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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