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CRISIS INTERVENTION
Katherine L. Morris, Ph.D., L.P.
Jean Baribeau-Thoennes, MSW
William Long, L.P.
MISSION OF CRISIS INTERVENTION
• HS is Accessible to you in an emergency with a student.
• The best crisis intervention is prevention & early detection.
• Dealing quickly with emotional & health crises reduces the negative impact on academic progress.
• Students are more likely to handle crises & stay in school if they establish interpersonal connections.
National College Health Association Survey, Spring 2004
Academic Effects Due to Various Factors
Problem: Performed poorly on
test
Lowered course grade
Drop a class or
incomplete
Alcohol 15.1% 4.3% 1.1%
Stress 22.71% 5.6% 0.7%
Depression/Anxiety/SAD
7.1% 3.6% 0.7%
Relationship Conflict
12.1% 2.7% 0%
National College Health Association Survey, Spring 2004
UMD Alcohol & Drug BehaviorActual
BehaviorAttributed Behavior
7+ drinks at most recent party
46.5% 53.3%
Within the Last 30 Days:
•Alcohol 78.9% 99.1%
•Marijuana 26.4% 86.8%
•Cocaine 3.5% 34.4%
•Amphetamines 4.3% 45.1%
•Other Drugs 3.9% 44%
•Cigarettes (daily) 8.9% 95.1%
National College Health Association Survey, Spring 2004
Top 10 Academic Impediments at UMD
0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0
StressSleep Difficulty
Cold/Flu/Sore ThroatAlcohol
Concern over Friends/FamilyDepression/Anxiety/SAD
Internet use/Computer gamesDeath of Friend/Family
DrugsStrep/Sinus/Ear Infection
TYPES OF EMOTIONAL CRISES
• Depression
• Suicidality
• Anxiety / Stress
• Abusive Relationships
• Alcoholism & Drug Abuse
• Eating Disorders
Symptoms of Depression• Feelings of hopelessness• Fatigue / exhaustion• Sleep difficulties• Eating disturbances• Poor concentration• Loss of interest in activities• Thoughts of suicide • Difficulty functioning
Give HOPE - 80% get better
Suicidality (3rd cause of death for ages 15 - 24)
• Shows signs of depression• Increased use of alcohol or high risk behavior• Getting the means to kill oneself• Giving away prized possessions• Indicating a desire to get even with significant
others• Discussing suicide or issues• Have made past attempts
ASK
Anxiety / Stress
• Anxious mood & overreacting to situations
• Inability to concentrate or pay attention
• Inability to get organized
• Increased procrastination
• Anxiety attacks: weakness, dizziness, shortness of breath, increased heart rate
• Difficulty making decisions
Anxiety / Stresscontinued
• “Going blank”: forgetting & losing things
• Frequent headaches, backaches, tightness in stomach
• Frequent indigestion or diarrhea
• Overpowering urges to cry or run & hide
• Increased use of alcohol
• Increased illnesses & accidents
BE CALM
Symptoms of Alcohol & Drug Abuse
• Odor of alcohol or marijuana• Slurred speech• Rapid speech• Incoherent• Bizarre behavior: acting out or non-
compliance to requests• Irrational thought process, verbal or
written• Inconsistent class attendance
Eating Disorders Danger Signals
• Losing a significant amount of weight
• Continuing to diet (although thin)
• Feeling fat, even after losing weight
• Fearing weight gain
• Losing monthly menstrual periods
• Preoccupation with food, calories, nutrition and / or cooking
• Exercising compulsively
• Bingeing and purging
Common Symptoms
• Excessive procrastination and / or poorly prepared work
• Frequent class absences
• Nervousness, agitation, impaired speech, excessive fingernail biting
• High levels of irritability including undue aggressive or abrasive behavior
• Excessive demands on your time
• Inability to make decisions
Common Symptomscontinued
• Strange behavior, paranoia, hostility
• Marked change in personal hygiene or appearance
• Sleeplessness, lethargy
• Sadness or fearfulness
• References to harming self or others
• Evidence of excessive drug or alcohol use
• Crying
• Dizziness or fainting
Dealing with Crisis Behavior
• Be supportive
• Be calm
• Be honest & direct
• State your concern
• Don’t act shocked or surprised
• Gather pertinent information
• Refer to counseling
Counseling Satisfaction Surveys
Counseling Improved My Academic Functioning
01020304050607080
90100
'99/00 '00/01 '01/02 '02/03 '03/04
UMD Freshmen to Sophmore Retention for Students Seen in Counseling
50%
55%
60%
65%
70%
75%
80%
85%
2000-01 2001-02 2002-03 2003-04 2004-05
Fall Returning as Sophmore
% E
nro
lle
d
Counseling
UMDBenchmark
Iowa State
Counseled students enjoy 14% retention advantage over non-counseled counterparts.
Counseling Satisfaction Surveys
Students Deal More Effectively With Problems
01020304050607080
90100
'99/00 '00/01 '01/02 '02/03 '03/04
Counseling Satisfaction Surveys
I Would Come Back If I Needed Help
01020304050607080
90100
'99/00 '00/01 '01/02 '02/03 '03/04
Counseling Satisfaction Surveys
I Would Recommend to a Friend
01020304050607080
90100
'99/00 '00/01 '01/02 '02/03 '03/04
Overall Quality of Servicesat UMD Health Services
4
4.25
4.5
4.75
5
2000 - 01 2001 - 02 2002 - 03 2003 - 04
Quality of Care
Would Recommend toa Friend
Advice was Useful
Would Come Back ifMore Help wasNeeded
REFERRAL PROCESS• Call 7913 or 8155 (you, the student,
or the student in the office).
• Identify level of crisis (today, tomorrow, next week).
• If there is danger: In an emergency call 911, in a non-emergency call campus police (7000).
• If you want to explain the details, ask to speak with a counselor.
REFERRAL PROCESScontinued
• If you want feedback, ask the student to sign a release or bring back note.
• If the student is hesitant, address the concerns.
• If the student won’t come . . . .
• Good Samaritan Law
BARRIERS TO REFERRAL
• I should be able to do it myself.
• Someone will see me.
• My parents will find out.
• It will cost too much.
• I don’t have time.
• No one can understand.
• It will pass.