Maureen A Windle PsyD Associate DirectorClinical Director Counseling and Psychological Services CAPS Alaina Silverman MA Predoctoral Intern CAPS Brian Doane MA Predoctoral Intern CAPS ID: 716050
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Slide1
Supporting Students in Distress
Maureen A. Windle, Psy.D.
Associate Director/Clinical Director
Counseling and Psychological Services (CAPS)
Alaina Silverman, M.A.
Pre-doctoral Intern, CAPS
Brian
Doane
, M.A.
Pre-doctoral Intern, CAPSSlide2
IntroductionSlide3
Overview
Indicators of Distress
Vignette
& Group Discussion
Ways to Intervene
University ResourcesSlide4
Student Distress:
Academic/Employment Indicators
Repeated absences from class/employment
Missed assignments, meetings, apts.
Deterioration in quality or quantity of work
Extreme disorganization or erratic performance
Written or artistic expression of unusual violence, morbidity, isolation, despairContinual seeking of special provisionsOverblown or disproportionate response to evaluations or requests for improvementSlide5
Student Distress:
Behavioral and Emotional Indicators
Direct statements indicating distress, family problems or loss
Angry or hostile outbursts, yelling or aggressive comments
More withdrawn or animated than usual
Expressions of hopelessness or worthlessness; crying or tearfulness
Expressions of severe anxiety or irritability
Shakiness
, tremors, fidgeting or
pacing
Lack
of response to outreach from staff
Excessively demanding or dependent behavior
Isolating self in residence hall room or apartment
References to a plan to “end all of their problems”Slide6
Student Distress: Physical Indicators
Deterioration in physical appearance or personal hygiene
Excessive fatigue, exhaustion; falling asleep during the day
Visible changes in weight; statements about change in appetite or sleep
Noticeable cuts, burns or bruises
Unusual inability to make eye contact
Frequent or chronic illness
Disorganized speech, rapid or slurred speech
Frequently bleary-eyed or smelling of alcoholSlide7
Vignette
It’s 4 PM on Friday. A student who you have chatted with several times in the past walks into the room and looks concerned. He is not making good eye contact,
h
is clothes look disheveled, and he has dark circles under his eyes. This seems different than usual, as he is usually optimistic and full of energy. He tells you that he has not gone to class for the last 3 days and has had a hard time sleeping. He goes on to explain that his boyfriend recently broke up with him. On the verge of tears, he says that he doesn’t know how he can go on. He tells you that you are the first person he has told and that he doesn’t know what to do. Slide8
Group Discussion
How do you feel?
Physically?
What’s going through your body right now?
Emotionally?
What emotions are your feeling?
Cognitively?What types of thoughts are you having?
Being aware of your own reactions is important.Slide9
Let’s Chat
What are some of the warning signs that the student is in distress?
What else would you want to know about the student?
What are some protective factors you notice within the student?
How does your role influence what your responsibilities are? Slide10
What would you do?Slide11
Responding to Students in Distress
If
you are engaged with the student
Speak directly
Begin
with specific behaviors
If you are observing the student
Notice specific behaviors or concerns
Consider writing down what you observe in detail
Use judgment on the urgency of the concern
Immediate safety vs seeking consultation
*Air on the side of safety*
Talk to supervisor
Walk them to
CAPS
Contact
the Dean of Students
office 919-966-4042
DPS 919-962-2211 or 911Slide12
Speaking Directly with the Student
Meet privately
Set a positive tone
Express your concern and care.
Point out specific things you’ve observed
Ask “How are things going for you?”
Ask open-ended questions; no judgmentIf there are signs of safety risk, ask directlySuggest resources, walk them to CAPSSlide13
Help Students SOAR
at UNC
S
O
A
R
p
eak directly and empathetically
s
k
open-ended questions
e
view
risks and resources
b
serve
and discussSlide14
Counseling and Psychological Services
Located on the 3
rd
floor of Campus Health Services building
Walk-in to initiate services
Walk-in hours: Monday-Friday 9:00am-noon and 1:00pm-4:00pm
If you accompany a student to CAPS, please ask to speak with available triage therapist, or Avery Cook or Maureen Windle to provide additional informationSlide15
Counseling and Psychological Services Confidentiality
All CAPS services are confidential
There are a few
legally mandated
exceptions to confidentiality including:
Danger of harm to self or others
Disclosure of abuse to children, people with disabilities, or elderly adultsIf information was subpoenaed by a courtSlide16
University Resources
Counseling and Psychological Services 919-966-3658
Office of the Dean of Students
919-966-4042
Campus Health Services
919-966-
2281
DPS
911 or 962-8100