When talking to parents and caregivers, it can be helpful to ask them what they know about temperament and assess their understanding of how their temperament matches (or doesn’t match!) their child’s. Parents may be able to talk about their child’s response to different environments, sensory preferences or reaction to change and may not have thought about their own response. Parents and caregivers may not be able to recognize ways in which their own temperaments impact the behavior of their child.

What is Temperament?

Temperament is generally defined as consistent individual differences in behavior that are biologically based and are relatively independent of learning, system of values and attitudes. One key concept to remember is that temperament is biologically based, not made up of characteristics that are chosen. As such, an individual does not have the ability to change their temperament but rather use their knowledge to adapt to the environment. As an example, for individuals who become overwhelmed by noise, the volume of the television or radio could be turned down, voice tones can be adapted and strategies for calming in loud environments can be taught. Conflict can arise in the parent-child relationship when a parent perceives a child is acting in a particular way “on purpose” or “to make them (the parent) upset.” It is important to recognize that a child’s behavior is often a reflection of his or her temperament. Like many other developmental skills, parents need to be able to teach their children how to appropriately respond to their internal triggers.

Parent and caregiver understanding of how to support a child’s temperament style is crucial in the development of social-emotional skills. When parents can help children adapt to their environment and understand their own preferences, children will be better prepared to adapt to different environments using coping skills and resources available.

Having Conversations about the Parent’s Temperament

I often get questions about how to have conversations with parents and caregivers about temperament. Beginning by asking questions can be a good place to start. Helping parents to gain insight about their own temperament can help them to be more in tune with the actions of their child. Oftentimes, parents have insight into their child but may not have thought about their own preferences or strengths. Parents may not recognize the role that their temperament plays in the dynamic of the relationship with their child. Some questions that could be helpful to ask parents include:

• How do you manage your emotions?
• What are your sensory preferences (e.g. light, sound, etc.)?
• How do you respond to change?
• How do you communicate your wants and needs?

When parents and children have mismatched temperaments, strain in the parent-child relationship can be magnified. Parents may incorrectly attribute differences in interaction style to a child’s developmental delay, ascribing intent behind behavior or believing a child can simply change his or her temperament. Parents may not be aware of their own needs or have the capacity to understand how to adjust in order to have their needs met. When mismatched temperaments are not understood, parents may expect more of their child or believe that their child can change their behavior independently. This can lead to frustration and increased stress for parents. In addition, parents may feel as though they do not have the ability to meet their child’s needs or parent effectively. Children rely on their parents to be emotional co-regulators. This means that especially when children are young, they look to their parents to model how to manage uncomfortable emotions, changes to routine and internal triggers. When parents are calm, children can de-escalate more quickly. As children learn to understand their own temperaments, they can build their abilities to navigate different situations and interactions and become more effective in developing social-emotional regulation.

Talking about the Child’s Temperament

As providers, when parents talk about the ways in which they interact with their children, we can then begin to ask questions to help identify children’s temperament styles and explore which interventions are available to build family capacity. Once a parent can begin tuning in to the child’s unique temperament, the parent can then work to develop strategies for supporting the child’s needs. Here are some questions that you could help the parent to consider when trying to understand their child’s temperament:

• How does my child express their feelings?
• How does my child engage in play?
• How does my child respond when they experience discomfort?
• How does my child react to change?
• What does my child do when going through transitions?

When parents are in tune with their child’s temperament, they are able to support their child’s behavior more effectively. Parents can then understand their child’s needs to provide opportunities for learning new coping skills.

When children are young, it is important for parents to give a lot of support in helping their work through challenges. As children get older and can understand their own temperament style and what they need to be successful, the interactions become more balanced. When parents and caregivers are able to understand the ways in which temperament plays a role in the behavior and interactions of their children, stress is reduced and successful intervention strategies can be realized.

Now that you have some more tools to understand temperament, how can you help parents recognize and respond to their child’s unique characteristics?

Share your ideas by leaving a comment below!

For more information about this topic, check out Naomi’s 2-part webinar series on the VA Early Intervention Professional Development Center:

Foundations of Social Emotional Development: Temperament – Part II

Foundations of Social Emotional Development: Attachment – Part I

Also, be sure to visit the Social-Emotional Development topic page!

Naomi Grinney, LCSW has worked in early intervention for the past five years. Prior to working in EI, Naomi worked as a community-based mental health crisis response provider, as social worker in a psychiatric hospital and as a behavioral interventionist at a residential treatment center. Naomi is passionate about supporting the social emotional development of children and building family capacity and has worked with kids and families for twenty years. As the parent of a child who received Early Intervention services, Naomi brings a unique perspective to her role in providing tools and resources to empower parents in supporting their child’s development. Naomi can be reached at naomi.grinney@fairfaxcounty.gov. 

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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

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In Part 1 of this series, you learned about the first intervention, which focuses on the caregiver’s awareness and interpretation of his or her own actions. This first intervention emphasizes (to us and the caregiver) the power the caregiver has to positively impact the child’s development through interaction and action. In Part 2, we’re going to dive a little deeper and think about the context of those actions and interactions – where and when learning occurs.

Helping Caregivers Identify & Use Everyday Learning Opportunities

Our second intervention emphasizes the importance of helping caregivers identify and use everyday learning opportunities to enhance child development (Dunst & Trivette, 2009; Mahoney, 2009; Swanson, Raab, & Dunst, 2011). This intervention reminds us that the context for most of the learning a child will do is within his or her interactions with the people and the environment that are most familiar and most constant. We can collaborate with caregivers by respecting what is already happening in the natural environment and helping them notice and take advantage of interactions and opportunities that help the child learn or practice using a skill. When learning is situated in a naturally occurring, familiar context, there are more opportunities for the child and caregiver to practice what they are learning together every day beyond the EI visit. The cognitive load is also decreased since the context is familiar, hopefully making it easier to use a new intervention strategy (for the caregiver) and learn a new skill (for the child). Practice during infant and toddler development is essential so the more opportunities we can help the caregiver provide, the better!

What Does This LOOK LIKE in Practice?

Here are a few excellent strategies you can use to implement this intervention. These strategies were suggested by EI service providers in conference sessions on this topic:

Use the unique interests of the child and the caregiver as your guide. Ask caregivers what they enjoy doing with the child. Ask about the typical flow of the day. Ask about what makes the child laugh (or feel frustrated, excited, engaged, motivated, etc.). Find out what they would like to be able to do together and what that would look like if it worked well. Build on what you find out by observing those activities and routines, talking about the learning opportunities you see, and helping the caregiver learn to seize them.

Individualize IFSP outcomes and goals by including specific learning opportunities that already exist for the family. Ground the outcomes in the context of everyday activities. If the outcome describes how the child will learn to move about independently, place the measurement of the outcome in a typical activity. For example, let’s say that the child will move about her home independently by crawling or walking 10 feet from the kitchen to the family room after each meal. When she can do this consistently across time, we’ll know she’s met the outcome. Plus, the family can see the progress because they can practice the movement strategies in a frequently occurring context that’s natural for them. Including context in outcomes helps families identify with their important role in intervention from the beginning. Individualizing outcomes is a great place to start with building awareness (our first intervention) too.

Observe and join different activities and routines to help the caregiver look for the learning opportunities. There is nothing as effective as “seeing it.” Whenever you can, sit back and observe parent-child interactions and specific routines that are meaningful, problematic, or just typical for the family. Point out learning opportunities that you see. Reflect with caregivers to help them create their own ideas. Encourage them to try out the strategies that come from these conversations while you observe again, provide support, problem-solve, and share feedback.

After the caregiver practices using a strategy, talk about how to extend the use of the strategy in other routines to create more learning opportunities. You can facilitate this thinking process by asking, “When do you think you can use this strategy outside of the visit today? What other times of the day might work for using the strategy?” If needed, ask about other routines you know about and help the caregiver think about how the strategy could be embedded. Have the conversation and land on a joint plan. By doing this, you may be expanding the caregiver’s thinking, which again, overlaps with our first intervention. See, this is powerful stuff.

Now it’s your turn:

What’s your favorite way of helping caregivers identify and use natural learning opportunities? What did this look like on your last visit?

Share your ideas and examples in the comments below! And don’t miss Part 3, the final post in this series!

References:

Dunst, C. J., & Trivette, C. M. (2009). Using research evidence to inform and evaluate early childhood intervention practices. Topics in Early Childhood Special Education, 29(1), 40-52.

Mahoney, G. (2009). Relationship-focused intervention (RFI): Enhancing the role of parents in children’s developmental intervention. International Journal of Early Childhood Special Education, 1(1), 79-94.

Swanson, J., Raab, M., & Dunst, C. J. (2011). Strengthening family capacity to provide young children everyday natural learning opportunities. Journal of Early Childhood Research, 9(1), 66-80.

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