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Mental Health & Wellbeing:<br />

Supporting Students


Foreword by the Principal<br />

The <strong>University</strong> <strong>of</strong> <strong>Stirling</strong> is committed to the continuing development <strong>of</strong> an inclusive and<br />

supportive academic community which meets the needs, and develops the skills, <strong>of</strong> all its members.<br />

To this end we seek to ensure that no one is disadvantaged or marginalised by our policies and<br />

procedures, and that ours is a culture in which individuals have the confidence and the opportunity<br />

to realise their full potential. This guidance is an important contribution to that process.<br />

Mental health is an area in which it is all too easy to stigmatise and categorise, to separate <strong>of</strong>f<br />

individuals as having special needs, or, worse, as presenting special problems. The emphasis <strong>of</strong><br />

these guidelines is quite different. They are focused on mental well-being. They do <strong>of</strong>fer advice<br />

and guidance on handling (the very rare) extreme situations which may arise, but their real<br />

value lies in their positive and proactive discussion <strong>of</strong> the ways in which, in our thinking and our<br />

actions, we can lessen the stress, tension, anxiety and loneliness which members <strong>of</strong> a university,<br />

as <strong>of</strong> any organisation, may experience. With this in mind, I warmly welcome this publication and<br />

wholeheartedly commend it to the <strong>University</strong> community.<br />

Pr<strong>of</strong>essor Christine Hallett,<br />

Principal and Vice-Chancellor<br />

2


Acknowledgements<br />

The <strong>University</strong> wishes to express its gratitude to the Supporting Student Mental Health and<br />

Wellbeing website for allowing the working group to draw on their resources, www.ssmh.ac.uk.<br />

In addition this revision <strong>of</strong> the guidelines originally drafted in 2001 continues to reflect the work<br />

<strong>of</strong> Lancaster <strong>University</strong> Counselling Service” Policy and Guidelines 2000 on Student Health”. In<br />

addition thanks are <strong>of</strong>fered to a range <strong>of</strong> other Universities whose mental health guidelines and<br />

policies have influenced the process <strong>of</strong> re-drafting this document.<br />

Thanks are also extended to all staff and students who have assisted with the revision <strong>of</strong> the<br />

guidelines and in particular to those who have participated in the meetings.<br />

Working group membership:<br />

Convenor, Mr Ian Murray, Director <strong>of</strong> <strong>Quality</strong> and Standards, Department <strong>of</strong> Nursing and Midwifery<br />

Mr Mark Wilkinson, Head <strong>of</strong> Student Development and Support Services (Secretary)<br />

Mr Chris Baxter, SUSA Vice President (Welfare)<br />

Ms Kirsteen Hill, Disability Adviser, Information and Advice Service<br />

Mr Les Wallace, Senior Counsellor, Counselling and Well-being Team<br />

Ms Cathy Broadfoot, Head <strong>of</strong> Residential Services<br />

Ms Alison Pratt, Residential Services Manager<br />

Rev John Butterfield, Chaplain<br />

Dr Ruth Watkins, Head <strong>of</strong> Student Learning Services<br />

Ms Sheila McAulay, Student Adviser, Highland and Western Isles<br />

Mr William Culbard, Head <strong>of</strong> Security<br />

Mr David Gardiner, Team Manager, Information Services<br />

Mr Michael Diack, UNISON<br />

Mr John Ross, Formerly Practice Manager, Airthrey Park Medical Centre<br />

Mr Frank Roden, Senior Teaching Fellow, Department <strong>of</strong> Nursing and Midwifery<br />

Ms Moira Laing, Recruitment and Admissions<br />

Ms Tikus Little, Teaching Fellow, School <strong>of</strong> Law<br />

Ms Warda Bucciarelli Health Promotion Officer, Mental Health Improvement, NHS Forth Valley<br />

Ms Bernie Stoddart, Senior Teaching fellow, Department <strong>of</strong> Nursing & Midwifery<br />

3


Mental Health and Wellbeing: Supporting Students<br />

Introduction<br />

General Principles<br />

The <strong>University</strong> <strong>of</strong> <strong>Stirling</strong><br />

is committed to a student<br />

experience which is inclusive<br />

and gives students the best<br />

possible opportunity to realise<br />

their potential and to these<br />

ends in relation to mental<br />

health we endeavour to:<br />

• Foster mental well being<br />

through the creation <strong>of</strong><br />

academic and organisational<br />

arrangements which<br />

minimise mental health<br />

problems<br />

• Ensure that those members<br />

<strong>of</strong> staff such as lecturers,<br />

advisers, tutors, residences<br />

managers, student support<br />

personnel, whose work<br />

involves ‘pastoral’ contact<br />

with students receive<br />

guidance to carry out their<br />

duties appropriately<br />

• Make clear to all categories<br />

<strong>of</strong> staff when and how<br />

matters should be referred<br />

on to other agencies,<br />

whether inside or outside<br />

the <strong>University</strong><br />

• Provide effective support<br />

to students experiencing<br />

difficulties or requiring<br />

academic adjustments<br />

• Raise awareness among<br />

students and staff <strong>of</strong> mental<br />

health issues, services and<br />

procedures<br />

• Create a non-stigmatising<br />

ethos in which<br />

confidentiality and dignity<br />

are respected<br />

• Monitor and review policy<br />

and practice.<br />

It should be noted that as<br />

an educational community<br />

there are limits to the support<br />

that can be <strong>of</strong>fered, given<br />

our resources and the need<br />

to balance the needs <strong>of</strong><br />

individuals with the needs <strong>of</strong><br />

the whole student and staff<br />

bodies.<br />

Confidentiality<br />

The <strong>University</strong> respects<br />

the right <strong>of</strong> its students to<br />

confidentiality and a full copy<br />

<strong>of</strong> the Policy on Confidentiality<br />

can be found at: http://<br />

www.guides.stir.ac.uk/<br />

dataprotectionguide.htm.<br />

The general principle is that<br />

personal information about<br />

a student will not be shared<br />

within the <strong>University</strong> or with<br />

external bodies without the<br />

student’s consent. However,<br />

there may be circumstances<br />

in which it is necessary to<br />

override that general principle<br />

as follows:<br />

• Operation <strong>of</strong> law: in rare<br />

cases, information about<br />

a student may have to be<br />

disclosed to the Police or<br />

to the courts without his or<br />

her consent. However, this<br />

is not an automatic duty <strong>of</strong><br />

disclosure and staff must<br />

contact the Data Protection<br />

Officer for guidance before<br />

acting.<br />

• Emergency situation: if the<br />

student’s mental health has<br />

reached the point that he<br />

or she poses an actual or<br />

imminent danger or threat<br />

to himself or herself or to<br />

others then disclosure may<br />

be required without his or<br />

her consent.<br />

• Fitness to practise: some<br />

programmes <strong>of</strong> study require<br />

staff to sign a student <strong>of</strong>f<br />

as being ‘fit to practise’. In<br />

these cases please refer to<br />

the respective departmental<br />

guidance.<br />

4


Legal Framework<br />

The <strong>University</strong> is required to:<br />

• exercise duty <strong>of</strong> care in providing education and meeting students’ educational needs, including<br />

pastoral care as well as teaching<br />

• take positive steps to promote students’ well-being<br />

• ensure the health, safety and welfare at work <strong>of</strong> all those “lawfully on the premises”<br />

• protect against discrimination on the basis <strong>of</strong> race, gender, sexual orientation, religion or belief<br />

• make reasonable adjustments to support disabled students, including “mental impairment”<br />

• ensure confidentiality; disclosure may occur only with the student’s consent or where it can be<br />

justified in the public interest or duty <strong>of</strong> care owed to other students and staff.<br />

The guidance <strong>of</strong>fered also takes cognisance <strong>of</strong> relevant parts <strong>of</strong> the QAA Code <strong>of</strong> Practice for the<br />

assurance <strong>of</strong> academic quality and standards in higher education.<br />

Roles and Responsibilities<br />

Staff<br />

All staff are expected to:<br />

• exercise duty <strong>of</strong> care in their dealings with students; if a person shows signs <strong>of</strong> mental health<br />

difficulty, staff should <strong>of</strong>fer or seek appropriate assistance (see pages 13-17)<br />

• treat each student with dignity<br />

• recognise the boundaries <strong>of</strong> their roles, knowing where, when and how to refer on<br />

• uphold confidentiality and exercise responsibility regarding disclosure<br />

• contribute towards building a non-stigmatising community<br />

Students<br />

• All students should help towards creating a non-stigmatising community<br />

• Students with mental health difficulties are encouraged to avail themselves <strong>of</strong> the range <strong>of</strong><br />

internal and/or external support services, and to inform relevant staff if unable to fulfil academic<br />

commitments so that the <strong>University</strong> can provide them with appropriate personal and academic<br />

support<br />

• Students who are supporting friends and peers experiencing mental health issues should take<br />

cognisance <strong>of</strong> their personal limits and know where, when and how to refer on (see page 16)<br />

5


Mental Health and Well-Being:<br />

The following sections on perspectives on mental health and mental health problems have been<br />

compiled with material drawn from the Supporting Student Mental Health and Wellbeing website<br />

http://www.ssmh.ac.uk/ The <strong>University</strong> recognises the valuable contribution made by the website to<br />

this guide and would like to both commend the website and thank SSMH for its permission to use<br />

some <strong>of</strong> its material.<br />

Perspectives on Mental Health<br />

Mental Health can be viewed from many different perspectives. In the medical model it is viewed<br />

in terms <strong>of</strong> the presence or absence <strong>of</strong> symptoms and treatments used to manage symptoms. From<br />

a social perspective it is viewed as being in dynamic relationship with society in that mental health<br />

issues have an impact on society and conversely society has an impact on the mental health <strong>of</strong> the<br />

members <strong>of</strong> that society.<br />

On an individual level, mental health has an impact on the whole life <strong>of</strong> a person. Mental health<br />

is part <strong>of</strong> a larger whole that makes up an individual’s life and it is closely related to physical and<br />

emotional health. Put another way, physical or emotional difficulties will almost certainly influence<br />

our mental health and mental distress will negatively influence our physical and emotional well<br />

being. From a more positive perspective we can be certain that if we look after our mental health<br />

this will have a positive effect on our emotional and physical health. Physical fitness and good<br />

emotional health will impact positively on our mental health.<br />

6


Positive mental health means<br />

having the resources necessary<br />

to cope with different life<br />

events. Even positive life<br />

events require a certain<br />

resilience as we negotiate<br />

them: leaving home, managing<br />

study, forming settled life<br />

relationships, having children,<br />

changing jobs, buying a house,<br />

retiring – all <strong>of</strong> these normal<br />

life events contain an element<br />

<strong>of</strong> stress that effects mental<br />

health.<br />

On top <strong>of</strong> these events, few<br />

<strong>of</strong> us will get through our<br />

lives without experiencing<br />

bereavement, disappointment<br />

and work related stress. We<br />

need the personal resources<br />

and resilience to manage<br />

all these life events without<br />

becoming overwhelmed. Many<br />

people assume that mental<br />

health is on a simple spectrum<br />

with mental health on one end<br />

and mental illness on the other.<br />

This very simplistic view <strong>of</strong><br />

mental illness fails to recognise<br />

the dynamic relationship<br />

between the different elements<br />

and events in our lives.<br />

Why Promote Positive<br />

Mental Health?<br />

Mental health is interconnected<br />

with, and influenced by,<br />

everything in our lives. Social<br />

relationships, work, family<br />

relationships, diet, alcohol<br />

and drugs, cultural demands<br />

and differences, upbringing,<br />

education, spirituality and<br />

emotional literacy all have<br />

an impact on mental health.<br />

Mental health difficulties<br />

are becoming increasingly<br />

common in Scottish society<br />

with the expectation that 25%<br />

<strong>of</strong> the current population<br />

will experience mental health<br />

problems at some time in their<br />

lives.<br />

Statistics indicate that:<br />

• 1 in 20 people at this<br />

moment will be suffering<br />

from depression<br />

• 80% <strong>of</strong> mental illness is<br />

anxiety and depression<br />

• GP’s diagnose 60% <strong>of</strong><br />

mental health disorders<br />

• Of the people diagnosed by<br />

GP’s 90% will be treated by<br />

them<br />

• Patients with depression and<br />

anxiety make up as much as<br />

70% <strong>of</strong> GP appointments<br />

• 10% <strong>of</strong> young people under<br />

19 have mental health<br />

problems that are serious<br />

enough to impact on their<br />

everyday lives<br />

• Referrals to specialist youth<br />

services are increasing so<br />

waiting times are getting<br />

longer<br />

• Young males, those from<br />

low income families and<br />

young black people are at<br />

greatest risk<br />

• Almost 40% <strong>of</strong> absences<br />

from work are caused by<br />

mental health problems<br />

• Mental health problems are<br />

a major cause <strong>of</strong> long term<br />

disability<br />

Clearly the cost in terms <strong>of</strong><br />

personal suffering and the<br />

nation’s economy is such that<br />

something needs to reverse the<br />

trend and help us become a<br />

more healthy society.<br />

National Programme for Mental<br />

Health and Well-Being<br />

http://www.wellscotland.<br />

info/mentalhealth/nationalprogramme.html<br />

The National Programme for<br />

Mental Health and Well Being<br />

exists to support mental health<br />

improvement and well being in<br />

Scotland.<br />

The key aims <strong>of</strong> the National<br />

Programme are:<br />

• Raising awareness and<br />

promoting positive mental<br />

health and well-being<br />

• Eliminating stigma and<br />

discrimination<br />

• Preventing suicide and<br />

supporting people affected<br />

by the aftermath <strong>of</strong> suicide<br />

• Promoting and supporting<br />

recovery for people with<br />

mental health problems<br />

7


Mental Health Problems<br />

“A mental health problem is one in which a person is distracted from<br />

ordinary daily living by upsetting and disturbing thoughts and/or<br />

feelings. A mental health problem may disorientate a person’s view<br />

<strong>of</strong> the world and produce a variety <strong>of</strong> symptoms and behaviour likely<br />

to cause distress and concern both in themselves and others.”<br />

Reading the previous statement it is possible to define most <strong>of</strong> the population as mentally ill at<br />

some point in their lives. There is no black and white distinction in arriving at a definition <strong>of</strong> mental<br />

health. It is probably more helpful for the lay person to regard mental health as being on a scale<br />

or spectrum where people with optimum mental health represent perhaps 5% <strong>of</strong> the population<br />

while most <strong>of</strong> the rest <strong>of</strong> us taper <strong>of</strong>f to a greater or lesser degree with those unfortunate to have<br />

severe difficulties being in the lower 2 or 3% (see Figure one and two).<br />

Figure One<br />

A way <strong>of</strong> looking at mental health can be found in this Mental Health Continuum<br />

Has a diagnosis <strong>of</strong> serious mental<br />

disorder but copes with life well and<br />

has positive mental health<br />

Maximum<br />

Mental<br />

Health<br />

No diagnosable illness or disorder<br />

and positive mental health<br />

Maximum<br />

Mental<br />

Disorder<br />

Minimum<br />

Mental<br />

Disorder<br />

Has a serious diagnosis <strong>of</strong> mental<br />

disorder and poor mental health<br />

Minimum<br />

Mental<br />

Health<br />

No diagnosable illness or disorder<br />

but poor mental health<br />

Adapted from K Tudor (1996) “Mental health Promotion: Paradigms and Practice”<br />

The four quadrants <strong>of</strong> the Mental Health Continuum represent different possible times and<br />

situations in a person’s life. On the right hand side <strong>of</strong> the diagram there are two possible situations<br />

described. A person can have no diagnosable illness but either have positive or negative mental<br />

health. The position on the vertical scale will depend on the person’s life events at any one time. If<br />

faced with redundancy or a break up <strong>of</strong> a long term relationship the person may find themselves at<br />

the lower end <strong>of</strong> the continuum, experiencing poor mental health.<br />

8


If things are going well and the person is looking after their emotional, mental and physical health<br />

they may be higher up the continuum. Similarly, on the left hand side <strong>of</strong> the diagram we see that<br />

a person with a diagnosed disorder can also be experiencing either positive or negative mental<br />

health. With the right treatment and proper supports in place the person can live a happy and<br />

fulfilled life with symptoms under proper control. Without these appropriate interventions and<br />

supports the person may experience negative mental health.<br />

Given that 1 in 4 Scottish adults will experience mental health problems at some time in their lives,<br />

we can see that it is possible for us to move into all four corners <strong>of</strong> the continuum at different<br />

times. Recognition <strong>of</strong> the changing nature <strong>of</strong> mental health can help us both to look after our own<br />

well being and also be more understanding and supportive <strong>of</strong> others when they are experiencing<br />

poor mental health.<br />

Figure Two<br />

OPTIMUM MENTAL<br />

HEALTH<br />

NEUROSES<br />

PSYCHOSES<br />

It has to be recognised that the real parameters <strong>of</strong> what constitute mental health and mental<br />

ill health are extremely difficult to define. One could readily argue that very few <strong>of</strong> us possess<br />

optimum mental health also its is clear from what has been identified above very few <strong>of</strong> us<br />

experience extreme mental ill health; the reality being that for most <strong>of</strong> us we lie somewhere in<br />

between and in fact probably not static in that continuum.<br />

Common Mental Health Problems<br />

http://www.ssmh.ac.uk/common_mental_health_problems<br />

Anxiety<br />

Anxiety is a normal part <strong>of</strong> the experience <strong>of</strong> being human. It is the alarm system that helps us<br />

avoid dangerous and threatening situations and therefore keeps us safe. Anxiety becomes a<br />

disorder when it exists when there is no apparent reason for a person to be anxious. The physical<br />

symptoms <strong>of</strong> anxiety are distressing and uncomfortable and can sometimes cause the sufferer<br />

to believe that they have a serious medical condition. This belief increases the anxiety and the<br />

person becomes more unwell. One very distressing symptom <strong>of</strong> anxiety is panic attacks - these are<br />

overwhelming sensations that cause a person to have difficulty breathing and to feel very unwell<br />

indeed. The sufferer <strong>of</strong>ten believes she or he is about to die when suffering a panic attack.<br />

9


Mood disorders<br />

The term Mood Disorders<br />

encompasses different types<br />

<strong>of</strong> depression including<br />

Seasonal Affective Disorder<br />

(SAD), post natal depression,<br />

clinical depression and bipolar<br />

disorder. Some <strong>of</strong> these<br />

disorders are more serious and<br />

longer lasting than others but<br />

they are all life limiting and<br />

may even be life threatening.<br />

Depression is a serious illness<br />

that is <strong>of</strong>ten overlooked<br />

through lack <strong>of</strong> understanding.<br />

Common symptoms include<br />

low mood that lasts for<br />

more than two weeks, sleep<br />

disturbance, appetite changes<br />

and lack <strong>of</strong> motivation<br />

or interest in things that<br />

were previously enjoyable.<br />

Depression left untreated<br />

may lead to a worsening <strong>of</strong><br />

symptoms<br />

Psychoses<br />

Psychotic illnesses include<br />

schizophrenia, bipolar disorder<br />

and also discrete psychotic<br />

episodes caused by drug use,<br />

severe depression and post<br />

natal psychotic episodes.<br />

Although psychosis is more<br />

unusual than mood disorders<br />

and anxiety it is <strong>of</strong> particular<br />

relevance to educators as the<br />

first onset <strong>of</strong> the disease usually<br />

occurs between the ages <strong>of</strong><br />

15 and 25. One <strong>of</strong> the major<br />

problems with psychosis is<br />

the fear that such a diagnosis<br />

causes. People tend to see a<br />

diagnosis <strong>of</strong> schizophrenia as<br />

a life sentence <strong>of</strong> madness.<br />

The truth is that one third <strong>of</strong><br />

all people who experience a<br />

psychotic episode will never<br />

have another and will return to<br />

normal health relatively quickly.<br />

Another third will recover with<br />

support and one third will have<br />

a life long tendency to reoccurrence<br />

<strong>of</strong> the disease.<br />

Mind has produced an<br />

excellent fact sheet on<br />

psychotic illnesses. Along with<br />

a range <strong>of</strong> other fact sheets<br />

that can be accessed on http://<br />

www.mind.org.uk/Information/<br />

Eating disorders<br />

Eating disorders include<br />

anorexia, bulimia and binge<br />

eating. The symptoms and<br />

effects <strong>of</strong> these three disorders<br />

are different but the outcome<br />

can be very serious in all three.<br />

The majority <strong>of</strong> people with<br />

eating disorders are young<br />

women but there is evidence<br />

<strong>of</strong> an increase in men. Most<br />

educators will come across<br />

a student with an eating<br />

disorder at some point in<br />

their pr<strong>of</strong>essional life and it<br />

is important to have basic<br />

knowledge <strong>of</strong> the problem and<br />

the ability to support in a non<br />

judgmental way.<br />

Self Harm<br />

Self harm is a behaviour not a<br />

mental health problem but it is<br />

included here as you are likely<br />

to come across students who<br />

self harm. It is used by people<br />

<strong>of</strong> all ages and genders to bring<br />

relief to overwhelming feelings<br />

<strong>of</strong> distress or to communicate<br />

that they are distressed. Some<br />

people who self harm are<br />

suicidal at the time but not all<br />

people who self harm want to<br />

end their life, just the pain they<br />

are experiencing.<br />

Self harm can range from<br />

relatively minor self injury to<br />

dangerous and life threatening<br />

behaviour. Try not to act<br />

shocked or upset – the reasons<br />

for this behaviour are complex<br />

and sometimes the person<br />

will not be aware <strong>of</strong> why they<br />

act the way they do. There is<br />

further information available on<br />

http://www.ssmh.ac.uk/self_<br />

harm including specific pointers<br />

for educators.<br />

10


What can you do to help?<br />

It is essential that the whole <strong>University</strong> community considers the mental health needs <strong>of</strong> its<br />

members when developing and reviewing procedures, policies and practices at departmental,<br />

faculty and institutional level. It is important to recognise personal and pr<strong>of</strong>essional limitations<br />

when <strong>of</strong>fering support and to know when to refer on to the appropriate services (see pages 16-19).<br />

Not everyone will be confident to <strong>of</strong>fer support in this area, but listening to someone or informing<br />

him or her about where they can obtain help is extremely valuable.<br />

Ensuring the confidentiality <strong>of</strong> anyone who is experiencing mental health problems is vital (see the<br />

Confidentiality Statement mentioned on page 4)<br />

Rather than <strong>of</strong>fer direct advice, try to work with the person who has a problem to define what their<br />

needs are, empower them to seek the relevant help, information and advice, and build on their<br />

strengths. Treat everyone as an individual with individual needs. Try not to take responsibility for<br />

resolving another’s mental health problems, recognising that there are other people and support<br />

agencies available to help which will prevent them from becoming dependent on you.<br />

Work together with others within the <strong>University</strong> to provide a supportive, non-stigmatising and wellinformed<br />

environment which promotes dignity and respect for everyone. Everyone is responsible<br />

for informing their departments when they are unable to fulfill any commitments they may have<br />

(e.g. attending a class). However, with their consent, someone else can inform the necessary<br />

people on their behalf.<br />

The <strong>University</strong> aims to provide appropriate services and facilities. Everyone is encouraged to assist in<br />

this process by bringing any suggestions for improvement to the relevant staff or committee, or to<br />

Student Development and Support Services or SUSA. If the attitude or behaviour <strong>of</strong> <strong>University</strong> staff<br />

or students towards some one with mental health difficulties should fall below what is expected,<br />

this should be brought to the attention <strong>of</strong> the appropriate person (the Head <strong>of</strong> Department in the<br />

case <strong>of</strong> staff, a Residence Manager or SUSA in the case <strong>of</strong> a student).<br />

11


Supporting Students<br />

If a Student Wants to Talk about their Problem<br />

It is essential to express concern and to be supportive, but it is equally important not to assume the<br />

role <strong>of</strong> a therapist or a counsellor. The following suggestions may help in striking this balance:<br />

• Do not avoid the situation or<br />

pretend nothing is wrong, as<br />

this could make the problem<br />

worse and persist for longer.<br />

• Do not feel that the inability<br />

to solve the problem or to<br />

suggest the way forward at<br />

the present time is a sign<br />

<strong>of</strong> failure. Consult with a<br />

member <strong>of</strong> staff from a<br />

support service for advice on<br />

what to do.<br />

• Talk to the person in<br />

a sympathetic and<br />

understanding way.<br />

Remember to be sensitive to<br />

issues relating to sexuality,<br />

race, religion, culture and<br />

gender. Try not to ask<br />

insensitive or intrusive<br />

questions and respect their<br />

privacy if they do not want<br />

to discuss their problems.<br />

• The situation may only<br />

require sympathetic listening.<br />

To ask in a general way how<br />

a person is may be sufficient<br />

to provide them with an<br />

opportunity to discuss their<br />

concerns with you. (e.g. ‘I<br />

notice that you are…’)<br />

• Be prepared to listen and<br />

spare some time. If there are<br />

constraints that make this<br />

impossible, make sure the<br />

person knows this from the<br />

start <strong>of</strong> your conversation.<br />

• Avoid using unhelpful<br />

comments like ‘pull yourself<br />

together’.<br />

• Being open and honest<br />

with the person from the<br />

start will help to develop<br />

trust. Very <strong>of</strong>ten help is not<br />

sought because the person<br />

may be concerned about<br />

the consequences <strong>of</strong> telling<br />

someone.<br />

• If it is necessary to tell<br />

someone else about the<br />

situation in detail, always<br />

first try to obtain the<br />

person’s consent. It is in fact<br />

<strong>of</strong>ten possible to discuss a<br />

situation and to seek advice<br />

from a third party without<br />

revealing the identity <strong>of</strong> the<br />

person involved.<br />

• Be clear about the limits<br />

<strong>of</strong> the support role and its<br />

boundaries. Everyone has<br />

something to <strong>of</strong>fer, but it<br />

is vital to be aware <strong>of</strong> what<br />

can realistically be done. It<br />

is especially important to<br />

avoid assuming the role <strong>of</strong> a<br />

pr<strong>of</strong>essional counsellor.<br />

• Listen to the person<br />

and decide whether<br />

there might be a more<br />

appropriate person to deal<br />

with the situation. If so,<br />

encourage them to seek the<br />

appropriate help (see page<br />

16). It is important in the<br />

first instance to refer the<br />

student somewhere that<br />

is acceptable to them. A<br />

further referral can always<br />

be made later.<br />

• However, there may be<br />

exceptional circumstances,<br />

where there is a need to<br />

act without the person’s<br />

consent, e.g. if their mental<br />

health has deteriorated to<br />

the extent <strong>of</strong> threatening<br />

their personal safety or that<br />

<strong>of</strong> others.<br />

• It can be extremely<br />

emotional and timeconsuming<br />

to <strong>of</strong>fer help,<br />

which is why it is important<br />

always to seek appropriate<br />

support and help from<br />

others.<br />

12


How do you know there is a problem?<br />

Trusting your own judgement - check the following<br />

Is the student’s behaviour<br />

causing concern?<br />

How does the student<br />

seem?<br />

Is there other information?<br />

Is the student telling you<br />

there is a problem?<br />

Is there anything unusual<br />

or unpredictable about the<br />

student’s behaviour that<br />

makes you feel uneasy?<br />

Tense/Irritable<br />

Sad/Miserable/Tearful<br />

Behaving erratically<br />

Changing <strong>of</strong> mood or<br />

behaviour<br />

Panicky<br />

Withdrawn or very quiet<br />

Poor concentration<br />

Smelling <strong>of</strong> alcohol, cannabis<br />

Agitated<br />

Very loud/Disinhibited<br />

Talking incoherently<br />

Dulled<br />

Has the student declared<br />

a mental health problem?<br />

Are flatmates or staff<br />

telling you something about<br />

the student that indicates<br />

a problem?<br />

Is this different from<br />

your previous experience<br />

<strong>of</strong> this person?<br />

You might see a significant<br />

change in appearance<br />

(eg weight change, decline in<br />

personal hygiene)<br />

Behaviours may have<br />

changed (eg staying in bed<br />

all day, work handed in<br />

late, not attending classes,<br />

avoiding going out)<br />

Do you need more<br />

information from<br />

the student?<br />

Do you need more<br />

information from<br />

other staff?<br />

Would it be helpful to<br />

consult with someone else?<br />

How does he or she feel?<br />

Is there something wrong?<br />

Has there been a similar<br />

experience in the past?<br />

Has anyone else noticed a<br />

problem?<br />

How is the student<br />

functioning academically?<br />

Your colleagues<br />

Line manager or senior<br />

colleague<br />

Student Development and<br />

Support Services<br />

13


What you should do if the situation does NOT require<br />

immediate action<br />

It is NOT urgent if:<br />

There is no immediate risk to the student, or others, although the student may be:<br />

• Depressed, anxious, generally stressed<br />

• Having problems with relationships<br />

• Bereaved<br />

• Suffering from low self-esteem<br />

• Homesick, lonely and isolated<br />

• Having unexplained study or money problems<br />

If the student will accept<br />

help<br />

If the student will not<br />

accept help<br />

Decide who is the best<br />

person to help<br />

If you feel you could help<br />

the student you must<br />

ensure that<br />

You have the time and/or<br />

skill<br />

It does not conflict with your<br />

role<br />

You are able to:<br />

Listen to the student’s<br />

concerns<br />

Offer practical advice<br />

Provide reassurance<br />

Show your concern<br />

by following up your<br />

conversation at another time<br />

If you feel someone else<br />

should help the student:<br />

Are you clear what the<br />

student needs?<br />

If so, refer directly<br />

If you are unsure then<br />

seek further advice from<br />

a colleague or speak to<br />

the Student Counselling &<br />

Wellbeing Service<br />

You can make it clear that<br />

you will help if the student<br />

changes his or her mind<br />

Seek advice from Student<br />

Development and Support<br />

Services<br />

You can monitor the<br />

situation<br />

You should alert a member<br />

<strong>of</strong> the Departmental<br />

advising team, or other<br />

relevant person, about<br />

continuing concerns<br />

In all situations<br />

• Make sure that you debrief by talking the situation through with a colleague or the Student<br />

Counselling & Wellbeing Service.<br />

• You should make a record <strong>of</strong> the conversation signed by both you and the student. Failing<br />

that, record your concerns and inform the appropriate person.<br />

14


If a Student Does Not Want to Talk about their Problem<br />

It may be extremely difficult to help someone with a problem unless they are ready to admit they<br />

have one. If they are not ready to accept help or to talk about their problems, do not ask insensitive<br />

or intrusive questions. Always respect the right <strong>of</strong> the person if they do not wish to discuss things.<br />

Offer an open invitation to them to come back and talk in the future. Speak to someone in a<br />

specialist support service (see page 19). If the person has not given consent to talk to anyone, there<br />

is no need to mention their name when asking for advice; this preserves confidentiality.<br />

Handling a Crisis<br />

Most <strong>of</strong> the time the steps listed above are sufficient. Occasionally, however, individuals may reach<br />

a point <strong>of</strong> crisis. However, it is important to emphasise two points:<br />

• people experiencing mental health problems are very rarely violent towards others;<br />

• crisis situations are extremely rare.<br />

A crisis situation occurs when a person’s feelings are beyond their control. These emotions might<br />

then express themselves in a number <strong>of</strong> ways, for example through self-harm, talking about suicide<br />

or having persistent suicidal thoughts. However, many crises occur in private rather than in public.<br />

In all crisis situations, assuring your safety and that <strong>of</strong> others, including the person involved, is<br />

paramount. To this end, remain calm and adopt a non-threatening approach (in most cases calm<br />

behaviour by others is all that is required). If there are other people present, take appropriate steps<br />

to ensure privacy, safety and respect. Some situations can be very frightening and distressing. If you<br />

do not feel confident to approach the person, then go and get help (see page 16 & 17). Always<br />

explain your actions before you act and continue to reassure the person, without being patronising,<br />

about what is happening. Take threats <strong>of</strong> suicide or self-harm seriously – it is a myth that ‘those<br />

who talk about it don’t do it’. And finally, ensure that appropriate people are contacted. If the<br />

person in distress has become severely disorientated or dangerous to themselves or others it may<br />

be necessary to call a GP, the local hospital accident and emergency service, the university’s security<br />

or, if necessary the police.<br />

15


What you should do if the situation IS urgent<br />

It IS urgent if:<br />

You believe the student may be at risk <strong>of</strong> harm to him or herself, or others.<br />

You are concerned for one or more <strong>of</strong> the following reasons. The student:<br />

• May be at risk <strong>of</strong> serious self-harm<br />

• Is violent or threatening violence to people or property<br />

• Has completely stopped functioning<br />

• Seems very disorientated and out <strong>of</strong> touch with reality<br />

• Is behaving out <strong>of</strong> character<br />

• Expresses suicidal thoughts<br />

If the student will accept help<br />

If the student will not accept help<br />

In <strong>of</strong>fice hours<br />

Refer the student directly to his or her GP,<br />

or the Counselling & Wellbeing team. If<br />

possible, arrange for the student to be<br />

accompanied.<br />

Inform the appropriate person<br />

(eg Senior Advisor or Head <strong>of</strong> Department)<br />

In <strong>of</strong>fice hours<br />

Contact the Student’s GP or, if unknown,<br />

Contact NHS24, emergency services, or<br />

security as appropriate<br />

The Counselling & Wellbeing team will <strong>of</strong>fer<br />

advice.<br />

Out <strong>of</strong> hours<br />

NHS 24. If all else fails, call the emergency<br />

services, or you can go to A&E.<br />

If in residences – Contact Halls and Flats<br />

Assistants and/or Residences Manager on<br />

duty<br />

If stuck, you can phone non-emergency<br />

security for advice<br />

Out <strong>of</strong> hours<br />

NHS24<br />

Security Emergency 2222<br />

Emergency Services<br />

For less urgent situations 7099<br />

Next day inform the Senior Advisor<br />

Next day advise the student’s Senior Advisor,<br />

who will check whether further action is<br />

required.<br />

In all situations<br />

• Stay calm<br />

• Prioritise your own safety and others at the scene<br />

• Make sure that you debrief by talking the situation through with a colleague or the Student<br />

Counselling & Wellbeing Service<br />

• You should make a record <strong>of</strong> the conversation signed by both you and the student. Failing<br />

that, record your concerns and inform the appropriate person<br />

16


External Support, Mental Health Services and Resources<br />

In Need <strong>of</strong> immediate help now?<br />

If you are advising/supporting someone who is distressed, in a state <strong>of</strong> despair, suicidal or need<br />

emotional support, you can advise them to contact Samaritans on 08457 90 90 90 (local rate<br />

call). This call will be confidential and will be taken by a trained Samaritans volunteer. The phone<br />

line is available 24 hours a day, 7 days a week.<br />

If you are advising/supporting someone who is depressed or experiencing low mood, they can<br />

phone and speak to a Breathing Space advisor between 6pm and 2am any day <strong>of</strong> the week on<br />

0800 83 85 87 (calls are free <strong>of</strong> charge).<br />

If you feel someone needs more immediate assistance and can’t wait until their GP surgery reopens<br />

they can call NHS 24 on 08454 24 24 24.<br />

If you think an individual is in need <strong>of</strong> immediate care or in an emergency situation such as self<br />

harm you should you should dial 2222 from any university phone or 999 if outside or from a<br />

mobile for emergency assistance. Dial 0 for switch board when on the Western Isles Campus. Dial<br />

‘9’ 999 when on the Highland Campus.<br />

ChildLine is the free helpline for children and young people in the UK. Children and young people<br />

can call ChildLine to talk about any problem. Call them free on 0800 11 11 (Open 24 hours a day<br />

every day <strong>of</strong> the year)<br />

17 17


<strong>University</strong> Support for Students Experiencing Mental Health<br />

Difficulties<br />

Student Development and Support Services<br />

The Student Development and Support Services team aims to <strong>of</strong>fer an integrated approach<br />

to student support by providing advice on any aspect <strong>of</strong> student life through its three teams:<br />

‘Information and Advice, Counselling and Wellbeing and Career Development Centre’.<br />

These services are open to all students and <strong>of</strong>fers confidential advice, information and counselling.<br />

The service is staffed by pr<strong>of</strong>essional advisers and counsellors who are trained to support students<br />

during their time at <strong>University</strong>.<br />

All services are free and confidential. More information is available from the website at www.<br />

student-support.stir.ac.uk<br />

Students, who have a disability, including mental health difficulties, are strongly recommended<br />

to meet with the Disability Adviser, who is a member <strong>of</strong> the ‘Information and Advice’ team.<br />

The Disability Adviser can assist students to identify their support needs and ensure appropriate<br />

arrangements are put in place.<br />

The counsellors who work in the Counselling and Wellbeing team are trained in a range<br />

<strong>of</strong> counselling methods and are members <strong>of</strong> the British Association for Counselling and<br />

Psychotherapy. Students may request to see a male or a female counsellor. Further information<br />

about the counselling service is available on their website at: www.counselling.stir.ac.uk<br />

As well as support for emotional and personal issues, ‘Information and Advice’ staff can help with<br />

practical issues, which may be causing concerns or difficulties.<br />

Academic Support for Students with Mental Health Difficulties<br />

The <strong>University</strong> recognises that students may experience mental health difficulties, which will affect<br />

their ability to study to varying degrees. Many students with mental health difficulties find that<br />

standard Departmental and <strong>University</strong> arrangements for delivering the curriculum are appropriate<br />

for them. However, there are some students for whom additional academic arrangements in<br />

coursework or exams are required.<br />

Students’ disclosing mental health difficulties may require support in one <strong>of</strong> the following ways:<br />

• Students who are able to continue to attend and to study, on the basis <strong>of</strong> the agreed<br />

academic arrangements. Students will follow courses, complete assessed work and attend<br />

examinations as normal, but Boards <strong>of</strong> Examiners will take into account their mental health<br />

difficulties when considering their performance and making decisions about academic<br />

progress.<br />

• Students will continue in their studies, requiring academic arrangements such as permission<br />

to be absent from certain classes or placements, or extensions to deadlines for submission <strong>of</strong><br />

assessed coursework.<br />

• Some students may require a leave <strong>of</strong> absence from their studies.<br />

18


Contact us:<br />

Information & Advice Centre<br />

Tel: 01786 467080<br />

Fax: 01786 466806<br />

Email: student.advice@stir.ac.uk<br />

Counselling & Wellbeing<br />

Tel: 01786 467080<br />

Fax: 01786 466806<br />

Email: student.counselling@stir.ac.uk<br />

Highland & Western Isles Campus’s<br />

Sheila McAulay<br />

Student Advisor<br />

Tel: 01463 255655; direct no. 01463 255611<br />

Fax: 01463 255654<br />

Email: Sheila McAulay: s.m.mcaulay@stir.ac.uk<br />

19<br />

19


Support services in university residences<br />

The Residential Services Office in Geddes Court provides a comprehensive allocations and<br />

residential management service for the approximate 2,800 places in university residences,<br />

encompassing halls <strong>of</strong> residence, on and <strong>of</strong>f-campus flats, chalets and houses. The service deals<br />

with all aspects <strong>of</strong> accommodation including e.g. rents, private accommodation lists, allocation<br />

<strong>of</strong> rooms for all categories <strong>of</strong> students, as well as managing all the facilities within individual<br />

residences.<br />

The day to day running <strong>of</strong> the residences is directed by Residences Managers, supported by teams<br />

<strong>of</strong> concierge and domestic staff in each residence. The Residences Managers in turn report to the<br />

Senior Residences Manager and the Head <strong>of</strong> Residential Services.<br />

A key responsibility for residences staff is to provide a safe, secure and supportive environment for<br />

all its students. Alongside its administrative and domestic management responsibilities, Residential<br />

Services also has an important welfare support role and <strong>of</strong>fers assistance to residents through a<br />

team comprised <strong>of</strong> both staff and senior students. The welfare team is headed by the Residential<br />

Services management team and assisted by concierges, cleaning staff and a dedicated team <strong>of</strong> halls<br />

and flats assistants, who are themselves full-time students at the university.<br />

Every residence, both on and <strong>of</strong>f-campus, has access to this 24 hour support service, 365 days a<br />

year via on-site staff or the on-call Residential Services team.<br />

20


The welfare team <strong>of</strong>fers support, guidance and advice on a wide variety <strong>of</strong> issues and the halls<br />

and flats assistants play a major part in providing this front line assistance for residents. As current<br />

students, living in residence, they have a wealth <strong>of</strong> experience with the university and the issues<br />

that face students and can <strong>of</strong>fer a more informal route for students looking for help and who may<br />

be reluctant to approach staff, particularly regarding delicate or personal issues. The halls and flats<br />

assistants will be able to advise on where students can access additional help or more detailed<br />

advice. The Residences Managers are also available to <strong>of</strong>fer this assistance, particularly if students<br />

wish to bypass the in-residence teams.<br />

The Residential Services welfare support is a confidential service. Students are encouraged to<br />

approach their residence welfare team whenever they may need to, assured that any information<br />

they provide will be treated in confidence and will be passed only to those who need to know.<br />

Key contacts in Residential Services<br />

Residential Services Office, Geddes Court – Telephone 01786 (46)7060/61<br />

E-mail – accommodation@stir.ac.uk<br />

21


<strong>Stirling</strong> <strong>University</strong> Students Association (SUSA)<br />

SUSA is here to represent the views and campaign on behalf <strong>of</strong> all registered students at the<br />

<strong>University</strong> <strong>of</strong> <strong>Stirling</strong>. In addition to the range <strong>of</strong> social and recreational activities run by SUSA,<br />

there is a huge amount <strong>of</strong> support available for students when things aren’t going that well. SUSA<br />

Welfare places a strong emphasis on peer support and helps students to identify solutions to any<br />

problems they may be experiencing. Obviously SUSA is not a pr<strong>of</strong>essional counselling service and<br />

as such we operate a referral or signposting service when students need more expert assistance.<br />

More details about what we <strong>of</strong>fer, including up to date club and society lists, are available at www.<br />

susaonline.org.uk<br />

Advice and Support Centre (ASC)<br />

As an integral part <strong>of</strong> the SUSA Welfare service, ASC <strong>of</strong>fers support and information to students<br />

throughout their time at <strong>Stirling</strong>. The service is comprised <strong>of</strong> the SUSA Vice President (Welfare &<br />

Education) and a team <strong>of</strong> fully trained volunteers. It is open from 10am to 5pm Monday to Friday.<br />

ASC is located in the Robbins Centre at the top <strong>of</strong> the Long Bar stairs and students are welcome to<br />

drop in at anytime with no appointment necessary. Alternatively they may telephone on (01786)<br />

467166 or e-mail susa-welfare@stir.ac.uk.<br />

ASC has a wealth <strong>of</strong> information on practically every subject students are likely to encounter<br />

including academic matters, accommodation, student finance and health. The service is completely<br />

non judgemental and confidential.<br />

Students need not speak to a welfare volunteer if they do not wish to and are welcome to browse<br />

through our extensive catalogue <strong>of</strong> information and advice leaflets.<br />

Nightline<br />

Nightline is a confidential peer support and information telephone service. Students can call any<br />

time between the hours <strong>of</strong> 7pm to 7am every night <strong>of</strong> the week. Nightline Volunteers are there to<br />

listen. It is a non-judgemental, non-directive and completely confidential service. This service deals<br />

with all kinds <strong>of</strong> problems, be they personal, or related to some aspect <strong>of</strong> <strong>University</strong> life. It can also<br />

provide simple information, such as the details <strong>of</strong> local taxi numbers. Nightline may be contacted<br />

on (01786) 466991. Students can also call for free by dialing 6991 on an internal telephone.<br />

Clubs and Societies<br />

Clubs and societies are a great way to get involved, meet people with similar interests and to<br />

settle into <strong>University</strong> life. SUSA <strong>of</strong>fers a huge range <strong>of</strong> both sporting and non sporting societies<br />

with many opportunities to get involved at any level, be it an ordinary member or a club captain<br />

or president. There are new clubs forming all the time and students are encouraged to set up a<br />

society if there are none that spark their interest! SUSA also operates an informal Buddy system<br />

throughout our club and society network for any student who feels shy or apprehensive about<br />

going along to the club events.<br />

Who’s Who @ SUSA Welfare<br />

Vice President (Welfare & Education)<br />

The VP co-ordinates the Welfare Service and is available between 10am and 5pm Monday to Friday<br />

for any type <strong>of</strong> welfare problem or enquiry. They are also the SUSA contact for any academic<br />

related enquiry. S/he represents student views on the <strong>University</strong> committees dealing with welfare<br />

and academic issues, and welcomes input from the student community. S/he will help students to<br />

work through their problems in the strictest <strong>of</strong> confidence. They can be contacted on telephone<br />

number (01786) 467166 or via email at susa-welfare@stir.ac.uk.<br />

22


Black Students’ Officer<br />

The Black Students Officer represents students <strong>of</strong> African, Asian and Caribbean Heritage on SUSA<br />

Council. S/he co-ordinates the Black Students’ Group which is open to all self defining Black<br />

students and works closely with the Equal Opportunities Officer.<br />

susa-blackstudents@stir.ac.uk<br />

Disabled Students Officer<br />

The Disabled Students Officer represents students with disabilities on the SUSA Council and<br />

can help with a wide range <strong>of</strong> issues surrounding disability and mental health, ranging from<br />

accommodation, benefits through to information technology.<br />

susa-swd@stir.ac.uk<br />

Women’s Officer<br />

The Women’s Officer represents the female students on SUSA Council, organises the weekly<br />

Women’s Group, and is also available for one to one surgeries.<br />

susa-womens@stir.ac.uk<br />

Lesbian, Gay, Bisexual and Trans (LGBT) Officer<br />

The LGBT Officer is the elected LGBT student on the SUSA council. S/he coordinates the LGBT<br />

Group, provides support and advice on a number <strong>of</strong> issues and is available for one to one surgeries.<br />

susa-lgbt@stir.ac.uk<br />

International Students Officer<br />

The International Students’ Officer works closely with the International Society and liaises with the<br />

<strong>University</strong>’s International and Study Abroad Offices. S/he also <strong>of</strong>fers advice and support on matters<br />

from social activities to financial concerns.<br />

susa-international@stir.ac.uk<br />

Equal Opportunities Officer<br />

The Equal Opportunities Officer ensures that the SUSA Equal Opportunities policy is upheld. S/he<br />

can advise or represent students who have suffered any kind <strong>of</strong> harassment or discrimination. S/he<br />

will keep all cases confidential, but can bring them to the attention <strong>of</strong> the SUSA Sabbatical Officers<br />

if requested.<br />

Mature Students Officer<br />

The Mature Students’ Officer can be consulted on issues specific to mature students, such as<br />

benefits, mature students bursary and childcare. They also work closely with the Mature Students<br />

Group.<br />

susa-mature@stir.ac.uk<br />

23


Useful Telephone Numbers and On-Line Information<br />

Registry and Governance Services<br />

Academic Registrar 01786 467030<br />

Student Programmes Office 01786 466685<br />

Student Matriculation and Records Office 01786 466654<br />

Highland Campus<br />

Department <strong>of</strong> Nursing and Midwifery, Campus Manager 01463 255644<br />

Portering and Security Services<br />

Porters Desk, Cottrell 01786 467000<br />

Porters Desk, Pathfoot 01786 467002<br />

Other Numbers<br />

Airthrey Park Medical Centre 01786 466070<br />

Airthrey Park Medical Centre – Emergency Contraception Service 01786 463831<br />

Chaplaincy, Co-ordinator, Robbins Building 01786 467164<br />

Student Development and Support Services, Head <strong>of</strong> Service, 4Y4 Cottrell 01786 467080<br />

Building<br />

<strong>Stirling</strong> <strong>University</strong> Students Association, Vice-President (Welfare),<br />

Robbins Building<br />

01786 467177<br />

01786 467166<br />

Nightline for Students 01786 466991<br />

<strong>University</strong> Residences<br />

Residential Services Office 01786 467060<br />

Alexander Court, Porters Desk 01786 466094<br />

Andrew Stewart Hall, Porters Desk 01786 466960<br />

AK Davidson Hall, Porters Desk 01786 466972<br />

Geddes Court, Porters Desk 01786 466980<br />

Murray Hall, Porters Desk 01786 466965<br />

Fraser <strong>of</strong> Allander House/HH Donnelly House, Porters Desk 01786 466986<br />

Muirhead House/Polwarth House, Porters Desk 01786 466990<br />

Pendreich Way, Porters Desk (Andrew Stewart Hall) 01786 466960<br />

Spittal Hill, Porters Desk 01786 466998<br />

Alangrange, Liaison Student 01786 832275<br />

Friars Cr<strong>of</strong>t, Senior Concierge 01786 466998<br />

John Forty’s Court, Porter-in –Charge 01786 449471<br />

Lyon Crescent, Porter 01786 834560<br />

Thistle Chambers, Liaison Student 01786 471920<br />

Union Street, Porter-in-Charge 01786 447633<br />

24


<strong>Stirling</strong> and the Surrounding Area<br />

Central Scotland Council on Alcohol 01786 450721<br />

Central Scotland Rape Crisis 01786 471771<br />

Alcohol 01786 483131<br />

Drugs 01786 483121<br />

Counselling and Support Service for Alcohol and Drugs 01786 450721<br />

Cruse Bereavement Care 01786 479864<br />

Family Planning Advice (Emergency Contraception) 01786 433697<br />

Health Information Centre 01786 446688<br />

NHS 24 0845 4242424<br />

NUS (Scotland) 0131 556 6598<br />

Off the Record (16-25 yr olds) 01786 450518<br />

Open Secret (<strong>Stirling</strong>) 01786 448504<br />

Reachout 01259 723666<br />

Samaritans 01324 622066<br />

Scottish Disability Team 01382 385498<br />

SKILL Scotland 0131 475 2348<br />

<strong>Stirling</strong> Council Community Care Services:<br />

<strong>Stirling</strong> Office 01786 471177<br />

Community Mental Health Team 01786 446114<br />

Hospital Team (<strong>Stirling</strong> Royal) 01786 434093<br />

Out <strong>of</strong> Hours Service 01786 470500<br />

<strong>Stirling</strong> & District Association for Mental Health 01786 451203<br />

<strong>Stirling</strong> Family Support Service 01786 470797<br />

Victim Support 01786 445782<br />

Highland Region<br />

Alcohol Counselling Inverness 01463 220995<br />

Caithness Council on Alcohol 01955 603462<br />

Ross-shire Council on Alcohol 01349 852 438<br />

Skye & Lochalsh Council on Alcohol 01478 612633<br />

Sutherland Council on Alcohol 01408 634200<br />

Blast! (Recreational Drugs Project) 01463 715454<br />

Highland Alcohol and Drug Centre (NHS) 01463 704603<br />

Highland Brook Advisory Service 01463 242434<br />

Highland Community Care Forum 01463 718817<br />

Highland Health and Information Service 01463 716121<br />

Highland Sexual Health 01463 704202<br />

New Craigs Hospital 01463 704000<br />

Rape and Abuse Helplines<br />

01349 862686<br />

08088 000123<br />

(answered by men on a Wednesday)<br />

01349 865316<br />

Reach Out Highland (Sexuality Issues) 01463 711585<br />

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26<br />

Community Mental Health Support Team - Highland<br />

Inverness 01463 714518<br />

Lochaber 01397 707025<br />

Nairn 01667 453049<br />

Ross & Cromarty 01349 853636<br />

Western Isles 01851 703069<br />

Wick 01955 606915<br />

Cruse Bereavement Care<br />

Caithness 01847 894101<br />

East Sutherland 01408 634343<br />

Inverness 01738 444178<br />

Lochaber 01397 705100<br />

Moray 01542 833238<br />

Orkney 01856 871871<br />

Family Mediation<br />

Highland 01463 712100<br />

Orkney 01856 870571<br />

Samaritans<br />

Caithness 01847 895656<br />

Inverness 01463 713456<br />

Kirkwall 01856 875875<br />

Lerwick 01595 694449<br />

Stornaway 01851 703777<br />

Victim Support<br />

Lochaber 01397 700111<br />

Orkney 01856 877554<br />

Ross & Cromarty 01349 865337<br />

South Highland 01463 710806<br />

Western Isles 01851 702744<br />

Other Services<br />

Alcoholics Anonymous 0845 769 7555<br />

Breathing Space 0800 838587<br />

Brook Advisory Helpline 0800 018 5023<br />

Drinkline 0800 9178282<br />

Eating Disorders Asociation 0845 634 1414<br />

Lesbian & Gay Switchboard 0141 8470447<br />

National AIDS Helpline 0800 567123<br />

National Drugs Helpline 0800 776600<br />

Rape Crisis Centre 0141 331 4180<br />

Saneline (12 noon - 2.00am) 0845 7678000<br />

Sexual Health Clinic 0800 027 6001<br />

Victim Support Scotland 0131 668 4486


On-line Information<br />

Name Web Address Notes<br />

Alcoholics Anonymous http://www.alcoholics-anonymous.org.uk/<br />

Rethink http://www.rethink.org/ General mental health<br />

information, aimed at<br />

students.<br />

BBC Health http://www.bbc.co.uk/health/ A comprehensive site,<br />

covering a wide range <strong>of</strong><br />

health topics<br />

Beating Eating<br />

Disorders<br />

British Association<br />

for Counselling and<br />

Psychotherapy<br />

Citizens Advice<br />

Scotland<br />

http://www.b-eat.co.uk/<br />

http://www.bacp.co.uk/<br />

http://www.cas.org.uk/<br />

Understanding eating<br />

disorders<br />

Useful for finding a<br />

counsellor in private<br />

practice<br />

Links to online advice and a<br />

search tool to find details <strong>of</strong><br />

your local CAB<br />

Depression Alliance http://www.depressionalliance.org/ Good information about<br />

depression<br />

Gay youth http://www.thegyc.com A resource for gay and<br />

lesbian young people<br />

Gender Trust http://www.gendertrust.org.uk UK charity for men<br />

and women who are<br />

Transsexual, Gender<br />

Dysphoric or Transgenderist<br />

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Mental Health.com http://www.mentalhealth.com/ A detailed site with lots <strong>of</strong><br />

links to other sites European<br />

and American descriptions<br />

<strong>of</strong> disorders<br />

Mind http://www.mind.org.uk/ UK mental health charity<br />

has an excellent list <strong>of</strong><br />

publications. Site also has<br />

lots <strong>of</strong> useful links to other<br />

sites<br />

Open Secret<br />

http://rapecrisisscotland.org.uk<br />

http://www.opensecret.org/<br />

A confidential service for<br />

adult survivors <strong>of</strong> childhood<br />

sexual abuse<br />

Queendom http://www.queendom.com/ A fun site with loads <strong>of</strong><br />

interactive tests to get to<br />

know yourself better.<br />

Samaritans<br />

http://www.samaritans.org.uk<br />

SANE http://www.sane.org.uk UK charity concerned<br />

with improving the lives<br />

<strong>of</strong> people affected by<br />

mental illness. This site is<br />

full <strong>of</strong> useful links to other<br />

organisations.<br />

UK Council for<br />

Psychotherapy<br />

http://www.psychotherapy.org.uk/<br />

Useful for finding a<br />

therapist<br />

National Health Service<br />

Forth Valley<br />

Health promotion<br />

http://www.nhsforthvalley.com/home/<br />

Services/healthpromotion/hirs/hirs_clients.<br />

html<br />

To order free leaflets<br />

and other health related<br />

resources<br />

Moodjuice http://www.moodjuice.scot.nhs.uk/ Mental health self helpd<br />

resources<br />

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Bibliography<br />

AMOSSHE, Responding to Student Mental Health Issues: Duty <strong>of</strong> Care Responsibilities for Student<br />

Services in Higher Education. Good Practice Guide, December 2001<br />

CVCP Guidelines on Student Mental Health Policies and Procedures for Higher Education,<br />

April, 2000<br />

Stanley, N. and Manthorpe, J. (2002), Students’ Mental Health Needs: Problems and Responses.<br />

London, Jessica Kingsley.<br />

UUK/GuildHE (2006), Guidelines for Mental Health Promotion in Higher Education, UUK/GuildHE,<br />

London.<br />

The following websites are <strong>of</strong> particular value in sourcing further resources on mental<br />

health and ill health<br />

http://www.moodjuice.scot.nhs.uk/<br />

http://www.ssmh.ac.uk/<br />

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The <strong>University</strong> <strong>of</strong> <strong>Stirling</strong> is a charity registered in Scotland, number SC 011159

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