Apr. 17, 2014
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Protocol for Referrals for Preliminary Psychological Screening

MIN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA
IN AND FOR THE CITY AND COUNTY OF SAN FRANCISCO
JUVENILE DIVISION
STANDING ORDER N0. 302
PROTOCOL FOR REFERRALS FOR
PRELIMINARY PSYCHOLOGICAL SCREENING

In delinquency cases, the Youth Guidance Center Psychiatric Clinic, Special Programs for Youth, S.F. Dept. of Public Health, (SPY) will provide preliminary psychological screening of minors referred by the Probation Department and/or the Courts. If there is a determination that the minor is in need of a full scale evaluation, the Clinic will contact one of the eligible psychologists on the list kept by the Clinic. The psychologist will be given the name and telephone number of the probation officer who will then be responsible for arranging the evaluation.

If a probation officer believes that a minor is in need of a pyschological evaluation, the probation officer will refer the minor to the Youth Guidance Center Psychiatric Clinic (SPY) for a preliminary screening. The results of this screening will be submitted to the probation officer in writing on a standard memo form and will be discussed by the member of the clinic who did the screening with the referring probation officer.

If an attorney believes that a psychological screening is indicated, he/she will request the Court order such referral for both the preliminary evaluation and a full evaluation if the Clinic indicates that such evaluation is warranted.

Court Ordered Psychological Evaluations:
If a Judge or Commissioner believes that a minor is in need of a psychological evaluation, he/she will order the probation officer to make a referral to the YGC Psychiatric Clinic for a preliminary screening to determine if further evaluation is needed. The Clinic will interview and evaluate the minor within seven (7) days and prepare a written summary of the findings within forty-eight (48) hours of the interview. The summary will be delivered to the probation officer no later than the following business day after preparation of the summary.

The probation officer will refer the minor to the Clinic by way of the appropriate form within forty-eight (48) hours of the Judge/Commissioner's order. A copy of the form will be placed in the minor's probation file.

If the recommendation of the Clinic is for a full evaluation, the probation officer will prepare a minute order stating such need and have it signed by the appropriate Judge/Commissioner. A copy of the Clinic's summary and findings should be attached to the minute order.

The probation officer will, within twenty-four (24) hours of receipt of the minute order, which will be filed with the County Clerk in accordance with usual practice, refer the minor to the Clinic for referral to a member of the panel for evaluation. Referral will be made by giving a copy of the conformed minute order to the Clinic.

The Clinic will make referrals to the panel in order of their appearance on the list. If the next person is not available, the following one will be contacted and assigned, etc. The members of the panel will be expected to return the completed written evaluations within seven (7) to ten (10) business days to the probation officer and the Clinic.

Upon receipt of the evaluations which are Court ordered, the probation officer will file copies of the report with the County Clerk and make conformed copies available to defense counsel and the district attorney and place a copy in the probation officer's file

DATED: ______________________
_____________________________
DONNA J. HITCHENS
Judge of the Superior Court

PSYCHIATRIC CLINIC REFERRAL FORM
FOR PSYCHOLOGICAL EVALUATION

DATE: ______________________________________
NAME: ______________________________________
D.O.B.: ______________________________________
CURRENT LOCATION: ______________________________________
______________________________________ TELEPHONE: ______________________________________
PROBATION OFFICER: ______________________________________
UNIT: ______________________________________

REQUEST FOR EVALUATION BY:
COURT ____
PO ____
ATTORNEY ____

Problem: (Give a brief description of concerns re minor's mental health status)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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