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Cougar Health Services

Guide to Helping Students in Distress

Everett Campus

Faculty and staff are often able to recognize when a student is struggling, but it can be hard to know what to say or do. You can reference this guide when you’re concerned about a student. Each WSU location has a guide with specific campus and community resources:

Tips for responding with compassion

Listen sensitively and carefully. Vulnerable students need you to listen and help. Ask directly how they are doing or if they have thoughts of harming themselves or others.
Trust your gut. If you are concerned about a student, talk to your department chair, supervisor, or the Office of the Dean of Students.
Connect with campus resources. We have other professionals and campus resources dedicated to helping you and students. You can start with the AWARE Network or any of the other resources listed in this guide. Your firsthand knowledge and personal connection to this student is valuable in supporting them.
Take care. Helping a distressed student can take a toll on you. Please think of your own wellbeing and seek support if needed.
Stay safe. Safety is always our top priority. Call 911 if a student poses an immediate threat to self or others.
Share what you know. State and federal laws and University policies mandate reporting in some situations. The Family Educational Rights and Privacy Act (FERPA) allows faculty and staff to report student health and safety concerns to relevant campus offices trained to handle situations with sensitivity and care. Taking appropriate action does not violate a student’s privacy. In some instances, employees have an obligation to report behavior. Visit oeo.wsu.edu for more information on reporting requirements.

AWARE Network

The AWARE Network allows you to share concerns about a student’s well-being, behavior, or academic performance with colleagues who can help. After submitting a report, the Office of the Dean of Students will contact you to gather additional information, talk about the situation, and identify next steps.

The goal is to determine the best way to connect the student with resources that support their success without causing additional stress. Visit aware.wsu.edu for more information.

Campus resources

Access Center
Provides accommodations and services to WSU students with documented disability/medical needs.

Counseling and Psychological Services
Provides confidential counseling services to WSU students.

Employee Assistance Program 1-877-313-4455
Provides WSU employees counseling, education, and consultation services.

Safety and Security 425-388-9990

Student Care Committee 425-405-1725
Supports students who need assistance by connecting them to resources that can help.

Title IX Liaison 425-405-1725
Works with OEO on student conduct cases involving discrimination, sexual harassment, and sexual misconduct.

Office for Equal Opportunity 509-335-8288
Intake office for complaints of discrimination, discriminatory harassment, sexual harassment, and sexual misconduct.

Office of Student Conduct 509-335-4532
Addresses violations to the WSU Standards of Conduct for Students.

Office of Student Services 425-405-1725
Provides students with career and academic support, financial aid and scholarship guidance, social opportunities, Title IX reporting, and health and wellness services.

Office of the University Ombudsman 509-335-1195
Serves as an impartial and neutral resource to assist all members of the university community.

Community resources

Better Help
Confidential counseling services available to students on WSU student insurance.

Domestic Violence Services of Snohomish County 425-252-2873
Confidential support for victims of domestic violence.

Everett Crime Victim Services 1-800-346-7555

Everett Police Department 425-257-8700

National Suicide Prevention Lifeline 1-800-273-TALK (8255)

Northwest Justice Project Free Legal Hotline 1-888-201-1012

Providence Everett Medical Center 425-316-5000
Confidential patient and family medical care.

Snohomish County Legal Services 1-888-201-1014

Snohomish Crisis Line 1-800-584-3578

YWCA Pathways for Women 425-774-9843
Provides comprehensive domestic violence services for survivors in need.

Common issues

RECOGNIZE

RESPOND

REFER

REPORT

“Not sure what, but something’s wrong.”

RECOGNIZE

  • Disturbing content in paper/emails
  • Decline in academic performance
  • Excessive absenteeism
  • Irrational or bizarre behavior
  • Sudden change in demeanor (e.g. an extroverted student withdraw, an organized student forgetful, etc.)
RESPOND

  • Express concern and care
  • Give an example of a time that the student’s behavior has worries you
  • Listen to and believe student’s responses
  • Be supportive and encouraging if student agrees to get help
REFER

  • Urgent: 911
  • Advice and consultation:
  • Counseling Services
    206-650-5910
REPORT

  • CARE Report

Family or personal tragedy, loss, or crisis

(Illness or death of family member, job loss, breakup, legal difficulties, etc.)

RECOGNIZE

  • Frequent or extended abscences
  • Decline in academic performance
  • Mentions relationship, financial or other challenges
  • Difficulty concentrating and making decisions
  • Exhaustion/fatigue, excessive worry, sleeping/eating problems
RESPOND

  • Express concern and care
  • Avoid criticizing, sounding judgmental, minimizing or blaming
  • Listen to and believe student’s responses
  • Be supportive and encouraging if student agrees to get help
REFER

  • Advice and consultation:
  • Counseling Services
    206-650-5910
  • Office of Student Services
    425-405-1725
  • Student Legal Services Office
    509-335-9539
REPORT

  • CARE Report

Medical and mental health concerns

(Sudden or long-term illness, depression, or anxiety)

RECOGNIZE

  • Direct statements about medical and/or mental health concerns
    Frequent or extended absences
  • Excessive fatigue, falling asleep in class
  • Significant decline in appearance, behavior or personal hygiene
  • Noticeable weight loss or gain
  • Irritability, agitation, or anxiety
  • Emotionless facial expression, slow speech, difficulty concentrating,
    expressing feelings of hopelessness or worthlessness
  • Crying or tearfulness
  • Unusually withdrawn or animated behavior
  • Disorganized speech, rapid or slurred speech, confusion
  • Decline in academic performance, leaving class abruptly
  • Extreme disorganization or erratic academic performance
RESPOND

  • Express concern and care
  • Avoid criticizing, sounding judgmental, minimizing or blaming
  • Listen to and believe student’s responses
REFER

  • Urgent: 911
  • Advice and consultation:
  • Counseling Services
    206-650-5910
  • Office of Student Services
    425-405-1725
  • Student Legal Services Office
    509-335-9539
REPORT

  • CARE Report

RECOGNIZE

RESPOND

REFER

REPORT

Self-harm, suicide, safety risk

RECOGNIZE

  • Written or verbal statements preoccupied with themes of
    death, suicide, or harming self or others
  • Fresh cuts, scratches or other wounds
  • Withdrawal from activities and friends
  • Statements of hopelessness such as, “I hate this life” or
    “Everyone is better off without me”
  • Statements to the effect that the student is “going away for a long time”
  • Physical or verbal aggression that is directed at self, others,
    animals, or property
  • May accompany other types of emotional distress (see medical
    and mental health concerns above)
RESPOND

  • Express concern and care
  • Avoid criticizing, sounding judgmental, minimizing or blaming
  • Always take suicidal statements, thoughts or behaviors very
    seriously
  • If you suspect a student may be thinking about suicide, seek
    immediate consultation
  • If possible, ask directly about their thoughts and plans
  • Call 911 if there is a direct threat to student’s safety or the safety
    of others (consult with the AWARE Network if you are unsure)
REFER

  • Urgent: 911
  • Advice and consultation:
  • Counseling Services
    206-650-5910
  • Safety and Security
    425-388-9990
REPORT

  • CARE Report
  • Call 911

Alcohol or other drug abuse

RECOGNIZE

  • Intoxicated/high in class or at meetings/events
  • Excessive sleepiness or hyper energy
  • Decline in academic performance
  • References to alcohol or drug use in conversations, papers, projects, etc.
  • Deterioration in physical appearance (bloodshot eyes, dilated
    pupils, trembling hands, etc.)
  • Unusual smells on breath, body or clothes
RESPOND

  • Express concern and care
  • Give an example of a time that the student’s behavior has worried you
  • Listen to and believe the student’s responses
  • Be supportive and encouraging if the student agrees to get help
REFER

  • Urgent: 911
  • Advice and consultation:
  • Counseling Services
    206-650-5910
  • Providence Everett Medical Center
    425-316-5000
REPORT

  • CARE Report

Misconduct, inappropriate behavior, and classroom disruption

RECOGNIZE

  • Disruptive Conduct: Inappropriate outbursts or persistent interruptions, continued arguing beyond the scope of academic debate, use of threats
  • Disorderly conduct*: Throwing items, refusing to leave, preventing others from leaving, showing or stating the presence of a weapon
     
    *Disorderly conduct and threatening behaviors require immediate action
RESPOND

  • Express concern and care
  • Explain the impact of student’s behavior on the group or class
  • Clarify or outline your expectations
  • Contact police if student does not respond to your intervention and continues serious disorderly conduct and threatening behaviors
REFER

  • Urgent: 911
  • Advice and consultation:
  • Counseling Services
    206-650-5910
  • Safety and Security
    425-388-9990
  • WSU Police
    509-335-8548
REPORT

  • Office of Student Services
    425-405-1725
  • Everett Security
    425-388-9990

RECOGNIZE

RESPOND

REFER

REPORT

Crime victimization, hazing

RECOGNIZE

  • Appears fearful, anxious, nervous or angry
  • Withdrawal from activities and friends
  • Visible injuries or bruises
  • Cuts, brands, or scars with a distinct pattern (e.g. Greek alphabet letter)
  • Unusual absence of or damage to personal items such as laptop, cellphone, etc.
RESPOND

  • Express concern and care
  • Listen to and believe the student’s responses
  • Do not interpret student’s emotions as evidence of crime
  • Avoid criticizing, sounding judgmental, minimizing or blaming. Say things like, “I’m sorry that happened, but I’m glad you’re safe now.” and “Thank you for trusting me enough to tell me.”
REFER

  • Urgent: 911
  • Advice and consultation:
  • Counseling Services
    425-405-1725
REPORT

  • CARE Report

Violence, harassment, interpersonal/sexual assault

RECOGNIZE

  • Appears fearful or unusually anxious about pleasing others
  • Apologizes or makes excuses for partner/other’s behavior
  • Mentions partner/other’s possessiveness, jealousy or violent behavior, but may laugh it of
  • Visible injuries or bruises
  • Frequent mishaps or injuries with illogical or no explanations
  • Crying or leaving when sexual violence, domestic violence, stalking or child abuse is brought up
RESPOND

  • Express concern and care
  • Listen to and believe student’s responses
  • Do not interpret student’s emotions as evidence of assault or violence
  • Avoid criticizing, sounding judgmental, minimizing or blaming
  • Recommend (or, if necessary, insist upon) medical intervention
  • Provide information on resources and reporting options
  • Say things like, “You’ve been through something very frightening. I’m so sorry.”
REFER

  • Urgent: 911
  • Advice and consultation:
  • Office of Student Services
    425-405-1725
  • Providence Everett Medical Center
    425-316-5000
REPORT

  • Office of Student Services
    425-405-1725
  • Office for Equal Opportunity
    509-335-8288

Bullying, harassment, sexual harassment, cyberstalking

RECOGNIZE

  • Internet trolling, name-calling or harassment
  • Communications that continue after being told to stop
  • Threatening to release private information/photos
  • Verbal abuse, innuendo of a sexual nature, unwanted sexual flirtations
  • Demand for sexual favors by peer or supervisor accompanied by implied or overt threat concerning an individual’s academic status or employment
  • Display of sexually suggestive pictures or cartoons in workspace, residence halls or online
  • Continued jokes, language, gestures or remarks of a sexual nature
RESPOND

  • Express concern and care
  • Listen to and believe student’s responses
  • Avoid criticizing, sounding judgmental, minimizing or blaming
  • Encourage targeted student to save all digital communications as downloaded files and/or hard copies
  • Provide information on resources and reporting options
REFER

  • Urgent: 911
  • Advice and consultation:
  • Office of Student Services
    425-405-1725
REPORT

  • Office of Student Services
    425-405-1725
  • Office for Equal Opportunity
    509-335-8288
  • Office of Student Conduct
    509-335-4532