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Developing and Maintaining anImpaired Student Recovery Area on CampusCarl Shaner, Student Health Center DirectorElliott Strickland, Special Assistant for Student Affairs & Student Development
ACHA 2010 Annual MeetingPhiladelphia, PAJune 3, 2010
Session Overview
• Overview of how it works
• Explain our ISRA and its impact
• Discuss the benefits
• Discuss liability issues
• Assessment
Facilitator Model
• Peter Lake and Robert Bickel -The Rights and Responsibilities of the Modern University – be proactive about safety and risk-
management– to develop organization environments that are
reasonably safe, educationally relevant, and developmentally sound.
Mission
• To offer a safe and secure environment for impaired students
• To prevent impaired students from jeopardizing their health and wellbeing
• To prevent impaired students roommates/friends from having to provide care and oversight (or risking that they won’t)
Initial Contact
• Intoxicated student is identified
• Initial PBT Test is given
• After 20-30 minutes, 2nd PBT is given
• Student will be taken to the ISRA if:– BAC is .15 and climbing and/or– Students safety or health is a concern
ISRA Objectives
• Monitoring of vital signs
• Delivery of basic medical care
• Oral hydration of the student
• Complete Health History and Assessment
• Breath Alcohol Rechecks
• Access and transport to emergency care if needed
ISRA Protocol
• Upon arrival audio and video recording begins
• Detailed health and substance abuse history is taken
• Basic physical exam is completed and documented
• Student is placed on a cardiac monitor to trend vital signs
• PBT readings are retaken
ISRA Follow-Up
• College judicial process
• BASICS (Brief Alcohol Screening & Intervention of College Students)
• Counseling meeting
• Criminal charges
Impact of ISRA on College and Community
• Reduced impact on roommates and friends
• Decreased number of ED visits on an already taxed service
• Decreased use of magistrates for arraignment
• Decreased vandalism and property damage
Benefit of ISRA on Individual,College and Community
• Increased counseling outreach efforts
• Better rehabilitation potential
• Identification of high risk factors of alcohol misuse and abuse
ISRA Liability Issues
• Doing too much compared to not enough
• ED releasing students too early
• Burden placed on ISRA workers not roommates– Certified EMTs with medical training– In-house training on equipments
• Video and audio recording
5 Year Statistics
2004-2005 2005-2006 2006-2007 2007-2008 2008-2009
Split by Academic School
Total 41 32 27 37 42
Average BAC
.200 .214 .204 .202 .222
Average Age 20 19.5 20 19.5 19.8
3 Year Statistics
• 9% per year are incarcerated
• 17% are repeat offenders
• 19% are on Academic Probation (<2.0 GPA)
• 15% are Academically Dismissed at the end of that academic year
• 72% 1st Year; 23% 2nd Year; 3% 3rd Year; 2% 4th Year +
Direct Costs
• ISRA/EMT = $7,182 (18 hrs/wk @ $10.50/hr x 38 weeks)
• Revenue = $3,580 per year on average