'Red' mental health guidelines
Symptoms written in italics should be discussed with a Mental Health Access or Crisis team if they occur outside of working hours.
Level of functioning
| » May appear disorganised and unreliable » May be denying any problems or responsibility for difficult behaviour » Unlikely that issues will resolve without intervention » Action required to prevent further mental ill health and distress |
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Cognitive and academic functioning
| » Impaired study/work ability due to reduced concentration and learning capacity » Unable to prioritise tasks » Difficulty meeting course/ working requirements » Conflict in group/team tasks or meetings » Poor/altered decision making processes » Worrying or anxious thoughts » May appear vague » Changing beliefs |
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Social functioning
| » Few friends, limited integration in team processes » Conflict with peers/team » May be withdrawn or isolated » Increased hours engaged on internet » Behaviour may be having a negative effect on others » Others may express concern or make complaints » Generating rumours which
cause concern to others » Low level use of written, verbal or physical abuse (e.g. pushing or shoving) » Concerning or unwelcome comments of a sexual nature or relationship seeking » Out of character behaviours/out of context behaviours |
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Coping behaviours
| » Poor coping » May be demanding of others to find solutions » Overall functioning compromised » Inappropriate, changeable emotional expressions (e.g. tearful or aggressive outbursts) » Coping through excessive online chat and other internet activity »
Substance abuse » Impulse control problems may lead to high risk behaviours (e.g. unsafe sex, overspending, gambling, self harm or harm to others) » Intentional theft » Damage to property » Threatening communication (e.g. non-violent) »
Sleeping on campus » Recent improvement in mood or daily motivation after a period of low mood |
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Psychological functioning
| » Feel out of control or have panic attacks » Increased/decreased sleep » Self medicating » Impaired judgement and decision making » Impaired organisation » May appear chaotic » Fear regarding poor performance, letting others down » Thoughts of escaping » Any thoughts or expressions of suicide/ and non-suicidal self injury/harm » Difficulty making plans for longer term » Limited/reduced hope for future » Depression » Change in levels of energy » Thoughts/behaviours out of context or character » Guilt » Anger/blaming others for how they feel » History of harm to self or others » Past mental health presentations/admission to hospital » High anxiety, distress/agitation |
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Response and recommendations
| » Needs psychological assessment and intervention » Encourage them to talk to their family and close friends for support » May help to discuss current or future workload During University work hours: » Discuss with the UWS Counselling Service (for students) or EAP (for staff) » Contact UWS Security if the situation is dangerous Outside University work hours: » Call UWS Security to manage the immediate/potential situation » Call an ambulance for physical or urgent mental health concerns » Consult with a local mental health team if any behaviours listed in italics
are identified |
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* These guidelines were adapted from the Global Assessment of Functioning (GAF), Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSMIVTM), American Psychiatric Association as cited in Monash University Social and Academic Functioning SAF Scale 2008