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What is the HMS Program in Medical Education (PME) and HMS Master’s Program Crimson Folder?

Harvard Medical School (HMS) students often encounter challenges during school and may not recognize that they need help. As an administrator, faculty, or staff member, you are in a prime position to guide HMS students in distress to support services. The HMS Crimson Folder is designed to help you prepare to support students by learning how to recognize signs of distress, respond to a student’s needs with attentiveness and empathy, refer the student to others who may be best equipped to help, and by becoming familiar with resources.

Student Privacy, FERPA, and Confidentiality

The Family Educational Rights and Privacy Act (FERPA) permits communication about a student in connection with a health and safety emergency. Observations of a student’s conduct or statements made by a student are not protected by FERPA. Consideration for student privacy should always be given before information is shared. When communicating with a student, it is important to use the language “private and discreet” rather than “confidential,” as you may need to share information with those listed below.

Recognize

Respond


Stay safe

If there is imminent danger to you, the student, or someone else, call HUPD 617-495-1212 or 911.

Take your time

Actively listen to the student’s concerns and consider how you might be able to help. Choose an appropriate place or situation for having this conversation.

Stay calm

Take a few deep breaths to calm yourself. Use a calm voice when talking and asking questions.

Use active listening

Make eye contact and give your full attention. Restate what the student says to make sure you understand what is causing the distress (e.g., “As I listen to you, I hear you saying…”).

Ask direct questions

Don’t be afraid to directly ask the student if they are having thoughts of harming themselves or others. By asking questions you are not instilling the thought.

Respond tips

Refer


Identify what the student needs.

Listen to the student to determine their immediate needs. Review the options below to guide the student to the appropriate resource.

React

If the student’s conduct is clearly reckless, dangerous, disorderly, or threatening of immediate harm to self or others in the community, call HUPD at 617-495-1212 or 911.

Any report made to HUPD involving a HMS-PME student will be brought to the attention of HMS Dean for Students / Office of Student Affairs.

Any report made to HUPD involving a HMS-Master’s student will be brought to the attention of HMS Office for Graduate Education.

Consult

If the student shows signs of distress, but it is not clear how serious it is, or if you feel uneasy and concerned about the student:

  • During Business Hours:
    • For HMS-PME students: Contact the Office of Student Affairs, 252 TMEC, 617-432-1570, to strategize and triage student support.
    • For HMS-Master’s students: Contact HMS Master’s Office for Graduate Education, 617-432-6121 or 617-432-7498, to strategize and triage student support.
  • After Hours: Contact CAMHS Cares at 617-495-2042 to connect the student to mental health support.

Refer

If you are not concerned for anyone’s immediate safety, but the student is having significant academic or personal issues and could use some support, review the resources listed on page 8 and offer to connect the student to the office that will best support them.

If you are unsure:

  • For HMS-PME students, refer the student to meet with their Advisory Dean of their Academic Society or refer to the Office of Student Affairs (252 TMEC).
  • For HMS-Master’s students, refer the student to meet with the HMS-Master’s Office for Graduate Education.

Wellness checks

A wellness check is a consultative process that exemplifies the partnership between the HMS Office of Student Affairs and faculty and staff in responding to student needs. If you have not heard from a student for some time and you or others are concerned about their safety or well-being, it may be necessary to initiate a wellness check. This process typically begins with contacting the student’s emergency contact and may involve enlisting the assistance of HUPD or local police.

Once you recognize that it has been some time since you have heard from the student, it is helpful to ask yourself the following questions:

  • Is it typical that the student would not reply to emails for some time?
  • When was the last time you heard from or physically saw the student?
  • Does the student have a history of being out of contact?
  • Are there other community members (peers, colleagues, etc.) that might be in touch with the student?
  • Have others expressed concern about the student?
  • What outreach have you tried already—emails, calls, leaving notes, using department means (Slack, messaging app, etc.)? Have you tried multiple means to connect?
  • Are there any mental or physical health concerns that you are aware of?
  • Does the student live alone or with others?

Initial outreach to the student may come from a member of the department or HMS. If a HMS-PME student does not respond to faculty or departmental outreach, it may be necessary to consult with the HMS Dean for Students / Office of Student Affairs. If a HMS-Master’s student does not respond to faculty or departmental outreach, it may be necessary to consult with the HMS-Master’s Office for Graduate Education for support and to initiate a wellness check.

Contact HMS-PME Dean for Students / Office of Student Affairs

Departmental staff, faculty, or other community members may email the Director of Student Affairs at HMS at sheryl_obrien@hms.harvard.edu to request a wellness check for a student. The Office of Student Affairs / Dean for Students and Advisory Dean for each Academic Society are available to assist a faculty or staff member to send a message that expresses the urgency and initiates the wellness check process.

Contact HMS-Master’s Office for Graduate Education

Departmental staff, faculty, or other community members may email the Director of Administration and Student Affairs at kimberly_lincoln@hms.harvard.edu to request a wellness check for a student. The Director of Administration and Student Affairs is available to assist a faculty or staff member to send a message that expresses the urgency and initiates the wellness check process.

Resource

Emergency Resources


Counseling and Mental Health Hotlines

  • CAMHS Cares Line: 617-495-2042
    • 24-hour access line that allows students (or those concerned about a student) to speak with a licensed counselor
  • SHARE Hotline: 617-495-9100
    • 24/7 confidential hotline for all Harvard community members who have been impacted by sexual assault, sexual harassment, and gender discrimination

Support for Faculty & Staff

HMS-PME Resources

HMS-Master’s Resources

University Resources

Additional Community Resources