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Emergency Directory

EMERGENCY ACTION GUIDE

There might be certain cases that require immediate aid or medical intervention (cases where the student presents the risk of self-harming and harming other people). In such cases, it is crucial to talk to the student, express your concerns for him/her and refer the student to the counseling or any other respective unit where necessary. Emergency cases may include the following: 1) Risk of suicide attempt 

2) Harming other people (on purpose, due to deterioration of thinking process or negligence) 3)Acute mental health crises (psychotic /manic episode, temper tantrum, nervous breakdown etc.) 4) Inappropriate behavior under the influence of alcohol or drugs; alcohol or drug intoxication

DEPARTMENTS OR PERSONS YOU SHOULD CONTACT IN CASE OF EMERGENCY

HCSD: Altınbaş University Health, Culture and Sports Department,

CAPS: Counseling and Psychological Services operating under Altınbaş University Health, Culture and Sports Department,

DAA: Altınbaş University Department of Administrative Affairs,

HSU: Health Services Unit operating under Altınbaş University Health, Culture and Sports Department,

VP: Altınbaş University Health, Culture and Sports Department operates under one of four Vice Presidents of Altınbaş University,

GD: Altınbaş University Guesthouse Directorate

 1) RISK OF SUICIDE ATTEMPT:

a) In the event that a student presents with thoughts of suicide during a counseling session, you should do the following;

i. Conduct a risk assessment.

ii. If no significant risk factors are present, the student and the psychologist should make a written or verbal agreement where student must accept that s/he will not self-harm; then the student might be referred to a psychiatrist if deemed necessary by the psychologist. According to therapy agreement; in the event that the student presents the risk factors for of self-harm, psychologist shall be entitled to inform the family about the student’s situation by notifying the student in advance and reminding that the confidentiality policy has been breached.

iii. If medium and high risk factors are present, psychologist shall remind the student of the therapy agreement that s/he had signed before the counseling sessions began, where it states that the confidentiality policy shall be deemed invalid in case that the student presents the risk of self-harming or harming other people. In accordance with the therapy agreement, the student shall be notified that the psychologist will inform his/her parents and an administrative official of the situation. CAPS will refer the student and his/her family to a psychiatric unit.

iv. After the first intervention, CAPS will conduct a joint evaluation together with the psychiatric unit where possible and the patient will be monitored by the University CAPS when applicable.

b) In the event that a third party (student’s friends, academic or administrative staff) informs the psychologist that a student presents with thoughts of suicide;

i. If you notice these thoughts of suicide, you shall encourage the student to ask for psychological help/support and refer him/her to the CAPS. In the event that student accepts to attend individual sessions, the CAPS psychologists will conduct an evaluation and follow the instructions set forth in article “a”.

ii. If student refuses to attend counseling sessions, s/he shall be notified that his/her family or relatives will be told about this situation and they will be asked to contact the student. It is strongly recommended that the student should get psychiatric help.

iii. In every single step of a crisis intervention, relevant persons/units should be in contact with each other at all times. It should not be forgotten, however, that even if a patient undergoes a psychological or psychiatric treatment, suicide is not 100% preventable.
 c) In the event that you notice a student attempting to self-harm or commit suicide;

 If you witness a student attempting to self-harm or commit suicide during normal business hours in the campus (University premises and dormitory building), you should immediately contact HCSD and DAA; make sure that CAPS, HSU and security come to the scene of incident at once. You can ask a close friend or a relative to try to calm the student down and talk him/her out of suicide or self-harm.

  1. If student accepts to collaborate and renounces suicide, CAPS will have an emergency talk with the student and refer him/her to a psychiatrist if deemed necessary.

  2. In case student does not renounce suicide or self-harm, security must call the Police, an ambulance or the Fire Department where necessary.

  3. Also, Vice President should be notified of the situation.

  

d) When a suicide attempt takes a place in University premises or Student Guesthouse;

i. A person’s attempt to harm his/her own physical/bodily integrity is a medical case and it requires immediate medical aid. The medical intervention should involve the first and immediate aid intended to eliminate the life-threatening situation that the student is going through.

ii. When a suicide or self-harm attempt takes place in Student Guesthouse, HSU must be notified immediately.  The first aid must be carried out by the HSU or by a doctor or a nurse at a healthcare facility/hospital.

iii. Whether the situation is life-threatening or not, the family of the student, who attempted suicide, must be notified. Even though a person who presents with risk of self-harm or harming the bodily/physical integrity of other people is over 18 years old, it is not a pretext for not notifying student’s family. The Role and Responsibilities of CAPS in Suicide Intervention: For most suicide cases, the healthcare institution, where student is admitted to, refers him/her to a psychiatric unit.  Student undergoes a “medical” and “psychiatric” intervention and care there; following the medical and psychological assessment, s/he might be monitored by CAPS psychologists as well in addition to psychiatric treatment.

If the above-mentioned events occur in University premises during normal business hours: In case you think a student presents the risk of self-harming and harming other people, first you should contact the Department of Administrative Affairs and/or University security personnel. Then, refer the student to a specialist from CAPS or HSU.

Security Unit: (0212) 604 0100                 

  Ext: 2500 – 2501 – 4090    Short Code: 7777

Health Services Unit: (0212) 604 0100     Ext: 2206 – 2308 CAPS: (0212) 604 0100                                     

  Ext: 2211 – 2223

In the event such incident occurs in University premises outside normal business hours: We strongly suggest you ask the Security Unit for help and take the student to the nearest hospital.

Students in distress and urgent need of medical help may be referred to the nearest healthcare facilities (Bakırköy Prof. Dr. Mazhar Osman Mental Health and Neurology Hospital (0212 409 1515), Istanbul Kanuni Sultan Süleyman Training and Research Hospital (0212 404 15 00), Medipol Mega University Hospital (0212 460 7777)). If student is a guesthouse resident, please make sure that the Guesthouse Directorate is notified of the incident.

 In the event that any of these above-mentioned incidents occurs outside the campus: Do not leave the student on his/her own. Ask a friend to accompany the student in distress until the family arrives, if necessary. Call the nearest healthcare facility, or 112 Emergency Services or 155 Police according to circumstances; do not forget to notify student’s family. 

2) RISK OF HARMING OTHERS:

 a) In the event that a student presents with thoughts of harming other people during a counseling session, you should do the following:

 i. If CAPS notices that student presents with thoughts of harming other people, a risk assessment should be conducted first. ii. If no significant risk factors are present, the student and the psychologist should make a written or verbal agreement where student must accept that s/he will harm other people. It is strongly suggested that if the student feels like engaging in acts of harming others, s/he should contact the CAPS immediately.

 iii. If medium and high risk factors are present, psychologist shall remind the student that other related units will be notified of the situation so they can take the necessary precautions, thus the confidentiality policy will have to be breached (Prior to counseling sessions, student shall carefully read and sign the therapy agreement where it clearly states that student shall give his/her consent and permission to psychologist that the confidentiality policy will be deemed invalid in case that student presents the risk of self-harming or harming other people).

iv. CAPS will refer the student to a psychiatric unit if deemed necessary.

 v. If you notice that student presents with thoughts of or feels like engaging in acts of harming other people, you should notify the Department of Administrative Affairs or Security immediately, and the student shall be referred to CAPS.

 b) If student has engaged in harming other people;

i. If CAPS staff notices that the student has engaged in harming other people, they shall remind the student that the patient confidentiality will have to be breached. If deemed necessary, all relevant units shall be notified.

ii. If someone (an administrative personnel from any department or office) outside the CAPS staff witnesses physical or violent acts committed by a student, s/he should take a disciplinary action against the student where deemed necessary.

iii. Student may be referred to the CAPS.

 3) ACUTE MENTAL HEALTH CRISES

i. If you witness a student having a mental health crisis, you should firstly notify the HCSD, HSU, CAPS, DAA or security personnel; if the student in distress is a resident in the guesthouse, you should then notify the Guesthouse Directorate. Student should be taken to HSU. If the student is in a state where she can’t be taken to the unit, HSU should come to the help of student at once accompanied by CAPS and the security unit.

ii. First make sure that student will not self-harm or harm others, and then refer him/her to counseling. If the student can’t calm down, call an ambulance and ensure that student is kept under observation by the CAPS staff until the ambulance arrives.

iii. Whether the student needs to be admitted to a hospital or not, CAPS should notify student’s parents. Student might need to be monitored also by HSU and CAPS.

iv. If the crisis occurs outside normal business hours, security unit should be notified. If the student in crisis is a resident at the guesthouse, then the Director of the Guesthouse should be notified. Student may be referred to the CAPS if deemed necessary. In the event that student can’t calm down, you should call an ambulance and the student should be taken to the nearest hospital.

 4) INAPPROPRIATE BEHAVIOR UNDER THE INFLUENCE OF ALCOHOL OR DRUGS; ALCOHOL OR DRUG INTOXICATION

 i. In case you witness a student demonstrating inappropriate behavior under the influence of alcohol or drugs, you should contact the HSU. If student did not completely lose consciousness, security personnel should accompany him/her to the HSU. If the student is unconscious, ensure that HSU arrives at the scene of incident, accompanied by security staff. Security should immediately contact the Department of Administrative Affairs.

 ii. Inquire about the student’s situation from the witnesses. HSU should perform a medical intervention where applicable. If there is a critical or life-threatening situation, if student needs additional medical help, call and ambulance and ensure that the student is admitted to the nearest hospital.

 iii. With the approval of student, HSU should inform the parents about student’s medical condition. Student should be referred to the CAPS.

 iv. If the incident occurs outside normal business hours, you should contact the security personnel immediately. If student lives in guesthouse, Director of the Student Guesthouse should be notified as well and the student should be taken to the nearest hospital.

    REFERENCES
 

  1. Bahçeşehir University Counseling and Psychological Services, Emergency Action Guide.

  2. Bilgi University Counseling and Psychological Services, Academic Staff Guide to Helping Students in Distress.

  3. Mersin University Counseling and Psychological Services, Academic Staff and Advisors Guide to Helping Students in Distress.

  4. Okan University Counseling Services and Training Center (OPDEM), Emergency Protocol.

  APPENDIX – 1

Nearest Hospitals to Altınbaş University

 NO

HOSPITAL NAME

PHONE

ADDRESS

 

1

Medipol Mega University Hospital

Call Center: 444 07 44

 

0212 460 70 70

TEM Avrupa Otoyolu Göztepe Çıkışı No: 1

Bağcılar – İstanbul

 

(3 KM)

 

2

Tem Hospital

0 212 494 34 34

0 533 659 87 93

0 533 925 12 71

Mehmet Akif Mah. Kemalpaşa Cad. No:92 (Next to Mahmutbey pay tolls)

İkitelli – İstanbul

 

(3 KM)

 

3

İstanbul Hospital

 

0 212 698 30 70

Atatürk Mah., Pazaryolu Cad. No:30

İkitelli –İstanbul

 

(3,2 KM)

 

4

Medicine Hospital Istanbul

 

0212 489 08 00

Barbaros Mah. H. Ahmet Yesevi Cad. No:149 Güneşli

Bağcılar / İstanbul

 

(4,6 KM)

 

5

İstanbul Mehmet Akif Ersoy Göğüs Kalp ve Damar Cerrahisi Araştırma Hastanesi (Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital)

 

0212 692 20 00

 

0212 548 48 64

İstasyon Mah., Turgut Özal Bulvarı No:11

Küçükçekmece – İstanbul

 

(7,4 KM)

 

6

Bağcılar Eğitim Araştırma Hastanesi (Bağcılar Training and Research Hospital)

 

0212 440 4000

Merkez Mahallesi, Mimar Sinan Caddesi, 6. Sokak

Bağcılar – İstanbul

 

(7,7 KM)

 

7

İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi (İstanbul Kanuni Sultan Süleyman Training and Research Hospital)

 

0212 404 15 00

 

0212 495 59 20

Atakent Mh. Turgut Özal Cd. No:1 Küçükçekmece -İstanbul

 

(8,6 KM)

 

8

Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Hastanesi (Bakırköy Prof. Dr. Mazhar Osman Mental Health and Neurology Hospital)

0212 409 15 15

Zuhuratbaba Mah, Dr.Tevfik Sağlam Cad. No :25/2, Bakırköy/İstanbul

 

(13,1 KM)

 

9

EMERGENCY SERVICES

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