The following are what SST can use to describe the reasons (frequently there are multiple reasons) they are closing their active involvement with a referral sent to them.

Before closure, SST consults with agency, the person referred, as able, and his or her parents or guardian, and PAS. The referral source (Network or BTS staff) must agree with the closure. SSTs are a limited resource. They were never intended to be involved with persons over a long period of time. These new reasons look to using SST consistently with their role and are intended to allow more referrals to SST. The first 15 closure reasons have been in place since SST began. The six new ones are at the bottom of the list.

  1. Medical/Dental needs met.
  2. Clinically appropriate medication adjustment.
  3. Staff training needs met.
  4. Behavior plan successfully implemented.
  5. Frequency of behavior reduced.
  6. Severity of behavior reduced.
  7. Needed resource identified and linked.
  8. Person acquired new alternate skill.
  9. Person goals achieved.
  10. Service plan goal(s) achieved.
  11. Person moved.
  12. Staff added.
  13. Agency/Family request.
  14. Person deceased.
  15. Person incarcerated.
  16. Limited consultation/recommendations made.

    This would be used when the Network or BTS are making the SST referral to get on site clinical observation and feedback about options.

  17. Ready to close, agency/family not responsive for several weeks.

    SST have many experiences with long delays in closure because they can't get the agency or family to schedule a closure meeting. SST will send a letter after 2 weeks to the agency administrator informing them that the person's referral will be closed soon as referral concerns have been addressed and SST is unable to get the agency to schedule a closure discussion, with a copy to the parent or guardian, PAS, the Network or BTS staff and their supervisors. Also send similar letter to non-responsive family. SST will use 4 weeks as a guide for non-response to closure meeting. The goal is NOT to use this reason.

  18. Agency/Family non-responsive to training for several weeks.

    SST have many experiences with agencies and families unable to schedule training for months. SST will send a letter to the agency administrator, copying the parent or guardian, PAS, the Network or BTS staff and their supervisors after 2 weeks of delay in scheduling training, documenting the referral will be closed soon if training cannot be scheduled. Also send similar letter to non responsive family. SST will use 6 weeks as a guide for using this reason for closure. The goal is NOT to use this reason.

  19. Agency/Family/guardian non-compliant for several weeks.

    The DHS contract requires contracted agencies to cooperate with SST. The SST policy is to talk with the Agency director immediately in these situations. After 2 weeks of non-cooperation, the SST sends a letter to the agency administrator documenting the efforts to work with the agency on the referral and the fact that the referral will be closed soon for this reason unless cooperation begins - with a copy to the parent or guardian, PAS, the Network or BTS staff person referring and their supervisors. Also send similar letter to non-cooperative family or guardian. SST will use 4 weeks as a guide for this closure reason. The goal is NOT to use this reason.

  20. Reasons for SODC admission resolved, placement not imminent.

    SSTs will consult with the SODC, the person referred, as able, and his or her parents or guardian, PAS. The referral source (Network or BTS staff) must agree with the closure. The SSTs are not responsible for placement activities.

  21. Reasons for SODC admission not resolved and not expected to be resolved in near future.

    SSTs will consults with the SODC, the person referred, as able, and his or her parents or guardian, PAS. The referral source (Network or BTS staff) must agree with the closure.