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Therapeutic Treatment Team Documentation

Therapeutic Treatment Team


The purpose of the Therapeutic Treatment Team within the Madison Community Unit School District #12 is to assist students and families who are in need of support due to a variety of issues. The team consists of Early Intervention staff, School Counselors, a School Social Worker, and a Balanced and Restorative Justice Coordinator. These staff members assist students with behavioral/emotional needs, location of community resources, and overall student well-being at school. Therapeutic staff members are located at each of the schools within the district and are assigned specific students who struggle with attendance, housing, social skill development, and anger management issues. The team meets weekly to staff student needs and is responsible for overseeing the development of individual therapeutic plans to address the specific needs of each student. 

Below are all therapeutic forms. 

Comprehensive Assessment - Computer Version

Comprehensive Assessment - Written Version

FTA and Plan - Computer Version

FTA and Plan - Written Version

General Documentation Note

Guardian Contact Log

Therapeutic Progress Note - Written Version

Resource list

TAOEP data/referral form

Therapeutic Progress Note - Automated

Therapeutic Team Staffing Form

Therapeutic Treatment Team Staffing Format

If you would like more information about the Therapeutic Treatment Team, please contact the treatment team coordinator: Derek Wall at (618) 798-5112 or dwall@madison.k12.il.us.

Treatment team members include:

David Jackson, BARJ Facilitator            djackson@madison.k12.il.us           618-798-5112

Gina Ash, MAHS and MAMS Counselor    gash@madison.k12.il.us             618-876-6409

Molly Gabel, Social Worker                    mhenkey@madison.k12.il.us          618-876-6409

Jennifer Dykeman                                                                                      618-798-5112

Lori Fiala                                                                                                  618-798-5112

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