1. NAFSA Region VIII Pittsburgh, Pennsylvania November 14, 2013

2. Jennifer Frankel International Student Insurance Marketing Director / Licensed Insurance Agent Jennifer Marks-Gold Swarthmore College Advisor, International Students and Scholars 3. Case Study Staying Healthy Mind & Body Pre-arrival Post-arrival What students need to know: Healthcare inside vs. outside the US Health insurance Staying healthy Tools and resources to educate students Crisis management: what to do in an emergency Interactive Forum Q&A 4. Each group gets a case study to analyze anddiscuss with fellow group members. As a group, discuss the issues and how youwould address the problem. One member from each group will give anoverview of the case study along with the approach your group would take. 5. Vincent from India. Fathers dies, and he turns to Drugs.He becomes despondent and struggles with his academics. We suggest that he take a medical leave before he fails his all his classes and advise him to seek counseling. He takes a medical leave and returns home to India for a semester and meets with a psychologist. He is readmitted for the next semester and within one month hebegins to abuse drugs again and is not attending class. The International Student Adviser(ISA) investigates the option of sending him to a rehab in the states and another medical leave. At that point the ISA finds out that when he was readmitted, his heath care was not reactivated. What should the ISA do in order to get him treated? Does heneed another medical leave? Is rehab covered? 6. Jennifer, an J scholar from South Korea, was diagnosed withsevere paranoid schizophrenia while in the middle of her studies. This is a condition that usually manifests itself during late teen or early 20s. She was hospitalized in a psychiatric institution and was unable to continue her studies, however she was also deemed unfit to travel without a medical escort. What action plan does your school currently have to deal with a situation like this? 7. Jennifer, an international student from the United Kingdom, isplaying volleyball on the beach with some friends and falls and breaks a collar bone. She doesnt have health insurance, what things should she consider prior to seeking treatment? 8. ...What students should know about 9. Pre arrival information: information on VISA/Documentation, Travel, Living on Campus, Health, Advising (including orientation & registration information) as well as financial issues. We try to avoid ethnocentric thinking and stereo types and to keep in mind the vast individual differences among students . Social Challenges: Students may incur language problems, adapting to a new culture( pressure to adapt quickly in a new environment is stressful) Making friends and networking concerns. Adjusting to American openness can be uncomfortable for some. Emotional Challenges Homesickness, parental guidance from home Loneliness confusion and anxiety Financial stress Depression Academic Challenges Language, American classroom differencesAmerican Academic writing styles and citation Classroom discussions Group vs. individual work Frequency of classroom assessment 10. Academic Wellness is the ability to achieve a balance between work and leisure time. On-Campus Resources: SAMS- Several placed each dorm Student Academic Mentors -SAMs- are upper class students specially selected and trained to work withstudents on the development of skills necessary for academic success at Swarthmore such as time management, organization, study strategies and reading techniques. Each residence hall is assigned a SAM to serve as a resource for its residents. Any student may work with a SAM at any time. WAs The Writing Associates Program at Swarthmore College has been helping students become better writers forover 20 years. Our goals are: To work with student writers at all stages of the writing process and in all disciplines. To provide feedback and strategies designed to help student writers with the larger questions ofstructure, organization, style, and argument as well as the smaller issues of sentence clarity and grammar. To talk with student writers about their writing and thinking process in order to develop the analyticalskills, stylistic know-how, and confidence necessary for successful college writing. To provide student writers with strategies that they can apply to their own writing and revision process. TUTORS Individual and group tutorials are available at no cost to all students who have demonstrated need forthem. Students may be referred to the tutorial service by a professor or academic advisor, or a student English 1F. This class introduces students to different genres of writing requirements at thecollege. 11. Social Wellness refers to one's ability to interact with people around them. It involves using good communications skills, having meaningful relationships, respecting yourself and others, and creating a support system that includes family members and friends.On-Campus ResourcesResident AssistantsResident Assistants (RAs) are selected Juniors and Seniors, who serve in the residence halls as peer counselors and advisors. They are available to provide general information and counseling, and to make appropriate referrals as needed. RAs also have responsibility for security, fire protection, and general safety within the dormitories. RAs function as liaisons between students and the administration.Social Affairs CommitteeSAC is responsible for providing a balanced social calendar every weekend. The committee's responsibilities include funding allcampus parties, study breaks, and events and collaborating with groups and organizations to co-sponsor College events.Women's Resource CenterThe Women's Resource Center (WRC) exists as a safe space for all women at Swarthmore. The WRC is a nonpartisan organization dedicated to creating a community of women from diverse backgrounds. Rather than taking a particular stance on issues, the WRC board initiates and facilitates discussion and events concerning women. Everyone is welcome at the WRC, regardless of gender.Black Cultural CenterThe Center fully welcomes Black students from all experiences and will support them and their efforts to thrive at Swarthmore. It will encourage Black students to explore the complexities of their identity, their connections to members of the Black community, both locally and globally, and to learn how to live productively after Swarthmore.The Intercultural Center (IC)provides programs and services that support the personal and intellectual development of Asian American, Latino/a, Multiracial, Native American, Queer (Lesbian, Gay, Bisexual and Transgendered), lowincome, international, and first-generation college students at Swarthmore College. In addition, the IC promotes systemic change toward a multicultural perspective across the institution, and fosters community-building and collaboration among diverse groups both within and outside of the college. 12. Swarthmore has a full time wellness coordinator Our coordinator does one on one counseling and consulting Works with students on TM but in a different way: Finds pockets of time to repositionschedules. Suggests time for medication and mindfulness. Discusses what makes them feel good and happy Wellness peer educators are responsible for programming. Some events they plan include: homemade facials and lavender pouches Bath salts and body scrubs 5 K walks Bedtime stories series It takes the students out of the academic into a more restfulstate, where they also enjoy calming drinks and healthy snacks. Wellness room , this space can be reserved for special wellness activities. 13. Be aware of and accept our feelings, rather than deny them Have an optimistic approach to life Express feelings freely and manage feelings effectively Express emotions appropriately Adjust to change/handling culture shock Cope with stress in a healthy way, Diet, Sleep, exercise Enjoy life despite its occasional disappointments and frustrations On-Campus Resources CAPS - Counseling and Psychological Services or email: caps@swarthmore.edu Speak to Swatties: Student peer support group and mental heathadvocacy. Dean's Office: Contact class deans 14. A study by the U. S. Department of Education revealed that studentswho participate in co-curricular activities are three times more likely to have a grade point average of 3.0 or better than students who do not participate in co-curricular activities (Stephens & Schaben, 2002, para. 4). School associations Cultural/religious organizations Intramural/ club sports Gym and recreational areas 15. Aided School required plan discounted up to 100% Healthcare Coverage1,000 loan Winter housing and $550 stipend for the breakFree trip home ALL: TAXES * Winter Coat trip On campus jobs SSA 5 day international orientation Orientation Leaders Big/ Little sib Homestay 16. The Adviser for International Students and Scholars provides supportservices and programs for international students at Swarthmore. Swarthmore Homestay International Program (SHIP) is a cooperative effort involving the International Student Adviser, faculty, alumni and staff volunteers. This program supports international students during times when the resident halls are closed on campus during school breaks. For some international students finding a place to stay when the dorms areclosed can be challenging and many of our international students do not have family living in the United States. During Winter break, Swarthmore closes the dormitories from anywhere from two weeks to a month. We will assign a student/ host match and share your contact information.The international student adviser will do the matching and make the initial contact. Then the student will connect to the Homestay volunteer to secure and finalize the arrangements. If you would like to participate in the SHIP program, please complete theattached application form and submit to jgold12@swarthmore.edu 17. International Student Orientation leaders are hired to help (45 new students ) Navigations and Negotiations Workshop Round table discussions( small groups) Plagiarism, meal plan, wellness, class dean, academic resources Karaoke night( 4th night of program) F1 regulations ( stand alone Saturday) Trip to Philadelphia 18. Extended orientation focusing more on social , academic andemotional concerns Work with faculty to educate on issues facing internationalstudents. Attend faculty meetings, invite them to dinners, etc.) Peer to peer mentoring( big sibs/ little sibs, SAMS, etc) Weekly 1 credit course in the first semester, with an academicadvising component. 19. What students should know about... 20. Healthcare in the US is expensive! 21. Healthcare in the US is expensive! 22. Healthcare in the US is expensive! 23. Minor sicknesses & injuries Wellness & preventative care Serious medical conditions Emergency 24. What students should know about... 25. Out-of-pocket costs Wellness care/ Preventative care Mental health Maternity Pre-existing conditions 26. Routine Dental Physical Exams Vaccinations/Immunizations Eye Exams Maintenance Drugs 27. IRS enforces mandate based on resident vs. non-resident alienanalysis F, M, Q and J (student/scholar) visa holders are exempt for 5years from: maintaining minimum essential coverage paying the shared responsibility payment International students can choose their plan: Schools group plan Individual health insurance State exchanges International students will still need to meet the US Departmentof State (J visa) and their schools insurance minimums 28. Annual Limits: Policy year September 24, 2012 until December 31, 2013: Annual limits of no less than $500,000 Policy year on or after January 1, 2014: No annual limits Preventative Care: Student health coverage is required to provide preventive services without costsharing. Lifetime Limits: Plan may not impose lifetime limits Pre-existing condition limitations: Plans may not impose pre-existing condition limitation on those younger than age 19. After January 2014, pre-existing conditions cannot be excluded 29. What does your school do to address the health needs of your international students? 30. How do you overcome mental health issues and the stigma associated with it? 31. What support system does your school have in place to make sure international students are safe and secure? 32. Jennifer FrankelJennifer Marks-Goldjfrankel@internationalstudentinsurance.comjgold12@swarthmore.eduInternational Student Insurance 224 First Street Neptune Beach, FL 32266 (904) 247-1387 ext 104Swarthmore College, Parrish 126 500 College Avenue Swarthmore, PA 19081 (610) 328-8361