Including a relationship-focus in paediatric occupational therapy interventions: Introducing the PAIR Model

Figures & data

Figure 1. Proposed process model: a phased approach to incorporating a relationship-focus (PAIR).

Table 1. PAIR phase 1.

Component	Content	Method
Initial contact	What is a relationship-focussed approach Why a relationship-focussed approach assists with supporting child development How sessions are structured	Discussion: Initial phone call Parent Education: Information sheets
Introduction of service	Understanding parent expectations of service Discussing relationship-focussed approach and how this fits/is different to parent expectations	Discussion during initial appointment
Case history	Child’s birth and developmental history Important family information Parent concerns Parent-child relationship questions	Parent interview
Assessment of parent and child strengths in play	Observations of child-led play and how parent responds to child’s play cues	Observation checklist such as the PICCOLO
Goal setting to include a focus on parent-child interactions	Parents long term goals for their child and what they see as their role in actively helping child achieve these. Parents short-term goals for their child Therapist shares observations of child’s development and parent-child play and discusses how these observations link to parent goals and also parent-child interactions. Therapy goals formulated to collate parent goals with therapist observations	Completion of shared goal setting proforma Plan made with parents regarding whether a relationship-focussed approach will assist in meeting goals.