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Task Force on Health and Well Being: Progress Report - page 6 / 24

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Create permanent, full time psychiatry positions within the CPS unit at UHS within the next 12 months.

Increase CPS staff positions and duty time to provide additional emergency assessment, crisis intervention, substance abuse services, and group and individual therapy services as well as positions devoted to education, outreach, screening, and prevention related to depression, eating disorders, alcohol, and other drug and stress-related disorders.

Medical Services

The total number of outpatient encounters at UHS, which includes urgent care, scheduled appointments, and after hours care, has increased by 20% in the past three years, and demand for inpatient care services has increased as well.  This year, urgent care encounters are up by 27%, after hour visits have increased by 54%, and inpatient admissions are 52% higher.

Recommendations for Medical Services at UHS

Provide additional triage nursing and clinical nurse practitioner staff to improve access to urgent care during regular business hours.

Provide weeknight and weekend triage, clinical nursing, and support staff to improve access to after hours care for students.

Increase floor nursing and nurses aide staff to improve the quality of care and adequate coverage of students admitted to the inpatient medical service.

Increase support services staff in appropriate proportion to the additional professional staff recommended above and in the sections below.

Health Promotion and Wellness Services

Some of the most powerful tools that can be mobilized to improve the health and well being of all who live and work on campus are programs dedicated to health education, health risk assessment screening, early intervention, and disease management.  These kinds of programs were strongly supported by all of the focus groups, and we believe that the University should play a much more active role not only in providing these kinds of programs, but in providing them at times and in locations that encourage maximum participation.  Even at existing staffing levels, UHS has been able to provide a number of very successful programs, including the campus–wide FluFest and Cirque de Sante; depression screening days for students and employees; breast health and mammogram screening; high risk drinking social marketing campaigns; eating concerns and weight management programs; and stress buster events.  (In addition, Dillon offers screenings each semester in body composition, blood pressure, and flexibility.)  To be able to offer a broader range of programs, Princeton needs to go beyond the current staffing of one ten-month health promotion/education professional and begin to build a robust Health Promotion and Wellness Services program.  During our site visit to UC Berkeley and Stanford, we found that both of those universities have much more fully realized health promotion units.  MIT’s health education/promotion services are staffed by 6 FTEs; Columbia’s and Cornell’s by 7 FTEs.  The units at many of our sister institutions are composed of full time experts in such critical areas as depression and suicidality, alcohol and other drugs, eating and nutrition concerns, sexual health, and peer health education.  For Princeton to move to the ranks

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