• 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)