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Mission of the Department of Athletics

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					       UNC CHARLOTTE DEPARTMENT OF ATHLETICS
       Wellness Team for Eating Behaviors Program Manual


Mission of the Department of Athletics
The mission of the athletic program at The University of North Carolina at Charlotte is to
operate within the perspective of the overall educational program. With a balanced
program that supports equitable opportunities for all students and staff, the department
promotes a total person concept that prepares its student-athletes with the necessary tools
to be successful in academic, athletic and social settings. The Department of Athletics
supports the highest ideals of sportsmanship and is committed to the highest ethical
standards of the University, Atlantic 10 Conference and the National Collegiate Athletic
Association.
(Updated and Approved, Board of Trustees, 9/27/02)

Position Statement on Eating Behavior Program &
Supplement Use by Student-Athletes
It is the position of the Charlotte 49ers Athletic Department that athletic performance,
recovery from exercise, and a healthy weight are enhanced by optimal nutrition, derived
from a healthful selection of foods and fluids. The athletic department encourages weight
loss and weight gain efforts be assisted by a strength coach and sports nutritionist, rather
than unproven or potentially harmful substances such as creatine, individual amino acids,
carnitine, muscle building supplements, herbal extracts, ephedrine, diuretics, or diet pills.
Nutritional ergogenic aids should be discussed with a member of the athletic department
staff to determine if it is a banned or illegal substance; if it is permitted, it should be
carefully evaluated for safety and efficacy, and then used with care. Through a
coordinated effort using a multidisciplinary approach, the wellness team provides
identification and primary treatment to the student-athlete population for eating behavior
issues.

Purpose of Program

The health of student-athletes is of the utmost importance to the Department of Athletics.
The department realizes that eating behaviors directly affect a student-athletes health and
productivity as a student-athlete. The department has developed a program, which is
outlined in this manual, to assist student-athletes who find themselves dealing with eating
behavior issues. It is the opinion of the wellness team and everyone involved in the
Department of Athletics that a student-athlete should not compromise their health for the
sake of competitive success.




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Meet the Wellness Team

Dr. Robert L. Jones, Team Physician and Director of Wellness Team
He received his undergraduate degree and played varsity basketball at Creighton
University in Omaha, Nebraska. In 1990, he graduated from the University Of Cincinnati
College Of Medicine. He completed his residency in Family Medicine at the University
of Maryland Medical System. Afterward, he finished a Primary Care Sports Medicine
fellowship at San Jose Medical Center/Stanford University School of Medicine in
California. He continued his tenure there as part-time faculty while developing a full-
time practice in Palm Springs, California. He relocated to Charlotte when he joined the
faculty of the Family Practice Residency Program at Carolinas Medical Center where he
was the Coordinator of Sports Medicine and is now the Director of the new Primary Care
Sports Medicine Fellowship in the Department of Family Medicine. He is the Team
Physician for the USA Water Polo Men’s National Team, the University of North
Carolina at Charlotte and Harding High School. Currently, Dr. Jones is the Medical
Director at two YMCA Health Centers in Charlotte as well as Brocker Student Health
Center at UNC Charlotte.

Katie Powers, Nutritionist
Katie Powers, MS RD LDN, is a Registered Dietician and is new this fall in her role as
Student Health Services Dietician. She completed her bachelor’s degree in nutrition and
food science from the University of Tennessee in 1991. In 1993, she completed a
Master’s degree from UT in Human Nutrition which included an internship in clinical
and public health nutrition. She has worked most of her career with inpatient hospital
acute care patients and outpatient counseling of various disease states. She is currently
working toward credentialing as a licensed sports nutrition Dietician.

Dr. Rebecca MacNair-Semands, Psychologist
Rebecca MacNair-Semands, Ph.D., is a licensed psychologist and the Associate Director
of the University of North Carolina at Charlotte Counseling Center. Dr. MacNair-
Semands has been in her role as a psychologist at UNC Charlotte since 1993. Dr.
MacNair-Semands completed a bachelor’s degree in psychology from the University of
Florida, and Master’s and Doctoral degrees in Counseling Psychology from Virginia
Commonwealth University. She then completed a full-time internship at the University of
Tennessee Counseling Center. She currently coordinates the clinical services at the
Counseling Center, coordinates group services, and trains graduate students.
Additionally, she served as Chair of the Section on University Counseling Centers in the
American Psychological Association and developed a teaching curriculum for ethics for
the American Association of Group Psychotherapy. Her publications include research on
group therapy assessment, AIDS prevention, stress appraisal, and the ethical dilemmas of
abuse. In addition to her publications, she has over 20 national conference presentations
and has been a reviewer on the editorial boards of several psychological journals.

Dr. Rebecca Weisenthal, Psychologist
Dr. Rebecca Weisenthal is a staff psychologist at UNC Charlotte’s counseling center and
a member of the center’s outreach team. She has been licensed at the doctoral level as a


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clinical psychologist for ten years. She comes to UNC Charlotte from Northern Illinois
University’s counseling center where she worked as a psychologist for 8 years. Dr.
Weisenthal completed a bachelor’s degree in psychology from Oberlin College, a
Master’s degree in counseling and consulting psychology from Harvard University, and a
doctorate in Clinical Psychology from the Illinois School of Professional Psychology,
with an emphasis in Health Psychology. In addition, Dr. Weisenthal completed practical
training at an outpatient women’s health facility where she co-led a group on eating
disorders and body image with a nutritionist, completed an assessment practicum at
University of Chicago hospitals which included performing psychological assessments
for patients with eating disorders, completed a predoctoral internship at UC Berkeley’s
counseling center which included training in eating disorder treatment, and completed a
postdoctoral fellowship at Kaiser Permanente, the nation’s largest HMO, in the outpatient
psychiatry division which included outpatient eating disorder consultations and treatment
programs. Dr. Weisenthal is interested in overall wellness approaches to clinical
management of eating disorders with athletes and other populations, emphasizing
environmental and social support systems as well as cognitive and behavioral change
mechanisms. She has presented at national conferences including the American College
Personnel Association, Big Ten college counseling center conferences, and the
Association for Women in Psychology conference on topics related to college student
mental health issues and on decreasing stigma related to mental health and wellness
issues.

Ms. Angie Shepherd, Assistant Athletic Trainer
Angela Shepherd is in her first year as assistant athletic trainer for the Charlotte 49ers
after spending the past two years as a graduate assistant athletic trainer at the University
of Florida. In addition to serving as the primary athletic trainer for women’s basketball at
Charlotte, she will assist with care for all of the 49ers’ female student-athletes. Shepherd
began her athletic training career as a student trainer at the University of South Carolina.
She then transferred to Middle Tennessee State University in 2002, where she served as
an athletic trainer at several areas high schools. She also served as an athletic training
intern at the University of Tennessee and Vanderbilt University during her MTSU
academic career. She graduated from MTSU in 2004 with a degree in athletic training.
Then, while working as a trainer at the University of Florida, she earned a Master’s of
Science in sports management in May 2006.

Mr. Jim Krumpos, Assistant Strength and Conditioning Coach
Krumpos is in his fourth year with the 49ers and his first as full-time assistant strength
coach. He came to Charlotte after graduating from the University of Arizona with a
degree in Interdisciplinary Studies with emphasis in three areas: psychology, physiology,
and physical education. He worked in the Arizona strength and conditioning program for
three and half years before coming to Charlotte. He worked with their nationally ranked
baseball program as well as the cross country teams. He assisted with football, women’s
basketball, women’s soccer and swimming and diving. He graduated in May, 2006 with a
master’s degree in liberal studies from Charlotte. He holds certifications in CSCS,
USAW Club Coach, Functional Strength Training for Contact Sports and Kettleball
Training for Optimal Performance.



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How do I enter the program?
Student-athletes can become involved in the program in several ways that are outlined
below:
     You can refer yourself to get help. If you recognize that you struggle with eating
       behaviors or body image issues, seek out assistance from this team of
       professionals.
     A coach or other staff member can refer you into the program if they have any
       reservations that you are not making healthy eating behavior decisions.
     A team doctor/athletic trainer can refer you into the program if they have any
       reason to believe that you are having difficulty with nutrition, body image, or any
       symptoms of the female athlete triad.
     A teammate can intervene and request assistance on your behalf from the wellness
       team.

When I enter the program what should I expect?

The steps of the program are outlined below:
    You will first meet with the Asst. Athletic Trainer or Assistant Strength Coach to
       discuss the program and your obligations to participate in the program. During
       this intake meeting you will be required to sign a contract. A copy of the contract
       is included with this program outline.
    The next step includes three meetings with the three professional members of the
       team: Team Physician, Sports Nutritionist and Psychologist. The initial
       screenings with each of these individuals will encompass the following:

       Wellness Team Physician: The role of the physician on the wellness team is to
       prevent when possible and treat when necessary, the medical ramifications of
       disordered eating and weight modulation. You will usually meet with the
       physician soon after your admittance to the wellness team. At the initial visit, you
       will undergo a thorough history and physical examination to help distinguish
       whether you are with or at risk for an eating disorder. This examination
       frequently involves drawing blood and or doing an electrocardiogram to evaluate
       for any organic involvement including the cardiovascular, metabolic,
       gastrointestinal, hematological and endocrine systems.

       Sports Nutritionist: In the initial nutrition assessment, you will be asked about
       your typical food and beverage intake, both during and out of season. You will be
       asked to bring a three-day food and activity record to the appointment, or
       complete one with the dietitian. Ideal nutrient intake (calories, carbohydrates,
       protein, and fat) is estimated based on your activity level, gender, age, height and
       weight. This ideal intake is compared to the typical intake you reported. A
       detailed computer analysis is offered. Based on differences between what is
       consumed and what is recommended, you will be given suggestions for change.
       Assessment is also made regarding hydration, frequency and content of meals and
       beverages, eating out, snacks, foods avoided, dietary supplements, and body


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       satisfaction including performance and body composition. You will be asked to
       set goals, and nutrition services are tailored to help you achieve these goals
       through education and behavior change. It is recommended that you continue to
       visit the dietitian until goals are met or until significant progress is made in
       achieving behavior change.

       Psychologist: The psychologist’s role on the multidisciplinary treatment team is
       to assess and treat the emotional and behavioral aspects for you. In the initial
       screening at the Counseling Center several important factors will be discussed and
       they include: if appropriate, your disordered eating symptoms and the onset,
       duration, frequency and severity of these symptoms; a support system that you
       have in place; your coping skills; your body image; how you are physically
       functioning, including eating, sleeping, use of substances or medications; a
       suicide assessment will be done and your willingness to engage in therapy in a
       consistent manner will be gauged. Patterns can sometimes be found between life
       stressors and the onset of weight change. Exploring these patterns may give
       insight into the function that your eating behaviors may be serving another
       purpose in your life.

      Once these three meetings are completed, the wellness team then meets as a group
       to discuss the individual meetings and make recommendations for your individual
       situation.
      Your intake coordinator will then communicate with you, both verbal and in
       writing, about the recommendations the wellness team has in regards to your
       future participation in the eating behaviors program.
      You will then be required to follow the treatment program that is outlined for you.

Who knows I’m in the program?

The confidentiality of the program is vital to the success of the program. The wellness
team and the intake coordinator are the only ones who are privy to your medical
information. The administrative liaison is only involved to monitor your cooperation
with the wellness team and provide support to the wellness team as needed. Coaches are
not briefed on your private information unless you sign a waiver for them to know. Only
information that you release will be shared with them. If your situation escalates and we
are concerned about your health the Director of Athletics will be informed and
information will be shared as needed to protect you.

What happens if I decide not to actively participate in the eating
behavior program?

Participation in intercollegiate athletics is not a right it is a privilege and with that
privilege comes requirements that you as an athlete must do. You have an obligation as a
student-athlete to actively and honestly participate in this program. The Athletic
Department has an obligation to make sure your health is at a level that is safe for you to



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participate in intercollegiate athletics. If you do not buy into this program, your medical
clearance to participate may be revoked by the team physician.

How am I released from the program?

The team physician is the only team member who can release you from the eating
behavior program. He will do this in consultation with the other members of the wellness
team and it will only be done when the team is confident that you are able to carry out
your plan to maintain a healthy lifestyle. Although you can be released from the
program, you will be monitored on a yearly basis while you still have eligibility with the
49ers. The team physician will meet with you at the beginning of each academic year
and make sure you are sticking to your plan and are not having difficulty making sound
decisions regarding your eating behaviors.




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                                   Wellness Team Contract

It is very important to the athletic program that you be healthy. The professionals listed below will meet
with you individually and then meet as a group to discuss your health. Only health related information will
be shared between these individuals in order for them to ensure you are safe to participate. With each of
these health professionals the more open you are the more they can accurately assess and provide feedback
regarding your health. We would hope that you see this as a positive experience; one that will help you
feel better consistently and allow you to compete at a high level, both on and off the playing fields.


I, _______________, understand that I must see the following health care providers by _________, and
that I will be held accountable for making and keeping appointments – as well as being on time:

Dr. Robert Jones (704/687-4618)
Ms. Katie Powers, (704/687-4618)
Dr. Rebecca MacNair-Semands (Jim Krumpos/Angie Shepherd will make initial appointment.)
Dr. Rebecca Weisenthal (Jim Krumpos/Angie Shepherd will make initial appointment.)

I, _______________, will act responsibly and follow-up with the health care team as they prescribe and I
understand that failure to keep appointments may result in my medical clearance to participate being
revoked. I also understand that my scholarship will not be in jeopardy at any time while I am an active
participant in this program.

The information discussed within the health team (which is comprised of Jim Krumpos, Angie Shepherd,
Dr. Robert Jones, Katie Powers, Dr. Rebecca MacNair-Semands, Dr. Rebecca Weisenthal) will be kept
confidential. The only person outside of the health team to receive information will be Kim Whitestone,
who will be given brief progress reports and provide consultation for administrative purposes. In addition
to the above we will not discuss anything with your coach without your prior permission. By signing this
release you agree to participate in the wellness program and you release the sharing of information between
the health team.


________________________                                      ____________________
Student Athlete, Date                                         Staff Member, Date

Cc:     Ms. Angie Shepherd
        Mr. Jim Krumpos
        Ms. Katie Powers
        Dr. Jones
        Dr. MacNair-Semands
        Dr. Weisenthal

(Updated 9/20/06)




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