Health and Wellness @ U.Va.

1. Health and Wellness@U.Va. Department of Student Health Counseling and Psychological Services “Without health there is no happiness. An attention to health, then, should take the place of every other object.”~ Thomas Jefferson, Founder, 1826

2. Joint Commission on Accreditation of Healthcare Organizations 2013 Parents Handbook p. 36-41 www.virginia.edu/studenthealth

3. Student Health Services • 12:30am-2:30pm Resource Fair TodayNewcomb Hall Ballroom. • Turn in Pre-Entrance Health Forms. • Pick up application for health insurance. • Ask questions of representatives of various services.

4. Joint Commission on Accreditation of Healthcare Organizations Services in Student Health(2013 Parents Handbook) • General Medicine • Gynecology • Student Disability Access Services (SDAC) • Counseling & Psychological (CAPS) • Health Promotion

5. Covered: Professional visits (e.g. MD, NP, RN, RD, PhD, MSW) 24 hr triage, on-call Health promotion programs Not Covered: Prescriptions Most insurance cards honored Lab tests Filed to insurance Vaccines/EKG/IV fluid Charge to Bursar Referral services X-rays, CT, MRI Physical Therapy Specialty Referral Emergency Room Services covered by Tuition/Fees

6. Confidentiality & Consent • 18 year olds are “adults” in Virginia • Protected by privacy and confidentiality statutes • May consent to any treatment • Parental consent needed for minors except as provided by law For 18 year olds (and minors for certain conditions) we need written or verbal permission to speak with a parent.

7. Insurance Requirements • Health insurance required by university • Adult children ≤ 26 can be covered by parent’s employer policy after January 1, 2011.

8. Insurance Requirements Adult children on parental insurance: Out of network benefits in college community Specialty care, elective procedures, mental health Daughters may not have maternity coverage Travel coverage abroad (e.g. med evac) Adult children may be concerned about confidentiality Cost differential between employer and college plan Pretax payment of premiums employer plans.

9. Insurance Requirements Health insurance required by university Any licensed insurance plan for domestic students is acceptable. University-endorsed insurance plan Details at resource table & on website International students must meet hard waiver criteria

10. Required Measles, Mumps, Rubella (MMR) Td, Polio Meningitis At least one dose after the 16th birthday. Hepatitis B Tb testing/screening Recommended Varicella Flu (October 23rd) Tdap (adolescent pertussis) replaces Td HPV Immunizations$100 Late fee after Aug. 31

11. Alcohol Use @ U.Va. • Dangerous alcohol consumption is declining • Negative health consequences are decreasing Wellness Fair 2008

12. Negative Consequences Due to Student’s Own Drinking - 70% - 81% - 83% U.Va. Health Promotion Survey, 2001-2010, All U.Va. Undergraduate students

13. We Believe that Most Parents… • Do not provide alcohol for underage students • Model responsible celebration • Talk with their student about alcohol • Learn about BAC (Blood Alcohol Concentration)

14. BAC: Blood Alcohol Concentration BAC Cards or Smart phone apps

15. Counseling & Psychological Services - CAPS Student Health Center

16. 12 Psychotherapists Coming Soon – a Case Manager Most CAPS clinicians are generalists 3 PT Psychiatric Providers (80 hours weekly) 6 Trainees Who We Are

17. What kind of Difficulties do we Treat • Anxiety • Depression • Adjustment • Alcohol or Substance Abuse • Eating Issues & Body Image Concerns • Relationship difficulties • Grief and Loss • Trauma

18. What we Do

19. How to Make an Appointment • Students call 434-243-5150. • Will be scheduled for brief screening phone call within 1 to 2 days.

20. How to Make an Appointment • Based on serious of situation and level of distress, student will be scheduled for: • Same day emergency appointment – most often for suicidal risk • Urgent Intake, 1 to 3 days • Standard Intake, usually 2-9 days • After-hours emergency on-call clinician • Call: 972-7004

21. After Hours Emergency Services • If a student feels as though s(he) may harm him/herself or someone else, CAPS has an after-hours emergency on-call clinician available at: 434-972-7004 • Or: Call 911 • Or: Go to UVa Emergency Room

22. Most Utilized Services – Group Psychotherapy • Interpersonal Groups • Topical Groups • Eating Issues / Body Image Concerns • Adjusting to College • Anxiety Management • Coping with Emotions

23. Most Utilized Services – Group Psychotherapy • Groups for particular affiliations • Black Talk – for students of color • Gay Men’s Support Group • International Students’ Group

24. Individual Psychotherapy • Brief Treatment Model: 6 to 10 sessions • Focus upon rapid return to necessary functioning • Referrals to private sector for longer-term psychotherapy

25. Psychiatric Medication • Approximately 15% of students in treatment at CAPS receive medication prescriptions (2011-2013) • Black box warnings taken very seriously – close follow-up provided

26. Use of CAPS as Consultants • CAPS staff available to respond to parental concerns • Written release, signed by student, required to allow communication with parents

27. Parental Notification • Parents notified of student psychiatric hospitalization due to • Danger to self • Danger to others • Incapacity to protect of care for self