on call college counseling centers

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psychrat

licensed psychologist
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Has anyone every been on call (weekends, weeknights, holidays) at a college counseling center? What does it entail? How often do you get calls and what are some of the issues that arise off hours?
 
I have been on call at two UCCs and they varied pretty significantly from one another.

The first includes those in the on-call rotation carrying a pager for one full week at a time and responding to after-hours crises. These may include pages from the university police department, area hospitals who have a student they're admitting or discharging, or a residence life director. The majority of the pages have to do with suicidal or homicidal ideation (with varying degrees of intent and plan), sexual assault, or bizarre thinking. The frequency of the pages also varies pretty significantly from 0 pages in a week to several, and may be addressed either over the phone or in-person, depending on the situation. This university also does not use ProtoCall or a similar system as a way of addressing or screening after-hours calls.

The second includes those in the on-call rotation carrying a university cell phone for one full week at a time and responding to after-hours crises that are initially screened by ProtoCall. As a result of ProtoCall, very few calls are actually transferred to the on-call cell phone (far less than at the first university I referenced). The reasons for calls are similar to those I previously mentioned, and also may be addressed over the phone or in-person, depending on the situation.

Hope this helps!
 
I was on-call during a week long rotation at a UCC at one point. I got a call from a dorm RD to go to the dorms late at night and had to respond to a kid in distress with suicidal ideation. I first called my supervisor (I was on internship), then went there, helped calm the person and thoroughly assessed safety, and secured a commitment to safety (and the person already had a therapy appointment scheduled later that week), so it stopped there (I think I offered a crisis walk-in at our UCC the next day if needed). I also consulted with my supervisor that night after the meeting with the student to make sure I was doing what was appropriate.
 
On-call for 2+ years one weekend a month and 2 evenings a month. All went through protocol - 99% of our calls were overdoses (alcohol) and entailed we go to the hospital once their BAL dropped to .08 then did an alcohol/detox assessment. I’ve also received calls related to student deaths and providing emotional support to friends or fraternities, etc. unfortunately we have seen a peak in opioid deaths similar to what the US is seeing.


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