How to Refer a Student to Counseling

The Student Counseling Services (SCS) office receives referrals from various sources.  These sources have primarily been parents, R.A.s, S.A.s, and Student Affairs staff members.  As the Rose-Hulman faculty members have the rare opportunity to observe problematic behavior first hand, and are often privy to a student’s personal information, a reasonable conclusion would be that they are one of the SCS’s primary referring sources as well.  This has not been the case, however.  The SCS receives very few referrals from members of faculty.  Generally, faculty members refer students who exhibit or complain of emotional or behavioral problems to Student Affairs office.  Student Affairs staff members often do not have the appropriate training for dealing with students who are experiencing psychological disturbances.  The SCS recently addressed this problem by offering a presentation on the appropriate student referral process to the freshman advisors.  In spite of this attempt, the problem was not alleviated.  This website provides sufficient and accurate information to help the faculty member who is referring a student to the SCS for counseling through the referral process.

What to look for:
While some students openly admit to having trouble, others may feel embarassed and have trouble asking for help.  Others still, may even conceal or disguise their distress.  Below are some signs that may indicate a student is having more than normal difficulty coping with RHIT stress:

  • Excessive procrastination and poorly prepared work, especially if inconsistent with previous work.
  • Poor class attendance or not showing up to fulfill other responsibilities.
  • Repeated requests for special consideration (e.g., deadline extensions).
  • Listlessness, lack of energy, or frequently falling asleep in class.
  • Marked changes in personal hygiene (e.g., body odor, wearing the same clothes every day).
  • Suicidal thoughts or thoughts of death (e.g., “If I was dead this would all be over.” or “Sometimes I just wish I wouldn’t wake up.”).
  • Confusing speech and disjointed thoughts.
  • Noticeable weight gain or weight loss.
  • Frequent or high levels of irritable, unruly, abrasive, or aggressive behavior.
  • Difficulty making routine or every day decisions.
  • Displays of extreme emotion (student appears overly nervous, tense, or tearful) or an expressed  inability to cope.
  • Bizarre behavior that is obviously inappropriate for the situation (e.g., talking to something/someone that is not present).

The referral process: 

Step 1:  Addressing the Student

One of the most important steps to successfully referring a student to counseling is personally addressing him or her.  The following is a guide for addressing the student in a non-threatening and informative manner that helps communicate your concern as a faculty member. 

(1)    State your concerns using an “I” statement.  For example, “I am concerned about you because I have been noticing your course grade dropping over the last several weeks.”

(2)    State your concerns in a non-judgmental manner.  For example, “I am concerned about your recent absences in my class,” instead of, “I don’t feel like you’re taking my class very seriously.”

(3)    Be specific about the behaviors that you are concerned about.  For example, “I have noticed that you speak in class much less than you used to and that you don’t seem to be interested in talking to your friends anymore.”

(4)    Allow the student an opportunity to talk to you about what is bothering them.  For example, “It might help you to talk to me about what is bothering you.”

 Step 2:  Making the Referral (Stage 1) 

Step 2 is a time devoted to preparing the student for the referral.

(1)    Recommend a referral to counseling in an assertive but concerned manner.  For example, “I would like to help you get some support,” instead of, “Do you think you would be willing to get some help?”

(2)    Be willing to assist with making the first contact with SCS.  For example, you might call SCS on the student’s behalf while the student is with you.  Or you may walk with the student to the SCS office. 

Please be aware that a staff counselor may be seeing another student when you make an attempt to contact us to do a referral.  If you call and get the voice mail service, a staff counselor will make every attempt to return your call that day.  When a call is not returned on the same day, a staff counselor will contact you within 24 hours, excluding weekend days and days that the office is not open.

 Step 3:  Making the Referral (Stage 2)  

This is an action-oriented step where the faculty member actually facilitates an SCS contact for the student. 

(1)    The faculty member may contact a staff counselor at the SCS to provide pertinent information on the student’s behalf.  The student may or may not be present during this contact.  It is important, however, that the student eventually speaks with a staff counselor prior to the first appointment.  This policy helps to reassure the staff counselor(s) that the student has not been coerced into counseling, and that they actually do desire the service.  Remember, a substantial power difference exists between the student and faculty member.  This may cause a student to agree to a suggestion regardless of how they truly feel. 

-- OR -- 

(2)    The faculty member, after sufficiently covering steps 1 and 2, can offer the student the opportunity to contact a staff counselor himself or herself.  This may or may not be done in the presence of the faculty member.  Remember to inform the student that a contact may be made by telephone, electronic mail, or simply by stopping by the office (Please refer to the contact information at the bottom of this page).

(3)    If it helps the student feel more comfortable, the faculty member may walk the student over to the SCS office.  He or she may even sit-in on the initial session as long as the student provides written permission.

(4)    Follow-up with the student after having made the referral.  Ask how they are doing and if they are getting the assistance they need.  Remember that counseling is confidential and that the SCS staff counselors will be unable to discuss information that the student shares in counseling – unless it is a case of an emergency or the student authorizes the release of information in writing. 

Always remember that the SCS is available for questions from faculty members regarding the most appropriate and effective manner for referring students to counseling.  The counselors at SCS are also available to provide individual or group trainings for the purpose of educating faculty members about certain types of mental disorders and their behavioral manifestations that they observe in their classrooms. 

We at the SCS office ask that you utilize this stepwise referral process to ensure that your students begin to receive the treatment they need.  Doing so might just save the student’s grade, mental health, and life.

Location:
Student Counseling Services staff are located in HMU 147 directly adjacent to the
Student Health Services office.  They can also be reached by calling extension 8537,
or you can pay them an office visit.

Contact Information:
Brent Tucker - Brent.T.Tucker@rose-hulman.edu
Lori Cichon - Lori.M.Cichon@rose-hulman.edu
Office Phone: 877-8537

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