This "Red Flag Checklist" is a critical tool for Academic Coaches, who often spend more one-on-one time with students than any other staff member. Because coaches focus on "productivity," they are uniquely positioned to notice when a student’s struggle shifts from a lack of skill to a lack of capacity due to mental health or trauma.
In West Virginia, where many students are impacted by the opioid crisis or multi-generational trauma, identifying these "subtle" signs is a key part of the state's Trauma-Informed Schools mandate.
Academic Coach: Mental Health Red Flag Checklist
If a student exhibits two or more of these subtle signs, or one severe sign, initiate a "Warm-Transfer" to the Certified School Counselor immediately.
1. Shifts in "Executive Function" (The Subtle Clues)
[ ] Sudden Cognitive Fog: A student who was previously able to follow multi-step directions now seems confused by simple tasks.
[ ] "The Stare": Frequent "zoning out" or dissociation during coaching sessions (staring into space, unresponsive for several seconds).
[ ] Perfectionist Paralysis: Intense anxiety or crying when making a minor mistake on an assignment (indicative of high-stakes internal pressure or OCD).
[ ] Rapid Fatigue: The student arrives for coaching already exhausted, regardless of the time of day.
2. Emotional & Behavioral Indicators
[ ] Increased Irritability: Uncharacteristic "snapping" at the coach or reacting with hostility to constructive feedback.
[ ] The "Flat Affect": A complete lack of emotional expression; the student appears "numb" or robotic.
[ ] Hyper-Vigilance: The student is easily startled by noises in the hallway or constantly watches the door (a classic sign of PTSD/Trauma).
[ ] Social Withdrawal: The student mentions they have stopped eating lunch with friends or have quit a beloved sport/club.
3. Physical & Environmental "Red Flags"
[ ] Changes in Personal Hygiene: Noticeable decline in grooming, unwashed hair, or wearing the same clothes for multiple days.
[ ] Inappropriate Dress: Wearing long sleeves/hoodies in extreme heat (potentially hiding self-harm) or excessively thin clothing in winter.
[ ] Physical Somatization: Frequent complaints of "stomach aches" or "headaches" specifically during academic tasks.
[ ] Weight Fluctuations: Significant, rapid weight loss or gain over a short period.
4. High-Risk Language (Listen for the "Hidden" Cry)
[ ] "It Doesn't Matter" Statements: “Why am I even doing this? It’s not like I’m going to be here next year anyway.”
[ ] Hopelessness: “I’m just broken. No amount of tutoring is going to fix my brain.”
[ ] Burden Statements: “My parents would be better off if they didn't have to pay for my [books/fees/school].”
Immediate Referral Protocol (The "Hand-Off")
IMPORTANT: If a student mentions suicide, self-harm, or harming others, do not use a checklist. Stay with the student and call the Certified School Counselor or School Psychologist to your location immediately.
The "Observation" Briefing for the Counselor
When referring the student, use the "I Noticed..." framework to remain objective and professional:
"I am referring [Student] because I noticed they have had a flat affect for three sessions and I noticed they expressed significant hopelessness regarding their future today."
"I noticed uncharacteristic irritability when we reviewed their math grade, which is a shift from their usual behavior."
Liability Note for the District
By providing this checklist to Academic Coaches, the district demonstrates proactive due diligence. If a student experiences a crisis, the district can prove that it trained all support staff to recognize the limits of their role and the necessity of professional mental health intervention.
Next Step
To complete this toolkit, would you like me to draft a "Confidentiality & FERPA Guide for Academic Coaches"? It explains exactly what information they can share with teachers and what must stay between the student, the counselor, and the coach.

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