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

Self-Referral I Need To Talk To You by Exciting Teacher

‘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.

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.


Which statutory England PSHE curriculum* objectives does this resource fall into?

*in line with the PSHE Association 2021 Statutory Guidance.

  • 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. 
  • H20. strategies to respond to feelings, including intense or conflicting feelings; how to manage and respond to feelings appropriately and proportionately in different situations.

  • 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: Mental and Emotional Wellbeing – 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.

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