Calm Captain Counseling

A. Throw your crayon box across the classroom carpet.

B. Squeeze a stress ball, ask for an eraser, or trace the calm hand star.

C. Tear your paper into tiny pieces and shove your desk away.

Total Scenario Score: ___ / 6 Correct (___%)

Counselor Initials:

IEP Goal Scoring Rubric & Data Tracker

Baseline to 8-Week Outcome Conversion Matrix • Clinical Reference

Student:

4-Level IEP Competency Rubric

8-Week Pre / Post Score Comparison

Prompt Level Required for Correct Response

I = Independent (Goal Target) Zero prompts or cues needed

V = Visual / Gestural Prompt Desk card point, hand cue

VP = Verbal Prompt Direct verbal reminder / script

FP = Full Physical / Model Hand-over-hand / escorted walk

IEP Progress Report Summary Narrative (Clinical Copy)

Copy into Special Education Quarterly Report

"Across the 8-week Calm Captain counseling intervention, [Student] increased overall behavioral regulation and classroom compliance from a Baseline composite of ___% (Level __) to a Post-Test score of ___% (Level __). In Goal 1 (Designated Space), [Student] demonstrated ___/5 independent opportunities. In Goal 2 (Hand-Raising), latency to wait increased to ___ seconds. In Goal 3 (Safe Regulation), destructive behaviors reduced to ___ instances with zero safety concerns."

Evaluating Counselor / School Psychologist:

Evaluation Date:

2

Phase 2: Peak Stage (Urge to Swipe, Throw, or Bolt)

Counselor Verbal Script (Fewer Words, Firm Empathy):

"You are safe. I will keep you and our room safe. My hands are right here. You can rip this scrap paper strip, or you can push against this safe wall. Let's push."

✓ RBT Protocol: Block dangerous swipes without counter-aggression; redirect kinetic energy to wall/scrap.

3

Phase 3: Recovery & Restorative Connection (Post-Incident)

Restorative Script (Client-Centered Repair):

"Your body was overloaded, and that felt overwhelming. You did a brave job cooling your engine back down. I am still proud of you. Let's pick up these two markers together and get our desk ready for our next mission."

✓ RBT Overcorrection / Repair: Co-repair environment collaboratively without punitive shaming.

Teacher Coaching Script: When student raises hand, immediately validate within 3 seconds: "Great hand-raising, [Name]! Give me 5 seconds to finish writing this word, and you're first." (Reinforces the wait interval).

Calm Captain Curriculum • Crisis De-Escalation Protocol Page 2 of 2

Calm Captain Mission:

• Hands grip chair sides (no swiping).

• Take 3 slow Volcano Breaths.

• Use scrap paper strip from bin to rip safely.

Roleplay: Safe Frustration Release

7 Bathroom or Water Need

Scenario: You suddenly need a drink of water very badly during quiet reading. You want to bolt straight to the door.

Calm Captain Mission:

• Pause at desk; do not bolt.

• Raise your hand with the 2-finger water sign.

• Wait for teacher nod before leaving space.

Roleplay: Hand Sign Before Moving

8 High Alert Overheat

Scenario: The classroom is loud during group work. Your body feels like it's vibrating and you want to yell to make it stop.

Calm Captain Mission:

• Place the 2-Minute Calm Break card on desk.

• Raise hand to alert teacher.

• Move calmly to the sensory corner for 2 mins.

Roleplay: Using the Break System

Calm Captain Roleplay Simulation • Differential Reinforcement Guide Page 2 of 2

RBT Prompt Hierarchy Legend:

[I] Independent: Student uses replacement skill with no staff prompt.

[G] Gestural: Staff points to visual cue card or desk strip.

[V] Verbal: Staff delivers direct reminder (e.g., "Check space").

[P] Physical: Staff gently redirects student body to seat.

Counselor Progress Analysis:

Provider Signature: ___________________________ Title: School Psychologist / Counselor

Next IEP Triennial / Annual Review: March 2026

3.1 (Goal 1): The class is working at independent tables. You finish your worksheet. You: [A] Wander to friends' desks • [B] Stay in seat, draw or read book • [C] Walk outside

3.2 (Goal 1): You drop your eraser and it bounces 3 feet away. The Captain move is: [A] Pick it up calmly & return to seat • [B] Run around room • [C] Kick it under door

3.3 (Goal 1 & Reg): Your legs feel restless during a 20-minute phonics lesson. You: [A] Bolt to the sink • [B] Foot press grounding on the floor • [C] Stand on your desk

3.4 (Goal 2): You want to ask to use the Calm Corner beanbag. How to ask: [A] Yell "I'm going!" • [B] Raise hand & show break card • [C] Bolt across classroom

3.5 (Goal 1): In 5 classroom learning opportunities, how many times is your goal to stay in space? [A] 1 time • [B] 2 times • [C] At least 4 out of 5 times

Session 4 Probes: Hand-Raising & Wait-Time (IEP Goal 2) Score: ___ / 5 (4/5 Target)

4.1 (Goal 2): Teacher asks: "Who knows 5 + 5?" You know it immediately! You: [A] Blurt "TEN!" Level 3 voice • [B] Hand rocket straight up silently • [C] Wave arms wildly

4.2 (Goal 2): You raise your hand, but teacher calls on Sarah first. You should: [A] Keep hand down, listen politely • [B] Groan loudly "No fair!" • [C] Throw your pencil

4.3 (Goal 2): What silent count do you do while holding your hand up? [A] Count to 0 • [B] 1-Captain, 2-Captain, 3-Captain • [C] Screaming 1, 2, 3

4.4 (Goal 1 & 2): Teacher is working with a reading group. You need a glue stick. You: [A] Walk right into their small group • [B] Raise hand from your desk • [C] Yell "Glue!"

4.5 (Goal 2): In 5 times you need adult attention, what is your IEP success target? [A] 1 out of 5 • [B] 2 out of 5 • [C] 4 out of 5 opportunities

Calm Captain Assessment • Scoring: Circle correct response (1 point per probe) Sessions 3 & 4

IEP Goal Session Scenario Probes

Sessions 5 & 6 • Emotional De-Escalation & Roleplay Scenarios

Booklet Page 3 of 4

Session 5 Probes: Emotional Regulation & Preventing Property Destruction Score: ___ / 5 (4/5 Target)

5.1 (Property): You make a coloring mistake on your art poster. You feel furious. You: [A] Rip poster in half • [B] Take 3 Volcano breaths & rip scrap strip • [C] Swipe paints

5.2 (Goal 1 & Reg): You feel so mad you want to kick your desk. Safe physical release: [A] Wall heavy push for 10 seconds • [B] Kick classmate chair • [C] Throw shoes

5.3 (Goal 2): You don't understand the writing prompt and feel angry. You: [A] Swear or yell at paper • [B] Put Help Needed card up & raise hand • [C] Bolt away

5.4 (Regulation): The Turtle Shell squeeze means you: [A] Squeeze a friend • [B] Cross arms and squeeze your own shoulders • [C] Hide in coat

5.5 (Property): Safe Captain objects to squeeze when angry include: [A] Putty, stress cube, or foam ball • [B] Glasses or tablets • [C] Sharp pencils

Session 6 Probes: Classroom Behavioral Roleplays Score: ___ / 5 (4/5 Target)

6.1 (Goal 1): Roleplay: Fire drill alarm sounds loudly. Captain reaction: [A] Run ahead pushing others • [B] Walk calmly in designated line space • [C] Hide

6.2 (Goal 2): Roleplay: You need a bathroom pass during direct teaching. You: [A] Shout "I gotta go!" • [B] Silent 2-finger bathroom hand sign • [C] Sprint out door

6.3 (Goal 1): Roleplay: Group activity is at table 3. You want to explore table 1. You: [A] Stay at your assigned table 3 • [B] Roam around room • [C] Slide across floor

6.4 (Goal 2): Roleplay: Teacher asks class to vote on a game. You: [A] Scream your vote 10 times • [B] Raise one silent hand high • [C] Bang on desk

6.5 (Regulation): In a mock classroom challenge, when you get 4 out of 5 stars, you earn: [A] Calm Captain Star Badge & Praise • [B] Nothing • [C] A penalty

Calm Captain Assessment • Scoring: Circle correct response (1 point per probe) Sessions 5 & 6

IEP Goal Session Scenario Probes

Sessions 7 & 8 • Desk Toolkit & Graduation Mastery

Booklet Page 4 of 4

Session 7 Probes: Desk Toolkit & Classroom Transfer Score: ___ / 5 (4/5 Target)

7.1 (Goal 1): Look at your desk anchor strip. Step 1 reminds your body to: [A] Jump on chair • [B] Stay in my space with feet grounded • [C] Bolt

7.2 (Goal 2): Step 2 on your desk strip reminds your hands and voice to: [A] Silent signal & count to 3 • [B] Shout loudly • [C] Bang on table

7.3 (Goal 1 & Reg): You need a 2-minute reset. How do you activate your break pass? [A] Throw it at teacher • [B] Place on desk corner & raise hand • [C] Run out

7.4 (Regulation): Where does your therapy putty live when not in use? [A] In desk calm pouch • [B] Stuck to the classroom ceiling • [C] In hair

7.5 (Goal 1 & 2): Marking your daily star tracker after math class helps you: [A] Cheat • [B] See your 4/5 success and celebrate growth • [C] Waste time

Session 8 Probes: Master Graduation & Self-Advocacy Mastery Score: ___ / 5 (4/5 Target)

8.1 (Goal 1 Final): By March 2026, my IEP Goal 1 means I stay in my designated area in: [A] 0 out of 5 opps • [B] 2 out of 5 opps • [C] 4 out of 5 opportunities

8.2 (Goal 2 Final): By March 2026, when I need adult attention, I will: [A] Raise hand & wait instead of shouting/bolting • [B] Blurt • [C] Run away

8.3 (Self-Advocacy): When you feel overwhelmed in 2nd grade class, you can say: [A] "I need to use my Calm Captain reset" • [B] "I hate school" • [C] Run away

8.4 (Property Final): When frustration peaks, property destruction (breaking/swiping) is replaced by: [A] Snapping pencils • [B] Wall push, putty squish & scrap paper rip • [C] Banging

8.5 (Captain Creed): A true Calm Captain: [A] Notices body speed, anchors in space, signals calmly • [B] Quits

Master Scenario Battery • 40 IEP Probes Total (5 per session across Sessions 1–8) March 2026 IEP Mastery Met