At one time or another, everyone feels depressed or upset. However, there are three levels of student distress which, when present over a period of time, suggest that the problems are more than the “normal” ones.
Although not disruptive to others in your class, these behaviors may indicate that something is wrong and that help may be needed:
- Serious grade problems
- Unaccountable change from good to poor performance
- Change from frequent attendance to excessive absences
- Change in pattern of interaction
- Marked change in mood, motor activity, or speech
- Marked change in physical appearance
These behaviors may indicate significant emotional distress or reluctance or an inability to acknowledge a need for personal help:
- Repeated request for special consideration
- New or regularly occurring behavior which pushes the limits and may interfere with class management
- Unusual or exaggerated emotional response
These behaviors usually show that the student is in crisis and needs emergency care:
- Highly disruptive behavior (hostility, aggression, etc.)
- Inability to communicate clearly (garbled, slurred speech, disjointed thoughts)
- Loss of contact with reality (seeing/hearing things that are not there, beliefs or actions at odds with reality)
- Overt suicidal thoughts (suicide is a current option)
- Homicidal threats
What You Can Do To Help
Responses to Level 1/Level 2 Behavior:
- Talk to the student in private when you both have time.
- Express your concern in non-judgmental terms.
- Listen to the student and repeat the gist of what the student is saying.
- Clarify the costs and the benefits of each option for handling the problem from the student’s point of view.
- Respect the student’s value system.
- Ask if the student is considering suicide.
- Make appropriate referrals if necessary.
- Make sure the student understands what action is necessary.
Responses to Level 3 Behavior:
- Stay calm
- Call emergency referrals as listed below.
When to Make a Referral
Even though a student asks you for help with a problem and you are willing to help, there are circumstances when you should suggest other resources:
- You are not comfortable in handling the situation.
- The help necessary is not your area of expertise.
- Personality differences may interfere with your ability to help.
- You know the student personally (friend, neighbor, friend of a friend) and think you may not be objective enough to help.
- The student is reluctant to discuss the situation with you.
- You see little progress in the student.
- You feel overwhelmed or pressed for time.
How to Make a Referral
To the Student:
- Be frank with the student about the limits of your time, ability, expertise, and/or objectivity.
- Let the student know that you think she/he should get assistance from another source.
- Assure them that many students seek help over the course of their college career.
- Assist the student in choosing the best resource.
- Try to help the student know what to expect if she/he follows through on the referral.
Consider these questions before making the referral:
- What are the appropriate and available resources for the student?
- With whom would the student feel most comfortable?
- Who will make the initial contact—you or the student?
Consultation is Available
If you have concerns about a student, counselors at the Counseling Center are available for consultation. Some of the ways we might help include:
- Assessing the seriousness of the situation.
- Suggesting potential resources.
- Finding the best way to make a referral.
- Clarifying your own feelings about the student and the situation.
The Counseling Center
All students visit the Counseling Center without charge. Students are encouraged to make their own appointments if possible. Have them call while in your office. Or, you can dial the number and hand the phone to them. You can walk the student over to the Counseling Center located in Hendren Hall next to the nurse. Most referrals can be seen within a couple of days.
Call one of the C of I Counselors:
- Marilyn Simmonds, LCPC, at 208.459.5561 or email email@example.com
- Cynthia Mauzerall, LCPC at 208.459-5103, or email firstname.lastname@example.org
- Julie Dillehay, LCPC, at 208.459.5066 or email email@example.com
At the student’s first visit to the Center, information and consent forms will be filled out prior to the session as appropriate. During the first appointment, the counselor will begin to assess the student’s needs and determine the most effective ways of helping. Options may include counseling at the Counseling Center or a referral to another provider.
A psychiatric nurse practitioner comes to the Counseling Center twice per month to further assess and prescribe medication as necessary to students who have a referral from an C of I counselor.
In An Emergency
Try to stay calm. Find someone to stay with the student while calls are made.
For students expressing a direct threat to themselves or others, or who act in a disruptive, bizarre, or highly irrational way, call Campus Safety at 208.459.5151, or 911.
Or call C of I Counseling Services during office hours (9 am to 5 pm Monday through Friday):