TEAM C.A.R.E.
Campus Assessment, Response and Evaluation
WHAT IS IT?
Team CARE is an interdisciplinary group of Leeward professionals that meet on a regular basis to discuss, create
and execute proactive strategies for supporting individual students identified by their level of need.
Professionals from both Leewards Pearl City and Wai`anae campuses are involved in Team CARE.
Representatives from Counseling, the Student Health Center, Student Life, the KI Office, Administration, Faculty,
Student Conduct and Security regularly participate in Team CARE.
Team CARE works in conjunction with the Counseling and Student Development Center as well as with the Womens
Center at UH Manoa.
Team CARE is a campus model that encourages the sharing of important but sensitive information among a small
team of caregivers. This forum enables the campus to support individual students in a more comprehensive and
holistic manner, allowing for easier access to servicessuch as counseling, mental health support, and behavioral
health supportfor students and a more coordinated, and streamlined response to students who need them. This
approach allows the College to be proactive about safety concerns that may be present on campus and is based on
recommendations for best practice by the American College Counseling Association.
Team CARE is not a crisis response team. On the whole, members of Team CARE are neither trained in crisis
intervention nor are prepared to intervene in this manner (although some members may be individually trained for
specific circumstances). In a crisis situation, faculty and staff should call upon either the Security Office or the Dean
of Student Services Office for assistance.
Team CARE also does not deal directly with students. The purpose of Team CARE is to provide support to
Leewards faculty and staff in dealing with students, and to proactively plan for and activate the support for individual
students. Therefore, Team CARE itself does not provide direct services to studentsalthough many of the Team
CARE members do through the offices they represent.
Students warranting Team CARE attention are generally those that need more support than a referral to counseling,
but less support than a crisis intervention. Although cases can be referred to Team CARE for many reasons,
students displaying behavior that is concerning, but not immediately threatening, are probably good Team CARE
candidates.
Cases involving an immediate crisis, an immediate threat to the safety of the either the student or the campus
community or those requiring immediate attention should not be referred to Team CARE. These types of cases
should be referred to the Security Office, the Counseling Office or to the Dean of Student Services Office.
Cases that involve a criminal act or a blatant violation of University policy should also not be referred to Team CARE.
These cases should also be referred to the Security Office or to the Dean of Student Services Office.
When in doubt, make the referral. Team CARE will assess whether or not the student case is appropriate for this
group or should be referred on to another.
You can either send an e-mail to teamcare@hawaii.edu or complete the Team CARE referral form, which is located
both in this handbook and on Leeward CCs website. Please be sure to fully describe your concerns, and include
contact information for yourself in case the group needs more information. Alternatively, contact the Dean of Student
Services or any member of Team CARE (current membership is listed on the Team CARE website).
Faculty, staff and other employees of Leeward Community College, who are concerned about or who have been
made aware of a concern (via other students, parents or community members) about a student and his/her behavior
can make a referral to Team CARE.
Questions regarding Team CARE can be directed to teamcare@hawaii.edu.
REFERRAL SOURCE:
Name: _____________________________________________________________________________________
First Name
Last Name
Position: ____________________________
Phone: ________________
Middle Initial
STUDENT OF CONCERN:
Students Name: _____________________________________________________________________________
First Name
Last Name
Middle Initial
INTRODUCTION
WHY THIS MANUAL?
The primary role of a college is to educate students. However, students do not live in a vacuum. More often than
not, our students bring their life issues into the classroom with them, which may interfere with their learning, the
learning of their peers and/or the overall effectiveness of the classroom or campus environment. Faculty and staff
often say that when faced with students in distress, they feel helpless, alone and lost as to how they should respond.
In response to this need, Leeward CCs Team CARE has compiled a handbook to provide some basic understanding
and guidance for the Colleges faculty and staff about 1) situations they may encounter in their daily work that signal
a students need for additional support; and 2) how they might respond to students in need.
This book is not intended to provide readers with the necessary skills to intervene during difficult situations, nor does
it serve as the Colleges official manual outlining formal crisis, emergency or reporting policies and procedures.
Rather, this handbook is meant to 1) help faculty and staff better identify and understand situations in which a student
may need more support; 2) give faculty and staff some ideas of what they can do when faced with difficult situations;
and 3) direct faculty and staff to the people on campus that can help them and/or support them in various scenarios.
Although this handbook is not an official policy or set of procedures, the suggestions within it fall within the directives
set by official University of Hawai`i and University of Hawai`i Community College policies.
Students experiencing difficulties often show signs of distress. Be on the look-out for and get curious about
behaviors that could signal that a student needs more help and support. These behaviors could include, but are not
limited to:
Bizarre Behavior
Confusion
Dangerous Behavior
Persistent Sadness
Excessive Anxiety
Lack of Sleep/Constant Fatigue
Excessive Irritability/Anger
Difficulty Paying Attention or Staying Focused
Sudden Change in Behavior/Class Performance
Missed Classes/Assignments
Mood Swings
Apathy
Social Isolation
Injuries, especially unexplained injuries
Dealing with a student who needs high levels of support can be stressful. When you encounter these types of
situations, it is important to know that you are not alone. Here are some places that you can turn to for support in
successfully managing these types of situations:
Team CARE
teamcare@hawaii.edu
A cross-section of professionals at
Leeward CC that work to identify,
strategize and coordinate appropriate
supports for students in need.
After any noteworthy interaction or incident with a student, it is important to document the event in question and keep
it on file. In this way, if any kind of follow up action occurs, youve already captured the relevant information and dont
have to rely upon your memory alone. When documenting your experiences, include:
The date & time
The identity of people involved, including witnesses that can speak to the event
The facts surrounding the incident in question, including any actions you took
Do not include personal opinions, assumptions or implications.
LIMITS OF CONFIDENTIALITY
Although students usually share information about themselves in a confidential manner, as an employee of the
University, there are limits to your ability to maintain confidentiality in some cases. If you sense that a student is
about to make a disclosure that involves one or more of the following, stop the student and notify him/her that if
he/she chooses to continue, you may need to report their disclosure to the proper authorities:
Abuse of a Child (Mandatory Reporting Law, Hawai`i Revised Statutes Chapter 350)
Intention to Harm Self or Others
On-Campus Criminal Activity, including Sexual Harassment
DISRUPTIVE STUDENTS
WHAT IS A DISRUPTIVE STUDENT?
A disruptive student is a student who engages in inappropriate behaviors that disrupt the classroom and/or learning
environment.
The following practices may help to prevent or minimize problematic behavior from occurring in your classroom:
Communicate clear and fair classroom expectations for students behavior in writing at the beginning of
each semester referring to the institutions Student Conduct Code and classroom rules.
Make yourself available to students to talk when needed through office hours, contact info, etc.
Be aware of emergency response numbers.
Be aware of warning signs of a disruptive or aggressive person and de-escalating techniques. See webinar
on Aggressive Students available in the Center for Innovations in Learning.
Be aware of possible escape routes or places of refuge.
If you have a disruptive student in your class whom you feel you have been unsuccessfully trying to address, you can
tap on the following resources for more support:
Your Division Chair
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinator and Counselors
Team CARE
POLICIES TO KNOW
Student is
Disruptive!
Do you feel its
Manageable?
YES
NO
If a Confrontation Develops:
Assess:
Successful?
YES
Document facts in
writing
Consult and seek advice
when needed for
debriefing
NO
DOMESTIC VIOLENCE
WHAT IS DOMESTIC VIOLENCE?
Domestic Violence is an ongoing, debilitating pattern of physical, emotional, and/or sexual abuse. Victims usually
experience an increased isolation from the outside world, limited personal freedom and limited accessibility to
resources. A battered person is any person who has been physically, emotionally or sexually abused by a person
from a current or past intimate relationship. While the great majority of victims of domestic violence are female,
males can also experience domestic violence. Domestic violence occurs in both heterosexual and same sex
relationships.
Although there are many different forms of abuse, the following are the most common:
Physical Abuse or Violence: the intentional use of physical force or threat of force which could result in
death, disability, injury or harm.
Sexual Violence or Abuse: the use of physical force, intimidation and/or pressure to compel a person to
You may not be able to tell that a student is being abused. However, the following signs, developed by the Family
Violence Prevention Fund, may suggest abuse. This list suggests some, but not all, of the indicators of abuse.
Indication of having been hurt physically, sexually, and/or emotionally
Unexplained injuries or injuries inconsistent with the history given
Accident prone student. Frequent Emergency Department, urgent care, or office visits
Chronic pain syndrome, headaches
History of family violence
Recent separation with partner
Recent loss of job, close family member or intimate relationship
An abused student may:
Have evasive/guarded behavior or angry and defensive behavior
Act embarrassed and/or exhibit poor eye contact
Over-adamantly deny abuse
Minimize injury or demonstrate unexpected responses (e.g. cries, laughs)
Have financial concerns that prevent him/her from leaving the situation
Demonstrate intense and/or fearful behavior with partner
Other crisis concerns for a student who has or is experiencing violence may include, but are not limited to, the
following (see appropriate sections of this handbook that deal with these related issues).
Mental Health IssuesAnxiety or Depression
PTSD
Sexual Assault
Substance Use/Abuse
Suicide
WHAT CAN I DO IF I SUSPECT HE/SHE IS BEING ABUSED, BUT HE/SHE DENIES IT?
If you strongly suspect that the student is involved in domestic violence, but the student denies that he/she is, you
can:
Say, Even though you have said that you have not experienced any type of violence, you seem [describe
the reasons for your suspicions]. Is there anything else that you can tell me that might explain your being
uncomfortable with these questions?
Say, If you ever are abused, please let me know or tell a counselor.
Let student know that you care and that help is available. Offer a Team CARE Help Card (copies are
available in the Student Life Office). Tell them that even if they dont need it that they can give it to a friend or
family member who might use it. Discuss possible repercussions if his/her partner/an abuser finds the card.
Inform Team CARE and the Dean of Student Services.
Document the incident.
If you have a student in your class whom you feel you have been unsuccessfully trying to address, you can see the
following people for more support:
Your Division Chair
Counseling and Advisement
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinator and Counselors
Team CARE
10
POLICIES TO KNOW
Hawai`i Revised Statutes on the Mandatory Reporting of Child Abuse (Chapter 350):
www.capitol.hawaii.gov/hrscurrent/Vol07_Ch0346-0398/HRS0350/HRS_0350-.htm
Leeward Community College Policy on Sexual Assault:
www.leeward.hawaii.edu/policies-students-sexual-assault
UH Executive Policy E1.204 Sexual Assault Policy and Procedural Guidelines:
www.hawaii.edu/svpa/ep/e1/e1204.pdf
Leeward Community College Student Conduct Code:
www.leeward.hawaii.edu/files/StuPol_StConductCode_May2010.pdf
Leeward Community College Student Conduct Code Procedures:
www.leeward.hawaii.edu/files/StuPol_StuCondCodeProcedures_May2010.pdf
UH Executive Policy E7.208 University of Hawai`i Systemwide Student Conduct Code:
www.hawaii.edu/svpa/ep/e7/e7208.pdf
UH Executive Policy E7.205 Administrative Policy and Procedures Governing Systemwide Student Disciplinary
Sanctions: www.hawaii.edu/apis/ep/e7/e7205.pdf
11
AND/OR
Walk
Student to
Counseling
Inform Team
CARE & Dean of
Student Services
Document
Incident
12
Follow Up with
Student
Inform Team
CARE & Dean of
Student Services
Document
Incident
Follow Up with
Student
Inform Team
CARE & Dean of
Student Services
Document
Incident
Follow Up with
Student
Coming out is the process of understanding and accepting ones identity as Lesbian, Gay, Bisexual, Transgender,
Intersex, Queer or Questioning (LGBTIQ). This process also includes the disclosure of this identity to others. While
there can be a sense of relief, the fear of rejection or negative reaction, especially from family and friends, may also
be prevalent and often creates strong feelings of grief.
Other crisis concerns for the LGBTIQ individual may include, but are not limited to, the following (see appropriate
sections of this handbook that deal with these related issues).
Suicide
Sexual Harassment
Domestic Violence
Substance Abuse
WHAT ARE SOME SIGNS THAT A STUDENT MIGHT BE DEALING WITH THESE ISSUES?
Students who are coming out will most likely exhibit the signs of a student in general distress. They may be
recognized first for their struggles with the issues listed above, such as suicide and harassment, as those problems
are often more easily detected. In fact, you will probably not know and should not assume that LGBTIQ students are
dealing with coming out issues until he/she discloses it to you.
13
Questions/Phrases to Avoid
Are you sure?
How do you know?
I knew it.
What do you think made you that way?
You need counseling.
I accept you but I dont agree with your choice
Typically, there are 5 phases people go through as they come out. Although these phases may be common to
many, individuals will not experience them in exactly the same way; for example, they may only experience particular
stages (not all of them), or they may not move through them sequentially. It is important to recognize that each
persons journey is unique, even if it shares commonalities with the journeys of others.
Self-Recognition as a Gay: This is typically the first step towards acknowledgement and acceptance of ones
own sexuality. Up until this point, many individuals may have been in the closet. Individuals in this stage may
experience anxiety and grief.
Disclosure to Others: The disclosure of ones sexual identity is usually made to a select group of people with
whom the individual feels safe. Many times, this group can include instructors, counselors, and others.
Negative acceptance can revert the individual back to stage 1, while positive acceptance can increase self
esteem.
Socialization with other Gays: Finding other individuals with similar interests helps to foster self acceptance
and validation. Contact with positive gay or lesbian role models can play an important role in this stage.
Positive Self-Identification: In this phase, the individual begins to feel good about him/herself and seeks to
establish relationships with other gays.
Integration and Acceptance: In this final stage, the individual possesses an openness and a nondefensiveness of his/her sexuality. People in this stage often differ in their expression of it; some may opt, for
example, to keep their sexual orientation private, while others may act as advocates and take a political or public
stance.
PREFERRED TERMINOLOGIES
When speaking with a student dealing with coming out issues, you need to be aware of the terminologies and word
choices that can offend and further marginalize or isolate the student you are trying to help. The following is a list of
terms that you should and should not use with LGBTIQ students:
Preferred Terminology
Offensive/Problematic Terminology
Lesbian, Gay, Bisexual, Transgender, Intersex,
Questioning
Sexual orientation
Sexual preference
"Equal rights"
"Special rights"
Intersex person
Hermaphrodite
"Sex change"
Gay marriage
14
If you suspect one of your students may be dealing with coming out or other LGBTIQ related issues, the following
resources may be able to provide you with more support:
Your Division Chair
Counseling & Advisement
Prevent, Educate and Respond (PER)a LGBTIQ advocacy group on campus
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinator and Counselors
Team CARE
POLICIES TO KNOW
15
WHAT ARE SOME SIGNS THAT A STUDENT MIGHT BE DEALING WITH THESE ISSUES?
It is very difficult to determine whether or not a student is dealing with mental health issues just on the basis of
observation. The following types of behavior are sometimes associated with mental health diagnoses, and are
always cause for concern regardless of the students mental health status:
Self-Injurious behavior
Suicidal ideation or attempt
Written or verbal expressions of suicidal thoughts or actions
Self-mutilation
Erratic behaviorincluding online activitythat disrupts the mission and/or normal proceedings of college
students, faculty, or staff.
Emotional outbursts (yelling or screaming or anger management issues)
Disruptive behavior on campus (including in classrooms)
Behavior that may compromise the health and safety of students, staff, faculty, or the general college community.
Verbal or written threats of any nature
Intimidating or harassing others including disturbing or threatening phone calls, text messages, emails,
Facebook/MySpace postings, etc.
Physical altercations/abuse
Concerns of intimate relationship violence, family violence, spousal abuse
Involuntary transportation to the hospital for alcohol and drug use/abuse
Written or verbal expressions of thoughts or actions of harming others
If you are concerned about a students behavior, consult with Counseling and Advisement or with Team CARE.
The mere fact that a student has a mental health issue is not necessarily cause for concern. If a student discloses
that he/she has a mental health issue, but it is not interfering with their ability to learn or the immediate safety or wellbeing of themselves or others, you can:
Thank the student for the disclosure.
Acknowledge, but take care to avoid stigmatizing, the mental health problems.
Ask the student about his/her support network.
Encourage students to seek help and support if they havent already, but understand that seeking mental
health help is voluntary based on the students preferences and needs.
Make suicide prevention, intervention, and postvention a high priority, if suicide is a concern. See section
in this handbook that addresses Suicide.
Maintain student confidentiality.
16
17
If you are concerned that one of your students may be dealing with mental health issues, the following resources may
be able to provide you with more support:
Your Division Chair
Counseling & Advisement
The KI Office
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinators and Counselors
Team CARE
18
WHAT I CAN DO WHEN A STUDENT WITH MENTAL HEALTH ISSUES IS DISPLAYING PROBLEMATIC BEHAVIOR
Student is
Disruptive!
Do you feel its
Manageable?
YES
NO
If a Confrontation Develops:
Contact Security (ext. 611). At LCC-Wai`anae, seek help
from the Front Desk or call HPD (911) on a cell phone.
Assess:
Successful?
YES
Document facts in
writing
Consult and seek advice
when needed for
debriefing
NO
19
WHAT I CAN DO WHEN A STUDENT WITH MENTAL HEALTH ISSUES IS DISPLAYING SELF-INJURIOUS THOUGHTS
OR BEHAVIOR
In a Crisis, Immediate
Action is Required!
1.
2.
3.
4.
Dean of Student
Services starts the
Consultation and
Referral Process
Faculty Documents
the Incident
OR
Is this a NON-CRISIS?
Is the student thinking about
committing suicide?
20
In a Non-Crisis
The student is not in
immediate danger and is not
posing an immediate threat
to him/herself
2.
Post-traumatic stress disorder (PTSD) is an anxiety disorder that can occur after you have been through a traumatic
event. A traumatic event is something horrible and scary that you see or that happens to you. During this type of
event, you think that your life or others' lives are in danger. You may feel afraid or feel that you have no control over
what is happening.
WHAT ARE SOME SIGNS THAT A STUDENT MIGHT BE SUFFERING FROM PTSD?
A student suffering from PTSD will likely disclose having the disorder. They may look like a disruptive student,
displaying aggressive, angry behaviors. They also may appear highly distracted, anxious or have over-exaggerated
reactions to commonplace events. Here are some of the common traits associated with PTSD:
Acute Stress Disorder, which is characterized by feelings such as not knowing where they are, or feeling
as if they are outside of their body.
Anniversary Reaction. A heightened sense of distress around the anniversary of the traumatic event. The
reaction can be either mild or severe.
Depression, which is characterized by feelings of sadness or a low mood that last more than just a few
days. It can affect eating and sleeping habits, how a person thinks, and a persons sense of self.
Chronic Pain, which is unexplainable pain in a particular area of the body (for example, in the back or the
neck) that lasts for at least three to six months. Chronic Pain lasts beyond the normal amount of time that an
injury takes to heal.
Flashbacks. People believe that they are again going through the trauma. When having a flashback,
survivors with PTSD might commit an aggressive or criminal act while thinking that they are in danger again.
Perceived Threat. People with PTSD are more likely to see threat around them. Their beliefs and their
view of the world are often marked by themes of danger and mistrust. This way of seeing the world makes it
more likely that they will be aggressive.
21
If you suspect one of your students is dealing with PTSD, the following resources may be able to provide you with
more support:
Your Division Chair
Counseling & Advisement
The KI Office
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinator and Counselors
Team CARE
POLICIES TO KNOW
22
Emergency
Call Security
(ext. 611) and
HPD (911)
Document the
Incident
ASSESS
Not an
Emergency
See also HOW TO DEAL WITH A DISRUPTIVE STUDENT Section of this Handbook
23
Walk the
Student to the
Counseling
Office
Document the
Incident
SEXUAL HARASSMENT
WHAT IS SEXUAL HARASSMENT?
Sexual harassment describes a pattern of behavior characterized by unwelcome sexual advances, requests for
sexual favors, and other unwanted behaviors, such as touching, or suggestive remarks. Although it often involves an
abuse of authority or power, it can occur between students and/or between students and college employees. Sexual
harassment can involve persons of the same or opposite sex, and both men and women can be targets and/or
perpetrators of sexual harassment. Sexual harassment is a form of sex discrimination.
Key to sexual harassment is the unwelcome nature of the behavior, and the perception and/or experience of the
victimnot the intention of the perpetrator.
There are two kinds of sexual harassment:
Quid Pro Quo (This for That) occurs when submission to sexual advances, requests for sexual favors, and/or
verbal or physical conduct of a sexual nature is explicitly or implicitly a condition for gaining something the victim
desires from the perpetrator. Examples include:
Implied or direct promises of high grades in return for sexual favors;
Implied or direct threats of low grades if a request for sexual favors is rejected;
Adverse decisions or evaluations, such as negative references or low grades because request for sexual
favors has been rejected.
Hostile Environment occurs when sexual advances, requests for sexual favors, and/or verbal or physical conduct of
a sexual nature is unwelcome to the person to whom it is directed or to others directly aware of it; and has the
purpose or effect of either; 1) unreasonably interfering with the students academic performance; or 2) creating an
intimidating, hostile, or offensive educational environment. The conduct must be both objectively and subjectively
perceived as offensive. Examples include:
Unnecessary and unwanted touching, patting, hugging, or brushing against a persons clothing or body;
Sexual remarks about a persons clothing or body;
Remarks about sexual activity or speculations about previous sexual experience;
Pressure for sexual activity, an element of which may be nonverbal conduct, such as repeated and
unwanted staring or sexually suggestive gestures;
Display or distribution of sexually offensive literature, images or other audio-visual materials; or introduction
of sexual jokes, stories, anecdotes, etc., into discussions or conversations.
WHAT ARE SOME SIGNS THAT A STUDENT MAY BE DEALING WITH THESE ISSUES?
Usually it is difficult to detect whether or not a student is being sexually harassed; especially because sexual
harassment is based on the experience and perception of the victim more than on the actions of the perpetrator.
However, students who are being harassed will often experience disruptions in their ability to learn, study, work or
participate in school activities and may exhibit:
Pscyhological symptoms, such as feelings of shame, guilt and fear.
Physiological symptoms, such as headaches, fatigue, weight changes and sleep disturbances.
Other effects, such as a drop in academic performance, withdrawal from school or absenteeism.
WHO CAN I TALK TO ABOUT A STUDENT WHO MIGHT HAVE BEEN SEXUALLY
HARASSED?
If you suspect one of your students has been sexually harassed, the following resources may be able to provide you
with more support:
Your Division Chair
Mike Wong, EEO/AA Officer in Human Resources
Counseling & Advisement
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinator and Counselors
Team CARE
POLICIES TO KNOW
Leeward Community College Policy on Sexual Assault:
www.leeward.hawaii.edu/policies-students-sexual-assault
Leeward Community College Policy on Sexual Harassment:
www.leeward.hawaii.edu/policies-students-sexual-harassment
Leeward Community College Student Conduct Code: www.leeward.hawaii.edu/files/StuPol_StConductCode_May2010.pdf
Leeward Community College Student Conduct Code Procedures:
www.leeward.hawaii.edu/files/StuPol_StuCondCodeProcedures_May2010.pdf
UH Executive Policy E1.204 Sexual Assault Policy and Procedural Guidelines: www.hawaii.edu/svpa/ep/e1/e1204.pdf
UH Executive Policy E1.203 Policy on Sexual Harassment and Related Conduct: www.hawaii.edu/svpa/ep/e1/e1203.pdf
UH Executive Policy E7.208 University of Hawai`i Systemwide Student Conduct Code:
www.hawaii.edu/svpa/ep/e7/e7208.pdf
UH Executive Policy E7.205 Administrative Policy and Procedures Governing Systemwide Student Disciplinary Sanctions:
www.hawaii.edu/apis/ep/e7/e7205.pdf
Federal Civil Rights Law, Title IX: Sex Discrimination: www.higheredcenter.org/mandates/titleIX
25
ASSESS:
Who is Involved?
Faculty
Students
Only
(Victim or
Perpetrator)
ACKNOWLEDGE VICTIM
ACKNOWLEDGE VICTIM
YES
Connect victim to
the Dean of Student
Services Office
NO
Walk student to
Counseling &
Advisement for
support
26
YES
Connect victim
to Human
Resources
NO
Walk student to
Counseling &
Advisement for
support
ASSESS:
Who is Involved?
Perpetrator
Unrelated to the
College AND the
Incident Occurred
Off-Campus
ACKNOWLEDGE VICTIM
Thank student for trusting you.
Remain calm and sensitive.
YES
NO
YES
Walk student to
Counseling & Advisement
for support
27
Document Incident in
Writing
SUBSTANCE ABUSE
WHAT IS SUBSTANCE ABUSE?
Substance abuse is defined as a maladaptive pattern of substance use that interferes with a persons judgment,
social relationships, activities and ability to fulfill their responsibilities. Alcohol is the most widely used psychoactive
drug on campuses today. It is quite common that a student that abuses alcohol also abuses other types of drugs,
whether they are illicit or prescription. Typically, a faculty member is the one to first identify alcohol or drug abuse in a
student. Counselors may also confront students who confide that they may be struggling with substance abuse
concerns.
Students that abuse substances may be dealing simultaneously with other issues such as an undiagnosed mental
illness, depression, domestic violence, sexual harassment or assault, suicidal ideation, etc.
The following substance abuse-related activities are prohibited on campus by Leeward CCs Student Conduct
Code; therefore you must call Security (ext. 611) if you encounter a student who is in clear violation of the code.
Public intoxication (i.e., being intoxicated anywhere on campus)
Use, possession, manufacturing or distribution of alcoholic beverages by someone under 21 years old.
Use, possession, manufacturing or distribution of marijuana, heroin, narcotics or other controlled substances
except as permitted by law.
If you suspect but are unsure whether or not a student is in fact violating the code, you can also contact the Dean of
Student Services Office (ext. 260) or the Campus Coordinator at LCC-Wai`anae for further assistance.
28
WHO CAN I TALK TO ABOUT A STUDENT WHO MIGHT HAVE SUBSTANCE USE ISSUES?
If you suspect that one of your students may be dealing with substance use issues and you feel you need help in
knowing what to do, the following resources may be able to provide you with more support:
Your Division Chair
Counseling & Advisement
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinator and Counselors
Team CARE
29
POTENTIAL RESOURCES
Refer Student to
Counseling
455-0233
DISCLOSURE
30
Document
in Writing
SUICIDE
WHAT IS SUICIDE?
Suicide occurs when someone intentionally causes his or her own death. Suicide is often committed out of despair,
or attributed to some underlying mental disorder which includes depression, bipolar disorder, schizophrenia,
alcoholism and drug abuse. Financial difficulties, troubles with interpersonal relationships and other undesirable
situations can play a significant role. Often, suicide is related to some sense of loss (e.g., relationships, jobs, etc.)
Students who are suicidal may show signs of distress, such as:
Persistent sadness and/or crying
Excessive anxiety
Lack of sleep/constant fatigue
Excessive irritability/anger
Increased drinking or illicit drug use, including the misuse of medications
Difficulty paying attention or staying focused
Apathy
Not able to function well at work, school or at home, indicated by frequent absences and/or a sudden
change in school/work performance
Threatening to or talking about hurting or killing oneself
Looking for ways to kill oneself
Thinking or fantasizing about suicide
Acting recklessly, seeing no reason for living or no purpose in living
Responses to a suicide or a critical incident should be timely, sensitive, professional and confidential. If one of your
students discloses a desire to harm him/herself, you can:
Talk to the student in private.
Remain calm. Dont argue with the student.
Take the student seriously.
Thank them for trusting you enough to share it with them.
Ask the student about feelings and whether or not he/she has a plan.
Express genuine care and concern and assure them that you will find help.
Walk the student to the Counseling and Advisement Office.
If you suspect one of your students is suicidal, the following resources may be able to provide you with more support:
Your Division Chair
Counseling & Advisement
Dean of Student Services Office
At LCC-Wai`anae, the Campus Coordinator and Counselors
Team CARE
31
In a Crisis, Immediate
Action is Required!
1.
2.
3.
4.
Dean of Student
Services starts the
Consultation and
Referral Process
Faculty Documents
the Incident
OBJECTIVE:
GET HELP FOR THE STUDENT
1.
In a Non-Crisis
OR
Is this a NON-CRISIS?
2.
Express Concern
Listen Carefully & Repeat the
Essence of the Conversation
Identify Options
Ask if you can Share with Someone
Trained to help him/her
WHO TO CALL:
Campus Security
Police/Fire/Ambulance
9-911
832-3100
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GLOSSARY
Alcohol Abuse: Use of alcoholic beverages to excess, either on individual occasions ("binge drinking") or as a
regular practice. For some individualschildren or pregnant women, for examplealmost any amount of alcohol use
may be legally considered "alcohol abuse," depending on local laws. Heavy alcohol abuse can cause physical
damage and death.
Anxiety: A feeling of apprehension and fear that is often characterized by physical symptoms such as palpitations,
sweating, and feelings of stress.
Anxiety Disorders: Disorders characterized by fear that is out of proportion to the danger. Examples include
phobias (such as fear of crowds), general anxiety (tension or irritability that lasts a month or more), and panic attacks
(sudden fear or terror which causes heart flutters, dizziness, sweating, etc.)
Assessment: An evaluation done by a professional to determine the psychological, emotional and/or physical
status of a person.
Bipolar Disorder (Manic-Depressive Illness): A mood disorder characterized by periods of great excitement
alternating with depression. A person with Bipolar Disorder has extreme mood swings (highs and lows).
Depression: A condition that is characterized by profound or a prolonged sense of sadness or helplessness that
lasts for an extended period of time. It usually affects the way a person eats and sleeps, the way one feels about
oneself, and the way one thinks about things. People with a depressive disease cannot merely "pull themselves
together" and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment,
however, can help most people with depression.
Eating Disorders: Disorders characterized by either extreme self-starvation (Anorexia) or eating large amounts of
food and purging by vomiting or taking laxatives (Bulimia).
Intervention: The act of intervening, interfering or interceding with the intent of modifying the outcome.
Obsessive-Compulsive Disorder: An anxiety disorder characterized by thoughts, images or actions that are
constantly repeated.
Postvention: An intervention conducted after a suicide, largely focusing on supporting and promoting the healthy
recovery of the survivors and affected community.
Schizophrenia: A mental health disorder characterized by confused thinking, hallucinations, paranoia, periods of
depression; withdrawal and isolation, etc. A person with schizophrenia often cant get along with others, may be
unable to take care of him or herself, may not make sense when talking, may have strong fears, hallucinations,
obsessions and delusions, and often withdraws from everyday life. There are 7 different types of Schizophrenia.
Security: Specially trained professionals who provide safety and security functions in the operation of the campus
for students, faculty and staff, and who are first responders in the case of any emergency on campus.
Self-Mutilation: Deliberately inflicting self-harm without conscious suicidal intent. Examples are hair pulling, skin
picking, cutting the skin with a razor or knife, burning the skin with a lit cigarette, etc.
Sexual Assault: Any sexual contact made without consent that is accompanied by threatened or actual physical
force. Such contact usually incites fear, shame or mental suffering for the victim.
33
Stalking: Repeated harassment that reasonably terrorizes the victim, such as approaching the victim, sending the
victim unwanted items, or contacting the victim through phone, email, letter or social networking venues.
Student Conduct Code: Official University of Hawai`i policy that defines expected and prohibited student behaviors
on and off campus, and that delineates a process for addressing inappropriate or illegal activity on the part of
students across the University system.
Student Services Officer: A campus official responsible for the administration of the Student Conduct Code, its
interpretation, application and implementation, and assistant to the Dean of Student Services.
Suicidal: Pertaining to suicide, or the taking of ones own lifeas in a suicidal gesture, suicidal thought, or suicidal
act.
Suicidal Ideation: Thoughts about suicide, which may be as detailed as a formulated plan, without the suicidal act
itself. Although most people who undergo suicidal ideation do not commit suicide, some go on to make suicide
attempts.
Team CARE (Campus Assessment, Response and Evaluation): Team CARE is an interdisciplinary group of
Leeward professionals that meet on a regular basis to discuss, create and execute proactive strategies for
supporting individual students identified by their level of need.
Team CARE Help Card: A card available through Team CARE that lists contact information of community
resources that provide support for people in Domestic Violence situations. This card is available in the Student Life
Office (AD-223B) or can be found online at http://intranet.leeward.hawaii.edu/page/team-care-resources.
34
DISRUPTIVE STUDENTS
Assisting Persons with Behavioral Problems: A Compilation of Guidelines from Various Sources. (2003, March).
Retrieved from University of Massachusetts-Lowell Counseling Center: www.uml.edu/studentservices/counseling/UMLDistressedStudentsDocument.pdf
Azusa Pacific University. Faculty and Staff Role: Managing Verbally Aggressive and Potentially Violent Students.
Retrieved from www.apu.edu/counselingcenter/careteam/pdfs/aggressive_students.pdf
Dealing with Disruptive or Threatening Students: A Guide for Faculty and Staff. Retrieved from University of Oregon,
Counseling and Testing Center:
http://counseling.uoregon.edu/DNN/LinkClick.aspx?fileticket_mxrAuNkVaTI%3D&tabid=296
Guide for Faculty and Staff, "Disruptive or Aggressive Students". (2010, October). Retrieved from Winona State
University Counseling Center:
www.winona.edu/counselingcenter/facultyguide.asp#DISRUPTIVE_OR_AGGRESSIVE_STUDENTS
Leeward Community College, Office of the Dean of Student Services. (2010). Disruptive Student Behavior:
Guidelines for Faculty and Staff. Pearl City.
Office of Judicial Affairs, University of Hawai`i at Manoa.
Sizemore, N. Tips on Dealing with Agitated or Aggressive Students. Wilkes Community College.
Van Brunt, B. (2010). Identifying and Managing Aggressive Student Behaviors, Attitudes and Emotions. Webinar.
DOMESTIC VIOLENCE
Domestic Violence Action Center: www.stoptheviolence.org
Domestic Violence in GLBT Couples. (2011, March 3). Retrieved from A.A.R.D.V.A.R.C.: An Abuse, Rape, and
Domestic Violence Aid and Resource Collection: www.aardvarc.org/dv/gay.shtml
Hawai`i State Coalition Against Domestic Violence: www.hscadv.org/organizations/index.html
HCC Student Handbook. Retrieved from Housatonic Community College:
www.hcc.commnet.edu/handbook/index.asp
University of Wisconsin-Madison. (2009). Information for Faculty, Staff, and TAs: Sexual Assault, Dating Violence,
and Stalking. Retrieved from University Health Services:
www.uhs.wisc.edu/assault/documents/sadvresourceguide.pdf
35
MENTAL HEALTH
Assessment and Care Team (ACT). Retrieved April 2011, from Kingsborough Community College:
www.kbcc.cuny.edu/act/Pages/default.aspx
Student Assistance Program (SAP) Protocol. Retrieved April 2011, from PITT Community College:
www.pittcc.edu/experience-pcc/student-services/counseling-services/student-assistance-program/protocol-mentalhealth-services.htm
Sulzberger, A., & Gabriel, T. (2011, January 13). College's Policy on Troubled Students Raises Questions. The New
York Times: www.nytimes.com/2011/01/14/us/14college.html?_r=3&hp
U.S. Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon. Rockville: U.S.
Department of Health and Human Services,Substance Abuse and Mental Health Services Administration, Center for
Mental Health Services,National Institutes of Health, National Institute of Mental Health.
36
SEXUAL HARASSMENT
New Media Learning, LLC. (2006, October 4). Preventing Sexual Harassment. Retrieved from University of Hawai`i
System, Equal Employment Opportunity and Affirmative Action Office:
http://training.newmedialearning.com/psh/uhawaii/index.htm
Sexual Harassment Statistics. (n.d.). Retrieved 2011, from AAUW: Breaking Through Barriers for Women and Girls:
www.aauw.org/act/laf/library/harassment_stats.cfm
Sexual Harassment University of Hawai`i Community College Policy Information. (1999, 5). Retrieved from Honolulu
Community College Intranet, Policies and Procedures: http://honolulu.hawaii.edu/intranet/policies/sexharass.pdf
SUBSTANCE ABUSE
Alcohol & Other Drug Education Program (ADEP). (2010, October 11). Retrieved from University Health Services
Manoa: www.hawaii.edu/shs/adep.html
Massachusetts Institute of Technology: BASICS (Brief Alcohol Screening and Intervention for College Students).
Retrieved 2011, from U.S. Department of Education's Higher Education Center for Alcohol, Drug Abuse and Violence
Prevention: www.higheredcenter.org/resources/case-studies/massachusetts-institute-technology
Susic, P. Drug Treatment Characteristics that May Be Crucial. Retrieved 2011, from St. Louis Psychologists and
Counseling Information and Referral Network: www.psychtreatment.com/drug_treatment_characteristics.htm
Tetlak, A. (2010, July 21). College, Universities Try Different Tactic to Curb Student Drinking. Retrieved from KFYRTV: www.kfyrtv.com/News_Stories.asp?news=41695
The Drug Policy Alliance: www.drugpolicy.org
University of Florida (UF): Drug and Alcohol Prevention Models on College Campuses: Reducing High-Risk Drinking
Among College Students. (n.d.). Retrieved 2011, from U.S. Department of Higher Education Center for Alcohol, Drug
Abuse and Violence Prevention: www.higheredcenter.org/resources/model-programs/university-florida-uf
University of Wyoming, Alcohol Wellness Alternatives, Research & Education (AWARE). (2008). Retrieved from U.S.
Department of Education, Higher Education Center for Alcohol, Drug Abuse and Violence Prevention:
www.higheredcenter.org/resources/case-studies/university-wyoming
Virginia Commonwealth University: Changing Perceptions with the Click of a Button. Retrieved 2011, from U.S.
Department of Education's Higher Education Center for Alcohol, Drug Abuse and Violence Prevention:
www.higheredcenter.org/resources/model-programs/virginia-commonwealth-university
SUICIDE
Columbia College Chicago. Suicide Prevention & Response Protocol Fall 2008. Retrieved 2011, from
www.colum.edu/students/Health/PDF_Folder/SuicidePrevBklt08.pdf
LivingWorks. ASIST Training Manual.
National Suicide Prevention Lifeline: www.suicidepreventionlifeline.org
NDSU Policy Manual. (2011, June 1). Retrieved from North Dakota State University:
www.ndsu.nodak.edu/policy/608.htm
SAVE: Suicide Awareness Voices of Education: www.save.org
The Jed Foundation. Framework: Framekwork for Developing Institutional Protocols for the Acutely Distressed or
Suicidal College Student. Retrieved 2011, from www.jedfoundation.org/framework.php
The Mental Health Association of Westchester County, Inc.: www.mhawestchester.org
37