When to Make a Referral

Report a Concern about a Student

Report a Concern about Fac/Staff/Other

If you are concerned about the health, well being, or safety of any individual on campus, you are encouraged to share your concerns or observations by contacting Health & Counseling Services, Student

Services, Campus Police, Human Resources or by completing the ACT (Assessment & Care Team) referral form below.

You may decide to report a concern if a person is:

• Harmful to themselves or others
• Making suicidal threats or gestures
• Exhibiting alcohol or drug problems
• Exhibiting a pattern of bizarre behaviors or actions
• Experiencing hospitalization for psychiatric, drug or alcohol problems.
• Disruptive to the living or learning community
• Withdrawing socially
• Showing a decline in the quality of work

This is not a complete list, but should give some idea of types of issues of concern. This list is meant to be a guideline and is not inclusive. Please refer to the Identifying & Responding to Distressed or
Disruptive Students brochure or Z-Card for more specific guidelines.