Transcript INTERVENTION & REFERRAL SERVICES

INTERVENTION
&
REFERRAL SERVICES
WHAT IS I & RS ?
Intervention & Referral Services (I &RS) is
a committee of professional staff
members created to:
* assist students who are experiencing
learning, behavior or health difficulties.
* provide & recommend strategies and
solutions to parents & staff in order to
assist in the student’s success.
WHO CAN BE REFERRED?
Student Populations
The regulations set forth that the intervention and referral services shall be
provided to:
"… aid students in the general education program;"
(N.J.A.C. 6A:16-7.1(a)1)
The regulations for intervention and referral services, however, also permit
the provision of services, as appropriate, for:
"… students who have been determined to be in need of
special education programs and services."
(N.J.A.C. 6A:16-7.1(a)2)
The Intervention and referral services provided for students with disabilities
shall be coordinated with the student’s IEP team, as appropriate.
I & RS may not be used to delay obvious and appropriate
referrals to special education (N.J.A.C. 6A:14-3 et seq..).
HOW ARE STUDENTS
REFERRED?
 Any staff member may refer students to I&RS by
using a referral form obtained on the Share
Drive (click District Wide Forms- I & RS and
Staff Referral Forms.
 Parents may request that their son or daughter
be reviewed by I&RS.
 Parents can initiate a referral by contacting a
member of the team, the child’s guidance
counselor or Assistant Principal.
PASCACK VALLEY HIGH SCHOOL
INTERVENTION AND REFERRAL SERVICES COMMITTEE
INITIAL REQUEST
CONFIDENTIAL
Intervention and Referral Services Committee
To:
From:
Date:
Student:
Reasons for Request for Assistance (must be school-based issues, i.e. academics, behavior,
school health. Be specific. Type in shaded box which will expand as you type)
Please indicate the types of interventions you have tried prior to this request for assistance by
checking the appropriate box.
Spoke to student concerning academic performance
Spoke to student concerning behavioral issues
Spoke to student concerning health issues
Met with student before school
Met with student after school
Contacted parent by phone
Contacted parent by e-mail
Held conference with parent in school
Referred student to Guidance
Referred student to the Student Assistance Counselor
Referred student to the Administration__________
Other _______(Please explain by typing in the shaded box which will expand)
After completing form electronically, please forward to Janice Georgallas
I & RS PROCESS
 REQUEST ASSISTANCE
 INFORMATION COLLECTION
 PARENT/GUARDIAN NOTIFICATION
 PROBLEM SOLVE AT MEETING
 DEVELOP I & RS ACTION PLAN
 SUPPORT, EVALUATE & CONTINUE
WITH FOLLOW-UP PROCESS
DIFFERENT MODES
Collaborative Mode – In this mode, team members and the person requesting
assistance jointly identify problems and, through consensus, develop and implement an
I&RS action plan. The team and the requesting staff member engage in a pure form of
collaboration for the resolution of educational problems.
Direct Services Mode – Immediate or specialized action, where the team takes
over partial or total responsibility for implementing the I&RS action plan. An I&RS team
can incorporate the functions of the drug/alcohol core team into its operations, it should
be prepared to provide the direct formal or informal intervention functions of the core
team.
CONFIDENTIALITY MUST BE MAINTAINED
Indirect Services Mode (Consultation) – The team provides consultation
services to parent or the school staff member who is requesting assistance. In the
indirect services mode, the decision for action is left to the staff member or parent who is
requesting assistance
ISSUES OF DRUGS & ALCOHOL
 Direct referral to the S.A.C.
 I & RS team incorporates the functions of a
Core Team
 Core Team – Each team member involved
with drug & alcohol issues must
acknowledge in writing, an understanding of
FEDERAL REGULATIONS governing
“Confidentiality of Alcohol and Drug Abuse
Patient Records”
Federal Regulations governing “Confidentiality of Alcohol and
Drug Abuse Patient Records” (42 CFR-2) to recipients of
information including “SCHOOL BASED PROGRAMS AND
STUDENT ASSISTANCE COORDINATORS”
Each disclosure involving alcohol or drug
information, made to the members of the Intervention
& Referral Service Committee, must be kept
confidential.
The I & RS team falls under the umbrella of
confidentiality records which are protected by
Federal Law.
Federal Regulations (42 CFR, Part 2) prohibits you
from making any further disclosure of this
information without the specific written consent of
the person to whom it pertains.
S 2.4
Criminal penalty for violation
Under 42 U.S.C. 290ee-3(f) and 42 U.S.C. 290dd-3(f), any
person who violates any provision of those statutes or these
regulations shall be fined not more than $500 in the case of a
first offense, and not more than $ 5,000 in the case of each
subsequent offense.
S 2.5
Reports of violations
The report of any violation of these regulations may be
directed to the United States Attorney for the judicial district
in which the violation occurs.
I, __________________________________ am a member or Ad
Hoc member of the I & RS team at Pascack Valley High School. I
understand and agree that no records or information will be
disclosed by me or anyone on my behalf, nor will any confidential
patient identifying information be disclosed, without the written
permission of the identified student.
Print name
Signature
Date