Models of care for children with developmental disabilities

1
Models of care for children with developmental
disabilities

• Dr Lindsay Pennington
• Clinical Medical Sciences (Child Health)
• University of Newcastle

2
Models of care

• Professional centred
• Family allied
• Family focused
• Family centred

3
Therapeutic alliance (Hougaard, 1994)

• Personal alliance between family and therapist
• Task alliance

4
Personal alliance

• Therapist brings
• Authenticity, warmth, acceptance, empathy
• Family bring
• Confidence in therapist, sociability,
  receptiveness to empathy
• Together they share
• Liking, agreement on intimacy and directiveness

5
Task alliance

• Therapist brings
• Expertness, engagement, efforts to strengthen
  family expectations
• Family brings
• Working capacity, motivation, positive experience
• Together they
• Agree on goals, agree on tasks

6
In-depth interviews with parents who have
received Hanen program

• Members of the team
• Roles of therapist
• Qualities of therapists
• Roles of parents
• Differences when children are disabled
• Deciding goals and planning activities
• Learning from therapists
• Put into practice in own environment

7
Alternatives to interviewingfamilies of
children with developmental disabilities

• Measure of Process of Care (MPOC, King et al
  1995) 56 item
• Five factors
• Enabling and Partnership
• Providing General Information
• Providing Specific Information about the Child
• Coordinated and Comprehensive Care for the Child
  and Family
• Respectful and Supportive Care
• MPOC 20