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School Based Mental Health Referral Date created by referent: Student name: FirstLastStudent address: DOB: Grade: Gender: Student phone: When was referral discussed with student? Response? Parent

How to fill out school-based mental health referral

How to fill out school-based mental health referral

1. Step 1: Start by collecting all necessary information about the student, such as their name, age, grade level, and contact information.
2. Step 2: Determine the reason for the referral. Is it due to behavioral issues, emotional concerns, or academic difficulties?
3. Step 3: Consult with the student's teachers, counselors, and parents to gather additional information and insights about the student's mental health needs.
4. Step 4: Complete the referral form provided by the school or mental health department. Make sure to provide detailed information about the student's circumstances, including any relevant assessments or observations.
5. Step 5: Submit the referral form to the designated school-based mental health team or counselor.
6. Step 6: Follow up with the mental health team to ensure that the referral has been received and that appropriate action is being taken to address the student's needs.
7. Step 7: Maintain confidentiality and privacy throughout the process, respecting the student's rights and ensuring that only authorized personnel have access to the referral information.
8. Step 8: Work collaboratively with the school-based mental health team to implement any recommended interventions or supports for the student.
9. Step 9: Monitor the student's progress and regularly communicate with the mental health team to provide updates and gather feedback on the effectiveness of the intervention.

Who needs school-based mental health referral?

1. Students who are experiencing significant emotional or behavioral challenges that are impacting their academic performance and social functioning may need a school-based mental health referral.
2. Students who are displaying symptoms of mental health disorders such as depression, anxiety, ADHD, or substance abuse may also require a referral for further assessment and intervention.
3. Students who have experienced traumatic events, such as abuse, neglect, or witnessing violence, may benefit from accessing school-based mental health services.
4. Additionally, students who are struggling with stress, self-esteem issues, family problems, or significant life changes (e.g., divorce, relocation) may also benefit from a school-based mental health referral.
5. It is important to consider each student's unique circumstances and consult with relevant stakeholders to determine if a school-based mental health referral is appropriate for their specific needs.

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What is school-based mental health referral?

School-based mental health referral is the process of referring a student to mental health services within or outside the school setting.

Who is required to file school-based mental health referral?

School counselors, teachers, or other school staff members who identify a student in need of mental health services are required to file a school-based mental health referral.

How to fill out school-based mental health referral?

To fill out a school-based mental health referral, school staff must gather information about the student's behavior, emotions, and any concerns they may have, and submit the referral form to the appropriate mental health services provider.

What is the purpose of school-based mental health referral?

The purpose of school-based mental health referral is to ensure that students in need of mental health services receive the support and resources they require to address their mental health concerns.

What information must be reported on school-based mental health referral?

Information such as the student's name, age, grade, behavior concerns, reasons for referral, and any relevant family or medical history must be reported on a school-based mental health referral.