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This Toolkit was developed under contract number HHSS283201200030I for the Center for MentalHealth Services (CMOS), Substance Abuse and Mental Health Services Administration (SAMOSA). The views, policies,

How to fill out school mental health referral

How to fill out school mental health referral

1. Step 1: Obtain the school mental health referral form from your school's guidance counselor or mental health department.
2. Step 2: Fill out the student information section, including the student's name, grade, and contact information.
3. Step 3: Provide a detailed explanation of the reason for the referral. Include any specific concerns or behaviors that the student has been exhibiting.
4. Step 4: Document any relevant background information, such as the student's medical history or previous mental health treatments.
5. Step 5: Sign and date the referral form to indicate your consent to seek mental health services for the student.
6. Step 6: Submit the completed referral form to the appropriate staff member or department at your school.
7. Step 7: Follow up with the school to ensure that the referral has been received and processed.

Who needs school mental health referral?

1. Students who are experiencing emotional or behavioral difficulties that impact their ability to learn or function in a school setting may need a school mental health referral.
2. This can include students who are struggling with anxiety, depression, attention deficit hyperactivity disorder (ADHD), self-harm behaviors, substance abuse issues, or any other mental health concerns.
3. The need for a school mental health referral is determined on a case-by-case basis, typically through discussions with teachers, parents, and other school staff who observe the student's behavior and well-being.
4. Ultimately, the decision to refer a student for mental health services depends on the judgment of the school's guidance counselor or mental health department in collaboration with the student's parents or guardians.

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What is school mental health referral?

School mental health referral is a process where a student is referred to receive mental health services within the school setting.

Who is required to file school mental health referral?

School administrators, teachers, school counselors, and other school staff may be required to file school mental health referrals.

How to fill out school mental health referral?

To fill out a school mental health referral, one must document the student's information, reason for referral, and any relevant observations or concerns.

What is the purpose of school mental health referral?

The purpose of school mental health referral is to ensure students receive necessary mental health support and services to address their emotional or behavioral needs.

What information must be reported on school mental health referral?

Information such as student's name, grade, reason for referral, observations, and any previous interventions must be reported on a school mental health referral.