Checklist for a Behavioral Specialist Consultation Referral
Prior to making the Referral for Behavioral Consultation:
1. Student has been taken through the Student Improvement Team (SIT) process and/or student is already on an IEP.
2. Parent/guardian(s) has been notified of concerns and involved, to the best of their ability, in the problem solving process with the SIT/IEP team.
3. The School Psychologist and special education teacher (if applicable) have been ACTIVELY involved in providing observations, suggestions and support.
4. Problem behavior(s) have been identified and defined in a way that is measurable (10x per/day, every 5 minutes, etc…) and observable (student hits peers, student runs from work table, etc…)
5. A minimum of three weeks of data has been taken regarding the measurable and observable target behaviors while school team interventions are being trialed. *Please note in the data when different interventions start and stop.
6. After at least three week of trying interventions and taking data, if the school team is still struggling to find appropriate interventions for the child, a request for Behavioral Specialist Consultation can be made.
Referral for Behavioral Consultation:
School Psych (designated school personnel) should complete the following:
A. Notify parents of request being made and obtain signed consent with the CKCIE Behavioral Specialist Consultation Consent form.
B. Complete Behavioral Specialist Referral Google Form.
C. Complete Behavioral Specialist Referral Application with the school team.
D. Email parent consent form, referral questionnaire and all pertinent data, school records, current IEP/behavior plan, SIT documentation, Wrap meeting notes, etc…to the appropriate Behavioral Consultant Assigned to your school.
*Once information is obtained, the Behavioral Consultant will review documentation and then schedule a time to observe the student and/or meet with the team to discuss the case and help the team problem solve for interventions/strategies and/or other resources that might be necessary for the student to be successful.
