ETSU Counseling Center

 

Help Referral Guide

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  DEALING WITH A DISTRESSED STUDENT:

A REFERRAL GUIDE FOR FACULTY AND STAFF

Phone: (423) 439-4841

Office: D.P. Culp Center 340

Senior Staff 

 

Dr. Davis Smith, Interim Director 

 

Kim Bushore-Maki, Outreach Coordinator

 

Dr. Jan Henley, Counseling Psychologist        

 

Diana Kuehl, Counselor

 

 

About the Counseling Center

The ETSU Counseling Center provides a wide range of psychological services, including career and short-term personal counseling.  Any full or part-time student, currently enrolled at ETSU, is eligible to receive counseling services.  These services are free of charge and confidential.

Our hours of operation are 8:00am - 4:30pm (Monday through Friday)  Some evening hours typically are available during the fall and spring semesters.  The Counseling Center staff is comprised of highly qualified professionals (two licensed psychologists and two master=s level counselor).  When appropriate, graduate trainees may also provide counseling under the direct supervision of our senior staff.  Residents from the Department of Psychiatry are also available two days per week to provide psychiatric services.

Identifying Students Who May Benefit From a Referral

The following behavioral indicators may help in identifying a student who is distressed and might benefit from counseling services:

Marked Changes in Academic Performance or Behavior

* Poor performance or preparation

* Excessive absences or tardiness

* Avoiding participation

* Excessive anxiety when called upon, giving a speech, or taking a test

* Exaggerated or inappropriate emotional response to an event/situation  

Unusual Behavior or Appearance

* Depressed or lethargic mood (head down, avoidance of eye contact)

* Hyperactivity or very rapid speech

* Swollen or red eyes

* Change in personal hygiene or dress

* Unkempt appearance

* Dramatic weight loss or gain

* Strange or bizarre behavior indicating loss of contact with reality

Talking About Suicide, Homicide or Death

* Overt references to suicide or off-handed remarks about suicide (even if said jokingly)

* Feelings of hopelessness or helplessness

* Isolation from friends or family

* Homicidal threats or off-handed threatening remarks

Alcohol or Drug Abuse

* Coming to class or meetings intoxicated

* Missing classes due to hangover

* Engaging in high-risk or violent behavior while intoxicated

Stating a Need For Help

Students may directly tell you about their feelings of stress, confusion, sadness, hopelessness, anxiety, etc.   They may look to you for answers or direction.

How To Make a Referral For Psychological Counseling

* Do not attempt to make a referral when a student is too upset or confused to  listen to you.  Simply stay with the student and wait until he/she has calmed down enough to listen and respond to your suggestions.

* Be direct in letting the student know that you believe that he/she would benefit from  meeting with a professional counselor.

*  Inform the student that the services are strictly confidential, are provided by experienced and credentialed professionals, and are a benefit of being a student at the university (i.e. are free to the student). 

            * Don=t force the issue if the student is defensive or resistant to your suggestion.  Simply restate your position and explore any misconceptions about counseling.  People are often hesitant to seek counseling, particularly if they perceive a stigma associated with counseling.  Let the student know that going to the Center does not imply that he/she is “weak” or “crazy.”

* If the student is receptive, you can suggest that he or she call for an appointment (439-4841).  The student can call from your office/room if comfortable doing so.

* A student can arrange an initial appointment either by just coming by the Center during our walk-in hours ( 10am-12pm / 2pm-4pm ) or by scheduling an appointment.  It is usually best if the student makes these arrangements rather than your doing it for them. 

* It is sometimes helpful to offer to accompany the individual to the first session, particularly if the student is distraught, but this should be the student=s decision.

* If the student is in serious crisis (highly distraught, in jeopardy of harming self or others), call the Counseling Center immediately and let a staff member know the urgency of the situation. We give such situations top priority.

* If you are ever uncertain how to handle a situation, please call us.  One of our staff members will be happy to consult with you.

Comments About Confidentiality

The Counseling Center staff are under legal and ethical obligation to keep counseling information confidential.  This means that we cannot tell anyone, including faculty or staff, if a student is receiving counseling services.  There are only two situations in which we would be able to disclose information to you: 1) if the student=s physical safety or the physical safety of others is at risk; 2) when the student gives us written permission to communicate with you.  If you would like feedback regarding the student, express that wish to the counselor and he/she will ask the student for permission to communicate with you.

Emergency Services

When emergencies occur outside of our normal operating hours, call Public Safety:  439-4480. The officers have experience working with students in crisis.  If the situation warrants, Public Safety will notify a Counseling Center staff member, who will respond to the situation.

 
This web site is best viewed with Internet Explorer.  Send questions or comments about this web site to:     Connie Yakley at yakley@etsu.edu   Last modified: September 18, 2007 11:46:50 AM,    East Tennessee State University
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