Routines-Based Embedded OT Coaching in Early Intervention
Course Outcomes:
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Course intent: To provide occupational therapist professionals with the clinical background to understand how to implement routines-based embedded coaching in the early intervention setting.
Relevance to occupational therapists: occupational therapist professionals are providers treating children between the ages of 0-3 are on the front line of treating children with adaptive & fine motor delays, especially when visiting the itinerant/home in the early intervention setting.
Outcomes:
Provider will be able to: Identify embedded coaching routines intervention as a paradigm where interventionists teaching parents to embed strategies into already existing child activities & routines to help them achieve outcomes.
Provider will be able to: Identify that routines-based caregiver coaching is about family capacity building via a front-loading frequency strategy with an ultimate goal for caregivers to generalize without support of interventionists.
Provider will be able to: Identify embedded coaching as caregiver chosen routines – and how the interventionist should embolden the parent to be architect of embedded strategies that allow the child to reach their IFSP goals.
Provider will be able to: Identify how the embedded coaching paradigm is supported by the Federal and State laws governing the Early Intervention Program.
Provider will be able to: Identify the components of the superseded as ‘blocked practice’ or ‘massed trials’ approach to educational and therapeutic intervention.
Provider will be able to: Identify the benefits of ‘inter-leaved’ or random-practice learning which underlies the routines-based embedded coaching concept, which is shown to promote accelerated, enduring, and more flexible learning.
Provider will be able to: Identify concrete examples of embedded coaching for their professional discipline.
Provider will be able to: Identify how to observe family activities, how to embed specific intervention strategies in a variety family routines and activities, and how to quietly observe during the subsequent reflection time in the parent-child dyad.
Provider will be able to: Learn how to identify by observation, provide specific strengths-based feedback to caregiver, identify an opportunity for embedded insertion into a child routine/activity, followed by choosing several routines in those teachable-moments in which to embed strategies with caregiver playing an equal and eventually principal role in the process.
Provider will be able to: Identify how embedding occurs in a multi-tiered cycle where a formulary for each routine includes observation, problem solving, modeling the embedded strategy, and reflection.
Provider will be able to: Identify instances when the older/traditional 1:1 therapeutic approach is more appropriate to the embedded coaching paradigm.
Agenda Routines Based Embedded Coaching – OT
- Introduction
- Law in Support of Coaching
- Theoretical Foundations
- Benefits of Embedded Coaching
- Definitions
- Routines and Activities
- Play vs Routines
- Routines Based Intervention
- Routines as an Anchor
- Fiduciary Efficiency
- Identifying and Choosing Routines
- Examples
- Implementation
- Conclusion
AOTA Classification Codes
Domain of Occupational Therapy
Areas of occupation: ADL, Education, work, social participation
Activity Demands: social demands, sequence & timing, required actions & performance skills,
Performance Patterns: Roles