ORIENTATION TO THE CITADEL COUNSELING CENTER Cadre 2019

ORIENTATION TO THE CITADEL COUNSELING CENTER Cadre – 2019 STAFF Suzanne Bufano, Ph. D. Melissa Craven, MA, LPC J. Conally Owen, MA, MSW, LMSW Elizabeth Blackwell Sapp, LISW-CP Susana Sharpley, MA, MEd, LPC Valerie Zanghirella, MA, LMFT-I Hannah Suglia 1

LOCATION & SERVICE HOURS Ø 203 Richardson Avenue Ø Telephone: 843 -953 -6799 Ø Service Hours: 8 A. M. – 4: 30 P. M. M-F Closed During the Noon Hour Ø Emergency Contact is the Infirmary on: Weekends & Evenings Noon Hour on Weekdays If the Counseling Center is Closed 2

203 Richardson Avenue 3

COUNSELING CENTER SERVICES Ø Short term, free, individual counseling for personal concerns Ø Mandated alcohol assessments Ø Consultations Ø Referrals Ø Confidentiality 4

Counseling For Personal Concerns Ø Who – Cadets most likely to come to the CCC Ø Why – 4 most common reasons to come to the CCC Ø When – Most common times cadets come to the CCC 5

Consultation for Personal Concerns Ø Who People who call, email, or stop by to consult Ø Why Concern about self, concern about others Ø When Emergencies vs. non-emergency concerns 6

Referrals for Off-Campus Services Ø Counseling for non-enrolled student Ø Medication Ø Long Term Therapy Ø Psychoeducational Evaluation Ø Treatment Programs – CDAP, PHP, IOP Ø Hospitalization 7

CONFIDENTIALITY Confidentiality Ø Legal term Ø Binding, applies to mental health professionals Exceptions Immediate danger to self Harm to specified others imminent homicidality Abuse and/or neglect of a child or vulnerable adult Court order With permission 8

WHAT IS AN EMERGENCY? Suicidal/self harm thoughts or behavior Ø Homicidal thoughts Ø Psychotic behavior Ø 9

Cause of Death in Your Age Group 10

Suicide at the Citadel Ø During the Academic Year 2016 -17 64 students reported suicidal thoughts or behaviors to the Counseling Center 7 cadets went to the hospital (57 did not) 3 evaluated at ER and discharged 4 cadets required inpatient hospital services 5 cadet chose to withdraw from the Citadel and 2 cadets chose to stay and complete the year ---Last 2 years --- hospitalizations increased 11

SUICIDAL IDEATION Risk Factors Ø Young, white, male Ø Ø Ø Major stressor Sense of hopelessness/worthlessness/guilt/isolation Significant loss Substance use Sleep disturbance Ø Ø Ø Mental health diagnosis Family history of suicide History of trauma/abuse Previous suicide attempts Access to lethal means 12

What do you do? Ø Learn more about the incoming cadets Ø Learn more about upperclass cadets Ø Be a compassionate and approachable leader or mentor or friend Consult with an appropriate member of your chain of command or a Commandant Department staff member Talk with the cadet about your concerns Consult with staff or faculty about your concerns Refer the cadet to the appropriate support service 13

What do you do? Is it an emergency? Yes! Escort to CCC Escort to Infirmary Call Public Safety or 911 Encourage cadet to come to CCC No, but concerning… Consult with CCC Follow-up with the cadet 14

SUICIDAL IDEATION Thoughts and a Plan If someone says they are suicidal and they have a plan to carry out their wish to die— IMMEDIATE ACTION REQUIRED – keep cadet safe Notify: ………………………………… your TAC officer or OC Escort them to: ………………………… The Counseling Center or Infirmary To help them stay safe until you walk them to the Stay with them Counseling Center or Infirmary: ……………. . If they are aggressive Call Public Safety – 811 or 843 -953 -5114 If there is immediate danger………………. . and 911 15

SUMMARY Introduction to Counseling Center Ø Emergencies Ø Interventions: Talk with the cadet and be supportive Walk them to the Counseling Center (or Infirmary) Consult with Counseling Center (or other support services) QUESTIONS ? Ø 16