service of the Kempe Center for the Prevention and Treatment of Child Abuse and
Neglect, START is a Multidisciplinary State
And Regional Team (START) of Expert Consultants. START
provides interdisciplinary case consultation for highly complex, protracted or
difficult child abuse and neglect cases. The consultation team can involve
experts from many disciplines including but not limited to medicine, nursing, behavioral health addiction treatment, law, ethics,
psychology and clinical social work. In Colorado, CDHS has contracted to secure
START Consults at no charge to Colorado counties. See Colorado START brochure. Outside of Colorado,
financial arrangements can be made with the Kempe Center to secure this
service. See our national START brochure.
Who can refer a case?
State and County Departments of Human Services
Law Enforcement Agencies
Legal Professionals (District Attorneys, County Attorneys and Guardians ad Litem)
Instructions to submit START referral:
Before completing the referral form, please
gather the following documents (must be saved as PDF). Information should be organized in the following categories not to
exceed 150 pages total (not including medical records). Please do not send
entire case files.
SACWIS (TRAILS) and other DHS/CPS documents:
E.g. Referrals to child protection, assessment summaries, evaluations, and treatment
plans; family history, occupation of caregiver(s), education, parent
involvement with CPS as a child, psychiatric history, etc. Do not include
reports of contact unless directly relevant to purpose of START consult.
Third party evaluations and assessments
(psychological evaluations, Parent-Child Interactional, IEPs, treatment
Law enforcement reports and criminal history.
Legal status/court involvement. Court reports
and current court orders in both civil and criminal courts.
For medical review, if
Medical records; past and present medical
history, name of physician, pediatrician, specialists consulted, etc.
If applicable: Digitized x-ray films, CAT
Scans, MRIs, lab results and/or other relevant medical information/tests.
Once all documents are gathered and
scanned/saved to your computer, you will be ready to fill-in the START Referral Form.
Once you have submitted your files online you
will get a message confirming your files have uploaded successfully (you may
close your browser at that time). You will also receive an automated
confirmation email from firstname.lastname@example.org
with subject line: Case Last Name Referral within 5-10 minutes of successfully
submitting your files. If you have not received it, please check your junk mail
folder. If you still are unable to upload your materials, do not receive this
confirmation, or need to send information by mail (i.e. medical record discs),
please contact the START Coordinator at KempeSTART@UCDENVER.EDU
Overview of the START Process:
1. Submit START Referral:
- Referring Party accesses START Referral Form to submit referral and pertinent
documents via online HIPPA compliant system.
- We will make sure we understand your referral and that we
have received all pertinent documents and information.
- We may contact you via phone or email to discuss the
referral in more detail.
3. Schedule START Consult:
- The START Coordinator will schedule consultants from
- START Consults are one hour in length.
- Referring party may invite other service providers to the
4. START Consult:
- The START team and referring parties will meet in person, or
by video conference/phone.
- The focus of this consultation is to address the questions
that were submitted in the referral.
5. Post START Consult:
- After consultation, the referring party will receive a
report with recommendations.
- This report will be sent to the referring party only; the
referring party distributes the report at their discretion.