- Escambia County Public Schools
- Resources for School-Based Counselors
Mental Health Services
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Mental Health Referrals
Parent Consent form English (use for mental health referral to Tier III, signed forms are uploaded Focus)
Parent Consent for Group Counseling
CHS Consent for Assessment or Treatment (send home with Parent Consent for students being referred to CHS only)
Parent Consent form Spanish(use for mental health referral to Tier III, signed forms are uploaded into Focus)
Optiflow Form (use for sending the mental health referral to contracted counselors)
Suicide and Self-Injury Assessments (Upload to Self-Harm Risk tab)
What to do for a Suicidal/Self-Injurious Student
Columbia-Suicide Severity Rating Scale (use to Screen for Suicide)
Suicide Risk Assessment (use to identify underlying issues, must ask the last two questions)
Parent Acknowledgment Form (use when the parent comes to the school and you explain the need for further assessment)
Safety Plans
Safety Plan (Use upon return to school from a Baker Act)
Stress Reduction and Re-entry Plan (Use upon return to school from a Baker Act)
Success and Safety Plan Review (Use to review Stress Reduction Plan, 1 month out)
Threat Assessment Reporting
How to Initiate a Concern Referral (use when reporting a threat of violence)
How to Initiate a Threat Assessment Event (Administrator/Lead)
How to Work a Threat Assessment Event (Threat Assessment Team)
Mental Health Staff Use Only
Certificate of Professional Initiating Involuntary Examination (Baker Act)
Decline/Rescind School-Based Mental Health Services
Miscellaneous Resources
Mobile Response Team Information