• Decline in quality of work/grades
• Repeated absences
• Disruptive behavior
• Disorganized thinking in writing/presentations
• Repeated requests for extensions
• Overly demanding of faculty/staff time and attention
• Conduct that interferes with classroom, activity or engagement
• Bizarre content in writings/presentations
• Student meetings are dominated by personal content rather than educational matters

• Marked changes in physical appearance: deterioration in grooming, changes in hygiene, and weight loss/gain
• Excessive fatigue, listlessness
• Sleeping or eating too much or too little
• Intoxication, hangover, smelling of alcohol
• Disoriented, “out of it,” or forgetful
• Hyperactivity, garbled, rambling, tangential, disconnected or slurred speech
• Strange ideas/beliefs or paranoia
• Isolation/withdrawal

• Excessive self-disclosure of personal distress, losses, family problems or financial difficulties
• Withdrawal or agitation
• Unusual/disproportional emotional response to events
• Excessive tearfulness, panic reactions, irritability, or apathy
• Antagonistic and impulsive behavior
• Verbally abusive — taunting, badgering, intimidation
• Expressions of concern about the student by the student’s peers
• Loss of pleasure
• Major shifts in mood
• Isolation from friends, family, or classmates
• Recent major stressors such as the loss of a loved one, relationship break-up, etc.

1. Nazareth Health and Counseling Services (confidential) 585-389-2500
2. Title IX Coordinator 585-389-2877
3. Center for Spirituality (confidential) 585-389-2308
4. Virtual Support and Services

Rochester Area Resources (these agencies are not obligated to report to Nazareth)

1. RESTORE Sexual Assault Services 24-Hour Hotline
   585-546-2777
2. Rochester Police Department Emergency
   911
3. Rochester Police Department Victims Assistance
   585-428-6630
4. Monroe County Sheriff, Victims Assistance
   585-753-4389
5. Monroe County District Attorney’s Office Victim Assistance
   585-753-4573
6. Monroe County Health Department
   585-733-5481
7. Trillium Health
   585-545-7200
8. Willow Domestic Violence Center 24-Hour Hotline
   585-222-7233
   Text 585-348-7233
   TTY Phone 585-232-1741
9. Legal Assistance of Western NY
   866-341-7773
10. Legal Aid Society of Rochester
    585-232-4090
11. New York State Police Campus Sexual Assault Victims Unit 
    844-845-7269
12. Healing through Education Advocacy and Law (HEAL) Collaborative 
    585-275-4325

1. National Sexual Assault Hotline (RAINN)
   1-800-656-4673
2. National Suicide Prevention Lifeline
   1-800-273-8255
3. The National Domestic Violence Hotline
   1-800-799-7233
   TTY Phone 1-800-787-3224
4. Crisis Text Line
   Text HOME to 741741
5. Love is Respect
   1-866-331-9474
   TTY Phone 1-866-331-8453
   Text Line Text LOVEIS to 22522
6. The Trevor Project
   1-866-488-7386
   Text Line Text START to 678678
7. Trans Lifeline
   1-877-565-8860
8. 1 in 6 (24 Hour Online Helpline for Male Survivors)

Lifeline: 1-800-273-8255: Lifeline assists people in immediate crisis with a skilled, trained crisis worker who will listen to the problems they are experiencing and will connect them to local mental health services. All calls are confidential and free.

Crisis Text Line: text "start" to 741-741. Crisis Text Line serves anyone, in any type of crisis, providing access to free, 24/7 support via mediums people already use and trust.

UR Medicine Mental Health Crisis Call Line: 1-585-275-8686. Available to those who may be coping with mental health concerns, such as a panic or anxiety attack, but who do not feel the need to visit the Psychiatric Emergency Department at the University of Rochester Medical Center. Counselors can help callers work through feelings of anxiety, panic attack, depression, isolation, etc.

The Trevor Project: 1-866-488-7386 or text 678-678. Trained counselors who understand the challenges LGBTQ+ young people face are available for support 24/7.