If there are four triggered reviews within a 90-day period, what must occur?

• A. A licensed psychiatrist, psychologist, clinical social worker, professional counselor, or marriage and family therapist must examine the child and make service plan recommendations; you must document these recommendations in the child's record
• B. The child is removed from placement
• C. The school develops a new academic plan
• D. No action is required

Answer: (A)

When four triggered reviews occur within 90 days, a licensed mental health professional must examine the child and make service plan recommendations, and those recommendations must be documented in the child's record. This requirement ensures a formal clinical assessment guides the next steps in the child’s care and that the plan is clearly recorded for accountability and continuity of services. The specified professionals—licensed psychiatrist, psychologist, clinical social worker, professional counselor, or marriage and family therapist—provide the needed clinical expertise to assess needs and propose concrete service actions. The other options don’t align with this escalation: there isn’t an automatic removal from placement or a school-only plan, and taking no action would ignore the escalation signal.