CAPS

II.D REFERRALS AND INSURANCE

Effective Date: 
Fri, 08/01/2008
Reviewed: 
Fri, 05/22/2015
Revised: 
Fri, 05/04/2012
Procedure: 

1. Referrals to Off-Campus Providers

Referrals are made to private therapists, private psychiatrists, or community agencies when the treatment of choice is not available through CAPS or when individuals are not eligible for services.  The list of off-campus treatment providers, their areas of clinical expertise, and their availability is maintained in a database and is updated frequently.                                           

If at all possible, at least three referral names are provided.  Students are either told the referrals names during their contact with CAPS clinician, sent the names in a secure message on their Student Health Communicator, or provided a list when they come in to pick up their referral form (if applicable).  It is the referring clinician's reponsibility to determine the level of follow-up necessary to ensure student's connect with an off-campus provider, and provide whatever follow-up is indicated.  In the event the referral becomes complex, a case management referral can be made.  In the event a student is endorsing concerning risk factors, the referring clinician should continue to follow the student until a successful referral is made, and attempt to secure a release of information for the referred to clinician. Depending on acuity, the clinician can choose to send a letter to the client’s last known address, in the event the student does not follow-thru on referral recommendations.

Students who do not endorse any concerning risk factors require no follow-up.

2. Undergraduate and Graduate Insurance (USHIP/GSHIP)

If a student is referred off-campus who has the student health insurance, the CAPS clinician making the referral must complete an Off Campus Referral form in the electronic health record.  The student then brings this form to their off campus appointment.

a. A New referral form is the first referral form given to a student for psychological treatment.  A Renewal referral form is any form given after the initial New referral form expires and the student continues to need treatment.

b. All insurance forms expire just prior to the beginning of Fall Quarter in September.  Renewal referral forms are needed at this time for continued coverage.

c. CAPS may back-date renewal referral forms if the student’s file contains documentation of a prior referral within the past year.  This is done when students request a renewal referral form after coverage has already expired.

d. Student insurance referral forms must be requested by the student.  CAPS will not process or release a referral form for anyone but the student.

e. Students can contact CAPS through phone triage to get a referral, but must come to the main CAPS office to pick up a referral form.  At that time, an electronic copy of the referral form is automatically sent to the insurance company.  Students are given a copy of the referral, which they need to bring in to the off-campus clinician.

f. Off campus Providers do not need a copy of the insurance form to be paid by the insurance company.  The copy is given solely for the clinician’s record.

g. Students unable to come in-person due to extreme circumstances may request a RENEWAL referral form by calling the CAPS office, or Student Health Services Insurance office.  At that time, an electronic referral form is generated that goes to the insurance company, and is maintained in the "Referrals" section of Point and Click (Electronic Health Record).  This is available to give to students at their convenience. 

h. CAPS does not mail or fax clinicians copies of new or renewal referral forms.

II.C MISSED APPOINTMENTS

Effective Date: 
Fri, 08/01/2008
Reviewed: 
Fri, 05/22/2015
Revised: 
Mon, 01/25/2016
Procedure: 

1. When a client does not show for an appointment, it is the responsibility of the CAPS clinician with whom the appointment was made to arrange for follow-up.

2. An exception to this exists when a student misses a first time Psychiatry appointment.  If the student was referred to Psychiatry by a CAPS clinician, the Psychiatrist will send an Instant Message via the Electronic Medical Record and copy the referring clinician on the Missed Appointment note in the Clinician Record.  It is the responsibility of the referring clinician to follow up with the student.  If the student is referred to Psychiatry from an off-campus clinician and a Release of Information is on file, the Psychiatrist will notify the referring clinician regarding the missed appointment.

3. Coordinating follow-up by the responsible clinician:

a.  The Clinician personally arranges the follow-up & documents the plan.

i. If the Clinician is unable to contact the student after 2-3 attempts, the clinician will need to document if further efforts at contact should be made or if the case should be terminated.

ii. The clinician will consider sending a registered/certified letter, instituting a welfare check - or breaking confidentiality and contacting a family member, if the safety of the student is at risk. Whenever the clinician considers instituting a welfare check or breaking confidentiality, they should first consult with senior staff or management

b. If the follow-up arrangements can wait until the next day, the Clinician can choose to have follow-up arranged by front desk staff:

i. The Clinician IMs “Missed Appointment Note” including specific instructions as to the type of follow-up appt needed, (i.e. Priority Intake, Psychiatry Follow-Up, Individual Counseling Follow-Up) and within what time frame, to the Front Desk Support staff member who will facilitate contact with the student.

ii. If the Appt. Scheduler is unable to contact the client after 2 attempts, the Scheduler IMs the Clinician informing him/her.

4. A CAPS client who does not show for an appointment will be charged $25.  The first time a student misses an appointment the charge is waived. If a client comes late to an appointment, they may be charged a missed appointment fee:

a. a no-show charge will be assessed when students are more than 20 minutes late to intakes or full-length therapy sessions.

b. for brief sessions (20-30 min) or 30 min psychiatric med checks, students will be charged if more than 15 min late.

5. Any exceptions to this policy must be made by managers.

 

II.B.iii CRISIS PROCEDURES - POST-HOSPITALIZATION

Effective Date: 
Fri, 08/01/2008
Reviewed: 
Mon, 06/26/2017
Revised: 
Mon, 06/26/2017
Procedure: 

Post-hospitalization services are the responsibility of the student’s primary clinician, including CAPS staff clinicians and off-campus clinicians, in collaboration with the CAPS Case Manager. When the student has no pre-established primary clinician, post-hospitalization services are the responsibility of the CAPS Case Manager.  Post-hospitalization procedures are as follows:

1) Collaboration and Consultation regarding hospitalized students.

a. All 5150 cases are sent to the area Crisis Stabilization program (CSP).  Many students are released within the 23 hour hold period. Those who are held for a 72 hour hold are typically transferred out of county.  Depending on the facility, information can be difficult to obtain.  Some units will fax student’s admittance and discharge paperwork to the Case Manager upon the student’s discharge from the hospital.

b. Students who were unable to sign release of information forms prior to hospitalization and who want CAPS assistance may sign consent forms while hospitalized.

c. The CAPS clinician will facilitate the notification of and collaboration with other treatment providers, campus units, friends, and family members of the student with appropriate consent forms.  With appropriate consent forms, the CAPS clinician will request that academic staff notify the student’s professors of the student’s absence.  Unless otherwise specified by the student, professors should be told the student has had a “medical emergency.”

d. The CAPS clinician will maintain frequent phone contact with hospital staff to collaborate on discharge and treatment planning.

e. The CAPS clinician will pass all information regarding hospitalized students, including hospital paperwork, to the referred to CAPS psychiatrist.

2) Direct Service

a. The CAPS clinician will call the student as soon as possible after discharge from hospitalization to schedule an appointment for crisis assessment, stabilization and follow-up treatment planning.  This meeting includes:

i. Assessing risk-factors

ii. Crisis Stabilization

iii. Developing a safety plan

iv. Psychoeducation on the student’s diagnosis and treatment options

v. Referral to on and/or off-campus treatment services

vi. A follow-up plan for on-going clinical and case management services

b. With appropriate consent forms, the CAPS clinician will meet with the student and his/her available supportive others.  This is to help ensure the facilitation of the treatment plan, and to provide psychoeducation and support to the student’s family and friends.  The student’s family and friends may need referrals for their own treatment services.

3) Goals for follow-up treatment plan after initial assessment.

a. Facilitate transition back to school if appropriate

b. Facilitate Withdrawal or Leave of Absence if appropriate

c. Facilitate resolution of housing issues

d. Facilitate getting basic needs met

e. Facilitate mobilization of support network

f. Facilitate access to on/off-campus services including therapy and medication management.

II.B.ii CRISIS PROCEDURES - HOSPITALIZATION

Effective Date: 
Fri, 08/01/2008
Reviewed: 
Mon, 06/26/2017
Revised: 
Mon, 06/26/2017
Procedure: 

Procedures for Involuntary Hospitalization (5150 Hold):

Students requiring a referral for a 5150 Hold will be transported to the Santa Cruz County Crisis Stabilization Program (CSP) for an evaluation by the Psychiatric Emergency Services staff to determine if treatment as an involuntary hospitalization is indicated.  Students can be held in the CSP for up to 23 hours prior to transfer or release.  The transportation for students without a physical health emergency is provided by the UCSC Police Department.  Transportation for students experiencing a physical health emergency is done via ambulance to Dominican Hospital. The charge nurse at the Student Health Center should be informed of these CAPS initiated physical health transfers to Dominican. The CAPS licensed staff member  initiating the involuntary hospitalization will complete the following steps:

·         Consult with one or more licensed staff members, always including a member of the management team, to review the case and make a collaborative decision as to whether involuntary hospitalization is clinically indicated.  If a clinician in a satellite office is considering initiating a 5150 hold, consult with CAPS management (CAPS management might come to the satellite office to facilitate the 5150 hold).   CAPS management representative should consult with other available CAPS managers about 5150 decisions.

·        A member of CAPS Management staff (who is certified by the county to write 5150 holds) completes the form for up to 72-hour Detention For Evaluation and Treatment  in consultation with the staff clinician. The CAPS Management staff writing the 5150 will also give the advisement to the student per 5150 requirement.

·        In urgent situations, such as a medical emergency or a flight risk, contact the PD through the emergency telephone number, 9-2345, or dial 911 from a campus phone. For urgent medical situations in the Central offices, also use the Code Blue procedure (see SHC EMERGENCY ANNOUNCEMENT PROCEDURE/PAGING SYSTEM procedure in the Main Manual). If there is a non-urgent medical concern, contact a Student Health Center clinician, CSP staff, other licensed CAPS staff, and/or medical emergency services to consult regarding the need for police vs. ambulance transportation to the CSU.  The CAPS staff member will contact Campus Police, identify her/himself and request officer assistance and/or ambulance services depending on the circumstances.  The Campus PD non-emergency telephone number is:  9-4856.

·         It is the policy of the Campus Police Department that students requiring transportation for an involuntary hospitalization will be handcuffed for safety purposes. The CAPS staff member initiating the 5150 Hold will inform the student of the Campus Police Department’s handcuff policy prior to being handcuffed, except when doing so could create a safety concern.

·         Time-permitting, the CAPS  staff member will request of the student his/her consent (utilizing a Release of Information form) to contact anyone who may contribute to the student’s treatment and stabilization.  This may include but is not limited to parents, campus housing staff, campus academic staff, friends, and other family members. The CAPS staff member or management will call the CSP to inform the Psychiatric Emergency Services worker that the student is being transported to their unit, and provide necessary information to ensure the student’s safety.  That telephone number is: 831-600-2800If the student is being sent to an Emergency Room for medical evaluation, CAPS staff should call the ER to let them know the student is coming.

·         CAPS staff will only inform the person(s) who the student has given consent to inform unless breaking of confidentiality is necessary to ensure the student’s safety, as a health and safety or legitimate educational interest FERPA exception.  Calls to family and other people involved in the immediate stabilization of the student will be done as soon as possible and always on the same day of the hospitalization.

In the event that the student has not given consent to inform essential support persons of the 5150 Hold, the Psychiatric Emergency Services worker at the CSP has a policy, and is lawfully able, to contact any person needed for the immediate stabilization of the student without obtaining consent to release information.

·        Procedures For Voluntary Hospitalizations:

Students presenting with serious risk factors which do not rise to the level of imminent risk  may benefit from psychiatric hospitalization and can be assisted by a CAPS staff member for a voluntary admission to a local in-patient psychiatric facility.  Campus police will not transport for a voluntary hospitalization. CAPS can suggest a family member, taxi voucher, or whatever is appropriate for the situation. Some possible voluntary hospitalization options are:

·         Good Samarian Hospital, San Jose, CA, (408) 559-2011

(15891 Los Gatos Almaden Rd., Los Gatos, Calif. 95032)

·         CommunityHospital of Monterey, Monterey CA, (831) 625-4623

(23625 Holman Highway, Monterey, Calif. 93940)

·         El Camino Hospital Mountain View (650) 940-7291

(2500 Grant Road, Mountain View, Calif. 95040)

·         Stanford Hospital, Palo Alto, M-F 8am-5pm (650) 725-9848, nights and weekends (650) 723-4000, (401 Quarry Road, Palo Alto, Calif. 94305)

·         Kaiser San Jose, (previously called Santa Teresa), no inpatient Psych unit, they contract out to other private hospitals. Behavioral Medicine (408) 972-6442, Psychiatry outpatient clinic (408) 972-3095, Kaiser Regional Psychiatry Center (925)372-1103. (250 Hospital Parkway, San Jose, Calif.) Kaiser is in Santa Clara as well: 3840 Homestead Rd, Santa Clara, (408) 851-4850.

Voluntary hospitalization requires appropriate insurance or ability to pay for the services by the student or the student's family.  Obtaining the student's consent to contact appropriate family members or other emotionally supportive persons is always recommended.  If there are imminent risk factors such as suicidal intent or homicidal intent caused by a mental illness, a voluntary hospitalization would not be appropriate and a 5150 Hold must be initiated.

5150      Initiated by Non-CAPS Staff

·         Student hospitalization initiated by campus police or a non-campus agency (SCPD, SC Sheriffs Office, etc.)

CAPS staff will not be notified by initiating professional, but may be contacted by any campus staff or faculty who is aware of the hospitalization.  Additionally, the CSP may notify the CAPS Case Manager and/or CAPS Crisis Services Staff when any student is evaluated by their service.

II.B.i CRISIS PROCEDURES - AFTER HOURS SERVICES - PROTOCALL GUIDELINES

Effective Date: 
Fri, 08/01/2008
Reviewed: 
Mon, 04/18/2016
Revised: 
Mon, 04/18/2016
Policy: 

After business hours, during weekends and on holidays, ProtoCall (an off-site, privately contracted company) provides telephone crisis assessment, safety planning, and referrals for UCSC students. This service is accessed by phoning the CAPS Central Office at (831) 459-2628 and selecting the “After Hours Crisis Services” menu option. All members of the UCSC community (students, staff, faculty and parents) may utilize this service to obtain immediate, telephone-based consultation and support regarding a variety of crisis issues, and to facilitate transitions to CAPS daytime services. Each business day, CAPS staff review new ProtoCall contacts and respond accordingly.

If a critical incident occurs after business hours, a ProtoCall provider will contact the CAPS “back-up” person or other UCSC officials to mobilize campus and community resources. The “back-up” person is not “on-call,” but is “on-alert,” is generally available by cell, and is not required to be in a specific geographic location. If the back-up person is not available, ProtoCall will contact another member of the CAPS counseling staff and/or management.

Procedure: 

Criteria for when ProtoCall is to contact the CAPS back-up person:

1. The death of a student.

2. Disaster (i.e. earthquake, school shooting, etc).

3. In any situation involving Duty to Warn or reports of imminent danger due to suspected child or elder abuse or neglect per ProtoCall policies and procedures.

When contacted by ProtoCall, the CAPS back-up person is to:

1. Consult with ProtoCall and gather information about situation.

2. Assess the level of severity of the situation and determine the need for response.

            a. Consult with CAPS management if, in fact, ProtoCall is responding to one of the three criteria defined above, or as needed in other situations if the CAPS back-up person determines that consultation with CAPS management is needed.

            b. CAPS staff needs to provide direct service(s) that may include:

                        1. Consultation to staff, student, or administration.

                        2. A debriefing at the time of the incident and/or thereafter.

                        3. Resource information.

                        4. Coordination of local resources with ProtoCall staff (e.g., contacting campus or local law enforcement).

3. Follow-up the next working day.

            a. Provide follow-up/debriefing with CAPS management.

            b. Provide information to daytime Crisis staff.

            c. Determine any necessary follow-up beyond what the daytime Crisis staff are responsible for providing, including supplementing the documentation of daytime Crisis staff.

Daily procedures for new ProtoCall reports:

The Crisis Worker is responsible for checking the online ProtoCall Share Point drive for any Protocall reports  prior to 8:30 AM every morning and at the beginning of the afternoon shift and responding to the reports accordingly. Guidelines for following up on ProtoCall reports are outlined below. 

Students who called and did not indicate imminent risk:

  • Check in PnC and/or with the front office to determine if the student has utilized CAPS services.
  • If the student is a current/recent CAPS client, call the clinician  and disclose report information or IM the ProtoCall report to the clinican.
  • No further follow-up is needed on the part of the crisis worker.

Students who called and indicated imminent risk:

  • Check in PnC and/or with the front office to determine if the student has utilized CAPS services.
  • If the student is a current/recent CAPS client, call the clinician and disclose report information.
  • If the student has an off-campus provider and there is a release of information, contact the provider to disclose report information if appropriate.
  • Collaborate with the CAPS or off-campus clinician to provide follow-up for the student.  The student should at least be called and offered assistance/resources either by the current clinician or the crisis worker.
  • If the student does not have an on or off-campus provider, please consult with your crisis team member regarding an appropriate follow-up plan.

Parents who called:

  • Check in PnC and/or with the front office to determine if the student has utilized CAPS services.
  • If the student is a current/recent CAPS client, call the clinician and disclose report information.
  • Check the student’s chart for pertinent releases of information.
  • Do not disclose student information to the parent unless there is a release of information and it is clinically indicated due to risk.  Make every attempt to consult with current/recent CAPS or off-campus provider prior to disclosing info.
  • Only if the parent indicates the student is at imminent risk, attempt to contact the off-campus provider with release of information to disclose report information.
  • Only if the parent indicates the student is at imminent risk and the parent might need continued support despite ProtoCall contact, call the parent to offer support and assistance.

Staff and faculty who called:

  • Check in PnC and/or with the front office to determine if the student has utilized CAPS services.
  • If the student is a current/recent CAPS client, call the clinician and disclose report information or IM the ProtoCall report to the clinician.
  • Check the student’s chart for pertinent releases of information.
  • Do not disclose student information to staff/faculty unless there is a release of information and it is clinically indicated due to risk.  Make every attempt to consult with current/recent CAPS or off-campus provider prior to disclosing info.
  • Only if the staff/faculty indicates the student is at imminent risk, attempt to contact the off-campus provider with release of information to disclose report information.
  • Always return calls from staff and faculty to offer support and assistance, regardless of level of risk.

Documentation:

If a student is an active or recent client of CAPS, document the ProtoCall contact in the student’s Electronic Health Record (EHR) using the Protocall template,  and note whether further follow-up is needed or recommended, and if any action was taken.

If a student is not a current or recent CAPS client, document the ProtoCall contact in the third party security division of the EHR and indicate that a ProtoCall report has been received.  Note whether further follow-up is needed or recommended, and if any action was taken.   See Third Party Contacts policy and procedures. 

II.B CRISIS PROCEDURES - OVERVIEW

Effective Date: 
Fri, 08/01/2008
Reviewed: 
Mon, 06/26/2017
Revised: 
Mon, 06/26/2017
Policy: 

Brief Risk Assessments:

All registered UCSC students who present to CAPS Central Office during normal business hours (Monday through Friday from 8 AM until 5 PM) and are perceived to be at risk or in an acute crisis are eligible for a same day, brief risk assessment at no charge. Brief risk assessments are designed to assist students who are confronting life-threatening circumstances, current or recent traumatic event(s), or serious mental illness. Examples of such issues include:

  • suicidal thoughts
  • the need to be hospitalized for mental health purposes
  • thoughts about harming another person
  • recent assault or abuse
  • concern about their safety or someone else’s safety
  • hallucinations or other “odd thinking”
  • recent death of a loved one
  • witnessing or experiencing a traumatic event
  • adverse drug reaction

Consultations:

CAPS provides in-person and telephone consultations to students, staff, faculty, and parents who are concerned about UCSC students who might be in emotional or psychological distress. See Third Party Contact/Consultations Policy

After Hours Crisis Service and ProtoCall:  

After business hours, during weekends and on holidays, ProtoCall (an off-site privately contracted company) provides telephone crisis assessment, safety planning, and referrals for UCSC students. This service is accessed by phoning the CAPS Central Office at (831) 459-2628 and selecting the “After Hours Crisis Services” menu option. All members of the UCSC community (students, staff, faculty and parents) may utilize this service to obtain immediate, telephone-based consultation and support regarding a variety of crisis issues, and to facilitate transitions to CAPS daytime services. Each business day, CAPS staff review new ProtoCall contacts and respond accordingly. See After Hours Service and ProtoCall Policy.

If needed, a ProtoCall provider may contact CAPS clinician(s) or other UCSC officials to mobilize campus and community resources. The primary CAPS clinician on-alert for ProtoCall contacts is generally available by cell, and is not required to be in a specific geographic location while on-alert. If the primary CAPS clinician on-alert is not available, ProtoCall will contact another member of the CAPS counseling staff and/or management.

Procedure: 

Students who are referred, or self-refer, to crisis services need to complete the crisis triage form (Appendix A).

Positive Crisis Triage Form:

Students who endorse one of the questions on the crisis triage form are given the next available crisis appointment.

For students who complete the crisis triage form and endorse the item, “I am having a severe reaction to a psychiatric medication,” only (i.e., no other items on the crisis triage form are endorsed), front desk personnel will inform students they may utilize one of three options: (1) schedule a same day crisis appointment, (2) present to the SHC’s Same Day Clinic, (3) schedule a phone triage appointment.

For students who complete the crisis triage form and endorse the item, "I attempted suicide within the last 24 hours," all other preliminary steps are bypassed and the student is seen immediately by the crisis staff or management backup.  If the student had recently ingested a toxic substance, or is otherwise in immenent physical risk, UCSC police dispatch will be contacted immediately and, if indicated, student will be taken to the local emergency room.  If there is a delay, the Medical Director (or designee) can be contacted for their assistance.

For students who endorse one of the questions on the crisis triage form yet decline a crisis appointment, or who express a desire to leave prior to their crisis appointment, the front desk personnel will encourage the student to attend a crisis appointment. Additionally, whenever possible, the front desk personnel will inform a CAPS clinician of the student’s imminent departure or disinterest in an appointment. If a student continues to decline an appointment, the student will be given the CAPS Walk-Out Letter (Appendix B) and be invited to contact CAPS for a crisis appointment. As needed, following the student’s departure, the CAPS clinician will consult with additional CAPS providers to determine appropriate courses of action aimed at minimizing the risk of harm or injury.    

Negative Crisis Triage Form:

Students who do not endorse a question on the crisis triage form are offered the next available phone triage appointment.

Students who do not endorse questions on the crisis triage form yet express a strong urgency to meet with a crisis counselor for a same day appointment will meet with a CAPS clinician for a “brief consultation.” During the “brief consultation,” the CAPS clinician will ascertain and inform front desk staff whether the student’s concern(s) warrant a same day crisis appointment or a phone triage appointment.

Brief Risk Assessment:

For same day crisis appointments and “brief consultations:” Prior to meeting with a CAPS clinician, front desk personnel will provide students with: (a) the Informed Consent and Notice of Privacy Practices Form –(Appendix C), (b)  the “Same-day Crisis Assessment and Consultations” informational sheet (purple paper) (Appendix E). Additionally, for same day crisis appointment, students will compete the Student Questionnaire form (Appendix F), and the CCAPS.

Upon meeting with a CAPS clinician: The CAPS clinician will inform the student of the limitations of confidentiality and conduct a brief risk assessment.  Following the risk assessment, the clinician will provide an appropriate level of crisis management and intervention services. In collaboration with the student (and/or other Student Health Services providers—CAPS; primary care), the clinician will identify an appropriate treatment and service plan (e.g., CAPS priority or routine intake appointment; crisis follow-up appointment; hospitalization; on- and/or off-campus referral services; personal action plan). See relevant subsections of the CAPS Policies and Procedures Manual for additional information on the aforementioned clinical, counseling and psychiatric services. Guidelines specific to crisis follow-up(s) are outlined below.

All crisis assessment, management, and intervention services are delivered in accordance with professional standards and regulatory guidelines, and follow usual and customary care practices.

 Crisis Follow-up Appointments:

Depending on the outcome of the brief risk assessment and time frame for follow-up treatment and services (e.g., the availability of priority appointments; days prior to appointment with an off-campus provider), the crisis clinician may conduct an in-person and/or telephone crisis follow-up appointment.  Each crisis follow-up appointment should involve a risk assessment and check-in regarding the treatment and service plan documented during the previous crisis contact.

For information on managing and documenting missed crisis follow-up appointments, see the Missed Appointments section of the CAPS Policy and Procedures Manual. 

Documentation:

All crisis service related forms and clinical interactions with students are documented in students’ Electronic Health Record (EHR). Crisis Assessments are to be completed within 1 business day by licensed staff. Crisis assessments completed by unlicensed staff must be reviewed and signed by a licensed CAPS clinician within 2 business days. See section II M, Documentation of Clinical Care

II.A ELIGIBILITY AND ACCESS TO SERVICES

Effective Date: 
Tue, 09/06/2011
Reviewed: 
Fri, 07/22/2016
Revised: 
Fri, 07/22/2016
Policy: 

 

  1. All currently enrolled students at the University of California, Santa Cruz, are eligible for services.  These services include crisis consultations and assessments, time-limited individual, couples,  and group counseling, and psychiatric services, based on the client's appropriateness for the services provided by CAPS.
  2. Primary point of entry is through a telephone call and scheduled phone triage (See Phone Triage Policy), although students can also walk in.
  3. Each student utilizing the services of CAPS is required to have an initial assessment each year, even if the student was a CAPS client previously.
  4. All students must show a valid student ID at their initial assessment appointment or provide proof of current enrollment on request.
  5. New, incoming students, who have registered for classes, may be seen prior to classes beginning, at management's discretion.
     

 

 

 

I.B SCOPE OF SERVICES

Effective Date: 
Fri, 08/01/2008
Reviewed: 
Fri, 11/17/2017
Revised: 
Fri, 11/17/2017
Policy: 

Counseling and Psychological Services (CAPS) offers services to all currently enrolled students at the University of California, Santa Cruz.  As mental health practitioners, our scope of services consists of providing or facilitating access to counseling and mental health services.  CAPS provides both psychotherapy and psychopharmalogical treatment.  Our psychotherapy generally follows a brief therapy model that consist of providing a handful of sessions around a specifically identified issue or helping a student transition to longer term treatment. Our psychiatric service can provide on-going medication treatment if appropriate.  We collaborate with other UCSC campus  services (housing, academic advisors, disability resource center, etc.) to ensure students get the resources they need. If we have an established treatment relationship with a student, we will complete forms to support students working with these other services or offer an opinion regarding the student’s request. CAPS is committed to meeting the diverse needs of each student and considers their sociocultural context when making treatment recommendations.  We seek to identify underserved populations and outreach to provide culturally sensitive services.

Limitations on Treatment:
When students have been assessed to require a higher level of care than can be provided at CAPS (e.g.- long-term therapy, Intensive  Outpatient treatment, substance abuse detoxification and intensive treatment, complex psychopharmological treatment), we work with them to find appropriate off-campus referrals and treatment.  If such services are refused, we reserve the right to administratively discharge them from our services.  In no event (other than presenting a clear danger to staff) would we refuse to provide a crisis evaluation (as defined in policy II.B.).
Considering our limited resources, we cannot meet all of the mental health needs of our students and will often work with off-campus partners to address those needs.

In order to ensure that we maximize the number of students who benefit from our services we generally do not provide long term, on-going therapy.

The following are brief summaries of the services offered:

  • Brief Therapy:  CAPS utilizes a brief therapy model in the provision of individual, couples, and family counseling to address personal, academic, social, or family concerns.  Following an Initial Assessment, each student’s needs are assessed on an individual basis for the appropriateness of a brief treatment approach.  Students whose needs might be met best from a longer term model may be referred off-campus.
  • Psychiatry Services: Psychiatry services are offered by referral from other CAPS staff, the UCSC Student Health Center, or an off-campus medical or counseling professional.  Psychiatry staff conduct diagnostic evaluations and prescribe medications to address mental health disorders such as depression and anxiety. CAPS staff psychiatrists also offer follow up services, medication management and on-going care. Prescription refill requests will be processed only during regular CAPS hours.
  • Counseling Groups:  Counseling groups are available throughout the academic year and are advertised each quarter. Groups provide opportunities for students to explore personal issues with peers in order to develop awareness, increase their emotional support and interpersonal skills.  Specialized groups may be offered on a variety of issues, such as life transitions, eating awareness, depression, anxiety, sexual abuse survivors, and groups for students of color.
  • Crisis Services   Students who are in need of emergency crisis services may call 831-459-2628 for a crisis consultation or can be seen for a crisis assessment at the CAPS central office.  A risk assessment is conducted and treatment recommendations are made by CAPS counseling staff.  The CAPS Central Office is open Monday through Friday from 8 am to 5 pm.
  • Phone Triages   Students who are only interested in off-campus referrals are given a half hour time slot to call in to one of our clinicians.  During this time a risk assessment is conducted, the presenting problem is discussed and a plan for ongoing services is determined.
  • After Hours Crisis Service:  An off-site mental health phone service is available evenings and weekends. The service is accessed by contacting the CAPS central phone number (459-2628) and selecting the menu option of After Hours Crisis Services. The service is available to all members of the UCSC community (students, staff and faculty) and provides telephone-based risk assessment, crisis triage, and safety planning. The off-site provider can offer immediate consultation and support by phone regarding a variety of issues and can facilitate the transition to CAPS daytime services. As needed, the after-hours provider will contact CAPS or other UCSC officials to mobilize campus and community resources in case of an emergency.
  • Referral Services:  CAPS offers referral services to off-campus providers when appropriate for longer term treatment or treatment that is outside our scope of service or expertise.
  • Let's Talk: CAPS offers a drop-in program in different locations on campus where students can stop by for a brief, confidential converstation with a counselor to receive consultation, support, referrals, and advice. See Appendix
  • Consultation Services: Consultation is available to staff, faculty, administrators and family members who are concerned about a student who may be at-risk of harm or in need of counseling services.  Upon contacting the CAPS central office, these third party consultation calls are referred directly to the crisis counselor on call. The CAPS Central Office is open Monday through Friday from 8 am to 5 pm.  For non-emergency consultation, staff, faculty, students and residential communities can also contact CAPS staff directly for consultation.
  • Outreach Services:  CAPS offers a variety of outreach services, including workshops addressing students' developmental, situational, and lifelong concerns. Workshops can include academic skill topics such as time and stress management, study skills, and test anxiety. Workshops may also be offered on a broad range of psychological issues such as interpersonal communication, sexuality, and parenting.
  • Curriculum:  From time to time, CAPS staff offer courses sponsored by colleges in areas such as multiculturalism and academic success.
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