Any therapy session should start with time spent establishing a relationship with the child and family, listening to their concerns, ideas, hopes and dreams and planning the time that you will spend together.
1 The first step is to listen to the parents' views of their infant's abilities and difficulties.
2 If this is a first visit, explain purpose of your assessment: to identify the infant's abilities, especially strengths, and explore ways to enhance the variability and complexity of the infant's actions in ways that will promote progress along the developmental pathway and towards identified goals.
Assessment is an opportunity for parents to gain insight into their infant's abilities, the factors that enhance and constrain progress towards goals and identify ways to enhance perceptual motor learning and social interaction.
3 Explain the process: observe-adapt-select-plan
► Observation: the infant's actions are first observed to identify abilities, strengths and difficulties and atypical movement patterns.
► Adapt the environment: trying different adaptations to the environment to encourage the infant to become more active, produce more complex and variable movements, and explore different ways of moving and interacting with the environment.
► Select: discovery of goals: parents are encouraged to use insights from observation of infant's strengths and abilities and responses to adaptations in the environment to formulate goals and select activities for practice.
► Collaborative planning, during or at the end of the session. Parents and therapist together figure out ways to incorporate learning opportunities into daily routines and dedicated practice sessions.