Week 5 - Performance Coaching Flashcards
Why is coaching consistent with the core components of contemporary methods of intervention?
● Family centred relationship based care
● Client identifies the issue
● Communication based on solving problems
● Solutions grow out of others insights
With which children or family contexts is it not suitable to use coaching?
● Children physically or emotionally unwell
● Caregivers perceive they do not have physical or emotional energy to engage
Expertise brought to the coaching process by parents
o Past successes o Helpful resources o Useful strategies o Information about family/child o Routines o Motivators o Strengths o Interests
Expertise brought to the coaching process by therapist
o Understanding of occupation
o Child development
o Evidence-based intervention
o Knowledge of condition
o Community resources
o Understanding impact of context on behaviour
o Modelling or hands on training of strategies
What is the purpose of the Emotional support domain in occupational performance coaching?
● Is critical to goal achievement!
o Imperative parents have opportunities to express emotions about situation or
problems identified
o May not be able to move on to problem-solving without this step
● An enabling domain
o Facilitates shift from reactive orientation to proactive orientation
o Facilitates parental engagement
o Builds partnership and trust
o Motivates
What is the emotional support domain?
- The verbal and non-verbal strategies used by the therapist to proceed from a problem-based view of issues to a more solution-based focus - Includes: o Listening o Empathising o Reframing o Guiding o Encouraging
Describe the 5 ways the therapist engages with the parent during the emotional support domain
- Listening
- Without judgement
- Validate parent’s experience & knowledge
- Essential to understanding - Empathising
- Communicates respect and trust
- Empathy allows for collaborative problem-solving - Reframing
- Paraphrasing or gently offering alternative interpretations
- Assist parent to reframe perceptions about issues - Guiding
- Seek and provide information while encouraging parents to make choices about changes or actions
- Minimise direct advice giving - Encouraging
- Specific feedback, complimenting parents’ actions, providing insights and observations
- Can be critical to persistence, especially in early days
Describe the process of collaborative performance analysis (CPA)
(a) Identify what currently happens (focus on the problem first)
- Child’s actions
- Parent and significant others’ (e.g. grandparents, siblings) actions
- Background and immediate environment
- Strategies and accommodations used or tried
- Performance outcomes (e.g. how long the child stayed at the dinner table)
(b) Identify what the parent would like to happen
- Child’s actions
- Parents’ and significant others’ actions
- Background and immediate environment
- Strategies and accommodations used or tried
- Performance outcomes
(c) Explore barriers and bridges to enabling performance
- In the child’s motivation, knowledge about how to do the task and ability to do it
- In the task’s number of steps, sequence, expected standard
- In the environment’s physical aspects and social aspects
e. g. transitions between TV and dinner – better with a 2 min warning?
(d) Identify parents’ needs in implementing and enabling change, including
- Interpretation of child’s performance (therapist does not agree or disagree – simply
acknowledges and discusses the parents’ interpretation e.g. “You are finding Charlie’s slowness to get
ready in the morning incredibly frustrating. It looks like he is being lazy and unmotivated.”)
- Motivation for change (this can vary from week to week and cannot be assumed even when
goals are chosen by the parents. Often high at the beginning but may become discouraged as
intervention proceeds.
- Learning needs – observe and respond to need for support, information, or structure to assist in
implementing plans
What would be the purpose of the collaborative performance analysis component of information
exchange with Joe’s carer/family?
CPA allows the therapist to understand what the needs and goals of the parents are and
how the therapist can support the parent’s skill and knowledge in facilitating Joe’s
performance.
Apart from CPA, what other information is exchanged during the information exchange domain?
● Typical development
● Health conditions and impairments à if therapist observes that it impacts on performance
● Teaching and learning strategies
o Explore these collaboratively with parents
o Select strategies that reflect their needs and abilities e.g. visual schedule, verbal
scripts
● Specialized strategies to use with the child
● Community resources and entitlements
Describe the Structured Problem-Solving Process in Occupational Performance Coaching
This process involves setting goals and possibly sub-goals that break down tasks into simpler
steps. To set goals, the client needs a vision of where they want to be going to instigate
some sort of changes, based around occupations and occupational performance. The next
process is exploring options that the therapist may trial with children to identify techniques
that work before discussing implementing it. The following couple of steps are to plan
actions, carry out the plan and check performance of the child overtime. This process
provides a better fit between the child and environment, therefore maximising occupational
performance. The skill of that particular occupation that the child learns can then be
generalised to a broader environment
What happens to the family when there is a child with a disability?
- Impact of caregiver role on occupations
- -parenting - perception of positive interaction, consistency of parenting behaviours and perception of effectiveness (if parent feels able to care)
- Stress from increased workload
- Differential effects for each parent or family member (siblings, partner - flow over)
- Impact on relationships
Challenges of service provision for children and youth
- Working within variety of systems and contexts (who is the expert?)
- Need to provide service within limited time and resources (need to create collaborative partnerships and build capacity)
- Ensuring best practice is implemented (sometimes things resolve, or get worse)
What is best practice?
- Strengths based
- Collaborative
- Evidence based
- Family and client oriented
- Embedded (in lived experience)
- Knowledge/expertise based
What is occupational performance coaching?
- Verbal based one on one intervention
- Devised to improve children’s participation by working with caregivers to create more enabling environments
