Escolar Documentos
Profissional Documentos
Cultura Documentos
*TO REGISTER, PLEASE VISIT www.potentialinc.org AND FILL OUT THE INTAKE FORM. IN ADDITION, PLEASE FILL OUT THE FOLLOWING CLIENT SURVEY AND EMAIL BACK TO ebertoli@potentialinc.org (preferred) OR PRINT AND MAIL BACK TO 638 Newtown Yardley Road, Newtown PA 18940, ATTN: ERIN BERTOLI
Childs Challenging Behaviors: _____Tantrums _____Running Away _____Aggression On average, these behaviors occur: _____often (multiple times a day) _____occasionally (once or twice a day) _____rarely (once or twice a week)
_____Self-Injury
_____Stereotypy
What else would you like me to know about your child? What are your goals for these classes? ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Finally, please review the following menu of social skills. We will be targeted one topic (emotion management skills), per 8-week session, and targeting one skill per week. Therefore, I would like you to rank the topics from 1-4, 1 being the most important topic for your child. I will review the parent surveys, group the children accordingly, and begin each session with the most common topics. Hopefully you will find these classes very beneficial, and continue to send your child for numerous sessions so that we can cover all 4 topics. Thank you for your help and understanding! ~Erin
Topic 1: Emotion Management Skills ___________ 1. 2. 3. 4. 5. 6. 7. 8. Recognizing Feelings Feelings Thermometer Keeping Calm Problem Solving Accepting No Accepting Criticism Dealing with making a mistake Trying when something is new or difficult
Topic 2: Conversation Skills ___________ 9. Greetings / Introducing Youself / Initiating conversation 10. Maintaining Appropriate Distance 11. Introducing yourself 12. Introducing topics of interest 13. Taking Turns Talking 14. Staying on Topic 15. Maintaining a Conversation 16. Review: Using your HEAD: happy voice, eye contact, alternating turns, distance) Topic 3: Cooperative Play Skills ___________ 17. Initiating Play 18. Joining In 19. Compromising 20. Sharing 21. Taking Turns 22. Playing a game 23. Dealing with Losing / Winning 24. Ending a play activity Topic 4: Friendship Management Skills ___________ 25. What is a friend / how to treat a friend 26. Being Bossy (Dont be the Rule Police!) 27. Modesty (Dont brag!) 28. Asserting Yourself 29. Dealing with Being Left Out 30. Dealing with Teasing 31. Avoiding Being Set Up 32. Calling or Emailing a friend.