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PRINCE WILLIAM COUNTY PUBLIC SCHOOLS OFFICE OF SPECIAL EDUCATION P.O. BOX 389, MANASSAS, VIRGINIA 20108 INTERVENTIONISM: INITIALREFERRALINFORMATION FORM 2001 When the referral source is the school,
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How to fill out intervention team initial referral
How to fill out intervention team initial referral:
01
Begin by gathering all necessary information about the individual who needs the intervention. This includes their full name, date of birth, contact information, and any relevant background information.
02
Next, document the reason for the intervention and provide a detailed description of the individual's behavior or situation that necessitates the intervention. Include any incidents, patterns, or concerns that have led to the decision to intervene.
03
Identify the key members of the intervention team who will be involved in the process. This may include family members, friends, healthcare professionals, therapists, or counselors. Include their names, roles, and contact information in the referral form.
04
Specify the desired outcome or objectives of the intervention. What do you hope to achieve through this intervention? It could be getting the individual into a treatment program, addressing a specific issue, or seeking professional help.
05
Include any relevant documentation or supporting evidence that may further support the need for intervention. This could include medical records, incident reports, or testimonials from concerned individuals.
06
Note any specific requests or accommodations that may be necessary for the intervention. For instance, if the individual has mobility issues, they may need accessible transportation or accommodations at the intervention location.
07
Finally, ensure that all required signatures are obtained from the appropriate parties involved, such as the person making the referral, intervention team members, or legal guardians if applicable.
Who needs intervention team initial referral?
01
Individuals who are struggling with substance abuse or addiction and require professional help and support.
02
Individuals who are displaying harmful or destructive behaviors that are negatively impacting their own well-being or the well-being of others.
03
Individuals who are experiencing a mental health crisis and are in need of immediate intervention and treatment.
04
Individuals who are involved in abusive or dangerous situations and require a coordinated effort to protect them and facilitate their safety.
05
Individuals who are engaging in self-harming behaviors or expressing suicidal ideation and need urgent assistance.
It is important to note that the specific criteria for the need of an intervention team initial referral may vary depending on the policies and procedures of the organization or agency involved. It is recommended to consult with professionals or refer to relevant guidelines for accurate and up-to-date information.
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What is intervention team initial referral?
The intervention team initial referral is a document that initiates the process of referring individuals to an intervention team for support and assistance.
Who is required to file intervention team initial referral?
Any individual or organization that identifies someone in need of intervention team support is required to file the initial referral.
How to fill out intervention team initial referral?
The intervention team initial referral form can be filled out online or in paper format, and must include detailed information about the individual being referred.
What is the purpose of intervention team initial referral?
The purpose of the intervention team initial referral is to connect individuals with the appropriate resources and support services to address their needs.
What information must be reported on intervention team initial referral?
The intervention team initial referral must include the individual's name, contact information, background information, reason for referral, and any relevant supporting documentation.
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