Behavioral Evaluation Threat Assessment Referral Form

Individuals wishing to contact the BETA team should call (217) 875-7211 and ask to speak with any of the individuals listed as members. The BETA team will make every effort to respond to those requesting assistance in a timely manner. Additionally, we strongly encourage you to complete the Behavioral Evaluation Threat Assessment Form at the bottom of this page.

Behavioral Evaluation Threat Assessment Team Members

Members of the Behavioral Evaluation Threat Assessment Team meet regularly, as well as in response to requests for assistance. Depending on the particular situation, other representatives (e.g. outside mental health professionals, legal counsel) may be asked to join the Team on an ad hoc basis. In addition, the Vice-President of Finance and Administration is available to consult with the team as necessary. The team also consists of two licensed social workers from Heritage Behavioral Health Center and one representative from the ÃÈÃÃÊÓƵ Student Senate.

Dr. Isaac Zuniga
Vice President of Student Success
(217) 875-7211, ext. 6253
izuniga@richland.edu

Brooke Oliver
Full-time Faculty
(217) 875-7211, ext. 6756
boliver@richland.edu

Behavioral Evaluation and Threat Assessment Referral Form

Send a concerned persons report by completing the form below.

  • Identify the Person ÃÈÃÃÊÓƵ Whom You are Concerned

  • Identify Yourself

  • Nature of Report

    Provide as much information as you can.
  • Date Format: MM slash DD slash YYYY

  • Observations of Appearance or Behavior

    Check all that apply

  • Issues Reported or Issues Know to You

    If a person appears ready to harm themselves or others, please immediately call 911 and report.