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Westchester Putnam Rockland Counseling Association |
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Counselor's Resources The American Counseling Association - Resources for facing a tragedy, helping families cope in a crisis, and information on volunteering in NYC. American School Counselors Association - Provides a crisis response guide, coping strategies for children & teens, and other useful counseling resources. New York State School Counselors Association - NYSSCA is the chartered state chapter of the American School Counselor Association, ASCA. Their sole mission is to advocate for school counselors throughout New York. The American Red Cross - Westchester Office, White Plains (914)946-6500 Network for Good - Local and national government agency contacts, links for where to donate blood, money, and supplies. WPRCA sponsored a program on Oct 15, 2008 featuring Ann Engelland, MD, Pediatrician Understanding Adolescent Quirkiness Dr. Ann Engelland, pediatrician, has a fascinating practice specializing in working with adolescents. See below for her suggestions and case studies from our workshop.She gave a great presentation and discussion. Dr. Engelland is an experienced, Westchester pediatrician specializing in adolescent medicine as described in a story in the May 2008 New York Times featuring Ann and her work. Her work as the Mamaroneck School District physician affords her another window into the importance of collaboration between health care providers and the schools. Ann shared her observations about the physical and mental health of adolescents, the spectrum of problems they present and how a sensitive doctor and counselor can help and work together. She touched on the adolescent interview in a doctor's office, what to do when a medical problem presents to the counselor before the doctor, how to facilitate communication between the school and the medical community and how to talk effectively with docs.Quoted from an article written by Joe Berger and published in the NY Times on May 4; "Her adolescent specialty exists because many teenagers don’t feel comfortable in pediatricians’ offices surrounded by crying babies and frisky toddlers. “I don’t have Lego or Dr. Seuss,” she says with a chuckle." '“I spend chunks of time talking to students about what makes them tick — family, friends, sexuality — and that’s where pathology emerges,” she said. “The conversation is not only diagnostic but therapeutic.”' http://www.nytimes.com/2008/05/04/nyregion/nyregionspecial2/04colwe.html?emc=eta1) Counselors and the Community: Case examples CASE #1 In October, a posse of 8th grade girls comes to talk with you. They are concerned about SJ, their friend who they believe has anorexia. What do they have to say?What do you need to know?What steps can you take?What can you do within the school?What if she is a junior and a varsity soccer player? What further steps might you take that require parental permission? ****** CASE#2 In November, the honors Math teacher stops you in the hall to tell you she is concerned about CM, a sophomore football player. He seems distracted and disconnected and not himself at all. He failed the midterm. You know CM from last year when he came to you a few times to chat when his parents split up. You have also heard rumors that he and his longstanding girlfriend from middle school are no longer going out. You call him into your office. What does he say? Feels lousy, headaches, sleeping poorly, irritable. He does not think it is related to splitting up with his girlfriend; it was long overdue, he says, and his idea. And his parents are amicably separating; he and his sister have time with both parents and have seen a counselor together. Share your thoughts about this.What do you need to know?What do you recommend? ****** CASE #3 In April, an 8th grade girl comes to you because she has missed over 25 days of school and has not met her gym requirement. You look at her absentee record and realize that she has missed 3-4 days of school each month, at regular intervals. You suspect dysmenorrhea—pain with menstruation. You (or your sister) had really bad menstrual cramps as a teenager, so you are sympathetic. What do you ask her? What do you think she will tell you? What advice can you give? With whom might you speak to best help this girl? ****** CASE#4 BK, a sophomore boy, comes to you for advice. He thinks he has ADD. His older brother just came home from college and told him he has discovered Adderal and thinks he should try it because “we are just alike.” What do you want to know? What questions do you ask?How do you help him address the underlying issue here? When do you involve parents? When do you need to talk to a clinician? How do you proceed? ********* Tricks to communicating with pediatricians, family docs, and other clinicians. Ahead of time:
1. Make a phone date to talk. (try lunch, last thing in the day, first thing in the morning) 2. Let them know how you would like them to help you. 3. If parents are meeting with the clinician, help them by putting together a package that has all the info the physician might need: test scores, grades, teacher comments, psychological testing you may have available, a photograph of the student. Consider highlighting (I mean with a marker!)the key points. State your impression, your questions and your recommendations.
4. Suggest to parents that they schedule a “Consultation” visit with the pediatrician. No one benefits if the visit is scheduled the way a strep throat would be. Consultations are better scheduled first thing in the afternoon, before or after hours. Send the information ahead of time if possible. 5. Talk to a nurse practitioner whenever possible!
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