title: Scylla and Charybdis: dual roles and undetected risks in campus mental health assessments.
abstract: Recent high-profile events involving the mental health of students and the subsequent impact on the campus community have focused attention on the need for quality mental health care and informed risk assessment on college campuses. When on-campus clinicians are asked to provide direct clinical care to students and to perform objective evaluations of at-risk students at the request of university administrators, there is a potential for multiple role conflict. Campus clinicians may find themselves involved in maintaining a difficult balance between student and university interests. We describe some of the problems that arise in balancing decisions between the two, with a specific emphasis on threats to confidentiality and informed consent, dual role conflicts, and the limits of clinical expertise.
authors: Department of Psychiatry, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112. jmpen@tulane.edu.
authors: Jose M
authors: JM
authors: Pena
authors: Gina M
authors: GM
authors: Manguno-Mire
mesh_terms: D003219:Confidentiality; D004219:District of Columbia; D006801:Humans; D007258:Informed Consent; D001523:Mental Disorders / Q000175:diagnosis*; D010414:Pennsylvania; D018570:Risk Assessment / Q000331:legislation & jurisprudence*; D013334:Students / Q000523:psychology*; D014495:Universities