1.      UREC staff members who are concerned about, or who receive information concerning, a UREC participant who exhibits unhealthy behaviors associated with eating disorders or excessive exercise (see attachment) should document all information on the Staff Alert Form, including date, time, location, and signs/symptoms which indicate a potentially harmful exercise regime and/or eating disorder. This information should be forwarded to the Assistant Director for Fitness immediately.

2.      The Assistant Director for Fitness will observe the participant in question if possible. This observation will assist in determining the type of intervention that will be made. The Assistant Director for Fitness may contact the Counseling and Psychological Services Center for consultation. The Assistant Director for Fitness may also contact the Director of Residence Life, Greek Life Advisor, Academic Advisor, participants supervisor and/or other appropriate administrators to inquire about the participant and whether he/she has been reported to demonstrate any unhealthy behaviors elsewhere on campus.

3.      If the individual appears to be at immediate health risk and is a student, the Assistant Director for Fitness will refer the student to the student health services center for the completion of the medical clearance form by a licensed physician. If the participant is not a student, he/she will be referred to his/her personal medical provider. Conditions of immediate health risk include, but are not limited to weight appearing to be dangerously low, dizziness or fainting occurs and/or length of use of exercise machines far exceeds American College of Sports Medicine (ACSM) duration recommendations (see attachment) for fitness and/or sport. At this time, the participant will be notified that he/she has two weeks to obtain the medical clearance. His/her access to all UREC facilities will be suspended until the medical clearance form is received and reviewed. 

4.      Upon review of the completed medical clearance form by the Assistant Director for Fitness or Director, access to UREC facilities will be reconsidered, depending on the physicians recommendations. If the medical clearance form is not received within two weeks the participants access to UREC facilities will remain suspended. The Dean of Students may also be contacted at this time if the participant is a student. The Assistant Director for Fitness will keep accurate and confidential documentation of all correspondence and medical clearance forms.

5.      If the individual does not appear to be in immediate danger, the Assistant Director for Fitness can meet with the participant and voice his/her concern for the individuals health and well-being. At this time, resource information and Health and Well-Being Form may be given to the individual and it can be suggested that he/she seek a medical examination and/or counseling. 

*All actions taken will be documented and kept by the Assistant Director for Fitness in a confidential location from the time the UREC Staff Alert Form is submitted.

Unhealthy behaviors associated with eating disorders or excessive exercise include:

         excessive exercise (rigorous workout schedule, works out for 2+ hrs daily, obsessed about improving, refuses to skip a workout even if sick or injured, does not take breaks during long sessions, isolate themselves from others, fixated on calories burned)

          high-volume endurance over-training

          loss of weight (severe or below 85% of expected body weight)

          severe chronic fatigue

          disturbances in mood

          irritability

          anger towards employees or members

          increased incidence of injury

          dizziness/ fainting

          frequently checking the mirror for perceived flaws

          frequent visits to the scale 

         evidence of purging (i.e. vomit)

ACSM Physical Activity Guidelines

For Healthy Adults Under Age 65

Do moderately intense cardio 30 minutes a day, five days a week
Or
Do vigorously intense cardio 20 minutes a day, 3 days a week
And
Do eight to 10 strength-training exercises, eight to 12 repetitions of each exercise twice a week.

Staff Alert Form

Eating Disorder/Exercise Disorder

Date: ____________                               Time:_____________

Location: _______________________________________________________________

Symptoms/Behaviors Observed: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Participant name (if possible):___________________________________________

Staff Name:____________________________________________

Position:______________________________________________

Phone #: ______________________________________________

Email: ________________________________________________

**This form should be presented to the Assistant Director for Fitness immediately.