Self-Referral Form: 'I Need To Talk To You'

‘I Need To Talk To You’ is a self-referral form/worksheet has been designed to support children and young people with identifying when they need support.
It is a tool for building emotional literacy and allowing insight into thoughts and feelings for the adults who are supporting the children or young person.
The perfect resource for use in ELSA, TIS or Therapy sessions!
How could this resource be used?
- To support teaching emotional literacy and identifying issues surrounding mental health and wellbeing.
- To identify children that may need further support for their mental health.
- To support a child 1:1.
- To support a wider class ethos of talking and normalising mental health and wellbeing.
Relevant Curriculum Links
England PSHE Statutory Curriculum Strands:
- KS1: H19 – to recognise when they need help with feelings; that it is important to ask for help with feelings; and how to ask for it.
- KS2: H20. strategies to respond to feelings, including intense or conflicting feelings; how to manage and respond to feelings appropriately and proportionately in different situations.
- KS2: H21. to recognise warning signs about mental health and wellbeing and how to seek support for themselves and others.
Scottish Health and Wellbeing Curriculum Outcome(s):
- I am aware of and able to express my feelings and am developing the ability to talk about them. HWB 0-01a / HWB 1-01a / HWB 2-01a / HWB 3-01a / HWB 4-01a.
- I know that we all experience a variety of thoughts and emotions that affect how we feel and behave and I am learning ways of managing them. HWB 0-02a / HWB 1-02a / HWB 2-02a / HWB 3-02a / HWB 4-02a.
- I understand that there are people I can talk to and that there are a number of ways in which I can gain access to practical and emotional support to help me and others in a range of circumstances. HWB 0-03a / HWB 1-03a / HWB 2-03a / HWB 3-03a / HWB 4-03a.
- I understand that my feelings and reactions can change depending upon what is happening within and around me. This helps me to understand my own behaviour and the way others behave. HWB 0-04a / HWB 1-04a / HWB 2-04a / HWB 3-04a / HWB 4-04a.
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Tagged Essential, ET-43-EP, HWB 0-01a / HWB 1-01a / HWB 2-01a / HWB 3-01a / HWB 4-01a, HWB 0-02a / HWB 1-02a / HWB 2-02a / HWB 3-02a / HWB 4-02a, HWB 0-03a / HWB 1-03a / HWB 2-03a / HWB 3-03a / HWB 4-03a, HWB 0-04a / HWB 1-04a / HWB 2-04a / HWB 3-04a / HWB 4-04a, KS1, KS1H19, KS2, KS2H20, KS2H21, Plus, SEND, The Scribbles Crew, Therapy Resources