b"Often faculty are the first people to know that something's wrong, but they don't know what they can do to help. - Sharon A. Caraballo, Ph.D., Associate Dean for Undergraduate Programs, Volgenau School of Engineering, George Mason UniversityBecause our class sizes are in the small range (20-30 students), we tend to notice easily if someone is not coming to class.That is often the first sign for me.(Or, often they are not handing in work, either.) I will email them and ask them why they are not in class and quite often it is due to a situation related to mental health.From there, we try to keep in touch and refer to counseling when appropriate.Substance abuse issues, depression and/or anxiety issues often emerge.The substance abuse issue is the trickiest, in my limited experience. - S. Jeanne Horst, PhD, Department of Psychology, Eastern Mennonite UniversityRecognizing and Responding to Students in Distress13"