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Crisis Intervention Protocol for Mental Health Emergencies

  1. SC State University constituent identifies a student who has posed a threat of harm/danger to self/others (e.g., self-mutilation, suicide attempt, evidence of psychosis, etc.). First responder contacts University Police.
  2. University Police assesses situation and (if necessary) consults with Student Affairs staff members (e.g., Vice President of Student Affairs, staff members from Residence Life & Housing or Counseling & Self-Development Center) to determine whether to:
    a) transport student to Emergency Room
    b) contact EMS for t/transport, or
    c) contact on-call clinician services for consultation.
  3. On-duty University Police staff/Residence Life & Housing Staff facilitate transport to hospital and notifies on-call Counseling &Self-Development Center staff if call has not already been made by University Police.
  4. Residence Life & Housing and Counseling & Self-Development Center on-call clinician check in and exchange information about situation and student.
  5. Counseling & Self-Development Center on-call clinician serves as key contact for SC State University regarding student mental health crisis.
  6. Counseling & Self-Development Center staff member(s) will check in with student as soon as possible and remain updated on student situation.
  7. Counseling & Self-Development Center and Residence Life & Housing will manage other student concerns if students and friends in attendance at hospital.
  8. Counseling & Self-Development Center seeks updates as the situation evolves. Counseling & Self-Development Center on-call clinician will share info from student/hospital staff with Counseling & Self-Development Center Director, who will relay pertinent information to relevant Student Affairs personnel.
  9. Vice President of Student Affairs will make decisions regarding contacting parents and updating them about student if a decision has to be made by the university.
  10. Student Affairs units authorized by the Vice President of Student Affairs will discuss parent/guardian notification plan with student. 
  11. Student Affairs personnel will be available to answer parent/guardian questions.
  12. If student is not capable of calling parents, or refuses, Vice President of Student Affairs determines by whom contact will be made to parents/guardians to update them of current situation. Vice President of Student Affairs gets them in touch with relevant Student Affairs units to address questions and facilitates explanation of basic SC State University policies regarding follow-up care and procedures to parents/guardians.
    Counseling & Self-Development Center works to understand immediate treatment plan and to communicate university procedures to student.  Student is to return to campus Counseling & Self-Development Center for an assessment upon release from the Emergency Room or hospital.  A safety plan is put in place.   
  13. Once the student is out of immediate danger and a plan has been established, Student Affairs personnel work together to assess whether someone should remain at the hospital (with a purpose for staying, e.g., meet parents who are on the way soon, wait for parents if still in the process of being contacted, student is not out of immediate danger and parents are not on site yet, friends are in the reception area and are in need of support, or student waiting for student to be transported to alternate aftercare facility.
  14. On-call Counseling & Self-Development Center clinician keeps supervisor, Counseling & Self-Development Center Director, updated as the situation evolves.
  15. Residence Life & Housing staff members keep supervisor, Residence Life & Housing Director, updated as the situation evolves.
  16. Counseling & Self-Development Center Director initiates communication with treating professionals as needed as part of assessment and consultation process for the University.
  17. Upon request, Counseling & Self-Development Center will notify faculty of medical emergency.  Student is responsible for contacting faculty when able and arranging how and if work may be made up, etc.
  18. Crisis Management Team (consisting of various university units) convenes prior to providing student with a written explanation to student regarding next steps for student residential and/or enrollment status following the event.
  19. Once student is released from hospital, student should remain in care of parents until:
    -student has been assessed by Crisis Management Team documentation from other medical professionals, hospital, etc.)
    -a safety plan addressing the impact on community in addition to harm to self and ongoing campus residential housing status has been discussed by Student Affairs professionals.
    -university professionals have met with student/parent(s)/guardian(s) to discuss status of student, facts of situation, concern for student and safety plan
    -If there is concern regarding student remaining on campus, Crisis Management Team makes recommendations/discusses situation with Vice President of Student Affairs
    -If decision is that student is not safe to remain in school, Crisis Management Team relays decision to student and remains available for a discussion of facts, status, community implications, safety plan and resources associated with administrative mandate for student to be medically withdrawn from school
  20. If a medical withdrawal is not recommended and the student remains on campus, Crisis Management Team follows up with student regarding general wellbeing, progress and safety plan concepts.
  21. Member(s) of Crisis Management Team follow(s) up with friends, community impacted by behavior as needed.
  22. If student does not remain in school, Crisis Management Team sends letter (authorized by Vice President of Student Affairs) summarizing concerns, as well as criteria to be met prior to reenrollment at a later time.