Emergency Planning & Violence Prevention

Assessment & Care Team Referral

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.