Strategies for Partnering with Parents of Children with Special Needs Script Introduction Welcome to “Strategies for Partnering with Parents of Children with Special Needs.” This 2-hour course is part of a series of online trainings designed to help you, as child care providers and directors, to gain a better understanding of how to create an inclusive child care environment for infants and toddlers. “Parents are a child’s first, and most important, teachers” is a phrase that you have likely heard. Parents know their children better than anyone else. Because of this, the relationship you have with parents of children in your care is as important as the relationship you have with the children themselves. Building partnerships with parents takes hard work, and it has many rewards. The purpose of this course is to explore various aspects of building partnerships between early childhood professionals and parents of children with special needs. During the course, we will address the challenges that may occur when parents have a child with special needs, discuss effective communication strategies that can be used to build stronger relationships with parents, explore a wide variety of ways parents and families can participate in your program, and identify strategies for gaining support from parents of children in your program who do not have disabilities. Learning Objectives By the time you complete this course, you should be able to: Identify common concerns of parents who have children with special needs, Describe strategies for communicating with parents of children with special needs, Explain steps you can take to ensure that information concerning a child with special needs remains confidential, List ways that you can encourage the involvement of parents with children who have special needs in your child care program, and Identify strategies for gaining the support of parents with children in you care who do not have a disability or other special needs. Children with Disabilities and Their Families Before we consider various strategies for partnering with parents to create a high quality inclusive child care environment, it’s important to understand what we mean when we refer to “inclusion” during this training. The National Association for the Education of Young Children (NAEYC) and the Division for Early Childhood of the Council for Exceptional Children (DEC) created this joint statement regarding the definition of early childhood inclusion: 1 “Early childhood inclusion embodies the values, policies, and practices that support the right of every infant and young child and his or her family, regardless of ability, to participate in a broad range of activities and contexts as full members of families, communities, and society. The desired results of inclusive experiences for children with and without disabilities and their families include a sense of belonging and membership, positive social relationships and friendships, and development and learning to reach their full potential.” As noted in this statement, one of the desired results of an inclusive child care environment is a sense of belonging and membership, not only on the part of the child, but also on the part of his or her family. Children have a profound impact on their families. Before a child is born, parents plan and imagine their own future as well as their child's. If the child is born with a disability, the feelings of excitement that are normally associated with a new addition to the family may be replaced with shock, disbelief, anger, denial, and/or guilt. Many families talk about this early period of the child's life as a blur of intense feelings. Sometimes, the news that their child has a disability is so painful that parents cope by denying that anything is wrong. Denial is deeper than saying “my child does not have a disability." Parents often acknowledge the disability but cannot face that it is "permanent." You may hear parents talk as if the child will outgrow the disability. Be aware that denial is a strategy that lets parents confront their fears in smaller doses. It may be easier to focus on the distant future than it is to confront the various developmental challenges the child is experiencing right now. You may also come into contact with a parent who "expects the worst" each time the child is evaluated or goes in for surgery. Some parents cope with disappointment by not letting their hopes get too high. As a result, their comments about their child may be stated negatively. This reaction may also be a coping strategy, buffering parents against "more bad news." In many cases, by the time the child is enrolled in a child care program, the parents have had a chance to adjust to the initial diagnosis and have acquired many skills needed to care for the child. It is important to remember that a child with a disability has a long-term impact on the family. Even a family who appears to be strong and competent, experiences a wide range of emotions that may be hard to understand unless you have had similar experiences. Some parents experience feelings of bewilderment shortly after the birth of their child because the child is identified as having a disability. This can happen, for example, when a newborn is diagnosed with Down syndrome. Often, however, a child's disability is not recognized until much later. A learning disability, for example, may not be apparent in the early weeks and months of a child's life. Some disabilities are the result of injury or illness. Regardless of when the diagnosis is made, the parents will likely experience intense feelings. Common Parental Reactions It is impossible to describe how a family will react to having a child with a disability. However, there are some common reactions from parents of children with disabilities that you may 2 encounter. In the next several minutes, we’re going to discuss seven of these and some basic steps you can take to foster partnerships with the parents. First, parents may question their parenting skills. Of course, this happens with most parents, regardless if they have a child with a special need; however, it is more pronounced with parents of children with disabilities. The parents may feel insecure or uncertain about their skills and convey this by asking lots of questions, or expressing their doubts to you or to other families in your program. When this happens, you need to recognize the questioning of their parenting skills as a typical concern of parents and to look for ways to reassure them that everyone has doubts on occasion. You also need to be sensitive to the additional skills that parenting a child with a disability may require, such as figuring out how to support a child’s language and literacy development when the child has a learning disability, learning to do motor development exercises, using special feeding equipment, or monitoring medical problems. The parents of a child with a disability may actually be telling you that their concerns are above and beyond the concerns of most families and that they need help as well as reassurance. Parents cannot hear too often that no one knows their child better than they do. To help parents who question their parenting skills, you might: Suggest a parenting class or seminar that addresses a topic parents have identified as an interest or concern, Encourage parents to visit your program and observe other people interacting with their child, Encourage parents to share concerns with other professionals who work with their child, or Encourage parents to contribute books, brochures, or information on parenting groups and parenting workshops. Second, enrolling a child in a child care program may trigger intense feelings on the part of parents. The parent may be thinking about what it would be like to look for a child care program if the child did not have a disability. They may be acutely aware of the different qualities they need to look for in selecting a program. They may be remembering their initial reactions to their child and worrying that your reactions will be the same. Everything they have learned about caring for their child you will also need to know, and that, in itself, adds pressure to the situation. One mother told the director of a child care program that, if her child had not had a disability, she would not have enrolled her in the program. Although initially offended by the remark, the director learned that the mother had anticipated keeping the child at home with her until kindergarten. Because of the child's disability, she felt additional opportunities for interactions with other children were especially important. The remark revealed some of this mother's most sensitive feelings about her daughter. In such instances, you can welcome the child and the family into your program in the same way that you would welcome any other family. You can help the family who is worrying about your reactions by listening and talking openly and honestly in a way that lets the family know that you are aware of and willing to learn about the care their child will require. It is okay to express concerns that you may have, and it is equally important to express your commitment to doing whatever it takes to try to meet their child's individual needs. This is also an opportunity to 3 remind families that meeting each child's individual needs is an important goal for every child enrolled in your program. Be cautious of treating all parents who have children with disabilities in an identical fashion. Parents are as individual as the children who are enrolled in your program. To help parents deal with their intense feelings during enrollment, you might: Acknowledge parents' concerns with statements like, "This seems to be really hard for you” (if appropriate), Provide plenty of opportunities for families to share their concerns with you, and Watch carefully for cues from parents about how much they are ready to hear from you at each visit. Third, the day-to-day experiences in an early childhood program may provoke intense reactions from the parents of a child with a disability. Events that regularly occur in your program can occasionally be a source of concern for parents, either because they are unsure of how they or their child may respond or because the experience evokes an emotional response. A father of a child with a severe disability enrolled his two-year-old daughter in an early childhood classroom and was surprised to find that dropping her off and picking her up at the end of the day was especially difficult for him. Even though he had selected the program specifically to give his child an opportunity to be with children who did not have disabilities, seeing children who could move around and talk and play more easily than his own daughter was very painful for this dad. In situations like this, be sure to create an environment that makes it easier for parents to share their concerns. You can do this by letting parents know that you (and other staff) are accessible, that you want to talk with them, and that you value your relationship with them. It is important to respond to parental concerns calmly and avoid expressing shock or disapproval which may make it harder for a family to talk with you in the future. To assist parents in these situations, you can: Initiate conversations with families in your program whenever you have the opportunity. While parents may not feel comfortable interrupting your schedule to bring up their concerns, they may be relieved to have the opportunity to bring up the issue in the middle of a conversation you have initiated. You can also… Make home visits, such as at enrollment or at the beginning of each new year. Fourth, the parents of a child with a disability may worry that their child will not be accepted by you, other staff members, other children in your program, or their parents. You may have your own fears about including this child in your program, so it is important that you take the time to acknowledge that parents may be having similar worries. It is surprisingly common for parents or other family members to call a program to inquire about available openings and never mention that their child has a disability for fear that she will be rejected. Even if you welcome them with enthusiasm, parents' concerns about acceptance are very real. For weeks after their nine-month-old was enrolled in a family child care home, the mother and 4 father continued to ask if their child had made any friends. In this instance, the concept of "friends" was hard to understand because infants do not typically express preference for a particular friend. The child care provider correctly assumed that these parents were asking whether their child was being accepted by the other children in her program. The provider continually looked for ways to describe things the baby had done, as well as things the other children did to include her in routines and activities. Your job is to make sure that your words and actions convey acceptance. Let the family know that you are excited about including their child in your program. Do not be afraid to ask questions to learn more about the child's needs. Be careful to balance concerns with statements that reassure the family. Your actions will be mirrored by other staff, children, and parents. Encouraging statements can work wonders with parents and children. Comments that are specific to their child such as, “She danced at music time today,” let parents know you notice and accept their child. Remember that the child with a disability is a child first; the family needs to hear this from you as well as see it in practice. You might consider: Giving specific examples of how the child can participate in group activities, meals, or outdoor play so that the parents begin to develop a better understanding of what you do. Or, after the child is enrolled in your program, share examples of how other children are building a relationship with their child. Common Parental Reactions (continued) Fifth, in addition to the stress of being a parent, the parent of a child with a disability also has to contend with a whole other set of life experiences that contribute stress. Circumstances that may contribute to the already stressful job of parenting are coordinating appointments with numerous specialists who may even be in different states and who may offer conflicting care recommendations; explaining a child's disability to other family members, neighbors, acquaintances, baby sitters, and others; worrying about medical complications that are associated with the child's disability; and learning new skills to meet the special needs of their child. You can help by developing a relationship with the family that takes into consideration the additional stress that may come from having a child with a disability. Avoid putting yourself in a position of trying to protect them from situations that may cause that stress. Your job as an early childhood educator is an important one, but it does not include becoming a family counselor. It is also important to realize that every family responds differently. Families facing the same set of challenges may handle them in different ways because they have different strengths, resources, and coping strategies. Just as no two children are the same, no two families are the same. Steps you can take to support the family include: Encouraging the family to share their concerns with other professionals and even other families who have children with disabilities, 5 Keeping a current list of community support services, Creating a family resource center with brochures, copies of articles, and books, and When the situation a particular family faces is especially stressful, helping the family seek additional assistance from a professional who is trained to provide the specialized attention the family requires. Sixth, when problems arise, parents of children with disabilities may appear to overreact. Parents want everything possible done to help their child develop. Many parents fear that they are the only ones who truly are invested in their child's development and interpret day-to-day occurrences quite seriously. For example, one parent looked at the program bulletin board and observed that her toddler’s art work was not on display with the other children's drawings. That night, as she thought about it, she wondered if her child had even participated in the art activity. What if she was excluded from all art activities because of her disability? By the next morning, this simple observation had become a major concern. She found herself angry and upset as she approached her child's teacher. As it turned out, her child had been absent on the day that those particular pictures were made. Many examples of her daughter's work were on display in other parts of the program. You can help by responding quickly and calmly, not defensively, to parental concerns. Parents often see their role as that of an advocate who makes sure their child has good experiences in your program. It is important that you are accessible to families and that they are encouraged to share concerns before they become major roadblocks. You may not be able to solve the problem, but you can certainly listen to concerns objectively and without becoming defensive. If parents appear to "overreact," your calm response can help clarify the issues. Things you can do to help families in this regard include: Preventing misunderstandings by establishing regular contact with all of the families, Making yourself available for visits, telephone calls, or meetings with families, and Instituting frequent written contact so that you and the family can communicate daily or weekly through notes back and forth. Seventh, parents of a child who is not yet diagnosed may have a whole set of anxieties they are silently dealing with as well. Parents may know in their hearts that something is "not quite right" with their child, yet be unable or fearful of voicing their concerns. This silent fear may create situations where parents are sensitive to even trivial comments you might make about their child, for fear (or hope) that you feel the same uneasiness. One father talks of the first time he heard his unspoken fears about his son being put into words by the child care provider. "Here she was, gently suggesting Gordie's speech was delayed; an issue I had tried to ignore hoping it would just go away. Part of me was so angry at her for making it seem more true, and part of me was so grateful that I wasn't the only one who saw it." It is important to watch carefully for subtle signs that the parent might be worried or touchy about some subject related to the child. Do not assume you know why this may be happening! Always check out your concerns about a child with the child's parents. The first step in this process is to establish a good relationship with parents. If you have communicated often with 6 parents previously about both successes and challenges, you are more likely to be listened to when a very serious message needs to be communicated. Remember, both of you are concerned with the long-term welfare of the child. Suggestions to help parents in these situations include: “Putting yourself in their shoes," and thinking of how you would want a potentially sensitive message conveyed to you, Agreeing to gather more information and talk about it again later, Addressing the issue several times in a variety of ways, and Suggesting a specific resource or individual parents could contact. While these suggestions cannot be used as a "recipe" for dealing with the very individual needs and situations of parents, they do provide useful guidelines for where to start. Respecting parents as your partners means that you invest effort and energy into making the partnership successful. As with many types of investments, working respectfully with parents should result in significant returns to you as an early childhood professional. Communicating is More Than Talking You talk with parents about all different kinds of things. Most of these interactions revolve around enhancing their child's participation in your program. To foster partnerships with parents, you need to consciously promote open communication. When parents have an infant or toddler with a disability, effective communication is especially critical. For the next several minutes, we will examine ideas that can be used to create an environment that nurtures communication with parents. When communicating with parents, whether through a note, a parent conference, or an informal conversation at the end of the day, every interaction should be honest, respectful, timely, constructive, and reciprocal. Let’s take a brief look at each of these elements. Communication with parents should be Honest. Let parents know what you really mean because you want them to tell you what they really mean. If you do not know how to position their child so he can easily play with the toys in the water table, be honest enough to say so. It may seem easier for you to talk around the issue, but a direct approach is more likely to lead to positive solutions. Communication with parents should be Respectful. Each interaction helps to build a lasting relationship with parents. Be especially sensitive about cultural differences. Let families know that you respect their privacy. Communication with parents should be Timely. Whether it is good news, a regular update, or a bad situation getting worse, find a way to communicate information to parents on a regular basis. Share news promptly. Do not wait to let parents know both the high points (and the low points) of their child's day. Communication with parents should be Constructive. Helpful communication clearly identifies what needs to happen next. Do not leave the family hanging. Offer suggestions and ask for their feedback on the next step or steps to take. Imagine getting a note from your 7 child's teacher that describes a list of problems but does not give you any idea of what to do next! Lastly, communication with parents should be Reciprocal. Prepare to learn as much from parents as they learn from you. Listen as much as you speak. Avoid approaching parents about a problem with the solution already clearly defined in your mind. Leave room for parent feedback and suggestions. Make certain that both your actions and words represent your goal to form a partnership. Activities that Build Partnerships with Parents There are hundreds of great ideas for communicating with parents. Let’s take several moments to examine some simple activities that you can implement to facilitate communication with parents and, thus, build stronger partnerships with them. The following ideas focus on implications for children with disabilities, but each strategy facilitates effective communication for all parents in the program. Remember that communicating with parents is more than just talking and listening, it often means doing. Create a Child Care Notebook. A journal or notebook can be used to establish and maintain ongoing commentary about the child's experiences. Begun at the time of enrollment, this tool is important to the early childhood professional because it provides a vehicle to relate important events of the child's day for parents to review and comment on. It might include notes about the child's delight at finding a new toy, reaction to the day's planned activity, what happened when the therapist came, or progress related to an emerging skill. The notebook can be used to ask or answer questions or alert each other to changes in the child. Parents can write about what happens at home, comment about child care activities, or ask or answer questions about the information you have shared. Many times these notebooks are used to follow up important discussions. After a conversation about toilet learning, for example, a teacher might write a note that summarizes the discussion and attach an article or the name of a book on the subject. One child care provider kept detailed notes about toilet learning and each evening the parent would read the notes, make an occasional comment, and record her experiences in the evenings and on weekends. Months later, both child care provider and parent were amazed at the story their notes told. In fact, parents have even added these notebooks to the child's baby book, which includes a record of their child's early learning experiences. The notebook or journal is best utilized when communicating information that lets the family know about what happens in your program after they leave and gives parents another way to describe what happens at home. Used to convey "wish you were here" or "I couldn't wait to tell you" information, the notebook can quickly become a treasured part of the family's experience in your program. When sensitive information needs to be conveyed, it is generally a good idea to speak directly with the parent. The notebook should never be a substitute for personal communication, but it is an excellent tool that promotes open and frequent communication between parents and professionals. Keeping a notebook for children who are enrolled in your program can be a wonderful way for parents of children with disabilities to note their child's progress and a way for you and parents to share mutual experiences. 8 Celebrate Special Events. Many early childhood professionals celebrate some traditions or major events, such as birthdays or losing a tooth. These celebrations may be parties primarily for the children, but some providers encourage parents and family members to participate as well. Joining in fun activities is a great way for parents to become more involved, and it introduces them to the children in your care and their families. It also provides an easy way to let parents see the kinds of experiences their child enjoys in your program. Events can be planned as daytime or evening activities. One program chooses fall harvest for their family celebration. Parents are invited to join in circle time with harvest songs and menus. It takes very little planning, and many of the parents appreciate the opportunity to participate in an activity that is a familiar part of their child's daily routine and learn songs their children sing in your program. Parents frequently offer to provide treats or party favors to celebrate their child's birthday. Let parents know that you are willing to celebrate children's birthdays and offer concrete suggestions about how parents might participate. Some parents may be especially sensitive about birthday celebrations for a variety of reasons, such as their child being allergic to typical party food. When children have their first birthday, for example, many parents think about major milestones like walking and first words. A parent whose child has a disability and cannot walk or use words at their first birthday may be particularly sensitive to your comments about this upcoming occasion. This does not mean you should avoid a celebration, just be prepared to accept sadness or reluctance as well as excitement and pleasure when you suggest bringing snacks or birthday hats. Launch an Out-To-Lunch Program. Parents who have jobs often have difficulty finding time to become actively involved in the child care experience. In response to this challenge, one provider started an out-to-lunch program to encourage family members to stop in and have lunch with the children. This type of activity makes lunch time extra special for the children and allows you to share your menu and lunchtime routine. Many parents have a lunch hour and can participate at least once or twice a year. In another program, an out-to-lunch activity actually began because the child care provider asked a parent whose child was difficult to feed if she could come in and demonstrate the techniques she used at home. This lunch hour demonstration was a little hectic but a lot of fun for the child care provider, the parent, and the children. Weeks later, the provider invited another parent whose toddler had been recently enrolled in the program and a tradition began. As other parents and grandparents learned about this out-to-lunch alternative, they began to request invitations! Activities that Build Partnerships with Parents (continued) Initiate Discussion Groups. How many times have you brainstormed with parents about planning a bedtime routine, toilet learning, or guiding behavior? These discussions are an important part of educating parents and represent one more way that parents indicate their trust in you and in the program you have created. In one fairly large child care center, the staff planned a series of discussion groups for parents about several frequently asked questions. These discussion groups were held one evening a month with one staff member scheduled to facilitate. 9 There was no invited guest speaker and no staff person assigned as the resident expert. The parents learned what worked and what did not from the discussion and from the sharing of each other's experiences. Construct a Parent Bulletin Board. Just inside the front door of one classroom was a bulletin board full of information. Sometimes the staff posted an article they read in an early childhood journal; other times it featured an announcement about an upcoming community event. The bulletin board was an attractive display greeting parents as they entered the program. As frequently happens with bulletin boards, many parents overlooked the information posted. Instead of giving up, the staff posted pictures of group activities, children's art work, and favorite quotations from the children along with the items described above. When the bulletin board displayed what children were doing during the day, it became a wonderful thirty-second opportunity to communicate with parents. A bulletin board attracts parents when you address their interests. Sibling issues, announcements for parent support groups or workshops, and fliers describing community family events are a few examples of information that may interest parents. Extend an Invitation to Play. Many adults are not accustomed to small chairs, the chatter of many children, or the "chaos" of a really fun group activity. When a parent stops by to visit or to pick up his child, you may have to offer an invitation to participate. The invitation can be as simple as "Come on over" or as direct as "Can you help John put on his paint smock?" By giving parents a clear idea of how they can join in, you are actually communicating a much bigger message. "Come join our circle time" really conveys "We're in this together." Post a Brainstorming List. To elicit input from parents, the director of a child care center put up a very large blank piece of paper titled "What do you think?" Periodically, underneath this heading was a question about a dilemma the staff was struggling to solve. A pen was attached and, over the course of a week or two, parents gave valuable input on the current issue. Using this method, parent input helped the center staff decide whether or not to use cloth diapers, how to renovate the playground, and how to involve children in recycling. Let Parents Know You Can Use Their Help. It is not always easy to ask parents for help. You want to appear competent and be able to assure parents that you can provide appropriate care for their child. Remember that a partnership involves mutual support. Because parents have had to learn many of the same skills you are learning in order to care for their child, they are an excellent resource for you. A parent whose toddler has significant motor delays, for example, became frustrated when the child care provider did not use proper techniques to pick up and hold her son. When the provider finally asked this parent for help in positioning the child, the parent felt relieved and reassured that this trusted individual was really interested in her child and in providing the best possible care. This child care provider tells parents when they enroll their children in her program that she will be requesting regular feedback so they can work together to help the child have a wonderful experience in her program. From the start, parents know that they are considered partners. As this child care provider realized, children's parents are almost always ready and willing to contribute when you let them know you need help. 10 Implement Consistent Strategies at Home and in Child Care. Infants and toddlers benefit in many ways when there are consistent expectations and routines across the settings in which they live and play. This is particularly important for children with intellectual disabilities that can make learning a new set of expectations especially challenging. Ask children’s families what words or signs they use at home to communicate with their child about his needs. How does the child let them know when he needs to use the restroom, and how do they signal to the child when they want him to try to go potty? Using the exact same words in child care that a child is used to hearing at home can help him learn new skills more easily. For children with disabilities, it is also important that you work with their families to implement any intervention strategies that the child needs in order to successfully participate in your program. For example, if a child is having difficulty feeding herself in the child care setting, but doesn’t have trouble with this task at home, you can speak with her family about what they do differently at home. If the issue is that the child has more one-on-one assistance at home, the parent can work with other professionals, such as an occupational therapist, to come up with things the family can do at home and you can do in child care to help the child eat more independently. Working with a child’s family to choose a consistent set of goals, expectations, and strategies is a great way to build a partnership based on doing what’s best for the child. Celebrate the Child’s Accomplishments. Every parent wants to know that their child’s accomplishments are noticed and acknowledged. Especially for parents of children with disabilities, small accomplishments might have a big significance. Never take for granted how hard children with special needs work to make small steps forward. Celebrate the child’s progress with enthusiasm, even if it is something that seems minor. For example, you might celebrate the first time a child uses a consonant at the beginning of a word. You can celebrate a child’s accomplishments in the moment by giving him praise and encouragement, and then excitedly share the news with his parents face-to-face, through a phone call, via email, or in a special note. Maintaining Confidentiality As you build relationships with the parents of children in your care, you may be told or given information about them or their child that is not shared with everyone. A child's disability, medications, therapies, educational goals, or what is happening at home are examples of information that you should keep confidential out of consideration for the family's right to privacy and your goal to establish trusting relationships with them. Showing respect for a family's privacy is often referred to as maintaining confidentiality. Maintaining confidentiality is more than simply resisting the urge to make casual comments to others about the children in your care. Maintaining confidentiality essentially means that individuals and agencies, including early childhood professionals, may not give or receive records or other information about children or their families without written permission from the child's parents or legal guardian. You must have parents' written permission whenever you wish to ask someone besides the child's parents for information about the child or when you wish to share information that you have gathered. Parental permission or consent is voluntary. Parents have the right to change their minds and revoke their permission at any time. In addition, parents must be given the opportunity to inspect and review records about themselves and their children 11 upon request. Parents of children with disabilities are often sensitive to public knowledge of their child's condition, and you may be told or given information about them and their child that they do not share openly with others. Many everyday situations can challenge your ability to maintain confidentiality. Observations of specific children should be kept in a closed notebook. Daily plans related to children's Individualized Family Service Plans or Individualized Education Program goals should be kept concealed or the child's name erased. If you put up lists to remind you of medications, new words, or skills a child is practicing, do not put the child's name or any other identifying information on the list. In addition to records and other written information, it is important that you maintain confidentiality when it comes to talking about children and their families. It is natural to want to share events of the day, progress children have made, or concerns that you may have. Whenever you begin to describe a child to someone other than the child's parents, confidentiality may be jeopardized. Let’s take a few moments to complete an activity related to maintaining confidentiality. Please refer to the document entitled “Activity 1: Maintaining Confidentiality.” It contains three scenarios that describe some common challenges that child care providers face related to maintaining a child’s or family’s confidentiality. Please read each of the scenarios on page one and think about how you could best respond to ensure that children’s and their parents’ confidentiality is maintained. After you do this, compare your ideas to the suggested responses on the next page. Maintaining confidentiality does not start or end with avoiding personal comments to others about the children in your care. It applies to the sharing and receiving of information, both written and verbal, about a child or family. You must have parents' written permission whenever you wish to ask someone besides the child's parents for information about the child and when you wish to share information you have gathered. Most parents are cooperative when it is clear that the information you are seeking benefits their child and improves the care you offer; they will either give you the information themselves or the written permission you need to seek information from other professionals. When requesting written permission from parents, there is no specific form to use, but there are important guidelines to follow. You can develop your own form to use in your program. Once the form is developed, you can use this form whenever you want parental permission to request and/or discuss information about the child. The form should include the following five elements: The name and address of the individual or agency from whom information is being requested, The type of information requested, The child's full name, The child's birth date, A parent's (or legal guardian's) name and signature, and The date signed. 12 A simple paragraph describing your program and any specific requests could be added. This form is your request for information from the particular individual and/or agencies designated by the parent as important to the child's inclusion in your program, such as a physician, occupational therapist, or nutritionist. You need a separate form for each individual or agency. It is important that the parent date the form because a signed request is valid for only one year from the date of signing. After you have obtained written parental permission to request information, you have choices about the methods you use to gather the information. You might: Ask for copies of records, Ask for a report or letter summarizing information, Ask for information in a telephone consultation, Ask the individual to talk with you at your facility, and/or Ask to be included in therapy sessions. You might use any combination of these methods. Remember, the professional must have received the signed and dated request form before sharing any information with you. Similarly, you may not give records or exchange information with other individuals or agencies without having received written permission from the parents. If team members or others request your caregiving reports or notes, they must present written permission from the parents for you to release information to them. Furthermore, you should never give out any records or information that you received from another individual or agency (a copy of the child's IFSP, for example). You can only release records which you generated in your program. If agencies need other records, they must go to the original source of the record. The only persons who can share whatever information they wish, when they wish, and with whom they wish are the parents. For a variety of reasons, however, a few parents may be reluctant to allow the release of any records or information to you. They may be unsure about how the information will be used, for example, or fear that if you know everything about their child's disability, you may treat the child differently. As you build a partnership with the family, it is likely that they will eventually recognize your need for information about their child. If not, this is a decision you must respect and accept without judgment. Do not be alarmed if a parent refuses to provide consent for release of confidential information. Remember that this is their right, and in fact, many parents feel obligated to protect their child's records. Without the parent's written permission, you cannot obtain the child's records but you can still gather general information from the local library or agencies familiar with children with disabilities. Although not specific to the child, this kind of information can help you learn more about the care a child needs while in your program and formulate specific questions to ask the family. The one exception to getting parental permission before releasing information to other professionals or agencies is when you have a reasonable concern that the child may be neglected or abused. In this instance, you are required by law to report your concern to the proper 13 authorities whether or not you have parental permission to share this information. This situation demands that your primary concern be for the welfare of the child. Unless you have already developed a philosophy which includes the principle of confidentiality, the whole idea may come as a surprise to you. This discussion is not only intended to emphasize the importance of maintaining confidentiality, but to also provide concrete ideas and methods for actually doing it. While confidentiality takes effort to maintain, responsible providers willingly make the effort to safeguard the privacy of the children and families in their programs. Parent Participation Let’s now turn our attention to how to encourage parental participation. How do you get parents to participate in your program? How much parent involvement can you expect? Why is it important that families participate in your program? Before any of these important questions can be answered, it is necessary to define what is meant by parent participation. Although most providers would agree that participation of parents and other family members is important, a good number of them would also agree that finding ways to get parents to participate in child care programs can often be frustrating. Providers may say, "All the parents in my program work; they don't have time to participate" or "I've tried to find ways to get families actively involved in our program but haven't had much luck. They're just not interested." What these providers are really saying is that a good number of parents do not seem to have the time or the inclination to participate in day-to-day program activities. What may be needed is not necessarily a way to convince parents to find the time to participate, but a new way to think of what participation means. Using a very broad definition, parent participation means any way in which a parent becomes involved in your program. Few parents would say they do not want to be active participants in their children's experiences. In fact, most parents actually do want to be involved in the daily child care activities, but it is difficult to balance this desire with their responsibilities at home and at work. Parents who are experiencing a high degree of stress are less likely to actively participate in the program. They are using their energy to resolve the stress in their lives. Parents of children with disabilities sometimes report feeling overwhelmed with the care requirements of their child. Being asked to volunteer time in the child care program feels like "just too much." Does participation mean joining in group activities? Does it mean reading the parent bulletin board each day? Does it mean paying the bill on time? Does it mean supplying diapers? Definitely! It means all of these things. If you think in terms of a continuum of parent participation, all of these activities can be included. Parents are involved because their child is part of your program. Rather than think of a certain level of participation, think of an entire spectrum of activities that parents participate in as a direct result of enrolling their child in your program. Parents may be able to help with a field trip or leave work to come help with a special project, but that is really only one way to think about their participation. It’s helpful to think of parent participation as a continuum, with interest at one extreme and action at the other. Any type of activity can fit into this approach to parent participation. A parent 14 might attend a parent meeting, which would represent participation toward the "action" end of the continuum. Another parent might leave a note asking for the words to a song the child was practicing at home. This would represent participation somewhere in the center of the continuum. Yet another parent might take a few minutes as she drops off her child in the morning to watch part of a group activity. This illustrates parent participation activity toward the "interest" end of the continuum. Neither end of the continuum is good nor bad, nor should preference be given to a single type of activity. If your goal is to increase parent participation, you must provide opportunities to be involved at every point along the continuum. You can help parents and other family members understand that their role is a very important one and that you work hard to encourage their participation in individual and different ways. This view of parent involvement is significantly different from that shared by many child care programs, and it is particularly useful when the program includes parents who have a variety of needs and abilities. When a parent volunteers to assist with an art project, for example, it gives the parent an opportunity to see what your program is really like and gives you an extra hand. Unless your program requires active participation, it is unlikely that the parents of each child in your program will play the same role. It is tempting to want parents to participate in daily activities. The message we want to give to parents is that any effort to become involved is appreciated. In order to convey this message, there must be numerous and different ways to participate. It is important that any level of participation be warmly welcomed. It should be clear that both you and the parents share in the challenge to create partnerships which meet both partners' needs. The following guidelines can help you build your program's commitment to parent participation: Explain your program goals and philosophy. From the first contact, you begin describing your program. You might initially review the fee structure, schedule, or child-staff ratio and then later have the opportunity to explain your policy about sick child care or behavior guidance. It is important to clarify your personal and program goals to ensure that parents get a consistent picture of what you are trying to accomplish. Try to avoid giving mixed messages. Do not assume that parents already know what you expect from them. If you are able to clearly voice your expectations (of children, parents, and yourself), there is a greater chance that parents will be able to discern their role. Ask parents how they want to participate. It is just as important to individualize our expectations of parents as it is to individualize activities for young children. When a child is enrolled in your program, listen to parents' expectations and concerns. Make clear statements that let parents know you would like them to participate in whatever way they can. And most important, respect whatever response parents give you. Share details. Plans, current events, schedule changes, and even small inconveniences should be shared. There is a reason why most states require posting a schedule and/or menu as part of registration or licensing requirements. This is one way that early childhood professionals share information about the program with parents. But if you really want parents to participate, you 15 need to look for many more opportunities to share details about your program. Parents need to know about changes in case their child's routine will be affected. If you keep parents informed, they may be less concerned about changes that may be occurring and better prepared to respond to their children's questions or behaviors related to events in the program. Although it certainly is not appropriate to burden parents with every problem your program encounters, there are times when sharing details about an anticipated "problem" can make a big difference in parents' responses. Recognize that parents are your most important partners. Partners can share their resources, offer support, assist in problem-solving, and provide much-needed reinforcement when the job is especially challenging. By respecting the parents' role, their input, and their questions, you can develop a relationship with parents as colleagues. Parents and child care providers who share this type of relationship realize that they work together in the best interest of the children. The realities of managing an early childhood program may leave you with very little contact time with parents. In fact, you may barely have time to share a few details about the child's day. Developing this colleague-to-colleague relationship is not easy when you have such limited contact. The trick is to take advantage of every possible opportunity and not let a lack of time get in the way of establishing an effective relationship. A partner has the responsibility to relay information and to respect the person's right to reject or accept that information. Remember to say thank you. Parents are more likely to become involved and to stay involved in your program if you freely express your thanks. When you thank parents for their help and assistance, be sure to relate their efforts directly to the care their child receives while in your program. If parents become convinced that helping out in your program or reading the parent bulletin board benefits their child, they will be more eager to extend their support. Putting It All Together With what you know about children with disabilities and their families, parent participation, and sharing information with parents, you are ready to apply this information to various aspects of an early childhood program. From the very first time parents contact you, there are opportunities to encourage them to work with you as partners. If your program is a family child care home, parents' participation may be very different from parents whose children are enrolled in a child care center. Likewise, infant programs may encourage parent participation that is different from a program for children who are three to five years old. In this section of the course, we will go through a chronological sequence of activities that parents typically experience when enrolling their child in a child care program. The information presented is designed to: Help you develop a parent participation approach that fits into your program, Strengthen the activities you currently do to encourage families to participate, and Identify new ideas to try. 16 Please refer to the handout “Putting It All Together” for specific suggestions on what you can do related to each activity in the sequence. After we discuss a particular activity within the sequence, take several minutes to go over the suggested ideas. Let’s begin with the Initial Contact. The goal of the initial contact is to share your philosophy of working with young children and their families. Building your partnership with parents begins with the first call a parent makes asking about enrolling his or her child. This first contact sets the stage for partnership by consciously promoting two-way communication. You have the opportunity to tell parents about your program, to explain what you do and why, and to get information about the child and the family. With these goals in mind, you will have to discuss more than availability of openings, tuition fees, and schedules. Whether or not you actually have an opening, this phone call or visit can be used to describe your program and communicate your philosophy of caring for young children. This is also your chance to listen to parents and find out what they need and want for their child. You do not necessarily need to ask for detailed information, but you can ask parents to tell you a little bit about their child. Using open-ended questions and comments like, "What kinds of things would you like your child to experience in my program?" or "I'd like to hear a little bit about your child's interests, favorite toys, or activities she particularly enjoys," give parents the opportunity to introduce their child to you. Show a genuine interest in the child as an individual. Some parents, for example, may have had experiences that make them reluctant to disclose their child's disability. The Americans with Disabilities Act (ADA) expressly prohibits making enrollment decisions based solely on the presence, or perceived presence, of a disability. In reality, knowing that a child has a particular disability tells you very little, if anything, about how that child might fit into your program. Ask questions that help you identify the fit or match between your program and the child and family's needs. Finding out that a child has Down syndrome is not nearly as important as finding out information that will help you include the child in your program. Asking parents to give you information and not just a diagnosis may also reassure them that you are truly interested in their child. Next is the First Visit. The goal of the first visit is to provide an opportunity for parents to see your program in action. Parents may want to visit your program even when you do not have current openings. This is especially true when you have presented your program well and parents are interested enough to want to actually see what you are describing. They may come to observe a group activity, staff interacting with children, or the overall cleanliness and safety of the program. The parent's task is to get more information. Your task is simply to welcome the parent into your program as a guest. Use this as your opportunity to set the stage for your future relationship. The next step is Enrollment. The goal during enrollment is to gather information from parents about their child. Most parents and professionals associate enrollment with filling out endless paperwork. It is true that there are usually forms to fill out, but it is also true that enrollment is a critical time to explain your parent participation component. You enroll the child and the family in your program. As you busily set up the child's file, gather records, and put the child's name on a cubby, think about what you can do to include parents and other family members in your 17 program and to encourage them to participate. You began to develop a relationship with the parents during the first contact. Now you can help them understand the role they may have in their child's child care experience. Next in the sequence is Getting Acquainted. The goal at this point is to establish a working relationship with parents. Now that the child is attending your program regularly, you can begin to develop a relationship that fits both with parents' expectations and commitments and your interest in having them participate in your program. You are not trying to find a way to fit parents into a particular type of activity. Rather, you are trying to show them that you have a broad view of parent participation and that you appreciate and acknowledge the many ways parents take part in your program. Next in the sequence is Planning Together. The goal at this point is create developmental goals with parents. Planning together combines your professional expertise and training as an early childhood professional with specific information about the child that only a parent can provide. Working with families to plan developmental goals for their child may be a formal process which results in an Individualized Family Service Plan or an Individual Education Plan. For children with disabilities, the IFSP or IEP represents an important tool in designing developmentally appropriate curriculum activities for the child. Working with the IFSP team is a great resource for you in meeting a child's needs. The child's parents can invite you to attend an IFSP meeting or request that an IFSP team member visit their child while in care and offer suggestions for improving the child's participation or addressing your concerns. In order to attend an IFSP meeting or consult with any of the team members, you must have written permission from the child's parent or guardian. Some parents may not realize that you would be open to an invitation to an IFSP meeting or welcome an IFSP team member in the classroom. Take the time to explain to parents of children with disabilities how your participation can enhance their child's experience in the child care program. Some parents may choose not to include you on the IFSP team. This can happen for a number of reasons, and is entirely the parent's choice. If that is the case for a child in your care, work to build a positive, trusting relationship with the parents and request information directly from them about how you can best serve their child's needs. While there may not be a formal plan for children without disabilities, parents often seek input and suggestions regarding upcoming developmental stages. Toileting is a good example of a skill that requires collaboration and input from both parents and early childhood professionals. Remember that planning together does not necessarily mean that there is a problem with the child's development. It simply means that the child's parents want to work with you to identify ways to help their child develop new skills. Next is the phase that we refer to as “Sharing the Excitement.” The goal is keep parents informed about day-to-day activities. Exciting things happen in the child care setting every day. Toddlers discover what play dough tastes like, how to pour from a pitcher, what finger paint feels like, and what it is like to be part of a group of young children. It is easy to forget that parents do not have the opportunity to see these magical moments. One of the ways that you can help parents feel a part of their child's experiences is to relate to them those every day 18 excitements. Letting parents know about events that happen during the day is a good way to keep them interested and up-to-date. In addition, if you let parents know about fun things that happen, you will be in a better position to talk to them when problems arise. The next activity in the sequence is Resolving Problems. The goal is to find mutual solutions to the various problems that might arise. Even in the best partnership there will occasionally be problems. It is important to be able to confer with parents as these situations occur. If you have worked to develop a good relationship with the parent and are in the habit of communicating frequently, you are in a good position to be able to work together when problems arise. It may be as simple as finding a way to tell the parent when the child needs more diapers or as sensitive as talking about ways to help a child cope with the stress of a divorce in the family. Parents and early childhood professionals, because they are partners, should be able to communicate their differences and work out problems so that these issues can be discussed and hopefully resolved. it is important to develop a relationship with parents that is strong enough that you can work together in difficult situations rather than avoiding the issue. The last step in the sequence is “On To The Future.” The goal in this last part of the sequence is to provide a sense of closure as the family leaves your program. It may seem unusual to talk about the importance of parent participation after the child has left your program but it is important for two reasons: first, you can provide valuable information to the preschool, kindergarten, or other child care provider who will care for the child in the next setting, and second, the parent who is leaving your program is in a wonderful position to give you feedback about your program. A brief exit interview or survey given to parents as they prepare to leave your program provides a wonderful opportunity to let them know-one last time-that they have been an important part of their child's experience in your program and that you have appreciated their involvement. Gaining Support from Parents of Children without Disabilities Before we conclude this course, let’s turn our attention to one final important topic: how to gain support from parents of children in your care who do not have disabilities or other special needs. If you already have a child in your program who has a disability, or if you are considering enrolling such a child, there is a possibility that other parents of children in your program will have questions or concerns. For example, some parents may feel that their child will not receive adequate attention from you because the child with a disability will require more of your time and energy. Some may feel that it is unfair to pay the same amount for tuition if their child is not given the same level of care. Others may believe that the quality of care, in general, will decline if a child with special needs is enrolled in your program. If concerns such as these arise, do not dismiss them. Instead, acknowledge the parents’ feelings and be prepared to answer their questions and concerns openly and honestly. Remember that to promote positive partnerships with parents, communication should be honest, respectful, timely, constructive, and reciprocal. Let’s consider some strategies for gaining the support of parents who might have questions or concerns about how their children will be affected by having peers in the program with special needs. 19 Explain to parents the concept of inclusive child care and why it is an important part of your program’s philosophy. Some parents may not be familiar with the concept of inclusive child care. This lack of understanding can lead to unfounded fears and uncertainty concerning how it will impact the quality of care their children receive. Take some time to educate parents about what inclusive child care is and is not. In doing so, you can dispel some of the misunderstandings that parents may have with regard to including children with special needs. There are some excellent brochures and fact sheets that can be provided to parents to help them gain a better understanding of the nature of inclusive child care. Share with parents the benefits of an inclusive child care environment for all children. It could be that parents acknowledge the benefits of inclusive child care for children with special needs, but perhaps they have never considered the benefits of inclusive care for their own children. You have a great opportunity to share what researchers have discovered. Among the many benefits of inclusive child care for children without disabilities that you might want to convey to parents are: Increased appreciation and acceptance of individual differences, Increased empathy for others, Preparation for adult life in an diverse and inclusive society, and Opportunities to master activities by practicing and teaching others. Emphasize to parents that the needs of children with disabilities, for the most part, are very similar (if not identical) to those children who do not have disabilities. Children, regardless of ability, share a common set of needs. All children have the need to be cared for by warm and nurturing caregivers; to feel as if they belong to a community; to establish positive social relationships with peers; and to be given opportunities to learn and develop to their full potential. In other words, children with and without disabilities are more alike than different. Inform parents that, in most cases, simple adaptations can be made to program activities, the daily routine, or even to the child care environment to accommodate children with special needs. Like some child care providers, parents may be under the impression that in order to meet the needs of children with disabilities, drastic changes have to be made to all facets of the child care program. With certain exceptions, this is rarely the case. You can provide them with examples of how simple modifications to activities or room set-up ensure that all children’s needs are met. Just be mindful to maintain a child’s or family’s confidentiality when discussing any specific steps that you have taken to make the environment more inclusive. Invite parents to your facility to observe what goes on during a typical day. Best practice for young children is best practice, regardless of the abilities of the children enrolled in a program. One of the hallmarks of a high quality child care program is that it meets the needs of all the children. If you have established such an environment, parents will be very impressed with all aspects of your program when they visit. They will see, firsthand, how all children are seamlessly involved in all program activities. The concerns they might have had will likely disappear when they realize that their children are benefiting just as much as the others. 20 Emphasize to parents that all children, regardless of ability, will be treated equally and cared for in the best possible manner. Let parents know that their children’s needs are your top priority. As a child care provider, your goal is to see that each child is cared for in manner that enables the child to reach his or her developmental potential. Conclusion During this course, we have addressed some of the common challenges that may occur when parents have a child with special needs. We have discussed effective communication strategies that can be used to build stronger relationships with parents; explored a wide variety of ways parents and families can participate in your program; and identified strategies for gaining support from parents of children in your program who do not have disabilities. Here are the major messages we would like you to “take home” from this training: Partnerships with parents begin with the acknowledgement that parents play a vital role in the lives of their young children, True partners work together to form a relationship that meets the needs of both parties, Effective communication is essential to the growth and maintenance of the relationship between you and parents of the children in your care, Hand-in-hand with effective communication comes trust and confidentiality. Both are critical elements in any parent/provider relationship, There are many different ways for parents to express their commitment to your program and participate in their child's experiences. It is our responsibility to carefully consider how we define parent involvement and be sure that the message given to parents is encouraging, welcoming, and accepting, This process starts with the very first phone call and should continue throughout the time parents have their children enrolled in your program, Finally, gaining the support of parents who have children without disabilities and other special needs is an important part of creating an inclusive environment where all children and their families feel welcomed and that their needs are being met. Thank you for your participation in this course, and for your desire to provide quality inclusive care for young children in child care. Note: The content contained in this online course was adapted from Child Care plus+ Curriculum on Inclusion: Practical Strategies for Early Childhood Programs, Chapter 4 – Building Partnerships with Parents and Families. Permission granted by Sandra Morris, Director Child Care plus+: Center on Inclusion in Early Childhood, The University of Montana Rural Institute. This course was developed and produced by the Texas A&M AgriLife Extension Service of the Texas A&M University System in cooperation with the Texas Department of Family and Protective Services, Child Care Licensing Division, and using funds provided by the Texas Workforce Commission. 21
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