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Today's Date: BEHAVIORAL INTERVENTION TEAM REFERRAL QUESTIONNAIRE Referring party in this questionnaire can be held confidential, if requested. Please fill out as completely as possible. Full Name
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How to fill out behavioral intervention team referral

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How to fill out a behavioral intervention team referral?

01
Begin by obtaining a referral form from the behavioral intervention team or the appropriate authority at your institution.
02
Take your time to carefully read and understand all the instructions provided on the referral form.
03
Fill out the required personal information accurately, including your name, contact details, and any relevant identification numbers or student/employee numbers.
04
Provide a detailed description of the concerning behavior or incident that you are referring to the team. Be sure to include relevant dates, times, and locations.
05
Clearly state your relationship to the individual being referred and provide any additional information that may assist the team in understanding the context, such as your role or involvement in the situation.
06
Include any observations or specific examples of the behavior that raised concerns, making sure to be concise and objective in your description.
07
If applicable, provide information on any previous interventions or actions that have been taken regarding the individual's behavior.
08
Consider including any potential risks or threats associated with the behavior, ensuring that you provide accurate and unbiased information.
09
Review the referral form for any errors or missing information, making necessary corrections or additions before submitting it.
10
Finally, follow the submission instructions provided on the referral form, which may involve delivering it in person, sending it electronically, or mailing it to the designated address.

Who needs a behavioral intervention team referral?

01
Students, faculty, or staff members who have observed concerning behavior or incidents that may require intervention and support from a dedicated team.
02
Individuals who believe that someone they know may be at risk of harming themselves or others due to their behavior.
03
Community members or external stakeholders who may have relevant information or concerns about a person's behavior within the institution's jurisdiction.
It is important to note that the specific criteria for needing a behavioral intervention team referral may vary depending on the policies and procedures established by each institution or organization.
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A behavioral intervention team referral is a formal process to report concerning behavior of individuals in a workplace or educational setting.
Any individual who witnesses or is made aware of concerning behavior that may pose a threat to the safety or well-being of others is required to file a behavioral intervention team referral.
Behavioral intervention team referrals can typically be filled out online or through a designated reporting system. The form will ask for details about the concerning behavior and any supporting evidence.
The purpose of a behavioral intervention team referral is to address and mitigate potential threats or risks posed by individuals exhibiting concerning behavior.
Information such as the nature of the concerning behavior, the name of the individual involved, any witnesses, and any supporting documentation must be reported on a behavioral intervention team referral.
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