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Learn the importance of home-based services for children, how to implement evidence-based practices, and the role of practitioners in effective home visits. Discover parent coaching techniques and strategies for progress monitoring in a safe home visiting environment.
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Home Visiting in Early Childhood: Effective Practices and Strategies Ariane Gauvreau, Ph D, BCBA-D
Which number is greater? a) 3 b) 168 c) 9 d) 15
Home Visiting Math 8,736 hours in a year 2,000 hours at work/childcare (40/week, 2 weeks vacation) 6,736 hours a parent is with their child 20,208 hours birth – age 3
In Vivo Practice of New Skills • Better generalization • Feedback • Reinforcement
Parents own the agenda • Home visitors let families take the lead. • Their priorities drive the visit, discussion, and activity.
Social Support • Not all home visits with center around teaching new skills • Sometimes parents need someone who they can talk to about their concerns, frustrations, hopes • A home visitor can create an environment where the parent feels like they can openly talk about their child
Step 1: Assessment • Routines Based Interviews • Identify parts of a family’s day that are challenging,and prioritiesfor intervention
Goal of assessment = to determine howand where we can support a family
“Tell me a bit about your morning. What is getting ready for day care like?” “How are things in the evening – what happens at bath time?” “What sort of things does your family do on the weekends?”
But, what if a family has too many priorities? Focus on 1-2 main skills during each home visit.
Step 3: Intervention - Parent Coaching • Supporting caregivers in teaching specific skills • Modeling • Demonstrating how to use certain supports (visuals, timers, etc.) • Feedback
“ Coaching focuses on supporting family members…to refine their knowledge and experience so that they can enhance their skills and help a child participate in meaningful situations. - Hanft, Rush, & Sheldon, 2004 ”
Goals of Parent Coaching Help parents recognize what they are already doing that promotes their child’s learning Assist parents in creating ongoing learning opportunities for the child when the home visitor is not present (Hanft, Rush, & Shelden, 2004)
Natural Parent Coaching • First, rapport and relationships. • Instill confidence • “This is how we are trained” or “Lets try this…”
In Vivo Practice “Lets practice that right now – what’s a direction we could give Sam today?” “Let’s have a snack and check in on how pointing is going” “Would it be helpful to show you how we teach colors at school?”…. “Why don’t you give it a try?” “What should we plan to work on today?” “What should we practice next week?”
Step 4: Progress Monitoring • Home visit notes = data collection • Ask guided questions to determine if intervention is effective • “We worked on following directions this week. How did it go? What was a direction that Sam was able to follow? What was hard for him to follow?” • “How did bath time go this week? What was it like giving a warning?”
Safety • Before • Notify co-workers • Review in take form for any possible concerns about violence • Cell phone • Park your car in a place that enables you to leave quickly • Wear your badge
Other Safety Tips • Back your car into a parking spot • Bring dog biscuits to calm aggressive/excited dogs • Ensure car has gas, is in working condition • Refrain from sharing personal details • Home visit in pairs • Trust your intuition • Debrief with a co-worker
Poll: What are the priorities of your families?
Communication • Creating opportunities for communication in daily routines • Intervention strategies to teach communication • Time-delay • Incidental Teaching • PECS • Following Directions
