SBIRT Opt Out
Dear Parent /Guardian,

In 2018, we put into place a new support, at the middle school level, to help us to identify student goals and connect students to any supports they may need. Tahoma is able to provide this support to students and families through a King County Best Starts for Kids SBIRT Grant. (SBIRT is an acronym for Screening, Brief Intervention, and Referral To…) The SBIRT process is completely optional, students and families can opt out by submitting this form.

The SBIRT process begins with an on-line screening tool, including questions that help students think about individual strengths as well as questions about mental health and substance use. The screener does not diagnose, nor is it an assessment. The screener provides a snapshot of the students thoughts and feelings at that point in time and helps us to identify students who may need additional support. Student answers are confidential and kept secure. Professionals associated with the grant may review the records, without identifying information, for research and data collection regarding the SBIRT process.

All students who take the screener meet with our SBIRT Student Wellness Advocate for at least one meeting. Please be aware if there is a safety concern or urgent response needed, you may be contacted immediately by a SBIRT staff member regarding your child’s answers to the screener.

EXCEPTION TO CONFIDENTIALITY PROTECTION: If your child talks about seriously harming themselves or someone else, or if school staff receive information that indicates a child is being or has been abused, we are required by Washington State Law to disclose this information to others in order to keep your child, and/or other persons at risk, safe.

If you choose to not participate, please continue to fill out this form below.
Sign in to Google to save your progress. Learn more
Which School does your student attend? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tahoma School District No. 409. Report Abuse