Health and Wellness @ U.Va.
Department of Student Health
Counseling and Psychological Services
“Without health there is no happiness.
An attention to health, then, should take the
place of every other object.”
~ Thomas Jefferson, Founder, 1826
Joint Commission
on Accreditation of Healthcare Organizations
2013 Parents Handbook p. 36-41
www.virginia.edu/studenthealth
Student Health Services
• 12:30am-2:30pm Resource Fair Today
Newcomb Hall Ballroom.
• Turn in Pre-Entrance Health Forms.
• Pick up application for health insurance.
• Ask questions of representatives of
various services.
Services in Student Health
(2013 Parents Handbook)
• General Medicine
• Gynecology
• Student Disability
Access Services (SDAC)
• Counseling &
Psychological (CAPS)
• Health Promotion
Joint Commission
on Accreditation of Healthcare Organizations
Services covered by Tuition/Fees
Covered:
• Professional visits (e.g. MD,
NP, RN, RD, PhD, MSW)
• 24 hr triage, on-call
• Health promotion programs
Not Covered:
• Prescriptions
– Most insurance cards
honored
• Lab tests
– Filed to insurance
• Vaccines/EKG/IV fluid
– Charge to Bursar
• Referral services
–
–
–
–
X-rays, CT, MRI
Physical Therapy
Specialty Referral
Emergency Room
Confidentiality & Consent
• 18 year olds are “adults” in Virginia
– Protected by privacy and confidentiality statutes
– May consent to any treatment
• Parental consent needed for minors
except as provided by law
For 18 year olds (and minors for certain conditions) we need
written or verbal permission to speak with a parent.
Insurance Requirements
• Health insurance required by university
• Adult children ≤ 26 can be covered by
parent’s employer policy after January 1,
2011.
Insurance Requirements
• Adult children on parental insurance:
– Out of network benefits in college community
• Specialty care, elective procedures, mental health
– Daughters may not have maternity coverage
– Travel coverage abroad (e.g. med evac)
– Adult children may be concerned about
confidentiality
– Cost differential between employer and
college plan
• Pretax payment of premiums employer plans.
Insurance Requirements
• Health insurance required by university
• Any licensed insurance plan for domestic
students is acceptable.
• University-endorsed insurance plan
– Details at resource table
& on website
– International students
must meet hard waiver
criteria
Immunizations
$100 Late fee after Aug. 31
Required
• Measles, Mumps,
Rubella (MMR)
• Td, Polio
• Meningitis
– At least one dose after the
16th birthday.
• Hepatitis B
• Tb testing/screening
Recommended
• Varicella
• Flu (October 23rd)
• Tdap (adolescent
pertussis) replaces Td
• HPV
Alcohol Use @ U.Va.
• Dangerous alcohol consumption is
declining
• Negative health consequences are
decreasing
Wellness Fair
2008
Negative Consequences
Due to Student’s Own Drinking
50
- 70%
- 81%
- 83%
Percent
40
30
20
10
0
2001
Miss class
2002
2003
DUI
2004
2005
2006
Hurt
2007
2008
2009
2010
U.Va. Health Promotion Survey, 2001-2010, All U.Va. Undergraduate students
We Believe that Most Parents…
• Do not provide alcohol for underage
students
• Model responsible celebration
• Talk with their student about alcohol
• Learn about BAC
(Blood Alcohol Concentration)
BAC: Blood Alcohol Concentration
BAC Cards
or
Smart phone apps
Counseling & Psychological
Services - CAPS
Student Health Center
Who We Are
• 12 Psychotherapists
• Coming Soon – a
Case Manager
• Most CAPS clinicians
are generalists
• 3 PT Psychiatric
Providers
(80 hours weekly)
• 6 Trainees
What kind of Difficulties do we
Treat
•
•
•
•
•
•
•
•
Anxiety
Depression
Adjustment
Alcohol or Substance Abuse
Eating Issues & Body Image Concerns
Relationship difficulties
Grief and Loss
Trauma
What we Do
Individual
Psychotherapy
Crisis Intervention
Group Psychotherapy
Psychiatric Medication
Services
Consultation and
Referral
Outreach and Education
How to Make an Appointment
• Students call 434-243-5150.
• Will be scheduled for brief screening
phone call within 1 to 2 days.
How to Make an Appointment
• Based on serious of situation and level of
distress, student will be scheduled for:
– Same day emergency appointment – most
often for suicidal risk
– Urgent Intake, 1 to 3 days
– Standard Intake, usually 2-9 days
• After-hours emergency on-call clinician
– Call: 972-7004
After Hours Emergency Services
• If a student feels as though s(he) may
harm him/herself or someone else, CAPS
has an after-hours emergency on-call
clinician available at:
434-972-7004
• Or:
• Or:
Call 911
Go to UVa Emergency Room
Most Utilized Services –
Group Psychotherapy
• Interpersonal Groups
• Topical Groups
– Eating Issues / Body Image Concerns
– Adjusting to College
– Anxiety Management
– Coping with Emotions
Most Utilized Services –
Group Psychotherapy
• Groups for particular affiliations
– Black Talk – for students of color
– Gay Men’s Support Group
– International Students’ Group
Individual Psychotherapy
• Brief Treatment Model: 6 to 10 sessions
• Focus upon rapid return to necessary
functioning
• Referrals to private sector for longer-term
psychotherapy
Psychiatric Medication
• Approximately 15% of students in
treatment at CAPS receive medication
prescriptions (2011-2013)
• Black box warnings taken very seriously –
close follow-up provided
Use of CAPS as Consultants
• CAPS staff available to respond to
parental concerns
• Written release, signed by student,
required to allow communication with
parents
Parental Notification
• Parents notified of student psychiatric
hospitalization due to
– Danger to self
– Danger to others
– Incapacity to protect of care for self