Observable Signs of Student Distress (OTI-Aligned)
Concerns should be based on observable behaviors, not assumptions or diagnoses. A single incident or a pattern of behavior may warrant a CARES referral.
Changes in Functioning
- Noticeable decline in academic engagement or attendance
- Not functioning like their usual self
- Changes in dress, hygiene, eating, or sleep habits
- Excessive fatigue or falling asleep in class
Behavioral and Emotional Indicators
- Withdrawal, isolation, or sudden personality changes
- Angry or hostile outbursts; agitation or irritability
- Tearfulness; expressions of hopelessness or worthlessness
- Excessively dependent or demanding behavior
- Shakiness, tremors, fidgeting, or pacing
Communication Concerns
- Direct statements indicating distress, family conflict, grief, or loss
- Disorganized, rapid, or slurred speech; confusion
- Impulsive, hostile, or concerning verbal or written communication
Health and Safety Indicators
- Noticeable cuts, bruises, or burns
- Frequent or chronic illness
- Increased or concerning substance use
Online and Digital Activity
- Posts expressing hopelessness, violence, or suicidal ideation
- Overtly negative or concerning captions, hashtags, emojis, or comments
- Engagement with content that promotes harmful behaviors
- Posts indicating insomnia, impulsivity, or emotional distress
Refer a concern using the online form
Appropriate Reasons to Refer
- Mental or emotional health concerns
- Academic distress or sudden disengagement
- Adjustment or sense of belonging concerns
- Interpersonal conflict or relationship challenges
- Basic needs insecurity (food, housing, finances)
- Health or wellness concerns
- Grief or loss
Information to Include in a Referral
- Objective, factual observations
- Relevant details and timelines
- Names of others with additional information, when appropriate
- Avoid labeling or diagnosing
What Happens After Submission
- Referrals are reviewed within 1–2 business days
- Students are typically contacted and invited to meet with a Care Coordinator
- Support is individualized and may include referrals, resources, and follow-up
Confidentiality and Mandatory Reporting
CARES referrals are part of the student’s educational record and governed by FERPA. Referrals may be submitted anonymously, though limited information may impact follow-up.
All UW employees are mandatory reporters and must report concerns as required by UW policy and Wyoming law, including suspected abuse or neglect of a child or vulnerable adult.

