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Follow Up

By the end of this module, you can: decide what needs to be checked, confirm both whether the planned action happened and whether it actually helped, repair failed connections or barriers, and decide what work remains.

Approximately 15–20 minutesPlan → Verify → Repair → Decide

Follow-up is how CARE answers a simple question:

Did the plan actually work?

A referral, appointment, phone call, housing meeting, transportation request, or handoff can happen without producing the result the student actually needed.

That means follow-up checks two different things:

Did it happen?
Did the student connect with the service, attend the appointment, receive the call, arrive at the location, or complete the expected step?

Did it work?
Did that action actually produce a usable result?

Examples:

  • The student attended the housing meeting, but no placement decision was made.
  • Counseling called, but the student could not answer because their phone was dead.
  • Transportation arrived, but the appointment had been moved.
  • A referral was accepted, but the student was later found ineligible.
  • A temporary plan worked overnight but failed the next morning.

Follow-up is not complete just because an event appears as “done.”

Opening follow-up

The appointment happened, but the problem was not solved

A student attended the scheduled housing meeting after a crisis-related relocation. The appointment is marked “completed.”

The student says the meeting ended because required documentation was missing. Their temporary room ends tomorrow, and no one told them who would obtain the documentation or make the next housing decision.

What should happen now?

PlanVerifyRepairDecide

1

Plan

Know what you are checking.

Before following up, identify the expected action, the result you hoped it would produce, who owns the check, and when the check should happen.

Result: Follow-up has a purpose instead of becoming a vague “check in later.”

Be specific: “Confirm that counseling connected by 10:00 and that the student has a usable next appointment” is stronger than “follow up with counseling.”
2

Verify

Check whether it happened and whether it worked.

Use the student and other authorized sources to confirm both the connection and the result.

Result: You know whether the planned step occurred, whether it produced a usable outcome, and what is still unknown.

Do not treat “appointment completed,” “message left,” “provider called,” or “student answered” as proof that the need was resolved. Ask what actually happened next.
3

Repair

Fix what did not work.

If the action failed, stalled, or produced an unusable result, identify the barrier and change the plan rather than repeating the same failed route.

Result: The failed pathway has a new action, owner, timing, and backup plan.

Common barriers include transportation, missing documents, eligibility, cost, technology, language, disability access, timing, trust, provider scope, missed handoffs, closed offices, or unclear ownership.
4

Decide

Decide what still needs to happen.

Use the verified result to decide whether CARE continues, responsibility transfers, another follow-up is needed, the case is ready for completion review, or the situation requires a return to SAFE.

Result: The case does not drift after follow-up. The next movement, owner, timing, and return conditions are clear.

A successful phone call is not automatic case closure. Follow-up supplies the evidence needed for the completion decision on the next page.

Barrier repair

The document exists, but the student cannot access it

Housing confirms that it needs incident verification already held by another campus office. The student cannot access that internal record.

Housing will keep the temporary room for 24 more hours if an authorized staff member sends the verification by 15:00.

What is the strongest follow-up action?

An unanswered message does not automatically mean the student is safe, unsafe, refusing help, or no longer interested.

Before increasing outreach, consider:

  • why the follow-up matters;
  • what happens if no contact occurs;
  • what communication method the student agreed to use;
  • whether the contact is time-sensitive;
  • whether another authorized source can verify the outcome;
  • whether repeated contact could become unnecessary or intrusive;
  • what campus rules or consultation requirements apply.

Successful contact

The student answers, but the promised support never connected

After a suicide-related response, a student answers the scheduled follow-up call and says, “I’m fine. I have to go.”

Records show the promised clinical callback was attempted but never connected. The student’s temporary support person also left earlier than planned.

The caller can use only the campus-authorized follow-up questions and can activate the designated crisis route if needed.

What should the caller do?

CARE Follow-Up Check

Follow-up is complete enough when

Expected action
You know what was supposed to happen, by when, and who was responsible for checking it.
Connection
You know whether the planned contact, appointment, arrival, handoff, or other event actually occurred.
Outcome
You know whether the event produced a usable result for the student.
Student perspective
The student’s experience of whether the plan worked is included when appropriate and available.
Repair
Failed or unusable pathways have been repaired, replaced, or deliberately assigned for continued work.
Next movement
The next action, owner, timing, and conditions for another follow-up, transfer, completion review, or return to SAFE are clear.

Move to Completion Review when

the expected actions and outcomes have been verified honestly; barriers and failed pathways have been repaired or remain clearly owned; the student’s current situation is understood; and the next movement, owner, timing, and return conditions are clear.

Keep following up or repair the plan when

contact is incomplete, the outcome is unknown or unusable, a promised action did not occur, a barrier remains, timing expires, ownership changes, the student cannot use the result, or new information changes the plan. Reassess and return to SAFE when risk or immediate function changes.

New situation

The service connected, but the student cannot use the result

A student successfully completes a counseling intake and receives a follow-up appointment for the next morning. The student says the appointment is by video, but their phone is broken and they do not have access to another device.

The counseling office considers the intake complete.

Is the follow-up complete?

Follow-up provides the evidence needed to decide whether the response is truly finished.

Carry forward:

  • what was expected to happen;
  • what actually happened;
  • whether the student received a usable result;
  • what barriers appeared;
  • what was repaired;
  • what work remains open;
  • who owns any remaining action;
  • what deadlines or check-ins remain;
  • what would require another CARE action or return to SAFE.

The next page uses this current picture to decide whether the response should be completed, continued, transferred, or reopened.