CAPS will prescribe medication for University students who have been evaluated by staff psychiatrists or supervised resident psychiatrists and require pharmacologic treatment.
1. The philosophy at CAPS is that a multimodal treatment approach provides the greatest benefit. Our general policy is that students do not receive medication-only treatment at CAPS. Students who are seeking medication-only treatment can be referred to local psychiatrists. An exception to this exists in limited circumstances (no insurance, limited finances, urgent needs), such that students who are not in therapy at CAPS may receive a psychopharmologic evaluation and possibly ongoing care from a CAPS psychiatrist. Releases of information should be obtained to ensure collaboration with treatment providers outside of the CAPS system.
2. The CAPS psychiatric staff or residents may prescribe medication for those students whose psychiatric conditions require treatment in order for them to achieve their academic goals. Students who have insurance and who have need for ongoing treatment once stabilized, should be referred to outside providers.
1. The target symptoms and the treatment rationale are to be recorded in the progress notes upon initiation of a medication.
a. In every case an “informed consent” type-note should indicate that the benefits and potentials risks have been discussed with the student who “understood and agreed” to accept the prescription.
b. Medical history, allergies, current medications and drug and alcohol use must be recorded before initiating a medication or noted as updated and current at the start of each academic year.
2. The progress notes should reflect any recent significant changes in a student’s health status.
3. The initiation and renewal of each prescription should be recorded on the Medication Log in the patient’s chart.
4. If consultation with providers outside of CAPS is indicated, the psychiatrist or psychiatric resident should have the student fill out a Release of Information (ROI) to Student Health or to their local primary physician.
5. Subsequent progress notes should specifically address the response of target symptoms, any side effects and the rationale for further treatment decisions (changes or maintenance). Student concerns and how they are addressed should be recorded.