Free Emotional Wellness Screening Information Connected Community Wellness Screen

During the 2015-2016 school year, every 9th grader in Appleton Area School District will have the opportunity to participate in the Connected Community Wellness Screen (CCWS) program, an emotional wellness check-up.

Information and consent forms for the screening program will be distributed through the 9th grade health class. Please ask your student about this opportunity.

Parents of 7th-12th grade students can access consent forms through the link at the bottom of the page. Screening will occur in the fall and spring semester at each high school. 

What is Connected Community Wellness Screen?

Connected Community Wellness Screen is an emotional wellness screening program for youth, which uses an evidenced based public domain screening tool called the Pediatric Symptom Checklist-Youth Self-Report (PSC-Y), which is also endorsed by the Wisconsin Department of Public Instruction (DPI).  The PSC-Y is a free, confidential and voluntary mental health checkup for teens. Early detection of and intervention in emotional wellness concerns, as well as getting connected with mental health services, can save lives.

How does it work?

First parents provide consent for the screening. Then the teens themselves agree to participate in the two-step screening process: 

  • Teens complete a 10 minute computerized questionnaire exploring vision, hearing and dental problems, symptoms of depression and anxiety, suicidal thinking and behavior, attentional problems, disruptive behavior, and use of drugs and alcohol.
  • Teens meet with a member of the Wellness Screen staff to discuss the screening process. When a screen indicates concern, parents are notified and assisted in connecting with a community resource for further evaluation.

For more information, please contact Jen Parsons, Connected Community Wellness Screen Coordinator at (920) 886-9319 ext. 109, or visit their website to view the parent PowerPoint and list of partners.


Consent Form
Frequently Asked Questions Re: Wellness Screening
Free Emotional Wellness Screening Information

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