Referrals – eMend Portal

School Site	Date	ID	Initials	Therapist	Referral Service	Status	Completed	Reason for Close
Meadowbrook Middle School	August 29, 2022	1919356	T. H.	Luz Hernandez	Crisis Intervention (safety/risk assessment and intervention)	In Progress
Meadowbrook Middle School	August 29, 2022	1921032	JF	Luz Hernandez	Youth Engagement Meeting (introduction to Mending Matters as a resource)	Completed Services	August 29, 2022	Referred to Different Resource
Bernardo Heights Middle School	August 29, 2022	1942887	HJA	Ariana Franco	Initial Assessment	In Progress
Rancho Bernardo High School	August 29, 2022	1906025	LF	Marissa Meza	Initial Assessment
Valhalla High School	August 29, 2022	365574	DD	Janelle Lim	MAPS (interpersonal violence program)	In Progress
El Cajon Valley High School	August 29, 2022	348610	CS	Not Assigned	PATH (controlled substance use program)
El Cajon Valley High School	August 29, 2022	369716	MB	Richelle Rojas	MAPS (interpersonal violence program)
El Cajon Valley High School	August 29, 2022	369352	LB	Richelle Rojas	MAPS (interpersonal violence program)
West Hills High School	August 29, 2022	359432	JH	Not Assigned	PATH (controlled substance use program)
El Cajon Valley High School	August 29, 2022	373933	TN	Richelle Rojas	MAPS (interpersonal violence program)
Youth In Transition	August 29, 2022	1926446	KP	Alexandra Orput Souhala	Initial Assessment	In Progress
El Cajon Valley High School	August 29, 2022	373336	AP	Richelle Rojas	MAPS (interpersonal violence program)
Rancho Bernardo High School	August 29, 2022	1910489	JR	Marissa Meza	Initial Assessment
West Hills High School	August 29, 2022	359284	AD	Janelle Lim	PATH (controlled substance use program)	In Progress
El Cajon Valley High School	August 29, 2022	371867	YI	Richelle Rojas	MAPS (interpersonal violence program)
El Cajon Valley High School	August 29, 2022	355973	GK	Janelle Lim	VEP: GPS (virtual respectful relations program)	In Progress
El Cajon Valley High School	August 29, 2022	355594	ss	Janelle Lim	VEP: GPS (virtual respectful relations program)	In Progress
El Cajon Valley High School	August 29, 2022	364822	DG	Janelle Lim	VEP: GPS (virtual respectful relations program)	In Progress
El Cajon Valley High School	August 29, 2022	353755	MA	Janelle Lim	VEP: ATS (online vaping/tobacco program)	In Progress
West Hills High School	August 29, 2022	368533	LD	Not Assigned	PATH (controlled substance use program)
Helix High School	August 29, 2022	10906	MCS	Janelle Lim	VEP: GPS (virtual respectful relations program)
Helix High School	August 29, 2022	11812	RN	Janelle Lim	VEP: GPS (virtual respectful relations program)
Helix High School	August 29, 2022	10906	MDCS	Not Assigned	VEP: GPS (virtual respectful relations program)
Rancho Bernardo High School	August 29, 2022	1906617	RW	Not Assigned	Youth Engagement Meeting (introduction to Mending Matters as a resource)
El Cajon Valley High School	August 29, 2022	360186	YY	Not Assigned	VEP: ATS (online vaping/tobacco program)	In Progress

Poway Unified School District

Meadowbrook Middle School

Student Name:

Student Initials: T. H.

Student Email:

Primary Emergency Contact:
Primary Contact Phone:
Primary Contact Email:
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Moderate Risk

Restorative Program: Crisis Intervention (safety/risk assessment and intervention)

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Counselor
Referring Person: Daniel Vejar
Referring Person Email: dvejar@powayusd.com
Service Type: Mental Health Service
Service Requested: Crisis Intervention (safety/risk assessment and intervention)
Referral Source: Counselor
Grade Level: 8th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: 504
Student’s Insurance Status: Unknown
Priority Level of Referral: High (See within 24 hours)
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Male
Class Periods Available:

7th period

Consent/ROI on File: Given
Assessment Complete? In Progress
Treatment Plan Complete?

Referral Comments:

The student was assessed Friday 8/26 for risk to self. The student is returning to campus on 8/29. The student was evaluated by Kaiser behavioral health clinic and found no immediate concern. Parents would like additional support for students.

Individual Therapy? NA
Group Therapy? NA
Case Management? NA
Interim Care? Yes

Service	Completion	Therapist

Poway Unified School District

Meadowbrook Middle School

Student Name:

Student Initials: JF

Student Email:

Primary Emergency Contact:
Primary Contact Phone:
Primary Contact Email:
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Low Risk

Restorative Program: Youth Engagement Meeting (introduction to Mending Matters as a resource)

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: School Psychologist
Referring Person: Jose Hernandez
Referring Person Email: johernandez@powayusd.com
Service Type: Mental Health Service
Service Requested: Youth Engagement Meeting (introduction to Mending Matters as a resource)
Referral Source: School Psychologist
Grade Level: 8th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: IEP
Student’s Insurance Status: Unknown
Priority Level of Referral: High (See within 24 hours)
Student’s Race/Ethnicity: Hispanic/Latinx, White/Caucasian
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete? Not Applicable
Treatment Plan Complete? Not Applicable

Referral Comments:

Student is currently scheduled for a court date on 9/8/22. She was administratively placed into Meadowbrook in May 22 and does not like being at MBMS. In her most recent IEP meeting on 8/26/22 she protested coming to school, stated she hated MBMS, and that she would rather do distance learning. She has PTSD from her childhood along with other medical diagnoses.

Individual Therapy? NA
Group Therapy? NA
Case Management? NA
Interim Care? No

Service	Completion	Therapist

Poway Unified School District

Bernardo Heights Middle School

Student Name:

Student Initials: HJA

Student Email:

Primary Emergency Contact:
Primary Contact Phone:
Primary Contact Email:
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Low Risk

Restorative Program: Initial Assessment

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Mending Matters Therapist
Referring Person: Ariana Franco
Referring Person Email: afranco@mendingmatters.org
Service Type: Mental Health Service
Service Requested: Initial Assessment
Referral Source: Mending Matters Therapist
Grade Level: 8th
Parent or Guardian Contacted?
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status: Unknown
Priority Level of Referral: Low (When therapist is available)
Student’s Race/Ethnicity: Filipino
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File: Given
Assessment Complete? In Progress
Treatment Plan Complete? In Progress

Referral Comments:

Student messaged the MM therapist through Canvas asking to meet to follow up/resume services from the previous year

“Hi there Miss Ari! Well, since I haven’t used the inbox in a long time I hope I’m talking to the right person, sorry if I’m not. This is message is just to ask you when or if I’ll be able to have a session with you again for mending matters, a lot of things have happened ever since our last visit last school year so there’s plenty of emotional baggage. I hope we’ll be able to see each other again, thank you for reading this message.”

Individual Therapy? Yes
Group Therapy? No
Case Management? No
Interim Care? No

Service	Completion	Therapist

Poway Unified School District

Rancho Bernardo High School

Student Name:

Student Initials: LF

Student Email:

Primary Emergency Contact:
Primary Contact Phone:
Primary Contact Email:
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: Initial Assessment

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Counselor
Referring Person: Joyce Toledo
Referring Person Email: jtoledo@powayusd.com
Service Type: Mental Health Service
Service Requested: Initial Assessment
Referral Source: Counselor
Grade Level: 9th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status: Unknown
Priority Level of Referral: Low (When therapist is available)
Student’s Race/Ethnicity: Asian
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Student has a history of anxiety and is currently on medication for anxiety. He is in the process of getting a 504. Mom is seeking out more support on campus to assist student with his anxiety.

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

Valhalla High School

Student Name: Delaney Dillon

Student Initials: DD

Student Email: 365574@guhsd.net

Primary Emergency Contact: Shani Dillon
Primary Contact Phone: (619)-857-8415
Primary Contact Email: shanidillon27@gmail.com
Secondary Emergency Contact: Patrick Dillon
Secondary Contact Phone: (619)-857-8414
Secondary Contact Email: patrickdillon67@gmail.com

Current Risk Level: Low Risk

Restorative Program: MAPS (interpersonal violence program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Vice Principal
Referring Person: Sandra White
Referring Person Email: swhite@guhsd.net
Service Type: Restorative Service
Service Requested: MAPS (interpersonal violence program)
Referral Source: Vice Principal
Grade Level: 10th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete? Not Applicable
Treatment Plan Complete? Not Applicable

Referral Comments:

The student has been bullied by the other student for several years and stated she had just had enough.

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Cameron Smith

Student Initials: CS

Student Email: 38610@guhsd.net

Primary Emergency Contact: Daryn Smith
Primary Contact Phone: (619)-368-9474
Primary Contact Email: lodo_03@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: PATH (controlled substance use program)

Restorative Program Date: August 25, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: PATH (controlled substance use program)
Referral Source: Other School Staff
Grade Level: 12th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504:
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: McKayla Barrett

Student Initials: MB

Student Email: 369716@guhsd.net

Primary Emergency Contact: Dale Barrett
Primary Contact Phone: (619)-419-9925
Primary Contact Email: 69barrett2020@gmail.com
Secondary Emergency Contact: Lorene Portillo
Secondary Contact Phone: (619)-745-8192
Secondary Contact Email:

Current Risk Level:

Restorative Program: MAPS (interpersonal violence program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: MAPS (interpersonal violence program)
Referral Source: Other School Staff
Grade Level: 9th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504:
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Hispanic/Latinx
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Layna Berni

Student Initials: LB

Student Email: 369352@guhsd.net

Primary Emergency Contact: Nicole Hernderson
Primary Contact Phone: (619)-315-6603
Primary Contact Email: sweetlilnicki2001@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: MAPS (interpersonal violence program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: MAPS (interpersonal violence program)
Referral Source: Other School Staff
Grade Level: 9th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504:
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

West Hills High School

Student Name: Jacob Howard

Student Initials: JH

Student Email: 359432@guhsd.net

Primary Emergency Contact: Beth Howard
Primary Contact Phone: (619)-244-4054
Primary Contact Email: Bhoward13@aol.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: PATH (controlled substance use program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Vice Principal
Referring Person: Sarita Pitones
Referring Person Email: spitones@guhsd.net
Service Type: Restorative Service
Service Requested: PATH (controlled substance use program)
Referral Source: Vice Principal
Grade Level: 11th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: IEP
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Tamehra Nichols

Student Initials: TN

Student Email: 373933@guhsd.net

Primary Emergency Contact: Rachel Walker
Primary Contact Phone: (559)-273-6415
Primary Contact Email: rachelrenee8402@gmail.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: MAPS (interpersonal violence program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: MAPS (interpersonal violence program)
Referral Source: Other School Staff
Grade Level: 9th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Black/African American
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Poway Unified School District

Youth In Transition

Student Name:

Student Initials: KP

Student Email:

Primary Emergency Contact:
Primary Contact Phone:
Primary Contact Email:
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: Initial Assessment

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Alexandra Orput Souhala
Referring Person Email: aorputsouhala@mendingmatters.org
Service Type: Mental Health Service
Service Requested: Initial Assessment
Referral Source: Other School Staff
Grade Level: 12th +
Parent or Guardian Contacted? No
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: IEP
Student’s Insurance Status: Unknown details
Priority Level of Referral: Medium (Within the next week)
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Enrolled with New Directions; stays between boyfriend’s and in car; counselor is Betsy Johnson (ND)

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Adelina Portillo

Student Initials: AP

Student Email: 373336@guhsd.net

Primary Emergency Contact: Lorene Annette Portillo
Primary Contact Phone: (619)-745-8192
Primary Contact Email: MsL_141@outlook.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: MAPS (interpersonal violence program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: MAPS (interpersonal violence program)
Referral Source: Other School Staff
Grade Level: 12th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: IEP
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Hispanic/Latinx
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Poway Unified School District

Rancho Bernardo High School

Student Name:

Student Initials: JR

Student Email:

Primary Emergency Contact:
Primary Contact Phone:
Primary Contact Email:
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: Initial Assessment

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Counselor
Referring Person: Maureen Changnon
Referring Person Email: mchangnon@powayusd.com
Service Type: Mental Health Service
Service Requested: Initial Assessment
Referral Source: Counselor
Grade Level: 10th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status: Unknown
Priority Level of Referral: Medium (Within the next week)
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Student is currently admitted to Rady’s. Parent requested check in upon return to school. This is Natalie’s student FYI. I believe she was a client last year as well.

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

West Hills High School

Student Name: Arielle Dallas

Student Initials: AD

Student Email: 359284@guhsd.net

Primary Emergency Contact: Rebecca Dallas
Primary Contact Phone: (619)-512-7225
Primary Contact Email: beccadallas1978@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Low Risk

Restorative Program: PATH (controlled substance use program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Vice Principal
Referring Person: Sarita Pitones
Referring Person Email: spitones@guhsd.net
Service Type: Restorative Service
Service Requested: PATH (controlled substance use program)
Referral Source: Vice Principal
Grade Level: 11th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Female
Class Periods Available:
Consent/ROI on File:
Assessment Complete? Not Applicable
Treatment Plan Complete? Not Applicable

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Yahkel Israel

Student Initials: YI

Student Email: 371867@GUHSD.NET

Primary Emergency Contact: Zekiyah Israel
Primary Contact Phone: (619)-372-3898
Primary Contact Email: Zekiyahisrael1@gmail.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: MAPS (interpersonal violence program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: MAPS (interpersonal violence program)
Referral Source: Other School Staff
Grade Level: 9th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: IEP
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Black/African American
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Gaith Kamal

Student Initials: GK

Student Email: 355973@GUHSD.NET

Primary Emergency Contact: Maryam Qaisr
Primary Contact Phone: (619)-729-6321
Primary Contact Email: qaisrmaryam@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: VEP: GPS (virtual respectful relations program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: VEP: GPS (virtual respectful relations program)
Referral Source: Other School Staff
Grade Level: 11th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Salim Salim

Student Initials: ss

Student Email: 355594@guhsd.net

Primary Emergency Contact: Nidaa Hasan Elias
Primary Contact Phone: (619)-647-1814
Primary Contact Email: nidaa.elias@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: VEP: GPS (virtual respectful relations program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: VEP: GPS (virtual respectful relations program)
Referral Source: Other School Staff
Grade Level: 11th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Dawel Gomez

Student Initials: DG

Student Email: 364822@GUHSD.NET

Primary Emergency Contact: Sabrina Taylor
Primary Contact Phone: (619)-778-6308
Primary Contact Email: girlego05@gmail.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: VEP: GPS (virtual respectful relations program)

Restorative Program Date: August 30, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: VEP: GPS (virtual respectful relations program)
Referral Source: Other School Staff
Grade Level: 10th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: 504
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Black/African American
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Mahamed Adawe

Student Initials: MA

Student Email: 353755@GUHSD.NET

Primary Emergency Contact: Imane Belhadj
Primary Contact Phone: (619)-310-8168
Primary Contact Email: imanebelhadj38@gmail.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Low Risk

Restorative Program: VEP: ATS (online vaping/tobacco program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Other School Staff
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: VEP: ATS (online vaping/tobacco program)
Referral Source: Other School Staff
Grade Level: 12th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Black/African American
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete? Not Applicable
Treatment Plan Complete? Not Applicable

Referral Comments:

Individual Therapy? NA
Group Therapy? NA
Case Management? NA
Interim Care? NA

Service	Completion	Therapist

Grossmont Union High School District

West Hills High School

Student Name: Laiku Dunlap

Student Initials: LD

Student Email: 368533@guhsd.net

Primary Emergency Contact: Leah Varley
Primary Contact Phone: (702)-757-7154
Primary Contact Email: lhvarley13@gmail.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: PATH (controlled substance use program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Vice Principal
Referring Person: Sarita Pitones
Referring Person Email: spitones@guhsd.net
Service Type: Restorative Service
Service Requested: PATH (controlled substance use program)
Referral Source: Vice Principal
Grade Level: 12th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Asian, Hawaiian Native/Pacific Islander, Hispanic/Latinx, White/Caucasian
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Helix Charter High School

Helix High School

Student Name: Marcial Cardenas Sorensen

Student Initials: MCS

Student Email: 10906@helixcharter.net

Primary Emergency Contact: Rena Cardenas-Sorensen
Primary Contact Phone: (619)-943-0471
Primary Contact Email: rena_sorensen@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Low Risk

Restorative Program: VEP: GPS (virtual respectful relations program)

Restorative Program Date: August 29, 2022

Referral Date: August 29, 2022
Referral Source: Principal
Referring Person: Arica Villegas
Referring Person Email: villegas@helixcharter.net
Service Type: Restorative Service
Service Requested: VEP: GPS (virtual respectful relations program)
Referral Source: Principal
Grade Level: 10th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Moderate (understands most of a conversation)
Student’s IEP / 504: Yes: IEP
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Hispanic/Latinx
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete? Not Applicable
Treatment Plan Complete? Not Applicable

Referral Comments:

MCS engaged in horseplay in the boys’ locker room. MCS slapped the other student on his cheek.

Individual Therapy? NA
Group Therapy? NA
Case Management? NA
Interim Care? NA

Service	Completion	Therapist

Helix Charter High School

Helix High School

Student Name: Roberto Nieves

Student Initials: RN

Student Email: 11812@helixcharter.net

Primary Emergency Contact: Robert Nieves
Primary Contact Phone: (619)-559-0537
Primary Contact Email: robexq@icloud.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Low Risk

Restorative Program: VEP: GPS (virtual respectful relations program)

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Principal
Referring Person: Joan Urich
Referring Person Email: urich@helixcharter.net
Service Type: Restorative Service
Service Requested: VEP: GPS (virtual respectful relations program)
Referral Source: Principal
Grade Level: 9th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: IEP
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Hispanic/Latinx
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete? Not Applicable
Treatment Plan Complete? Not Applicable

Referral Comments:

Verbal altercation with another student.

Individual Therapy? NA
Group Therapy? NA
Case Management? NA
Interim Care? NA

Service	Completion	Therapist

Helix Charter High School

Helix High School

Student Name: Marcial Cardenas Sorenson

Student Initials: MDCS

Student Email: 10906@helixcharter.net

Primary Emergency Contact: Elaine Bremes
Primary Contact Phone: (619)-994-3340
Primary Contact Email: elainerachelle15@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: VEP: GPS (virtual respectful relations program)

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Principal
Referring Person: Sara Brown
Referring Person Email: sbrown@helixcharter.net
Service Type: Restorative Service
Service Requested: VEP: GPS (virtual respectful relations program)
Referral Source: Principal
Grade Level: 10th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: 504
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: Hispanic/Latinx
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Poway Unified School District

Rancho Bernardo High School

Student Name:

Student Initials: RW

Student Email:

Primary Emergency Contact:
Primary Contact Phone:
Primary Contact Email:
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level:

Restorative Program: Youth Engagement Meeting (introduction to Mending Matters as a resource)

Restorative Program Date:

Referral Date: August 29, 2022
Referral Source: Mending Matters Therapist
Referring Person: Liz Bowers
Referring Person Email: ebowers@powayusd.com
Service Type: Mental Health Service
Service Requested: Youth Engagement Meeting (introduction to Mending Matters as a resource)
Referral Source: Mending Matters Therapist
Grade Level: 9th
Parent or Guardian Contacted? No
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: Yes: 504
Student’s Insurance Status: Unknown
Priority Level of Referral: Low (When therapist is available)
Student’s Race/Ethnicity: Hispanic/Latinx
Student’s Gender Identity: Gender Fluid
Class Periods Available:
Consent/ROI on File:
Assessment Complete?
Treatment Plan Complete?

Referral Comments:

This student would like to meet Mending Matters to become familiar with room location and resources available. They use pronouns “she/they”.

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist

Grossmont Union High School District

El Cajon Valley High School

Student Name: Yazin Yousif

Student Initials: YY

Student Email: 360185@GUHSD.NET

Primary Emergency Contact: Samira Toma
Primary Contact Phone: (619)-277-0070
Primary Contact Email: samera_toma@yahoo.com
Secondary Emergency Contact:
Secondary Contact Phone:
Secondary Contact Email:

Current Risk Level: Low Risk

Restorative Program: VEP: ATS (online vaping/tobacco program)

Restorative Program Date: August 30, 2022

Referral Date: August 29, 2022
Referral Source: Youth Self-Referral
Referring Person: Cece Elliott
Referring Person Email: celliott@guhsd.net
Service Type: Restorative Service
Service Requested: VEP: ATS (online vaping/tobacco program)
Referral Source: Youth Self-Referral
Grade Level: 11th
Parent or Guardian Contacted? Yes
Parent or Guardian Preferred Language? English
Student’s English Language Proficiency: Advanced (full comprehension)
Student’s IEP / 504: No
Student’s Insurance Status:
Priority Level of Referral:
Student’s Race/Ethnicity: White/Caucasian
Student’s Gender Identity: Male
Class Periods Available:
Consent/ROI on File:
Assessment Complete? Not Applicable
Treatment Plan Complete? Not Applicable

Referral Comments:

Individual Therapy?
Group Therapy?
Case Management?
Interim Care?

Service	Completion	Therapist