Opta Ocanku Alcohol/Drug Screening Consent Form
Little Wound School through the LWS Opta Ocanku counseling program will be offering Counseling services for Students that may be affected by problems with Trauma, Mental /Behavioral Health Issues that keep them from fully engaging in their education. It is important for you to know the services we provide.
Program Services
Opta Ocanku Counseling Program’s standardized plan of services is to identify, screen, and refer students who are at risk for social, academic, emotional behavioral health or experiencing Substance Use issues and refer them to the appropriate treatment support services. Project staff will conduct initial screenings using the Semi-Structured Interview, Social, Academic, and Emotional Behavior Risk Screener, ACE’s survey, Personality Inventory for Youth, Substance Use screenings /Assessment, Beck Depression, Hopelessness and Anxiety screenings, based on these findings a proper referral will be determined and an individualized counseling plan will be developed, a range of evidence-based, trauma informed and cultural interventions such as cultural mentorship, Lakota Mental Health teachings, inipi, aziliya, cognitive behavioral therapy, internal family systems therapy, equine–assisted therapy, mindfulness/ meditation practices along with evidence based student counseling curriculums, which will be used in individualized counseling, group counseling, outpatient services, treatment planning and continuum of care for students.
We also provide training and education to community members on the signs of substance abuse disorders and distribute information on the effects of substance abuse and on how to refer individuals for substance use disorder.
I also understand that if my child is determined to need services beyond the scope of services provided by LWS Opta Ocanku, that referrals to appropriate agencies will be made.
I also understand that any services may be held during the regular school hours, but will have activities that may require them to ride the activities bus home.
Patient Rights: During your involvement with our program you have the following rights:
- The right to be informed regarding the nature of the treatment planned including benefits expected, risks involved, and participation in the development of the treatment plan.
- The right to refuse treatment
- The right to reserve confidentiality
- The right to be treated with full recognition of your personal dignity, individuality, and need for privacy
- The right to receive services in adequate facilities
- The right to know the qualifications of the staff providing your services.
If you have questions please contact our staff at 605-455-1632.