughout the year

• Can reach out to students

Case Studies

Case Study 1

Simon is a veteran student who was suspended

from the University but wants to return. Because

his GI Benefits do not cover all his expenses, he

also needs to do a financial aid appeal. After

discovering that Simon cannot be in compliance

before three semesters and sharing this

information with him, he threatens self-

harm. How do you respond?

Case Study 2

Jeannette comes in to meet with you about her

midterm grades. You notice that Jeannette has

bruises on her arms and is wearing a hat. She

acknowledges that she could be doing better

this semester, and the two of you discuss

resources she can utilize. At the end of the

appointment, Jeannette asks what she should

do if a friend of hers, Eleanor, is in a “bad

relationship”. How do you respond?

Case Study 3

Alvin is one of your advisees, whom you have

known since his first semester. You have

noticed a change in his behavior/attitude over

the past couple months. You are meeting with

him, because he received three mid-terms. After

talking with Alvin, he mentions that he has been

using marijuana regularly, and he cannot

stop. What do you do?

Case Study 4

During your fist appointment, Theodore discloses that he was

diagnosed with depression in high school and has been on

medication. However, he tells you that he stopped taking his

medication since coming to WVU. Theodore seemed highly

motivated when you met with him. During a second

appointment, you notice he has drastically changed. He looks

unkempt and does not make eye contact with you during the

appointment. You remember that he told you about his

previous diagnosis and medication. You want to say

something, but you are nervous that he may take things the

wrong way. What should you do?

• 30 - 45 minutes

• Carruth.wvu.edu under online resources

• Only available until April

Practice:

• Recognizing signs of distress

• Managing difficult conversations

• Referring to campus support services

Kognito Modules

References• Colvin, G. (2004). Managing the cycle of acting-out behavior in the classroom. Eugene, OR:

Behavior Associates.

• Mental Health First Aid (2013). The Mental Health First Aid Action Plan. Retrieved from http://www.mentalhealthfirstaid.org/cs/take-a-course/what-you-learn/

• Poggi, K. (2013). Hot Topics in Behavior: De-Escalation: Strategies for Defusing Challenging Behaviors [PowerPoint slides]. Retrieved from http://www.pattan.net/Videos/Browse/Single/?code_name=hot_topics_in_behavior_deeseescalation

• National Behavioral Intervention Teams Association. (2015). The Book on Behavioral Intervention Teams (BIT).

• Van Brunt, B., Denino, D., Raleigh, M. & Issadore, M. (2015). The Prevention and Management of Mental Health Emergencies.

• http://www.robot-hugs.com/helpful-advice/

Questions?

Carruth

304-293-4431 (24/7)

Carruth.wvu.edu

wvucccps@mail.wvu.edu

CARE

CARETeam.wvu.edu

CARETeam@mail.wvu.edu

Post-Workshop Survey

http://undergraduate.wvu.edu/home/aac-survey2