Counseling Referrals and Resources

Referring for Services

Referral for Students: If a student’s needs extend beyond the expertise of the provider, the student will be referred to off-campus counseling resources.  Expenses incurred off campus are the student’s responsibility.

Referral for Employees: Citadel employees are not eligible for counseling services at the clinic.  Employees are encouraged to contact Human Resources or the Employee Assistance Program (800-633-3353). 

How to Refer a Student for Counseling or Psychiatric Services at MUSC Health at The Citadel 

A student’s inability to cope effectively with stress can have a negative impact on the student’s personal and academic functioning.  Students, faculty, staff, family members and friends can intervene when they encounter distressed students.  

Suggestions for How to Refer Students for Counseling 

  • Encourage the student to call or come to the clinic to make an appointment
  • Provide the clinic phone number – 843-953-4827, and location – Citadel Infirmary 
  • Call while you are with the student, then offer the phone to the student to schedule
  • Follow-up by asking the student as to whether the student kept the appointment

The link below offers signs and symptoms of distress, suggestions for how to approach distressed students and refer them for counseling, information about confidentiality, and how to respond to a student who refuses counseling or expresses emergency concerns.

Confidentiality

By law, licensed mental health providers are not permitted to give any information to others unless the student has given specific written permission. Students, faculty, staff, family members and friends are encouraged to ask the student directly about their appointment.

Resources

Recognizing a Student in Distress: Signs and Symptoms

Marked Change in Academic Performance or Behavior

  • Poor performance and preparation, excessive absences, or tardiness
  • Avoiding participation, isolation from classmates, or anxious when called upon
  • Disruptive behavior, or exaggerated, inappropriate responses  
  • Repeated requests for special consideration especially if it is a change from the past 

Unusual Behavior or Appearance 

  • Depressed, lethargic, irritable or angry mood, significant anxiety or excessive worry
  • Hyperactivity or very rapid speech
  • Deterioration in personal hygiene or dress, dramatic weight loss or gain
  • Unusual or bizarre behavior

References to Emotional or Life Stressors

  • Problems with roommates, family, or romantic partners
  • The death of a significant other, physical or sexual assault, discipline or legal issues

References to Suicide, Homicide or Death

  • Feelings of helplessness or hopelessness
  • Verbal or written references to suicide or homicide 

How to Approach and Respond to Students in Distress

Suggestions for How to Approach Distressed Students and Refer Them for Counseling

  • Describe your observations of the student’s distress or change in behavior
  • Express your concern for the student’s wellbeing and your willingness to help
  • Talk in a private setting when you are not rushed or preoccupied
  • Listen carefully and be empathic.

How to Respond to a Student who Refuses Counseling 

  • Restate your concerns and the available options
  • Remind the student about confidentiality
  • Remain open and available to help in the future
  • Suggest that the student take some time to think it over

How to Respond to Emergency Concerns – Suicide Threat, Homicide Threat, Psychosis

Call Citadel Public Safety at 843-953-5114, or dial 911.

Online Free Anonymous Screenings

Students may access screenings for concerns related to wellbeing and life satisfaction, anxiety, depression, bipolar, anger, gambling, disordered eating, alcohol use, substance use, opioid use, and PTSD from this free anonymous screening website.

Additional Student Support Services at The Citadel