1. Four Into One: Integrating Counseling, Student Health, EMS and Peer Education Services
David Rubenstein, Psy.D. Senior Director for Student Wellness Scott Woodside, MSN, RN, MBA Director, Student Health Center Rowan University Glassboro, NJ

2. Why? Increased Visibility and Access to Care
Increased Promotion of Health, Wellness and Safety on Campus
Increased Quality of Services Through Integration of Resources
Increased Integration of Academic Life
Destigmatization of Services
Cost-Efficient

3. Challenges to Optimal Integrated Care: Where We Came From

4. Rowan University Health and Wellness Center: Past & Current
Previous Capacity
Therapy Offices 9
Medical Exam Rooms 4
Training/Class Rooms 0
Conference Rooms 1
Storage/File Rooms 2
Waiting Room Capacity 20
New Wellness Center
Therapy Offices 14
Medical Exam Rooms 12
Training/Class Rooms 3
Conference Rooms 1
Storage/File Rooms 5
Waiting Room Capacity 44

5. Counseling and Psychological Services Center: Past & Current
Previous Capacity
Therapy Offices 9
Group Therapy Room
Training/Conference Rooms 1
Storage/File Rooms 1
Waiting Room Capacity 5
New Wellness Center
Therapy Offices 14
Group Therapy Room
Training/Conference Rooms 1
Storage/File Rooms 1
Waiting Room Capacity 15

6. Student Health Center: Past & Current
Previous Capacity
Medical Exam Rooms 4
Laboratory
Storage/File Rooms 1
Training/Conference Room 0
Waiting Room Capacity 10
New Wellness Center
Medical Exam Rooms 11
Observation Room
Laboratory
Storage/File Rooms 4
Training/Conference Room* 1
Waiting Room Capacity 27
*Shared space with CPSC.

7. Healthy Campus Initiatives: Past & Current
Previous Capacity
Offices 1
Workspaces
New Wellness Center
Offices 2
Workspaces

8. EMS Services: Past & Current
Previous Capacity
Former Repair Shop and Storage Workspace
EMS Vehicle 1
No Garage
New Wellness Center
EMS Vehicles 2
EMS Entry Bay
EMS Garage Capacity
Decontamination Shower
Group Offices
Work Space
Medical Supply Room
Lounge
Training Room

9. Academic Space: Past & Current
Previous Capacity
None
New Wellness Center
Three Classrooms
Capacity: 30 students per room
Change classes every 90 minutes

10. Wellness Center Grand Opening

12. Counseling Waiting Room Student Health Waiting Room
Lobby

15. Goal A
Understand how elements of counseling and psychological services, student health services, emergency medicine services, and healthy campus peer education initiatives can be integrated into one facility

16. Objective 1: 10 Critical Steps…
Collect information and data regarding utilization management trends regarding use of counseling, student health, peer education, and EMS services.
Review current strengths and shortfalls in provisions of services.
Review how integration of services can improve access to care across services.
Inform students, staff and faculty aware of needs for integrated services through meetings, presentations, media.
Provide this information to be available to students, parents, SGA, student senate, faculty senate, Cabinet, and B.O.T.

17. Objective 1: 10 Critical Steps…
6. Elicit Executive Cabinet motivation through presentation of student needs, current services, facts around utilization management, liability and risk to acquire funding. 7. Participate in the selection of architects and designers for integration of services. 8. Develop close working relationship with project manager. 9. Keep priority of provision and access to student services at a high level throughout the design, construction, completion and move-in phase. 10. Open-house, promotion, evaluation of integration of services with communication to Executive Cabinet and student, staff and faculty community.

18. Objective 2: Five Challenges and Strategies
Engage in activities that involve all staff from all services. Directors review with their staff areas of overlap and integration, process of referral, separation and explanation of services and their provision.
Directors and Office Manager review programs which will share services, services which will need ongoing separation, and adjust policies and procedures as necessary
Directors and Office Manager reviews all pertinent laws and regulations as they relate to services offered within proximity and make changes accordingly (e.g. changes in job description to front office staff to manage SHC and CPS patients)
Cross-training and multi-disciplinary treatment teams.
Involve peer education coordinator in all CPS and SHC outreach health promotion planning and staff meetings.
Challenges 1. History and differing service cultures 2. Differing policies and procedures 3. Differing laws and regulations of services 4. Developing teamwork 5. Incorporate peer education services

19. Goal B
Identify how the integration of wellness services can promote mental health and enhance the creation of a trauma-informed campus

20. Objective 1: Programs & Initiatives Mental Health Awareness and Becoming Trauma-Informed
Family Welcome and Awareness
Increased Access from Classroom to Health Services
Green Dot Training Across Services: Greeks, Res. Life, Athletics, Rec. Center
Bystander Prevention Programming
Peer Education Programs Integrating Wellness Staff
Choices/Alcohol Wise
Cyber-bullying
World Mental Health Day
Send Suicide Packing
Green Dot
Peer Education
DBT
Multidisciplinary EDT

21. Objective 1: Programs & Initiatives
Peer Education Programs Integrating Wellness Staff (cont.)
Body Image Programming
Safe Break
Take Back the Night
Free Condom Friday
Reproductive Health
Cold and Flu
Increased Access to Wellness Information via Media, Literature and Wellness Activities
SHC Targeted Mental Health Screening Informing Referral to CPS/AOD
Increased Access of SHC Referrals for DBT or EDT Services
Multidisciplinary Eating Disorder Team
Increased Clinical Communication from EMS, to SHC, to CPS
EMS and SHC Integration
EMS Student Responses
SHC Trend Reporting to CPS and HCI
Green Dot
Peer Education
DBT
Multidisciplinary EDT

22. Objective 2: Program Integration
Cross Training
Staff SME presentations
Multidisciplinary committees and meetings
EDT
Sexual Violence
Health Education
EMS, SHC, CPS Report Review, Surveillance and Follow-Up
EMS Transport Directly From Wellness Center to Hospital
SHC Reports to Wellness Center on Significant Health and Safety Events and Trends
EMS and SHC Blood Pressure Screening for Students and Employees
Collaborative Planning
Include wellness leaders in regular planning meetings
Campus wide wellness committee
Cross Training of staff from HCI, CPS, SHS and EMS on varied topics like CPR, patient relationships, confidentiality, substance abuse, concussion management, BBP
Subject matter experts within our Wellness Center share their expertise at annual trainings
Pooling professionals from across disciplines creates an environment that fosters a more developed approach to patient centered care
Include key stakeholders in wellness planning both through the wellness center and across campus to identify untapped resources and build sustained partnerships with departments like the Rec Center, School of Health Promotion, Athletics, Nursing, Medical and Psychology Departments.

23. Senior Director for Student Wellness Director, Student Health Center
Thank You
David Rubenstein, Psy.D.
Senior Director for Student Wellness
Scott Woodside, MSN, RN, MBA
Director, Student Health Center
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