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Stepped Care Model

Our stepped care model of service delivery, ensures that appropriate levels of supports are available to students depending on their needs. Services are available Monday-Friday between 9am and 5pm. The stepped care model includes 4 steps:   

Step 1: Wellbeing and resiliency programme 

This includes our drop-in service through which all students access the service by emailing to arrange a 10-15 minute call with an assistant psychologist (AP). The AP will listen to your presenting issues and ask questions about your wellbeing. The AP will consult with the Head or Deputy Head of Service after Drop-In to develop your support plan. The AP will then email you your individualised support plan which may include supports from step 1, 2, 3 or 4.  

Step 1 may include: bibliotherapy relevant to your difficulties; sign-posting to a more appropriate service; or the recommendation to engage with Silverloud, either on your own or with the support of a team member. Silvercloud in an online cognitive-behavioural mental health support which provides a variety of different programmes. Please click the link to find out more.


Step 2: Once-off counselling session

Counselling is not the same as giving advice. Rather, a counsellor seeks to help you to focus on and understand more clearly the issues that concern you. By respecting your own values, choices and lifestyle, the counsellor can work with you towards making choices or changes that are right for you. 

Counselling is not any one thing but is adapted by the counsellor to fit the needs of each student. Counsellors draw on various counselling and psychological theories to support you with your difficulties. Counselling is basically about a relationship with another person who is skilled and has expertise in dealing with the difficulties encountered by students. This relationship is one of support, education and challenge, warmth and empathy.  

You may or may not be offered an additional session, depending upon need. Ongoing work cannot be guaranteed and is based upon need and resourcing.


Step 3: Extra counselling sessions 

In some circumstances and with the review and approval of the Head/Deputy Head of Counselling, students may be offered 1-2 additional sessions if deemed appropriate. This will depend upon the clinical history and risk factors.


Step 4: Specialist services 

In some instances, a student who attends Drop-in may have mental health needs that require more specialist assessment and/or long-term intervention. In these circumstances the student will be supported to access the most appropriate service for their needs. Examples of specialist services include; The HSE Adult Mental Health Teams, addiction services, rape crisis services, disability services, The HSE National Counselling Service etc. All students should be registered with a GP, and it is often helpful if you inform your GP that you are attending the U.L. Éist Student Wellbeing and Resiliency Service. Although rare, occasionally, some HSE services will not accept a referral from the UL Éist Wellbeing and Resiliency Service. Being registered with a GP outside of the university will overcome this issue should it arise. 

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