Mental Health Wellbeing Intervention Plan for Students 2017-18

Mental Health Wellbeing plan for students

Full Name / Date of Birth / Student Number
Course student currently studying / planning to study
Behaviour / episodes I may develop / exhibit if unwell
Warning signs / changes in my behaviour that I may be becoming unwell that I may not be able to recognise in myself at that time
Triggers / factors which may increase my potential to become unwell.

I would like one or more of the following people to be contacted if I exhibit or I declare any of the warning signs / episodes / behaviours described above or the University legitimately considers that my health or condition has deteriorated in other ways in order that they can support me and potentially prevent me becoming more unwell

Person to be contacted / Telephone / Email
My named disability adviser
Other named University contact
Out of Hours contact
My informal support
Relationship to me
GP
CPN
Social worker
Other external service

I understand that this consent applies to the duration of my course unless I withdraw consent in writing

Student signature______

Date______

Procedure for Mental Health Wellbeing intervention plan

Preparation

Disability adviser (DA) has an appointment with a student who is likely to need the plan
They would discuss the plan together and the student would complete and sign the document
Students should be given the assurance that all information contained in the plan will be dealt with confidentially and will only be shared with the members of staff who need to know eg personal tutor.
Assure the student the information contained in it will only be used when they exhibit / declare signs of a relapse
The document will be kept securely on file until it is needed

Using the wellbeing plan

Written notes should be kept by all staff involved at every stage
Members of staff notice signs of relapse themselves or shows signs to others then this is highlighted to the Academic Group Leader (AGL) or Named DA depending on who has reported it
Named DA together with AGL would gather relevant evidence of the signs
The named DA would arrange an initial appointment with the student to inform them of what is going to happen
The DA would then inform the heads of service / AGL after seeing the student
A meeting must then be convened with all relevant staff or their nominee (DA, counsellor, AGL, personal tutor), the notes of the meeting would be recorded on the attached form (appendix 1)
The reasons as to how any decisions were made at the meeting, must be fully evidenced on the form eg the signs the student exhibited or declared and how this informed the decision made, including the factors taken into account
The form must be signed by the relevant people
A nominated person to contact the relevant named people named in the Mental Health Wellbeing plan

Appendix 1

Meeting notes for meeting held on ______

Student Full Name / Date of Birth / Student Number
Course student currently studying / planning to study
Staff attending meeting and their role
Signs / behaviour student exhibiting
Decision made by meeting
Reasons why decision above has been made
Nominated person to contact relevant named people

Chair of meeting

Name______Signature______Date______

Pro Vice Chancellor

Name______Signature______Date______