1 Start 2 Complete Welcome to the School Case Submission Form for ECHO Idaho's K12 Upstream Prevention & Youth Well-being series.Instructions:Please complete this form to share a school-level issue or area of focus your team would like to explore during the ECHO series. These “cases” will guide peer-to-peer learning, resource sharing, and expert support. School Name: * District/Charter Network (if applicable): Grade Levels Served: * Approximate Enrollment: * General Location (town/city and region of Idaho): * Please do not include any identifiable student information, Personally Identifiable Information (PII), or Protected Health Information (PHI) or information protected by The Family Educational Rights and Privacy Act (FERPA). If you have any questions regarding this form, please contact [email protected]. * Click here to acknowledge. What category best represents the core challenge you're facing? (Select one or more -- you may elaborate below if needed): Student connection and belonging Staff well-being or internal collaboration issues Community and/or parent engagement Taking action on Idaho Youth Well-being Survey data Mental and behavioral health systems or gaps Other (please specify): What category best represents the core challenge you're facing? (Select one or more -- you may elaborate below if needed): Other (please specify): What issue or challenge is your school currently facing? Is it based on a specific event, ongoing situation, or observed pattern? What data supports or informs your understanding of this issue? Please include findings from the Idaho Youth Well-being Survey, if available. What steps has your team taken so far to address this issue? Include any programs, policies, partnerships, or informal strategies. Optional: Upload any supporting documents or attachments (PDF, Word, PowerPoint, or images — max 10 MB per file)If you have files (e.g., data, reports, examples) that you feel would help your case presentation, please upload them here. Not required. Attachment 1 Files must be less than 10 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp. Attachment 2 Files must be less than 10 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp. Attachment 3 Files must be less than 10 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp. Thank you for completing ECHO Idaho's K12 Upstream Prevention & Youth Well-being School Case Submission Form. You will receive a copy of your responses in the email you provided and be contacted by ECHO staff about presenting your case in a session or follow-up consultation with a panelist within two business days. FERPA & HIPAA Our discussions must also strictly comply with the Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act (HIPAA). FERPA is a federal law that protects the privacy of student education records. This means that any academic information, such as grades or educational services received, should not be shared without explicit consent from the student or the student's parents if the student is a minor. Meanwhile, HIPAA safeguards patient health information. Under HIPAA rules, it is prohibited to disclose health information that could identify a patient. This includes medical histories, treatment records, or any other health-related information. Discussion Etiquette1. Please use broad terms when discussing a school, district, or community’s challenges, practices, or outcomes. Avoid sharing identifiable details about specific individuals whenever possible.2. Consider using fictitious names or simply refer to the entity as “the school,” “the district,” or “the community” rather than naming specific organizations if not essential.3. Share information only as relevant to the professional development of the group, always keeping the privacy and trust of schools, staff, and communities at the forefront. Our goal here is to learn and grow as professionals, not to investigate or scrutinize sensitive details about specific schools or individuals. The trust in our services depends on our collective commitment to confidentiality and respect. Thank you for upholding these crucial standards. Leave this field blank
