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16.2  Referral Process

The case manager/Children’s Service Worker will assess the child’s demonstrated behavior that indicates the need for intensive and individualized intervention.  He/she will then prepare and submit a referral packet to the appropriate multidisciplinary foster care selection team or Psychiatric Diversion Screening Team.  The referral packet should contain the following information:

    1. A CS-9 residential screening referral;
    2. A list of specifically identified and described emotional and/or behavior problems;
    3. Current social history, including family and placement history; and a summary that describes how a CFC placement would further their permanency goal;
    4. Copies of the most recent CS-1, Family Treatment Plan and court order;
    5. Appropriate educational material including IEP, if available;
    6. Medical records, especially the most current medical evaluation;
    7. Recent psychological testing results.  A psychological evaluation may be requested if a current (during last six (6) months) one is not available;
    8. Recent counseling reports;
    9. Any residential facility reports, including any treatment using behavior modification;
    10. Any psychiatric hospital reports;
    11. A list of all medications currently taken by child and their purpose;
    12. Summary of the permanency goal for the child, progress towards the goal; and
    13. Any other appropriate information.

Chapter Memoranda History: (prior to 1/31/07)

CS03-21, CS03-27

Memoranda History: