Submitting a CARES Referral

You might not always be certain your student or friend is displaying worrisome signs regarding their mental health. Here are a few signs/changes to look for as a guide.

signs of distress

Man lecturing to students sitting in chairs

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.