- Escambia County Public Schools
- Resources for School-Based Counselors
Mental Health Services
Page Navigation
-
Mental Health Referrals
Mental Health Referral Flowchart
Parent Consent form English (use for mental health referral to Tier III, signed forms are uploaded Focus)
Parent Consent form Spanish(use for mental health referral to Tier III, signed forms are uploaded into Focus)
Parent Consent for Group Counseling
ECPS Mental Health Referral Process Video
Suicide and Self-Injury Assessments (Upload to Self-Harm Risk tab)
What to do for a Suicidal/Self-Injurious Student
Columbia-Suicide Severity Rating Scale (use to Screen for Suicide)
Video: How to Use the Columbia-Suicide Severity Rating Scale
Suicide Risk Assessment (use to identify underlying issues, must ask the last two questions)
Parent Acknowledgment Form (use when the parent comes to the school and you explain the need for further assessment)
Safety Plans
Safety Plan (Use upon return to school from a Baker Act)
Stress Reduction and Re-entry Plan (Use upon return to school from a Baker Act)
Success and Safety Plan Review (Use to review Stress Reduction Plan, 1 month out)
Threat Assessment Reporting Questions or Concerns
Contact Natalie Brault, District Threat Management Coordinator
Mental Health Staff Use Only
Informed Consent Form (English)
Informed Consent Form (Spanish)
Certificate of Professional Initiating Involuntary Examination (Baker Act)
Coordination with Outside Providers Form
Miscellaneous Resources
Mobile Response Team Information
