During the past year, our world has overturned with public health concerns, teleworking from home, social distancing, and childcare facility closures.  As this shift has occurred, we as EI providers have naturally adjusted to our new reality. However, some of these exact safety measures meant to keep the public safe has created a daunting reality of under-reported cases of child abuse or neglect.

Statistics show a drastic decline of child abuse reports since the start of the pandemic:

According to The Washington Post, “In the nation’s capital, hotline reports of abuse and neglect between mid-March and mid-April were 62 percent lower than in the same period last year, according to the D.C. Child and Family Services Agency. Reports to child protective services in Maryland have fallen just as far, and in Virginia, referrals from school staffers have dipped by 94 percent.” (Schmidt & Natanson, 2020)

It is easy to overlook such a scenario, because decreased child abuse reports are a good thing, right? On the contrary, experts will tell you otherwise. Children without routine encounters from childcare providers, health professionals, and other social advocates lead to emergency room visits due to severe injuries from abuse. Fewer cases are brought in for immediate medical attention until the severity of their injuries are no longer concealable.   

As EI providers, we must be more alert towards the signs of abuse and neglect in our client’s homes. For some families, our tele-therapy sessions are their only lifelines for social support.

How Can We Help?

How can we help those children who are isolated, cut off from childcare providers, social contacts, or protection services?

As mandated reporters, we have a duty to uphold when we see suspected abuse or neglect in the children we serve. During this time when face to face visits are at a halt or at limited capacity, it is even more important to check in with our families through virtual sessions or over the phone.

What to do if you witness a parent display abusive or aggressive behavior towards a child during a telehealth session?

• Avoid judging remarks or facial expressions
• Re-direct and diffuse the conversation in a positive manner not to escalate the situation
• Discuss what positive behaviors that you have observed from the child to highlight their strengths
• Offer positive reinforcement strategies for challenging behaviors
• Check in with the parent to see if they are in need of community support or other resources

If you suspect or witness child abuse or neglect, call your local department of social services or child protective services. If there is evidence of immediate harm or threat to the child and/or family member, CALL THE POLICE.

Share some strategies or tips below in the comments about how you check in with the child and family’s wellbeing during your EI telehealth visits. 

Resources:

Virginia Department of Social Services

Virginia Child Protective Services: 1-800-552-7096

Out-of-State Child Protective Services: 804-786-8536

SCAN of Northern Virginia (Stop Child Abuse Now)

Reference:

Schmidt, S., & Natanson, H. (2020, April 30). With kids stuck at home, ER doctors see more severe cases of child abuse. The Washington Post.

Sarah Kim has been an occupational therapist for over 12 years. She currently works in early intervention for the Infant and Toddler Connection of Fairfax- Falls Church. She also volunteers as a Court Appointed Special Advocate for SCAN (Alexandria/Arlington). Email Sarah at: sarah.kim2@fairfaxcounty.gov

The post The Unspoken Realities of Child Abuse during a Pandemic appeared first on Early Intervention Strategies for Success.

Despite not being able to meet in person, tele-intervention (telehealth) has brought new opportunities to think about how we are talking about the child outcome summary process. Let’s be completely honest. Tele-intervention forces us to use good teaming practices because there cannot be any side conversations among professionals and everyone is only able to see and hear the same information. This helps us think outside of the box to ensure that all team members have the exact same information so caregivers can make the best decisions for their child.

After completing tele-assessments, I have experienced great success incorporating the caregivers in the Child Outcomes Summary (COS) discussion. The COS process summarizes a child’s functional development in three child outcome areas: positive social-emotional skills (including social relationships), acquire and use knowledge and skills (including early language/communication), and use of appropriate behaviors to meet their needs. The Decision Tree can be a helpful tool to facilitate the COS process.

All caregivers participate in the COS discussion using the Decision Tree. This includes deciding with the team which rating statement represents their child’s functioning compared to other kids of the same age. (Click here for more information about the Decision Tree and Virginia’s COS Process). Before even going through the process, it is most helpful to discuss who will facilitate the discussion with the caregiver and the rest of the team members. This includes sharing the screen to show the Decision Tree.   This can be the service coordinator or a provider. Here are 6 steps you can use throughout the process that I have found beneficial.

6 Steps for Engaging Caregivers during the COS Process

1. Explain the caregiver’s role as a team member.

This is an important step. Caregivers need to understand their role in the process and how they can participate. When they are unsure of what to do, they may be more reluctant to participate. Encourage their voices by involving them throughout process, giving thorough explanations, and asking open-ended questions to receive more in-depth answers.

2. Explain each outcome area and the use of the Decision Tree.

The second page of the Decision Tree shows the Infant & Toddler Connection of Virginia Child Outcomes Summary handout. This handout was specifically designed to support the caregiver’s understanding of the process. It is helpful to send this handout to caregivers prior to the meeting and share the screen with the document pulled up while discussing and highlighting different outcome areas. This will also encourage caregivers’ participation when they fully understand what is being discussed and why.

3. Discuss each outcome area with individualized examples.

During the Assessment for Service Planning, the team discusses functional development within each outcome area based on parent report, observation, clinical opinion, etc. Functional child development focuses on what matters in the family’s daily life, showing how the child is engaging, initiating, and participating throughout their day. It has little meaning to a caregiver if a child can stack blocks, so a functional example would be, “During bath time, Sydney enjoys lining her plastic blocks on the bathtub ledge before knocking them off and laughing. Her mother commented Sydney enjoys playing this game the entire time.” Embedding functional information like this contributes rich examples to the Decision Tree discussion that help all team members understand the child’s abilities and needs. During the discussion, it is also helpful to share the screen to show each outcome area on the IFSP as it is discussed. Screen sharing gives the parent the opportunity to follow along.

4. Review typical functional development.

This is an important step and not to be missed. It truly helps each team member, including the caregiver, understand what is typical for the child’s age within that given child outcome area. This will help each team member understand whether or not the child has “age-expected” functional skills. Utilize your resources for typical development. This can include a combination of resources such as the Act Early Milestones, Functional Development, Age-Expected Snapshots of Development, etc. Again, sharing the screen to show this information and/or sending the info prior to the meeting is beneficial to all team members.

5. Use the Decision Tree discussing each question and prompt.

Again, sharing the screen and/or sending the Decision Tree to the family prior to the meeting can be really helpful. Screen sharing allows each team member (including the caregivers) to look at the same information and follow along accordingly. Ask each question out loud for each decision point. Pause for discussion or examples. When choosing between two items at the decision point, read it and reflect with the caregiver and other team members about specific examples to reach an agreement on the best possible choice. By this point, caregivers should feel empowered to help make the best decision based on the information given to them and understand the importance of their voice.

6. Decide as a team the best statement.

Everyone has a voice. Check in with each person to make sure everyone is in agreement including the caregiver. Discuss specific examples if there is a difference of opinion at any given point in time.

Please note: When I share my screen, I already have these resources pulled up and ready to share as they are discussed: Decision Tree and the Infant & Toddler Connection of Virginia Child Outcomes Summary handout, the child’s IFSP, and information about typical functional development (See #4 above).

What are your top tips to engage families during the Child Outcome Summary Process?

How do you help facilitate the discussion?

Share your tips and ideas by leaving a comment below!

For more information about the COS process and the Decision Tree, check out these resources:

Decision Tree Tutorial

Virginia’s Child Outcomes Booklet: Team Engagement in the Child Outcomes Summary Process

The Decision Tree: A Tool for Teaming and Family Engagement – Parts I and II

ECTA COS Completion: When Teams Can’t Meet in Person

Extra! Extra! Read All About….Integrating the Decision Tree

Logan is Not a Number! – Explaining the Child Outcomes Process

COS Completion – When Teams Can’t Meet in Person

The post Successfully Engaging Caregivers in the Child Outcomes Summary Process Virtually appeared first on Early Intervention Strategies for Success.

Many of you have been providing early intervention services via virtual visits for nine months now. That’s a long time….I probably don’t need to tell you that because you are living it. It’s been a long time since you sat in a family’s living room, since you held a baby, since you blew bubbles with a toddler, since you guided a parent’s hands as she helped her baby learn to stand, or since you got one of those amazing toddler hugs. Many of you have become grounded in tele-intervention and, while you undoubtedly miss in-person visits, you have embraced this incredibly unique opportunity to grow as professionals.

What Are You Thankful For?

Take a deep breath, look out of a window, and pause. Think about the past nine months and ask yourself: “What has this experience of providing tele-intervention given me? What am I thankful for?” Somedays, you might answer that this experience has given you a headache from staring at the computer screen all day long. Other days, you might find yourself joyfully celebrating progress you got to see by “joining” a family during an activity you might never have been able to observe before.

While I am not seeing families via tele-intervention, here are a few things I’m thankful for when I reflect on our field’s experience this year:

#1: I’m thankful for the new door we’ve opened.

Being launched into tele-intervention as the only way of reaching families has likely changed our field forever and in a positive way. Many states are advocating for the flexibility to continue to offer tele-intervention as an option to families. Being able to offer tele-intervention to families who prefer it for privacy, flexibility, distance, or other personal family reasons… having the option available to support families of some of our most medically-fragile children…offering virtual visits in areas with provider shortages – all of these could really be game changers. I’m grateful for the door that’s opened so we might be able to continue to leverage technology to further individualize EI services and reach more families.

#2: I’m thankful for the coaching practices that were already in place to help us *really* support caregivers.

I’ve heard over and over that practitioners who were already using coaching practices found the shift to tele-intervention more natural – still challenging and still with a healthy learning curve, but overall, a more natural fit. I’m grateful that we have been practicing coaching and routines-based, family-centered intervention here in VA for years now. Sure, what this looks runs the gamut, but the adoption of this practice made it easier for practitioners to support caregiver and child learning from the other side of a webcam. No one said it was easy to make the shift to virtual visits, but having some great practices in your back pocket seems to have helped.

#3: I’m thankful for you.

Yes, that might sound cliche but hear me out. I’m thankful for EI practitioners and leaders like you who embraced virtual visits when you had no other choice. You put new policies in place, built new systems of support and payment, adopted new technology, and walked families through how to login with kindness and patience. I’m thankful that you pushed through the awkward transition of figuring out where to place the camera and how to manage audio, how to observe and manage silence during visits, and how to teach a parent without being able to model like you’re used to. I’m grateful for the EI teams who experimented and figured out how to use technology to conduct eligibility determinations and assessments, who shared their screens so families could understand their rights and see the IFSP as they joined team members to write it. For all of you who continue to dedicate your time, energy, and bandwidth to children and families receiving early intervention, I see you and I am proud to be part of a field with you in it.

Now it’s your turn. What are you thankful for?

Share your thoughts by leaving a comment below.

For more information about tele-intervention, visit these resources:

COVID-19 and EI Tele-Intervention Updates (VEIPD)

Provider and Educator Use of Technology (ECTA Center)

The post Tele-Intervention Has Made Me Thankful For… appeared first on Early Intervention Strategies for Success.

Here’s the question: Whoever, in a million years, thought we’d be doing developmental assessments using video conferencing??

Really, when you think about that, it’s equally unnerving and amazing. Unnerving because it can seem like a completely new way of gathering information about a child’s development without even being physically present with the child. Amazing because you are doing it, and from what I hear, doing it well.

Worries and Successes

Over the past few weeks, I’ve been hearing more and more about tele-assessment, with practitioners sharing common worries like: How will I collect the information I need to score my tool? How will we get the toddler to stay where we can see him? What if the technology doesn’t work? These are very real worries, but the great news is that there are programs out there who are figuring this out. After the initial stress response that came with the shift to tele-intervention due to the pandemic, EI practitioners are settling in and finding answers to these questions. I’ve also begun to hear some amazing successes, such as families who are realizing that they can do this, they know their children so well, and they are valued, essential team members who can facilitate activities while the other team members (aka you) observe and share support.

New Resource Alert! – EI Tele-Assessment Video Chats

To get those successful strategies for tele-assessment out there, I recently hosted two video chats with practitioners and leaders from around Virginia. Each chat is between 35-40 min long and includes five different practitioners discussing how to prepare families and other team members, what tele-assessment looks like, and advice for others who are on tele-assessment teams. Block some time in your schedule to sit back and listen. I’m pretty sure you’ll learn something and hopefully feel like you are not alone in your tele-assessment learning process.

A special thank you to the EI practitioners who participated in this chat: Lauren Bernhard, Speech-Language Pathologist and Jen Saddington, Physical Therapist (Infant & Toddler Connection of Fairfax-Falls Church), Sandi Harrington, Local System Manager and Educator (ITC of of Norfolk), Ginny Heuple, Local System Manager and Physical Therapist (ITC of Greater Prince William), and Maria Grady, Physical Therapist and Service Coordinator (ITC of Loudon).

Another huge thank you to the following EI practitioners who participated in this chat: Brandie Kendrick, Service Coordinator, Human Development Professional, and Intake Coordinator (Infant & Toddler Connection of Danville-Pittsylvania), Kathy Phillips, Local System Manager and Developmental Service Provider and Erica Price, Speech-Language Pathologist (ITC of Middle Peninsula-Northern Neck), Stacie Jackson, Local System Manager and Service Coordinator and Kim Sprangel, Service Coordinator and Developmental Service Provider (ITC of Staunton-Waynesboro).

Strategies for Tele-Assessment

Just to get you started, here are a few strategies mentioned in the video chats:

Be sure to do a quick tech check and planning session before the actual tele-assessment – Meet with the family for 10-15 minutes a few days before the tele-assessment to test your technology, help the family connect, and plan together about where to position the device for the best view. Explain what to expect and talk with the family about any routines they might like the assessment team members to observe.

Let go of your stress about the test and toys – This is such an important tip. Acknowledge the fact that you will not have your assessment kit with you and you will not be able to observe every item on the test – and that is okay. Right now, you will use your coaching skills to help the parent facilitate activities that help you see what you need to see. Yes, you do still need to gather information to summarize the child’s developmental strengths and needs, but look at this situation as an opportunity to grow your assessment skills. Sure, you might provide the family with some ideas of items to have handy if possible (please don’t ask for 1-inch blocks!), but be ready to be flexible and…(see next tip)

Use your knowledge of development and informed clinical opinion to help you observe the child’s abilities during natural activities – Think creatively and consider how you can observe the same concepts and abilities in natural activities. Don’t have the tiny pegs and the bottle? That’s okay – ask to see the child pick up cheerios and drop them in a small cup or toilet paper tube. Be sure to watch the video chats for some great discussion about this!

Look through a functional lens – This is a perfect opportunity to practice translating assessment items into their functional equivalents. Pay attention and observe the child, even in the background while you chat with the parent. Ask about what goes well and what’s challenging. How children interact with others in their environment is as important as any item on the ELAP. Now’s the time when you will really be able to appreciate that so be open and get your functional lens ready.

Do the best you can – In most cases, you will be able to learn enough about the child and family to plan for the IFSP. Do your best, follow-up if you need additional information, and lean on your colleagues for ideas and support. You’ve got this!

Ready to keep learning? Watch the video chats for more strategies from your colleagues!

What’s one of your best tips for conducting tele-assessment?

Have an example of a tele-assessment that went well? Share it in the comments below!

For information, videos, webinars, and online training related to tele-intervention, visit these sites:

COVID-19 and EI Tele-Intervention Updates – VA EI Professional Development Center

Coronavirus Disease (COVID-19) – ECTA Center

The post EI Tele-Assessment Video Chats & Strategies: You’ve Got This! appeared first on Early Intervention Strategies for Success.

Technology is great when it works, right? It’s such an embedded part of most of our lives when we are not in the throws of a global pandemic that many of us hardly think about it. Now, though, when early interventionists are chin deep in trying to navigate tele-intervention, figuring out how to connect through technology is essential.

I’ve been picking the brains of amazing EI practitioners and local system managers to find out what they are doing to make the technology work, not only for themselves but also for the families they support. I’ve organized some of the great ideas I’ve heard into the list below.

A big THANK YOU to the practitioners and leaders from Fairfax, Norfolk, Prince William, Danville-Pittsylvania, Southside, Roanoke Valley, Rockbridge Area, Central VA, Cumberland Mountain, Middle Peninsula-Northern Neck and others who shared their experiences with me!

7 Technology Tips

Here are 7 tips for managing technology when preparing for or providing tele-intervention:

1. Prepare yourself first – Before you contact the parent, make sure you have an understanding of what tele-intervention is. Watch the TelePractice in Early Intervention webinar for a fantastic overview and tons of strategies. Watch a video such as A Home Visit with Zander, Providing Early Intervention Services through Distance Technology, or Tele-Intervention – Coaching during Family Chore-Laundry to see how coaching works during tele-intervention. Educate yourself about the technology so you can answer parents’ questions as best you can. Larry Edelman has prepared a great resource document about technology: Planning for the Use of Video Conferencing for Early Intervention Home Visits during the COVID-19 Pandemic (PDF, New Window)– check it out!

2. Touch base the “usual way” – Reach out to the parent using your typical means of communication – phone, email, or text, depending on what’s permitted in your program or preferred by the family. Check in about the family’s welfare first, then ease the conversation into virtual options for connecting.

3. Explore and explain options – Without making any assumptions about family preferences or capability, explore the available options for video visits or phone contacts for service delivery. Explain how each option could work and paint a picture of what it might look like. If the parent is interested (or even unsure), share a link to the video, A Home Visit with Zander, so he/she can watch a visit and hear from a parent about how tele-intervention can work. Be sure to invite the parent to ask questions, share any worries, and think through the possibilities with you.

4. Share your vulnerability – It’s okay to let the parent know that this is new for you too. Assure the parent that you will figure it out together and that, if the parent chooses the high tech option (aka video confererencing) and something goes wonky, you always have a low tech option as Plan B (aka phonecall).

5. Schedule a tech check – Before the actual video visit, schedule a 15 minute tech check. This may be a non-billable activity, but it’s worth it. Send the parent the video conferencing link with detailed instructions about how to connect. Get online together, check video, audio, lighting, etc. and talk about where the device will be positioned so you can see the family the best. Plan together for what the parent wants to do during the actual visit and how the technology can be used so you can observe and collaborate. If you or the parent has tech problems, remember the #1 rule of thumb with troubleshooting: when in doubt, back out and try again. Log out of the video conference and try to log back in. If that doesn’t work, log out and restart the computer. If that still doesn’t work, try another browser. Persistence will pay off, I promise.

6. Problem-solve Wifi issues – Here’s where practitioners are getting creative. I’ve heard of folks parking in the family’s driveway for the video visit so the family can access the practitioner’s hotspot, then holding the visit using technology with the practitioner parked outside. What an idea! Some schools are offering hotspots for older children – can the family use that connection for the visit? If there are limitations on data or bandwidth, schedule the visit at a time when issues should (hopefully) be at a minimum, like in the afternoon after older children are finished with online learning.

7. Let the parent decide – If a parent is unsure about either option, encourage him/her to try a phone or video visit then evaluate how it went. If the parent declines, that’s okay. Parents can put their services on hold at any time; just be sure that they fully understand their options, privacy, and the support you can provide. Be sure to document your discussion and check back in with the family often in case they change their minds.

Once everything is in place and your fingers are firmly crossed, schedule that first visit and go for it. Take a deep breath before you connect with the parent and enter the video call with confidence. Expect some hiccups, be flexible, practice your patience, and exercise your sense of humor. This will get easier and both you and the family will adjust, together.

You’ve got this.

What strategies are you using to prepare families for tele-intervention?

What creative ideas are you using to help families manage technology needs?

Let’s hear your best ideas! Share them in the chat and let’s continue to support one another. J

For more information, videos, webinars, and online training related to tele-intervention, visit these sites:

COVID-19 and EI Tele-Intervention Updates – VA EI Professional Development Center

Coronavirus Disease (COVID-19) – ECTA Center

The post 7 Technology Tips for Tele-Intervention appeared first on Early Intervention Strategies for Success.

We are all in this together. Early interventionists are exploring and learning new telehealth options. For many, this may mean learning new technology platforms, navigating limited wifi access, and simultaneously focusing on providing exceptional service delivery through telehealth. Teleflections©, a new resource, provide reflections from early interventionists who share their own experiences including their successes and challenges. Each week new videos are posted.

There are a variety of ways to access the Teleflections© series. Follow us on:

• Facebook
• Instagram
• Twitter
• YouTube (Teleflections© Playlist)

During this time of uncertainty, it helps to normalize our experiences and laugh (maybe sometimes cry) about them together. You can also check out the COVID-19 and EI Tele-Intervention Updates page for the latest resources.

Let’s take a look at some of the recent Teleflections©.

In Teleflections© 2, Julie Vaughn (SLP) was honestly states, “I won’t lie. It’s not my thing. It’s just not my thing, but I am making the best of it. I have learned a lot this week about computers and technology.” Coming out soon, Julie shares a new video with her successful update on how she has grown over the past two weeks. This is something new and we have to give ourselves time and patience as we all learn together.

In Teleflections© 4, Missy Rose (PT) shares her experiences as a physical therapist who relies on her hands to gain information about a child. Make sure you do not miss her fancy doll she uses to support families learning different positioning techniques. Many of us are nervous about not being in the home, but we are all learning we can still coach families to support their child’s development in naturally occurring routines and activities. We have even heard so many successes about coaching families and seeing a larger variety of routines as we navigate this together.

In Teleflections© 5, Stacie Jackson (LSM and SC) shares her experience waking up at 3:45 the morning of her first intake. It is safe to say many of us have experienced restlessness or disrupted sleep. After all, we’re all experiencing similar responses together.

The latest Teleflections© 6, Dana Carroll (OT) shares her experience from a mother who was really nervous at first. Dana describes the mother as being “over the moon” by the end of the session. Many families may be worried about how they will continue to support their child’s development during this time and it is a great way to remind them that we are all in this together.

Check out Teleflection©s by following our social media. We would love to hear about your experiences.

What has been your biggest success (or challenge)?

Share your experiences in the chat below!

The post Introducing Teleflections©: We Are All in This Together appeared first on Early Intervention Strategies for Success.

Let’s get right to the point. You are not trying to engage an infant or toddler on video for 45-60 minutes during your virtual visit. Re-read that last sentence and let it sink in. Take a deep breath in and breathe out any expectation you may have had about playing with the baby you see on video. When we step back and let our anxiety about tele-intervention settle, it’s easier to realize that there is very little chance of a 2-year old interacting with you on video for more than a moment or two – and that’s okay. You can still do early intervention without that interaction when you focus on engaging the parent (or other caregiver) who will then engage the child. If you think about coaching and the Mission of EI, that’s where your focus should be anyway. You’ve probably already been doing this and if not, you can do it now.  

Okay, you might be asking yourself: If I’m not interacting with the child, what do I do instead?

Let’s answer that question.

What Do You Do?

Now, more than ever, early interventionists are using their coaching skills to engage parents during virtual visits conducted using video conferencing technologies. Interventionists have been thrust into the world of tele-intervention (you might know it as telepractice or telehealth) with often little preparation or experience. The whole world has shifted and it feels like EI practice has shifted along with it (and they have).

Here’s what hasn’t changed, though: You are still a coach to the parent/caregiver. Your primary mission is to support caregivers so they learn ways to interact with their children during everyday routines and activities to encourage development. Whether you are sitting in their home or yours, you are still a coach. You did not coach the child before tele-intervention; you coached the parent. You probably did spend time playing with and engaging the child, practicing stretches, prompting for sounds, and challenging the child’s problem-solving or social skills. You probably modeled the use of strategies in these activities for the parent. Now, you have to figure out how to let go of your need to directly interact with the child and embrace the golden opportunity you have to support the parent’s learning.

Here are 10 strategies for focusing on parent/caregiver learning during tele-intervention. You can do this!

10 Strategies for Engaging Parents during Tele-Intervention

Before the Visit:

1. Prepare with the parent – Touch base by phone before the virtual visit to discuss technology needs and answer questions. Plan for how to connect, what device the parent will use, and how it will be positioned so the parent can see you and you can observe the parent-child interaction. Plan for how the parent will access the link you will send to the virtual meeting platform. Consider different types of devices and how access might look different (a quick google search for instructions can be helpful if needed).

2. Prepare yourself – Before the virtual visit, collect your thoughts. Remember that you don’t need toys because you are not trying to engage the child. You may need a prop, such as a doll or teddy bear to model movements for the parent, but you can put your bubbles away.

3. Preparing for what to do – Chat with the parent about ideas for what to do during the visit. Be prepared to follow the parent’s lead and let her know she can take you with her in whatever she and her child do during the visit. You can also plan for activities, like if you are going to work together on the child’s feeding or encourage play skills with siblings who are also home. Just like any visit, though, preparing can go right out the window if another opportunity arises or the family needs the visit to go in a different direction. Prepare when you can, but go with the flow when you need to.

During the Visit:

4. Take time to check in – Just like any other visit, touch base on how the family is doing and check in on child progress. This check in time may take longer now and that’s okay. Remember that everyone is adjusting to the new normal so approach this relationship-building time with ease.

5. Use your voice to join in (instead of your body) – Join the activity you planned or search for opportunities based on what you see. Observe that feeding session, watch the siblings play, and use your coaching skills to share your observations, ask reflective questions, and provide verbal guidance on how to use intervention strategies. You have to use your voice to join in so be gentle with your suggestions and always ask the caregiver what she thinks, how it feels, etc.

6. Be descriptive and specific – When you provide guidance, share observations, or give feedback, be specific and describe what you see and what you suggest. Following verbal directions might be harder to process for the parent who is used to watching you, so take it slow and check in frequently.

7. Be flexible – If the visit is a little shorten than usual, that’s okay. Be sure to document why. If what you planned with the parent falls flat, try something else. If you end up discussing development more than observing it, especially on your first visit, that’s okay. Use the “show me…” prompt to move from discussion to observation and support; it’s a great tool on an in-person visit and it’s your best tool now.

8. Keep your focus on the parent, who facilitates learning for the child – This is key. This is also best practice in EI whether you are face-to-face or on video. What you can help the parent practice during the visit with the child is more likely to continue between visits. Use your coaching skills to keep the focus on parent learning, which extends learning to the child.

9. Write down the joint plan – Plan with the parent as you always do, but create a written version of the joint plan at the end or after the visit. Email or text the plan to the parent as a reminder and follow-up on that plan at the start of your next visit.

During and Between Visits:

This last strategy might be the most valuable right now:

10. Cultivate patience for the parent and yourself – Providing intervention this way might feel wobbly nowand that’s okay. Both you and the parent are in the midst of significant change, and not just for the EI visit. Being patient with the family will help them feel comfortable with this new way of interacting with you. Being patient with yourself means giving yourself permission to feel nervous and stumble, laugh about it, learn, pat yourself on the back, and try again next week.

Consider this: Your relationship to early intervention and with the parent has changed because of the pandemic and tele-intervention, but maybe that change is for the better. This way of supporting parents (and children) might make you a better coach. Give it time, approach intervention with openness, and take a deep breath. We will all be okay.

What strategies are you using before or using your tele-intervention visits to engage parents?

What’s working well? What’s challenging you?

Share your tips and experiences in the chat below and let’s support each other. 🙂

For information, videos, webinars, and online training related to tele-intervention, visit these sites:

COVID-19 and EI Tele-Intervention Updates – VA EI Professional Development Center

Coronavirus Disease (COVID-19) – ECTA Center

For technology tips and links to video reflections about tele-intervention, check out these posts:

7 Technology Tips for Tele-Intervention

Introducing Teleflections©: We’re All In This Together

The post 10 Strategies for Engaging Parents (not Children?) during Tele-Intervention appeared first on Early Intervention Strategies for Success.