Instructional Services

ESD Safe Schools/Healthy Students Program

Student Threat Assessment

In partnership with public mental health, law enforcement, and juvenile justice agencies, the Safe Schools/Health Students Program provides Student Threat Assessment services to all participating rural school districts in Marion and Polk counties and all participating districts in Yamhill county. Services include:

• Initial and annual update training to key staff in schools regarding the "level one" in-building threat screening process of students or situations of concern;

• Consultation to school teams;

• Coordination of level two threat assessments in which a trained three-member multidisciplinary team comes to a school site, assesses risk and assists in management and intervention planning;

• Preparation of timely written threat assessment summaries following the level two assessment process; and

• Serving as an education representative on two multi-agency student threat assessment teams that review level two assessments, that provide ongoing support for difficult cases, and that can provide a direct pathway to community services, especially for students deemed at high risk.

Family Support Advocacy

The Safe Schools/Healthy Students Program provides referral assistance, case management support and/or wraparound service coordination to families of students who are at clear risk for violence or self-harm or other self-destructive behaviors that place them at risk for school and life failure. Referrals to Family Support Advocates (FSAs) come from a variety of sources: School Teams, Youth Service Teams, Service Integration Teams, or through the Threat Assessment or Suicide Risk Assessment Process.

In addition to supporting families, Family Support Advocates provide the following services to schools and students:

Services

• Mentoring support, individual skill-building instruction, and monitoring of challenging and/or troubled youth in school settings;
• Small group instruction in school settings for at-risk youth on such topics as social skills, school achievement/motivation, relational aggression, grief and loss, and anger management;
• Collaboration with school counselors, teachers and administrators in support of specific student goals (e.g. increased attendance, achievement, behavior change); and
• Consultation and inservice to school staff regarding a variety of prevention topics.

Safe School/Health Students Staff Directory

Other Resources

For School Teams Involved in Screening Potentially Violent Youth
To download screening forms from the Student Threat Assessment/Management System, click on either the MS Word or PDF version of the forms below.

Level 1 Screening Protocol (MS Word)
Level 1 Screening Protocol  (PDF)
Parent Questionnaire (English Version) (MS Word)
Parent Questionnaire (Spanish Version) (MS Word)
Parent Questionnaire (Spanish Version) (PDF)
Parent Questionnaire (Russian Version) (MS Word)
Parent Questionnaire (Russian Version) (PDF)
Parent Questionnaire (English Version) (PDF)
Teacher Questionnaire (MS Word)
Teacher Questionnaire (PDF)
Plan To Protect Targeted Student (Form courtesy of Salem Keizer School District, PDF)

For School Counselors and Administrators Responding to Potentially Suicidal Youth
To download the Screener's Handbook: A Guide For School Counselors and Administrators Responding To Potentially Suicidal Youth and allied forms, click on either the MS Word or PDF version of the handbook below.

Screener's Handbook (MS Word)
Screener's Handbook (PDF)

Additional Student Threat Assessment Resources    

Mid Valley Threat Assessment Presentation - AESA Dec 08 (PowerPoint)
Mid Valley Threat Assessment Presentation - AESA Dec 08 (PDF)

Code of Silence Poster - English (PDF)
Code of Silence Poster - Spanish (PDF)
Code of Silence Talking Points (PDF)
Code of Silence Talking Points (MS Word)

For School Counselors and Administrators Wishing to Make a Referral for FSA Services
To make a referral for FSA Services, click on the Adobe PDF versions of either the regular referral form or the brief service request form.  Each form may be filled out electronically, or printed and completed by hand.  Consult with your FSA to determine which form to complete. Once you have completed the form, give it or fax it to your FSA.

FSA Referral Form PDF with fillable fields)
FSA Brief Service Request Form (PDF with fillable fields)

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