Principles and Practice of College Health 3030563081, 9783030563080

Table of contents :
Foreword
Preface
Contents
Contributors
About the Editors
Part I: Common Clinical Problems in College Health
Chapter 1: Campus Travel Health Services
Introduction
Part I: Pre-travel Health Services
Preparing the Student to Travel Internationally
Prepare Campus Health Reception for Student Travel Health Inquiries
The Pre-travel Consultation Visit
Documenting the Pre-travel Consultation
Step 1: Assessment of the Student Traveler
Step 2: Assessment of the Trip
Step 3: Itinerary Search for Destination Risks and Risk-Reduction Strategies
Step 4: Implementation of the Care Plan for Risk Mitigation
Pharmacological Risk-Reduction Strategies: Immunizations and Medications
Immunizations
Travel Vaccine Informed Decision-Making
Maximize the Initial Travel Health Visit
Avoidance of Vaccination Errors
Provide Every Student with an Immunization Record
Travel Medications and the Travel Medical Kit
Non-pharmacological Risk-Reduction Strategies
Providing Health Counseling and Referrals in the College Travel Health Setting
Health Counseling
Referrals at Home and at Destination
Part II: Travel Health
Illness in the Post-travel Patient
Six Steps to Up Your Game
Get a Plan in Place
Ask About Travel
Personal Protective Equipment
Risk Assessment: What Do I Need to Do Today?
History
History of Fever Versus No Fever
Public Health Risk
Malaria: Yes or No?
How Much Time Do I Have?
How Sick Is This Patient?
Do the Tests!
Follow-Up and Then Follow-Up
Conclusion
College Health Perspectives
Appendices
Appendix 1.1: The Pre-travel Assessment Form
Appendix 1.2: The Post-travel Assessment Form
References
Chapter 2: Tuberculosis
Introduction
Description
Diagnosis
Latent Tuberculosis Infection
Treatment of Latent Tuberculosis Infection
TB Disease
College Health Perspectives
The Future
Conclusion
References
Recommended Reading
Chapter 3: Eating Disorders in College Health
Introduction
Categories of Eating Disorders
Anorexia Nervosa
Assessment and Medical Complications
Treatment
Bulimia Nervosa
Assessment and Medical Complications
Treatment
Binge Eating Disorder
Assessment and Medical Complications
Treatment
Avoidant/Restrictive Food Intake Disorder
Assessment and Medical Complications
Treatment
Planning for Eating Disorder Care in the Student Health Setting
Screening for Eating Disorders
Establishing a Multidisciplinary Team
College Health Perspectives
High-Risk Populations Within the Student Community
Students with Learning Differences
LGBTQ+ Community
Athletes
Study Abroad
Administrative Considerations
Disruption to Community
Case Management
Medical Leave of Absence (MLOA)
College Health Perspectives
Conclusion
References
Recommended Readings and Resources (i.e., books, periodicals, video links, Web resources, etc.)
Chapter 4: Depression and Anxiety in College Students
Introduction
Assessment and Diagnosis
Mapping Symptoms
Search for Bipolarity or Prodrome
Quantify Substance Use
Risk Assessment
Rule Out Underlying Conditions
Depressive Disorders
Anxiety Disorders
Care Planning and Interventions
General Pharmacological Principles
Start Low, Go Slow, Allow Time for Response Before Dose Increases
Pharmacotherapy of Unipolar Depression
Close Monitoring for Mixed Features or Treatment Emergent Bipolarity
Pharmacotherapy for Anxiety Disorders
Nonpharmacologic Interventions
Conclusion
College Health Perspectives
References
Chapter 5: Attention-Deficit/Hyperactivity Disorder and College Students
History and Prevalence
Etiology
Genetics
Neurobiology
Environmental
Diagnosis
Treatment/Management of Symptoms
Pharmacological Intervention
Non-pharmacological Intervention
College Health Perspectives
Conclusion
References
Chapter 6: Athletic Medicine
Introduction
Responsibilities of Team Physicians
Medical Supervision of Athletes
Administrative Duties
Pre-participation Physicals
Sideline Preparedness
General Core Competencies
Concussion
Cardiac Clearance
Heat Illness Assessment and Management
Chronic Conditions in Athletes
Musculoskeletal
Stress Fractures
Fracture Management
Rehabilitation
Mental Health, Substance Use, Nutrition, Sleep, and Performance
Sports-Specific Knowledge
College Health Perspectives
References
Chapter 7: Concussion
Introduction
Definition, Mechanism of Injury, and Pathophysiology
Signs and Symptoms
Recovery Time
Initial Evaluation
Ongoing Assessment and Management
Return to Learn After Concussion
College Health Perspectives
Conclusion
References
Recommended Readings and Resources
Chapter 8: Contraception for College Reproductive Health
Introduction
Oral Contraceptives
Medication Interactions with OCPs
Barrier Contraceptives
Long-Acting Reversible Contraception
Intrauterine Device (IUD)
Hormonal IUDs
Nonhormonal IUDs
Birth Control Implant
Emergency Contraception
Copper IUD
Ulipristal Acetate
Levonorgestrel
Transitioning from EC to Contraception
Lessons for Campus Health: Provision of Contraception
College Health Perspectives
Conclusion
References
Recommended Readings and Resources (i.e., Books, Periodicals, Video Links, Web Resources, Etc.)
Chapter 9: Sexual Health
Introduction
Conversations Around Sexual Health: Taking a Sexual History
Sexually Transmitted Infection Screening
Gender Violence Screening
Reporting to Campus Officials: The Clery Act and Title IX
Pap/HPV Guidelines
Pap Guidelines
HIV Pre-exposure Prophylaxis (PREP)
Sexual Dysfunction
Gender-Affirming Hormone Therapy
College Health Perspectives
Conclusion
Appendices
Appendix A: Initiating PrEP: A Step-by-Step Checklist for Providers
Appendix B: Follow-Up Assessments for Patients on PrEP
References
Recommended Readings and Resources (i.e., Books, Periodicals, Video Links, Web Resources, Etc.)
Other Resources
Part II: Population and Public Health Management on a College Campus
Chapter 10: Supporting the Health and Well-Being of a Diverse Student Population
Introduction
A Culturally Humble, Equity-Minded, and Power-Conscious Approach to College Healthcare
Consider Social and Historical Contextual Factors Impacting Students’ Experiences with Healthcare Systems
Challenge Individual and Organizational Implicit Biases Through Critical Self-Reflection
Make Evidence-Informed Decisions Utilizing Appropriate Data to Address Inequities
Leading Equity-Minded Community Transformation
College Health Perspectives
Conclusion
References
Recommended Readings and Resources
Chapter 11: Student Veterans
Who Are Student Veterans?
Common Challenges Faced by Student Veterans
Adapting to Life as a Student
Navigating the Complexities of Educational Benefits
Medical Care Considerations
Mental Health
Suicide
Post-traumatic Stress Disorder
Substance Use Disorders
Military Sexual Trauma
College Health Perspectives
Conclusion
Lessons for Campus Health
References
Recommended Readings and Resources
Chapter 12: Health Science Students
Introduction
Immunization and Screening Requirements
Chemical and Infectious Exposures
Proximity to Resources
Self-Care and Emotional Well-Being
Safety and Privacy
Make No Assumptions
College Health Perspectives
Conclusion
References
Recommended Readings and Resources (i.e., Books, Periodicals, Video Links, Web Resources, Etc.)
Chapter 13: Student Safety in the Clinical Setting
Introduction
What Is “Patient Safety”?
How to Ensure Patient Safety in Your College or University Health Center
Intentionally Foster a Culture of Safety
Reporting and Data Collection
Patient Feedback
Data Analysis and Continuous Improvement
Systematic Processes
Create Policies and Procedures to Guide Patient Safety Activities
College Health Perspectives
Conclusion
References
Chapter 14: Campus Management of Infectious Disease Outbreaks
Introduction
General Concepts for Infectious Disease Efforts on Campus
Planning
Legal and Policy Requirements
Diagnosis of an Infectious Disease
Coordination with Public Health Authorities
Preventing Additional Cases
Communications
Primary Prevention for Infectious Diseases
Immunizations and Tracking
Education
Sub-population-Specific Prevention
Recent Outbreaks on Campuses
Hepatitis A/Norovirus
Measles
Meningococcal Disease
Methicillin-Resistant Staphylococcus Aureus (MRSA)
Mumps
Pertussis
Seasonal Influenza and H1N1
Tracking of Immunization Exemptions
Isolation or Quarantine of Impacted Students
Coordination with Academic and Other Departments
College Health Perspectives
Conclusion
References
Recommended Readings and Resources
General
Points of Dispensing (POD)
Influenza
Measles
Mumps
Methicillin-Resistant Staphylococcus Aureus (MRSA)
Meningitis
Chapter 15: Immunization Compliance Management
Introduction
Importance of Immunization Compliance
Immunization Requirements by State
Following the Law
Review Process
Assisting Students in Reaching Compliance
Enforcing Requirements
Obtaining Records
Titers as Proof of Immunity
Exemptions
Medical Exemptions
Non-medical Exemptions
College Health Perspectives
Conclusion
References
Recommended Readings and Resources
Chapter 16: Nutrition Services
Introduction
Nutrition Assessment
What Is “Healthy Eating”?
Weight Management
Disordered Eating as Seen Through the Nutrition Lens
Nutritional Support for a Student Cleared to Remain in School
Hyperlipidemia
Mental Health and Nutrition
Gastrointestinal Disorders
Sports Nutrition
Food Allergies, Intolerances, and Sensitivities
In the Dining Halls
Not Sure Where to Start
Other Potential Food-Related Issues
Conclusion
College Health Perspectives
References
Chapter 17: Sleep on College and University Campuses
Introduction
Understanding Sleep on Campus
Sleep and Academics
Undergraduate or Graduate Students
Sleep and Athletics
Sleep and Gender
Prevention Versus Interventions
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy–Based Interventions
Mindfulness, Relaxation, and Hypnotherapy
Sleep Education Interventions
Environmental Strategies
Conclusion
College Health Perspectives
References
Recommended Readings and Resources (i.e., Books, Periodicals, Video Links, Web Resources, Etc.)
Chapter 18: Substance Use and Abuse: Alcohol, Tobacco, and Other Drugs
Introduction
Higher Education Requirements
Drug-Free Schools and Communities Act (EDGAR Part 86)
Biennial Review (EDGAR Part 86.100)
Prevention and Intervention
Prescription Drug Misuse
Opioids
Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Marijuana
Tobacco
Recovery
Recovery in Higher Education
Collegiate Recovery Programs
College Health Perspectives
Conclusion
References
Recommended Readings and Resources
Part III: Organization and Administrative Considerations for College Health
Chapter 19: Unique Issues in the Practice of Medicine in the Institutional Context
Introduction
Accreditation
Patient Records and Confidentiality
HIPAA, FERPA, and State Medical Records Laws
Sharing Medical and Mental Health Records
Ethical and Practical Considerations for Parental Releases
Campus Teams
Crisis Management
Role of the Chief Health Officer
Crisis Communications
Emergency Management
Risk Management
Peer Review
Special Notes on Prevention of Sexual Misconduct
Reporting Sexual Assault, Domestic/Interpersonal Violence, and Sexual Harassment
Scope of Care
Campus Expectations
College Health Perspectives
Conclusion
References
Recommended Readings and Resources
Chapter 20: Situating Healthcare Within the Broader Context of Wellness on Campus
Introduction
Creating Campus Cultures of Well-Being
Models of Well-Being
Considerations for Administrators/Clinicians
Incorporating Health Promotion and Education into Clinical Practice
The Field of Health Promotion
Considerations for Administrators/Clinicians
Utilizing Case Management and Behavioral Assessment Teams
Clinical and Non-clinical Case Management
Locations for Case Management on a College Campus
Behavioral Intervention Teams
Considerations for Administrators/Clinicians
Integrating Student Health and Wellness Centers
Considerations for Administrators/Clinicians
College Health Perspectives
Conclusion
References
Chapter 21: Organizational Structures of Student Health
Introduction
Organizational Placement
Scope of Care and Internal Structure
Organizational Implications of Increasing Mental Health Needs
Integration of Health-Related Services for Students
College Health Perspectives
Conclusion
References
Recommended Readings and Resources
Chapter 22: Funding Student Health Services
Introduction
Definitions
Health Fees
Non-health Fee Institutional Funding Sources
Student Health Insurance Plan (Ship)
Synthesis of Concepts
Complexities and Considerations for Third-Party Billing in Student Health
Additional Topics
Future Considerations
College Health Perspectives
References
Recommended Readings and Resources
Chapter 23: Delivery of Innovative Healthcare Services
Introduction
Telehealth
Why Employ Telehealth for College Students?
Who Provides the Telehealth Services—Outsourced or In-House?
Vending Machines
Menstrual Product Dispensers
College Health Perspectives
Conclusion
References
Recommended Readings and Resources (ie, Books, Periodicals, Video Links, Web Resources, etc.)
Chapter 24: Disability Access in Higher Education: Documenting as University Health Service Providers
Introduction
Americans with Disabilities Act Basics
The Role of a Disability Service Provider
Disability Defined
Documenting Disabilities in Higher Education
Application and Intake Interview Overview
Documentation Guidelines
Format of Documentation
Documenting as a Health Services Provider
Documenting for High Stakes Exams
Documenting Functional Limitations
Reasonable Accommodations
Otherwise Qualified Student
Recommendations for Leaves of Absence
Taking a Student-Centered Approach to Leave of Absence
When Involuntary Leaves Are Required
Conclusion
College Health Perspectives
References
Recommended Readings and Resources (ie, Books, Periodicals, Video Links, Web Resources, etc.)
Books
Resources
Index