ABSTRACT

Including parents of children with developmental delays in early intervention programs has been widely endorsed as best practice across the multiple disciplines that work in that context. Parents have echoed that sentiment, commenting on the benefits of being able to apply skills in broader family and community contexts. Despite a 20-plus year history of research showing the benefits of family-centred interventions, the skills required to successfully transition from therapist-lead to family-centred practice appear to have occurred through experience or chance. Systematic development of therapists’ skills including through education, mentoring and reflective supervision have been promoted as being essential to facilitating the transition. This qualitative study investigated the learning experiences of 14 allied health professionals from various disciplines as they engaged in a relationally based, family-centred model, the Parent Child Relationally Informed – Early Intervention (PCRI-EI) program. Feedback indicated the systematic approach embedded in the treatment manual combined with reflective supervision built therapists’ competence and confidence in working relationally. They reported being able to use these skills to develop therapeutically sound, family-centred partnerships with parents as well as to promote socioemotional connection for the parent and child. These findings are discussed in the context of the successful implementation of best-practice early intervention programmes.

摘要

将发育迟缓儿童的父母纳入早期干预计划已被广泛认可为在此背景下发挥作用的多个学科的最佳实践。家长们也表达了同样的观点，并评论了能够在更广泛的家庭和社区环境中应用技能的好处。尽管 20 多年的研究历史表明以家庭为中心的干预措施的好处，但从治疗师主导到以家庭为中心的实践成功过渡所需的技能似乎是通过经验或偶然而获得的。治疗师技能的系统发展，包括通过教育、指导和反思性监督，被认为对于促进过渡至关重要。这项定性研究调查了 14 名来自不同学科的专职医疗专业人员在参与基于关系、以家庭为中心的模式——亲子关系知情 – 早期干预 (PCRI-EI) 计划时的学习经历。反馈表明，治疗手册中嵌入的系统方法与反思性监督相结合，增强了治疗师在关系工作中的能力和信心。他们报告说，能够利用这些技能与父母建立治疗上合理的、以家庭为中心的伙伴关系，并促进父母和孩子的社会情感联系。这些发现是在成功实施最佳实践早期干预计划的背景下讨论的。亲子关系知情 – 早期干预 (PCRI-EI) 计划。反馈表明，治疗手册中嵌入的系统方法与反思性监督相结合，增强了治疗师在关系工作中的能力和信心。他们报告说，能够利用这些技能与父母建立治疗上合理的、以家庭为中心的伙伴关系，并促进父母和孩子的社会情感联系。这些发现是在成功实施最佳实践早期干预计划的背景下讨论的。亲子关系知情 – 早期干预 (PCRI-EI) 计划。反馈表明，治疗手册中嵌入的系统方法与反思性监督相结合，增强了治疗师在关系工作中的能力和信心。他们报告说，能够利用这些技能与父母建立治疗上合理的、以家庭为中心的伙伴关系，并促进父母和孩子的社会情感联系。这些发现是在成功实施最佳实践早期干预计划的背景下讨论的。他们报告说，能够利用这些技能与父母建立治疗上合理的、以家庭为中心的伙伴关系，并促进父母和孩子的社会情感联系。这些发现是在成功实施最佳实践早期干预计划的背景下讨论的。他们报告说，能够利用这些技能与父母建立治疗上合理的、以家庭为中心的伙伴关系，并促进父母和孩子的社会情感联系。这些发现是在成功实施最佳实践早期干预计划的背景下讨论的。