Solution-Focused Coaching in Pediatric Rehabilitation: An Integrated Model for Practice

ABSTRACT This article describes the conceptual basis and key elements of a transdisciplinary model for solution-focused coaching in pediatric rehabilitation (SFC-peds). The model exemplifies a strengths-based, relational, and goal-oriented approach to clinical practice. It provides a distinct shift from a problem-oriented, therapist-directed approach to a possibilities-oriented approach where client empowerment takes precedence. The model facilitates client change through a method of working with client strengths and resources that involves the use of strategic questions to co-construct therapy intervention. Through client–therapist collaboration, therapy goals and plans are developed that align with client hopes, priorities, and readiness for change. SFC supports client self-determination and capacity for change through customized therapy goals and plans that are meaningful for the child and family. Implications for therapists include the need for relational expertise, practical coaching skills, and expertise in facilitating change. The need for research on the effectiveness of this approach in pediatric rehabilitation is discussed.

[1]  W. Griffin,et al.  INFLUENCE OF THERAPIST SKILLS ON CLIENT PERCEPTIONS OF MARRIAGE AND FAMILY THERAPY OUTCOME: IMPLICATIONS FOR SUPERVISION , 1986 .

[2]  Eva Johansson,et al.  Functional therapy for children with cerebral palsy: an ecological approach , 2005, Developmental medicine and child neurology.

[3]  Shari M. Geller,et al.  Therapeutic Presence: Therapists' experience of presence in the psychotherapy encounter / Therapeutische Präsenz: Erfahrungen von Therapeuten mit Präsenz in der psychotherapeutischen Begegnung / La Presencia Terapéutica: La Experiencia de la Presencia que Viven los Terapeutas en el Encuentro Psicote , 2002 .

[4]  L. Curfs,et al.  Solution‐Focused Brief Therapy With People With Mild Intellectual Disabilities: A Case Series , 2011 .

[5]  Vincent Lenhardt,et al.  Coaching for Meaning: The Culture and Practice of Coaching and Team Building , 2003 .

[6]  W. Rief,et al.  Looking beyond the importance of life goals. The personal goal model of subjective well-being in neuropsychological rehabilitation , 2010, Clinical rehabilitation.

[7]  Natasha A. Lannin,et al.  Occupational Therapy Home Programs for Cerebral Palsy: Double-Blind, Randomized, Controlled Trial , 2009, Pediatrics.

[8]  M. McAllister.  Doing practice differently: solution-focused nursing. , 2003, Journal of advanced nursing.

[9]  J. Cleak,et al.  Clinical Reasoning in the Health Professions , 2000 .

[10]  T. L. Gall,et al.  Understanding the Nature and Role of Spirituality in Relation to Coping and Health: A Conceptual Framework. , 2005 .

[11]  M. Cavanagh.  Coaching from a systematic perspective: A complex adaptive conversation , 2006 .

[12]  W. Dunn,et al.  Impact of a contextual intervention on child participation and parent competence among children with autism spectrum disorders: a pretest-posttest repeated-measures design. , 2012, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[13]  J. Ziviani,et al.  Enabling Occupational Performance of Children Through Coaching Parents: Three Case Reports , 2010, Physical & occupational therapy in pediatrics.

[14]  Gordon B. Spence,et al.  Professional and peer life coaching and the enhancement of goal striving and well-being: An exploratory study , 2007 .

[15]  G. Stams,et al.  Solution-focused brief therapy outcome research , 2012 .

[16]  Serafino Buono,et al.  ICF- INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH , 2003 .

[17]  H. Lloyd,et al.  Solution-focused Brief Therapy with Families Who Have a Child with Intellectual Disabilities: A Description of the Content of Initial Sessions and the Processes , 2006, Clinical child psychology and psychiatry.

[18]  J. Ziviani,et al.  Coaching parents to enable children's participation: an approach for working with parents and their children. , 2009, Australian occupational therapy journal.

[19]  D. Stober,et al.  Evidence based coaching handbook : putting best practices to work for your clients , 2006 .

[20]  Yossi Ives,et al.  What is' Coaching'? An Exploration of Conflicting Paradigms. , 2008 .

[21]  Anthony M. Grant,et al.  THE IMPACT OF LIFE COACHING ON GOAL ATTAINMENT, METACOGNITION AND MENTAL HEALTH , 2003 .

[22]  C Reilly,et al.  Transdisciplinary approach: an atypical strategy for improving outcomes in rehabilitative and long-term acute care settings. , 2001, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[23]  Solution-focused conversations: a new therapeutic strategy in well child health nursing telephone consultations. , 2007, Journal of advanced nursing.

[24]  C. Dunst,et al.  Empowerment, effective helpgiving practices and family-centered care. , 1996, Pediatric nursing.

[25]  K. Löwing,et al.  Activity focused and goal directed therapy for children with cerebral palsy – Do goals make a difference? , 2009, Disability and rehabilitation.

[26]  G. King.  A Relational Goal-Oriented Model of Optimal Service Delivery to Children and Families , 2009, Physical & occupational therapy in pediatrics.

[27]  Kevin W Eva,et al.  Self-Assessment in the Health Professions: A Reformulation and Research Agenda , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[28]  P. Rosenbaum.  Communicating with Families: A Challenge We Can and Must Address! , 2011, Physical & Occupational Therapy in Pediatrics.

[29]  P. Hinds,et al.  Nursing Strategies to Influence Adolescent Hopefulness During Oncologic Illness , 1987, Journal of the Association of Pediatric Oncology Nurses.

[30]  G. King.  A framework of personal and environmental learning-based strategies to foster therapist expertise , 2009 .

[31]  D. Rush,et al.  Coaching Families and Colleagues in Early Childhood , 2003 .

[32]  G. King,et al.  Participation-based therapy for children with physical disabilities , 2012, Disability and rehabilitation.

[33]  M. Hadders‐Algra,et al.  The role of the family in intervention of infants at high risk of cerebral palsy: a systematic analysis , 2011, Developmental medicine and child neurology.

[34]  M. Wehmeyer.  A Functional Model of Self-Determination , 1999 .

[35]  J. Corcoran.  Developmental Adaptations of Solution-Focused Family Therapy , 2002 .

[36]  Donna R. Weston,et al.  Formulating the Centrality of Relationships in Early Intervention: An Organizational Perspective. , 1997 .

[37]  G. King,et al.  The development of expertise in pediatric rehabilitation therapists: Changes in approach, self-knowledge, and use of enabling and customizing strategies , 2007, Developmental neurorehabilitation.

[38]  J. McDougall,et al.  An Evaluation of the “Youth En Route” Program , 2006, Physical & occupational therapy in pediatrics.

[39]  C. Franklin.  Solution-focused brief therapy : a handbook of evidence-based practice , 2012 .

[40]  A. Danilkewich,et al.  Solution-focused therapy. Counseling model for busy family physicians. , 2001, Canadian family physician Medecin de famille canadien.

[41]  G. King,et al.  A life needs model of pediatric service delivery: services to support community participation and quality of life for children and youth with disabilities. , 2002, Physical & occupational therapy in pediatrics.

[42]  A. Beurskens,et al.  Parents’ actions, challenges, and needs while enabling participation of children with a physical disability: a scoping review , 2012, BMC Pediatrics.

[43]  Stefan Priebe,et al.  The Therapeutic Relationship in the Treatment of Severe Mental Illness: A Review of Methods and Findings , 2004, The International journal of social psychiatry.

[44]  A. Grant,et al.  The differential effects of solution‐focused and problem‐focused coaching questions: a pilot study with implications for practice , 2010 .

[45]  S. Rodger,et al.  Occupational Performance Coaching: Enabling Parents' and Children's Occupational Performance , 2010 .

[46]  B. Duncan,et al.  APPLYING OUTCOME RESEARCH: INTENTIONAL UTILIZATION OF THE CLIENT'S FRAME OF REFERENCE , 1994 .

[47]  T. Kuhlmann,et al.  ICF (International Classification of Functioning, Disability and Health) , 2011 .

[48]  W. Madsen.  Collaborative helping: a practice framework for family-centered services. , 2009, Family process.

[49]  A. Majnemer.  Importance of Motivation to Children's Participation: A Motivation to Change , 2011, Physical & occupational therapy in pediatrics.

[50]  W. Gingerich,et al.  Solution-focused brief therapy: a review of the outcome research. , 2000, Family process.

[51]  D. Rock,et al.  Coaching with the Brain in Mind: Foundations for Practice , 2009 .

[52]  Stephen Palmer,et al.  Solution Focused Coaching in Practice , 2012 .