Prevention and Support
The CARE (Consultation Assessment Resource Empathy) Team
We CARE for each other
Transitions, new environments, and handling demanding schedules and expectations can be stressful. Response to this stress can result in behavioral changes that interfere with an individual’s ability to live, learn, and produce well. CARE stands for Consultation, Assessment, Resource and Empathy. The CARE team aids the Mayo Clinic College of Medicine and Science community by providing support, guidance, and intervention for learners exhibiting concerning behaviors that may indicate distress.
The CARE team responds to referrals received from faculty, staff, or learners in the Mayo Clinic community. The team’s goal is to identify barriers and develop an action plan to best support the learner. The CARE team is not a crisis team, but rather a proactive preventative team providing intervention before behaviors escalate or high-risk situations occur. The primary approach of the team to each concern is that of care and not of discipline.
- Who can refer
- How to refer
- When to refer
- Distressed learner signs
- What to expect
- Anyone involved in the educational, research, or clinical experience of a MCCMS learner
- Anyone involved in supporting a MCCMS learner (mentors, peers, PI, PD, OM, etc.)
- Learners or peers
- Any member of the campus community
- Email any concerns, questions, or requests to MCCMSCRM@mayo.edu
- Submit a make a referral form
- Referrals can be made anonymously
Remember: The CARE Team is not a crisis line or crisis team. If the learner situation you are concerned about is an emergency, call 911 or assist the learner in getting to the closest Emergency Department.
It can be difficult to determine when help is needed. Here are some general examples for when a CARE referral may be needed:
- If you are concerned about the welfare of an individual, yourself, or others
- If the behavior is unusual or abnormal from what you know of the person
- If the individual’s behavior is starting to impact the ability of others to live and learn on campus
- If your efforts to manage a significant behavioral issue have not resolved the issue
- If you have referred an individual to CARE in the past and there seems to be no improvement or behavior seems to be worsening
We understand the sensitivity of the information shared and respect the privacy of all parties involved. The information will only be shared with those who need to assess the situation and provide support for the learner. The health and safety of the learner and our community is our top priority, and there could be exceptions to this confidentiality if the CARE team is made aware of an immediate threat to self or others, as required by law. Referrals can be made anonymously; however, it is very helpful to gather more information from the referring party if additional context will help us provide the best support.
Marked decline in performance
Unexpected change in performance
Sudden change in attendance
Inability to cope with training pressures
Concerning communication patterns
Poor focus, attention, or decision making
Unprofessional conduct with peers
Verbal or physical harassment
Concerning use of alcohol or other drugs
Thoughts or threats of harming others
Explosive or impulsive behavior
Delusional or paranoid speech or actions
Extreme emotional outbursts or overreaction to circumstances
Social withdrawal, isolation, loneliness
Overly nervous, tense, tearful
Death of a loved one
Low frustration tolerance of others
Marked irritability, anger, hostility
Lack of empathy toward others
Chronic fatigue or falling asleep at inappropriate times
Marked change in personal hygiene or appearance
Noticeable change in energy or weight
Confused, disjointed thoughts, speech, or actions
Signs of self-injury
After a CARE Team referral is submitted, it is reviewed and assessed for risk within 24 business hours. If additional information is needed, the referring party may be contacted.
The referral is staffed and assigned to a Care Resource Manager to carry out initial strategies for learner support.
The Care Resource Manager and CARE Team will utilize resources within Mayo Clinic or with designated providers in the community to provide appropriate interventions and effective support.
Responses may include:
- Monitoring and providing resources or support to those involved with the learner
- Working collaboratively with the learner and providing direct support
- Staying in touch with the learner for ongoing support
- Providing consultative support to the referring party
- Contacting Mayo Clinic security or local law enforcement for assistance if a high level of risk requires immediate action for safety.
*It is important to know that in many situations it is not possible to provide detailed follow-up information to a referring party. The CARE Team is governed by FERPA and information is shared only on an educational need-to-know basis.
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