STUDENT SUPPORT SERVICES REFERRAL FORM

Do you know a student in distress?

Help by making a referral online below:

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It only takes less than a minute and it may just save a life.

 

COMMUNITY AGENCY PROVIDERS 2016-2017

Bill Wilson Center - Family Support & Advocacy Services

Foothill Community Health Center -Healthcare/Mental Health 

Momentum- Mental Health/Individual & Family Based Servies

New Hope for Youth - Gang & Drug intervention 

Planned Parenthood Mar Monte - Informational Presentations/Teen Parenting Support(District wide)

Victim Witness Program - Mental Health services for victims of crime

 

STUDENT SUPPORT CENTER STAFF CONTACT INFORMATION

Alejandra Vaca-Perez, MSW,PPSC

Program Coordinator

School Social Worker, ASW #36752

Phone: 408-937-3098

Email: vacapereza@esuhsd.org

 

Irma Jaramillo

Parent Community Involvement Specialist

Phone: 408-937-2889

Email: jaramilloi@esuhsd.org

 

Linda Han

School Psychologist

Phone: 408-937-2877

Email: hanl@esuhsd.org

 

Paul Hickey, LMFT

Licensed Marriage and Family Therapist # 46836

Foothill Community Health Center 

Phone: 408-755-3905

 

COMMUNITY RESOURCES

Mental Health Agencies

Medi-Cal County Mental Health
Referral Line 1-800-704-0900

Asian Americans for Community Involvement
408-975-2730 http://www.aaci.org

Alum Rock Counseling Center
408-294-0500http://www.alumrockcc.org

Almaden Valley Counseling Services
408-997-0200 http://www.avcounseling.org

Bill Wilson Center 408-243-0222
http://www.billwilsoncenter.org

Catholic Charities 408-468-0100
http://www.catholicharitiescc.org

Community Solutions 408-225-9163
http://www.communitysolutions.org

EMQ Families First 408-379-3796
http://www.emqff.org

Gardner Family Health 408-918-2600
http://www.gardnerfamilyhealth.org

REACH 1-855-2REACHUS
http://www.reach4scc.org

Starlight Community Services 408-284-9000
http://www.starsinc.com/starlight.php

 

Suicide/Crisis

EMQ Family’s First Crisis Hotline 408-379-3796 http://www.emqff.org

Alum Rock Counseling Center Mobile Crisis Unit 408-294-0579 http://www.alumrockcc.org

 

Abuse/Neglect

Child Protective Services (CPS) 408-279-2071http://ag.ca.gov/childabuse/pdf/ss_8572.pdf

 

Grief/Death/Dying

Bill Wilson’s Centre for Living with Dying 408-243-0222 http://www.billwilsoncenter.org

 

Substance Use/Abuse

Asian Americans for Community Involvement 408-975-2730 http://www.aaci.org

Asian American Recovery Services 408-271-3900 http://www.aars.org

Alcoholics Anonymous http://aasanjose.org

Al-anon and Alateen http://www.al-anon.alateen.org

 

LGBTQ

Youth Space 408-343-7940http://youthspace.org

PFLAG (Parents, Families and Friends of Lesbians and Gays) http://www.pflagsanjose.org

 

Legal Advocacy and Support for Youth in Santa Clara County

Legal Advocates for Children and Youth (LACY) 408-293-4790http://www.lawfoundation.org/lacyasp

Victim Witness Assistance Center 408-295-2656http://www.svfaces.org/victim-witness.html

 

Health Insurance

Medi-Cal http://www.medi-cal.ca.gov

Healthy Kids http://www.scfhp.com

Foothill Community Health Centerhttp://www.sjffcc.org

Kaiser Permanentehttps://healthy.kaiserpermanente.org/html/kaiser/index.shtml

Santa Clara Valley Medical Center 408-885-5000 http://www.scvmc.org/Pages/home.aspx

Cardinal Success Center

Stress? Family? Academics? Social? Emotional? Do you need someone to help you, or even just someone to listen? The Cardinal Success Center is here for you.

WELCOME TO THE CARDINAL SUCCESS CENTER!

The Cardinal Success Center (CSC) is a Student Support Service Program.  The CSC is staffed by a School Social Worker or Licensed Clinical Social Worker, Mental Health Interns, Community Based Organizations and work collaboratively with staff at the school site and District office. 

 

MISSION STATEMENT OF STUDENT SUPPORT SERVICES PROGRAMS (SSSP)

 “Increase academic success by providing students and families with educational, personal and social support in a safe learning environment.”

 

WHAT SERVICES DOES THE CARDINAL SUCCESS CENTER PROVIDE?

The CSC Provides a number of free and confidential* services to the school community including:

  • Crisis intervention
  • Mental health counseling services, support, and case management.
  • Building trusting relationships with students, families, and school personnel.
  • Maintaining the confidentiality of student and family.
  • Home visits to understand and address barriers to learning.
  • Family support, linking students and families with school and community resources.
  • Collaborating with all school personnel to assess students’ social/emotional obstacles to academic success.
  • Assisting teachers and administrators in developing plans to help students with academic and behavior problems.
  • Develop/facilitate/coordinate wellness prevention and intervention programs and activities.
  • *Some services may require parental consent

 

Issues that May Prompt a Student Support Center Referral:

  • Mental health 
  • Grief & loss 
  • Suicidal ideation, depression
  • Relationship/dating issues
  • Identity issues
  • Abuse or neglect
  • Health concerns
  • Lack of basic needs/homelessness
  • Pregnancy, teen parent needs
  • Change in academic performance
  • Chronic attendance or tardiness issues
  • Gang affiliations
  • Coping or social skills deficits
  • Facilitation of school-home-community communication
  • Student advocacy
  • Referral, monitoring, collaboration to and with community agencies
  • Staff support and/or development
  • Substance Abuse

Note: The Cardinal Success Center will keep all information confidential, unless students are in danger, or are putting others in danger.

 

EMERGENCY SERVICES

Emergency Shelter/Food/Clothing for Youth and Families

Bill Wilson Center (Youth & Young Adults) 408-243-0222 http://www.billwilsoncenter.org

EHC Lifebulilders 408-539-2100 http://www.ehclifebuilders.org

Inn Vision 408-292-4286 http://www.innvision.org

Catholic Charities 408-325-5277 http://www.catholicharitiescc.org

Second Harvest Food Bank 1-800-984-3663 http://www.shfb.org

Loaves and Fishes 408-998-1500 http://www.loavesfishes.org/cms/

To Register as Homeless with East Side Union High School District, Contact Rose Ortiz 408-347-5202 ortizr@esuhsd.org

 

Victim of Sexual Assault, Domestic Violence or Crime

YWCA of Silicon Valley

Victim Witness Assistance Center 408-295-2656 http://www.svfaces.org/victim-witness.html

Next Door Solutions to Domestic Violence

Non-Discrimination Statement

East Side Union High School District prohibits discrimination, harassment, intimidation and bullying in educational programs, activities, or employment on the basis of actual or perceived ancestry, age, color, disability, gender, gender identity, gender expression, nationality, race or ethnicity, religion, sex, sexual orientation, parental, pregnancy, family or marital status, or association with a person or a group with one or more of these actual or perceived characteristics. East Side Union High School District requires that school personnel take immediate steps to intervene when safe to do so when he or she witnesses an act of discrimination, harassment, intimidation, or bullying.

Questions or complaints of alleged discrimination, harassment, intimidation and bullying or title IX equity and compliance concerns should be directed to the Office of the Associate Superintendent of Instructional Services at (408) 347- 5061 or 830 N. Capitol Ave, San Jose, Ca 95133.


Declaración Contra la Discriminación

El Distrito Escolar Unificado de Preparatoria East Side prohíbe la discriminación, el acoso, la intimidación y el abuso en los programas educativos, las actividades o el empleo por causas de ascendencia real o percibida, edad, color de la piel, discapacidad, género, identidad de género o expresión de género, nacionalidad, raza u origen étnico, religión, sexo, orientación sexual, estado de paternidad, embarazo o estado familiar o civil o asociación con una persona o grupo de personas con una o más de estas características reales o percibidas. El Distrito Escolar Unificado de Preparatoria East Side requiere que el personal escolar tome los pasos necesarios inmediatamente para intervenir cuando sea seguro hacerlo en caso de ser testigos de un acto de discriminación, acoso, intimidación o abuso.

Las preguntas o quejas de acusaciones de discriminación, acoso, intimidación y abuso o las preocupaciones sobre la igualdad y el cumplimiento de la ley con relación al artículo IX del Código de Educación deben ser dirigidas a la Oficina del Asistente del Superintendente para los Servicios de Enseñanza al (408) 347-5061 o a la siguiente dirección: 830 N. Capitol Ave, San José, Ca 95133.


Tuyên Bố Không Phân Biệt Đối Xử
(Non-Discrimination Statement)

Học Khu Trung Học East Side nghiêm cấm mọi hành vị kỳ thị, quấy nhiễu, hăm dọa và bắt nạt trong các chương trình giáo dục, các hoạt động hoặc trong công việc không được đặc trên cơ sở về tổ tiên, chủng tộc hoặc sắc tộc, tôn giáo, giới tính, khuynh hướng tình dục, cha mẹ, người mang thai, gia đình, hoặc tình trạng hôn nhân, hoặc liên hệ với một người hoặc một nhóm với nhiều điểm thực tế hoặc đặc điểm về nhận thức. Học Khu Trung Học East Side đòi hỏi nhân viên nhà trường phải tiến hành ngay các biện pháp can thiệp một cách an toàn khi họ chứng kiến các hành vi kỳ thị, quấu rối, hăm dọa hoặc bắt nạt.

Nếu có các câu hỏi hoặc khiếu nạo về sự phân biệt đối xử, sách nhiễu, hăm dọa và bắt nạt hoặc liên quan đến Title IX sự công bằng và tuân thủ các điều này xin qúy vị liên lạc với Văn phòng Phó Tổng Giám Đốc Đặc Trách Giáo Dục tại số điện thoại (408) 347-5061 hoặc địa chỉ 830 N. Capitol Ave, San Jose, CA 95133.