The range of management strategies for school counselors dealing with conduct disorder in elementary school children can be expanded through an integration of several of the principles of the ASCA National Model[R]. This paper discusses ways the counselor can use the model to assist struggling children, teachers, administrators, and families as they cope with conduct issues that affect social, emotional and academic competencies. The diagnostic criteria of conduct disorder, as specified by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR), are presented and risk factors for conduct disorder are summarized. Finally, a Cumulative Risk Intervention Model for use in elementary schools is elaborated.