Dental Hygiene Care II Syllabus for 2015-2016
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Instructor Information

Course Information

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As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc

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Course

DHYG-2231-001 Dental Hygiene Care II

Prerequisites

Prerequisite: DHYG 2201

Course Description

A continuation of Dental Hygiene Care I. Dental hygiene care for the medically or dentally compromised patient including advanced instrumentation techniques.

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Department Expectations

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Hours

(2 sem hrs; 1 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

Required Course Textbooks

Students MUST have the CURRENT edition of all required textbooks and must bring textbooks to all scheduled class sessions.

1.  Case Studies in Dental Hygiene, Evelyn Thompson, 3rd edition, Pearson, 2013

2.  Dental Hygiene Theory and Practice, Darby/Walsh, 4th edition, Elsevier 2015

3.  Fundamentals of Periodontal Instrumentation and Advanced Root instrumentation, Jill S. Nield-Gehrig, 7th edition, Lippincott, Williams, and Wilkins.

4.Dental Management of the Medically Compromised Patient, James Little, Donald Fallace, Craig Miller, and Nelson L. Rhodus, 8^th edition.

 

Supplemental Materials

1. Any dental hygiene national board review book or card set.  Examples are Mosby’s or Saunders comprehensive review books and dental hygiene review card decks.

Teaching Methods

A variety of teaching methods will be used to facilitate the goals and objective of this course.  Students may purchase an e-book if they choose.  We will be utilizing blackboard “Content” for our lecture/lab sessions.  This will allow for collaborative learning.  Collaborative learning is based on four principles where the learner or student is the primary focus of instruction, interaction and “doing” are of primary importance, working in groups is an important mode of learning, and structured approaches to developing solutions to real-world problems should be incorporated into learning.  The lecture component of this course will be taught in a collaborative way to incorporate different learning styles.  We will work in groups and with partners often with some traditional lecture format.  All material will be posted on blackboard to support classroom and laboratory activities:  Power Points, Videos, Readings, Case Studies and Practice Questions.  Research shows that educational experiences that are active, social, contextual, engaging, and student-owned lead to deeper learning.  The benefits of collaborative learning include:

• Development of higher-level thinking, oral communication, self-management, and leadership skills
• Promotion of student-faculty interaction
• Increase in student retention, self esteem, and responsibility
• Exposure to and an increase in understanding of diverse perspectives
• Preparation for real life social and employment situations

Supplies

Course Supply List

1.  Library Card for AC and/or city library

2.  Computer and Internet Access, printer, print cartridges

3.  Index cards, scantrons, paper, pens, markers

4. 

Student Performance

End-of-Course Outcomes

Formulate a dental hygiene care plan for the medically and/or dentally compromised patient; and describe advanced instrumentation techniques.

 

Instructor Objectives for the Course

Chapter objectives will coordinate with the materials presented in lecture, handouts, reading assignments, and exams.  The student will know that these objectives have been successfully completed if he or she earns a final course grade of "C" or higher as evaluated by the instructor.

The standard for the objectives may be one or any combination of the following:

• As given in lecture
• As demonstrated, discussed in the clinic/lab experience
• As given in handouts
• As stated in the course texts                                                                                                                                                                                  

Chapter 21:  Rheumatologic and Connective Tissue Disorders

1. Differentiate between rheumatoid and osteoarthritis.
2. Outline the criteria for the diagnosis of rheumatoid arthritis.
3. Outline the medical management for rheumatoid arthritis and osteoarthritis.
4. Understand the drugs used in the management of rheumatoid and systemic lupus erythematosus.
5. Outline the dental management of the patient with rheumatoid arthritis.
6. Recognize high risk patients with prosthetic joints.
7. Outline suggested antibiotic prophylaxis regimens for patients with prosthetic joints.
8. Recognize the oral complications and manifestations associated with rheumatoid arthritis.
9. Differentiate between Heberden’s nodes and Bouchard’s nodes.
10. Outline the dental management of the patient with osteoarthritis.
11. Define systemic lupus erythematosus and name the etiology of the disease.
12. Outline the clinical presentation of an individual who has systemic lupus erythematosus.
13. Outline the dental management of a patient who presents with systemic lupus erythematosus.
14. Outline the oral manifestations associated with lupus erythematosus.
15. Define and name the etiology of Lyme disease.
16. Name a classic lesion of Lyme disease.
17. Define Sjogren’s syndrome and outline the clinical manifestations of the disease.
18. Delineate the dental management for a patient who has Sjogren’s Syndrome.
19. Recognize the management of salivary dysfunction.
20. Outline oral complications and manifestations of individuals who have Sjogren's Syndrome.

Chapter 23:  Disorders of Red Blood Cells    

1.  Understand the signs, symptoms, etiology, oral complications and manifestations as well as the medical and dental management of patients who have the following disorders:  

• Iron Deficiency Anemia
• Folate Deficiency Anemia
• Pernicious Anemia
• Hemolytic Anemia
• Sickle Cell Anemia

2..Outline the oral conditions associated with iron deficiency anemia.

3. Identify radiographic lesions that may be found in an individual who presents with sickle cell anemia.
4. Define Plummer-VInson Syndrome.
5. Identify lesions on a skull film of an individual who has hemolytic anemia.
6. Outline the three underlying causes of anemia.
7. Define erythropoiesis.
8. Determine the relationship of the kidneys and the level of oxygenation.
9. Understand the phases of hemostasis for controlling bleeding.
10. Be familiar with blood coagulation factors.
11. Understand the dental managment of the patient taking Warfarin or Coumadin.

Chapter 24:  Disorders of White Blood Cells

1. Differentiate between the disorders of the white blood cells.
2. Understand the signs, symptoms, etiology, oral complications and manifestations as well as the medical and dental management of patients who have these disorders:

• Leukocytosis
• Leukopenia
• Acute Myelogenous Leukemia
• Acute Lymphoid Leukemia
• Chronic Myeloid Leukomia
• Chronic Lymphocytic Leukemia
• Hodgkin’s Disease
• Non-Hodgkin’s Lymphoma
• Multiple Myeloma

3. Differentiate between the three groups of WBC's.
4. Delineate the three regions in the body where lymphocytes are localized.
5. Understand the clinical signs found in the oral cavity of a patient who presents with disorders of the white blood cells.
6. Outline the specific oral manifestations associated with acute leukemia.
7. Outline the staging sytem utilized for Hodgkin’s disease.
8. Differentiate between Non-Hodgkin’s Lymphoma.  Describe the oral lesions associated with this condition.
9. Describe Burkitt’s lymphoma.
10. Describe how a multiple myeloma would appear on  skull radiograph.
11. Outline the dental management of a patient who presents or is suspected of having leukemia.
12. Recognize and describe leukemic gingival enlargement.
13. Describe some of the oral lesions that may appear in a patient who is receiving chemotherapy.

Chapter 25:  Bleeding Disorders

1. Differentiate between Hemophilia A and Hemophilia B.
2. Where are the coagulation factors produced in the body.
3. Outline the phases of hemostasis.
4. Describe von Willebrand’s disease.
5. Outline the signs and symptoms associated with bleeding disorders.
6. Describe oral lesions associated with acute or chronic leukemia.
7. Briefly describe screening laboratory tests utilized to detect bleeding disorders.
8. Name the drugs which will affect the action of Warfarin (Coumadin).
9. Outline the dental management of the patient with hemophilia and von Willebrand’s Disease.
10. List the frequently prescribed and OTC drugs that cause anticoagulation effects (antiplatelet and anti-thrombolytic effects) on the hemostatic system.
11. Discuss treatment plans that provide safety and comfort for managing patients with bleeding disorders in the dental environment.
12. List and describe hemostatic agents (local and systemic) to prevent and/or reduce the clinical bleeding in patients with bleeding disorders during invasive dental proceedures.
13. Gain knowledge about the most current evidence-based recommendations for the purpose of managing patients with disorders of coagulation while providing invasive dental procedures.
14. Discuss implications associated with parotid enlargement.
15. Describe the gingiva in patients who have leukemia.
16. Describe Osler-Weber- Rendu Syndrome.
17. Describe Ehlers-Danlos disease.
18. Differentiate between primary thrombocytopenia and secondary thrombocytopenia.
19. Describe Bernard-Soulier disease.
20. Describe Disseminated Intravascular Coagulation.
21. Discuss the relationship between hemarthrosis and ecchymosis and hemopilia.
22. Outline the most prevalent anticoagulant drugs used today.
23. Outline the recommended therapeutic range for Warfarin therapy.
24. Describe the presentation of deep vein thrombosis.
25. Describe ways to detect a patient who might be a bleeder.

Chapter 27:  Neurologic Disorders

1.  Define epilepsy and discuss the classification of epileptic seizures.

2.  Describe Staticus Epilepticus.

3.  Briefly outline the anticonvulsants used in the management of generalized tonic-clonic (grand mal) seizures.

4.  Outline the dental management of the epileptic patient.

5.  Describe phenytoin induced gingival overgrowth.

6.  Discuss the etiology and clinical presentation of Parkinson's Disease.

7.  Outline the drugs used in Parkinson's Disease.

8.  Describe Dementia and Alzheimer's Disease.

9.  Outline the dental management for patients who have the following diseases:  a) Parkinson's Disease and b) Alzheimer's Disease

Chapter 42: Persons with Disabilities

1.  Name the key legislative policies that benefit disabled persons.

2.  Identify barriers for clients with special healthcare needs.

3.  Discuss the value of personal self-worth, including how stereotypes and attitudes affect the acceptance of persons with disabilities.

4.  Explain the classifications of disabilities, including:

• Distinguish among developmental, acquired, and age-associated disabilities
• Identify portrayal issues associated with persons with special healthcare needs

5.  Describe assistive devices for activities of daily living.

6.  Describe oral self-care devices.

7.  Discuss client positioning and stabilization.

8.  Explain how to stabilize a client during wheelchair transfers and professional care.

Chapter 45:  Cancer

1.  Explain the terms related to cancer, cancer therapies, and oral healthcare for the cancer patient.

2.  Discuss the incidence and risk factors associated with cancer and oral cancer.

3.  Describe the modes of cancer and oral cancer therapy.

4.  Describe oral considerations of general cancer therapy and oral complication management.

5.  Discuss oral cancer-specific therapies, including the rationale for bisphosphonate use and the potential for osteonecrosis.

6.  Explain the dental hygiene process of care for  clients with cancer, including development of a dental hygiene care plan for clients  before, during, and after  cancer therapy. 

Chapter 47:  Persons with Neurologic and Sensory Deficits

1.  Provide general descriptions of dental hygiene care for persons with neurologic and sensory deficits.

2.  Discuss dysfunctions of the motor system, including characteristics, treatment and prognosis, oral clinical findings, special considerations, and oral self-care instructions.

3.  Discuss peripheral neuropathies, including characteristics, treatment and prognosis, oral clinical findings, special considerations, and oral self-care instructions.

4.  Discuss spinal cord dysfunction, including characteristics, treatment and prognosis, oral clinical findings, special considerations, and oral self-care instructions.

5.  Discuss seizures, including characteristics, treatment and prognosis, oral clinical findings, special considerations, and oral self-care instructions.

6.  Discuss disorders of higher cortical function, including characteristics, treatment and prognosis, oral clinical findings, special considerations, and oral self-care instructions.

7.  Discuss sensory disorders, including characteristics, treatment and prognosis, oral clinical findings, special considerations, communication techniques, and oral self-care instructions. 

Chapter 48:  Persons with Autoimmnune Diseases

1.  Explain immune dysfunction.

2.  Discuss pathophysiology of autoimmune diseases.

3.  Describe pharmacologic considerations for autoimmune diseases.

4.  Discuss how autoimmune diseases affect the dental hygiene process of care, including:

• Recognize the systemic and oral manifestations of common autoimmune diseases covered in this chapter.
• Identify human needs related to each of the autoimmune diseases listed in this chapter and describe their implications for dental hygiene care.
• Develop a dental hygiene care plan appropriate for persons with autoimmue disease.

Chapter 51:  Developmentally and Cognitively Challenged

1.  Discuss intellectual and developmental disabilities (IDDs), including:

• Identify causes of IDDs
• Describe general characteristics of IDDs

2.  Discuss Down syndrome, including:

• Explain the cause of Down syndrome
• Describe general characteristics of Down syndrome
• Describe medical conditions that may accompany Down syndrome and their effect on dental hygiene care

3.  Discuss autism spectrum disorders (ASDs), including:

• Identify the different types of ASDs.
• Describe general characteristics of ASDs.
• Outline instructional strategies to overcome communication barriers with a client who has an autism spectrum disorder.

4.  Plan educational interventions for a client with intellectural disabilities, Down syndrome, or autism spectrum disorders.

Chapter 52:  Alcohol and Substance Abuse Problems

1.  Describe alcohol and substance abuse.

2.  Describe physiologic, genetic, and environmental causes of substance abuse, including:

• Identify the action of psychoactive drugs on neurotransmitters
• Define the addiction curve and fetal alcohol syndrome
• List the risk factors for substance abuse

3.  Compare medical treatment options for substance abuse.

4.  Discuss implications for the dental hygiene process of care caused by substance abuse, including:

• Describe the short-term, long-term, and systemic substance abuse effects.
• Identiify oral signs and symptoms associated with substance abuse.
• Discuss the dental hygiene process of care related to clients with substance abuse problems and those in recovery.

5.  Explain why professionals are at risk for chemical dependence.

Chapter 53:  Eating Disorders

1.  Describe eating disorders and the dental hygienist's role in recognizing them.

2.  Describe eating disorders, specifically anorexia nervosa, bulimia nervosa, and binge-eating disorder, based on diagnostic criteria and epidemiology.

3.  Discuss the psychosocial, physiologic, and oral health effects of anorexia nervosa and bulimia.

4.  Use the dental hygiene process of care to assess a client with an eating disorder, including:

• Engage the client in dialogue of disclosure of an eating disorder
• Assess oral health needs
• Plan for harm reduction and oral health promotion
• Implement dental hygiene interventions
• Evaluate outcomes of care

5.    Explain the value of the dental hygienist's role in interprofessional collaboration for client-centered care.

6.  List resources available to help clients with an eating disorder.

Chapter 55:  The Older Adult

1.  Explain demographic characteristics and their implications for older adult care.

2.  Define the following:  geriatrics, gerontology, chronologic age, and functional age.

3.  Describe the different theories on why and how people age.

4.  Explain general and oral health assessment procedures and findings for the older adult.

5.  Explain the importance of health promotion for the aging client.

6.  Discuss oral conditions in the aged, including:

• Differentiate age-related changes from those that occur as a result of diseases or medications
• Explain chronic diseases associated with aging and their implications for dental hygiene care

7.  Explain how the five phases of dental hygience care - assessment, diagnosis, planning, implementation, and evaluation- are customized for care of the older adult.

8.  Discuss community health services.

Chapter 60:  Abuse and Neglect

1.  Define the following terms:  maltreatment, abuse, neglect, and P.A.N.D.A.

2.  Discuss child maltreatment, including how to distinguish the physical findings that may be mistaken for abuse including injuries occurring from accidents, genetic and acquired conditions, infections, and cultural practices.

3.  Discuss family violence, including bullying and domestic violence.

4.  Discuss the abuse and neglect of the elderly and other vulnerable adults.

5.  Explain human trafficking and list indicators of possible victims.

6.  Discuss the disclosure and reporting of abuse, including:

• Explain the oral health professional's ethical and legal responsibilities regarding reporting abuse and neglect, implement appropriate screening questions, and eliminate reporting barriers.
• Identify appropriate local and national agencies to report abuse and neglect.

Chapter 61:  Palliative Oral Care

1.  Define palliative care including:

• Discuss the purpose of palliative care and its goals based on the World Health Organization.
• Explain the importance of palliative oral care at the end of life.

2.  Discuss palliative oral care including:

• Explain standard oral hygiene care.
• Assess signs and symptoms of oral complications commonly found among palliative care patients and intervene appropriately to maximize comfort using oral care.

3.  Describe the role of the dental hygienist as part of the palliative care team.

4.  Explain the steps of the dental hygiene process of care.

Advanced Instrumentation Techniques

1. Apply the principles of periodontal instrumentation to the treatment of patients with moderate to advanced periodontal disease.
2. The student will be able to discuss the fundamentals of adaptation of Gracey curets to root morphology.
3. The student will be able to describe advanced instrumentation techniques.

                                                                                                      

                                                                                                 

                                                                    

                             

            

                                                                  

 

 

 

 

 

 

 

 

Students Rights and Responsibilities

Student Rights and Responsibilities

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In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .

If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

Student Conduct and Responsibilities

A high standard of conduct is expected of all Amarillo College students.  The Student Code of Conduct is defined in the Amarillo College Student Rights and Responsibilities publication.  This document may be located online at www.actx.edu under the student tab.

"Amarillo College expects a high standard of conduct from its students. Students are expected to comply with the law, respect proper constitutional authority, and obey College policies, rules and regulations.  Unacceptable conduct is defined as an action or behavior that is contrary to the best interest of a fellow student or students, the faculty or staff, the College, or the teaching/learning process.  Students failing to perform according to established standards may be subject to disciplinary action.  Policies, standards, rules and regulations apply to students attending College activities whether the activity takes place on or off campus.

Each student shall be responsible for becoming knowledgeable of the contents and provisions of College policies, rules and regulations concerning student conduct.  In some cases, individual programs may have approved policies for student conduct which also apply to student conduct in those programs.  Integrity and common sense will guide the actions of each member of the college community both in and out of the classroom.  Any student who fails to perform according to expected standards may be disciplined."

The Amarillo College Dental Hygiene Program has specific policies which apply to student conduct within the program.  These policies may be  implied or written.  The course syllabi and the program  manual are sources for specific student conduct policies for dental hygiene students at Amarillo College.

Professional Standards

1.  Student is prompt  for class.

2.  Student is prepared for class sessions.

3.  Student assumes responsibility for his/her own learning.

4.  Student is concerned with excellence in learning rather than just meeting minimal criteria.

5.  Student applies lecture material in the clinical setting.

6. Student will seek faculty assistance if needed, and will monitor their own progress in meeting course requirements.

7.  Student maintains his/her composure, dealing with conflict in a constructive way.

8.  Student exhibits an attitude of respect for classmates, faculty, and staff.

9.  Student will exhibit professionalism by not being disruptive in the classroom.  Please refer to the Amarillo College Student Rights and Responsibilities bulletin.

10.  Student will abide by the cell phone usage policy.  Please, no exceptions.

Electronic and Recording Devices

In order to maximize learning, all electronic recording devices and cell phones are prohibited in this course..  Students may check cell phones at designated breaks given by the instructor.  Those students who have children or who anticipate an emergency situation should give baby sitters and family members the Office Supervisor’s phone number (806) 354-6050 and have calls directed to her first.  She will then act accordingly to inform the student.

 

Grading Criteria

Grading Criteria

The final course grade will be computed as follows:

I.   Weekly Quizzes which will count as 25% of your final grade.

 

II.  Major Exams which will count as 50% of your final grade.

III.  Lab Component of the Course

       Case Study Assignments from Case Study Text

       Crest-Oral B-dentalcare.com Assignments

Below is a list of the DentalCare.com Continuing Education assignments for this course.  This information will be covered/discussed in the lab component of this course.  Readings, group work, group exercises, class discussions, discussion boards and forums may be assigned.  Students will be tested on this information on weekly quizzes, major exams and the comprehensive final.

1.   Dental Implications of the ADHD Patient - #359

2.   Dental Management of Patients with Bleeding Disorders - #319

3.   Eating Disorders- Understanding the Dental Ramifications - #314

4.  Recognizing and Managing Eating Disorders in Dental Patients - #321

5.   Geriatric Dentistry:  Reviewing for the Present; Preparing for the Future - #123

6.   Older Dental Patients:  Myths and Realities - #6

7.   Oral Health and the Older Adult - # 8

8.  Intimate Partner Violence and Elder Maltreatment:  Implications for the Dental Professional - #338

9.  Helping Special Needs Patient Maintain Oral Health - #393

10. The Patient with Special Needs:  General Treatment Considerations - #384

IV.  Comprehensive Final which will count as 25% of your grade.

The following grade scale applies throughout this course:

A = 93-100

B = 83-92

C = 75-82

F = Below 75%

Note:  A grade of “D” is not possible in this course.

Mandatory Skills Building/Tutoring

In an effort to increase student success in DHYG courses, and to assist students having difficulty understanding complex subject areas, any student who scores below a 75% on any exam (excluding the Final Exam) must complete a mandatory skills building assignment before taking the next exam.  Before receiving a skills assignment, students must first schedule a time with the instructor.  The assignment will be given at that time.

Make-up Policy for Missed Work

If a student is absent on the day when a scored activity is given, the student may make-up the missed work as follows:

1.  It is the responsibility of the student to make arrangements with the instructor within 24 hours of returning from the absence to reschedule the examination.

2.  The missed work must be made up within TWO Amarillo College school days where the day ends at 4:00 pm.

3.  The make-up work may earn a maximum of 80% of the original point value.

4.  Note:  Weekly quizzes may not be made up and a 0 for the missed quiz will be entered into the grade book.  No exceptions.

 

 

 

Attendance

\ Attendance Policy

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\ "Regular attendance is necessary for satisfactory achievement.  Therefore, it is the responsibility of the student to attend class."  ( Amarillo College Student's Rights and Responsibilities Publication)

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\ Regular attendance is necessary for satisfactory achievment.  Therefore, it is the responsibility of the student to attend class.    Due to the tremendous amount of information contained in this course, the student who plans to succeed should also plan to attend all course sessions regularly and promptly.  Without question, the instructor expects students to be present at each session.  Unfortunately, no one has ever developed a short cut, which will replace hours of actual experience needed to master a new skill; therefore, you must be present to acquire the specific knowledge in this subject. 

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\ Absences will be monitored and evaluated to determine the student's final course grade.  The student may have no more than 1 absence in this course without affecting his/her  final grade.  Beginning with the 2nd absence, 2 points will be deducted from the final grade; after the 3rd absence, 3 additional points will be deducted; after the 4th absence, 4 additional points will be deducted.  On the occurrence of the 5th absence, the student will be required to repeat the course.  Attendance will be taken at the beginning of each lecture and lab session.  Students not present when attendance is taken will be counted as absent.  The student is expected to be present in class at the time class/lab is scheduled to begin.  STUDENTS WHO ARE LATE TO CLASS OR LAB OR WHO LEAVE CLASS OR LAB EARLY, WILL BE COUNTED AS ABSENT.  The student will receive 2 bonus points to the final grade for  this course if the student has perfect attendance for the semester.

Calendar

Additional Information

The Amarillo College Catalog

The Amarillo College Academic Catalog can be viewed at:  http://catalog.actx.edu

Additional Resources

https://www.actx.edu/resources/

This website was created to assist Amarillo College employees and students.  Many times, students come to us with individual concerns/situations that need to be addressed in order for the student to be successful in school.

This website can be used to find those needed resources for our students and their families.  Feel free to copy any of this information for a student and to refer students as needed.

Our goal is to provide as much information as possible for employees and students to be able to access campus and community resources when needed.  There are many more resources in this community that are not listed on these pages.  Some of these agencies and programs will change; so if you call and cannot get assistance or cannot access a broken link, please contact me for more updated information. 

This website will be updated aas often as possible; therefore, most will be current.  if the resources listed do not serve the needs you have or if you have any questions concerning this website, please call or email:  Jordan Herrera, LMSW, Coordinator of Social Services, 806-371-5439, jordan@amarillocollege.com