Program
Health Services
Year
Spring 2013
Contacts
Naomi Forey, RN, College Nurse
 Program Review report submitted previous Fall, no Annual Progress report needed.
Goal
1.
Hire FT or FT-10 month Department
Secretary
Proposed
Timeline
Activities/Facilities/
Curriculum/Equipment Necessary to Accomplish Goal
Resources
Needed, Include
Estimate Costs
Fall 2012 Approval of change from PT to FT position.
$43,000 in addition to current PT salary
($67,000 Total)
Status
Unable due to lack of funds.
2.
Continue provision of
Psych Services on campus
Fall 2012 Hire therapist to provide services;
Private, confidential office space;
Medi-Cat capabilities for electronic health records charting; re-establish Psych
Services office on campus
$30,000
Outcome
Maintain as an important future priority.
Budget did not allow for therapist in 2012-2013.
VP has approved psych intern position for 2013-
2014.
In process of hiring Psych
Intern to begin in August
2013.
3.
Establish Depression
Screening and
Prevention Program
Spring
2013
Training for RN in depression screening, assessment, and referral.
Develop process and procedures for depression screening.
Develop process and procedures and resources for depression selfmanagement and referral resources for tx of depression
$5,000
(Grant funds are being used)
Obtained grant funds to help initiate program.
RN has attended 2 trainings.
Screening procedure is almost complete.
Self-management program is in development.
Due to lack of psychological services on campus, pilot test of depression screen was very limited in May 2013.
Will begin depression screening in Fall 2013.
Program Review/SLO Annual Progress Report – approved 08/23/2012 Page 1 of 6

4.
5.
Obtain Online
Student Health
Resources
Increase focus on
Wellness – Develop a
Student Wellness
Program on Campus
6.
Establish Group
Therapy offerings for
Depression, Veterans, or other support groups for students
Spring
2013
Spring
2013
Spring
2013
Purchase Student Health 101
Subscription
Expand Resources on Website
On-campus resources for stress reduction
FT Psychological Intern
$3,000
(Grant funds provided this resource district-wide)
Space on campus
$10,000
Obtained grant funds for purchase of Student
Health 101 x 2 years
Continuous additions to website resources
Student Health purchased and publicized to students in Fall 2013 (ahead of schedule)
Website links expanded to include Student Health
101 and Mental Health resources
Funds not available for this endeavor at this time. Will maintain as a future goal.
On hold for funding. In the meantime, grant funds will be used to assist with
Meditation Club activities.
Hire Post Doc
Intern
Confidential space for group therapy
On hold due to inability to hire Psych Intern
Unable to initiate in 2012.
Psych Intern to be hired for 2013-2014. Plan: establish first support group by early Spring
2014.
7.
Continue to expand classroom presentations offerings to include anxiety and depression and other mental health topics.
8.
Participate in the
Development of a
Behavioral
Intervention Team
(BIT) on Campus
Fall 2012 Develop presentations and handouts for anxiety and depression.
New Psych Intern will begin participating in these activities in
Fall 2013.
Fall 2012 Draft BIT team proposal; obtain
Faculty and Administrative support; organize a team; meet and develop scope and procedures
Nurse time to develop presentation and handouts.
Nurse has provided classroom presentations on mental health issues, however, formal development is still in progress.
Grant funds have provided means for brining ALIVE
Mental Health Fair to campus in March 2013 –
500 WI Students attended the event. Classroom presentation on depression/suicide established.
Cost of initial training covered by Mental
Health Grant
WI Academic Senate passed resolution in support of establishing
BIT. Team chaired by
Dean of Student
Services is currently meeting to establish scope and procedures.
WI BIT team in early development. Committee members established.
Initial meetings have been held. Will continue development in Fall 2013.
Program Review/SLO Annual Progress Report – approved 08/23/2012 Page 2 of 6

9.
Increase awareness of
Mental Health issues and support a culture of prevention and decreased Mental
Health Stigma on campus.
Fall 2012 Support training of students, faculty, and staff in Mental
Health First Aid (MHFA)
Provide outreach activities to increase awareness and decrease stigma of mental health problems
Publicize campus, community, and online resources for mental health
Cost of initial trainings, online resources and trainings, outreach activities and supplies covered by Mental
Health Grant
Nurse trained as a
MHFA provider in June
2012.
MHFA trainings are being offered to WI students, faculty, and staff.
Resource handouts created.
Classroom presentations have been well received.
ALIVE mental health fair brought to campus in Spring 2013.
Awareness is increasing as students, faculty, and staff are participating in:
MHFA class
At-Risk online training
ALIVE mental health fair
Classroom presentations
BIT team activities and trainings
NEED: Better publicize free training opportunities to students, staff, and faculty in FALL 2013
1.
Provide any additional changes made to the Program that were not a part of your Program Review report.
The nurse duty day contract has been decreased from 205 days per year to 177 days per year. It was hoped that this change could potentially assist with the hiring of a Psych Intern or the change from PT to FT in the Health Services Secretary position. This was not the case. Funds did not allow for either of these changes to occur. Even so, the Psych Intern position has been approved by the VP and will proceed in Fall
2013.
The college nurse co-authored a Student Mental Health Program grant which was awarded to the District in Fall 2012 in the amount of $
246,737. The funds did not allow for the hiring of any staff. The funds are being used to provide training to students, staff, and faculty for mental health stigma reduction, suicide prevention, and establishing sustainable community partnerships. In the first year, the grant funds established Mental Health First Aid trainers for the district (including the WI College Nurse), purchased the Student Health 101 online subscription for the district, brought the ALIVE Mental Health Fair to the Willow International campus, brought the “Welcome Home” training to help faculty and staff better assist student veterans on campus, and has provided interactive online mental health training opportunities to students, staff, and faculty on suicide prevention, veterans issues, and LGBTQ issues.
2.
List in detail any new Program needs and a brief rational for this need.
As mentioned since 2007, the space dedicated for the Health Office is inadequate. While I have been given permission to store my supplies in 2-3 places within the AC-2 building, finding and keeping track of supplies so far from the Health Office is burdensome. Wheelchair access
Program Review/SLO Annual Progress Report – approved 08/23/2012 Page 3 of 6

to the Health Office treatment room in inadequate. Although the space itself cannot be changed at any time in the near future, rearrangement of the main health office storage cabinets to a nearby location that is readily accessible could allow for the medication refrigerator relocation to the outer office (to free up space for wheelchair access to the recovery couch within the treatment room) and also allow for the rearrangement of the reception desk so that we can establish a waiting space for 1-2 students inside the office rather than the current location out in the hallway outside of the door.
3.
Summarize the progress your Program has made this year on SLO assessment.
Classroom presentations by the nurse has remained effective for assisting students in changing behavior in order to preventing the top 3 health issues that negatively affect them academically as self-reported on the American College Health Associations National College Health
Assessment Survey (Spring 2006, Spring 2010). New presentation and resource handouts on Depression has been developed and implemented by the nurse. Handouts for Test Anxiety are in development.
Since the classroom presentations have consistently maintained effectiveness for some time, the data collections on these presentations will be decreased to intermittent “spot checks” and the major focus for Health Services SLOs in Fall of 2013 will be the Depression Screening
Program.
4.
Provide any additional information that your Program would like to share.
The nurse is active in several campus and community committees. The nurse is responsible for the continued improvement of the health services program, program review, SLOs, and the State Mental Health Grant implementation at Willow International. The nurse provides the only health office coverage at Willow International. As a one-nurse health office program with one part-time support staff, it is difficult to cover all the office hours for student visits while attending meetings and performing classroom presentations. The workload makes it difficult to complete required projects such as program review, program annual reporting, and program development including SLOs.
While it is understandable that administration prefers that my duty days correspond with instruction days, it may be necessary to schedule in non-interrupted time for the nurse to complete paperwork, maintain competency in field, update website, plan outreach, and plan classroom presentations. Especially with the reduction in Nurse duty days from 205 to 177, reconsideration of the office hours for student visits may need to take place in order to allow time for the nurse to adequately address her other duties. This will be looked at in Fall 2013.
Program Review/SLO Annual Progress Report – approved 08/23/2012 Page 4 of 6

P ROGRAM A SSESSED
P ROGRAM SLO S A SSESSED
D ESCRIPTION OF A SSESSMENT ( S )
E XPECTED L EVEL OF A CHIEVEMENT
B RIEF D ESCRIPTION OF R ESULTS
A NALYSIS OF R ESULTS
(W ERE E XPECTED L EVELS OF A CHIEVEMENT
GENERALLY EXCEEDED , MET , OR NOT MET , AND WHY ?)
Program Review/SLO Annual Progress Report – approved 08/23/2012
Health Services
OUTCOME 1:
Student reports intent to adopt at least one of the recommended daily activities/habits to help decrease effects of chronic stress and/or improve ability to handle stress.
OUTCOME 2:
Student reports intent to adopt at least one of the recommended daily activities/habits to better support restorative sleep.
OUTCOME 3:
Student reports intent to adopt at least one of the recommended daily activities/habits to prevent unnecessary exposure to colds/flu.
OUTCOME 4:
Student will report competence in ability to effectively use the AED on persons found to be unconscious and pulseless.
OUTCOMES 1-3: Post classroom presentation assessment.
OUTCOME 4: Pre- and Post-classroom presentation assessment
75%
OUTCOMES: 1-3: Classroom presentations were very effective in persuading students to change behavior/habits for better health and academic outcomes.
OUTCOME 4: Classroom presentation very effective in improving self-reported competence in ability to effectively use the AED in the event of cardiac arrest.
Achievement exceeds expected level.
OUTCOME 1: 93.98% of the 249 students who received the Stress presentation reported intent to adopt at least one recommendation to change behavior to better manage stress.
OUTCOME 2: 96.70% of the 249 students who received the Sleep presentation reported intent to adopt at least one recommendation to change behavior to improve sleep.
OUTCOME 3: 90.76% of the 249 student who attended the Cold/Flu presentation reported intent to adopt at least one recommendation to change behavior to better prevent cold/flu infection.
Page 5 of 6

W HAT CHANGES , IF ANY
STUDENT SUCCESS ?
, ARE NEEDED TO INCREASE
I F CHANGES ARE MADE , HOW AND WHY DO YOU EXPECT
THEM TO INCREASE STUDENT SUCCESS ?
OUTCOME 4: Students reporting competency in effectively being able to use the AED to assist someone in cardiac arrest increased from 7.39% pre-presentation to 99:47% post-presentation for the 379 students who attended the AED presentation. Increased student awareness and ability to recognize when the AED is needed as well as how to use the AED improves campus and community safety and effective response to cardiac emergencies.
No change necessary. Classroom presentations are well received and effective. Plan to decrease data collections to once or twice a year to “spot check” effectiveness rather than collecting data for every presentation. Time will be better spent initiating new SLOs for depression screening and depression selfmanagement program.
The American College Health Association National College Health Assessment survey (ACHA NCHA) is administered at WI every three years in order to collect student health needs data. This survey provided the selfreported data on the top health issues that negatively affected students academically within the prior year. For
2006 and 2010, the top three health issues were: Stress, Sleep, Cold/Flu. That is why these topics were chosen for the classroom presentations. The ACHA NCHA was administered in Spring 2013. If this updated needs assessment shows a change in the top health issues that negatively affected student academics, a revision to the presentations will be made to address the top issues.
If new top health issues are identified, new presentations will be developed and offered in Fall 2013. I F CHANGES ARE MADE , WHEN WILL THEY BE
IMPLEMENTED ?
Program Review/SLO Annual Progress Report – approved 08/23/2012 Page 6 of 6