GUIDELINES FOR BEHAVIORAL HEALTH PARTNERSHIPS
The purpose of the
Behavioral Health Partnership between the school district and community
providers is to provide school based personnel with a list of behavioral
health providers who have met the standards set by the Behavioral
Health Partnership (BHP) Committee. These Behavioral Health Partners are
to provide behavioral health services to students on school campuses
when school personnel have referred the student.
The principal must
give approval for any BHP approved agency to provide services on
campus and provide the agency with appropriate space to provide
behavioral health services.
The principal or
designee must monitor procedures of the BHP approved agency.
The principal or
designee must ensure the agency and agency staff have received
proper school district approval to deliver services to students.
Staff of BHP agencies are not issued SBBC Vendor I.D. badges,
therefore identification and approval can be completed by matching
the staff member’s agency ID badge with the Mental Health Provider
List found at:
It is recommended that the school photocopy the staff member’s
agency ID badge.
be enforced to protect the student’s privacy.
Obtain a signed
parental Release of Information form prior to the referring student
to the agency.
It is very important
for school staff to
obtain a signed
Release of Information Form from the parent and/or guardian before
you make a referral
when making the referral to one of our partners.
Obtaining a signed release is important for two reasons; first, it
is a breach of federal educational confidentiality laws (FERPA) to
give an outside agency student information without a release, and
second, by obtaining the release you and the provider of service may
then discuss freely the issues that relate to the student and can
work together to improve the student’s educational and emotional
achievement. The partners are responsible for turning the completed
Referral Forms into the BHPC, which provides the Committee with the
ability to track the students and collect data on school
achievement. If you refer a student without using the Referral Form
or tell parents to call an agency directly because of the difficulty
in obtaining a signed release, you prevent the BHPC from maintaining
an accurate data regarding the students who receive behavioral
health services and the connection between behavioral health
services and school achievement and you hinder the free exchange of
information between you, the school and the provider. Another option
for obtaining a Release is, if the family has access to the web
through a computer with a printer, they could obtain the Release of
Information Form, sign it and return it to you.
The school staff
member referring a student for on-campus behavioral health services
will complete the Student Referral Form* and forward it with a
signed Release of Information form to the approved
agency. (A suggestion: Make a 2-sided form, on one side the Referral
Form and on the other side the Release of Information Form).
The school will not
deny any educational service(s) to the student due to the lack of
participation by the student and/or the family in the behavioral
health service for which they are referred.
Maintain an updated
list of students served by the agency (ies) on your campus.
Regularly check the
Mental Health Provider Database for changes in agency services or
The principal or
designee will review and approve all student handouts prior to the
agency’s distribution to the students.
If the Principal or
designee is aware students on their campus are being denied services
for any reason, including but not limited to the lack of Medicaid
eligibility, they should immediately notify Barbara Myrick,
SEDNET-KCW @ 754-321-2564.
Schools who wish to
refer an ESE student to an approved partner agency should determine
if “counseling” is listed on the student’s IEP. If counseling is on
the IEP this student should be receiving counseling services from a
designated ESE Family Counselors. If additional counseling is
determined to be helpful, school personnel should consult with the
ESE Family Counselor providing the IEP services or with their Area
ESE Office, prior to making the referral to the partner agency.
(Area ESE Offices: North – 754-321-3450; North Central –
754-321-6871; South Central – 754-321-3850; and, South –
Attached are the
Behavioral Health Partnership Student Referral Form and Release of
Information Form, which are to be used for referral students to
approved behavioral health agencies.
the application process to become a Behavioral Health Partner by calling
Lisa or Thema at 754-321-2564 to receive an application and Partnership
the application and submit it will all required attachments to the
Behavioral Health Partnership Committee for approval. After your agency
receives approval and your staff has been approved to provide direct
services you may proceed, as follows.
Meet with and obtain approval from school principal(s) to provide
Receive a Student Referral Form from the referring school personnel
specifying the need(s) of the student, along with a signed Release of
all students with equal access to services. Note: The school district is
required to provide equal access and free and appropriate services to
all students. This means that if your Agency, as a Behavioral
Health Partner, accepts a student/family as a client through a referral
from a school you may not charge the student/family/client for those
No student should be
denied access to services based on the parent’s level of
income/insurance coverage or the agency’s ability to obtain
reimbursement from any funding sources.
If for some reason your Agency cannot accept
the referral from the school, the agency staff will work with the school
personnel and the family to refer the student to another agency that can
accept the referral.
a completed copy of the Student Referral Form to Barbara Myrick @
754-321-2724 within two weeks of the case being accepted by the agency
and provide a copy to the school staff making the referral.
agency staff to insure compliance with procedures established by the
school principal for providing services on campus including but not
limited to, adhering to agreed upon schedules, always having school
district vendor badge, signing in and out of school, identifying
students served during visit and coordinating with school designee.
information requested by the BHP Committee within the given timeframe.
Data on students will be requested on a quarterly basis.
a quarterly basis provide a list of students being seen by agency and
notify school when students complete services or are terminated.
all student handouts are to be approved by the principal or designee, in
advance of giving them to students.
Share with school staff the materials and methods to be
used with students and identify expected outcomes of the services.
with input and approval of the parent or guardian a service or treatment
plan for each student.
notify the school and fax to the BHP Committee c/o Lisa Clarke @
754-321-2724 any changes in agency staff or services your agency
provides in the schools. Submit resumes and Level 2 Clearance letters of
new staff to the BHP Committee prior to the delivery of services to
to comply with all School Board of Broward County standards of
nondiscrimination: age, color, disability, gender, national origin,
marital status, race, religion, or sexual orientation.
to participate in a monitoring and evaluation process for quality