SCHOOL COUNSELING Final Notes-Combined
SCHOOL COUNSELING Final Notes-Combined
SCHOOL COUNSELING Final Notes-Combined
NOTES
Brief History
School counseling is 100-plus years old. It evolved shaped by various economic, social,
and educational forces guided by the work of many individuals. The ASCA National
Model, first published in 2003 and now in its fourth edition, is a product of this evolution.
By embracing knowledge from the past, school counseling evolved from a position to
service, to a program, and the organizational concept embedded in the ASCA National
Model.
School counseling began as vocational guidance in the early 1900s. It was established in
schools as a position occupied by administrators and teachers. No organizational structure
was provided other than a list of duties. In the 1920s school counseling began to change,
shaped by the mental hygiene, psychometric, and child study movements. As a result, a
more clinically oriented approach to school counseling emerged. This signaled a shift
away from economic issues to psychological issues with an emphasis on counseling for
personal adjustment.
During the 1930s, a discussion took place concerning the various personnel responsible
for school counseling, the duties they performed, and their selection and training. A
major milestone occurred with the creation of a new organizational structure called pupil
personnel services. Within that structure, the concept of guidance services emerged. The
field of school counseling had moved from a position with a list of duties to a position
with a list of duties organized by guidance services all under the overall structure of pupil
personnel services.
The 1940s and 1950s saw the expansion and extension of counseling in schools. The
literature during the years 1941–1945 focused on contributions to the war effort. After
1945, attention returned to the need for counseling in the schools and on ways to improve
the services provided. The selection and training of school counselors also received
attention and support with the passage of the Vocational Education Act of 1946 and the
National Defense Education Act (NDEA) of 1958. In addition, the American School
Counselor Association was established in 1952.
A major issue being debated in the 1960s and 1970s concerned the nature of school
counseling; whether it is more psychological featuring counseling as a major intervention
or educational featuring a broader array of interventions including counseling but also
information, assessment, placement, and follow-up activities. School counseling at the
elementary level became a reality in the 1960s. NDEA, amended in the 1960s, stimulated
training practices and procedures that set elementary school counseling apart from
secondary school counseling. There was also increasing concern about the services model
of school counseling. Calls for change came from a variety of sources ending up in the
beginning development of a comprehensive program approach to school counseling. The
concept of a program for school counseling began to take form in the 1960s and 1970s
and then became a major way to organize and manage school counseling in the schools in
the 1980s, 1990s, and into the 21st century. During this time many states developed state
models. Training programs to help personnel in school districts plan, design, and
implement comprehensive school counseling programs also were initiated. The role and
functions of school counselors were of concern during the 1980s and 1990s. Some writers
advocated the role of human development specialist; others recommended the role of
change agent. Predominating roles were coordinating, counseling, and consulting. They
faced the issue of terminology; is it guidance, guidance & counseling, or school
counseling?
During this same decade, discussion about program purposes and school counselors’
roles continued with some writers emphasizing an advocacy change agent focus. Others
talked about the need to emphasize collaboration. Still, others recommended school
counselors do more indirect work and less direct work with students. Finally, there was a
movement for school counselors to become more data-oriented, using data to identify
school concerns and student needs.
The development and implementation of school counseling programs across the country
grew in the first decade of the 21st century. This growth was stimulated by the
publication of the ASCA National Model in 2003 and its adoption by many states and
school districts. A second edition was published in 2005, followed by the third edition in
2013 and the fourth edition in 2019.
As the second decade of the 21st century began, an ongoing issue for school counseling
was accountability. Although this has been part of the professional discussion since the
1920s, and much work was done over the ensuing years, there is a renewed sense of
urgency today concerning accountability. The literature makes it clear that evaluation is
here to stay and needs to be designed and carried out to not only demonstrate
effectiveness but also to improve the work of school counselors.
School counseling will continue to evolve. The forces that shaped school counseling so
far will continue to do so, and discussion about purposes and organization will continue.
So, while no one knows what the future holds, current literature suggests that at least for
the near future students and their parents in school districts across the country will
continue to benefit from having fully implemented school counseling programs.
TIMELINE
Current Issues
High school counselors worry about the students’ mental health. They worry about their
stress level. As they are working hard for their future, counselors feel that they are always
able to get help whenever required. During online lectures, they also worry that the
students are feeling lonely on the other side of the screen. They have also felt a reduction
in their motivation level to do things. A lot of students have been struggling with just the
social unrest and tension in the city. They are not having an opportunity to process and
heal before something else happens. Teenagers are grieving, dealing with the pandemic,
cut off socially from their friends and school, which is like a happy place, an escape.
Counselors have to go after the kids and try to make sure they graduate and get the grades
they need. But in addition to that, they have to make sure they’re doing okay in a
situation where so many of them lost their loved ones, dealt with social unrest & unable
to step out of the house. They have to get up early in the morning, sit in front of laptops
to take classes to learn.
Due to the pandemic, the year felt like the longest year of one’s life. Counselors share
that it’s common to interact on Zoom and all, but the basic human interaction along with
body movements & facial expressions makes any communication effective, therefore
lacking credibility. Many students are even facing issues in financial terms especially
those coming from lower-income & even middle-income families as so many people
have lost their jobs during this pandemic.
Counselors need to learn how to identify stigma and general assumptions that are
associated with different cultures. School Counselors should learn to be aware of how
counseling traditions and one’s views may be based on culturally biased concepts.
Counseling techniques need to be changed to adapt to the different cultures represented in
our schools today. No longer should students and families from other cultures be forced
to assimilate a western culture to be able to benefit from counseling practices in public
education.
India, the world’s 2nd most populous nation of 1 billion+ and has one of the highest
suicide rates under the age group of 15 to 29. In our country, it’s very common to see the
school students living under a state of stress or anxiety and peer pressure and by the folks
living in surrounding who believe in keeping students under control, monitoring their
activity, and pushing them on the far side toward higher achievements in the competitive
world. School counseling takes place in public and private K-12 schooling institutions.
Counseling is intended to appreciate student’s achievement, improve student’s behavior
and attendance, and help students to develop mentally and emotionally; promote their
participation in the activities taking place in their school.
A dedicated mental health specialist with master’s degrees or beyond, a school counselor
both provide counseling and play a vital role in the education system in and around
schools. Many K-12 school institutions appoint professional counselors and Mental
Health Expert on school staff boards to share their support with the students who are
undergoing some personal or educational challenges, guide students choose better careers
and planning for further education, and get involved when students face communicative,
physical, or mental health or behavioral challenges. The role of the school counselor is
quite tough to perform as they get assigned to deal with different behaviors of the
students and counsel them to live a healthy life and perform better.
In 2015, the National Crime Records Bureau (NCRB) revealed the shocking data that in
India, every hour a student commits suicide. The major reason behind this situation is
nothing but the failures in examinations or mental disturbance due to academic pressure.
➔ The problem is, schools do not have a specially assigned person to help their
students in making the right choices in their career path. This responsibility is
usually managed by appointed counselors.
➔ Teachers can even observe the instability in the students’ minds and the state of
neurosis.
As time is passing and we’re moving ahead in the era, the role of a counselor is getting
expanded and likewise responsibility. Counseling sessions in schools serve students with
a great opportunity to make their confessions of academic problems, emotional and
mental health issues, social lifestyle, and many more.
The first job of a counselor is to listen to the students’ side problems and know the actual
reason behind their problems. A good counselor prefers listening rather than always
bursting out a bombastic lecture.
A student is always in search of a person who can listen to them completely and provide
them moral support to adopt behavioral changes taking place around them. A counselor is
always expected to be a good listener and an honest guide for the students.
➔ Counselors can work on the elimination of the gap between students and teachers;
contribute to building up a healthy relationship between them.
➔ Assist the students in processing out their problems and plan the academic/career
goals and bring them into execution successfully.
➔ Counselors in schools can provide the desired comfort to the students so that they
get enabled to share their daily life happenings and feel relaxed.
➔ School counselors can also assist the students in improving their social life and
make them more communicative.
Counselors in school can take creative workshops and seminars to encourage the students
to be comfortable in the school arena so that they perform well in their academic journey.
Students can also use that workshop content in their day-to-day life cycle for keeping
themselves charged with a high amount of motivation to live a healthy and transparent
life. Proper counseling practiced by a counselor can save students from splitting up their
original personalities and experiencing the positive transformation of their life.
The primary motive behind counseling at the school level is to address the emotional,
social, and behavioral needs of the students. And to create a seamless and friendly
environment to help each one of them with different approaches. Always remember that
school-based professionals provide counseling and not psychotherapy. It is always aimed
at enhancing the adaptive function of a child’s mind. On a lighter note, school-based
counseling aims at helping students function more effectively in school and with the elder
ones.
The programs created by school counselors use data to address many issues for the
individual students and the school at large. Some of the areas covered by counselors:
➔ Improve or enhance academic performance for all students
➔ Prevent or stop bullying, substance abuse, or other negative behaviors
➔ Help students with mental health issues
➔ Support minority students and deliver culturally competent counseling
➔ Ensure the counseling office supports the goals of the school
➔ Make and keep the school a safe environment for everyone
➔ Advocate for students, including advocating for proper resources for schools
● It assists students to draw up their plans for academic and non-academic pursuits
and arrive at the right decisions to implement the plans and solutions.
● It is intended to help the individual to realize his potentialities & to make an
optimum contribution to the growth of society.
School counselors impact the entire school community through their interactions with
students, teachers, parents/guardians, and other school personnel. They must be able to
take a big picture view of how their role can have the most positive impact while
remaining in the best interests of the students. The strength of the school counselor is
their ability to understand how each role intersects and that all of these together help
students succeed.
The trained school counselor must be an assertive advocate creating opportunities for all
students to pursue dreams of high aspirations. The counselor assists students in their
academic, career, social, and personal development and helps them follow the path to
success. The school counselor serves as a leader as well as an effective team member
working with teachers, administrators, and other school personnel to help each student
succeed. The school counselor as consultant empowers families to act on behalf of their
children by helping parents and guardians identify student needs and interests, and access
available resources.
School counselors must focus attention on students for whom schools have been the
least successful—low-income students and students of color. Counselors must
concentrate on issues, strategies, and interventions that will help close the achievement
gap between these students and their more advantaged peers. School counselors are
accountable and measure success by demonstrating how their activities contribute to
increasing the numbers of all students completing school academically prepared to
choose from a wide range of substantial post-secondary options, including college.
Educational psychologists also tend to study more about the learning process itself. They
consider how the brain works and how students’ cognitive abilities affect learning
processes and outcomes. These psychologists often use quantitative testing and
measurement methods in their work.
On the other hand, school psychologists focus on the needs of young students from
pre-school and kindergarten through high school. They also use classrooms, parents, and
teachers to identify students’ complex learning needs. Their focus is on the individual
learner and improving their social and academic performance.
Role in schools
➔ To build a community of creative learning practice across the school involving all
appropriate departments
➔ To facilitate the long-term development of teaching and learning at a structural and
systematic learning
➔ To act as a facilitator in school by translating the school's vision of learning by
practical implications
➔ To ensure that all students play a meaningful and active role in learning that can
truly reflect their interests, needs, and areas of development needed
➔ To take overall responsibility for any new program that is introduced at a
curriculum and co-curriculum level
➔ Facilitating inter-class observations and mentor teacher meetings
➔ Organizing students into teams via various programs which aim at team building
and resilience building
➔ Build a relationship with members of the community to ensure that students have
adequate learning materials, classroom, and teachers
Role of the school counselor as a Curriculum Leader (fulfilling the role of curriculum
guidance) - makes appropriate changes in the policies
➔ Take an active role in planning, preparing, delivering, and evaluating the core
counseling curriculum for all students to demonstrate their roles as leaders
➔ Coordinates between policymakers and educators
➔ Ensures that the student performance and learning outcomes match the curriculum
expectations
➔ Provides direction and guidance for curriculum at an individual and school level
➔ Ensures holistic growth and development of the students
➔ The guidance curriculum is designed to systematically provide lessons to students
that facilitate growth development and transferable skills in the areas of education,
career, personal, and social development
➔ Interpersonal and intrapersonal effectiveness, career readiness, personal health,
and safety are addressed through curriculum guidance
1. RESPONSIBILITY TO STUDENTS
● Supporting Student Development
School counselors:
➔ Have a primary obligation to the students, who are to be treated with dignity and
respect as unique individuals.
➔ Aim to provide counseling to students in a brief context and support students and
families/guardians in obtaining outside services if the student needs long-term
clinical counseling.
➔ Do not diagnose but remain acutely aware of how a student’s diagnosis can
potentially affect the student’s academic success.
➔ Acknowledge the vital role of parents/guardians and families.
➔ Are concerned with students’ academic, career, and social/ emotional needs and
encourage each student’s maximum development.
➔ Respect students’ and families’ values, beliefs, sexual orientation, gender
identification/expression, and cultural background and exercise great care to avoid
imposing personal beliefs or values rooted in one’s religion, culture, or ethnicity.
➔ Provide effective, responsive interventions to address student needs.
➔ Consider the involvement of support networks, wraparound services, and
educational teams needed to best serve students.
● Confidentiality
School counselors:
➔ Promote awareness of school counselors’ ethical standards and legal mandates
regarding confidentiality and the appropriate rationale and procedures for
disclosure of student data and information to school staff.
➔ Inform students of the purposes, goals, techniques, and rules of procedure under
which they may receive counseling. The disclosure includes informed consent and
clarification of the limits of confidentiality. Informed consent requires
competence, voluntariness, and knowledge on the part of students to understand
the limits of confidentiality
➔ Are aware that even though attempts are made to obtain informed consent, it is not
always possible. When needed, school counselors make counseling decisions on
students’ behalf that promote students’ welfare.
➔ Explain the limits of confidentiality in developmentally appropriate terms through
multiple methods such as student handbooks, school counselor department
websites, school counseling brochures, classroom lessons, and/or verbal
notification to individual students.
➔ Promote the autonomy of students to the extent possible and use the most
appropriate and least intrusive method to breach confidentiality, if such action is
warranted. The child’s developmental age and the circumstances requiring the
breach are considered, and as appropriate, students are engaged in a discussion
about the method and timing of the breach. Consultation with peers and/or
supervision is recommended.
➔ Protect the confidentiality of students’ records and release personal data following
prescribed federal and state laws and school board policies.
➔ Convey a student’s highly sensitive information (e.g., a student’s suicidal ideation)
through personal contacts such as a phone call or visit and not less-secure means
such as a notation in the educational record or an e-mail. Adhere to state, federal,
and school board policy when conveying sensitive information.
➔ Advocate with appropriate school officials for acceptable encryption standards to
be utilized for stored data and currently acceptable algorithms to be utilized for
data in transit.
● Comprehensive Data-Informed Program
School counselors:
➔ Collaborate with administration, teachers, staff, and decision-makers around
school improvement goals.
➔ Provide students with a comprehensive school counseling program that ensures
equitable academic, career, and social/ emotional development opportunities for
all students.
➔ Review school and student data to assess needs including, but not limited to, data
on disparities that may exist related to gender, race, ethnicity, socio-economic
status, and/or other relevant classifications.
➔ Use data to determine needed interventions, which are then delivered to help close
the information, attainment, achievement, and opportunity gaps.
➔ Collect participation, Mindsets & Behaviors, and outcome data and analyze the
data to determine the progress and effectiveness of the school counseling program.
School counselors ensure the school counseling annual student outcome goals and
action plans are aligned with the district’s school improvement goals.
➔ Use data-collection tools adhering to confidentiality standards
➔ Share data outcomes with stakeholders.
● Academic, Career, and Social/Emotional Plans
School counselors:
➔ Collaborate with administration, teachers, staff, and decision-makers to create a
culture of postsecondary readiness.
➔ Provide and advocate for individual students’ PreK– postsecondary college and
career awareness, exploration, and postsecondary planning and decision making,
which supports the students’ right to choose from the wide array of options when
students complete secondary education.
➔ Identify gaps in college and career access and the implications of such data for
addressing both intentional and unintentional biases related to college and career
counseling.
➔ Provide opportunities for all students to develop the mindsets and behaviors
necessary to learn work-related skills, resilience, perseverance, an understanding
of lifelong learning as a part of long-term career success, a positive attitude toward
learning, and a strong work ethic.
● Dual Relationships and Managing Boundaries
School counselors:
➔ Avoid dual relationships that might impair their objectivity and increase the risk of
harm to students (e.g., counseling one’s family members or the children of close
friends or associates). If a dual relationship is unavoidable, the school counselor is
responsible for taking action to eliminate or reduce the potential for harm to the
student through the use of safeguards, which might include informed consent,
consultation, supervision, and documentation
➔ Establish and maintain appropriate professional relationships with students at all
times. School counselors consider the risks and benefits of extending current
school counseling relationships beyond conventional parameters, such as attending
a student’s distant athletic competition. In extending these boundaries, school
counselors take appropriate professional precautions such as informed consent,
consultation, and supervision.
➔ Avoid dual relationships beyond the professional level with school personnel,
parents/guardians, and students’ other family members when these relationships
might infringe on the integrity of the school counselor/student relationship.
➔ Do not use personal social media, personal e-mail accounts, or personal texts to
interact with students unless specifically encouraged and sanctioned by the school
district. School counselors adhere to professional boundaries and legal, ethical,
and school district guidelines when using technology with students,
parents/guardians, or school staff.
● Appropriate Referrals and Advocacy
School counselors:
➔ Collaborate with all relevant stakeholders, including students, educators, and
parents/guardians when student assistance is needed, including the identification
of early warning signs of student distress.
➔ Provide a list of resources for outside agencies and resources in their community
to the student(s) and parents/guardians when students need or request additional
support. School counselors provide multiple referral options or the district’s vetted
list and are careful not to indicate an endorsement or preference for one counselor
or practice. School counselors encourage parents to interview outside
professionals to make a personal decision regarding the best source of assistance
for their students.
➔ Connect students with services provided through the local school district and
community agencies and remain aware of state laws and local district policies
related to students with special needs, including limits to confidentiality and
notification to authorities as appropriate.
➔ Attempt to establish a collaborative relationship with outside service providers to
best serve students. Request a release of information signed by the student and/or
parents/guardians before attempting to collaborate with the student’s external
provider.
➔ Provide internal and external service providers with accurate, objective,
meaningful data necessary to adequately assess, counsel, and assist the student.
➔ Ensure there is not a conflict of interest in providing referral resources. School
counselors do not refer or accept a referral to counsel a student from their school if
they also work in a private counseling practice.
● Group Work
School counselors:
➔ Facilitate short-term groups to address students’ academic, career, and/or
social/emotional issues.
➔ Inform parent/guardian(s) of student participation in a small group.
➔ Screen students for group membership.
➔ Use data to measure member needs to establish well-defined expectations of group
members.
➔ Communicate the aspiration of confidentiality as a group norm, while recognizing
and working from the protective posture that confidentiality for minors in schools
cannot be guaranteed.
➔ Select topics for groups with the clear understanding that some topics are not
suitable for groups in schools and accordingly take precautions to protect members
from harm as a result of interactions with the group.
➔ Facilitate groups from the framework of evidence-based or research-based
practices.
➔ Practice within their competence level and develop professional competence
through training and supervision.
➔ Measure the outcomes of group participation (participation, Mindsets &
Behaviors, and outcome data).
➔ Provide necessary follow up with group members
● Student Peer-Support Program
School counselors:
➔ Safeguard the welfare of students participating in peer-to-peer programs under
their direction.
➔ Supervise students engaged in peer helping, mediation, and other similar
peer-support groups. School counselors are responsible for appropriate skill
development for students serving as peer support in school counseling programs.
School counselors continuously monitor students who are giving peer support and
reinforce the confidential nature of their work. School counselors inform
peer-support students about the parameters of when students need to report
information to responsible adults.
● Serious and Foreseeable Harm to Self and Others
School counselors:
➔ Inform parents/guardians and/or appropriate authorities when a student poses a
serious and foreseeable risk of harm to self or others. When feasible, this is to be
done after careful deliberation and consultation with other appropriate
professionals. School counselors inform students of the school counselor’s legal
and ethical obligations to report the concern to the appropriate authorities unless it
is appropriate to withhold this information to protect the student (e.g. student
might run away if he/she knows parents are being called).
➔ Use risk assessments with caution. If risk assessments are used by the school
counselor, an intervention plan should be developed and in place before this
practice. When reporting risk-assessment results to parents, school counselors do
not negate the risk of harm even if the assessment reveals a low risk as students
may minimize risk to avoid further scrutiny and/or parental notification. School
counselors report risk assessment results to parents to underscore the need to act
on behalf of a child at risk; this is not intended to assure parents their child isn’t at
risk, which is something a school counselor cannot know with certainty.
➔ Do not release a student who is a danger to self or others until the student has the
proper and necessary support. If parents will not provide proper support, the
school counselor takes necessary steps to underscore to parents/guardians the
necessity to seek help and at times may include a report to child protective
services.
➔ Report to parents/guardians and/or appropriate authorities when students disclose
a perpetrated or a perceived threat to their physical or mental well-being.
● Underserved and At-Risk Populations
School counselors:
➔ Strive to contribute to a safe, respectful, nondiscriminatory school environment in
which all members of the school community demonstrate respect and civility.
➔ Advocate for and collaborate with students to ensure students remain safe at home
and school. A high standard of care includes determining what information is
shared with parents/ guardians and when information creates an unsafe
environment for students.
➔ Identify resources needed to optimize education.
➔ Collaborate with parents/guardians, when appropriate, to establish communication
and to ensure students’ needs are met.
➔ Understand students have the right to be treated in a manner consistent with their
gender identity and to be free from any form of discipline, harassment, or
discrimination based on their gender identity or gender expression.
➔ Advocate for equal rights and access to free, appropriate public education for all
youth, in which students are not stigmatized or isolated based on their housing
status, disability, foster care, special education status, mental health, or any other
exceptionality or special need.
➔ Recognize the strengths of students with disabilities as well as their challenges and
provide best practices and current research in supporting their academic, career,
and social/emotional needs
● Bullying, Harassment, and Child Abuse
School counselors:
➔ Report to the administration all incidents of bullying, dating violence, and sexual
harassment as most fall under Title IX of the Education Amendments of 1972 or
other federal and state laws as being illegal and requiring administrator
interventions. School counselors provide services to victims and perpetrators as
appropriate, which may include a safety plan and reasonable accommodations
such as schedule change, but school counselors defer to administration for all
discipline issues for this or any other federal, state, or school board violation.
➔ Report suspected cases of child abuse and neglect to the proper authorities and
take reasonable precautions to protect the privacy of the student for whom abuse
or neglect is suspected when alerting the proper authorities.
➔ Are knowledgeable about current state laws and their school system’s procedures
for reporting child abuse and neglect and methods to advocate for students’
physical and emotional safety following abuse/neglect reports.
➔ Develop and maintain the expertise to recognize the signs and indicators of abuse
and neglect. Encourage training to enable students and staff to have the knowledge
and skills needed to recognize the signs of abuse and neglect and to whom they
should report suspected abuse or neglect.
➔ Guide and assist students who have experienced abuse and neglect by providing
appropriate services.
● Student Records
School counselors:
➔ Abide by the Family Educational Rights and Privacy Act (FERPA), which defines
who has access to students’ educational records and allows parents the right to
review and challenge perceived inaccuracies in their child’s records.
➔ Advocate for the ethical use of student data and records and inform the
administration of inappropriate or harmful practices.
➔ Recognize the difficulty in meeting the criteria of sole-possession records.
➔ Recognize that sole-possession records and case notes can be subpoenaed unless
there is a specific state statute for privileged communication expressly protecting
student/school counselor communication.
➔ Recognize that electronic communications with school officials regarding
individual students, even without using student names, are likely to create student
records that must be addressed following FERPA and state laws.
➔ Establish a reasonable timeline for purging sole-possession records or case notes.
School counselors do not destroy sole-possession records that may be needed by a
court of law, such as notes on child abuse, suicide, sexual harassment, or violence,
without prior review and approval by school district legal counsel. School
counselors follow district policies and procedures when contacting legal counsel.
● Evaluation, Assessment, and Interpretation
School counselors:
➔ Use only valid and reliable tests and assessments with concern for bias and
cultural sensitivity.
➔ Adhere to all professional standards when selecting, administering, and
interpreting assessment measures and only utilize assessment measures that are
within the scope of practice for school counselors and for which they are licensed,
certified, and competent.
➔ Are mindful of confidentiality guidelines when utilizing paper or electronic
evaluative or assessment instruments and programs.
➔ Consider the student’s developmental age, language skills, and level of
competence when determining the appropriateness of an assessment.
➔ Use multiple data points when possible to provide students and families with
accurate, objective, and concise information to promote students’ well-being.
➔ Provide interpretation of the nature, purposes, results, and potential impact of
assessment/evaluation measures in language the students and parents/guardians
can understand.
➔ Monitor the use of assessment results and interpretations and take reasonable steps
to prevent others from misusing the information.
➔ Use caution when utilizing assessment techniques, making evaluations, and
interpreting the performance of populations not represented in the norm group on
which an instrument is standardized.
➔ Conduct school counseling program assessments to determine the effectiveness of
activities supporting students’ academic, career, and social/emotional development
through accountability measures, especially examining efforts to close
information, opportunity, and attainment gaps.
● Technical and Digital Citizenship
School counselors:
➔ Demonstrate appropriate selection and use of technology and software applications
to enhance students’ academic, career, and social/emotional development.
Attention is given to the ethical and legal considerations of technological
applications, including confidentiality concerns, security issues, potential
limitations and benefits, and communication practices in electronic media.
➔ Take appropriate and reasonable measures for maintaining the confidentiality of
student information and educational records stored or transmitted through the use
of computers, social media, facsimile machines, telephones, voicemail, answering
machines, and other electronic technology.
➔ Promote the safe and responsible use of technology in collaboration with
educators and families.
➔ Promote the benefits and clarify the limitations of various appropriate
technological applications.
➔ Use established and approved means of communication with students, maintaining
appropriate boundaries. School counselors help educate students about appropriate
communication and boundaries.
➔ Advocate for equal access to technology for all students.
● Virtual/Distance School Counseling
School counselors:
➔ Adhere to the same ethical guidelines in a virtual/distance setting as school
counselors in face-to-face settings.
➔ Recognize and acknowledge the challenges and limitations of virtual/distance
school counseling.
➔ Implement procedures for students to follow in both emergency and
non-emergency situations when the school counselor is not available.
➔ Recognize and mitigate the limitation of virtual/distance school counseling
confidentiality, which may include unintended viewers or recipients.
➔ Inform both the student and parent/guardian of the benefits and limitations of
virtual/distance counseling.
➔ Educate students on how to participate in the electronic school counseling
relationship to minimize and prevent potential misunderstandings that could occur
due to lack of verbal cues and inability to read body language or other visual cues
that provide contextual meaning to the school counseling process and school
counseling relationship
2. RESPONSIBILITIES TO PARENTS/ GUARDIANS, SCHOOL, AND SELF
● Responsibilities to Parents/Guardians
School counselors:
➔ Recognize that providing services to minors in a school setting requires school
counselors to collaborate with students’ parents/ guardians as appropriate.
➔ Respect the rights and responsibilities of custodial and noncustodial
parents/guardians and, as appropriate, establish a collaborative relationship with
parents/guardians to facilitate students’ maximum development.
➔ Adhere to laws, local guidelines, and ethical practice when assisting
parents/guardians experiencing family difficulties interfering with the student’s
welfare.
➔ Are culturally competent and sensitive to diversity among families. Recognize that
all parents/guardians, custodial and noncustodial, are vested with certain rights and
responsibilities for their children’s welfare by their role and according to law.
➔ Inform parents of the mission of the school counseling program and program
standards in academic, career, and social/ emotional domains that promote and
enhance the learning process for all students.
➔ Inform parents/guardians of the confidential nature of the school counseling
relationship between the school counselor and student.
➔ Respect the confidentiality of parents/guardians as appropriate and by following
the student’s best interests.
➔ Provide parents/guardians with accurate, comprehensive, and relevant information
in an objective and caring manner, as is appropriate and consistent with ethical and
legal responsibilities to the student and parent.
➔ In cases of divorce or separation, follow the directions and stipulations of the legal
documentation, maintaining focus on the student. School counselors avoid
supporting one parent over another.
● Responsibilities to the School
School counselors:
➔ Develop and maintain professional relationships and systems of communication
with faculty, staff, and administrators to support students.
➔ Design and deliver comprehensive school counseling programs that are integral to
the school’s academic mission; driven by student data; based on standards for
academic, career, and social/emotional development; and promote and enhance the
learning process for all students.
➔ Advocate for a school counseling program free of non-school-counseling
assignments identified by “The ASCA National Model: A Framework for School
Counseling Programs” as inappropriate to the school counselor’s role.
➔ Provide leadership to create systemic change to enhance the school.
➔ Collaborate with appropriate officials to remove barriers that may impede the
effectiveness of the school or the school counseling program.
➔ Provide support, consultation, and mentoring to professionals in need of assistance
when in the scope of the school counselor’s role.
➔ Inform appropriate officials, following school board policy, of conditions that may
be potentially disruptive or damaging to the school’s mission, personnel, and
property while honoring the confidentiality between the student and the school
counselor to the extent feasible, consistent with applicable law and policy
➔ Advocate for equitable school counseling program policies and practices for all
students and stakeholders.
➔ Promote cultural competence to help create a safer more inclusive school
environment.
● Responsibilities to Self
School counselors:
➔ Have completed a counselor education program at an accredited institution and
earned a master’s degree in school counseling.
➔ Maintain membership in school counselor professional organizations to stay up to
date on current research and to maintain professional competence in current school
counseling issues and topics. School counselors maintain competence in their
skills by utilizing current interventions and best practices.
➔ Accept employment only for those positions for which they are qualified by
education, training, supervised experience, and state/national professional
credentials.
➔ Adhere to ethical standards of the profession and other official policy statements
such as ASCA Position Statements and Role Statements, school board policies,
and relevant laws. When laws and ethical codes are in conflict school counselors
work to adhere to both as much as possible.
➔ Seek consultation and supervision from school counselors and other professionals
who are knowledgeable of school counselors’ ethical practices when ethical and
professional questions arise.
3. SCHOOL COUNSELOR ADMINISTRATORS/SUPERVISORS
School counselor administrators/supervisors support school counselors in their
charge by:
➔ Advocating both within and outside of their schools or districts for adequate
resources to implement a comprehensive school counseling program and meet
their students’ needs.
➔ Advocating for fair and open distribution of resources among programs
supervised. An allocation procedure should be developed that is
nondiscriminatory, informed by data, and consistently applied.
➔ Taking reasonable steps to ensure school and other resources are available to
provide appropriate staff supervision and training.
➔ Providing opportunities for professional development in current research related to
school counseling practice and ethics.
➔ Taking steps to eliminate conditions or practices in their schools or organizations
that may violate, discourage or interfere with compliance with the ethics and laws
related to the profession.
➔ Monitoring school and organizational policies, regulations, and procedures to
ensure practices are consistent with the ASCA Ethical Standards for School
Counselors.
4. SCHOOL COUNSELING INTERN SITE SUPERVISORS
Field/intern site supervisors:
➔ Are licensed or certified school counselors and/or have an understanding of
comprehensive school counseling programs and the ethical practices of school
counselors.
➔ Have the education and training to provide clinical supervision. Supervisors
regularly pursue continuing education activities on both counseling and
supervision topics and skills.
➔ Are culturally competent and consider cultural factors that may have an impact on
the supervisory relationship.
➔ Do not engage in supervisory relationships with individuals with whom they
cannot remain objective. Such individuals include, but are not limited to, family
members and close friends.
➔ Are competent with the technology used to perform supervisory responsibilities
and online supervision, if applicable. Supervisors protect all electronically
transmitted confidential information.
5. MAINTENANCE OF STANDARDS
When serious doubt exists as to the ethical behavior of a colleague(s) the
following procedures may serve as a guide:
➔ School counselors consult with professional colleagues to discuss the potentially
unethical behavior and to see if the professional colleague views the situation as an
ethical violation. School counselors understand mandatory reporting in their
respective districts and states.
➔ School counselors discuss and seek resolution directly with the colleague whose
behavior is in question unless the behavior is unlawful, abusive, egregious, or
dangerous, in which case proper school or community authorities are contacted.
➔ If the matter remains unresolved at the school, school district, or state professional
practice/standards commission, referral for review and appropriate action should
be made in the following sequence:
★ State school counselor association
★ American School Counselor Association (Complaints should be submitted in hard
copy to the ASCA Ethics Committee, c/o the Executive Director, American
School Counselor Association, 1101 King St., Suite 310, Alexandria, VA 22314.
6. ETHICAL DECISION MAKING
When faced with an ethical dilemma, school counselors and school counseling
program directors/supervisors use an ethical decision-making model such as
Solutions to Ethical Problems in Schools (STEPS) (Stone, 2001):
➔ Define the problem emotionally and intellectually
➔ Apply the ASCA Ethical Standards for School Counselors and the law
➔ Consider the students’ chronological and developmental levels
➔ Consider the setting, parental rights, and minors’ rights
➔ Apply the ethical principles of beneficence, autonomy, nonmaleficence, loyalty,
and justice Determine potential courses of action and their consequences
➔ Evaluate the selected action
➔ Consult
➔ Implement the course of action
INTRODUCTION
Guidance & counseling are twin concepts & have emerged as essential elements of every
educational activity. Guidance & counseling are not synonymous terms. Counseling is a
part of the guidance. Guidance, in an educational context, means to indicate, point out,
show the way, lead out & direct. Counseling is a specialized service of guidance. It is the
process of helping individuals learn more about themselves & their present & possible
future situations to make a substantial contribution to society.
DEFINITION OF GUIDANCE
DEFINITION OF COUNSELING
GUIDANCE COUNSELING
CHARACTERISTICS OF GUIDANCE
➔ It is process
➔ It is a continuous process
➔ Choice & problem points are the distinctive concerns of guidance
➔ It is the assistance to the individual in the process of development rather than a
direction of that development
➔ Guidance is a service meant for all
➔ Guidance is both generalized & a specialized service
➔ Guidance is an organized service & not an incidental activity of the
school.
➔ Guidance is not a branch of any discipline
➔ Guidance has limits
➔ Guidance is more an art than science
➔ Guidance has its roots in the education system
➔ Guidance is centered around the needs & aspirations of students.
CHARACTERISTICS OF COUNSELLING
➔ Counseling involves two individuals-one seeking help & the other a
professionally trained person who can help the first.
➔ There should be a relationship of mutual respect between the two individuals.
➔ Counseling is aimed at bringing about desired changes in the individual for
self-realization & providing assistance to solve problems through an intimate
personal relationship.
➔ The counselor discovers the problems of the counselee & help him to set up
realistic goals
➔ If the counselee is a student, counseling helps him to make a decision,
make a choice or find a direction in matters related to an educational
program or career.
➔ It helps the counselee acquire independence & develop a sense of
responsibility.
➔ It is more than advice-giving.
➔ It involves something more than offering assistance to find a solution to an
immediate problem.
➔ Counseling is democratic.
➔ Counseling concerns itself with attitudes as well as actions Counselling is
centered around the needs & aspirations of students
Guidance and counseling aim is to accommodate behavior change, enhance coping skills,
promote decision making, improve the relationship, and alleviate users’ potential.
Guidance and counseling help to perceive and comprehend one's talents and abilities,
help to foster an optimistic viewpoint, aids to develop resourcefulness and self-direction
in adjusting to changes in society. They likewise acquire recognition through their
services delivered in enhancing human happiness by being healthier, more productive,
achieving valuable lessons, and eliminating later stage issues as well.
The major aim of guidance and counseling services is to encourage students’ academic,
social, emotional, and personal development. Therefore they are an integral component of
education as well.
As schools play a massive role in young children’s life, guidance and counseling have
become very essential for them. Today these young minds need guidance to shape their
personality and also help to attend to the physical, social, psychological, educational, and
vocational needs of the school students.
2. MIDDLE SCHOOL
● When a student faces transition from primary to middle, they develop in 4 main
areas; physical, cognitive, emotional & social and sensory & motor development.
Students enter the adolescent phase which is quite a big change in their overall
personality & development and thus are prone to face more troubles. Some major
troubles include the following: the awkward phase (feelings of embarrassment,
unaware of changes, uncertainty in life), changing friendships (fewer
commonalities with childhood friends, unpredictable social & physical structure),
living in a culture of meanness (trying to acquire a sense of control, putting down
someone, bullying people which gives them a sense of power, unaware of the
damage caused), alone in groups (feel safe in a group till its strong, shallow levels
of trust & vulnerability, loneliness if no group is formed) & the independence vs.
dependence paradox (move to independence but crave for security & support from
parents, looks like an adult but having the mental ability of a child, wants parent's
guidance according to their requirements). This stage is best understood as a
critical period about puberty and also a revolution in a person’s life which starts
with biological transformation and finishes in adjusting to the challenges in
society. In this stage, the children are engaged in crimes, suffer from anxiety &
stress, depression among others.
● The need for guidance and counseling can be associated with adolescents as their
academic achievement can be one of the determinants for their mental health. A
counselor’s role also becomes sensitive when the final aim is students’ academic
achievement. The main idea behind guidance and counseling in schools is to make
progress in academic achievement, promote affirmative study attitudes and
behavior, and reduce school dropouts of the children, etc. It provides a clear
understanding to the students of the challenges, problems, and difficulties that they
face in adjusting to the contexts in which they live, grow and study.
● The importance of guidance and counseling help adolescents to recognize and
understand one's talents and abilities, develop an optimistic view for removal of
undesirable traits, aids to develop resourcefulness and self-direction in adapting to
changes in society. Counseling services help teenagers and their families to
identify ways to approach this time in a way that encourages their psycho-social
development. Counseling helps teenagers to be safe, feel good about themselves,
and engage in respectful relationships. Guidance & counseling creates a positive
environment for the students so that they can share their feelings openly with a
person who is much older than him/her & to ensure that they are not being judged
as it's a safe environment & can be honest with their struggles. It boosts their
self-esteem which in turn helps them to understand they are accepted in society. It
also helps young people to pursue the right type of education. Whenever any
learner is confused between two career options, vocational guidance can help to
make a choice & motivate the individual as well. Guidance helps them to manage
their time & make sound decisions.
3. SENIOR SCHOOL
● The individual enters the later adolescent stage while transiting from middle to
senior school & thus suffers from a variety of problems/issues. Some major
problems faced during this stage include the following: sleep deprivation,
disorganization, unhealthy relationships, bullying, anxiety & depression, poor
eating habits, competitive academic environment, aggression, stream confusion
among others.
● The need for guidance & counseling for high school students includes effective
studying skills, time management, how to study and listen, improving social
problems like getting along with family members & other students better,
improving communication, making friends, dealing with relationship issues,
getting involved in extracurricular activities. It also consists of psychological
problems like reducing test/examination anxiety, concerns about smoking, helping
to gain self-confidence, stopping feeling sad, depressed, or stressed, and dealing
with anger. They also need guidance & counseling to help them evaluate their
experience, clear objectives & make plans for the future. It can help to measure
their vocational assets and abilities, prepare themselves for entry into the career of
their choice, and to get a suitable job.
● The importance of guidance & counseling assists the individuals to make
important decisions about their education. They have to know the choices that are
available in subjects, curricula, schools, or colleges to determine what exactly they
want to pursue. They have to know the subject combinations/options, what are the
subjects involved in the classroom, educational opportunities, etc. It helps students
to cope with examination anxiety as the fear of failure and a craving for high
grades are major stress factors among them & they are unable to handle this
pressure/stress. Therefore, guidance helps learners to overcome this fear and
achieve good marks. It also guides students to develop effective study habits by
reading, note-taking, and listening. Guidance & counseling helps them to
understand the importance of self-assessment as it helps them to know about their
interest area, abilities, personalities, analytical level, and suited work styles. These
factors play a significant role in-stream and career selection. With proper guidance
& counseling, students will be able to overcome their daily as well as major
problems as well.
School counselors are expected to apply their professional training in schools to support
student academic success. Through comprehensive school counseling programs of
developmental, preventive, remedial, and responsive services, school counselors address
academic development, career development, and personal/social development of
students. This job description is a guide for the implementation of such comprehensive
school counseling programs in the public schools of North Carolina.
Professional school counselors advocate for and care for students, and are important
members of the educational team. They consult and collaborate with teachers,
administrators, and families to help all students be successful academically, vocationally,
and personally.
The role and function of school counselors may be based on how they spend their time.
Individual counseling, guidance activities, consultation, and group counseling are major
activities as measured by time commitments. It is noted that for senior high counselors,
paperwork, scheduling, and administrative tasks are seen as significant time robbers that
deter counselors from allotting more time for individual and group counseling.
The variety in school settings will also account for some differences in the ways
counselors may carry out their roles. However, some common influences determine the
role and function of counselors regardless of the setting. These influences are:
i) Professional constants or determinants: These indicate what is appropriate and not
appropriate to the counselor’s role. These include guidelines and policy statements of
professional organizations, licensing or certification limitations, accreditation guidelines
and requirements, and the expectancies of professional training programs.
ii) Personal factors: These factors involve the interest of the counselor such as what he or
she likes to do, what the counselor gets encouraged to do and is rewarded for doing by
the school, community, or his peers, what the counselor has resources to do, what the
counselor perceives as the appropriate role and function for a given setting and finally
how life, in general, is going for the counselor. The counselor’s attitudes, values, and
experiences both on and off the job can influence how he or she views the job.
Elementary schools
Elementary schools are a powerful socializing force in human development. Every
individual carries important imprints for their elementary school experiences throughout
their lives. In this setting, the young pupil is expected not only to acquire knowledge but
also to learn to meet the school’s behavior and social expectancies. Failure to learn
generates behavior.
Counselors and teachers in the elementary school should focus on the following
developmental tasks for middle childhood:
• Learning physical skills necessary for ordinary games.
• Learning to get along with age mates.
• Developing fundamental skills in reading, writing, and calculating.
• Learning appropriate gender-specific roles.
• Developing concepts are necessary for everyday living.
• Developing conscience, morality, and a scale of values.
Middle school
The middle/ junior high school focuses on providing the orientation and transitional
needs and the educational and social-developmental needs of their populations. The
counselors working in a middle or junior high school will be involved in the following
roles –
1) Student Orientation: The counselor would orient the students and their parents to the
programs, policies, facilities, and counseling activities at this school level and later, their
pre-entry orientation to the high school they will attend.
2) Appraisal or Assessment Activities: Apart from school records and standardized test
data, counselors are involved in the use of observation and other techniques to identify
emerging traits of individual students during this critical development period.
3) Counseling: At this school level, both individual and group counseling would be used
by the counselors. It is observed that in the middle or junior high school, group
counseling is used more frequently than individual counseling.
4) Consultation: Another role of the counselor is to provide consultation to faculty,
parents, and also school administrators regarding the developmental and adjustment
needs of individual students.
5) Student Development: At this middle school level, school counselors, faculty and other
helping professionals should focus on student development. This refers to understanding
the developmental characteristics of this age group and their attending developmental
tasks and planning programs that are appropriately responsive.
Further, there is less client emphasis on preparing for decisions and more emphasis on
making decisions. These include immediate or impending career decisions or further
education decisions, decisions relevant to relationships with the opposite sex, and perhaps
marriage, and decisions involved in developing personal value systems.
This responsibility addresses the extent to which the principal is directly involved in the
design and implementation of curriculum, instruction, and assessment activities at the
classroom level. This type of hands-on support has been a staple of discussions regarding
school leadership for decades. As the responsibility of Visibility (discussed later),
Involvement in Curriculum, Instruction, and Assessment is considered critical to the
concept of instructional leadership. Stein and D’Amico (2000) attest to the importance of
this responsibility by noting that knowledge of subject matter and pedagogy should be as
important to administrators as it is to teachers. As a result of their synthesis of the
research on leadership, researchers at the National Institute on Educational Governance,
Finance, Policymaking, and Management (1999) noted that an administrator’s ability and
willingness to provide input regarding classroom practices was one of the most highly
valued characteristics reported by teachers. In that same brief, the authors reported that in
one large school district in the Northwest, both the superintendent and the principals
regularly visited classrooms to learn to recognize and describe good teaching and to
provide better instructional feedback to teachers. Relative to this responsibility, Reeves
(2004) emphasizes the principal’s involvement in assessment practices. He explains that
in an effective school the principal personally evaluates student work and participates in
collaborative scoring sessions in which the percentage agreement by the faculty is
measured and posted. The principal personally reviews faculty-created assessments as
part of each teacher evaluation and coaching meeting. (p. 50)
Specific behaviors and characteristics associated with this responsibility as defined by
our meta-analysis are the following:
• Being directly involved in helping teachers design curricular activities
• Being directly involved in helping teachers address assessment issues
• Being directly involved in helping teachers address instructional issues
To accomplish this, principals must be students of best practices. Reeves (2004) echoes
that an extensive knowledge base regarding best practices is necessary to mentor
teachers. To develop an extensive knowledge base, Fullan (2001) recommends that
principals meet monthly with other administrators to stay abreast of current advances in
curriculum, instruction, and assessment.
As straightforward and obvious as this responsibility might appear, some believe that it
receives little attention in practice. To illustrate, in a 1999 policy brief, researchers at the
National Institute of Educational Governance, Finance, Policymaking, and Management
noted that “instructional knowledge has traditionally received little emphasis in the hiring
process for principals’ jobs” (paragraph 4). When describing the results of a study of
interview protocols used with principals, the researchers noted that “people who did well
in other stages of interviewing could not accurately describe the lessons they had seen”
Specific behaviors and characteristics identified in our meta-analysis and associated with
this responsibility are the following:
• Possessing extensive knowledge about effective instructional practices
• Possessing extensive knowledge about effective curricular practices
• Possessing extensive knowledge about effective assessment practices
• Providing conceptual guidance regarding effective classroom practices
Family problems, such as marital discord, divorce, financial difficulties, child abuse and
neglect, life-threatening illness, sibling in a gang, and poor parenting skills are associated
with a wide variety of children's problems, e.g. delinquency, depression, suicide attempts,
and substance abuse.
These family problems can harm children's learning and school behavior. However, there
is research showing that healthy families that cope effectively with their problems help
children succeed at school.
Some of the problems SBFC approaches have been used to address are bullying and
cyber-bullying, depression, marital problems, school violence, grief and loss, trauma,
life-threatening illness, school crises, learning disorders, immigrant families, suicide, and
school suspension.
When a student walks into a professional school counselor’s office, we are presented with
a rare opportunity. When a student and parent walk in together, we are handed an even
rarer opportunity.
Family counseling offers unique and engaging ways of reframing problems. Rather than
blaming an individual for a particular problem, family counselors look at the family
system. Perhaps a child’s acting-out behaviors allow parents to avoid looking at their
relational problems. Perhaps a child’s failing grades reflect more on family anxiety and
stress than on individual issues. Fundamentally, family counseling takes a larger, more
systemic perspective of presenting issues.
Professional school counselors possess wonderful skill sets. They understand rapport
building. They understand relational dynamics. They understand problem assessment and
the utility of interventions. The connection between families and school adjustment is
undeniable. At the same time, school counselors will likely find continuing education and
supervision indispensable in helping families.
In our experience, students and families can often benefit from a family counseling
perspective. With so many students in the schools coping with changing family
structures, we must expand our skill sets. Fortunately, there are multiple platforms
through which we can provide help. Some of these options include:
● Consult with families and staff to highlight students’ needs and discuss strategies
necessary for improved social and academic performance
● Plan and organize classroom counseling sessions to address career, academic, and
personal development issues among students
● Develop and implement school counseling programs effective in meeting students’
needs for success
● Prepare students for the transition to higher institutions and colleges
● Ensure school curriculum meets the academic and developmental needs of
students
● Conduct student assessment and maintain records of test results
● Implement programs for students with special needs or learning disabilities
● Organize seminars to educate teenagers/parents on sensitive topics
● Listen to students’ concerns and proffer recommendations effective in addressing
academic or psychological issues and offer recommendations effective in
resolving such issues
● Guide and support school staff in implementing school advisory programs
● Employ responsive counseling in establishing positive relationships between
teachers, parents, and students.
Principal
An effective relationship between the principal and school counselor is essential when
improving student achievement. To have an effective relationship, there must be
communication, trust and respect, leadership, and collaborative planning between the
principal and school counselor (College Board, 2011). Principals and school counselors
are both instrumental leaders in the schools and they are most effective when they can
carry out their appropriate roles. Principals must assign appropriate counseling duties and
responsibilities and not administrative and coordination responsibilities. Allowing the
school counselor to implement counseling programs will help principals to identify and
address issues that contribute to academic failure.
Benefits of collaboration.
When considering the relationship between school principals and school counselors, as
well as the potential barriers and conflicts of interest which they may face, the ultimate
goal is a collaboration between the two. Collaboration between school professionals can
enhance teaching practices, student achievement, and overall school environment, and
such collaboration is facilitated largely by the school’s principal or other administrators.
Rather than working as separate entities, principal-counselor collaboration allows both
parties to combine their unique skill sets and resources for the betterment of the school.
Bore and Bore (2009) suggest that while some principals may be hesitant to team up with
counselors, those who do will find that they can tap underutilized counselor skills and
resources which can create a more supportive and inclusive environment for the entire
school community. Schools with strong principal-counselor collaboration have lower
turnover, higher job satisfaction, and more effective school counseling programs. Not
only a benefit to the relationship of the principal and counselor, but such collaboration is
also beneficial to students, staff, and the school as a whole.
Methods of collaboration.
There are a variety of ways suggested in the literature in which principals and counselors
can collaborate. Young and colleagues suggest that building a collaborative culture starts
with the principal. School principals can do this by partnering with counselors to ensure
that they are provided the proper support and services they need to effectively do their
jobs, reducing inappropriate counselor tasks, and providing professional development
opportunities for areas in which counselors may need more training (Young et al., 2013).
When addressing specific school issues, such as bullying or identifying at-risk students, it
is imperative that school principals and counselors work together to create cohesive
programming and properly carry out school policy (Austin, Reynolds, & Barnes, 2016).
Many times, collaboration in these situations could be as simple as the principal
recognizing that the counselor has the specialized skills and training to handle such
student situations and allowing them the space and opportunity to address the need
(Johnson & Perkins, 2009). By working as a team in such situations, principals and
counselors can better ensure the quality and effectiveness of measures taken.
It is very important that the school administration and the school counselors work
together to support teaching and learning throughout the school building. The following
are some ways that counselors can partner with administration:
There are always opportunities for school counselors to collaborate with teachers. Below
is a list of ways in which counselors can support and collaborate with teachers.
● Observe students who have been identified as challenging and offer suggestions
for classroom management.
● Offer resources and guidance for teachers seeking to infuse social and emotional
topics into their lessons.
● Provide counseling to students who have been identified by teachers as in need of
additional support.
● Involve staff when planning college and career events for students. It's always
great for students to hear the success stories of positive adult influences.
● Help Address Behavior Concerns within the Classroom
● Classroom Management Techniques
● Provide Academic Resources
● Consultation on Accommodations
Holistic education is a thorough way to deal with granting schooling where teachers try to
address the enthusiastic, social, moral, and scholarly requirements of students in a
coordinated learning design. Accentuation is set on certain school conditions and giving
scholastic and non-scholarly requirements of the understudies.
It urges students to ponder what their activities mean for other people and their general
surroundings, which requires more noteworthy thought and less spotlight on repetition
remembrance of realities and methods. It additionally puts an accentuation on applying
important abilities in a true setting since it reminds understudies that their choices sway
their current circumstances and others.
● Personal
● Temperamental
● Vocational/ professional
● Social
● Environmental
Personal
Schools have an important role to play in helping learners develop and manage their
physical and emotional well-being. Institutions should include personal development
programs for students in their holistic schooling curriculum.
Teachers tend to focus mainly on academic work, forgetting important aspects, like
personal development, which can act as a stepping stone for graduates looking to join the
workforce.
Personal development is when students learn more about their interests and work towards
achieving them. During this process, one gets to also build confidence. Personal
development for students is important because of the overall benefits, especially when it
comes to higher learning programs. We can’t talk about academic development without
including personal development. Academic growth must be supplemented by personal
development so that when a student completes a higher learning course, they have what it
takes to be competitive in the job market.
It’s easier for a student, especially in the early stages, to change habits and attitudes if
helped by their instructors and parents.
In a holistic school setting, it can be argued that personal development is one of the
most important things students need to learn.
Temperamental
Children’s temperament has been related to their academic outcomes, social success,
and mental health. Both reactive and regulatory temperament characteristics are
salient to the classroom environment; reactive temperament traits, such as shyness,
activity level, negative emotionality, anger, and regulatory temperament traits, such as
attentional focusing and inhibitory control are particularly relevant to children’s
success in school because of the inherently social, competitive, and academic nature
of the classroom context. Children are expected to interact positively with peers by
sharing and taking turns in group activities, as well as with teachers, by following
directions and responding well to new information, changing circumstances, and
redirection. These behaviors require children to enact behaviors that may be
challenging (i.e., staying quiet, remaining still, raising a hand to get the teacher’s
attention, and waiting for a turn to participate in a desirable activity).
Vocational/ Professional
It assists all young people to secure their future by enhancing their transition to a lot of
opportunities after school. Vocational education can be seen as an aspect of education
skills that utilize scientific knowledge in the acquisition of practical and applied skills
non-directive in the solution of technical problems.
Providing vocational education as a part of holistic guidance and counseling can have
various benefits, such as specialized training, better job opportunities higher earnings,
retraining for a new career, a better learning environment, and increase personal
development and growth
● Vocational Education helps people in the better performance of their jobs as they
acquire a great learning experience.
● Vocational Education as the term itself denotes the students are specialized and
therefore, they have more chances of employment as compared to others.
● For many students who are in a dilemma whether they should attend college or
not, Vocational education opens a completely new door.
● It makes an individual a responsible and independent
● The career of one's own choice is one of the major benefits of this education. A
vast majority of people are caught in the wrong jobs because they were in it for the
sake of job, money, lack of alternative and professional compromise whereas an
individual pursuing Vocational Education is already pursuing his dream job.
● Certain vocational skills acquired from Vocational Education teach students the
importance of manual work. The physical labor done under certain jobs makes
them strong, healthy, active.
● Another benefit is that Hands-on work activities allow direct application of
acquired knowledge.
Social
It can be said that schooling has as much to do with the socialization of children as it does
with teaching academic content. At school, students learn to interact and communicate
effectively with their peers and with authority figures. Schools must recognize this role
with an explicit social skills curriculum to help students of all ages and developmental
levels.
Social skills give kids a wide range of benefits. They are linked to greater success in
school and better relationships with peers.
● Better educational and career outcomes: Researchers from Penn State and Duke
University found that children who were better at sharing, listening, cooperating,
and following the rules at age five were more likely to go to college. They also
were more likely to be employed full-time by age 25.
● Better success in life: Good social skills also can help kids have a brighter future.
According to a study published in the American Journal of Public Health, a child’s
social and emotional skills in kindergarten might be the biggest predictor of
success in adulthood.
● Stronger friendships: Kids who have strong social skills and can get along well
with peers are likely to make friends more easily. A study published in the
International Encyclopaedia of the Social & Behavioural Sciences indicates that
childhood friendships are good for kids’ mental health. Friendships also give
children opportunities to practice more advanced social skills, like
problem-solving and conflict resolution.
● Improves students’ communication: Social skills learning improves students’
communication with peers and adults, improves cooperative teamwork, and helps
them become effective, caring, concerned members of their communities. At the
same time, it teaches them how to set and achieve individual goals and persistence,
skills that important for their successful development into adulthood, work, and
life
Researchers have found that children experienced a decrease in cortisol, a hormone
released during stressful situations, once they learned new social skills
Environmental
➔ Builds Confidence: school counselors can instill and help students to build
confidence in themselves by providing them with various opportunities to succeed.
A holistic curriculum enables teachers to recognize students’ unique strengths and
treat them all equally.
➔ Incorporates Emotional Reflection: school counselors can provide moments for
students to reflect, contemplate, or meditate to encourage emotional reflection in
daily routines. Lessons to teach empathy could focus on effective listening and
observation techniques or literature that presents varying perspectives on social
issues.
➔ Improved Academic Achievements: Holistic education can improve academic
achievements, regardless of background and circumstances. It caters to individual
learning styles and provides a supportive learning environment.
➔ Enhanced Mental & Emotional Well-Being: In a supportive environment, where
social and emotional learning is emphasized along with academics, students can
have a better chance of emerging with self-awareness, confidence, and a sense of
social responsibility.
➔ Reduced Impact of Inequities: By emphasizing integrated learning concepts, the
whole-child approach to education has been shown to reduce the psychological
impact of issues
➔ It focuses on the physical, emotional, intellectual, spiritual, and social
development of the student.
➔ The teacher plays the role of a facilitator to induce development in students
➔ It enhances and develops the cognitive and creative sides of its students and helps
students discover an identity, purpose, and meaning in connection to the
community.
➔ It is an integrated education system that is transformative and the entire system is a
skill and knowledge-oriented
➔ There is a strong collaborative relationship among students, parents, and teachers.
➔ It tries to cultivate a constructive approach, Gandhi’s Basic Education, Values
Education, and Peace Education.
➔ It is more relevant to the life of the student as a whole and makes use of
classrooms that promote active learning.
➔ It provides a great level of freedom of the mind and heart while focusing on the
artistic, academic, and practical aspects of learning.
➔ It also helps in developing inspiration, imagination, and intuition in its students
while focusing on a curriculum that values the interests, needs, and abilities of its
students.
E.G.Williamson has given the following six steps in providing directive counseling
1. Follow-up
2. Information gathering
3. Synthesis
4. Diagnosis
5. Prognosis
6. Counseling
Advantages of the directive counseling approach
● This approach saves time.
● It emphasizes the problem & not the individual. The counselor can see the patient
more objectively than the patient himself.
● It lays more emphasis on the intellectual rather than the emotional aspects of an
individual’s personality.
● The methods used in directive counseling are direct, persuasive & explanatory.
Limitations of the directive counseling approach
● The patient does not gain any liability for self-analysis or solve new problems of
adjustment by counseling.
● It makes the counselee overdependent on the counselor.
● Problems regarding emotional maladjustment may be better solved by
nondirective counseling.
● Sometimes the counselee lacks information regarding the counselee, which leads
to wrong counseling.
● It does not guarantee that the counselee will be able to solve the same problem on
his own in the future.
1. Establishing rapport
2. Diagnosing the problem
3. Analyzing the case
4. Preparing a tentative plan for modifying behavior
5. Counseling
6. Follow up
In the 2011 Census, about 73% of the population was literate, with 81% for males and
65% for females. National Statistical Commission surveyed literacy to be 77.7% in
2017–18, 84.7% for males, and 70.3% for females. This compares to 1981 when the
respective rates were 41%, 53%, and 29%. In 1951 the rates were 18%, 27%, and 9%.
India's improved education system is often cited as one of the main contributors to its
economic development. Much of the progress, especially in higher education and
scientific research, has been credited to various public institutions. While enrolment in
higher education has increased steadily over the past decade, reaching a Gross Enrolment
Ratio (GER) of 26.3% in 2019, there remains a significant distance to catch up with
tertiary education enrolment levels of developed nations, a challenge that will be
necessary to overcome to continue to reap a demographic dividend from India's
comparatively young population.
Poorly resourced public schools which suffer from high rates of teacher absenteeism may
have encouraged the rapid growth of private (unaided) schooling in India, particularly in
urban areas. Private schools divide into two types: recognized and unrecognized schools.
Government ‘recognition’ is an official stamp of approval and for this, a private school is
required to fulfill many conditions, though hardly any private schools that get
‘recognition’ actually fulfill all the conditions of recognition. The emergence of large
numbers of unrecognized primary schools suggests that schools and parents do not take
government recognition as a stamp of quality.
As per the Annual Status of Education Report (ASER) 2012, 96.5% of all rural children
between the ages of 6-14 were enrolled in school. This is the fourth annual survey to
report enrolment above 96%. India has maintained an average enrolment ratio of 95% for
students in this age group from 2007 to 2014. As an outcome, the number of students in
the age group 6-14 who are not enrolled in school has come down to 2.8% in the
academic year 2018 (ASER 2018).
In 1986, the government led by Rajiv Gandhi introduced a new National Policy on
Education. The new policy called for "special emphasis on the removal of disparities and
to equalize educational opportunity," especially for Indian women, Scheduled Tribes
(ST), and the Scheduled Caste (SC) communities. To achieve such a social integration,
the policy called for expanding scholarships, adult education, recruiting more teachers
from the SCs, incentives for poor families to send their children to school regularly,
development of new institutions, and providing housing and services. The NPE called for
a "child-centered approach" in primary education and launched "Operation Blackboard"
to improve primary schools nationwide. The policy expanded the open university system
with the Indira Gandhi National Open University, which had been created in 1985. The
policy also called for the creation of the "rural university" model, based on the
philosophy of Mahatma Gandhi, to promote economic and social development at the
grassroots level in rural India. The 1986 education policy expected to spend 6% of GDP
on education.
Education is a very important factor in the economic development of any country. India
since the early days of independence has always focused on improving the literacy rate in
our country. Even today the government runs many programs to promote Primary and
Higher Education in India.
Education in India
Education in India means the process of teaching, learning, and training of human capital
in schools and colleges. This improves and increases knowledge and results in skill
development hence enhancing the quality of the human capital. Our government has
always valued the importance of education in India and this is reflected in our economic
policies.
During 1952-2010, the percentage of total education expenditure out of total government
expenditure increased from 7.92% to 11.10%. At the same time, the percentage of GDP
of the country increased from 0.64% to 3.25%. As the expenditure on education was not
constant during that time, the growth of the country was irregular in that era.
3. Higher Education
People in India face great difficulty to reach the higher levels in the current education
system. As per National Sample Survey Organization data, in the FY 2007-08, the
unemployment rate was 18.10% for youth with education up to secondary level. Whereas
the unemployment rate for youth with education up to primary level was only 11.60%.
The government should take an emphasis on the allocation of higher education and
improve the students.
NEW MEASURES
School Education
➔ The 10+2 structure has been replaced with 5+3+3+4 consisting of 12 years of
school and three years of Anganwadi or pre-school.
The split will be as follows –
1. a foundational stage(ages 3 to 8 years)
2. three years of pre-primary(ages 8 – 11 years)
3. a preparatory stage(ages 11 to 14 years)
4. a secondary stage( ages 14 to 18 years)
➔ No exams will be held every year. School students will sit only for three exams- at
classes 3, 5, and 8.
➔ Board exams in schools will be held for classes 10 and 12 but will be re-designed
with an aim of holistic development. Test of actual knowledge of students will be
done instead of “rote learning”.
➔ National Assessment Centre- ‘PARAKH’ has been created to assess the students.
➔ Home language, mother tongue, or regional language will be the medium of
instruction up to Class 5.
➔ School curriculum will also be reduced to core concepts and there will be the
integration of vocational education from Class 6.
➔ Report cards will be a comprehensive report on skills and capabilities instead of
just marks and statements.
➔ The national mission will focus on basic literacy and basic numeracy.
➔ Major changes have been announced in the pedagogical structure of the
curriculum with no rigid separation between streams; all
➔ Separations between vocational and academic and curricular and extra-curricular
will also be removed.
Higher Education
➔ A Higher Education Council of India(HECI) will be set up to regulate higher
education. The council will aim at increasing the gross enrollment ratio from 26.3
percent to 50 percent by 2035.
➔ The HECI will have four independent verticals- National Higher Education
Regulatory Council for regulation, General Education Council to set standards,
Higher Education Grants Council for funding, and National Accreditation Council
for accreditation.
➔ MPhil courses will be discontinued under the new policy and all the courses at
undergraduate, postgraduate, and Ph.D. levels will now be interdisciplinary.
➔ All higher education institutions, except legal and medical colleges, will be
governed by a single regulator.
➔ Common norms will be in place for private and public higher education
institutions. It will also cap fees charged by educational
➔ institutions.
➔ Common entrance exams will be held for admission to universities and higher
education institutions.
➔ There will be holistic and multidisciplinary education in terms of flexibility of
subjects.
➔ Other features include graded academic, administrative, and financial autonomy of
institutions.
➔ E-courses will be developed in regional languages; virtual labs will be developed
and a National Educational Technology Forum (NETF) is being created.
➔ There are over 45,000 affiliated colleges in our country. Under graded autonomy,
academic, administrative, and financial autonomy will be given to colleges, based
on the status of their accreditation.
Previous Policies
The implementation of previous policies on education has focused largely on issues of
access and equity. The unfinished agenda of the National Policy on Education 1986,
modified in 1992 (NPE 1986/92), is appropriately dealt with in this Policy. A major
development since the last Policy of 1986/92 has been the Right of Children to Free and
Compulsory Education Act 2009 which laid down legal underpinnings for achieving
universal elementary education.
1. What are the salient features of the new Education policy 2020?
➔ All higher education institutions, except legal and medical colleges, are to be
governed by a single regulator.
➔ Common norms to be in place for private and public higher education institutions.
➔ MPhil courses to be discontinued.
➔ Board exams are to be based on knowledge application.
➔ Home language, mother tongue, or regional language to be medium of instruction
up to class 5.
➔ Common entrance exams to be held for admission to universities and higher
education institutions.
➔ School curriculum to be reduced to core concepts; integration of vocational
education from class 6.
➔ Multilingualism is the underlying principle of this policy.
➔ Using the power of language for integration and understanding Indian culture and
values is the intended objective.
➔ In Grades 6-8, the focus is on vocational studies at the school- level, which
includes carpentry, electric work, metalwork, gardening, pottery making, etc., as
decided by States and local communities.
➔ Experiential learning includes arts-integrated and sports-integrated education as
well as story-telling-based pedagogy.
➔ The existing 10+2 structure in school education will be modified with a new
pedagogical and curricular restructuring of 5+3+3+4 covering ages 3-18. This
means the first five years of school will comprise the foundation stage. The next
three years will be divided into a preparatory stage from classes 3 to 5. Later, there
will be three years of middle stage (classes 6 to 8), and four years of secondary
stage (classes 9 to 12).
2. What are the basic differences in the challenges of Primary sector and tertiary
education?
Primary Education:
➔ The primary education in India is divided into two parts, namely Lower Primary
(Class I-IV) and Upper Primary
➔ (Middle school, Class V-VIII).
➔ Emphasis is more on primary education (Class I-VIII) also referred to as
elementary education, to children aged 6 to 14
➔ Years old. Because education laws are given by the states, the duration of primary
school visits alters between the states.
➔ The government has also banned child labor to ensure that the children do not
enter unsafe working conditions.
➔ However, both free education and the ban on child labor are difficult to enforce
due to economic disparity and social conditions.
➔ 80% of all recognized schools at the elementary stage are government-run or
supported, making it the largest provider of education in the country.
Tertiary Education:
➔ Tertiary education, also referred to as third-level, third-stage, or post-secondary
education, is the educational level following the completion of secondary
education.
➔ The World Bank defines tertiary education as including universities as well as
trade schools and colleges.
➔ The main governing body at the tertiary level is the University Grants Commission
(India) (UGC), which enforces its standards, advises the government, and helps
coordinate between the center and the state up to Postgraduate and Doctorate
(Ph.D.).
➔ Accreditation for higher learning is overseen by 12 autonomous institutions
established by the University Grants Commission.
3. How many policies have we had so far and what was the fundamental objective
of each which makes every policy unique?
➔ The education system was first developed in the three presidencies (Bombay,
Calcutta, and Madras). By linking entrance and advancement in government
service to academic education, colonial rule contributed to the legacy of an
education system geared to preserving the position and prerogatives of the more
privileged.
➔ In the early 1900s, the Indian National Congress called for national education,
emphasizing technical and vocational training.
➔ In 1920 Congress initiated a boycott of government-aided and
government-controlled schools and founded several ‘national’ schools and
colleges.
➔ Following Independence, school curricula were imbued with the twin themes of
inclusiveness and national pride.
➔ The most notable feature is the entrenchment of the pluralist/secularist perspective
in the minds of the Indian people.
➔ Subsidized quality higher education through institutions such as the IITs and IIMs
formed a major contribution to the Nehruvian vision of a self-reliant and modern
Indian state.
➔ In addition, policies of positive discrimination in education and employment
furthered the case for access by hitherto unprivileged social groups to quality
education.
➔ In 1986, a new education policy, ‘the National Policy on Education (NPE)’ was
announced, which was intended to prepare India for the 21st century.
➔ The policy emphasized the need for change: ‘Education in India stands at the
crossroads today. Neither normal linear expansion nor the existing pace and nature
of improvement can meet the needs of the situation.’
➔ According to the new policy, the 1968 policy goals had largely been achieved:
more than 90 percent of the country’s rural population were within a kilometer of
schooling facilities and most states had adopted a common education structure.
➔ The prioritization of science and mathematics had also been effective. However,
change was required to increase financial and organizational support for the
education system to tackle problems of access and quality.
ASER is a sample-based household survey and the largest citizen-led survey in India. It
is an annual survey that aims to provide reliable annual estimates of children’s schooling
status and basic learning levels for each state and rural district in India. Every year since
2005, ASER has reported on the ability to do basic reading and arithmetic tasks for
children in the 5-16 age group in Rural India. In 2017, ASER 'Beyond Basics' focused on
the abilities, experiences, and aspirations of youth in the 14-18 age group.
The new National Education Policy and Sustainable Development Goal 4 share the goals
of universal quality education and lifelong learning.
Language policy:
➔ The provision for education in the mother tongue till class 5 could pose challenges
to the mobility of students in a large and diverse country like India.
➔ The option to study in a language like English or Hindi that enables a transfer
nationally needs adequate attention.
Resentment by states:
➔ The idea of a National Higher Education Regulatory Council as an apex control
organization and a national body for aptitude tests is bound to be resented by
States.
➔ In a federal system, any educational reform can be implemented only with support
from the States, and the Centre has the task of building a consensus on the
ambitious plans.
Other challenges:
➔ The lack of popularity of vocational training and the ‘blue-collarisation of
vocations in the society act as obstacles in the introduction of vocational school
training.
➔ The shift to a four-year undergraduate college degree system may lead to a
situation where overzealous parents may stream their children into professions at
the earliest thus burdening the students further.
➔ There will be legal complexities surrounding the applicability of two operative
policies namely The Right to Education Act, 2009 and the New Education Policy,
2020.
➔ Certain provisions such as the age of starting schooling will need to be deliberated
upon, to resolve any conundrum between the statute and the recently introduced
policy in the longer run.
8. India is said to be the demographic dividend capital of the world. How will this
NEP help us to use this population?
PSYCHOLOGY OF DEPRIVED
Persons with Disability Act 1995/ Right to Persons with Disability Act 2016
The RPWD Act, 2016 provides that “the appropriate Government shall ensure that the
PWD enjoy the right to equality, life with dignity, and respect for his or her integrity
equally with others.” The Government is to take steps to utilize the capacity of the PWD
by providing an appropriate environment. It is also stipulated in section 3 that no PWD
shall be discriminated on the ground of disability unless it is shown that the impugned act
or omission is a proportionate means of achieving a legitimate aim and no person shall be
deprived of his liberty only on the ground of disability. Living in the community for
PWD is to be ensured and steps are to be taken by the Government to ensure reasonable
accommodation for them. Special measures are to be taken to ensure women and children
with disabilities enjoy rights equally with others. Measures are to be taken to protect the
PWD from being subjected to cruelty, inhuman, and degrading treatments and from all
forms of abuse, violence, and exploitation. For conducting any research, free and
informed consent from the PWD as well as prior permission from a Committee for
Research on Disability to be constituted in the prescribed manner. Under section 7(2) of
the Act, any person or registered organization, who or which has reason to believe that an
act of abuse, violence, or exploitation has been, is being or likely to be committed against
any PWD, may give information to the local Executive Magistrate who shall take
immediate steps to stop or prevent its occurrence and pass appropriate order to protect the
PWD. Police officers, who receive a complaint or otherwise come to know of violence,
abuse, or exploitation, shall inform the aggrieved PWD of his right to approach the
Executive Magistrate. The police officer shall also inform about particulars of the nearest
organization working for the rehabilitation of the PWD, right to free legal aid, and right
to file a complaint under the provisions of this Act or any other law dealing with such
offense.
The Bill provides for the access to inclusive education, vocational training, and
self-employment of disabled persons without discrimination, and buildings, campuses,
and various facilities are to be made accessible to the PWD and their special needs are to
be addressed. Necessary schemes and programs to safeguard and promote the PWD for
living in the community are to be launched by the Government. Appropriate healthcare
measures, insurance schemes, and rehabilitation programs for the PWD are also to be
undertaken by the Government. Cultural life, recreation, and sporting activities are also to
be taken care of. All Government institutions of higher education and those getting aid
from the Government are required to reserve at least 5% of seats for persons with
benchmark disabilities. Four percent reservation for persons with benchmark disabilities
is to be provided in posts of all Government establishments with differential quotas for
different forms of disabilities. Incentives to employers in the private sector are to be
given who provide 5% reservation for persons with benchmark disability. Special
employment exchanges for the PWD are to be set up. Awareness and sensitization
programs are to be conducted and promoted regarding the PWD. Standards of
accessibility in the physical environment, different modes of transports, public buildings,
and areas are to be laid down which are to be observed mandatorily and a 5-year time
limit is provided to make the existing public buildings accessible. Access to information
and communication technology is to be ensured. The Central and State Advisory Boards
on disability are to be constituted to perform various functions assigned under the Act.
District level Committees are also to be constituted by the State Government. Chief
Commissioner and two Commissioners for PWD are to be appointed by the Central
Government at the central level for the Act. Similarly, State Commissioners for PWD are
to be appointed by the State Governments. National Funds for PWD and State Funds for
PWD are to be constituted at the central and state levels respectively by the appropriate
Governments. Contraventions of the provisions of the Act have been made punishable by
a fine of an amount up to ten thousand for the first contravention and fifty thousand
extendable up to five lakhs for subsequent contraventions. Atrocities on PWD have been
made punishable with imprisonment of 6 months extendable to 5 years and with a fine.
Fraudulently availing of the benefits meant for PWD has also been made punishable.
❖ ii. The types of disabilities have been increased from the existing 7 to 21 and the
Central Government will have the power to add more types of disabilities. The 21
disabilities are given below:-
1. Blindness
2. Low-vision
3. Leprosy Cured persons
4. Hearing Impairment (deaf and hard of hearing)
5. Locomotor Disability
6. Dwarfism
7. Intellectual Disability
8. Mental Illness
9. Autism Spectrum Disorder
10. Cerebral Palsy
11. Muscular Dystrophy
12. Chronic Neurological conditions
13. Specific Learning Disabilities
14. Multiple Sclerosis
15. Speech and Language disability
16. Thalassemia
17. Hemophilia
18. Sickle Cell disease
19. Multiple Disabilities including deafblindness
20. Acid Attack victim
21. Parkinson’s disease
❖ iii. Speech and Language Disability and Specific Learning Disability have been
added for the first time. Acid Attack Victims have been included. Dwarfism,
muscular dystrophy have been indicated as a separate class of specified disability.
The New categories of disabilities also included three blood disorders,
Thalassemia, Hemophilia, and Sickle Cell disease.
❖ iv. In addition, the Government has been authorized to notify any other category of
specified disability.
❖ v. Responsibility has been cast upon the appropriate governments to take effective
measures to ensure that persons with disabilities enjoy their rights equally with
others.
❖ vii. Every child with benchmark disability between the age group of 6 and 18
years shall have the right to free education.
❖ ix. For strengthening the Prime Minister’s Accessible India Campaign, stress has
been given to ensure accessibility in public buildings (both Government and
private) in a prescribed time frame.
❖ xi. The Bill provides for the grant of guardianship by the District Court under
which there will be joint decision-making between the guardian and the persons
with disabilities.
❖ xii. Broad-based Central & State Advisory Boards on Disability are to be set up to
serve as apex policy-making bodies at the Central and State level.
❖ xiii. Office of Chief Commissioner of Persons with Disabilities has been
strengthened who will now be assisted by 2 Commissioners and an Advisory
Committee comprising of not more than 11 members drawn from experts in
various disabilities.
❖ xv. The Chief Commissioner for Persons with Disabilities and the State
Commissioners will act as regulatory bodies and Grievance Redressal agencies
and also monitor implementation of the Act.
❖ xvii. Creation of National and State Fund will be created to provide financial
support to persons with disabilities. The existing National Fund for Persons with
Disabilities and the Trust Fund for Empowerment of Persons with Disabilities will
be subsumed with the National Fund.
❖ xviii. The Bill provides for penalties for offenses committed against persons with
disabilities and also allows violations of the provisions of the new law.
❖ xix. Special Courts will be designated in each district to handle cases concerning
violation of rights of PwDs.
SCHOOL COUNSELLING
• Supportive Services including programs of Intervention and Prevention & Self-Help Material
• There are many reasons adolescents use these substances, including the desire for new
experiences, an attempt to deal with problems or perform better in school, and simple peer
pressure. Adolescents are “biologically wired” to seek new experiences and take risks, as
well as to carve out their own identity. Trying drugs may fulfill all of these normal
developmental drives, but in an unhealthy way that can have very serious long-term
consequences.
• Many factors influence whether an adolescent tries drugs, including the availability of drugs
within the neighborhood, community, and school and whether the adolescent’s friends are
using them. The family environment is also important: Violence, physical or emotional
abuse, mental illness, or drug use in the household increase the likelihood an adolescent will
use drugs.
• Finally, an adolescent’s inherited genetic vulnerability; personality traits like poor impulse
control or a high need for excitement; mental health conditions such as depression, anxiety,
or ADHD; and beliefs such as that drugs are “cool” or harmless make it more likely that an
adolescent will use drugs.
• The teenage years are a critical window of vulnerability to substance use disorders, because
the brain is still developing and malleable (a property known as neuroplasticity), and some
brain areas are less mature than others. The parts of the brain that process feelings of reward
and pain—crucial drivers of drug use—are the first to mature during childhood.
• What remains incompletely developed during the teen years are the prefrontal cortex and its
connections to other brain regions. The prefrontal cortex is responsible for assessing
situations, making sound decisions, and controlling our emotions and impulses;
typically, this circuitry is not mature until a person is in his or her mid-20s. The adolescent
brain is often likened to a car with a fully functioning gas pedal (the reward system) but weak
brakes (the prefrontal cortex).
• Teenagers are highly motivated to pursue pleasurable rewards and avoid pain, but their
judgment and decision-making skills are still limited. This affects their ability to weigh risks
accurately and make sound decisions, including decisions about using drugs. For these
reasons, adolescents are a major target for prevention messages promoting healthy, drug-free
behavior and giving young people encouragement and skills to avoid the temptations of
experimenting with drugs.
• Drug use can be part of a pattern of risky behavior including unsafe sex, driving while
intoxicated, or other hazardous, unsupervised activities.
• And in cases when a teen does develop a pattern of repeated use, it can pose serious social
and health risks, including:
➢ school failure
➢ problems with family and other relationships
➢ loss of interest in normal healthy activities
➢ impaired memory
➢ increased risk of contracting an infectious disease (like HIV or hepatitis C) via risky sexual
behavior or sharing contaminated injection equipment
➢ mental health problems—including substance use disorders of varying severity
➢ the very real risk of overdose death
• This creates an especially strong drive to repeat the experience. The immature brain, already
struggling with balancing impulse and self-control, is more likely to take drugs again without
adequately considering the consequences.
• If the experience is repeated, the brain reinforces the neural links between pleasure and drug-
taking, making the association stronger and stronger. Soon, taking the drug may assume an
importance in the adolescent’s life out of proportion to other rewards.
• The development of addiction is like a vicious cycle: Chronic drug use not only realigns a
person’s priorities but also may alter key brain areas necessary for judgment and self-control,
further reducing the individual’s ability to control or stop their drug use. This is why, despite
popular belief, will power alone is often insufficient to overcome an addiction. Drug use has
compromised the very parts of the brain that make it possible to “say no.”
• Not all young people are equally at risk for developing an addiction.
When substance use disorders occur in adolescence, they affect key developmental and social
transitions, and they can interfere with normal brain maturation.
Chronic marijuana uses in adolescence, for example, has been shown to lead to a loss of IQ that
is not recovered even if the individual quits using in adulthood. Impaired memory or thinking
ability and other problems caused by drug use can derail a young person’s social and educational
development and hold him or her back in life.
Treatment Approaches available to address needs of adolescents
• Effective treatments for adolescents primarily consist of some form of behavioral therapy.
• Addiction medications, while effective and widely prescribed for adults, are not generally
approved by the U.S. Food and Drug Administration (FDA) for adolescents. Trials suggest
that some medications may assist adolescents in achieving abstinence, so providers may view
their young patients’ needs on a case-by-case basis in developing a personalized treatment
plan.
• Whatever a person’s age, treatment is not “one size fits all. “It requires considering the needs
of the whole person—including his or her developmental stage and cognitive abilities and the
influence of family, friends, and others in the person’s life, as well as any additional mental
or physical health conditions. Such issues should be addressed at the same time as the
substance use treatment.
• When treating adolescents, clinicians must also be ready and able to manage complications
related to their young patients ‘confidentiality and their dependence on family members who
may or may not be supportive of recovery.
2. Adolescents can benefit from a drug abuse intervention even if they are not addicted to
a drug. Substance use disorders range from problematic use to addiction and can be treated
successfully at any stage, and at any age. Parents and other adults should monitor young
people and not underestimate the significance of what may appear as isolated instances of
drug taking.
3. Routine annual medical visits are an opportunity to ask adolescents about drug use.
Standardized screening tools are available to help pediatricians, dentists, emergency room
doctors, psychiatrists, and other clinicians determine an adolescent’s level of involvement (if
any) in tobacco, alcohol, and illicit and nonmedical prescription drug use.
4. Legal interventions and sanctions or family pressure may play an important role in
getting adolescents to enter, stay in, and complete treatment. Adolescents with substance
use disorders rarely feel they need treatment and almost never seek it on their own.
5. Substance use disorder treatment should be tailored to the unique needs of the
adolescent. Appropriate treatment considers an adolescent’s level of psychological
development, gender, relations with family and peers, how well he or she is doing in school,
the larger community, cultural and ethnic factors, and any special physical or behavioral
issues.
6. Treatment should address the needs of the whole person, rather than just focusing on
his or her drug use. The best approach to treatment includes supporting the adolescent’s
larger life needs, such as those related to medical, psychological, and social well-being, as
well as housing, school, transportation, and legal services.
8. Families and the community are important aspects of treatment. The support of family
members is important for an adolescent’s recovery. Several evidence-based interventions for
adolescent drug abuse seek to strengthen family relationships by improving communication.
9. Effectively treating substance use disorders in adolescents requires also identifying and
treating any other mental health conditions they may have. Adolescents who abuse drugs
frequently also suffer from other conditions including depression, anxiety disorders,
attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct
problems.
10. Sensitive issues such as violence and child abuse or risk of suicide should be identified
and addressed. Many adolescents who abuse drugs have a history of physical, emotional,
and/or sexual abuse or other trauma.
11. It is important to monitor drug use during treatment. Adolescents recovering from
substance use disorders may experience relapse, or a return to drug use. Triggers associated
with relapse vary and can include mental stress and social situations linked with prior drug
use.
12. Staying in treatment for an adequate period of time and continuity of care afterward
are important. The minimal length of drug treatment depends on the type and extent of the
adolescent’s problems, but studies show outcomes are better when a person stays in treatment
for 3 months or more.
13. Testing adolescents for sexually transmitted diseases like HIV, as well as hepatitis B
and C, is an important part of drug treatment. Adolescents who use drugs—whether
injecting or non-injecting—are at an increased risk for diseases that are transmitted sexually
as well as through the blood, including HIV and hepatitis B and C.
What are signs of drug use in adolescents, and what role can parents play in getting
treatment?
If an adolescent starts behaving differently for no apparent reason––such as acting withdrawn,
frequently tired, or depressed, or hostile–it could be a sign he or she is developing a drug-related
problem.
Parents and others may overlook such signs, believing them to be a normal part of puberty. Other
signs include:
• A change in peer group
• Carelessness with grooming
• Decline in academic performance
• Missing classes or skipping school
• Loss of interest in favorite activities
• Changes in eating or sleeping habits
• Deteriorating relationships with family members and friends Parents tend to underestimate
the risks or seriousness of drug use.
The symptoms listed here suggest a problem that may already have become serious and should
be evaluated to determine the underlying cause—which could be a substance abuse problem or
another mental health or medical disorder. Parents who are unsure whether their child is abusing
drugs can enlist the help of a primary care physician, school guidance counselor, or drug abuse
treatment provider.
What role can medical professionals play in addressing substance abuse (including abuse of
prescription drugs) among adolescents?
Medical professionals have an important role to play in screening their adolescent patients for
drug use, providing brief interventions, referring them to substance abuse treatment if necessary,
and providing ongoing monitoring and follow-up. Screening and brief interventions do not have
to be time-consuming and can be integrated into general medical settings.
1. Screening. Screening and brief assessment tools administered during annual routine medical
checkups can detect drug use before it becomes a serious problem. The purpose of screening
is to look for evidence of any use of alcohol, tobacco, or illicit drugs or abuse of prescription
drugs and assess how severe the problem is. Results from such screens can indicate whether a
more extensive assessment and possible treatment are necessary.
2. Brief Intervention. Adolescents who report using drugs can be given a brief intervention to
reduce their drug use and other risky behaviors. Specifically, they should be advised how
continued drug use may harm their brains, general health, and other areas of their life,
including family relationships and education.
3. Referral. Adolescents with substance use disorders or those that appear to be developing a
substance use disorder may need a referral to substance abuse treatment for more extensive
assessment and care.
4. Follow-up. For patients in treatment, medical professionals can offer ongoing support of
treatment participation and abstinence from drugs during follow-up visits. Adolescent
patients who relapse or show signs of continuing to use drugs may need to be referred back
to treatment.
5. Before prescribing medications that can potentially be abused, clinicians can assess
patients for risk factors such as mental illness or a family history of substance abuse, consider
an alternative medication with less abuse potential.
Oppositional Defiant Disorder (ODD)
What is ODD?
Oppositional defiant disorder (ODD) is one of a group of behavioral disorders called disruptive
behavior disorders (DBD). These disorders are called this because children who have these
disorders tend to disrupt those around them. ODD is one of the more common mental health
disorders found in children and adolescents.
Physicians define ODD as a pattern of disobedient, hostile, and defiant behavior directed toward
authority figures. Children and adolescents with ODD often rebel, are stubborn, argue with
adults, and refuse to obey. They have angry outbursts and have a hard time controlling their
temper. Even the best-behaved children can be uncooperative and hostile at times, particularly
adolescents, but those with ODD show a constant pattern of angry and verbally aggressive
behaviors, usually aimed at parents and other authority figures.
The most common behaviors that children and adolescents with ODD show are:
• Defiance
• Spitefulness
• Negativity
• Hostility and verbal aggression
Causes of ODD?
There is no clear-cut cause of ODD. However, most experts believe that a combination of
biological, psychological, and social risk factors play a role in the development of the disorder.
Biological factors
1. Children and adolescents are more susceptible to developing ODD if they have:
2. A parent with a history of attention-deficit/hyperactivity disorder (ADHD), ODD, or CD
3. A parent with a mood disorder (such as depression or bipolar disorder)
4. A parent who has a problem with drinking or substance abuse
5. Impairment in the part of the brain responsible for reasoning, judgment, and impulse control
6. A brain-chemical imbalance
7. A mother who smoked during pregnancy
8. Exposure to toxins
9. Poor nutrition
Psychological factors
1. A poor relationship with one or more parent
2. A neglectful or absent parent
3. A difficulty or inability to form social relationships or process social cues
Social factors
1. Poverty
2. Chaotic environment
3. Abuse
4. Neglect
5. Lack of supervision
6. Uninvolved parents
7. Inconsistent discipline
8. Family instability (such as divorce or frequent moves)
Symptoms of ODD
Most children argue with parents and defy authority from time to time, especially when they are
tired, hungry, or upset. Some of the behaviors associated with ODD also can arise in children
who are undergoing a transition, who are under stress, or who are in the midst of a crisis. This
makes the behavioral symptoms of ODD sometimes difficult for parents to distinguish from
expectable stress-related behaviors.
Children with ODD show an ongoing pattern of extreme negativity, hostility, and defiance that:
• Is constant
• Lasts at least 6 months
• Is excessive compared with what is usual for the child’s age
• Is disruptive to the family and the school
• Is usually directed toward an authority figure (parents, teachers, principal, coach)
Gathering Information
During the evaluation, the child’s primary care clinician will look for physical or other mental
health issues that may cause problems with behavior. If the doctor cannot find a physical cause
for the symptoms, he or she may refer the child to a child and adolescent psychiatrist or a mental
health professional who is trained to diagnose and treat mental illnesses in children and
adolescents.
A child and adolescent psychiatrist or a qualified mental health professional usually diagnoses
ODD.A mental health professional will gather information from parents, teachers, and daycare
providers as well as from the child. Gathering information from as many people as possible will
help the doctor determine how often the behaviors occur and where. It also will help the doctor
determine how the behaviors affect the different areas of the child’s life.
In addition to establishing a primary diagnosis, the doctor will look for signs of other conditions
that often occur along with ODD, such as ADHD, anxiety, and mood disorders. The doctor also
should look for signs that the child has been involved in bullying—as either the victim or
perpetrator. Involvement in bullying often is a sign that the child is at risk for aggression and
violence.
Establishing a Relationship
Like many mental health disorders, ODD is not always easy to accurately diagnose. Open
communication among the mental health professional and the parents and child can help
overcome the difficulties diagnosing this disorder. For example, some children see their
behaviors as justified and are unmotivated to change. Also, some parents can become defensive
when questioned about their parenting style.
Having the parent and the child view the mental health professional as an ally can
help.9Establishing a good relationship with a mental health professional is important to
determining whether the child’s behavior is a response to a short-lived situation or transition,
ODD, or another serious behavioral condition, such as CD or a mood disorder.
Types of Treatment
Treatment usually consists of a combination of:
•Parent-Management Training Programs and Family Therapy to teach parents and other
family members how to manage the child’s behavior. Parents, family members, and other
caregivers are taught techniques in positive reinforcement and ways to discipline more
effectively.
•Cognitive Problem-Solving Skills Training to reduce inappropriate behaviors by teaching the
child positive ways of responding to stressful situations. Children with ODD often only know of
negative ways of interpreting and responding to real-life situations. Cognitive problem-solving
skills training teaches them how to see situations and respond appropriately.
•Social-Skills Programs and School-Based Programs to teach children and adolescents how to
relate more positively to peers and ways to improve their schoolwork. These therapies are most
successful when they are conducted in a natural environment, such as at the school or in a social
group.
•Medication may be necessary to help control some of the more distressing symptoms of ODD
as well as the symptoms of coexisting conditions, such as ADHD, anxiety, and mood disorders.
However, medication alone is not a treatment for ODD.
• Turn arguments into discussions. Do not give in or lower yourself to your child’s level and
argue incessantly back. Give the child explicit choices and agree to hear the child out and
entertain his or her ideas and desires.
• Give Choices. When they are complaining about the amount of work in spelling, give them
the choice of they can do their work now or they can’t go to gym or do some other desirable
activity. This helps give them autonomy or self-control.
• When appropriate, ignore the student’s disruptive behavior. If the function of the
behavior is to gain attention by either interrupting consistently or making noise, ignore the
behavior. Before using this tactic, make sure that the class knows that misbehavior will not
always be addressed immediately, but it will be taken care of. If the class is not addressed,
they will feel that the disruptive student is getting away with misbehaving.
• When a student consistently asks questions in an attempt to distract you from the lesson, tell
them that you will answer their question at a later time, during “their time.” This will
make evident which students really need the help and which ones were just trying to distract.
• When a student mentions how another teacher didn’t punish him or her for a behavior, re-
focus on the present instruction. For example, say “you think that just because someone
else let you get away with the behavior, it doesn’t apply in here, but it does.”
• Avoid public reprimands. Always try to address behavior privately, especially with
adolescents.
• In order for them to be effective, any rewards or punishments must be meaningful and
salient to the child.
• Purposefully set aside and spend positive time with the child. Positive and supportive
teacher-parent and parent-child relations are critical.
• Praise and acknowledge your child’s positive behavior or even the lack of their negative
behavior that you are accustomed to. Point out positive characteristics.
• Use time-out as a last resort. It often increases defiant behavior. When used, remain calm
and firm.
• Use “time-outs” effectively with elementary and early adolescents. Designate the specific
chair, room, or area where the child will go for a time-out. Do not make empty threats.
Properly follow through, starting the time-out only when the child is calm and quiet.
For adolescents, sending them to their room for a designated amount of time will be more
effective than giving them a time-out.
• Avoid quick changes in normal routine. Post schedules in the classroom or on the
student’s desk. This empowers the child. For younger children, a picture schedule may be
most effective.
• Cue students into how much time they have left on assignments. Make sure to give
them plenty of notice. This provides students with more control. When you give a certain
length of time to finish a task, keep time limits short because defiant students will push
the limit.
• Provide a high level of structure to classroom work. ODD students have trouble with
organization. An example of a structure intervention would be having the students’ desk
belongings placed in boxes and arranged according to activity. This decreases the chance that
the child will be overwhelmed with work.
• Avoid tasks that are beyond the student’s ability. Keeping tasks in their given ability
level, allows them to still maintain control.
• Avoid signs of disapproval towards the child. This once again makes the child feel like
they need to regain control again, causing them to misbehave.
• If and when the child shuts down and refuses to talk, stay calm and state your feelings
and point of view, and then walk away from the potential fight. The child will hear you
whether or not they appear to be listening. State the consequences that will come from this
behavior until the child is ready to talk.
• Hold a firm and consistent stand on consequences of violations of school policies, laws,
and social norms. Enforce limits but express unconditional love.
• Choose your battles. Accept a lack of control in certain areas such as clothing, friends,
music, and cleaning the bedroom, where arguments might arise, and violations of rules and
regulations are minor and not worth an argument. Understand these disagreements are more
often due to developmental changes. However, clearly communicate what is not acceptable
and follow through with consequences.
• Teach children how to develop and maintain positive social relationships. Social skills’
training is important for these students to engage in equitable relationships.
• Teach “voluntary leaving” interventions. These are when the student learns when to leave the
classroom, so his actions hurt no one. Ask students what activities will help them gain
control again. When the students leave the classroom have them perform this activity to calm
them down and allow them to gain control.
• Institute a token response cost lottery system. Students are allotted a certain number of
tokens that are then removed when they behave inappropriately. After the end of a certain
period of time, the left-over tokens are traded in for reinforcers. The student or the teacher
can manage this system. A response cost lottery system also may be effective. Handing out
small pieces of paper to students in the beginning of the week. Then, each time an
inappropriate behavior is displayed, you remove one piece of paper from that student’s desk.
At the end of the week, you take the remaining pieces of paper and place it in a box and draw
a winner. That student is then able to choose from an array of reinforcers.
• Demand eye contact of your students when addressing them. You should call the
student’s name and they need to make eye contact within 2 seconds. Then you proceed to
explain the instructions of the given task while holding eye contact the whole time.
• Have Problem Solving Conferences (PBC) with your students. These are meetings that
are had when a student misbehaves in the classroom. You allow for the student to explain
their side of the story, and then the other party involved explains their side. There is a
facilitator that allows both parties to understand each other’s position. If the parties involved
design no resolution plan, then the facilitator offers alternatives.
• Sit down with all caregivers to discuss and agree upon your plan of action for dealing
with defiant behaviors. This includes teachers, parents, and other school stuff, as appropriate
(e.g., counselor, principal).
• Use a buddy system to help promote good behavior. In this system, a student is paired
with a fellow student and asked to record their behavior and compliance with rules for a 20-
minute period. Their recordings are compared with the teacher’s evaluation. They discuss
the results, and students suggest appropriate behaviors. Appropriate behavior is awarded
points and at the end of the week, students can trade in their points for reinforcers
Anger is part of our emotional spectrum, and is a normal, healthy emotional response to outside
stressors. In fact, anger helps us to “deal” with threats when we feel crossed or challenged. It is
when we let our emotions effect our actions that anger can become harmful in teens.
While anger is a normal emotional response to outside stressors, teens need to learn healthy
coping mechanisms now, before they reach adulthood. Teens need to know that it is not wrong or
bad to feel angry, but that they cannot let the anger consume them or control their actions. This is
vital to ensuring that your child’s anger remains a valid emotional reaction rather than escalating
into violence, defiant behavior, or rage.
What is Wilderness Therapy and How Does It Help Teens with Anger?
Do you remember as a child how you could spend hours throwing a ball against a wall and love
how it would bounce back towards you? That is similar to an adolescent’s anger. They will
throw out subtle comments, cutting remarks or a defiant behavior and await a negative reaction.
In this way, they feel like they have control over their environment. Parents become the wall that
provides an entertaining game to play. When traditional talk therapy isn’t enough to help teens
who have problematic anger, parents sometimes turn to residential treatment programs instead.
While there are a variety of residential treatment options out there, wilderness therapy is
especially effective at helping adolescents in a way that talk therapy can’t.
WHAT IS WILDERNESS THERAPY? How does wilderness therapy reach teens in a way
that parents, talk therapy, and even traditional residential treatment programs can’t? According to
Keith C. Russell, a leading researcher of wilderness therapy, “Wilderness therapy utilizes
outdoor adventure pursuits and other activities, such as primitive skills and reflection, to enhance
personal and interpersonal growth.” The wilderness environment is more similar to a pillow wall
that does not return the ball thrown at it. In this game, the child has to walk up to the pillow
wall, retrieve the ball, then walk back and throw it again, only to repeat this tedious process. It
isn’t nearly as fun and requires far more effort.
THERAPEUTIC WILDERNESS SETTING
Unlike other residential treatment programs, wilderness therapy utilizes the benefits of outdoor
living. Studies show that simply being outdoors has mental health benefits. Benefits of the
therapeutic wilderness setting include:
•Reduces stress
•Positive benefits to cognitive health
•Reduction in ADHD symptoms
•Enhances social interactions and makes teens “nicer”
THERAPEUTIC GROUP LIVING
The therapeutic group living experienced during wilderness therapy helps teens with their
interpersonal communication skills and building strong peer relationships. The group living
situation provides teens a chance to learn from others who are experiencing similar hardships and
overcoming anger issues through wilderness therapy.
POSITIVE ROLE MODELS IN THE FORM OF FIELD STAFF AND THERAPISTS
In addition to the bonds formed with other teens who are learning to deal with emotions in a
healthy way, wilderness therapy participants learn healthy ways to cope with anger and other
negative emotions from the experienced field guides and therapists. Field guides are trained to
defuse situations instead of escalating them.
Many students will “test” field guides and act out negatively for a reaction. Some will even act
out as a form of “revenge” for parents sending them to treatment. Instead of participating in the
game of reacting negatively, field guides are trained to redirect conversations skillfully enough
that cannot justify their poor behavior and will eventually comply willingly. The wilderness
provides a proverbial mirror for a child to see their behaviors for what they are...theirs.
HELPS SHOW TEENS THAT ANGER HAS CONSEQUENCES
Wilderness therapy demonstrates to teens that acting out of anger or defiance will not get them
anywhere. Instead of lecturing or punishing teens, wilderness therapy utilizes natural
consequences to demonstrate this in a way they understand. For example, when a teen is angry
refuses to put effort into making a quality backpack frame because they want to punish their
parents for sending them to the wilderness, the weight is not evenly distributed on their backs
and often causes needless aches and discomfort. When a child puts minimal effort into tying their
shelter down securely, they may have a terrible night’s rest as they stay awake listening to the
tarp flapping loosely in the wind. There is no one to be mad at for those things besides
themselves. There is no one to engage in a fun game of returning the ball.
HELPS TEENS DEAL WITH EMOTIONS
While many teens who are struggling with emotional outbursts and anger issues feel
uncomfortable discussing their feelings, wilderness therapy helps to address this. According to
Russell, “the process also teaches clients how to access and express their emotions, and why
talking about feelings is important.” (Russell 2001) This, in turn, will help your teen express
what is upsetting them, before his or her emotions become uncontrollable.
PROVIDES A STRONG SENSE OF ACCOMPLISHMENT FOR TEENS
Another aspect that sets wilderness therapy apart from other residential treatment programs is the
strong sense of accomplishment upon completion. Russell states that “completing a wilderness
therapy program represents a sense of accomplishment for the client that is concrete and real and
can be used to draw strength from in the future.” (Russell 2001) That strength will prove useful
in overcoming future obstacles in your teen’s life.
INSTILLS SELF CONFIDENCE AND SELF EFFICACY
The sense of accomplishment and strength that many teens gain from completing wilderness
therapy is key in helping boost his or her self-confidence and self-efficacy. According to Russell,
“Clients believe that if they completed wilderness therapy, they can also complete other
formidable tasks.” Self-confidence is especially vital for teens who are exhibiting problematic
anger due to low self-esteem or bullying. Higher levels of self-efficacy are linked to greater
motivation, positive thinking skills, and lower vulnerability to stress and depression in teens.
Hyperactivity and impulsivity: patients are required to show six or more symptoms of
hyperactivity-impulsivity (below) for children up to age 16 years, or five or more for adolescents
17 years and older and adults, and symptoms of hyperactivity-impulsivity need to have been
present for at least six months to an extent that is disruptive and inappropriate for the person’s
developmental level:
I. Often fidgets with or taps hands or feet, or squirms in seat.
II. Often leaves seat in situations when remaining seated is expected.
III. Often runs about or climbs in situations where itis not appropriate (adolescents or adults
may be limited to feeling restless).
IV. Often unable to play or take part in leisure activities quietly.
V. Is often ‘on the go’ acting as if ‘driven by a motor.
VI. Often talks excessively.
VII. Often blurts out an answer before a question has been completed.
VIII. Often has trouble waiting his/her turn.
IX. Often interrupts or intrudes on others (e.g., butts into conversations or games).
In addition, the following conditions must be met:
– Several inattentive or hyperactive-impulsive symptoms were present before age 12 years.
– Several symptoms are present in two or more settings (e.g., at home, school, or work, with
friends or relatives or in other activities).
– Clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or
work functioning.
– Symptoms do not happen only during the course of schizophrenia or another psychotic
disorder. The symptoms are not better explained by another mental disorder.
Based on the types of symptoms, three kinds (presentations) of ADHD can occur:
Combined presentation: if enough symptoms of both criteria inattention and hyperactivity-
impulsivity were present for the past six months.
Predominantly inattentive presentation: if enough symptoms of inattention, but not
hyperactivity-impulsivity, were present for the past six months.
Predominantly hyperactive-impulsive presentation: if enough symptoms of hyperactivity-
impulsivity but not inattention were present for the past six months.
ADHD behaviors and symptoms result from genetic, physical environmental or social
environmental causes.
In common with most mental health conditions there is no definitive biological test for ADHD;
diagnosis depends on the observation of clusters of symptoms in three main behavioral domains
according to the DSM-5 and ICD-10 criteria.
Management
There are numerous considerations to bear in mind in the management of ADHD. Whilst drugs
are a mainstay of treatment, changes in psychological another domain of functioning are
essential if patients are to capitalize on the improvements in the core symptoms of ADHD with
treatment.
Care should be tailored to individuals following assessment.
Pre-schoolchildren - Drug treatments are not recommended in this age group due to the
unknown long-term effects on braindevelopment.2,19-20 They take longer to clear the drug from
their body and have higher rates of adverse effects.17Referral to a parent training program for
behavioral management should be the first treatment, ideally with specially trained facilitators.
Group-based parent training for conduct disorder should be available whether a child has a
diagnosis of conduct disorder or not. Parents should have access to eight to 12 sessions.
With consent, nursery or pre-school carers should be informed about ADHD and any special
requirements.
School children - For those with moderate impairment, parent education either alone, or with
group CBT for the child, should be considered.
Those who continue to suffer significant impairment despite intervention should be offered
pharmacological intervention. Those diagnosed with severe ADHD should be offered stimulants
as a first-line treatment, though not if there is a history or family history of cardiac problems.
Teachers trained regarding ADHD should help to provide interventions in school19as
improvement in behavior at home does not correlate with an improvement in behavior at
school.
Psychological Interventions - Families with children with ADHD are often dysfunctional in
multiple domains. Co-existing problems may not improve with medication.
The aim of psychological intervention is improvement in daily functioning through behavior and
relationships, whilst giving parents strategies to cope with difficult behavior. Behavioral therapy
uses rewards or reinforcements, to implement changes in motor, impulse, or attention control.
Techniques involving negative consequences are less commonly implemented.
‘Time out’ involves removing the child from the attention of others.
Parent training involves teaching behavior therapy intervention to carers. This increases
parental competence, confidence and improves the carer/child relationship.
Self-instructional training comprises techniques to help children develop a reflective,
systematic, and goal-directed approach to tasks, identifying the impact of behavior and emotions
from maladaptive cognitions and replacing them.
Social skills training helps those with ADHD develop behaviors to maintain constructive social
relationships using CBT techniques.
Children with ADHD are more likely than unaffected children to experience learning difficulties,
miss school, become injured, experience troublesome relationships with family members and
peers and exhibit mental and physical conditions. Left untreated, the condition has a
significant impact in the long-term on education resulting in academic failure, and leads to
antisocial behavior, poor self-esteem, and a significant impact on social functioning.
In addition to core symptoms, adolescents with ADHD will exhibit deficits in executive
functioning, lower frustration tolerance and emotional responses that are more pronounced
than expected.
Adolescents with ADHD who are left untreated display significant problems in the long term
with poor academic achievement, difficulties in peer interactions, more parent-teen conflict,
abuse of illicit sub-stances and experience other mental health problems, including
depression, anxiety problems and sleep difficulties.
Adults with untreated ADHD demonstrate reduced lifetime earnings, increased illness,
lower educational and job status, are often socially isolated, with a higher likelihood of acquiring
sexually trans-mitted diseases and are more likely to become parents at earlier ages compared
with their counterparts.
Interest in long-term outcomes in adult with ADHD has increased due to the impact it has on
work, daily living, family living and relationships.
Challenges during adolescence can involve normative life events, non-normative events, and
hassles. Normative life events are experienced by most adolescents and occur for many
adolescents at approximately the same point in the life course. Examples include school
entry, school transitions, and puberty.
Other challenges involve events that are non-normative, such as the experience of
parental death or divorce. Non-normative life events are less commonly experienced than
normative events or occur at less predictable points in the life course. Physical or sexual
abuse, for example, are particularly disturbing examples of non-normative events.
Major normative and non-normative life events affect adjustment in part by increasing
the number of much more frequently occurring stressors commonly referred to as
hassles. For example, parental divorce not only changes the adolescent's relationships with
each parent and perhaps siblings, but it may also alter the school attended, peer
relationships, opportunities to participate in extracurricular activities, family economic
stability, and the regularity of daily life.
In addition to the type of challenges (normative and non-normative) and hassles, the sheer
number of changes experienced during adolescence, the timing of those changes, and the
synchronicity with which they occur, have an impact on mental health outcomes.
Internal and external resources may interact with the effects of major life events or
developmental challenges.
Internal resources refer to aspects of the individual's personality, such as attributional
style, coping skills, intelligence, and perceived locus of control.
For example, the attributional styles associated with depression are those in which
adolescents interpret negative experiences as being caused by something within (e.g., "I'm a
bad/stupid/worthless person, that's why she broke-up with me"), as being indicative of
characteristics that will be stable over time (e.g., "I'm a failure with the girls and I
always will be, so why bother"), and as signs of more generalized or global deficits (e.g., "I
don't just fail with relationships but I mess-up everything I do, in school, on the team, at
home”)
External resources refer to interpersonal sources of support and guidance, such as a solid
relationship with a teacher, counsellor, parent, or friend. Deficits in external resources also
place adolescents at risk for developing depression.
For example, having a depressed parent is a significant risk factor for the adolescent
depression. Poor parenting practices have also been linked to childhood depression.
Poor quality of attachment to parents and to peers has predicted adolescent depression as
well. In one study examining both internal and external resources, Bennett and Bates
(1995) found that lower social support, more so than attributional style, was a significant
predictor of subsequent depression (6 months later) in a sample of 11 - to 13-year-olds.
The final assumption of the model is that the manner in which an adolescent cope with
challenges not only influences his or her adjustment at that time but also determines, in
part, the personal and social resources that will be available to the adolescent in
subsequent develop-mental periods. This may explain, in part, why there is a greater
likelihood of experiencing subsequent depressive episodes once a person has had a
depressive episode.
For example, adolescents who become depressed may alienate themselves and withdraw
from peers or caring adults, thus removing themselves even further from the very resources
that might be able to assist them in managing their depression. Another possibility is that
adolescents come to believe certain things about themselves (e.g., inadequacy,
worthlessness) and then subsequently behave in ways that confirm such conclusions, similar
to a self-fulfilling prophecy.
This conceptual model suggests several considerations for interventions
First, challenges need to be considered from a developmental and age-appropriate
perspective; that is, the timing of the intervention and the intervention components should
be developmentally informed.
Second, enhancing or modifying internal resources (e.g., coping style) and external resources
(e.g., social support) through intervention should affect the impact that challenges have on
mental health.
Further, internal resources could also affect external resources, and vice versa, such that
altering one may benefit the other. The availability and utility of re-sources to meet the
challenges of adolescence can have implications for present and future mental health.
Therefore, interventions for adolescents should attend to the normative (e.g., puberty,
school transitions) and non-normative (e.g., parental divorce, death in the family)
challenges confronting youth, and the enhancement of internal and external resources for
meeting those challenges.
The importance of the school counsellor is evident here. He facilitated the availability of
external resources by involving Jim in the "partner program" and by introducing him to
the swimming coach. Both of these external resources could have been accessed by Jim
without the help of the school counselor.
However, depressive affect can get in the way of one's ability to act on one's own behalf
because of the interference of feelings of worthlessness and powerlessness, not to mention
the lack of energy and other associated somatic symptoms of depression. An advocate in the
form of a school counselor can go a long way toward helping a student get "back to normal.
Counselling Approaches to work directly with adolescents include individual and family
counseling and psychotherapy, group counselling, and prevention.
Individual and group counselling and prevention efforts can draw upon the conceptual
model described above for possible intervention strategies, content ideas, and expected
results. For example, short-term individual counselling usually begins by developing a
working alliance with the adolescent (developing an external resource).
The counselor can then implement strategies to enhance the student's internal as well as other
external resources. Coping or problem-solving strategies could be explored and improved.
Students can learn how to match appropriate coping strategies to the type of problem
situations they encounter. For example, active problem-solving in which an adolescent sets
a goal, brainstorms possible solutions, anticipates consequences, and implements a plan of
action, generally works for events or circumstances that are under an adolescent's control.
Emotion-focused strategies (e.g., relaxation) may be used when circumstances are not
under the adolescent's control but are nevertheless upsetting.
Cognitive interventions could be implemented to challenge and revise inaccurate perceptions of
self and others. Social skills (e.g., assertiveness training) could be addressed and practiced
in order to increase the quantity and quality of relationships with peers and family
members.
Group counselling strategies can be similar to those used in individual counselling, although
the opportunity for development and enhancement of external resources may be greater in a
group context than in an individual context.
Risk Factors (Increase likelihood that a young person will engage in suicidal behavior)–
Intrapersonal
• Recent or serious loss
• Mental disorders (particularly mood disorders)
• Hopelessness, helplessness, guilt, worthlessness
• Previous suicide attempt
• Alcohol and other substance use disorders
• Disciplinary problems
• High risk behaviors
• Sexual orientation confusion
Warning Signs
A warning sign does not mean automatically that a person is going to attempt suicide, but it
should be responded to in a serious & thoughtful manner.
Do not dismiss a threat as a cry for attention!
Anxiety disorders
Studies have shown a consistent correlation between anxiety disorders and suicide attempts in
males, while a weaker association has been found in females. Trait anxiety appears to be
relatively independent of depression in its effect on the risk of suicidal behavior, which suggests
that the anxiety of adolescents at risk for suicidal behavior should be assessed and treated.
Psychosomatic symptoms are also often present in young persons tormented by suicidal
thoughts.
Eating disorders
Owing to dissatisfaction with their bodies, many children and adolescents try to lose weight and
are concerned about what they should and should not eat. Between 1% and 2% of teenage girls
suffer from either anorexia or bulimia.
Anorexic girls very frequently also succumb to depression, and suicide risk among anorexic girls
is 20 times that for young people in general. Recent findings show that boys, too, can suffer from
anorexia and bulimia
Psychotic disorders
Although few children and adolescents suffer from severe psychiatric disorders such as
schizophrenia or manic-depressive disorder, suicide risk is very high in those affected.
Most psychotic young people are, in fact, characterized by several risk factors, such as drinking
problems, excessive smoking and drug abuse.
Intervention Programs
1. Psychotherapy is an important component in the management of suicidal ideation and
behaviors
2. There are two documented effective psychotherapies for treating those who attempt
suicide:
• Cognitive behavior therapy (CBT)
• Dialectical behavioral therapy (DBT) for youth diagnosed with borderline personality
disorder and recurrent suicidal ideation
3. There are other promising interventions!
• Family therapy
• Medications
SUMMARY OF RECOMMENDATIONS
Suicide is not an incomprehensible bolt from the blue: suicidal students give people around them
enough warnings and scope to intervene. In suicide prevention work, teachers and other school
staff face a challenge of great strategic importance, in which it is fundamental:
• to identify students with personality disturbances and offer them psychological support.
• to forge closer bonds with young people by talking to them and trying to understand and
help.
• to alleviate mental distress.
• to be observant of and trained in the early recognition of suicidal communication whether
through verbal statements and/or behavioral changes.
• to help less skillful students with their schoolwork.
• to be observant of truancy.
• to destigmatize mental illness and help to eliminate misuse of alcohol and drugs.
• to refer students for treatment of psychiatric disorders and alcohol and drug abuse.
• to restrict students’ access to means of suicide - toxic and lethal drugs, pesticides, firearms,
and other weapons, etc.
• to give teachers and other school personnel on-the-spot access to means of alleviating their
stress at work.
M. Rosenberg’s Research
Self-esteem is the subject of M. Rosenberg’s research. Studying high school students with
the help of a 10-item assessment scale (Rosenberg Self-Esteem Scale) Rosenberg
found that higher self-esteem is largely determined by parents ‘interest in their own
children.
The self-assessment study model-based on the discrepancy between the real and ideal self,
considers the lack of correspondence between them as a result of having
unrealistically high ideal standards in a given field or as a result of the individual’s
perception of insufficiently good performance in a certain area.
Chronic perception of discrepancy between the ideal and real self is associated with
frustration, inferiority, and depression.
To conclude we may say that self-esteem is central to what we do with our lives –the
loyalty we have to developing ourselves and caring for others –and is at the heart of
everything that an adolescent will achieve in their life.
Self-esteem is formed in the family by the parents and parental attitude is of
paramount importance.
Self-esteem will influence the adolescent’s performance at school; it will determine how
competent the child will be, to what extent that child will be accepted by others and
what acceptance they will demonstrate in turn.
Healthy self-esteem
There are some simple ways to tell if you have healthy self-esteem. You probably have healthy
self-esteem if you:
• Avoid dwelling on past negative experiences
• Believe you are equal to everyone else, no better and no worse
• Express your needs
• Feel confident
• Have a positive outlook on life
• Say no when you want to
• See your overall strengths and weaknesses and accept them
Having healthy self-esteem can help motivate you to reach your goals, because you are able to
navigate life knowing that you are capable of accomplishing what you set your mind to.
Additionally, when you have healthy self-esteem, you are able to set appropriate boundaries in
relationships and maintain a healthy relationship with yourself and others.
Low self-esteem
Low self-esteem may manifest in a variety of ways. If you have low self-esteem:
• You may believe that others are better than you.
• You may find expressing your needs difficult.
• You may focus on your weaknesses.
• You may frequently experience fear, self-doubt, and worry.
• You may have a negative outlook on life and feel a lack of control.4
• You may have an intense fear of failure.
• You may have trouble accepting positive feedback.
• You may have trouble saying no and setting boundaries.
• You may put other people's needs before your own.
• You may struggle with confidence.
Low self-esteem has the potential to lead to a variety of mental health disorders,
including anxiety disorders and depressive disorders. You may also find it difficult to pursue
your goals and maintain healthy relationships.
Having low self-esteem can seriously impact your quality of life and increases your risk for
experiencing suicidal thoughts.
Excessive self-esteem
Overly high self-esteem is often mislabeled as narcissism, however there are some distinct
traits that differentiate these terms. Individuals with narcissistic traits may appear to have high
self-esteem, but their self-esteem may be high or low and is unstable, constantly shifting
depending on the given situation.6 Those with excessive self-esteem:
• May be preoccupied with being perfect
• May focus on always being right
• May believe they cannot fail
• May believe they are more skilled or better than others
• May express grandiose ideas
• May grossly overestimate their skills and abilities
When self-esteem is too high, it can result in relationship problems, difficulty with social
situations, and an inability to accept criticism.
Social anxiety disorder is a common type of anxiety disorder. A person with social anxiety
disorder feels symptoms of anxiety or fear in certain or all social situations, such as meeting new
people, dating, being on a job interview, answering a question in class, or having to talk to a
cashier in a store.
Doing everyday things in front of people—such as eating or drinking in front of others or using a
public restroom—also causes anxiety or fear. The person is afraid that he or she will be
humiliated, judged, and rejected.
The fear that people with social anxiety disorder have in social situations is so strong that they
feel it is beyond their ability to control. As a result, it gets in the way of going to work, attending
school, or doing everyday things.
People with social anxiety disorder may worry about these and other things for weeks before
they happen. Sometimes, they end up staying away from places or events where they think they
might have to do something that will embarrass them.
Support Groups
Many people with social anxiety also find support groups helpful. In a group of people who all
have social anxiety disorder, you can receive unbiased, honest feedback about how others in the
group see you.
This way, you can learn that your thoughts about judgment and rejection are not true or are
distorted. You can also learn how others with social anxiety disorder approach and overcome the
fear of social situations.
Medication
There are three types of medications used to help treat social anxiety disorder:
• Anti-anxiety medications
• Antidepressants
• Beta-blockers
Anti-anxiety medications are powerful and begin working right away to reduce anxious
feelings; however, these medications are usually not taken for long periods of time. People can
build up a tolerance if they are taken over a long period of time and may need higher and higher
doses to get the same effect.
Some people may even become dependent on them. To avoid these problems, doctors usually
prescribe anti-anxiety medications for short periods, a practice that is especially helpful for older
adults.
Antidepressants are mainly used to treat depression but are also helpful for the symptoms of
social anxiety disorder.
Beta-blockers are medicines that can help block some of the physical symptoms of anxiety on
the body, such as an increased heart rate, sweating, or tremors. Beta-blockers are commonly the
medications of choice for the “performance anxiety” type of social anxiety.
Eating Disorders
Eating disorders can be complicated in terms of accurate identification, as they can be
categorized as fitting into one of several clinical diagnoses. Moreover, some problematic
behaviors and attitudes may not reach a diagnosable level, yet may still be concerning.
Anorexia Nervosa
Anorexia means a lack of appetite, but an absence of hunger is not an accurate descriptor of
those who struggle with this disorder; rather, anorexia sufferers engage in starvation behaviors.
Far from losing their appetite, those immersed in symptoms of anorexia are usually extremely
hungry. The defining feature of anorexia to be the “relentless pursuit of excessive thinness”
The features of anorexia nervosa include the intense fear of becoming fat, weight loss of at least
25% of original body weight, and for women, amenorrhea, which is the absence of menstruation
for 3 consecutive cycles.
Anorexia nervosa (AN) is an eating disorder which is diagnosed through the use of these major
criteria-
1. Significantly low body weight.
2. An individual could exhibit actions which prohibit gaining weight, despite being
underweight.
3. The third diagnostic criterion is distortion in perceiving body weight and shape, with an
excessive link between body shape and self-concept, and an unwillingness to recognize this
exceedingly low weight.
Causes
The exact causes of anorexia nervosa are not known. Many factors probably are involved. Genes
and hormones may play a role. Social attitudes that promote very thin body types may also be
involved.
Family conflicts are no longer thought to contribute to this or other eating disorders.
Risk factors for anorexia include:
• Being more worried about, or paying more attention to, weight and shape
• Having an anxiety disorder as a child
• Having a negative self-image
• Having eating problems during infancy or early childhood
• Having certain social or cultural ideas about health and beauty
• Trying to be perfect or overly focused on rules
Anorexia usually begins during the teen years or young adulthood. It is more common in
females, but may also be seen in males. The disorder is seen mainly in white women who are
high academic achievers and who have a goal-oriented family or personality.
Symptoms
To be diagnosed with anorexia, a person must:
• Have an intense fear of gaining weight or becoming fat, even when she is underweight
• Refuse to keep weight at what is considered normal for her age and height (15% or more
below the normal weight)
• Have a body image that is very distorted, be very focused on body weight or shape, and
refuse to admit the seriousness of weight loss
• Have not had a period for three or more cycles (in women)
People with anorexia may severely limit the amount of food they eat, or eat and then make
themselves throw up. Other behaviors include:
• Cutting food into small pieces or moving them around the plate instead of eating
• Exercising all the time, even when the weather is bad, they are hurt, or their schedule is busy
• Going to the bathroom right after meals
• Refusing to eat around other people
• Using pills to make themselves urinate (water pills or diuretics), have a bowel movement
(enemas and laxatives), or decrease their appetite (diet pills)
Other symptoms of anorexia may include:
• Blotchy or yellow skin that is dry and covered with fine hair
• Confused or slow thinking, along with poor memory or judgment
• Depression
• Dry mouth
• Extreme sensitivity to cold (wearing several layers of clothing to stay warm)
• Loss of bone strength
• Wasting away of muscle and loss of body fat
Bulimia Nervosa
Bulimia is an illness in which a person binges on food or has regular episodes of overeating and
feels a loss of control. The person then uses different methods—such as vomiting or abusing
laxatives—to prevent weight gain.
Many (but not all) people with bulimia also have anorexia nervosa.
Authors have noted that bulimia is indicative of much more than a physical hunger; this disorder
signifies a “hunger for meaning, expression, and connection”
3. Binge eating and compensatory behaviors would need to take place once a week for 3
months for a BN diagnosis.
4. A clinical diagnosis of BN includes an over-concern with one’s body weight and shape
such that an individual’s view of the self.
Causes
Many more women than men have bulimia. The disorder is most common in adolescent girls and
young women. The affected person is usually aware that her eating pattern is abnormal and may
feel fear or guilt with the binge-purge episodes.
The exact cause of bulimia is unknown. Genetic, psychological, trauma, family, society, or
cultural factors may play a role. Bulimia is likely due to more than one factor.
Symptoms
In bulimia, eating binges may occur as often as several times a day for many months.
People with bulimia often eat large amounts of high-calorie foods, usually in secret. People can
feel a lack of control over their eating during these episodes.
Binges lead to self-disgust, which causes purging to prevent weight gain. Purging may include:
• Forcing yourself to vomit
• Excessive exercise
• Using laxatives, enemas, or diuretics (water pills)
Purging often brings a sense of relief.
People with bulimia are often at a normal weight, but they may see themselves as being
overweight. Because the person's weight is often normal, other people may not notice this eating
disorder.
Symptoms that other people can see include:
• Compulsive exercise
• Suddenly eating large amounts of food or buying large amounts of food that disappear right
away
• Regularly going to the bathroom right after meals
• Throwing away packages of laxatives, diet pills, emetics (drugs that cause vomiting), or
diuretics
Behavioral
Some similarities include compulsive exercising, overuse of laxatives and diuretics, and bizarre
activities that include food, such as wanting to bake sweet foods frequently.
There are many differences between the two disorders, yet the most common reported is
impulsive behavior. Bulimics tend to show very poor impulse control in comparison with
anorexics.
Bulimics were more likely to use drugs, steal, and cheat in school.
Anorexics have more sexual inhibitions, whereas bulimics are more likely to engage in impulsive
sexual interactions. This issue of impulsivity among bulimics appears to be directly related to
their loss of control with eating binges.
Physical
Some of these health problems include low potassium levels, low blood pressure, high metabolic
rate, bradycardia (abnormal heartbeat), and gastrointestinal disturbances.
In addition, as noted earlier, anorexics experience a cessation of menstrual cycles. From what
appears to an emotional, mental disorder, these physical complications are horrifying
consequences that could result in death.
Binge eating is defined by consuming abnormally large quantities of food in a specific time
period and a sense of loss of control during these binge eating behaviors.
Other defining traits of binge eating incidents include several additional symptoms (at least
three of the following must be present): abnormally rapid eating; a sensation of fullness that is
not pleasant; consuming many calories despite a lack of hunger; eating in solitude due to
shame; and emotions of guilt, disgust, or depression after binge eating.
Prevention in Schools
School counselors can be highly involved in forming and delivering prevention programs which
aim to reduce the incidence of eating disorder symptomatology.
School counselors can also provide programming to parents—individually or as a group—in
order to help parents, develop strategies which reduce the risk of eating disorder
symptomatology among adolescents.
Individuals receiving treatment for disordered eating have reported that specific family qualities
may function to prevent eating disorder symptomatology from manifesting. In particular, these
participants noted that creating a supportive and nurturing family environment—especially
during adolescence—is critical to preventing onset of symptoms.
Intervention in Schools
For adolescents who display subclinical eating disorder symptoms, school counselors may be
able to provide some intervention. However, collaboration and consultation with outside
professionals will be imperative, as it is considered best practice in the eating disorder field
to have a multidisciplinary treatment approach.
These treatment teams often include a physician who can assess for the disorder’s impact on
physical health—including such issues as osteoporosis and cardiovascular concerns; a
nutritionist who can assist an adolescent in developing an eating plan; a psychiatrist who can
determine potential psychotropic medication needs; and a counselor who can provide a range of
therapeutic interventions.
Prominent therapy techniques that have been used with individuals struggling with eating
disorder symptomatology include family therapy, group therapy, experiential therapy, cognitive
behavioral therapy, and psychodynamic therapy.
How to help a child with an eating disorder?
If you’re ready to have a conversation with your child today about their eating disorder, it’s
imperative to stay calm and first listen to what they have to say. Validate their emotions and
repeat back what you’ve heard. Then share the facts about eating disorders with them, and what
you have personally observed of their behaviors.
Express how this makes you feel, using “I-statements.” Remind them that you love them and
share what positive personality traits (not physical ones) you see in them. If you can manage
your own anxiety and provide a calm space for your child, they are more likely to hear what you
have to say.
Above all, remember that recovery from an eating disorder doesn’t happen in a day, and it
doesn’t happen alone. Eating disorders are treatable, and with the right support, your child can go
on to live a full and healthy life.
Sexual Abuse
Sexual abuse is any form of sexual violence, including rape, child molestation, incest, and
similar forms of non-consensual sexual contact. Most sexual abuse experts agree sexual abuse is
never only about sex. Instead, it is often an attempt to gain power over others.
Immediate crisis assistance after sexual assault can prove invaluable and even save lives. A
person can report sexual assault by calling local police. Survivors may also wish to get a physical
exam at a hospital.
Therapy can also be helpful for those who experienced sexual abuse in the past. Some therapists
specialize in addressing the trauma of sexual assault. Long-term assistance may be beneficial to
some survivors of sexual abuse.
Childhood sexual trauma is associated with posttraumatic stress disorder (PTSD), depression,
suicide, alcohol problems, and eating disorders. Survivors may also experience low sexual
interest and relationship difficulties and engage in high-risk sexual behaviors and extreme coping
strategies.
In the most severe cases, women may experience symptoms of a personality disorder, including
one that is distinguished by enduring patterns of instability and impulsivity (i.e., borderline
personality disorder).
Underlying many of those themes is an assumption that an intrinsic (often sub-conscious) human
activity is one of trying to make sense of the world around us and of our meaning and place
within it. In this context, “spirituality” becomes the vehicle through which that meaning is
sought, and can vary according to age, gender, culture, political ideology, physical or mental
health and myriad other factors.
“Spirituality is that aspect of human existence that gives it its ‘humanness’. It concerns the
structures of significance that give meaning and direction to a person’s life and helps them deal
with the vicissitudes of existence. As such it includes such vital dimensions as the quest for
meaning, purpose, self-transcending knowledge, meaningful relationships, love, and
commitment, as well as [for some] a sense of the Holy amongst us”.
This description supports the view that humans are social, biological, emotional, physical, and
spiritual beings and any understanding of the relationship between spirituality and mental health
exists within that integrative context.
Role of spirituality
Spirituality affects the overall well-being of individual as it incorporates a significant role
in peoples’ lives, thoughts, and behaviors.
• Being part of a spiritual community can bring support and friendship. Spirituality can
bring the feeling of being connected to higher power and it might help people to
understand their life experiences and behaviors.
• Spirituality can also help people in addressing their inappropriate beliefs about reasons
for their illness, large number of people believed that they are sick or developed
illness because of their past sins.
• Individuals can be diagnosed as psychosis when they express spiritual experiences
such as beliefs in angels/demons or hearing the voice of God.
• Even though such experiences are features of psychosis or not, medical and
paramedical staff should respond sensitively to people having such symptoms and
show respect for their spiritual belief.
A generally positive relationship appears to exist between spirituality and wellness, but
the exact mechanisms behind this correspondence have yet to be understood in a
scientific way.
The concept of spirituality develops throughout the life span of human, from childhood
to old age, and contributes uniquely to the achievement of a satisfactory life.
Spirituality has a strong impact on cognitive phenomena, affect and emotion, and
personality that is being shaped and developed within a specific environment.
Spiritual people often have positive social functions and are often involved in welfare
programs.
Spirituality appears to prevent persons from mental illness, and it also helps all -
• To develop healthy behaviors and lifestyles.
• Find psychosocial support.
• Deal effectively with sufferings and problems of life.
• Empowers to handle negative emotions such as stress, anxiety, fears, anger, and
frustration
The terms adolescence means ‘growing mature by developing’ and refers to the transition period
from childhood to adulthood.
This period is dynamic process in which a rapid physical, biochemical, psychological, and social
growth, development, and maturation take place. The individual becomes an adult with sexual,
physical, and psychological development and cognitive and social change.
Adolescence is a period of transition when the individual changes- physically and
psychologically-from a child to an adult. It is a period when rapid physiological and
psychological changes demand for new social roles to take place. The adolescents, due to these
changes often face a number of crises and dilemmas. It is the period when the child moves from
dependency to autonomy. It demands significant adjustment to the physical and social changes.
• Length of transition: Those who mature rapidly (in term of physical growth), find
adjustment especially difficult. They are expected to behave like adults simply because they
look like adults. On the other hand, a prolonged adolescence also brings problems. The
adolescent gets into the habit of being dependent, and this, is difficult to overcome later.
• Discontinuities in training: Much of the stress and strain during adolescence is due to the
discontinuities in training. For example, the assumption of responsibility during adolescence
is difficult because the child has so far been trained to be dependent and submissive.
• Degree of dependency: How dependent the young adolescent will be is determined mainly
by the kind of training he/she received during childhood. Parents often foster dependency
because they feel that adolescents are not ready to assume responsibility for their own
behaviors.
• Ambiguous status: In the societies like India, a child is expected to follow the footsteps of
his/her parents. This gives him/her a pattern of behavior to imitate. In open society, by
contrast, it is assumed that every individual should be free to choose his/her own course of
self- development.
• Conflicting demands: The adolescent is often confronted with conflicting demands from
parents, teachers, peers, and the community.
• Degree of realism: When the adolescent begins to look like an adult, (s)he is permitted an
added degree of freedom. If (s)he feels is not ready, either physically or psychologically, to
play the adult role, (s)he feels dissatisfied.
• Motivation: The adolescent goes through a period of wondering how he or she will meet the
new problems the life presents. He or she would like to grow up but being unsure of the
ability to cope with the challenges of adulthood. So long as this feeling of insecurity exists,
there will be little motivation to make the transition in adulthood.
Physical Changes
Physical Growth and Sexual Development in Adolescence.
Growth is the increase in the body size and mass as a result of the increase in the number and
size of cells. Development is the differentiation and maturation of biological functions of organs.
Growth is a dynamic process and continues until the end of adolescence.
Growth and development are affected by genetic and environmental (nutrition, living conditions,
geographical conditions, socio-economic conditions, etc.) factors. Changes in this period take
place very quickly.
Physical changes are the increase in height and the weight, the development of secondary sex
characters, the change in the amount and distribution of fat and muscle tissues and changes in
circulation and respiratory system. This period lasts 2 to 6 years.
The development of secondary sex characters in boys result in growth in testes and penis, pubic,
axillary, and facial hair development, breaking of the voice and spermatic formation.
The development of secondary sex characters in girls begins with development of breasts and
continues with pubic and axillary hair development and menarche. These changes during puberty
cause children of the same age look physically different.
Psychosocial Changes
Another change that occurs in adolescence is psychosocial development. ‘Self-definition and
personality development’ occur during the psychosocial development. Age-specific tasks and
behaviors that reflect adult roles are observed in self-definition.
The adolescent gradually becomes an individual who adopts social duties, tries to live his/her life
on his/her own, assumes adult levels of responsibility, finds his/her own personality by
establishing new relationships.
The adolescent becomes selfish, demands more, complains about rules in the house, finds rights
given to him/her insufficient and wants to be free.
He/she wants to make his/her own decisions and choices. The center of his/her social
environment shifts from the family to friends and school groups. He/she does not want to stay
home, develops a greater interest in outside world and gives more importance to friendships.
His/her interest in classes decreases, studying order is disturbed and school success decreases.
He/she gives negative reactions to his/her parents.
Family relationships shifts from dependence to independence. Individual’s drifting away from
family may lead to feelings of despair, loneliness, and insecurity.
There are several concepts such as ego, identity, character, and temperament used to explain
personality development in the course of psychosocial change during adolescence.
Resilience
Resilience has been defined as “the ability of an individual to function competently in the face of
adversity or stress.” An adolescent who is resilient is likely to enter adulthood with a good
chance of coping well— even if he or she has experienced difficult circumstances in life.
In essence, resilience means being able to bounce back from difficult times and cope well with
challenges.
Characteristics of resilience
An adolescent who is resilient has an advantage when it comes to meeting the challenges and
responsibilities of adulthood, even if he or she has experienced circumstances such as poverty,
health problems, or strained family relationships.
In the context of mental health, resilience can be viewed as the ability to handle stress positively.
Adolescents’ stress can come from multiple directions—school; relationships (with friends,
romantic partners, and parents); hormonal and physical changes associated with adolescence;
impending decisions about college and career; pressures to conform or to engage in risky
behaviors; family financial problems; dangerous neighborhoods; and more.
Resilience can also be viewed as the product of the stressors an adolescent is currently bearing;
the adolescent’s genetic temperament; his or her competence both for independence and for
seeking help when appropriate; and the social support provided by family members and others.
Research has identified a number of characteristics of adolescents that are associated with
resilience. Among these characteristics are having-
• One or more adults providing caring support.
• An appealing, sociable, easygoing disposition.
• Good thinking skills (“intelligence” as traditionally defined, but also judgment and social
skills)
• One or more talents (things a person does really well)
• Belief in oneself and trust in one’s ability to make decisions and
• Religiosity or spirituality.
Relationships with caring adults. Parents are usually the most important adults in adolescents’
lives. Parents who maintain open communication with their adolescent—and support their
adolescent’s growing independence—also promote the young person’s self-worth.9However,
adolescents do not always want advice. In light of this reality, some research suggests that
parents establish ongoing communication and discuss solutions rather than deliver lectures.
Thus, providing reassurance, encouragement, and support can be more useful approaches for
parents to take with their adolescents than offering unsolicited advice.
Adolescents who have positive relationships with adults outside their families also experience
mental health benefits: they feel more supported, are more socially expressive, and are less likely
to be depressed than are adolescents who lack such relationships. Adolescents who have these
caring adults in their lives are also more likely to be resilient.
Disposition. Adolescents who bring a good-natured disposition to their interactions with others
seem to be more likely to develop resilience, as do those who take on reasonable levels of
independence while also being able to ask for help when needed. These adolescents are probably
more likely to develop supportive relationships with others, which further builds their resilience.
Emotional self-regulation. The concept of “emotional intelligence” recently has also gained
recognition. While the concept generally encompasses more than what is typically meant by
resilience or positive mental health, it does include managing one’s emotions, which can be
especially important to adolescent well-being.
Cognitive skills. Intelligence, good judgment, and problem-solving skills seem to help many
adolescents get through stressful times. Intellectual abilities may make it easier for some
adolescents to generate multiple, or more effective, solutions to problems.
Talents. Having one or more things one can do well, can take pride in, and can share with others
seems to be another factor that promotes resilience among adolescents. Such activities can
include hobbies, athletics, performing arts, and computer technology.
Confidence and “inner-directedness.” Children and young adolescents who are resilient are
more likely to have an “internal locus of control,” which encompasses confidence (belief in
oneself and one’s powers or abilities) and “inner-directedness” (trust in one’s own decisions and
being able to act on them.) That is, these adolescents see themselves as being able to influence
outcomes, not just as the passive recipients of “fate.”
Having an optimistic outlook also seems to be related to positive mental health. In one recent
study, adolescents who were rated as having a more “optimistic thinking style” were much less
likely to be or to get depressed.