Challenge Program
REFERRAL FORM
848 Chestnut St.
Dawson, MN 56232
Phone: 320-769-4684
Email: daytreat@dwby.k12.us
Referrals
Referrals can be made by the student (self-referral), parent, teacher, school administrator, or community worker by contacting a Challenge counselor or by contacting our main office at 320-214-9692.
The Referral process includes
1. A Diagnostic Assessment
- Current within the last six months
- Qualifying the child as having a Severe Emotional Disturbance (SED) or Emotional Disturbance (ED) for CTSS
- Includes Challenge Program Recommendations
2. Complete Challenge Enrollment
- Application for services
- Release of information
- Student information form
The Challenge Program Team Commits itself to:
- Quality, professional care of your child.
- Genuine concern for the well-being and growth of your child.
- Individualized treatment planning for your child’s emotional, behavioral, and academic needs
- The provision of parent sessions for information, education, and support
The Challenge Program provides services for children and adolescents with the following Diagnoses (This is not a complete listing):
- Adjustment Disorder
- Anxiety Disorder
- Attention Deficit Hyperactivity Disorder
- Bipolar Disorder
- Conduct disorder
- Dysthymia
- Major Depression
- Mood Disorder
- Obsessive Compulsive Disorder
- Oppositional Defiant Disorder
- Post-Traumatic Stress Disorder
- Separation Anxiety Disorder
- Schizoaffective Disorder
- Reactive Attachment Disorder
- Other diagnosis identified by a Qualified Mental Health Professional