Which professionals may perform the examination when there are four triggered reviews within 90 days?

• A. Licensed psychiatrist, psychologist, clinical social worker, professional counselor, or marriage and family therapist
• B. Registered nurse
• C. General practitioner
• D. School counselor only

Answer: (A)

When multiple triggers accumulate within a short period, the required examination must be carried out by a licensed mental health professional who has authority to diagnose and assess mental health conditions. The professionals who fit this role are licensed psychiatrists, psychologists, clinical social workers, professional counselors, or licensed marriage and family therapists. They have the formal training and licensure to perform comprehensive mental health evaluations and provide expert opinions that inform safety and suitability decisions in child placement contexts.

Other roles like a registered nurse, a general practitioner, or a school counselor don’t meet the specific regulatory requirement for this examination. They may handle general health concerns or provide supportive services, but the regulation specifies a licensed mental health professional with the appropriate scope of practice to conduct and certify the examination.