528R1 - Smoking, Drinking, Drugs

528R1 - Smoking, Drinking, Drugs

Procedures Relating to Student Referral to New Opportunities or enrollment in 3rd Millennium Classrooms (online courses):

The following steps indicate the appropriate method to be utilized in making a student referral to New Opportunities, Carroll County office. If on a first offense AND when a student self-reports, he/she can enroll in 3rd Millennium Classrooms (online courses) as per approved school policy relating to alcohol/drug usage by students under school supervision. Said referral can best be completed by the following actions:

  1. The school administrator/designee upon deeming a referral appropriate will notify (by phone) New Opportunities of the intended referral or if on a first offense AND when a student self-reports the principal/designee will assist the student in enrollment in the online course through 3rd Millennium Classrooms: Alcohol-Wise Plus and Marijuana 101. The cost of the online course is $35 and is the responsibility of the student or his/her parent(s)/guardian(s).
  2. The same administrator/designee will prepare a student referral to New Opportunities form in triplicate; one copy to be immediately mailed/transported to New Opportunities, one copy to be provided to the student/parents, the third to be retained for school records or will assist the student in enrollment in the online course through 3rd Millennium Classrooms: Alcohol-Wise Plus and Marijuana 101. The cost of the online course is $35 and is the responsibility of the student or his/her parent(s)/guardian(s).
  1. Should the student/parents fail to complete the referral contact within ten (10) days of the initial phone notification, New Opportunities will notify the referring administrator/designee.
  1. The student/parents will be required at initial contact with New Opportunities to sign releases of information to the school authorizing two-way communication between New Opportunities and school parties regarding the referral.
  2. Student referral to New Opportunities shall minimally result in the following counseling/evaluation contact:
    1. At least one (1) student/parents/guardians New Opportunities counseling session discussing the existence of potential student alcohol/drug dysfunction.
    2. Three to four individual counseling sessions designed to assess the depth of substance abuse by the student and appropriate future treatment needs, if any.
    3. The above evaluation process shall require a minimum of thirty (30) days from the point of initial contact with New Opportunities.
    4. Upon completion of the thirty (30) day evaluation process, the student, parents, and New Opportunities personnel shall mutually determine the need for continued/future treatment services for the student.
  3. The referring school personnel will be notified of the final disposition of the student's treatment status within forty-five (45) days of the student's original contact date.
  1. All communications/correspondence regarding student referrals to New Opportunities shall be in compliance with relevant federal, state, and program rules regarding confidentiality.

 

 

Date of Adoption/Revision:
July 9, 1981
August 1994
July 1997
August 2000
July 2003
July 2006
July 2010
September 2012
August 2015

 

Student Referral to New Opportunities

 

Student's Name                                                    

Age

Parent's Name                                             

Address

 

Phone #

Date of Referral

This student is being referred to, New Opportunities Carroll County office, due to: (Check all appropriate items)

  • Using or under the influence of a controlled substance during regular school hours (Monday-Friday, 8:00-4:00).
  • Using or under the influence of a controlled substance at an after school/extra-curricular activity.
  • Possession of alcohol at school.
  • Possession of alcohol at a school sponsored activity.
  • Possession of a controlled substance other than alcohol at school.
  • Possession of a controlled substance other than alcohol at a school sponsored activity.
  • Other:                                                           ​​​​​​​

 

Explain the details of the incident(s) leading to this referral (date, location, and situation):

 

 

 

The student/parents/guardians have agreed to participate in a thirty (30) day evaluation counseling process to determine the existence of substance abuse dysfunction.

The student/parents/ guardians have been informed of the expectation that they will establish contact with New Opportunities within ten (10) days, by                                                            (date).

All communications/correspondence regarding this referral are in compliance with appropriate federal, state, and New Opportunities rules regarding confidentiality.

 

Signature of Administrator                                                                                                 

Date                                                            

Jen@iowaschool… Wed, 01/15/2020 - 16:18