Considerations:
Make
Mandated Report to DHS?
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NO |
YES |
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1-800-452-1999
http://www.maine.gov/dhs/bcfs/protection.htm |
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DHS
Determines Level of Needed Intervention
http://www.state.me.us/dhs/bcfs/policy/policy.htm |
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Low-Moderate
CAPE PROGRAM |
Moderate-High DHS |
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Considerations:
Forensic
Interview Required? |
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Forensic Interview |
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Will
Another Evaluation Foul Forensic Interview? |
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DHS
Makes Determination
How to
Proceed Clinically - Additional Evaluation? |
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YES
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NO |
è
"DHS Process" |
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GO TO
#3 Referral Agency Completes Form |
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Referral Agency Considerations Cont.:
-
Follow Agency Policies and Procedures According to Data...
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Follow
Course Directed by Agency Polices and Procedures |
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Agency
Policies and Procedures Suggests to Make Referral to KCSDE
Evaluation |
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YES
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NO |
è"Agency
Process" |
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3. Referral Agency Completes
Referral Form |
KCSDE Referral Form for Behavioral Health
Evaluation
(right click on link
and select 'save target as" to download) |
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4. Referral Agency Contacts
Evaluation Service,
Identifies Child to be Evaluated,
and Faxes Referral Form and Other Relevant Data
(So that the child or parent will not be asked certain
questions two and three times, etc.). |
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http://www.wcpa.net/counseling.htm |
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Family
Counseling Services
- Calais |
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Phone:
454-0775
Fax:
454-7382 |
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Family
Counseling Services
- Machias |
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Phone:
255-0996
Fax:
255-6319 |
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5. Parent or Guardian Contacts
Evaluation Service |
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http://www.wcpa.net/counseling.htm |
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Family
Counseling Services
- Calais |
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Phone:
454-0775
Fax:
454-7382 |
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Family
Counseling Services
- Machias |
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Phone:
255-0996
Fax:
255-6319 |
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