Incident Report

糖心logo's Behavioural Support and Intervention Team (BSIT) works to maintain a healthy and safe campus environment. The team's main function is to receive reports about individuals exhibiting endangering behaviours, to assemble information from across campus departments, and to determine appropriate responses.

Quick Phone List

Emergency - 911, then contact campus security @ 780-479-8761 or ext. 5555 from an internal phone.

Andrew Sterne, 780 479-9311
Carmen Arth, 780-378-8459
Janet Klipperstein, 780-491-6854
Beverly Wainwright, 780-491-6880
Billie Brown, 780-479-9297

Read more about the Incident Report form

This Incident Report is designed to enable all members of the 糖心logo community to voluntarily report endangering behaviours that may raise concerns and incidents of misconduct at 糖心logo. An incident, in this context, is an event that does not warrant immediate intervention. The members of the team are Andrew Sterne, 780 479 9311, Billie Brown 780 479 9297, Beverly Wainwright 780 491 6880 and Carmen Arth 780 378 8459. Feel free to contact them if you need assistance. In the event of an emergency that requires immediate intervention, call 911, and then contact campus security at 780-479-8761 or ext. 5555 from an internal phone.

If an incident arises during non-business hours and there is an immediate need to asses and/or intervene - concerned parties are directed to contact Campus Security, who is available 24 hours a day, at 780-479-8761 or ext. 5555 from an office phone.

The Incident Report will provide a mechanism for responding to individual incidents and will reveal patterns of disruptive behaviour. To assist you in completing the Incident Report, please refer to the CUE BSIT Information and Procedures document, a comprehensive guide on the behaviours that may be of concern. The report provides a standardized method for recording observations of endangering behaviours and for alerting the CUE Behavioural Support and Intervention Team of potential concerns. Information provided in the Incident Report may also be considered in determining the appropriate course of action. The information you submit will be handled confidentially, with the purpose of assisting the individual.

Individuals are allowed to make anonymous reports, however, if a name is not provided it may hamper the team's ability to seek follow-up information that may be critical in determining an appropriate course of action.

How do I know if I should report?

糖心logo's Behavioural Support and Intervention Team (BSIT) works to maintain a healthy and safe campus environment. The team's main function is to receive reports about individuals exhibiting endangering behaviours, to assemble information from across campus departments, and to determine appropriate responses.

Every individual in the 糖心logo community of students, faculty, and staff members shares a responsibility for observing and reporting endangering behaviours. You are doing the right thing in reporting your concerns, both to help the individual whose behaviour is problematic and to protect the safety of the campus. By alerting the appropriate campus representatives you are not making a determination but making it possible for the BSIT to intervene in order to assist the individual and protect the campus.

Endangering Behaviours
The following Endangering Behaviours should be reported to BSIT:

Attempted Suicide or Expression of Suicidal Intent
Self-injurious Behaviour

Verbal or Written Threats to People or Property
Behaviour that disrupts or impedes the activities of the 糖心logo community

Alcohol and Drug Abuse

CUE BSIT Procedures:

Anyone can make a referral to the BSIT. All matters discussed with the BSIT are highly confidential.

If you feel an immediate threat of self-harm or harm to others:

If there is no immediate threat of self-harm or harm to others:

Troubling Behaviour: causes us to feel alarmed, upset, or worried for a person's well being.
Changes in academic performance in the classroom
Disjointed speech or writing
Persistent sadness or unexplained crying
Changes in patterns of social interaction
Changes in physical appearance or personal hygiene
Problems concentrating and remembering things or making decisions

Disruptive Behaviour: interferes with student educational process or other functions of the University.
Vague threats to self or others
Demanding, verbally abusive, or intimidating behaviour
High levels of irritability or inappropriate excitement
Loss of contact with reality (seeing or hearing things that are not there, beliefs or actions at odd with reality)

Threatening Behaviour: leaves us feeling frightened and in fear for our safety or that of others.
Physical confrontations or attacks
Direct threats of harming self or others
Display of a weapon
Threatening correspondence

Subject of Report

Name of Individual*

First Last

Email of Individual

Date of Birth (if known)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Observer (Person reporting)

Name of person reporting incident*

First Last

Your phone number

Your email address*

Incident Information

Date of Incident*

Class/Location of incident*

Name of others involved

Please provide a detailed description of the incident, paying particular attention to the behaviours of the person. Concrete, specific observations are most useful. Avoid providing judgments, assessments, and opinions.*

Please describe conversations you had with the person and any action you have taken regarding this incident.

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