Multi-Tiered Crisis Response Team Model
In accordance with Bulletin 5800.0 Crisis Preparedness, Response and Recovery, there are three tiers of crisis response: school site, local district and District office. The basic structure of the multi-disciplinary support teams on all three tiers should be similar in their composition and incorporate District staff with experience in various areas of crisis. Crisis response begins at the school site level; the scope, severity and impact of an incident may activate the local district, District office, or a combination thereof.
Tier I: School Site Crisis Response
School site crisis teams are responsible for initiating crisis response, assessing the range of services needed, and providing direct intervention services. The school site crisis team determines if there is a need for additional assistance from the local district crisis team. The school site crisis team may be activated as part of the Incident Command System (ICS) Team during an emergency or disaster, or may be activated as a stand-alone team, depending on the incident.
Tier II: Local District Crisis Response
The school site administrator/designee contacts the LD Operations administration for support and assistance if the crisis response required is beyond the scope of what the school site crisis team can provide. Assistance from the LD crisis response team includes: consultation, providing direct intervention services, assistance with communications and memos, and guidance regarding strategies for recovery in the aftermath of the critical incident.
Tier III: District Office Crisis Response
In collaboration with the LD Operations administration, the school site administrator/designee determines if there is a need for support from the central crisis response team. Assistance from the District office crisis response team includes: consultation, providing direct intervention services, assistance with communications and memos, and guidance regarding strategies for recovery in the aftermath of the critical incident.
Psychological First Aid (PFA)
Crisis Response Checklists and Information (Attachments A-F)
Attachment A – Multi-tiered Crisis Response Flow Chart
Attachment B – School Site Crisis Team Chart (sample)
Attachment C – School Site Crisis Response Action Plan Checklist
Attachment D – Communication with Staff, Students, Parents/Guardians
Attachment E – Collaboration with Law Enforcement When a School Becomes a Crime Scene or Closed Area
Attachment F – Collaboration with Office of CommunicationsCrisis Response Forms (Attachments G-M)
Attachment G - Crisis Counseling Referral Form – Referral form to attach to staff memo to refer students for crisis counseling.
Attachment H - Student Sign-In Sheet – For all students referred or sent to the triage room to sign in when receiving crisis counseling services.
Attachment I - Confidential Counseling Log – For use by crisis counselor to indicate students seen, services provided and any follow-up necessary.
Attachment J - Crisis Team Members/Responders Sign-In Sheet – For crisis team members/responders reporting to a school in response to a critical incident.
Attachment K – Parent Authorization for Release/Exchange of Information – For the exchange of student information with a hospital or community based agency that is treating a student.
Attachment L - Crisis Management Spreadsheet Template – Excel spreadsheet to manage all students who receive crisis response during an incident.
Attachment M - Local District Crisis Team List Template – Excel spreadsheet to manage the list of crisis team members in each Local District.
Students Release Sheet – Sample form to use when releasing students to family members, guardians, or designated emergency person listed on emergency card.Community Resource Form – For use when providing referrals to parents/guardians to community agencies.Blackboard Connect Resources*Always consult with Local District Operations and the Office of Communications before a message is sent out
Parent Letter Templates
Script Templates for Staff
Joel Cisneros, LCSW
333 S. Beaudry Ave. 29th Floor
Los Angeles, CA 90017
P: (213) 241-3841