№ files_lp_3_process_9_06230
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Character count: 3742
File size: 111 KB
Administrative referral record documenting client information, behavioral health history, eligibility criteria, and agency approvals for specialized behavioral rehabilitation placement within DCYF services.
Document Type:
Referral Form
Program:
Behavior Rehabilitation Services (BRS)
Request Type:
In-Home; Treatment Foster Care (TFC); Qualified Residential Treatment (QRTP)
Agency:
DCYF
Sections Included:
Youth and Family Strengths and Goals; Support Needs and Goals Screening; Treatment Services; Eligibility and Referral Criteria; Approval Signatures; Medication Log and Allergy Information
Client Information Fields:
Name; Preferred Name; Age; Date of Birth; FamLink PID; Region; Sex Assigned at Birth; Gender; LGBTQIA+ Status; Pronouns
Placement Information:
Current Placement Setting; Family Location (City); Placement History
Education Information:
Current School; Grade; IEP/504 Status
Health Information:
Mental Health Diagnosis; Behavioral Health Diagnosis; Physical Health; Height; Weight; Allergies; Medication Log
Legal Information:
Court Report (CFE); Legal Status (Pending, Probation, Parole, Unable to Stand Trial)
Required Supporting Documents:
WISe Screen; Health Records; Mental/Behavioral Records; School Records; Incident Reports; Visit Plan; OMH Report; CIPR/15-300; IDD/DDA Reports
Approval Authorities:
Case Worker; Supervisor; Area Administrator; Intensive Resources Program Consultant (IRPC)
Signatures Required:
Yes
Date Fields:
Date of Referral; Staffing Date; WISe Screen Date; Approval Dates
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2025
Note:
Region / City
Theme:
Travel, Research Fellowship
Document Type:
Application Form
Organization / Institution:
British Reseach Society (BRS)
Target Audience:
New Investigators (NI), PhD/MD students, Post-Docs
Year:
2026
Region:
California
Topic:
Energy Market Operations
Document Type:
Q&A / Technical Correspondence
Organization:
CAISO
Author:
PG&E and CAISO
Target Audience:
Market Participants, RA Providers, SCs
Period of Relevance:
EDAM V1.6 Implementation
Date of Questions:
February 2026
Date of Expected Implementation:
August 1, 2026
Key Terms:
RA Obligation, SP-Tie SR, DA RA Reassignments, HASP Flag, RAAIM Assessment
Year:
2024
Region / City:
Arlington, VA
Topic:
High-leverage practices for students with disabilities
Document Type:
Educational resource
Organization / Institution:
Council for Exceptional Children, CEEDAR Center
Author:
Aceves, T. C., & Kennedy, M. J.
Target Audience:
Educators, specialists, and practitioners working with students with disabilities
Period of validity:
Ongoing
Approval Date:
February 2024
Modification Date:
N/A
Contextual description:
Educational resource on high-leverage practices, offering guidance for delivering intensive instruction to students with disabilities in academics and behavior.
Year:
Not specified
Region / City:
Not specified
Topic:
Cognitive Science, Animal Behavior, Philosophy of Mind
Document Type:
Article
Author:
Not specified
Target Audience:
Researchers, Scholars, Students of Philosophy and Cognitive Science
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
CSP Name
Controlled Unclassified Information:
Yes
Prepared by:
Organization Name
Prepared for:
Organization Name
Instruction:
Delete template instructions before finalization
Revision History:
See document for detailed dates and changes
Contact:
[email protected]
Website:
www.fedramp.gov
Type of document:
Security guidance / procedural template
Audience:
Internal and external users of CSP systems
Year:
1929
Region / City:
United States
Topic:
Securities regulation, stock market behavior, investor protection
Document Type:
Regulatory framework
Organization:
SEC (Securities and Exchange Commission)
Author:
Not specified
Target Audience:
Investors, financial analysts, regulators
Period of validity:
Ongoing
Approval date:
Not specified
Date of changes:
Not specified
Year:
2025
Region / City:
University of Delaware
Field:
Health Behavior Science
Document Type:
Internship Manual
Institution:
University of Delaware
Author:
Dr. Michael Peterson
Target Audience:
Students in Health Behavior Science
Period of Validity:
Spring 2025
Approval Date:
Spring 2025
Date of Changes:
-
Year:
2022
Region / city:
Madison, WI
Topic:
Workplace behavior policy
Document type:
Policy guidance
Institution:
University of Wisconsin-Madison
Author:
UW-Madison Office of Compliance
Target audience:
UW-Madison employees and management
Period of validity:
Ongoing
Approval date:
November 9, 2022
Date of changes:
November 9, 2022
Examples of misconduct:
Abuse of authority, derogatory remarks, physical aggression
Examples of protected conduct:
Academic freedom, freedom of expression
Summary:
The document provides guidance on how to assess and address allegations of hostile and intimidating behavior (HIB) in the workplace at the University of Wisconsin-Madison.
Temperament Scale Definitions and Scoring Procedures for the Children's Behavior Questionnaire (CBQ)
Document type:
Scale definitions and scoring instructions
Field:
Developmental psychology
Focus:
Child temperament assessment
Respondent:
Caregiver
Assessment period:
Last 6 months
Measurement approach:
Mean scale scores based on item responses
Scoring method:
Item summation, reverse scoring, and averaging
Statistical software reference:
SPSS
Variables:
Activity Level, Anger/Frustration, Approach, Attentional Focusing, Discomfort, Falling Reactivity and Soothability, Fear, High Intensity Pleasure, Impulsivity, Inhibitory Control, Low Intensity Pleasure, Perceptual Sensitivity, Sadness, Shyness, Smiling and Laughter
Content source:
Psychometric assessment documentation
Year:
2023
Region / City:
St. Cloud
Theme:
Sportsmanship, Conduct
Document Type:
Policy
Organization:
St. Cloud Area Youth Basketball Association
Author:
SCAYBA Board
Target Audience:
Players, Coaches, Parents
Effective Period:
Ongoing
Approval Date:
March 2023
Amendment Date:
N/A
Year:
Not specified
Region / City:
Not specified
Theme:
Professional growth, behavior analysis
Document type:
Self-assessment worksheet
Organization / Institution:
Behavior Analyst Certification Board (BACB)
Author:
Not specified
Target audience:
Board Certified Behavior Analysts (BCBAs)
Period of validity:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Note:
Year
Subject:
Safety
Document Type:
Guidance Document
Organization / Institution:
Weever
Target Audience:
Contractors, employees
Year:
2021, 2019
Organization:
FTF Behavioral Consulting, Inc.
Document Type:
Data sheet / guide
Subject:
Functional Communication Training; Skill-based treatment of problem behavior
Client Name:
________________________
Skills Teacher:
________________________
Supervisor:
________________________
Consultant:
________________________
Revision Dates:
March 2021; May 2019
Trial Tracking:
EO (Establishing Operation), SR (Synthesized Reinforcement)
Behavior Codes:
PB (Problem Behavior), Eng (Engagement), sFCR (Simple Functional Communication Response), cFCR (Complex FCR), R1/R2 (Severity levels)
Shaping Criteria:
Consecutive trials with zero PB, independent skill execution, consistent engagement
Year:
2020
Region / City:
Global
Topic:
Telecommunications
Document Type:
Change Request
Organization / Institution:
3GPP
Author:
Lenovo, Motorola Mobility
Target Audience:
WG1 members, 3GPP TSG
Period of Validity:
2020-08-13 to ongoing
Approval Date:
2020-08-13
Change Date:
N/A
Release:
Rel-16
Category:
F
Work Item Code:
TEI16
Proposed Change Affects:
UICC apps, ME, Radio Access Network, Core Network
Summary:
A Change Request to improve IMS session establishment by subscribing the P-CSCF to event notifications defined in TS 29.514 for EPS fallback.
Year:
2024
Region:
West Virginia
Theme:
Education, School Safety
Document Type:
Legislative Rule
Institution:
West Virginia Board of Education
Author:
West Virginia Board of Education
Target Audience:
Students, educators, school administrators
Effective Date:
July 15, 2024
Approval Date:
June 12, 2024
Date of Repeal:
March 14, 2019
Amendment:
This rule amends W. Va. 126CSR99, Policy 4373, filed March 14, 2019
Year:
2024
Region / City:
Arlington, VA
Topic:
Education, High-Leverage Practices, Behavior Management
Document Type:
Educational Resource
Organization / Institution:
Council for Exceptional Children, CEEDAR Center
Author:
T. C. Aceves, M. J. Kennedy, A. L. Archer, C. A. Hughes, A. I. Hashey, T. L. Kaczorowski, D. M. DiCesare, M. J. Kennedy, K. N. Peeples, J. E. Romig, H. M. Mathews, W. J. Rodgers, J. Leskey
Target Audience:
Educators, Special Education Professionals
Effective Period:
Ongoing
Approval Date:
February 2024
Last Modified Date:
N/A
Year:
2024
Region / City:
Arlington, VA
Topic:
Education, Behavioral Assessment
Document Type:
Educational Resource
Organization / Institution:
Council for Exceptional Children, CEEDAR Center
Author:
Aceves, T. C., & Kennedy, M. J.
Target Audience:
Educators, Special Education Professionals
Period of Validity:
Ongoing
Approval Date:
February 2024
Revision Date:
Not specified
Year:
2026
Region / City:
Georgia, USA
Topic:
Vocational rehabilitation and post-secondary education support
Document type:
Handbook
Organization:
Georgia Vocational Rehabilitation Agency (GVRA)
Target audience:
College students with vocational goals
Funding coverage:
Tuition, fees, books, room and board up to $17,725 per year
Application requirements:
FAFSA submission and verification of comparable benefits
Academic requirements:
Full-time enrollment and minimum GPA maintenance
Enrollment period:
Undergraduate support up to five years, graduate support varies
Endorsement:
Individualized Plan for Employment (IPE) and counselor approval
Financial policy:
Direct payment to school or approved vendor
Guidelines:
Withdrawal, failing classes, and course approval policies
Year:
2018
Jurisdiction:
Queensland, Australia
Subject:
Environmental regulation, resource activity rehabilitation
Document type:
Application form
Governing body:
Department of the Environment, Tourism, Science and Innovation
Legislation:
Environmental Protection Act 1994, Mineral and Energy Resources (Financial Provisioning) Act 2018
Guideline referenced:
Estimated rehabilitation cost under the Environmental Protection Act 1994 (ESR/2018/4425)
Target audience:
Environmental authority holders for resource activities
Required actions:
Submission of ERC application, compliance with section 298 of EP Act and relevant guidelines
Year:
2018
Region / city:
Not specified
Topic:
Resource activity rehabilitation cost estimation
Document type:
Form
Organization / institution:
Department of the Environment, Tourism, Science and Innovation
Author:
Not specified
Target audience:
Applicants for estimated rehabilitation cost decision
Period of validity:
Not specified
Approval date:
Not specified
Date of amendments:
Not specified