Residential Placement - Initial Referral

Residential Placement | Initial Referral

Assistive Technology refers to a device or service that can be used as a tool by students with disabilities to achieve or maintain function

 

 Pre-Referral

  • Convene an Individualized Education Program (IEP) meeting to confirm the student is eligible for special education services and determine a need for a referral for mental health evaluation.
  • Refer the student to the Desert/Mountain Children's Center (DMCC) for a mental health evaluation to determine eligibility for residential placement. IEP attendees must include the SELPA Nonpublic School Coordinator and a DMCC representative.
  • If the student does not meet the baseline criteria for residential placement, the referral process ends.
  • If the IEP team determines that the referral is appropriate, the referral process continues.
  • Complete the Residential Placement Assessment Referral form (D/M 151).
  • Complete the Authorization for Use and/or Disclosure of Information form (D/M 63) and obtain the parent/guardian signature. Specify the receiving agency as the Desert/Mountain Children's Center (DMCC).
  • Complete the Authorization for Use and/or Disclosure of Information form (D/M 63) and obtain the parent/guardian signature. Specify the receiving agency's name, if known. If not, leave the field blank.

 

Timeline for Assessment

Upon receipt of the completed referral:

  • The Nonpublic School Coordinator at the SELPA will forward the referral to the DMCC for processing.
  • The DMCC will send out an Assessment Plan form (D/M 66) to the parent/guardian for consent for assessment.
  • Upon receipt of the signed Assessment Plan form (D/M 66), the 60 day assessment timeline begins.
  • The DMCC will conduct the assessment.
  • The DMCC will contact the Nonpublic School Coordinator at the SELPA when the assessment is complete to schedule an IEP.

Referral

Forward the following completed documents to the attention of the Nonpublic School Coordinator at the SELPA.

  • D/M 63 Authorization for Use and/or Disclosure of Information form
  • D/M 151 Residential Placement Assessment Referral form
  • IEP or IEP Addendum dated within one year referring the student for an assessment for residential eligibility.
  • Most current complete annual or triennial IEP
  • Psycho-educational evaluation dated within three years from the time the student was identified as eligible for special education and related services
  • Any additional information in support of the referral

 

Timeline for Services

Upon completion of the residential assessment, the Nonpublic School Coordinator at the SELPA will coordinate an IEP team meeting to determine eligibility for residential placement services.

If the IEP team agrees that the student is eligible for and requires residential placement as the least restrictive environment, the DMCC will forward residential placement packets to potential residential treatment centers (RTCs). Upon receipt of responses from the residential facilities, the results will be shared with the student's parent/guardian and a facility will be selected. The student will be enrolled at the selected RTC as soon as possible. Transportation of the student to the RTC is based on the LEA of residence's reimbursement policy.

After the student is placed at the RTC, the LEA of residence will schedule a transfer IEP meeting within 30 days to document the new placement. The placement should be listed on an IEP document, including the NPS residential placement, start date, duration, and frequency of each service to be provided.

Within five business days of receipt of the Addendum to the IEP, the Nonpublic School Coordinator at the SELPA will develop an Individual Service Agreement (ISA) with the NPS and RTC. If a Master Contract does not exist, one will be developed and an ISA. The SELPA will enter the NPS and RTC placement into the SELPA Management Information System (MIS) database.

For more information, please contact our office at (760) 552-6700