CARE at CSU

1. CARE at CSU Presented by Emily Grady, Care Manager Presented to: Date:

2. CARE Team Purpose & Mission • The Campus Assessment Response & Evaluation (CARE) Team works to identify, assess and respond to student, faculty, and staff behavior that is of concern and could threaten the health and safety of the campus community. • The goal of the CARE Team is to work collaboratively to support the wellbeing and safety of students, faculty, staff, and to promote a culture on campus that encourages reporting of concerns.

3. Representatives on the Core CARE Team: • The team is chaired by Dr. Shannon Greybar Milliken, Assistant Vice President of Student Affairs • Academic Advising (Heike Heinrich) • Care Manager (Emily Grady) • Counseling Services (Dr. Katharine Oh) • CSU Police Department (Officer Toni Jones, Lieutenant Beverly Pettrey) • Office of Disability Services (Linda Casalina) • Office of Student Conduct & Advocacy (Valerie Hinton Hannah) • Residence Life (Lynn Ellison)

4. As-Needed CARE Team Participants: • Athletics Department • Center for International Services and Programs • Department of Human Resources • Lift Up Vikes/Women’s Center • Office of Institutional Equality • Office of Student Involvement (Fraternities and Sororities) • Veterans’ Support Services • Other departments and representatives as determined by the Chair

5. High Risk Group Participants • Chief of CSU Police Department • Office of General Counsel • Office of the Provost • Office of University Compliance • Vice President of Student Affairs

6. How Does the CARE Team Work?

7. The Role of the Care Manager • Follow up after reports of crises to check on students and provide support • Linkage to on and off-campus resources, including appropriate medical or mental healthcare. • Communication with advisors, instructors, and campus partners • Assistance in navigating campus policies and procedures • Advocacy, follow up, and support • Consultation for faculty, staff, and parents as appropriate • Fosters self-advocacy in students to meet their personal goals and responsibilities

8. Reasons for Referral to the CARE Team • Physical health or illness • Mental health concerns • Interpersonal relationship issues • Loss of a loved one • Concerns related to finances, housing, or food scarcity • Academic concerns: performance, attendance, retention concerns

9. Is the Behavior Disruptive or Concerning? • Classroom disruptions can indicate that a student is in distress, but often, disruptive behavior does not rise to this high level of concern. This may include: • Tardiness • Inappropriate comments or questions • Interruption of lecture of discussion • Academic misconduct For all concerns regarding disruptive classroom behavior, please contact Valerie Hinton-Hannah, Director of Student Conduct.

10. Recognizing Distressed Student Behavior • Academic Signs: • Drastic or sudden decline in academic performance • Frequent unexcused absences • Repeated requests for adjustments or accommodations • Frequent tardiness • Concerning or bizarre content in academic materials: tests, writing assignments, presentations • Physical Signs: • Changes in appearance: a decline in self-care or hygiene • Suspected intoxication in the classroom • Speech that is disconnected, slurred, tangential, or garbled • Reported ongoing illness

11. Recognizing Distressed Student Behavior • Psychological Signs: • Self-disclosure of personal distress: contemplating self-harm, grief, financial distress, relationship issues* • Notable changes in mood: increased sadness, anxiety, irritability • Increased intensity of emotional expression: excessive tearfulness, panic • Possible delusions or paranoia • Changes in interactive behavior: isolation or withdrawal, decreases in communication *All reports of sexual misconduct must be reported to OIE by mandated reporters.

12. Recognizing Distressed Student Behavior • Signs of Potential Risk: • Unprovoked anger • Hostility • Erratic behavior • Implied or direct threats to harm self or others • Stalking or harassing behaviors* • Concerning posts on social media, or threatening remarks made via email, text, and phone calls *All reports of sexual misconduct must be reported to OIE by mandated reporters.

13. In the Event of an Emergency… If a student is experiencing a true mental or medical health emergency, or if you feel your safety is being threatened, please contact one of these resources first: • CSU Police Department: 216-687-2020 • Viking Shield app • CSU Counseling Center: 216-687-2277 • Crisis walk-in hours on Monday through Friday from 1pm to 3pm • After-hours phone crisis hours at the number above • FrontLine Mobile Crisis: 216-623-6888 • 24/7 phone counseling support and connection to immediate resources

14. In the Event of an Emergency… If a student expresses thoughts of present suicidal ideation or imminent risk to self: • Call the CSU Counseling Center to see if the student may be seen as an emergency walk-in. • Walk the student to the Counseling Center, or arrange for a CSUPD Security Escort if you are unable to do so. • If you call the CSUPD, explain that you need an escort to the Counseling Center urgently. • After the student has been connected with the Counseling Center for an emergency evaluation, please make a CARE Report. • Note that due to patient privacy restrictions, the Counseling Center will not share information with CARE unless there is a release of information present. Therefore, a notification to CARE ensures that the university will follow up with the student to offer support if needed. If your class occurs after hours, please call Mobile Crisis with the student and explain the situation. They can complete a risk assessment over the phone.

15. Care Manager and Emergencies Emails and requests for assistance are reviewed during normal business hours and are not monitored after hours, on weekends, or during official University holidays. The Care Manager does NOT provide assistance for emergency response situations.  We do ask, however, that after you have made an emergency referral, you also make a referral to CARE. This ensures that we are providing appropriate follow-up for students, staff, and faculty, and monitoring all ongoing concerns.

16. When Making a Report… Please include the following information: • The student’s name and CSU ID number • What class the student is in, if applicable • The names of any witnesses to the incident, if applicable • Specific information regarding observed behaviors or concerns Please provide as much detail as possible, and remember to state observations or facts.

17. To make a referral, please contact: Emily Grady, e.a.grady@csuohio.edu MagnusACTS@csuohio.edu Please also visit our website at: https://www.csuohio.edu/care/care