Principles and Practice of College Health

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