Make a Referral


Make a Referral

Our CARE team relies on referrals from campus and community partners to effectively support and intervene with students who need assistance. We ask that any person who is concerned about a student complete our referral form so that we can begin contacting the student and arranging an appointment for an initial screening. Please do not just direct the student to contact our office themselves. It is imperative that you fill out the form on their behalf to ensure that the SOS staff receive all pertinent information and can connect the student with resources effectively.

To make a referral, please fill out the referral form linked here.

  1. You recognize a student in need of support
  2. Complete a referral to our office
  3. Referral is reviewed; office reaches out to student to offer support
  4. SOS meets with the student in need of support

Academic Indicators

  • Deterioration in quality/quantity of work
  • A negative change in classroom or research performance (e.g., drop in grades)
    Missed assignments or exams
  • Repeated absences from class or from research lab
  • Decline in enthusiasm in class (e.g., no longer participating in class discussion)
  • Student sends frequent, lengthy, “ranting” or threatening types of emails to professor/TA
  • Continual seeking of special provisions (e.g., late papers, extensions, postponed exams, and projects)

Emotional Indicators

  • Emotions (sadness, nervousness, fearfulness, etc.) that are displayed to an extreme degree or for a prolonged period of time.
  • Change in typical personality (e.g., more outgoing or more withdrawn than usual).
  • Difficulty connecting with the community, making friends, etc.
  • Difficulty dealing with a life event (e.g., death in family, relationship break-up).
  • Expressions of hopelessness, isolation, or worthlessness; themes of suicide, self-harm or reference to death and dying.
  • Marked irritability, anger, hostility.
  • Direct mention of thoughts of self-harm, harm to others, or suicide.
  • Mention of dealing with a mental health issue (depression, anxiety, Bipolar disorder, etc), substance abuse, eating disorder, etc.
  • Strange or bizarre behavior that is obviously inappropriate to the situation (e.g., seeing or hearing things other people don’t).

Physical Indicators

  • Chronic fatigue or falling asleep at inappropriate times.
  • Marked change in personal hygiene or appearance.
  • Noticeable or dramatic change in energy level.
  • Dramatic weight loss or weight gain.
  • Impaired speech or confused, disjointed thoughts.
  • Frequently appears “hung-over” or attends class intoxicated.
  • Noticeable signs of self-harm (cuts, burns, etc).

Additional Indicators

  • Academic Issues (significant)
  • Acute Intoxication **
  • Adjustment Issues
  • Aggressive Behavior **
  • Alcohol/Other Drug Related Issue
  • Arrest /Conduct/Other Legal Issues
  • Bullying / Harassment
  • Disconnected from Reality
  • Disordered Eating
  • Family Issues
  • Family/Friend/SO Death / Illness
  • Financial Issues
  • Food Insecurity
  • Gender Identity/Sexual Orientation
  • General Wellbeing Concern
  • Grievance
  • Homeless / Displaced
  • Medical Concerns
  • Mental Health Concern(s)
  • Psychiatric / Medication Issues
  • Relationship/Interpersonal Conflict
  • Self-Harm/ Self-Directed Violence **
  • Sexual Misconduct
  • Sexual Violence
  • Stalking **
  • Suicidal Ideation/ Thoughts **
  • Suicide Attempt **
  • Violence/ Domestic/Partner Relationship **
  • Violence/Threat of Harm **

**Submit a referral once the student’s immediate safety has been address by call UPD or 911