Guidelines for Handling Disruptive and Emotionally Complex Behaviors Guidelines for Handling Disruptive and Emotionally Complex Behavior Middlesex County College puts learning first and measures its success only by the success of its students. All members of the college community contribute to student succes s. June 2003 1 Guidelines for Handling Disruptive and Emotionally Complex Behaviors Acknowledgements A Special Thanks to the Committee Members who Worked Collaboratively to Create these Guidelines: Leslie Carter Dr. Trace Gerow Dr. Christine Harrington, Chair Karen Katt Juana Lewis Sgt. Christine Rutowski Anne Ugrovics 2 3 Guidelines for Handling Disruptive and Emotionally Complex Behaviors Middlesex County College Guidelines for Handling Disruptive and Emotionally Complex Behavior Table of Contents Introduction 4 Quick Reference Guide 5 Disruptive Behaviors 6 Personal/Emotional Concerns 7 Alcohol or Other Drug Problems 9 Suicidal and Homicidal Comments 11 Health Emergencies and Concerns 12 Dangerous Behaviors 14 Middlesex County College’s Department of Police 15 Guidelines for Handling Disruptive and Emotionally Complex Behaviors 4 Middlesex County College Guidelines for Handling Disruptive and Emotionally Complex Behaviors Middlesex County College is an open enrollment institution. Generally, our students are functional. However, some students have psychological issues that may lead to behavioral difficulties in and out of the classroom environment. Although some of these students may be eligible for reasonable accommodations under disability law (please refer to the faculty guidelines on disability issues), all students must engage in acceptable behavior on campus, as described in the Code of Student Conduct. It is also important that the campus community is sensitive to cultural differences, as it is a very diverse campus. The only basis on which a Code of Student Conduct charge can be made is on behavior, not a mental health condition or cultural difference. Most students with mental health conditions do not engage in inappropriate behaviors and are not a threat to themselves or to others. Dealing with serious issues such as suicidal comments or dangerous behaviors can be extremely overwhelming. It is very important that all suicidal or homicidal comments be taken seriously. Also challenging is dealing with other, perhaps more common behaviors such as disclosure of very personal issues, alcohol or other drug involvement, and general disruptive behaviors. The College has an ethical and legal obligation to adequately address these issues, particularly when safety is an issue. The MCC community is entitled to a safe working environment that facilitates learning. Many emergency situations begin with less intense behaviors. If you are in a position to observe a student’s behavior over time, you may be able to recognize changes in his/her behavior, mood or physical appearance. Referrals in these situations can prevent a more intense situation from erupting. Addressing the problematic behaviors as they occur is most effective. Ignoring or tolerating inappropriate behaviors may lead to more problematic behaviors that can put you, the student and/or the College community at risk. This guide has been developed to aid you in dealing with challenging issues more effectively. If the campus community is better equipped to handle these difficult situations, we will be another step closer to our goal of becoming a learning centered college. Effective responses to these situations can be learning experiences for all involved and can lead to a more learning focused atmosphere. Since each situation is unique, it is difficult, if not impossible to provide you with specific information about what will work most effectively in the situation you may encounter. Each situation needs to be assessed on an individual or case by case basis and you are always welcome to consult with campus resources such as Counselors in the Department of Counseling and Career Services, the Assistant Dean of Enrollment and Student Support Services , and the Police Department before, during, and after difficult situations. Guidelines for Handling Disruptive and Emotionally Complex Behaviors Quick Reference Guide for Handling Disruptive and Emotionally Complex Behaviors Middlesex County College Scenarios Contact Guidelines Dangerous behaviors (i.e. using or threatening to use weapon) Police Department Suicidal comment or homicidal comment Police Department Department of Counseling and Career Services Health emergency 911 Police Department Health Office Alcohol or other drug problem with disruptive behavior Police Department Department of Counseling and Career Services Assistant Dean of Enrollment and Student Support Services Alcohol or other drug problem (not engaging in disruptive behavior) Disruptive behavior (nonthreatening) Personal or emotional concerns Police Department Department of Counseling and Career Services Health Office Police Department Director of Student Activities Assistant Dean of Enrollment and Student Support Services Police Department Department of Counseling and Career Services Police Department Department of Counseling and Career Services Health and Safety Office Assistant Dean of Enrollment and Student Support Services Director of Student Activities Protect yourself and others, may need to leave the area Wait for Police File a Code of Student Conduct charge Express concern and explain this is outside of your expertise Gather information Stay with the individual until Counselor or Police are available Stay calm Stay with the individual until help arrives If possible, obtain contact information Set boundaries and state what is appropriate behavior Wait for Police if necessary Refer to Counseling and Career Services Consult with Counselor Express concern in behavioral terms Outline possible consequences, particularly academic Refer to Counseling and Career Services Clearly and behaviorally set boundaries File a Code of Student Conduct charge Consult with Counselor Actively listen Express concern Set boundaries Refer to Counseling and Career Services ext. 3500 or 732.906.2500 ext. 2546 or 732.906.2546 ext. 2530 or 732.906.2530 ext. 2544 or 732.906.2544 ext. 3450 or 732.906.2569 5 Guidelines for Handling Disruptive and Emotionally Complex Behaviors 6 Middlesex County College Disruptive Behaviors Definition: Disruptive behaviors persistently interfere with learning. Examples include: abusive verbal statements physical gestures chronic lateness cell phones ringing talking excessively in class frequently leaving the classroom Action Steps: If a student engages in a dangerous, threatening, or disruptive behavior, follow the guidelines for dangerous behaviors. In the case of disruptive, non-threatening behaviors, remember the following: It is helpful to set clear expectations verbally and in writing at the beginning of the semester. Minor disruptive behaviors can often be dealt with on an informal basis. When a norm is violated, firmly inform the student that the behavior is not acceptable. Likewise, advise the student of the consequences of continuing to engage in the behavior. You may reference the Code of Student Conduct. You can always consult with the Assistant Dean of Enrollment and Student Support Services at 732.906.2544 regarding ways to address the behavior and to discuss placing a Code of Student Conduct charge. Code of Student Conduct Charge: The Code of Student Conduct can be found in the College catalog and the Pathfinder. Written documentation must be submitted by faculty or other staff who is initiating the charge. The documentation should adhere to the following standards: Include facts. Do not editorialize or diagnose. Provide information that specifies the infraction, the context in which it occurred, the stated behavioral norms that were violated, and the dates, times, location, and parties involved. Provide a description of what remedies were attempted to resolve the problem. State the desired outcome, understanding that a review of the case may lead to other options. For additional information, please refer to the Code of Student Conduct or contact the Director of Student Activities at 732.906.2569 or the Assistant Dean of Enrollment and Student Support Services at 732.906.7713. Guidelines for Handling Disruptive and Emotionally Complex Behaviors 7 Middlesex County College Personal/Emotional Concerns It is fairly common for students to speak with faculty members about personal issues or concerns. Faculty members are often the ones to whom students feel most connected. Because of the frequent contact between teacher and student, faculty members are in a position to notice changes in mood or behavior that can be characteristic of depression or other mental health issues. The relationships faculty members develop with students can prove useful when it is necessary to refer a student to counseling. Many students may never seek the help they need if it were not for faculty concern. Definition: Students often face many difficult personal or emotional issues while they are pursuing their education. Such issues include depression, anxiety, and relationship difficulties. Some students are very open about personal issues, while others are not. Some may not even be aware that they are suffering from depression or another disorder. The following is a list of behaviors or symptoms that may suggest help is needed: Change in behavior or mood Depressed mood Loss of interest or pleasure in activities Withdrawal from friends Difficulty with concentration and/or decision making Fatigue or loss of energy Feelings of worthlessness/ Low self-esteem Poor grades and no longer caring about academic performance Feelings of hopelessness Weight loss or gain Psychomotor agitation or retardation (increased or decreased motor activity) Thoughts of death/suicide Excessive worry Restlessness Irritability Tension Sleep difficulties Action Steps: Consider your comfort level with students presenting personal concerns. If you are uncomfortable, be sure to let students know early on in a discussion that you prefer to keep conversations related to academics, but that there is counseling support available on campus. You can then assist them in accessing these services. This dialogue is also relevant for voice mail and e-mail, defining appropriate uses of these communications for students. Guidelines for Handling Disruptive and Emotionally Complex Behaviors 8 In many cases, being an effective listener is what will be most helpful to the student (if you are comfortable with this role). Here are some tips: Eliminate distractions or barriers to listening. Maintain eye contact. Acknowledge the speaker (i.e. nod your head, say “yes”). Display open body language (i.e. face the person, uncross arms). Paraphrase what the person is stating rather than immediately responding to it. Referral: In some cases, it will be important to refer the student to counseling. Here are some scenarios in which referral would be important: Serious symptoms such as suicidal thoughts or hallucinations. Significant changes in mood, behavior, or grades. Person is coming to you with personal concerns on a regular basis. You are not comfortable handling the information the student is sharing with you. You are finding it awkward being in a “listener” and “teacher/evaluator” role simultaneously. You observe the student sharing very personal concerns with individuals they do not know very well. Some students have significant difficulty with boundaries and need guidance regarding with whom it is appropriate to discuss personal concerns. Consult with a Counselor in the Department of Counseling and Career Services (732.906.2546) to discuss the best way to successfully refer the student you are concerned about. Generally, it is effective to: Express your concern to the student and your desire to be helpful. Next, state your limitations (i.e. “I am very concerned because ……and I would love to be able to help, but I am not the best person to help since I am not trained to handle these issues”). Ask the student if they are currently in counseling or have been in counseling in the past. If the student is currently involved with a Counselor off campus and there is no immediate danger, encourage the student to discuss the issues with their Counselor. If the student is not in counseling, suggest s/he get connected to a Counselor on campus. If willing, together you can call the Department of Counseling and Career Services at 732.906.2546 to schedule an appointment or you can walk the student to ED 100. If you believe the student needs to be seen immediately, please inform the front desk staff. Counselors can also come to your office or speak to the student by telephone. Middlesex County College Guidelines for Handling Disruptive and Emotionally Complex Behaviors 9 Alcohol or Other Drug Problem Use of alcohol and other drugs is highest during college years. Although Middlesex County College is a commuter institution and has a zero tolerance alcohol or other drug policy (as outlined in the Code of Student Conduct), it is not free of students who struggle with substance abuse issues. Definition: It is not always easy to identify a substance abuse problem. . Additionally, it is common for students to deny or minimize the problem. Some behaviors associated with substance abuse include: sudden or gradual change in classroom behavior missing class coming late to class sleeping in class change in physical appearance change in grades or academic performance decreased attention and concentration increased forgetfulness decreased problem solving skills offensive behavior/interference with the rights of other students fighting/physical aggression changes in mood or personality Alcohol and some other types of drugs (i.e., crack cocaine, methamphetamine, cocaine) can lower inhibitions and stimulate the heart. A student may display a higher level of energy, restlessness, and aggression. He/she may be loud and unable to monitor or adjust his/her behavior to fit the circumstance or environment. The student may misinterpret the slightest interaction to be one of provocation and respond aggressively. Some other types of drugs (i.e., marijuana, heroin, OxyContin, ghb) can have a sedating effect. The student may display signs of drowsiness, confusion, dizziness and an inability to remain focused. The student may also fall asleep, nod, lose control of limbs, slouch in the desk, go through periods of sleeping and attempting to stay awake, or behave uncharacteristically. Action Steps: Guidelines for Handling Disruptive and Emotionally Complex Behaviors 10 If you suspect a substance abuse problem, contact the Department of Counseling and Career Services Department at 732.906.2546 for consultation and/or referral. Counselors will be able to assist you in assessing the problematic behaviors, and will work collaboratively with you to develop a plan that best suits the needs of your classroom and the student. Suspicion of Substance Abuse: Health and Safety of Student at Risk Contact the Police Department via red phone or by calling 732.906.2500 and/or the Health & Safety Department at 732.906.2530 for immediate assistance. Stay with the person until help arrives. Suspicion of Substance Abuse: Boisterous and Confrontational Behavior If the student displays boisterous or confrontational behavior and is unapproachable, contact the Police Department at 732.906.2500 for assistance. Suspicion of Substance Abuse: Non-Confrontational Behavior If the student is approachable, ask to speak with him/her outside of your classroom. Firmly inform the student that the behavior is unacceptable and that you are concerned about him or her. Let the student know that you would like to help and a good way to help is to connect the student immediately with a Counselor. If the student is unwilling to be connected with a Counselor, emphasize the potential academic jeopardy, and re-emphasize the observed behavior and its impact on the class. If the student continues to be unwilling to see a Counselor and you believe the person needs to be seen, your only option may be to contact the Police Department at 732.906.2500. Suspicion of Substance Abuse Problem: Not Currently Under the Influence Schedule a time for a private discussion with the student. Inform the student that you are concerned and will support any effort to find a solution to the alcohol or other drug problem. Describe the behavior and the ancillary facts that give rise to your concern. Let the student know what your expectations are, what you would like to see happen, and the possible academic consequences if the problem is left unattended. Keep in mind that the goal is to connect the student with the Department of Counseling and Career Services (732.906.2546). Middlesex County College Guidelines for Handling Disruptive and Emotionally Complex Behaviors 11 Suicidal and Homicidal Comments Definition: Although some individuals will make a suicidal or homicidal comment in a direct way such as stating “I am going to kill myself/someone else,” many use more subtle language. For example, a student may say: “I wish I were dead” “It won’t matter anymore” “Everyone will be better off without me” “Life isn’t worth living anymore” “I just want to end it all” “Don’t worry about it- he won’t be around for long.” All of these comments should be considered serious, and the actions described below should be taken. Action Steps: If a person makes a suicidal or homicidal comment, a professional needs to assess that person immediately. If comfortable, you can ask the person if he or she has thoughts of hurting self or others, if there is a plan to act on these thoughts, and if the person has a history of suicidal or homicidal thoughts or actions. If the comment is made during a time when the Department of Counseling and Career Services is open, immediately call 732.906.2546 and a Counselor will more fully assess the situation. Communicate to the student that it is beyond your scope of abilities to handle this important situation alone, and that a Counselor will be better able to help you. If possible, walk the student over to the office (Edison Hall Room 100). If the comment is made during a time when the Department of Counseling and Career Services is not open, immediately contact the Police Department (ext. 3500 or 732.906.2500). A police officer will assist you in determining if the person needs to be psychiatrically screened, and the officer has the ability to transport the person if necessary. Middlesex County College Health Emergencies and Concerns Guidelines for Handling Disruptive and Emotionally Complex Behaviors 12 The Health & Safety Department is located in South II Suite 109. The telephone number is 732.906.2530. Hours are 8 a.m. to 4 p.m., Monday through Friday. In the Fall Semester, evening hours until 8 p.m. are available on Mondays and Thursdays. In the Spring Semester, evening hours until 8 p.m. are available on Mondays. After hours, please contact the Police Department at 732.906.2500. Health Emergencies Defined: Typically, it is apparent when a person needs immediate medical attention. Examples of physical symptoms that require immediate attention include: pain down the left arm pain in the left jaw crushing feeling in the chest or other chest pain cool and sweaty skin nose bleed or other noticeable bleeding choking difficulty breathing seizures severe pain fainting Action Steps: Stay calm. Remain with the student. Have someone call 911 and the Health & Safety office at 732.906.2530. The emergency red phones on campus may also be used. Tell the dispatcher that medical attention is needed. If possible, obtain the student’s name, telephone number, and if the person has a medical condition. Seizure If one of your students has a seizure, remain calm. Have someone call the Health & Safety Department at 732.906.2530. Gently ease the student to the floor. Do not try to restrain or revive the student. Clear the area of people and hard, sharp or hot objects. Do not force anything between their teeth or attempt to hold their tongue. The tongue is attached to the floor of the mouth and cannot be swallowed. Turn the student on their side and make sure their breathing is not obstructed. Loosen ties, and open collars. Remain with the student until help arrives. Cardiac Symptoms Immediately contact 911 and the Health & Safety Department at 732.906.2530. Keep the individual sitting up. Open or remove constricting clothing. Guidelines for Handling Disruptive and Emotionally Complex Behaviors 13 Keep the person engaged with you through conversation and eye contact. The more alert you can keep the person until help arrives, the better. Health Concerns Defined: Many college students practice poor health habits. Stress can also result in physical symptoms. Health concerns include a wide array of symptoms such as: colds flu gastro-intestinal disruptions sexual concerns delayed or missed menstrual cycles poor hygiene frequent upper respiratory infections frequent headaches sinus infections frequent minor accidents chronic conditions such as diabetes or high blood pressure Action Steps: Contact the Health & Safety Department at 732.906.2530 if you think a student may be struggling with a health issue, even if you are not sure what the condition might be or what kind of help the student needs. Middlesex County College Dangerous Behaviors Guidelines for Handling Disruptive and Emotionally Complex Behaviors 14 Definition: Dangerous behaviors can be defined as acting or threatening to act in a dangerous and/or life threatening way. Examples include: A person with a weapon or other object that he/she is either using or threatening to use in a dangerous way A person who is extremely physically agitated (i.e., banging fists, holding fist in air, throwing things, physically approaching someone) A person who is verbally threatening to hurt self or others without the presence of a weapon. Action Steps: If the person is demonstrating behaviors that are immediately dangerous, you need to contact the Police Department immediately (ext. 3500 or 732.906.2500). Safety should always come first. Do what you can to protect yourself and others. This may involve leaving an area or positioning yourself in a way that you can easily leave if necessary. Do not intervene physically. Verbal interventions may either escalate or de-escalate the situation. If you opt to engage in verbal interventions, watch the intensity closely and if you observe increased agitation, do not engage in further dialogue. 15 Guidelines for Handling Disruptive and Emotionally Complex Behaviors Robert F. Smilek ActingChiefof Police Tele: 732 Fax: 732 -906-2500 -321-0240 DEPARTMENT OF POLICE Middlesex County College’s Department of Police The College’s Police Department is a duly -sworn law en forcement agency whose officers are empowered to enforce and act upon New Jersey statutes. The primary mission of the College Police Department is to protect the College community and to ensure that individual freedoms are protected. The Police Departmen t works closely with allother departments on the campus as wellas off campus resources and organizations. You are always welcome to consult with the Police Department. MCC’s Police Department is located in the Gateway building near the main entrance. To call from on campus, dial extension 3500. To call from off campus, dial (732) 906 -2500. The Police Department is open 24 hours a day, 7 days a week, including holidays. Throughout the campus, there are emergency phones which provide direct access to the MCC Police Department. These red emergency phones are located in the major classroom buildings. In addition, outside emergency phones are located in front of West Hall, the Johnson Learning Center, near Main Hall, and in Parking Lots 4, 5, 6 and 6 a. Additionally, in an emergency situation, you can dial911 from any phone located on the campus. When dialing 911, you will immediately be connected with a certified 911 dispatcher located in Edison Police Department’s communications center. At the sa me time, MCC Police department’s dispatch center is alerted of the call being made and the location of that call. Be advised, the MCC Police dispatcher can not hear the phone conversation between the 911 operator and the caller at the time of the call. When the call is completed, the 911 operator then telephones MCC Police to inform them of the problem or, if necessary, willconnect the caller to the MCC Police dispatcher directly. If the emergency necessitates a Fire Truck or Ambulance response, the 91 1 operator willdispatch them immediately while the caller is stillon the line. A MCC Police Officer is sent to the location of the call. Even if 911 is dialed in error, an officer will stillrespond to check on the welfare of the caller. The College Police Department has responded to an assortment of concerns from minor issues to major incidents. Some of those include but are not limited to: unlocking doors, escorting a community member to his or her vehicle, giving class presentations concerning va rious topics (i.e., seat belt safety, what a police officer does, drinking & driving), assisting faculty with disruptive students, providing first aid, responding to physical and verbalaltercations, investigating criminal activity on the campus, and respo nding to motor vehicle accidents on the campus. The officers are trained and dedicated to assisting the college community in the best possible means dependant upon each situation. Police involvement is not synonymous with criminal consequences. “To Protect and Serve” 2600 Woodbridge Avenue P.O. Box 3050 Edison, NJ 08818 www.middlesexcc.edu - 3050 Guidelines for Handling Disruptive and Emotionally Complex Behaviors 16 Quick Reference Guide for Handling Disruptive and Emotionally Complex Behaviors Scenarios Contact Guidelines Dangerous behaviors (i.e. using or threatening to use weapon) Police Department (732-906-2500 or 911) Suicidal comment or homicidal comment Police Department (732-906-2500 or 911) Department of Counseling and Career Services (732-906-2546) Health emergency 911 Police Department (732-906-2500 or 911) Health Office (732-906-2530) Alcohol or other drug problem with disruptive behavior Police Department (732-906-2500 or 911) Department of Counseling and Career Services Assistant Dean of Enrollment and Student Support Services (732-906-2544) Alcohol or other drug problem (not engaging in disruptive behavior) Police Department (732-906-2500 or 911) Department of Counseling and Career Services (732-906-2546) Health Office (732-906-2530) Disruptive behavior (non-threatening) Police Department (732-906-2500 or 911) Director of Student Activities (Code of Student Conduct) (732-906-2569) Assistant Dean of Enrollment & Student Support Services (732-906-2544) Clearly and behaviorally set boundaries File a Code of Student Conduct charge Personal or emotional concerns Consult with Counselor Actively listen Express concern Set boundaries Refer to Counseling and Career Services Police Department (732-906-2500 or 911) Department of Counseling and Career Services (732-906-2546) Protect yourself and others, may need to leave the area Wait for Police File a Code of Student Conduct charge Express concern and explain this is outside of your expertise Gather information Stay with the individual until Counselor or Police are available Stay calm Stay with the individual until help arrives If possible, obtain contact information Set boundaries and state what is appropriate behavior Wait for Police if necessary Refer to Counseling and Career Services Consult with Counselor Express concern in behavioral terms Outline possible consequences, particularly academic Refer to Counseling & Career Services
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