[ES1]

Memorandum of Understanding

Between

Pasos Adelante Behavioral Health Services (PABHS)

and Gadsden Independent School Dist.rict (GISD)

YEAR 2011 AND ONGOING 2011-2011 School Year

PASOS ADELANTE BEHAVIORAL HEALTH SERVICES(BABHS) AND Gadsden Independent School District (GISD)agree to collaborate in respect to communication, planning, and the delivery of services to the students of Gadsden Independent School District

PASOS ADELANTE BEHAVIORAL HEALTH SERVICES WILL:

1.Receive referrals from GISD and serve the referred students/families

in a timely manner.

2.Communicate with GISD regarding servicesprovided to GISDstudents/families only with written authorization of client, and a signed Cconsent to Rrelease Confidential Iinformation provided forto the schools. WePABHS will also attend meetings/IEPmeetings as necessary to assist GISD with needs of students/clients as invited.

3. Provide therapeutic services at school and at home for GISD students/families that will not affectinterfere with the educational process. Upon entering the schools wePABHSpersonnel will notify the principale or assistant principale of ourtheir presence . WePABHS understands that the school personnelmay have tomust verify the identity of PABHS personnel service providers prior to granting access to GISD campuses, students, or staff.verify who we are and where we are from regardless of having an ID or not.

  1. Notify GISD of certain workshops and/or training which may be beneficial or of tointerest the staff.
  1. Will provide GISD staff/principal at school with a roster of PABHS therapist’s names and phone numbers in case of a crisis with a student or other needs.
  1. PABHS will work with all GISD school personnel in order to maintain quality care and achieve therapeutic and educational goals. The school will be notified when a client is discharged from the Program.

GADSDEN INDEPENDENT SCHOOL DISTRICT WILL:

  1. Send referralsReferfor children and/or families in need of counseling services to Pasos Adelante Behavioral Health Services when needed.
  1. Share pertinent health/mental health information withPasos Adelante Behavioral Health Services regarding GISDstudent and/or family member only as authorized by a signed Consent to Release Confidential Information listing specific information to be released. (Only under written authorization by family member);
  1. NotifyPasos Adelante Behavioral Health Services of mental health and/or other information that is necessary to provide quality care for students and their familieson families that have a release of information on file with the school dist only with a signed Consent to Release Confidential Information listing the specific information to be released.

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Russell Schweiger LISW - Clinical DirectorDate

Pasos Adelante Behavioral Health Services

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Salvador Baca, Administrator Date

Pasos Adelante Behavioral Health Services

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Gadsden Independent School District Date

Administration

Board President

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Gadsden Independent School District Date

Interim Superintendent

[ES1]101 Maguey Ct. Suite 1 Sunland Park, NM 88063 575-589-2400