Student Health and Counseling Customary Limits to Services

It is the goal of Student Health and Wellbeing Services to provide high quality care to those who are eligible to receive services in accordance with HSU’s educational mission. In an effort to serve all students following our social justice mission and given limited resources we generally provide short-term and episodic care only. Services are also limited by hours of operation; scope of practice; specialty and skills of available personnel; the seriousness and type of presenting condition; available resources; and eligibility status of the individual.

 

Customary Limits in Provision of Services

We do not usually provide services or treatment for the following conditions, including, but not limited to:

  1. Cancer diagnosis/treatment/management;

  2. Allergy desensitization or hormone management;

  3. Mental health conditions that require intensive or long-term treatment, which may include, but are not limited to, severe anxiety and mood disorders, personality disorders, eating disorders, substance use disorders, and disorders which feature active psychosis;

  4. Conditions that include active suicidality which the student does not work to reduce through collaborative management;

  5. Complex psychiatric conditions without an existing diagnosis and stabilization by a qualified psychiatrist or for which the individual does not consistently follow treatment recommendations;

  6. ADD/ADHD including initial diagnosis, or prescription/refill of amphetamines including Adderall or other controlled substance;

  7. Conditions which present a danger to others wherein the student does not work to reduce risk through collaborative management;

  8. Letters of support for emotional support animals;

  9. Evaluation for the purpose of providing documentation (e.g., letters of support) to campus or off-campus entities (e.g,. professors, financial aid, registrar’s office, landlords, SSI)

  10. Evaluation and documentation of permanent disability;

  11. DMV clearance after a seizure;

  12. Court mandated assessments and/or proof of services;

  13. Work related injuries (aside from first visit for HSU employees);

  14. Post-op care, chronic pain including complicated headache management, or any conditions requiring pain medication management;

  15. Cosmetic skin lesions including wart removal, skin tags, etc.;

  16. Accutane for acne;

  17. Fractures requiring casting;

  18. Ganglion cysts

Student Health & Counseling

Policy on Recommendations regarding Emotional Support Animals

 

Diagnosis of a psychological disability resulting in a prescription for an emotional support animal is a complex process that requires several sessions in order to understand the presence, intensity, and duration of various symptoms, degree of impairment in several areas of life functioning, and an evaluation of how an emotional support animal (ESA) would help mitigate symptoms and improve functioning.  Because Student Health and Counseling providers have a very high demand for our services, and must be available to meet the mental health needs of our whole student body, our primary focus at Health and Counseling is to provide ongoing treatment and acute/crisis services.  We do not have the resources to provide psychological work-ups for the purposes of disability documentation and ESA prescriptions.  For these reasons, Health and Counseling services will not issue letters of support for ESA’s.

Students that are interested in obtaining documentation of a disability with a prescription for an ESA accommodation under the Fair Housing Act, should seek this documentation from a prior medical or mental health provider or by starting a disability assessment process through local community resources.  Documentation can come from a licensed medical or mental health professional, including psychiatrists, psychologists, social workers, etc.  A listing of local licensed mental health providers can be found at www.ncamhp.org.   

Please note, SHC discourages use of online resources that promise ESA support letters for a fee.  These sources are usually fraudulent and the Student Disability Resource Center (SDRC) has communicated that they will not accept letters obtained in this fashion.