Ever met a parent or carer who has asked you this question? I have, more than a decade ago. This started my journey into the field of Dual Multiple Exceptionality (DME) or as it is known in the USA as Twice Exceptional (2e). This blog is divided into two parts: Part 1: explores what is DME and identification Part 2: considers case studies and reflective questions for practitioners.Read more
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Something I am regularly asked is how to intervene with particular profiles derived from administering a clinical assessment. To clarify: I am an occupational therapist working in the publishing sector, developing assessment materials for clinicians and educators to support children and adults in their everyday life; my occupational therapy background serves me well in this endeavour. So…back to the question…it is a relevant question of course; you have administered an assessment, which in itself yields useful information, and so… WHAT do you do next?
Ahh…now here’s the trick! To consider your options you need to contemplate why you are administering the assessment, and what it means to the individual involved. Some assessments take a top-down approach, i.e. they focus on the person as a whole within the context of their everyday occupations and roles important to them. The risk being that this approach does not always take into consideration how task components may be impacting roles and everyday occupations. Conversely, impairment or diagnostic level assessments can be helpful in determining how task components may affect performance and/or participation, but risk overlooking what is important to the individual in terms of roles and everyday occupations.Read more
Have you ever read a research-based report and thought, "I don't recognise this person, are you sure you wrote about the right person?"
This was the premise of a session I attended at the American Occupational Therapy (AOTA) conference in April titled: Strengths-Based Coaching: Learn how to Implement this Evidence Based Practice. I have to declare my reason for attending the session – one of the presenters is an author I have had the honor of working with, someone who has inspired and taught me so much over the years – Dr. Winnie Dunn (Professor and Chair of the Department of Occupational Therapy Education, University of Kansas), along with her co-presenter Dr. Ellen Pope (Clinical Assistant Professor, Department of Occupational Therapy Education, University of Kansas). As an Occupational Therapist and mother of a child in receipt of many services over the years, the takeaway messages from the session struck both a professional and personal note.
For the purposes of this piece I’ll refer to my child as “A*”…Perhaps subconsciously I am saying my child is “A star”!
Countless times my husband and I have met with a professional to be told:
- “A* can’t do this”
- “A* has not reached this milestone”
- “A* exhibits this negative behaviour”
Countless times, we have turned it around to ask:
- “What is A* good at?”
- “What are A*’s strengths?”
- “How can we use these strengths to support A*?”
By knowing the answers to these questions, we, as parents, feel more engaged in the process. Instead of being defeated by what our child can’t do, we embrace the positives; we see opportunities instead of challenges; we share A’s* potential with others!
As Drs. Dunn and Pope demonstrated in their workshop, current evidence illustrates that strengths-based coaching leads to significant changes in both participation and self-efficacy; seeing the positives and strengths in a person helps focus on a more functional approach to intervention, it helps people to thrive with greater life satisfaction often in quite challenging situations, and in line with Csikszentmihalyi’s work on the Flow experience, helps people persist at an activity when it presents just the right challenge.
Drs Dunn and Pope challenged the audience to consider practical examples of working with families to implement a strengths-based coaching model, to shift from a deficit based method of assessment and intervention to using positive approaches. As a takeaway, I decided to look at some reports I’d read over the years, and have a go at implementing this approach. What do you think?Read more