Think-Tank: Developing Best Practices for Managing Students in Acute Distress Jeff Prince, Ph.D.,(UCB), Moderator Panelists, Directors of Counseling and Psychological Services: Brad Compliment, Ph.D.(UCR) Brad Compliment, Ph.D.(UCR) Elizabeth Gong-Guy, Ph.D. (UCLA) Elizabeth Gong-Guy, Ph.D. (UCLA) Thomas Parham, Ph.D. (UCI) Thomas Parham, Ph.D. (UCI) Emil Rodolfa, Ph.D (UCD) Emil Rodolfa, Ph.D (UCD) Gary Shoemaker, Ph.D. (UCSC) Gary Shoemaker, Ph.D. (UCSC) Jeanne Stanford, Ph.D. (UCSB) Jeanne Stanford, Ph.D. (UCSB) Special Consultant: Joe Simanek, JD, (OP) University Counsel Joe Simanek, JD, (OP) University Counsel

Goal Begin a response to OP report: (Tier 1) Begin a response to OP report: (Tier 1) Need to “recommend & develop model policies” … for “ quick and effective inter-departmental collaboration”… “for students in crisis”

Many Types of Protocols/Policies Suicide Prevention Protocol Suicide Prevention Protocol Suicide Attempt Response Protocol Suicide Attempt Response Protocol Mandated Counseling Protocol Mandated Counseling Protocol Involuntary Withdrawal Protocol Involuntary Withdrawal Protocol Medical Withdrawal Protocol Medical Withdrawal Protocol Psychiatric Hospitalization Protocol Psychiatric Hospitalization Protocol

Additional Protocols/Policies Prevention and wellness promotion plans Prevention and wellness promotion plans Communication among University officials Communication among University officials Student safety Student safety Personal leave of absence Personal leave of absence Voluntary suicide assessments Voluntary suicide assessments Judicial Code of Conduct violations for self-harm Judicial Code of Conduct violations for self-harm Student housing actions Student housing actions Mediation Mediation Academic withdrawals Academic withdrawals Postvention for those affected by a student suicide Postvention for those affected by a student suicide

Today’s Focus A Think Tank: To Focus on developing a Communication Protocol A Think Tank: To Focus on developing a Communication Protocol How do we communicate across departments about students at risk? How do we communicate across departments about students at risk? Who talks to whom, and what can we say? Who talks to whom, and what can we say? Can we develop a simple flow chart that each campus could tailor to its culture/structure? Can we develop a simple flow chart that each campus could tailor to its culture/structure?

Need to Include Many Perspectives…such as: Clinical Perspective Clinical Perspective Legal Perspective Legal Perspective Code of Conduct Perspective Code of Conduct Perspective Campus Perspective Campus Perspective

Many Roles Involved: Housing Housing Police Police Counseling Services Counseling Services Judicial Affairs Judicial Affairs Medical Medical Advisors Advisors Students/Friends Students/Friends Parents/Significant Others Parents/Significant Others Faculty Faculty etc…. etc….

Many Confidentiality Concerns: FERPA? FERPA? HIPAA? HIPAA? Mental Health Laws? Mental Health Laws? Professional Ethics? Professional Ethics? Personal Values? Personal Values?

Aim of Today’s Think-Tank: Just a Beginning Discuss together: Discuss together: Pros and cons of developing one protocol Pros and cons of developing one protocol Raise awareness of legal concerns involved Raise awareness of legal concerns involved Share current campus approaches Share current campus approaches Identify questions we need answered Identify questions we need answered Highlight key components we need addressed Highlight key components we need addressed

A Scenario: Sara Lee in Crisis Bizarre, disorganized thinking Bizarre, disorganized thinking Lives in apartment Lives in apartment Begins Hallucinating & intimidating others in the classroom Begins Hallucinating & intimidating others in the classroom Roommate fearing for her own safety calls mom Roommate fearing for her own safety calls mom Mom calls the Chancellor Mom calls the Chancellor Chancellor office calls _____?_______ Chancellor office calls _____?_______ Eventually hospitalized Eventually hospitalized Sara Lee was previously in therapy in the community Sara Lee was previously in therapy in the community Mother of concerned student calls the Chancellor three days later for update Mother of concerned student calls the Chancellor three days later for update Campus Newspaper wants the story Campus Newspaper wants the story

Let’s Discuss Some Questions… Who would call and who would they call? Who would call and who would they call? Where is the information directed next? Where is the information directed next? What role does Counseling Services play? What role does Counseling Services play? What role should Judicial Affairs play? What role should Judicial Affairs play? How would the response differ if the mother called CAPS directly? How would the response differ if the mother called CAPS directly? How does an involuntary hospitalization (5150) occur on your campus? How does an involuntary hospitalization (5150) occur on your campus? What is the process when students return to campus after a hospitalization? What is the process when students return to campus after a hospitalization? How would the campus response be different if Sara Lee had lived in the residence halls? How would the campus response be different if Sara Lee had lived in the residence halls?

What’s Next? Finish the discussion Finish the discussion Develop campus communication protocols Develop campus communication protocols Legal training on range of campus protocols Legal training on range of campus protocols Other next steps…… Other next steps……