Bulletin
BUL-5800.0 Crisis Preparedness, Response and Recovery, dated October 12, 2015
Crisis Response Tools
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 Communications
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.
Psychological First Aid
Psychological First Aid Handouts General Guidelines for Addressing Mental Health Needs in the School Environment.
Sample Letters That May Be Used In The Event of A Crisis
Sample Letters for Staff
Suspected Inappropriate Conduct of Staff
Script for Transitioning to New Teacher
Sample Letters for Parents
Death of Student from Illness (English)
Death of Student from Illness (Spanish)
On-Campus Fight – Minor Injuries
Off-Campus Shooting – Major Injuries
Off-Campus Shooting – Minor Injuries
On-Campus Shooting – Major Injuries
On-Campus Shooting – Minor Injuries
Welcoming Substitute Teacher (English)
Welcoming Substitute Teacher (Spanish)
Sample Blackboard Connect Messages
Blackboard Connect Sample Inhalant Abuse
Blackboard Connect Sample Sexual Assault
Blackboard Connect Sample Student Death
Handouts and Attachments to Accompany Sample Letters
Child Trauma Toolkit for Educators
Child Trauma Toolkit for Educators (Spanish)
Children’s Natural Grief Reactions and Ways to Cope (English)
Children’s Natural Grief Reactions and Ways to Cope (Spanish)
Eight Ways to Help Your Grieving Child (English)
Eight ways to Help Your Grieving Child (Spanish)
Explaining Death to Children & How Children Respond to Death (English)
Explaining Death to Children & How Children Respond to Death (Spanish)
Seven Suggestions for Explaining Death to Children (English)
Seven Suggestions for Explaining Death to Children (Spanish)
Safe School Plan Volume 3 – Intervention & Recovery Procedures
Section 1 – Table of Contents & Team Charts
Section 2 – School Operations & SHHS Contact
Section 3 – Crisis Response & Interventions in Schools
Section 4 – Threat Assessment & Management
Section 5 – Suicide Prevention
Section 6 – Workplace Violence Prevention
Section 7 – LAUSD Employee Resources
Section 8 – Psychological First Aid
Section 9 – Trauma Informed Services
Resources
Annual Crisis Team Training 2015-2016 – Materials and resources from the yearly Crisis Team Training
Annual Crisis Team Training 2014-2015 – Materials and resources from the yearly Crisis Team Training
Crisis Response Training Video Video taken during the 2009-2010 Annual District Crisis Team Training to assist schools with information and procedures.
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