Family-centred Developmental Home Intervention

Your child has difficulties with communication, language and relationships, - and perhaps an autism diagnosis or autistic-like behaviours. These are all essentially problems of social interaction.

What does a Child with Social Interaction Problems Need?

What a child with communication, language and social interaction problems needs is intensive attention with a focus on relationship-building and the development of his sense of self, through emotionally responsive and playful interaction every day with parents at home and based on the child’s special interests and individual sensory-motor strengths and weaknesses, and within each family’s special patterns, culture and situation. 

Feelingful Support and thoughtful Guidance for Parents

  • Parenting a child with additional needs is very stressful, so my first goal is to help parents to feel lighter, because someone is on their side to hear their concerns and provide effective support
  • I focus on giving attention to everyone in the family and to facilitate lasting changes in interaction and to build healthy family relationships (unlike approaches that provide activities for the child)
  • Once parents become aware of what is really going on for their child and in the family, and what is creating the child’s unique difficulties, fundamental changes begin to take place    See also: http:///brenda-rothman/autism_b_2733094.htm

The Key is in Playful Parent-Child Interaction

'If the child is not helped to find manageable, rewarding interactions, he or she will begin to 'shut down' the baffling environmental input and a form of self-imposed sensory deprivation will begin to set in.' says Dr. Stanley Greenspan, 'father' of the DIRFloortime Approach in his book: 'Engaging Autism'

How to Reduce the Severity of a Child’s Autism?

There are 6 Factors for Positive Outcomes:

  1. the earlier the better
  2. long-term and intensive, i.e. between 15-25 hours/week of engaging playful reciprocal interaction
  3. interacting directly with the child, about 2 hours/day, - rather than parent-training only
  4. involving and coaching parents as the prime agents for change
  5. recognition of each child’s individual differences
  6. to take place as much as possible at home in the family

Increasingly, my experience leads me to recommend that parents start this kind of responsive family-centered home intervention with a focus on building loving relationships between themselves and their child as soon as they possibly can, rather than waiting for a diagnosis, and ideally 6-9 months before getting a diagnosis. This is because the current medical diagnostic process is always experienced as very traumatic by parents, without supporting them therapeutically. Many parents I have worked with needed a long time to recover and find their emotional balance again, so they could give their full attention to their child, who needed help with his relationships, whatever the diagnosis. Often a child (as well as the parents) can make so much progress in these 6-9 months, that the situation looks very different from the one that initially brought them to me.

My Offer: 3 Packages

Home Consultation

This package is for you, if you

  • worry about your child’s delayed language, cooperation and learning
  • want someone to see your child and figure out, what is going on
  • need someone to listen to your experience of the difficulties
  • are unsure, whether or not to seek a formal diagnosis or autism assessment

 

This is what you will get:   

A Home Consultation consisting of a Home Visit and a Review Meeting

1 Home visit:

  • I meet your child in his/her home and family environment
  • you can show me, what normally happens as well as some of the challenges and your concerns

1 Reflective Review Meeting:

  • Together we begin to explore and understand, what is going on,
  • where things seem to have got stuck developmentally and
  • how to move towards getting unstuck

Results:

  • you begin to see new ways of understanding your child’s difficulties
  • you feel less lost and helpless, because you feel heard and understood/ can share your concerns with someone who is genuinely interested
  • you have a sense of direction and can see, how you can improve the situation and help your child

Explorer Package

This is for you, if you want

  • to explore, what it feels like to have this kind of 1-1 support at home
  • coaching you to foster your child’s language, play and learning
  • your child to receive 1-1 attention in therapeutic relationship-building
  • to figure out, what is going on and what is blocking developmental progress

 

This is what you will get:   

2-3 Months of Dedicated Support

  • about 3 Home Consultations
  • dedicated individualised support for your child and for you as parents
  • 1-1 interactive therapeutic play with your child and coaching for parents
  • understanding, what is going on for you/ your feelings, worries and questions
  • play techniques/materials for your child’s therapy that are developmentally appropriate

Results:

  • you have a sense of direction as you begin to understand, what is going on with your child
  • you feel more confident in relating and interacting with your child, and you feel less stressed
  • your child is more interactive and interested in the world, and more connected with you
  • your home environment and improved family life are supporting your child towards meaningful communication, play and learning

Transformation Package

This is for you, if you want

  • ongoing 1-1 support with a mutual commitment to the process and to see real progress and transformation
  • to help your child at home to develop communication, language and relationships, as well as interest, motivation and play skills
  • to tackle behavioural issues that take time to change, e.g. eating or sleeping problems, tantrums, toilet training, controlling/ passive/ hyperactive behaviour, negativity

This is what you will get:    

9-12 Months of Dedicated Support

  • about 10 Home Consultations
  • dedicated individualised support for your child and for you as parents
  • 1-1 interactive therapeutic play with your child and coaching for parents
  • understanding, what is going on for you/ your feelings, worries and questions
  • play techniques/materials for your child’s therapy that are developmentally appropriate
  • support to contain and reduce feelings of confusion in child and family, and to prevent disturbances and reduce learning problems at home and at school
  • sensory, movement and developmental learning activities
  • managing stress and difficult feelings, e.g. diagnosis, behaviour, the future
  • assistance with IEP-goals

 Results:

  • you have a sense of direction and understand better, what is going on with your child
  • you feel more confident in relating and interacting with your child
  • you feel supported and less stressed
  • your child is more interactive and interested in the world, and more connected with you
  • your home environment is supporting your child towards meaningful communication, play and learning
  • family life feels more relaxed with clearer roles and daily rhythms

What to expect from our work together

Developmental progress takes time, continuity, effort and commitment. There's no quick fix for building emotional relationships and transforming ingrained habits and mental patterns. But the human mind and brain have an endless potential for change. Every mind does. And every brain. But it cannot be done alone. The human mind needs the exchange with another mind from a caring other person in order to create new ways of being in the world. As a result of us working in partnership together with your child and both you as parents and me as your guide investing our time, commitment and emotional engagement with each other, we can expect to gradually see the following changes

Your Child

  • communicating/talking more and more interested in play and interaction
  • developing his/her potential as much as possible
  • an integral part of the family with behaviour issues under control
  • eating, sleeping, toilet-training as part of ordinary family life

Parents

  • feel confident in their parenting role and in charge
  • understand their child and how to communicate
  • are creative, play, relate and have fun with their child
  • a relaxed and functioning family, where relationships happen, that were not there before

What does our working together look like?

A Home Consultation Programme consists of:

  • Home visit: 
    1. we meet and I come to know your child in his/her home environment as well as your family
    2. together we observe, what is going on for you, your child and in your home environment
    3. I play with your child and coach you towards effective playful interaction with your child 
  • Reflective Review Meeting: takes place the week after a home-visit, usually in my consulting room in Islington, so we can
    1. explore what happened at the previous home visit, including video interaction guidance
    2. reflect together where your child is struggling or stuck in his development
    3. discuss your questions, feelings and concerns, and what is blocking progress and ways to help
  • Online support by email or online 1-1 meetings
  • Behaviour Support, including Sleeping, Eating, Toilet-training, Play, Tantrums, Hyperactivity, Negativity
  • Developmental Play Materials, including craft and handwork
  • Therapeutic Play and Learning Activities, Techniques and Strategies

Development takes time: Initially developmental changes may not always be visible, because they happen inside, like a chick hatching in an egg. Or they look so very different from what you expected, so you miss or don’t notice them by yourself. That is where you need a guide or coach to help you see, observe and understand. We are creating a foundation. But once the foundation is built, one can build on it.

'Seeing Change in his Development'

'By taking the support provided by MindBuilders, it gave me and my family so much help to live our lives with my son with autism. Within 1 year we saw so much change in his development. It has changed him from a boy who sits in one corner to a boy who moves around, is more interested in the world, beginning to vocalise ... and happy. I know that in the next 2-3 years we will see a lot more progress.' Abul, Father of autistic boy

I will be there for you, even when things are difficult. As in all development, there will be times, when things are difficult. When things seem stuck. When nothing happens. When you feel bad or frustrated or disappointed. These are growing pains and an important part of the process, of relationships and of growing up. Take heart. I will support you through these. Don’t run away. In fact, with careful attention a crisis or difficult period always bears the opportunity for a break-through towards new developments. When things fall apart, regeneration will follow. So, stay with it and 'don't waste a good crisis', because cyclical crises are a normal part of life. But without attention, a crisis can result in a break-down and despair and loss of human supportive connection. 

Amazing improvement

'Many thanks for your incredible ideas. Your support has made an amazing improvement in my son’s and our family's life for past several years.'  Khalid's dad