Elementary School Counseling Manual€¦ · The NBOE School Counselor impacts students' academic...
Transcript of Elementary School Counseling Manual€¦ · The NBOE School Counselor impacts students' academic...
Newark Board of Education
Elementary
School Counseling Manual 2019
Shamere Williams
Supervisor of Elementary Guidance, Office of Student Life
Maria Ortiz
Executive Director, Office of Student Life
Roger León
Superintendent
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Table of Contents
Page
I. Introduction
Vision and Mission Statement
School Counselor Overview
School Counselor Goals
3
II. Role of the Professional School Counselor
American School Counselor Association (ASCA) Domains
Direct and Indirect Services
4-6
III. Referral Process
● Overview of the Referral Process
● Referral Process Flow Chart
7-8
III. Diverse Populations
● LGBTQIA, Multicultural Awareness
● Undocumented Students
9-11
IV. Effective Management Strategies for School Counselors 12
V. Public Relations Tips 13
VI. ASCA National Standards 14-19
VII. Social Emotional Learning Competencies 20-21
VIII. Monthly Thematic Calendar
● Calendar Descriptors
22-26
IX. Appendix
● Interventions and PRIM Strategies for Counseling Students
● Resources
● Sign-In Sheets
● School Counselor Referral Forms
● DAP Progress Notes
● Monthly Report
● End of Year Report
● Counseling Consent Form
27-42
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Introduction
The Mission of the Newark Board of Education’s School Counseling Program is to provide
a quantifiable, comprehensive, developmental counseling framework, addressing the individual
academic, career, and personal/social development of all students. We expect all students to be
productive members of the community, thus, the School District Counseling Services program
will identify and help eliminate barriers to learning creating success for all students.
Vision: To transform school culture and climate, promote high scholastic and moral gauges,
impact student achievement and unlock the full potential of students and staff. Creating a
healthy learning environment that is safe, conducive to the learning needs of all, and advances
mental health awareness is our charge.
School Counselor Overview
Consistent with the mission statement of Newark Board of Education and the American School
Counselor Association, we believe that all students will learn and achieve academic excellence.
It is our aim to develop and implement district-wide school counseling programs and activities
which will increase opportunities for college and career access. Through the implementation of
a developmental school counseling framework and use of college and career readiness software,
students engage in career and post-secondary education exploration, increasing awareness and
promoting readiness for students chosen course of study.
The NBOE School Counselor impacts students' academic success, social emotional
development, and post-secondary planning. The goal of the school counseling framework is for
Newark Board of Education’s elementary and secondary School Counselors to benefit from
clearly defined responsibilities and a cohesive structure to provide developmental guidance
through a balanced, progressive program for all students. Moreover, it describes what
constitutes a quality school counseling program and provides equal opportunities and equity for
all students to receive support and counseling in caring, inspiring, and engaging environments
as well as access to college and career programming.
School Counselor Goals:
• To provide all students with opportunities, access, and information on post-secondary
options
• To provide students and parents with scholarship and financial aid information
• To strengthen and expand the guidance skills and knowledge needed to serve our student
population and their parents/guardians through professional development, workshops,
and training sessions
• To infuse social emotional learning and development via elementary and secondary
counseling programs
• To provide effective individual and group counseling sessions
• To utilize district designated software for college, career planning, and goal setting with
students and parents/guardians
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The Role of the Professional School Counselor
School Counselors are certified educators with a minimum of a master’s degree in school
counseling. They are qualified to address all students’ academic, career and social/emotional
developmental needs. Additionally, they work with all educational team members, including:
administrators, teachers, parents, and community partners to ensure the success of students. The
overall mission of a School Counselor is to provide a supportive and safe environment in which
students can unlock their full potential, learn and succeed.
The focus of all School Counselors is based on three domains: Academic, Career and
Personal/Social Development. School Counselors create comprehensive school counseling
programs that focus on student outcomes, teach student social and emotional learning (SEL)
competencies and are delivered with identified professional competencies. Consistent with New
Jersey State regulations, School Counselors are aware of the importance of state and district
initiatives and incorporate these standards when developing their comprehensive school
counseling program.
Domains
Academic development includes acquiring skills, attitudes and knowledge that contribute to effective learning in school; employing strategies to achieve success in school; and
understanding the relationship of academics to the world of work, life at home and in the community. Academic goals support the premise that all students should meet or exceed
the local, state and national goals.
Career development goals guide the school counseling program to provide the foundation
for the acquisition of skills, attitudes and knowledge that enable students to make a successful transition from school to the world of work and from job to job across their
lifespan. Career development goals and competencies ensure that students develop career goals as a result of their participation in a comprehensive plan of career awareness,
exploration and preparation activities.
Personal/social development goals guide the school counseling program to provide the
foundation for personal and social growth as students advance through school and into adulthood. Personal/social development contributes to academic and career success by
helping students understand and respect themselves and others, acquire effective
interpersonal skills, understand safety and survival skills and develop into contributing members of society.
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Direct and Indirect Services
School Counselors provide services to students, parents, school staff and the community in the
following areas:
Direct Services with Students:
The concept of comprehensive school counseling is based on the assumption that there is program
content that all students should learn in a systematic and sequential way. The curriculum typically
consists of student competencies and structured activities presented systematically through
classroom or group activities. Student competencies to be addressed in the content standards are
identified in part through a needs assessment at the building or district level, and generally focus
on skill development in the following areas:
● Self-understanding and interpersonal relations
● Self-direction
● Decision making and problem solving
● Teamwork and cooperation
● Cultural awareness
● Career/post-secondary investigation, options and planning
● Organization and time management
● Communication
● Peer pressure, conflict resolution and peer mediation
The school counseling program supports the development of an individual planning portfolio. It
requires not only the counselor’s ability to develop, organize and implement the framework, but
also the ability to gain the cooperation and support of the entire faculty and staff.
Direct Services include:
Classroom Guidance: School Counselors, in collaboration with teachers, deliver a large group
learning activity or unit in the classroom.
Group Activities: Counselors facilitate group sessions the classroom to respond to students’
identified interests or needs. School Counselors plan and lead structured activities that are designed
to increase the skills and knowledge of student participants.
Lesson Plan/Activities: The school counseling program is a written document with lesson plans
that have identified goals, student competencies, activities for achieving the competencies and a
suggested timeline for implementation by grade level.
Scope and Sequence: The school counseling framework has a scope and sequence, which identifies
what is taught at each grade level.
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Direct Services of Appropriate Activities for School Counselors:
Individual student academic program planning
Interpreting cognitive, aptitude and achievement test
Providing counseling to students who are tardy or absent
Providing counseling to students who have disciplinary problems
Providing counseling to students as to appropriate school uniform
Collaborating with staff and faculty to present school counseling objectives
Analyzing grade-point averages in relationship to achievement
Interpreting student records
Providing teachers with suggestions for effective classroom management
Ensuring student records are maintained as per state and federal regulations
Helping the school principal identify and resolve student issues, needs and problems
Providing individual and small-group counseling services to students
Advocating for students at individual education plan meetings, child study teams and school attendance review boards
Analyzing student performance data
Indirect Services for Students:
Within the school community, School Counselors collaborate; provide leadership and expertise
by engaging in the following activities:
● Develop a plan to communicate school counseling program mission, goals, outcomes,
activities and services to all constituents served by the school counseling program
● Collaborate with teachers, administrators, and parents regarding student needs
● Provide professional development and information to faculty and staff on student related
issues, partner with administrators and teachers to remove barriers to academic success,
develop strategies to enable students to achieve academic success, and to close the
achievement gap
● Conduct parent education programs in collaboration with community engagement
specialists
● Participate in and contribute to building and district-wide leadership teams on school improvement, strategic plans, school culture, and climate planning
● Collect, analyze and use data to show how the school counseling program contributes to
student success and makes improvements to programming
● Assist teachers with developing and implementing Social Emotional Learning
competencies in the classroom
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Referral Process
Overview of the Referral Process
A referral is made to the School Counselor (SC) when a concern for a student is present.
Referrals may include self-referral by students encountering an issue, concerned friends/peers,
parent(s)/guardian(s), teachers, administration, and additionally other school support staff. Crisis
interventions are required in circumstances that warrant immediate attention, (e.g., peer worry
about the individual security/safety of another student, passing of a pet or relative, physical as
well as sexual maltreatment). The SC may determine that other resources would be appropriate,
including referral to other staff within the educational system, for example, the school principal,
school nurse, or student support team members. An outside referral may be fundamental when
an issue introduced is beyond the scope of practice, training, or potentially mastery of school
district personal. In the case of suspected child abuse or neglect, the SC has a legal mandate to
report through a hotline call (Division of Child Protection & Permanency-D.C.P& P.)
Steps in the Referral Process (See Referral Process Flow Chart)
STEP 1. Concern for student arises
STEP 2. Student is referred to SC/concern is identified on referral form(s). (Student Self-
Referral Form, Parent/Guardian Referral Form, Faculty/Staff Referral Form, Information about
Counseling, Informed Consent Form)
STEP 3. Once a concern is identified, the SC uses objective and subjective data to assess the
situation and determine the level and type of intervention to be taken on the student’s behalf.
(Student Behavior Data Collection)
Possible Interventions:
1. SC In-School Interventions 2. SC Referral to In-School Resource(s) 3. SC Referral to
Community Resource(s)* (Consent for Release of Information Form)
STEP 4. Interventions are implemented and the student’s progress is monitored. The
student’s response to the intervention will be reassessed and the intervention plan modified as
needed.
STEP 5. To follow up with the referring individual, the SC maintains contact with the
referring individual. Throughout this process the SC observes the guidelines of confidentiality
(see ASCA Ethical Standards) as well as family privacy as mandated by the Family Educational
Rights and Privacy Act (FERPA1, FERPA2). Consult local school board policies regarding
student confidentiality (ethical) and family privacy (legal) as well as procedures to follow for a
referral to a community agency.
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Counselor assesses concern by collecting/reviewing data
Level and type of intervention are determined
Referral made to School Counselor by:
Self (Student)
Parent/Guardian
Teacher - Teacher/Staff Referral Form
Administrator
School Nurse
Peer
Outside Agency
Other
Reminder: SCs maintains logs and DAP progress notes as evidence of supports provided to student(s) and parent(s)
Concern for Student
Concern is identified on Referral Form(s)
COUNSELOR IN-SCHOOL
INTERVENTIONS
• At-Risk Student Goal Setting
• Emergency Intervention
• Consultation/Collaboration
with Student,
Parents/Guardians, and/or
Teachers/Other School Personnel
• Implementation of home/classroom
intervention strategies
• Individual Counseling
• Small Group Counseling
COUNSELOR REFERRAL TO
IN-SCHOOL RESOURCE(S):
• Administrator
• School Nurse
• Special Services
• School Social Worker
• Peer Mediation
COUNSELOR REFERRAL TO
COMMUNITY RESOURCES
• Mandated Reporting/Hotline
• Outside Counseling (e.g.,
Community Counseling
Services)
• Division of Children’s Services
• Juvenile Office
• Other Community Services
(e.g., Food Pantry, Homeless
Shelter, Church Outreach)
Implement intervention, monitor student’s response to the intervention,
periodically re-assess as needed
Follow-up with the referring individual within the guidelines of confidentiality
(ASCA Ethical Standards, FERPA1, FERPA2)
ELEMENTARY SCHOOL COUNSELOR REFERRAL PROCESS FLOW
CHART
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Diverse Populations
Newark Board of Education is a diverse community of students from various backgrounds.
Given increases in racial and socioeconomic diversity in schools, School Counselors are trained
and positioned to lead courageous conversations and interventions that reduce prejudice and
educate students about diverse populations including Lesbian, Gay, Bisexual, Transsexual,
Questioning, Intersex, Asexual, (LGBTQIA) and multicultural populations.
School Counselors play a vital role in creating a safe, inclusive and welcoming school climate
for all students. They seek to promote LGBTQIA and multicultural awareness amongst its
students and staff.
LGBTQIA Multicultural
Foundations Increase school connectedness,
feelings of safety, personal well-
being, academic achievement,
attendance rate, college/career
readiness and graduation rate for
LGBTQIA students; decrease
incidents of bullying, harassment
homophobia on school campus.
Increase school connectedness, feelings
of safety, personal well-being, academic
achievement, attendance rate,
college/career readiness and graduation
rate for multicultural students; decrease
incidents of bullying, harassment on
school campus.
Management Monitoring academic performance
and attendance rates.
Monitoring academic performance and
attendance rates.
Delivery Provide indirect student services to
promote student achievement and
systemic change.
Provide indirect student services to
promote student achievement and
systemic change.
Accountability To ensure that the program is
meeting the needs of the population.
To ensure that the program is meeting
the needs of the population.
Resources Hetrick-Martin Institute
(973) 722-5488
City of Newark Hotline
(973) 733-6400
Shani Baraka Women’s Resource
Center
(973) 733-7538
Covenant House
(973) 621-8705
www.glaad.org
www.itgetsbetter.org
www.glsen.org
wwww.teachhub.com/multicultural-
education-your-classroom
www.hmi.org
NBOE Homeless Unit
(973) 424-4445
Human Trafficking
(855) 363-6548
www.nj.gov/oag/dcj/humantrafficking/
www.scholastic.com
www.diversitycouncil.org
www.nea.org
www.eds-resources.com
www.ed.gov/about/overview/focus/
supporting-undocumented-youth.pdf
LGBTQIA as defined by The Regents of the University of California, Davis Campus:
Lesbian, Gay, Bisexual, Transsexual, Questioning, Intersex, Asexual
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Educational Resources for Undocumented Students
What is an Undocumented Student?
An undocumented student is a foreign national who: (1) entered the United States without inspection
or with fraudulent documents; or (2) entered legally as a non-immigrant but then violated the terms
of his or her status and remained in the United States without authorization (as defined by the
National Immigration Law Center).
Most college-bound undocumented students:
● have lived in the United States most of their lives
● been brought to the U.S. by their parents at a young age
● learned English and think of themselves as American
● attended elementary, middle, and high school in this country
● excelled academically in high school and want to pursue a college education
● currently lack a way to become legal residents or citizens in the U.S.
undocuJersey
The mission of undocuJersey is to provide educational resources for undocumented students and
documented students with undocumented parents in their pursuit for higher education. For more
information on upcoming events, resources, and timely scholarships visit
www.facebook.com/undocujersey
New Jersey Tuition Equity Act
For information about qualifying for in-state tuition under the Tuition Equality Act, also known
as the New Jersey Dream Act, current students should contact the Bursar or Financial Aid Office
at their higher education institutions. Students applying for admission should consult their
Admissions Office. Visit: http://www.state.nj.us/highereducation/TuitionEqualityAct.shtml
My (Un)documented Life
Visit this website for information on applying to college, graduate school, funding and advice
from other undocumented students and many other great resources to help make your path
towards higher education easier. Visit: https://mydocumentedlife.org/
Educators for Fair Consideration
Founded in 2006, Educators for Fair Consideration (E4FC) empowers undocumented young
people to achieve educational and career goals through personal, institutional and policy
transformation. We envision an America where all young people can pursue and complete an
education with confidence and without constraint. We are a fiscally-sponsored project of
Community Initiatives. Visit: http://www.e4fc.org/
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TheDream.US
Rutgers University- Newark and Essex County College are pleased to announce an important
partnership with The Dream.US, a scholarship fund for DREAMers across the nation.
Scholarships of up to $25,000 students starting at Essex County College and students transferring
with an associate’s degree into Rutgers University- Newark. The scholarship will cover tuition,
fees, books, supplies, and transportation expenses for students who would otherwise be unable to
attend college. Potential applicants must have DACA (Deferred Action for Childhood Arrivals)
or TPS (Temporary Protected Status) approval and meet other academic and financial
qualifications. For more information: http://www.thedream.us/
Pre-Health Dreamers (PHD)
PHD’s mission is to support undocumented pre-health students through serving as a community
of students and allies offering peer support and professional development. For more information:
http://www.phdreamers.org/
RU-N Talent and Opportunity Pathways Financial Aid Program
The Rutgers University Newark Talent and Opportunity Pathways program or RU-N to the Top
is a financial aid program that provides a “last dollar” scholarship, meaning that this scholarship
will cover the cost of in-state tuition. This opportunity is open to undocumented students. To
qualify, your family annual income must not exceed $60,000 and must either be a Newark
resident or a NJ Community College transfer student who has already attained an associate
degree. For more information: http://admissions.newark.rutgers.edu/ru-n-talent-and-opportunity-
pathways-financial-aid-program
Legal Service Providers
For a list of pro bono legal service providers in New Jersey. For more information:
https://www.justice.gov/eoir/file/ProBonoNJ/download
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Top 10 Effective Management Strategies for School Counselors
1. Organize your calendar at the beginning of the school year, which includes: dates of
activities, reports and deadlines.
2. Establish goals and objectives that are aligned with the school’s vision.
3. Establish a weekly schedule of activities in advance; be sure that it includes your daily
objectives and time, not just random activities.
4. Establish a record-keeping/data collection system that works for you. Examples: Google
Documents (surveys, forms), Microsoft Word, Microsoft Excel, physical files. Data to be
collected can include but is not limited to: student and parent contact, classroom visits,
meetings, DCP&P collaterals, community agency referrals, etc.
5. Your office should reflect a positive and welcoming environment with career resources
for students, staff and parents.
6. Schedule appointments with students, staff/faculty, parents and community stakeholders.
7. Establish a positive rapport with team members and ask for help when needed.
8. Planning is the key to effective management of time.
9. Clarify your objectives, prioritize your most important activities and make better use of
your time.
10. Learn to relax. As a member of a helping profession, it is critical that you take time for
YOU.
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Public Relations Tips for Counselors
1. Consult regularly with school leaders and school community to keep them abreast and
informed of your professional practices.
2. At the beginning of the year, inform students and teachers of the procedures for students’
contact with the School Counselor and visiting the guidance office.
3. Quickly allow counselees to become familiar with you via student orientations,
convocations and/or grade level meetings.
4. Meet with students on a regular basis to conduct classroom, individual and group
guidance sessions.
5. Disseminate necessary information to students and parents within 72 hours.
6. Establish rapport with all instructional and non-instructional staff to collaborate on
school-wide guidance programs.
7. Join professional organizations and stay abreast of current research.
8. Provide timely documentation and information to organizations, as requested.
9. Remember to smile - Public Relations is YOUR SPECIALTY!
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American School Counselor Association
National Standards for Students
ASCA National Standards were established to help School Counselors identify and prioritize the
specific attitudes, knowledge and skills students should gain as a result of participating in a
school counseling program. The implementation of the ASCA National Standards help School
Counselors change the way school counseling programs are designed and delivered across the
country. School Counselors are encouraged to utilize the national standards when goal setting
and implementing daily practices.
ASCA National Standards for Students (Competencies and Indicators)
Legend: A:A-1.1 = Academic Domain, Standard A, Competency 1 and Indicator 1
Academic Development
Standard A: Students will acquire the attitudes, knowledge and skills that contribute to
effective learning in school and across the lifespan.
A:A1 Improve Academic Self-concept
A:A1.1 Articulate feelings of competence and confidence as learners
A:A1.2 Display a positive interest in learning
A:A1.3 Take pride in work and achievement
A:A1.4 Accepts mistakes as essential to the learning process
A:A1.5 Identify attitudes and behaviors that lead to successful learning
A:A2 Acquire Skills for Improving Learning
A:A2.1 Apply time-management and task management skills
A:A2.2 Demonstrate how effort and persistence positively affect learning
A:A2.3 Use communication skills to know when and how to ask for help
when needed
A:A3.3 Achieve School Success
A:A3.1 Take responsibility for their actions
A:A3.2 Demonstrate the ability to work independently, as well as the ability
to work cooperatively with other students
A:A3.3 Develop a broad range of interest and abilities
A:A3.4 Demonstrate dependability, productivity and initiative
A:A3.5 Share knowledge
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Standard B: Students will complete school with the academic preparation essential to
choose from a wide range of substantial postsecondary options, including college.
A:B1 Improve Learning
A:B1.1 Demonstrate the motivation to achieve individual potential
A:B1.2 Learn and apply critical-thinking skills
A:B1.3 Apply the study skills necessary for academic success at each level
A:B1.4 Seek information and support from faculty, staff, family and peers
A:B1.5 Organize and apply academic information from a variety of sources
A:B1.6 Use knowledge of learning styles to positively influence school
performance
A:B2 Plan to Achieve Goals
A:B2.1 Establish challenging academic goals in elementary, middle/
junior high and high school
A:B2.2 Use assessment results in educational planning
A:B2.3 Develop and implement annual plan of study to maximize
Academic ability and achievement
A:B2.4 Apply knowledge of aptitudes and interest to goal setting
A:B2.5 Use problem-solving and decision-making skills to assess progress
toward educational goals
A:B2.6 Understand the relationship between classroom performance and
success in school
A:B2.7 Identify post-secondary options consistent with interests, achievement,
aptitude and abilities
STANDARD C: Students will understand the relationship of academics to the world of
work and to life at home and in the community.
A:C1 Relate School to Life Experiences
A:C1.1 Demonstrate the ability to balance school, studies, extracurricular
activities, leisure time and family life
A:C1.2 Seek co-curricular and community experiences to enhance the school
experience
A:C1.3 Understand the relationship between learning and work
A:C1.4 Demonstrate and understanding of the value of lifelong learning as
essential to seeking, obtaining and maintaining life goals
A:C1.5 Understand that school success is the preparation to make the transition
from student to community member
A:C1.6 Understand how school success and academic achievement enhance
future career and vocational opportunities
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Career Development
Standard A: Students will acquire the skills to investigate the world of work in relation to
knowledge of self and to make informed career decisions.
C:A1 Develop Career Awareness
C:A1.1 Develop skills to locate, evaluate and interpret career information
C:A1.2 Learn about the variety of traditional and nontraditional occupations
C:A1.3 Develop an awareness of personal abilities, skills, interest and motivations
C:A1.4 Learn how to interact and work cooperatively in teams
C:A1.5 Learn to make decisions
C:A1.6 Learn how to set goals
C:A1.7 Understand the importance of planning
C:A1.8 Pursue and develop competency in areas of interest
C:A1.9 Develop hobbies and vocational interests
C:A1.10 Balance between work and leisure time
C:A2 Develop Employment Readiness
C:A2.1 Acquire employability skills such as working on a team, problem-
Solving and organizational skills
C:A2.2 Apply job readiness skills to seek employment opportunities
C:A2.3 Demonstrate knowledge about the changing workplace
C:A2.4 Learn about the rights and responsibilities of employers and
Employees
C:A2.5 Learn to respect individual uniqueness in the workplace
C:A2.6 Learn how to write a resume
C:A2.7 Develop a positive attitude toward work and learning
C:A2.8 Understand, the importance of responsibility, dependability,
Punctuality, integrity and effort in the workplace
C:A2.9 Utilize time-and task-management skills
Standard B: Students will employ strategies to achieve future career goals with success and
satisfaction.
C:B1 Acquire Career Information
C:B1.1 Apply decision-making skills to career planning, course selection
and career transition
C:B1.2 Identify personal skills, interest and abilities and relate them to
current career choices
C:B1.3 Demonstrate knowledge of the career-planning process
C:B1.4 Know the various ways in which occupations can be classified
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C:B1.5 Use research and information resources to obtain career information
C:B1.6 Learn to use the Internet to access career-planning information
C:B1.7 Describe traditional and nontraditional career choices and how they
relate to career choice
C:B1.8 Understand how changing economic and societal needs influence
Employment trends and future training
C:B2 Identify Career Goals
C:B2.1 Demonstrate awareness of the education and training needed to
Achieve career goals
C:B2.2 Assess and modify their educational plan to support career
C:B2.3 Use employability and job readiness skills in internship,
Mentoring, shadowing and /or other work experience
C:B2.4 Select course work that is related to career interests
C:B2.5 Maintain a career-planning portfolio
Standard C: Students will understand the relationship between personal qualities,
education, training and the world of work.
C:C1 Acquire Knowledge to Achieve Career Goals
C:C1.1 Understand the relationship between educational achievement and
career success
C:C1.2 Explain how work can help to achieve personal success and
Satisfaction
C.C1.3 Identify personal preferences and interests influencing career
choice and success
C.C1.4 Understand that the changing workplace requires lifelong learning
and acquiring new skills
C.C1.5 Describe the effect of work on lifestyle
C.C1.6 Understand the importance of equity and access in career choice
C.C1.7 Understand the work is an important and satisfying means of
Personal expression
C:C2 Apply skills to Achieve Career Goals
C:C21 Demonstrate how interest, abilities and achievement to
Achieving personal, social, educational and career goals
C:C2.2 Learn how to use conflict management skills with peers and adults
C:C2.3 Learn to work cooperatively with others as a team member
C:C2.4 Apply academics and employment readiness skills in work-based
learning situations such as internships, shadowing and/or
mentoring experiences
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Personal/Social
Standard A: Students will acquire the knowledge, attitudes and interpersonal skills to help
them understand and respect self and others.
PS:A1 Acquire Self-knowledge
PS:A1.1 Develop positive attitudes toward self as a unique and worthy person
PS:A1.2 Identify values, attitudes and beliefs
PS:A1.3 Learn the goal-setting process
PS:A1.4 Understand change is part of growth
PS:A1.5 Identify and express feelings
PS:A1.6 Distinguish between appropriate and inappropriate behavior
PS:A1.7 Recognize personal boundaries, rights and privacy needs
PS:A1.8 Understand the need for self-control and how to practice it
PS:A1.9 Demonstrate cooperative behavior in groups
PS:A1.10 Identify personal strengths and assets
PS:A1.11 Identify and discuss changing personal and social roles
PS:A1.12 Identify and recognize changing family roles
PS:A2 Acquire Interpersonal Skills
PS:A2.1 Recognize that everyone has rights and responsibilities
PS:A2.2 Respect alternative points of view
PS:A2.3 Recognize, accept, respect and appreciate individual differences
PS:A2.4 Recognize, accept and appreciate ethnic and cultural diversity
PS:A2.5 Recognize and respect differences in various family configurations
PS:A2.6 Use effective communication skills
PS:A2.7 Know that communication involves speaking, listening and
nonverbal behavior
PS:A2.8 Learn how to make and keep friends
Standard B: Students will make decisions, set goals and take necessary action
to achieve goals.
PS:B1.1 Use decision-making and problem-solving model
PS:B1.2 Understand consequences of decisions and choices
PS:B1.3 Identify alternative solutions to a problem
PS:B1.4 Develop effective coping skills for dealing with problem
PS:B1.5 Demonstrate when, where and how to seek help for solving
Problems and making decisions
PS:B1.6 Know how to apply conflict resolution skills
PS:B1.7 Demonstrate a respect and appreciation for individual and
Cultural differences
PS:B1.8 Know when peer pressure is influencing a decision
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PS:B1.9 Identify long and short-term goals
PS:B1.10 Identify alternative ways of achieving goals
PS:B1.11 Use persistence and perseverance in acquiring knowledge
and skills
PS:B1.12 Develop an action plan to set and achieve realistic goals
Standard C: Students will understand safety and survival skills.
PS:C1.1 Demonstrate knowledge of personal information (i.e.,
telephone number, home address, emergency contact)
PS:C1.2 Learn about the relationship between rules, laws, safety and the
protection of rights of the individual
PS:C1.3 Learn about the differences between appropriate and
inappropriate physical contact
PS:C1.4 Demonstrate the ability to set boundaries, rights and personal
Privacy
PS:C1.5 Differentiate between situations requiring peer support and
situations, requiring adult professional help
PS:C1.6 Identify resource people in the school and community, and
know how to seek their help
PS:C1.7 Apply effective problem-solving and decisions-making skills to
make safe and healthy choices
PS:C1.8 Learn about the emotional and physical dangers of substance
use and abuse
PS:C1.9 Learn how to cope with peer pressure
PS:C1:10 Learn techniques for managing stress and conflict
PS:C1.11 Learn coping skills for managing life events
page 20 |
SOCIAL AND EMOTIONAL LEARNING (SEL) COMPETENCIES
SEL is the process through which children and adults acquire and effectively apply the
knowledge, attitude, and skills necessary to understand and manage emotions, set and achieve
positive goals, feel and show empathy for others, establish and maintain positive relationships,
and make responsible decisions (Casel 2017).
Self-awareness
The ability to accurately recognize one’s own emotions, thoughts, and values and how they
influence behavior. The ability to accurately assess one’s strengths and limitations, with a well-
grounded sense of confidence, optimism, and a “growth mindset.”
Identifying emotions
Accurate self-perception
Recognizing strengths
Self-confidence
Self-efficacy
Self-management
The ability to successfully regulate one’s emotions, thoughts, and behaviors in different
situations - effectively managing stress, controlling impulses, and motivating oneself; The ability
to set and work toward personal and academic goals.
Impulse control
Stress management
Self-discipline
Self-motivation
Goal-setting
Organizational skills
Social awareness
The ability to take the perspective of and empathize with others, including those from diverse
backgrounds and cultures. The ability to understand social and ethical norms for behavior and to
recognize family, school, and community resources and supports.
Perspective-taking
Empathy
Appreciating diversity
Respect for others
Relationship skills
The ability to establish and maintain healthy and rewarding relationships with diverse individuals
and groups. The ability to communicate clearly, listen well, cooperate with others, resist
inappropriate social pressure, negotiate conflict constructively, seek and offer help when needed.
Communication
Social engagement
Relationship-building
Teamwork
Responsible decision-making
The ability to make constructive choices about personal behavior and social interactions based
on ethical standards, safety concerns, and social norms. The realistic evaluation of consequences
of various actions, and a consideration of the well-being of oneself and others.
Identifying problems
Analyzing situations
Solving problems
Evaluating
Reflecting
Ethical responsibility
Casel Core SEL Competencies: https://casel.org/core-competencies/ page 21 |
Suggested Monthly Thematic Calendar This school wide collaborative guide provides a suggested monthly outline to address the academic, social and emotional needs of students.
Month Topics by Grade
K-2 3-5 6-7 8
September Character Education: Friendship,
Caring
Classroom Guidance: Meet the
Counselor, Goal Setting,
Transition/Attendance/Punctuality
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management
Events/Reminders: Back-To-School Night
Character Education: Friendship,
Caring
Classroom Guidance: Meet the
Counselor, Goal Setting,
Transition/Attendance/Punctuality
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management
Events/Reminders: Back-To-School Night
Character Education: Friendship,
Caring
Classroom Guidance: Meet the
Counselor, Goal Setting,
Transition/Attendance/Punctuality
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management
Events/Reminders: Back-To-School Night
Character Education:
Friendship, Caring
Classroom Guidance: Meet the
Counselor, Goal Setting,
Transition/Attendance/Punctuality
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management
Events/Reminders: Back-To-School Night
October
Character Education:
Feelings, Respect/Courage
Classroom Guidance: Anti-
Bullying (HIB), Dealing with
Feelings, Drug/Alcohol
Awareness- Saying “No”
ASCA Domain:
SEL Competency: Self-
Management, Social Awareness,
Responsible Decision-Making
Events/Reminders:
Week of Respect
Violence Awareness Week
Red Ribbon Week
Character Education:
Feelings, Respect/Courage
Classroom Guidance: Anti-
Bullying (HIB), Dealing with
Feelings, Drug/Alcohol
Awareness- Saying “No”
ASCA Domain:
SEL Competency: Self-
Management, Social Awareness,
Responsible Decision-Making
Events/Reminders:
Week of Respect
Violence Awareness Week
Red Ribbon Week
Character Education:
Feelings, Respect/Courage
Classroom Guidance: Anti-
Bullying (HIB), Dealing with
Feelings, Drug/Alcohol
Awareness- Saying “No”
ASCA Domain:
SEL Competency: Self-
Management, Social Awareness,
Responsible Decision-Making
Events/Reminders:
Week of Respect
Violence Awareness Week
Red Ribbon Week
Character Education:
Feelings, Respect/Courage
Classroom Guidance: Anti-
Bullying (HIB), Dealing with
Feelings, Drug/Alcohol
Awareness- Saying “No”
ASCA Domain:
SEL Competency: Self-
Management, Social Awareness,
Responsible Decision-Making
Events/Reminders:
Week of Respect
Violence Awareness Week
Red Ribbon Week
November Character Education:
Honesty/Trustworthiness
Classroom Guidance:
Kindness/Giving, Sharing, Doing
the Right Thing, Asking for Help
ASCA Domain: Personal/Social
SEL Competency: Social-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders:
Conferencing
Character Education:
Honesty/Trustworthiness
Classroom Guidance:
Kindness/Giving, Sharing, Doing
the Right Thing, Asking for Help
ASCA Domain: Personal/Social
SEL Competency: Social-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders:
Conferencing
Character Education:
Honesty/Trustworthiness
Classroom Guidance:
Kindness/Giving, Sharing, Doing
the Right Thing, Asking for Help
ASCA Domain: Personal/Social
SEL Competency: Social-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders:
Conferencing
Character Education:
Honesty/Trustworthiness
Classroom Guidance:
Kindness/Giving, Sharing, Doing
the Right Thing, Asking for Help
ASCA Domain: Personal/Social
SEL Competency: Social-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders:
Conferencing
page 22 |
Month Topics by Grade
K-2 3-5 6-7 8
December Character Education:
Responsibility
Classroom Guidance: Multicultural
Awareness, Healthy Coping Skills,
Intro to Personal Grad Plans
ASCA Domain: College/Career
SEL Competency: Self-
Awareness, Self-Management,
Responsible Decision-Making
Events/Reminders: Newark Enrolls Application
Character Education:
Responsibility
Classroom Guidance: Multicultural
Awareness, Healthy Coping Skills,
Intro to Personal Grad Plans
ASCA Domain: College/Career
SEL Competency: Self-Awareness,
Self-Management, Responsible
Decision-Making
Events/Reminders: Newark Enrolls Application
Character Education:
Responsibility
Classroom Guidance: Multicultural
Awareness, Healthy Coping Skills,
Intro to Personal Grad Plans
ASCA Domain: College/Career
SEL Competency: Self-
Awareness, Self-Management,
Responsible Decision-Making
Events/Reminders: Newark Enrolls Application
Character Education:
Responsibility
Classroom Guidance:
Multicultural Awareness, Healthy
Coping Skills, Intro to Personal
Grad Plans
ASCA Domain: College/Career
SEL Competency: Self-
Awareness, Self-Management,
Responsible Decision-Making
Events/Reminders: Newark Enrolls Application
January Character Education: Achievement,
Conflict Resolution
Classroom Guidance: Academic
SMART Goals, Promotion/Retention
Review, Personal Gradation Plans,
Dealing with Disappointment,
Controlling Anger
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders: MLK Day of Service
Character Education:
Achievement, Conflict Resolution
Classroom Guidance: Academic
SMART Goals, Promotion/Retention
Review, Personal Gradation Plans,
Dealing with Disappointment,
Controlling Anger
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders: MLK Day of Service
Character Education:
Achievement, Conflict Resolution
Classroom Guidance: Academic
SMART Goals, Promotion/Retention
Review, Personal Gradation Plans,
Dealing with Disappointment,
Controlling Anger
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders: MLK Day of Service
Character Education:
Achievement, Conflict Resolution
Classroom Guidance: Academic
SMART Goals, Promotion/Retention
Review, Personal Gradation Plans,
Dealing with Disappointment,
Controlling Anger
ASCA Domain: Academic,
Personal/Social
SEL Competency: Self-
Awareness, Self-Management,
Responsible Decision-Making,
Relationship Skills
Events/Reminders: MLK Day of Service
February
NATIONAL
Character Education:
Cooperation, Fairness,
Personal Values
Classroom Guidance:
Healthy Relationships, Career
Planning, Test Taking Skills
ASCA Domain: Academic,
Career, Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Social-
Awareness, Relationship Skills
Events/Reminders: School Counselor Week
Black History Month
SCHOOL
Character Education:
Cooperation, Fairness,
Personal Values
Classroom Guidance:
Healthy Relationships, Career
Planning, Test Taking Skills
ASCA Domain: Academic,
Career, Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Social-
Awareness, Relationship Skills
Events/Reminders: School Counselor Week
Black History Month
COUNSELING
Character Education:
Cooperation, Fairness,
Personal Values
Classroom Guidance:
Healthy Relationships, Career
Planning, Test Taking Skills
ASCA Domain: Academic,
Career, Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Social-
Awareness, Relationship Skills
Events/Reminders: School Counselor Week
Black History Month
WEEK
Character Education:
Cooperation, Fairness,
Personal Values
Classroom Guidance:
Healthy Relationships, Career
Planning, Test Taking Skills
ASCA Domain: Academic,
Career, Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Social-
Awareness, Relationship Skills
Events/Reminders: School Counselor Week
Black History Month
page 23 |
March Character Education:
Integrity/Perseverance
Classroom Guidance: Friendship,
Social Skills, Active Listening
Skills, Test Taking Skills &
Preparation
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Social-Awareness, Relationship Skills
Events/Reminders:
Women’s History Month
Character Education:
Integrity/Perseverance
Classroom Guidance: Friendship,
Social Skills, Active Listening
Skills, Test Taking Skills &
Preparation
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Social-Awareness, Relationship Skills
Events/Reminders:
Women’s History Month
Character Education:
Integrity/Perseverance
Classroom Guidance: Friendship,
Social Skills, Active Listening
Skills, Test Taking Skills &
Preparation
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Social-Awareness, Relationship Skills
Events/Reminders:
Women’s History Month
Character Education:
Integrity/Perseverance
Classroom Guidance: Friendship,
Social Skills, Active Listening
Skills, Test Taking Skills &
Preparation
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Social-Awareness, Relationship Skills
Events/Reminders:
Women’s History Month
April Character Education: Self-discipline,
Respect & Responsibility
Classroom Guidance: Stress
Management & Growth Mindset
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Responsible
Decision-Making
Events/Reminders:
Newark Enrolls Application Results
Character Education: Self-discipline,
Respect & Responsibility
Classroom Guidance: Stress
Management & Growth Mindset
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Responsible
Decision-Making
Events/Reminders:
Newark Enrolls Application Results
Character Education: Self-discipline,
Respect & Responsibility
Classroom Guidance: Stress
Management & Growth Mindset
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Responsible
Decision-Making
Events/Reminders:
Newark Enrolls Application Results
Character Education: Self-discipline,
Respect & Responsibility
Classroom Guidance: Stress
Management & Growth Mindset
ASCA Domain: Personal/Social
SEL Competency: Self-Awareness,
Self-Management, Responsible
Decision-Making
Events/Reminders:
Newark Enrolls Application Results
May Character Education: Manners,
Citizenship Classroom Guidance:
Personal/Social Skills, College &
Career Readiness, Career
Fair/Activities, Transitions
ASCA Domain: Career/College
SEL Competency: Self-
Management, Social Awareness,
Relationship Skills
Events/Reminders:
Mental Health Month
Children’s Mental Health
Awareness Week
Character Education: Manners,
Citizenship Classroom Guidance:
Personal/Social Skills, College &
Career Readiness, Career
Fair/Activities, Transitions
ASCA Domain: Career/College
SEL Competency: Self-
Management, Social Awareness,
Relationship Skills
Events/Reminders:
Mental Health Month
Children’s Mental Health
Awareness Week
Character Education: Manners,
Citizenship Classroom Guidance:
Personal/Social Skills, College &
Career Readiness, Career
Fair/Activities, Transitions
ASCA Domain: Career/College
SEL Competency: Self-
Management, Social Awareness,
Relationship Skills
Events/Reminders:
Mental Health Month
Children’s Mental Health
Awareness Week
Character Education: Manners,
Citizenship Classroom Guidance:
Personal/Social Skills, College &
Career Readiness, Career
Fair/Activities, Transitions
ASCA Domain: Career/College
SEL Competency: Self-
Management, Social Awareness,
Relationship Skills
Events/Reminders: HS Transitions
Mental Health Month
Children’s Mental Health
Awareness Week
June
Character Education:
Summer Safety
Classroom Guidance: Needs
Assessments and Guidance Posttests,
Academic Readiness, Termination of
Counseling Services
ASCA Domain: Persona/Social
SEL Competency: Self-Awareness, Self-
Management
Events/Reminders: National Hunger
Awareness Month
International Children’s Day
Character Education:
Summer Safety
Classroom Guidance: Needs
Assessments and Guidance Posttests,
Academic Readiness, Termination of
Counseling Services
ASCA Domain: Persona/Social
SEL Competency: Self-Awareness, Self-
Management
Events/Reminders: National Hunger
Awareness Month
International Children’s Day
Character Education:
Summer Safety
Classroom Guidance: Needs
Assessments and Guidance Posttests,
Academic Readiness, Termination of
Counseling Services
ASCA Domain: Persona/Social
SEL Competency: Self-Awareness, Self-
Management
Events/Reminders: National Hunger
Awareness Month
International Children’s Day
Character Education:
Summer Safety
Classroom Guidance: Needs
Assessments and Guidance Posttests,
Academic Readiness, Termination of
Counseling Services
ASCA Domain: Persona/Social
SEL Competency: Self-Awareness, Self-
Management
Events/Reminders: National Hunger
Awareness Month
International Children’s Day
Lesson Plan Resources and interactive lessons: http://www.elementaryschoolcounseling.org/ page 24 |
page 25 |
Monthly Thematic Calendar Descriptors
Anti- Bullying/HIB: Topics that fall under HIB include but are not limited to: cyber bullying,
the impact of social media, teen dating violence and gang violence. Counselors should review
what bullying looks like and address healthy relationships versus unhealthy relationships. HIB
should also include peer to peer as well as student vs. adult contact.
Attendance/Time Management: Time management is a topic which encompasses student
attendance, the timely submission of assignments and taking responsibility for personal habits.
The correlation should be made regarding the impact of timeliness on grades and future success.
Building Healthy Relationships: Building and sustaining healthy relationships is an integral
part of the growth process. This topic should connect students to the concepts of perception vs.
reality. Effective communication leads to the discussions: how to have successful conversations
to create a “win/win situation”, how to create a personal image that attracts people to you,
making contacts and building a personal network of resources.
Career and Work Readiness: This topic is inclusive of the steps it takes to move beyond high
school into the world of college and the workplace. Resume and interview skills will be taught
and reviewed. Appropriate behavior at the workplace will be addressed.
College Planning: This topic is inclusive of the steps it takes to move beyond high school into
the world of college. Topics to be discussed include: college application process, graduation
requirements, scholarships and financial aid.
Conflict Resolution: This topic will teach students to deal with conflict in an appropriate
manner. It will also address anger management techniques. Students will learn how to use “I
statements” to communicate effectively.
Coping with Stress: Reducing stress is paramount to students’ success. When students come to
school with outside stressors as well as educational stressors, we need to provide them with tools
to help alleviate and reduce stress. Tackling issues such as time management and expectations
also coincide with reduction of stress.
Decision-making: Students need to be aware of how small decisions can have a large impact on
their lives. Decisions regarding activities, colleges, careers and even personal relationships can
be addressed.
Preparing for High School Success: This is a topic that should encompass the conversations
about the differences between middle vs. high school, what goals freshmen students expect to
accomplish in high school and what they believe will help them be successful. Counselors will
offer tools to assist them with their SMART goals.
Red Ribbon Week: Red Ribbon week is the oldest and largest drug prevention campaign in the
country. It is usually held the last week in October to address the drug epidemic we are facing.
During the month of October it is suggested that each week counselors cover one of the
following topics: Anti bullying/HIB, Teen Dating Violence, Suicide Prevention and end the
month with Drug and Alcohol Awareness.
page 26 |
Stress Management: This lesson focuses on stress management with an emphasis on techniques
students can use. Students begin by examining ways people cope with stress and distinguish
between positive and negative reactions. They review key coping mechanisms for dealing with
stress and evaluate which ones they have used. Students will learn and practice some specific
stress-management techniques to identify those that would work best for them.
Self-Awareness/ Self-Esteem: The way we feel about ourselves has a huge effect on the way we
treat ourselves and others, and on the kinds of choices we make. Students will engage in
activities that will protect, raise, and reinforce their self-esteem.
Summer Planning: Students review their academic profile and create a plan for the summer.
Students will be informed of summer school classes for credit recovery and/or enrichment.
page 27 |
School Counselor Resources
This section includes recommended templates and forms which can be used to enhance your
practice.
page 28 |
Interventions and PRIM Strategies for Counseling Students
What is PRIM? The Pre-Referral Intervention Manual (PRIM) provides a direct response to
state mandated pre-referral intervention activities. It may be used by educators to develop a
comprehensive plan of intervention strategies for a student. It is recommended that the PRIM be
included in each school's professional library and made available to principals, special needs and
general education educators, as well as School Counselors involved in pre-referral activities.
Generally, these techniques have been proven effective when working with students who exhibit
at-risk behaviors.
Examples of Student
Behaviors
Sample Intervention Strategies
Academic
Deficiencies
● Does not perform or
complete classroom
assignments during
class time
● Does not perform
academically at his/her
ability level
● Evaluate the appropriateness of the task to
determine:
(a) if the task is too difficult,
(b) if the length of time scheduled for the task
is appropriate
● Supervise the student during class assignments
in order to maintain on-task behavior
● Deliver reinforcement for any and all measures of improvement
● Refer to Intervention and Referral Services
(I&RS team)
Interpersonal
Behaviors
● Fights with other
students
● Agitates and provokes
peers to a level of
verbal or physical
assault
● Is easily angered
annoyed or upset
● Teach student problem-solving skills: (a) identify the problem,
(b) identify goals and objectives,
(c) develop strategies,
(d) develop a plan of action, and
(e) carry out the plan
● Do not force the student to interact with others
● Teach the student alternative ways to deal with
situations which frustrate, anger, etc. him/her
● Follow up with student
● Refer to school Social Worker
Alcohol,
Tobacco, and
other Drug
Abuse
● If a student appears to
be under the influence
while at school
● Provide a drug information program for the
individual, the class, and the building
● Maintain anecdotal records of the student’s
behavior to check patterns in behavior
● Refer student to the school nurse for further evaluation
● Follow district and school protocol
page 29 |
Lack of
Motivation/
Suppressed
Mood
● Demonstrates self-
destructive behavior
● Is tired, listless,
apathetic, unmotivated,
and not interested in
school
● Teach the student appropriate ways to deal
with anxiety, frustration, and anger
● Investigate the possibility of the student being
involved in the use of drugs or alcohol
● Refer student to Social Worker for further
evaluation and counseling
Harassment,
Intimidation,
and Bullying
● Suddenly failing grades
● Unexplained injuries
● Student becomes
aggressive or
disruptive
● Feeling sad, moody,
anxious, depressed,
withdrawn, and
helpless
● Frequent health
complaints- headaches,
stomachaches
● Encourage reporting as needed, document and
get support
● Pursue interests and activities to build more
positive friendships
● Develop strategies and skills for handling
bullying
● Continue to check in/monitor the student
● Refer to school harassment, intimidation, and
bullying (HIB) specialist
Suicide and
Traumatic Loss
● Threatens to hurt
herself/himself or
commit suicide
● Grieving the loss of a
parent or friend
● Refer to Social Worker or nurse
● Call the Crisis line (if needed)
● Grief Counseling
● Document follow up
● Monitor and support accordingly
Chronic
Absenteeism/
Tardiness
● Is excessively
absent/tardy
● Communicate with parents, agencies, or
appropriate parties in order to inform them of
the problem, determine the cause of the
problem, and consider possible solutions to the
problem
● Make certain the student and parents are aware
of the laws involving attendance in school
● Place student on a daily form to monitor
attendance
● Refer to the Attendance Court Representative
● Refer to school attendance committee
page 30 |
Resources
1. McCarney, Stephen B. and Wunderlich, Kathy Cummins. Pre-Referral
Intervention Manual (PRIM). Hawthorne, 2014.
2. Division of Child Protection & Permanency (DCP&P), (877) NJABUSE 877-652-2873
3. Family Crisis Intervention Unit, (973) 228-3000
4. Keeping Our Kids Safe, Healthy & In School-HIB,
https://www.state.nj.us/education/students/safety/behavior/hib
5. Newark Renaissance House, Inc.- Toll Free, (800) 474-3121
6. Newark Public Schools, (973) 733-7333, www.nps.k12.nj.us
7. New Jersey Perform Care, (877) 652-7624, http://www.performcarenj.org/index.aspx
8. New Jersey Suicide Prevention Hopeline, (855) 654-6735, www.njhopeline.com
9. 2ND Floor Text/Call Helpline, (888) 222-2228, www.2ndfloor.org
10. Psychiatric Emergency Screening Services, (973) 972-3637
11. Traumatic Loss Coalition, (973) 239-5382, https://ubhc.rutgers.edu/education/trauma-loss-
coalition/overview.xml
12. Undocumented Educational Resources, http://deanofstudents.rutgers.edu/wp-
content/uploads/sites/56/2017/01/Educational- Resources.pdf
page 31 |
Monthly Parent/Guardian Sign-In Sheet
School Name:
School Counselor(s): Month: _________________
Date Parent/Guardian’s Name
(Please Print)
Student’s Name/Grade
(Please Print)
Parent Email
Address
Phone
Number
Reason
page 32 |
Monthly Agency Contact Log
School Name:
School Counselor(s):_________________________________ ____ ______ Month:_______________________________________
Date Name/Agency Contact Number Reason
page 33 |
School Name Monthly Student Sign-In
School Counselor(s): ___________________________ Month: _________________________
Date Student’s Name (Please Print) Grade Reason
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
page
33 |
“School Name” Group Sign-In
School Counselor(s): Date:
Topic:
Student’s Name
(Please Print)
Student’s Name
(Please Print)
1. 26.
2. 27.
3. 28.
4. 29.
5. 30.
6. 31.
7. 32.
8. 33.
9. 34.
10. 35.
11. 36.
12. 37.
13. 38.
14. 39.
15. 40.
16. 41.
17. 42.
18. 43.
19. 44.
20. 45.
21. 46.
22. 47.
23. 48.
24. 49.
25. 50.
page
33 |
“School’s Name” Elementary School School Counselor Student Self-Referral Form
Dear School Counselor,
My name is __________________________________. I am in grade _________________.
My teacher is _________________________________. My classroom number is ________.
I need to talk with you about:
o URGENT!!! Something private right away!!!
o The death of a person or a pet I love
o A friend I am worried about
o My angry feelings
o How to get along better with friends/peers
o How to get along better with adults (parents/teachers)
o How to get along better with brothers and sisters
o How others are treating me
o Feeling better about myself
o Saying “NO!” and “STOP IT” when people want me to do things I don’t want to do
o My grades and schoolwork
o Planning now for the future
o Something else
Other comments: ____________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Signed _______________________________________________Date __________________
Return this form to the School Counseling Office. I will contact you as soon as possible. If you
have indicated this is URGENT!! Return the form to a person in the guidance and counseling
office or your classroom teacher.
page
33 |
page
33 |
“School’s Name” Elementary School Parent/Guardian Referral Form
A School Counselor is available for students, parents, faculty and staff by appointment. Please
call (________________), stop by the counseling office, or e-mail (__________________) to
schedule an appointment.
I am requesting that the School Counselor talk with my child:
___ Urgent—today! ___ As soon as possible ___ After the school counselor and I talk
Student’s Name ________________________________________ Grade _________________
Classroom/Homeroom Teacher __________________________
Your Name ______________________________Relationship to Student __________________
Phone ________________________Best times to reach me _____________________________
Your Signature_______________________________________ Date _____________________
My child’s strengths include:
___________________________________________________________________________
My primary concern(s) (Check all that apply):
o Something’s wrong but I don’t know what
o A loss (e.g. death of a person or pet, loss of a friendship, parents’ divorce)
o Anger
o Perfectionism
o Relationships with friends/peers
o Relationships with adults (parents/teachers)
o Relationships with brothers/sisters
o How my child is treated by others
o Feelings of negativity, discouragement, self-doubt
o Unhealthy or unsafe choices
o Study skills, grades and schoolwork
o Post-secondary options/Planning now for future
Other Concern(s)________________________________________________________________
Additional information regarding concern(s)__________________________________________
______________________________________________________________________________
Return this form to the school counselor’s. I will contact you as soon as possible
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Individual Counseling Session: DAP Progress Note
Counselor: Social Worker: Support Staff:
Student Name: ID#: Grade:
Date: School/Location:
Session Number:
Topic of Session: Time in Session:
Mental Status Exam (MSE)
Orientation time person place situation
Appearance well-groomed unkept dirty
disheveled malodorous other__________
Affect appropriate inappropriate tearful
flat other__________
Observed Behavior calm cooperative
guarded demanding threatening hostile
Speech normal loud pressured
rapid flight of ideas other__________
Mood anxious depressed irritable
elevated
other__________
Eye Contact good fair poor
minimal intermittent other_________
Thought Process logical goal-directed racing
paranoid disorganized other__________
Memory intact impaired other________
Concentration good fair poor
other_____
Insight/Judgement good fair poor
other______
Hallucinations denied auditory visual
Suicidal Ideation none passive active
If active: yes no comment(s)
plan
intent
means
*If yes to above, contact Crisis
Homicidal Ideation none passive active
If active: yes no comment(s)
plan
intent
means
*If yes to above, contact Crisis
DATA:
Subjective data about the student- what are the student’s observations, thoughts, direct quotes?
Objective data- what does the counselor observe during the session (affect, mood, appearance)?
What was the general content and process of the session?
Was homework reviewed (if any)?
ASSESSMENT:
What is the counselor’s understanding about the problem?
What are the counselor’s working hypotheses?
What are the results of any testing, screening, assessments?
What is the student’s current response to the treatment plan?
PLAN:
Based on student’s response to the treatment plan, what needs revision?
What goals, objectives were addressed this session?
What is the counselor going to do next?
When is the next session date?
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Group Counseling: DAP Progress Note
Counselor: Social Worker: Support Staff:
Group Type: Group Purpose: Number of Group Members:
Date: Time: School/Location:
Session Number:
Time in Session:
Age/Grade of Group Members:
Brief Overview of Session:
What content was covered during session?
What interventions were used?
What resources were provided to group members?
DESCRIPTION of Session: What happened in group? (subjective/objective)
What did group members report/say?
What are your observations of members’ behavior, appearance, mood (AEB)?
What did facilitator do/say or how did facilitator interact with members?
How did session conclude? (capture actions: members and facilitator)
ASSESSMENT of Session: Analysis and conclusion of the situation based on subjective
and objective data. This is the facilitator’s clinical judgment of what has been said and/or
done based upon what was seen or heard. What does the data mean, suggest or give evidence
of? (Why did it happen?).
What is the engagement/participation level of group members (AEB)?
What are the expressed concerns of members?
What are members seeking or looking forward to?
What is the recommendation of the facilitator
PLAN of Next Session: “What happens next?”
What is the date and time of next session?
What will members do next session?
What content/topic will be covered during the session?
page 35 |
ELEMENTARY SCHOOL COUNSELING PROGRAM MONTHLY REPORT
School Month Year
School Counselor
Total % of Direct Student Services: Total % of Indirect Student Services:
NUMBER OF CLASSROOM GUIDANCE SESSIONS CONDUCTED K 1 2 3 4 5 6 7 8
# of Sessions
# of Students
NUMBER OF GROUP COUNSELING SESSIONS CONDUCTED K 1 2 3 4 5 6 7 8
# of Sessions
# of Students
RESPONSIVE SERVICES
NUMBER OF REFERRALS AT EACH GRADE LEVEL SUBMITTED BY TEACHERS
# of Students
K 1 2 3 4 5 6 7 8
Academic
Attendance
Behavior
Mental Health
Physical
Health/
Substance Use
NUMBER OF REFERRALS TO OFFSITE/OUTSIDE AGENCIES
# of Students
K 1 2 3 4 5 6 7 8
Suicide
Prevention
NJ Perform
Care
DCPP
Other:
Other:
page 35 |
NUMBER OF PEER MEDIATION SESSIONS CONDUCTED K 1 2 3 4 5 6 7 8
# of Sessions
# of Students
NUMBER OF CRISIS INTERVENTIONS K 1 2 3 4 5 6 7 8
# of Sessions
# of Students
SYSTEM SUPPORT
Type of Support Number Attended
In-services/ Trainings attended
In-services/Training facilitated
SST Meetings
CST Meetings
INDIVIDUAL PLANNING WITH STUDENTS
Type of Planning Number of Instances
Individual Counseling
Goal Setting
Parent Conferences
Administration, Parent & Agency Conferences
NON-SCHOOL COUNSELING ACTIVITIES
Activity Date
MONTHLY OBJECTIVES
Were you able to complete this month’s objectives, based on the ASCA model? (Refer to the Calendar) Yes No
page 37 |
ELEMENTARY COUNSELORS’ END OF THE YEAR REPORT
PREVENTION P K K 1ST 2ND 3RD 4TH 5TH 6TH 7TH 8TH TOTAL
Classroom Guidance
Lessons Taught
# of sessions
# of students
RESPONSIVE SERVICES PK K 1ST 2ND 3RD 4TH 5TH 6TH 7TH 8TH TOTAL
Small Group &
Individual
Counseling
# of sessions
# of students
Agency Consultation & Referral
# of students
Faculty & Staff Collaboration
Crisis Intervention
INDIVIDUAL PLANNING &
SYSTEM SUPPORT Total
Parent Conferences
Administrative Conferences
SST/504,CST Meetings & Attendance
In-Service Training Attended
NON-GUIDANCE ACTIVITIES FOR SCHOOL YEAR
SUPPORT SERVICES
Number of Enrichment Applications Processed
Number of Students Accepted to Magnet Schools
School Counselor’s Signature: Date:
School: Caseload/School Population: ________________________
Principal: ______________
page 38 |
Parent/Guardian Counseling Consent Form
Date:
Dear: , Your child has been recommended for:
Individual Counseling Small Group Counseling
I have met with your son/daughter and explained the content and nature of the counseling sessions.
The counseling sessions will run for week(s). If you have any further
questions or concerns, please feel free to contact me at the following number:
. Thank you for your support and attention to this matter.
Sincerely,
School Counselor
PLEASE RETURN THIS FORM TO YOUR CHILD’S SCHOOL COUNSELOR
Student’s Name: Grade:
My child , may participate in on site school counseling sessions.
My child may not participate in on site school counseling
sessions.
Parent/Guardian’s Signature: Date: