Counseling Services Staff will provide care to students with mental health, social, and emotional problems that interfere with their personal, interpersonal, and academic lives. Students will be treated based upon short-term, time-limited counseling that emphasizes life skills enhancement. It is beyond SIUE Counseling Services' scope of practice to provide ongoing counseling and psychotherapy for students with moderate to severe psychological issues (such as students with serious, long-term psychiatric conditions, or students who may be at risk of harm to self or others). In these cases, individuals will be provided appropriate referral information for treatment in the community. All decisions about the provision of counseling services to a student will be made solely on the basis of clinical judgment and the availability of necessary resources and are not based on the student's race, color, religion, gender, age, sexual orientation, marital status, national origin, disability, or status as a disabled veteran. If you are referred to an outside resource, you are responsible for any fees associated with such service.
To best meet the needs of as many students as possible, a limit to the type and amount of services available has been established. While many students utilize an average of 5 sessions, students who are deemed to be within the scope of SIUE Counseling Services’ scope of practice are entitled to no more than 15 sessions per academic year. Students who need longer term services and whose counseling needs exceed the Counseling Center’s Scope of Practice will be referred to other more appropriate sources of assistance.
At times, counseling demands may exceed our Department’s resources. If you come during one of these high demand periods, you might be placed on a waiting list or referred to another agency. In the event of an emergency, persons will be asked to complete a crisis form, and be seen by a counseling services staff member to assess safety and determine treatment direction.
Each individual is entitled to privacy in his/her work with a counselor. All contacts with a counselor are confidential to the Counseling and Health Services professional staff. Written permission is required for Counseling Services to release information to others. A court order may require an exception to the lawful protection of individual legal rights to privileged communication with a counselor or psychiatrist.
If it becomes clear in the counseling session that there is a real danger to oneself or to others, we are required to take action. Also, reports of abuse of children or others unable to care for themselves will also require some action to be taken. Confidentiality laws do not apply in these cases.
A record is kept of an individual's work with us. It contains information individuals have provided to us in writing as well as counseling notes of individual sessions. As of Fall 2010, records are kept in secure electronic form for a period seven (7) years after the student's last visit. Previous to Fall 2010, paper records were destroyed after a period of seven (7) years after an individual's last visit. Counseling Services files never become a part of the permanent SIUE educational record .
Additional records of sessions are sometimes taken such as the counselor's personal notes and audio tapes. These are destroyed in a timely manner and do not become part of an individual's counseling record. SIUE Counseling Services is a training site for master's and doctoral level therapists in training. These trainees are required to video record their sessions for quality control and training purposes ONLY. These recordings are destroyed in a timely manner and never become a part of the individuals counseling record.
If you have questions about confidentiality and your privacy, please talk with a counselor.
The student will be seen if they are less than 15 minutes late to check in at the front desk.
The student will be required to reschedule their appointment if they are 15 minutes or more late to check in at the front desk.
A “no show” is when a student fails to show for a scheduled appointment without cancelling or rescheduling the appointment.
A “no show” appointment will count as one of the 15 sessions students are allowed each academic year. If a student fails to show for two appointments within a 30 day period, he/she will be placed on a 30-day hold. The next available appointment will be at least 30 days from the second no-show.
A student is "late" in canceling appointments if they do not notify Counseling Services within 24 hours of their scheduled appointment. This is because Counseling Services needs time to be able to make the appointment time available to other students.
If a student establishes a pattern of late cancellations, then they may be required to wait a longer period of time before being seen, or may become ineligible for services.
After a counselor has established an ongoing therapeutic relationship with a student and has thoroughly assessed his or her situation, the counselor will decide whether medication may be an appropriate treatment option. Counseling Services has a part-time psychiatrist on staff to address the medication needs of current clients. The psychiatrist provides services only to eligible clients referred by a counselor at Counseling Services. Students who want medication are not eligible to see the psychiatrist at Counseling Services unless they are ongoing clients at Counseling Services. If a client discontinues counseling, he or she will no longer be eligible for psychiatric care at Counseling Services. If you would like more information about psychotropic medications, please see our Medications and Therapy resource page.
In accordance with APA Ethical Guidelines (10.04 Providing Therapy to Those Served by Others), Students may see only one individual therapy provider at a time; therefore, if a student is already receiving mental health services outside of SIUE, they are encouraged to continue working with that provider.
It is important for students to understand that the assessment and diagnosis of Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD) is a serious matter. Therefore, SIUE is dedicated to a diligent and professional protocol of assessment when ADD/ADHD is suspected. There are several reasons for this, including:
A proper diagnosis that takes all of the above into account requires a qualified mental health professional conducting a clinical interview and usually a number of objective assessments. Additionally, it may be necessary to rule out the possibility that the student has an undiagnosed learning disability that would warrant a different kind of treatment and accommodations. Tests that may be included in the assessment include:
The effective treatment of ADD/ADHD usually includes a "multimodal" approach that includes counseling, education, academic accommodations and medication treatment. In some instances all four interventions are not necessary. The treatment plan is to be determined by the interdisciplinary team working with the student. Also available to the student are referrals to providers, diagnosticians, and tutors that may be of help. If a student takes medication, it is necessary that the person be routinely evaluated and followed by a mental health professional.
At SIUE, the assessment, diagnosis, and treatment of ADD/ADHD is managed by two departments: Counseling Services (CS) and Disability Support Services (DSS). An SIUE student can begin the process of determining what is causing their attention issue with either department with the expectation that he or she will be working with the other department fairly quickly. For students to successfully complete the assessment and diagnostic process, they must understand their role:
If you are submitting a Cancellation of Single Student Housing Contract request and indicating Counseling Considerations as your reason, please note the following guidelines. These guidelines will be used when reviewing the cancellation request.
If the student is not currently seeing a Medical/Mental Health Professional, the student will need to do the following:
Documentation from the Medical/Mental Health Professional must include:
Before a student is seen by a mental health professional in Counseling Services, they must sign a release that includes the following information:
All communication between a client and a counselor, psychologist, or psychiatrist is confidential and will not, except under the circumstances explained below, be disclosed to anyone outside of Counseling Services unless written authorization to release information is given. A Release of Information Form will need to be signed to have a Counseling Services professional staff communicate information to anyone. A record is kept of a client's work with us. It contains information a client has provided to Counseling Services in writing as well as counseling notes from client sessions. As of Fall 2010, records are kept in perpetuity, meaning they are kept indefinitely in secure electronic form. Previous to Fall 2010, records were destroyed after a period of 7 years from an individual's last visit. Counseling Services files never become a part of the permanent SIUE educational record.
Most limits to confidentiality are to ensure safety. If there is evidence of imminent danger of harm to the client or other(s), we must take action. If a client describes abuse of a child or elder, the information will be reported to the appropriate agency. It is possible a court order may require release of privileged communication.
Counseling information cannot be released to the following without the client's consent:
Student complaints are handled largely through the existing chain of command. Given the existing laws regarding confidentiality and psychological/health services, a therapist/health service provider is restricted in terms of what he or she can disclose. If a student has a complaint about an employee or consultant of Counseling Services or Health Service, he or she is directed to speak with that employee's director, or if necessary, the immediate supervisor of the employee. The complaint should initially be lodged informally by speaking with someone in the department. However, the complaint can be lodged more formally in writing first to the Director within five (5) working days of the incident. The written complaint or grievance should include a description of the incident, date, time, and persons involved in the complaint.
After receiving the grievance, the director shall then respond within five (5) working days of the date that the grievance was signed and filed. If the student is not satisfied with the outcome of that discussion or response, he or she is directed to the next higher level of administration. In each case, careful consideration is given to the emotional stress the student may already be in as well as any complications arising from a possible mental or physical illness. If a complaint comes from a non-student, it is handled administratively first by the director, then by the Associate Vice-Chancellor of Student Affairs, and finally, if necessary, the Vice-Chancellor for Student Affairs. The Director reserves the right to consult with the General Counsel of the University around issues or complaints that may have legal implications. Documentation of a student complaint would become part of the confidential record.
If the student is not satisfied with his or her current therapist or health care provider, he or she can request another therapist within the department at no charge or accept a referral to another provider outside the university. Any costs incurred by the student seeking these services outside of the university are not covered by the university.
Any complaints, if found to have merit, will be used in the supervision of the employee involved to improve the person's skills and function. If the complaint is significant, the student may take legal action as prescribed by current statutes. Each week the clinical staff meets in a case conference to discuss problematic cases to ensure quality of service to the student.
Counseling Services in collaboration with the Vice Chancellor of Student Affairs office sends a notification yearly to students regarding the SIUE Alcohol and Drug policy. The notification is sent as a requirement of the Drug-Free Schools and Communities Act of l989. This act requires the University to implement programs to prevent illegal drug and alcohol use by students, and also to annually notify all students of the program.
All students enrolled at SIUE must abide by the Student Conduct Code and Alcohol and Drug Policies established by the University. Full access to these policies can be found online at:
The use of alcoholic beverages in or on any property owned or controlled by Southern Illinois University Edwardsville is governed by the laws of the State of Illinois and the regulations of the University. The use, sale, delivery, possession, and/or consumption of an alcoholic beverage by anyone under 21 years of age is illegal under both State and Federal laws. Such laws are strictly enforced by the SIUE Police Department. Violators are subject to University disciplinary action, criminal prosecution, fine, and/or imprisonment.
Under both State and Federal laws, the possession of any controlled substance is illegal unless medically prescribed by a licensed physician. It is also illegal under State and Federal laws to manufacture, sell, or distribute any controlled substance unless licensed to do so. Such laws are strictly enforced by the SIUE Police Department.
University sanctions are independent of other sanctions that may be imposed as a result of civil or criminal prosecution. The sanctions listed may be imposed singly or in any combination. Prior determinations of misconduct under this or other student conduct policies may be considered in the determination of a sanction for a present violation.
Sanctions include: disciplinary reprimand, disciplinary probation, payment for the restoration of property or other costs incurred as a result of student misconduct, restricted access, community Service, counseling referral to or mandated participation in counseling, diagnostic evaluation by a mental health professional other than University staff, restricted course enrollment, university residence probation, university residence transfer or separation, and separation from the University. Separation from the University may be for a specific period of time, an indefinite period of time, or permanent separation. A decision to permanently separate a student from the University is the responsibility of the Chancellor as provided in the Policies of the Board of Trustees.
Serious health risks are associated with the abuse of alcohol and the use of illicit drugs. There is a risk of overdose with all drugs. Overdose can cause coma, convulsions, psychosis, or death. Long-term use of drugs can lead to organ damage, malnutrition, and mental problems. Certain combinations of drugs, such as alcohol and barbiturates can be lethal. Long-term heavy alcohol use and binge drinking may result in respiratory arrest and death. Liver disease, heart disease, circulatory problems, peptic ulcers, some forms of cancer, and irreversible brain damage may increase with long term heavy drinking of alcohol.
Students may obtain information and referral services from SIUE Counseling Services at siue.edu/counseling or (618) 650-2842.
Counseling Services, in accordance with Code 1.17 of the American Psychological Association's Code of Ethics, is not able to offer its services for personal use amongst SIUE faculty and staff because of the conflicting relations that can quickly arise. However, in the event that a faculty or staff member requests personal counseling services, a referral to Magellan Health Services or another mental health professional will be provided (http://www2.illinois.gov/cms/employees/benefits/pages/employeeassistanceprogram.aspx).