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Health Promotion for our Families

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HEALTH PROMOTION FOR OUR FAMILIES

As occupational therapists we are trained to provide support to all our clients and their families, in order to increase their independence, grow their confidence and to live a happy and healthy life. 

More often than not, this is first done or activated when someone is starting to experience discomfort or challenges in certain areas of their life. For our children, self-care, play, schooling and their social interactions with their peers are where areas of concern often arise. As we’ve spoken about previously, when these challenges occur, they manifest in behaviours. For our children, the way in which they behave is in fact their method of asking for help. They are in turn telling us as adults, that something internally doesn’t feel right and they require extra help. It is then our role to determine what is going on and how we can provide effective support. 

But what if we could actually reduce these areas of concern and the amount of worry that comes along with them but being proactive rather than reactive? 

This is an area that as occupational therapists we are so very passionate about. Through health promotion we can bring awareness, education and support to all families and communities about child development, patterns to look out for and access to support services when you have questions. This should be readily accessible to every person in each of their communities. By having access to services that offer advice and support, promoting health and wellness for both the parent/carer and their child, inadvertently increases well being and reduces the risk of mental health. 

From an OT perspective; the definition of health promotion from the World Health Organisation is “the process of enabling people to increase control over and to improve their health. To reach a state of complete physical, mental, and social well-being, an individual or group must be able to identify and realise aspirations, to satisfy needs, to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasising social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond health lifestyles to well-being.” (1986, para.2). 

Something that we do as a company outside of providing intervention strategies and support to our clients and their families, is also providing them with a range of essential health promotion strategies to positively influence, empower and educate in order to further reduce the inequalities in our health industry. Therefore, significantly supporting positive interactions and emotional connections in our client’s support networks. 

Each of our OT’s provide strategies and supports to our clients, such as:

  • Teaching positive ways for your child to move their body that feels good for them, to increase control and awareness.
  • Teaching them to feel safe and comfortable sharing their emotions and sitting within their feelings.
  • Providing as many possible positive social interactions with other peers who are presented with similar challenges in group program settings.
  • Conducting skill based training for self-care so that children can be successful on school camps or overnight trips.
  • Teaching your child how to plan, organise and sequence activities or thoughts together, to help with positive inclusion in school – this makes them feel clever, smart, successful and allows them realise their worth. 
  • Providing strategies and support to be successful and confident in navigating their local communities.

Additionally, each of our OT’s provide strategies and supports to our clients parents/caregiver’s such as:

  • Providing connections and relationships within the Explore and soar family; other families, clients or health professionals.
  • Taking into account every parent’s well-being when working with their children, giving them emotional support, and interventions that are based both on the child and the parent, so as not to overwhelm and contribute to more stress.
  • Running parent groups, where like minded parents are present to talk about their own situations, so that they feel heard and they are able to build connections around them without feeling isolated, increasing their support network outside of health professionals.
  • Utilising parent coaching strategies to teach them how to do the interventions; positively reshaping their confidence in order to be able to manage all aspects of their lives with their children. 

Within Explore and Soar, we support and provide strategies to our local communities for health promotion such as:

  • Education nights at preschools for the parents and their educators. This is a regular offering as a part of our service to build awareness and health promotion for development – it’s one of the most consistent things we do. 
  • Work within our local schools; teacher professional development courses that support them in the classroom and the playground. This differs from early education nights, as rather than identifying areas of concern at a younger age, it’s more about working with difficulties that have already been identified and enveloping the right strategies.
  • Remaining very community orientated by sponsoring and supporting sporting events or team members. We do so, so that the community knows there is a point of access, that if information or support is needed, there is a place to ask questions. We always seeking to create a presence in the community to bridge the gap and get people openly talking about behaviour, emotion or social skills.
  • Promoting safe access within the community, so as to eliminate anxiety and stress.

This brings us to an exciting event happening at the end of this month in support of the Hunter Region! We are participating in the Hunter Disability Expo this May! We participate in local expos in the community to bridge the gap and bring awareness to the support that is offered.

The Hunter Disability Expo is open to anyone that would like to attend and it is on Friday 21st and Saturday 22nd May at the Newcastle Entertainment Centre. 

Participants get to see all the different supports and companies within the Hunter that offer assistance to our kids, all the way through to adulthood, from allied health professionals to general support services. 

On a personal note, growing up, this level of awareness, education and events to support our local communities and families simply weren’t available. This is often still the case in our regional communities. So participating in events like this to share with others within a safe space, is and will always continue to be a passion of mine. 

So, if you have time and want to see us and many other local health professionals, join us at the Hunter Disability Expo and don’t be afraid to say Hi! We would love to see you there. 

Until next time,
Jess

ORIGINALLY PUBLISHED MAY 5, 2021

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The Impact of Relationships on Social Development

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THE IMPACT OF RELATIONSHIPS ON SOCIAL DEVELOPMENT

Over the last few months, I have seen a consistent theme emerge with clients and families within our communities, centered around personal health, well-being and relationships. 

As we are focusing on the importance of mental health this year, I thought it would be good to talk about the impact of relationships on social development – especially in that of our children in their early stages of life. 

Modern life seems to be filled with more stresses as humanity progresses. From a social emotional perspective, as a society, many of us are struggling. Our emotions are high, and we are feeling anxiety and uncertainty more than ever before. Once felt, this stream of thought and instability transfers to all aspects of life. But what if I told you that there is an intervention model designed by a psychologist, Stanley Greenspan that acknowledges our emotional social development and how it stems from relationships developed soon after birth? As health professionals we can use this model to support our families, both parents and children in developing the skills to maintain healthy relationships from the first 3 months of life! At Explore and Soar, we reference this model and use it as a guide in our intervention sessions. It is called the DIRFlootime Model; a Developmental, Individual Differences and Relationship based model that acknowledges each child’s unique differences and uses relationships and connections to establish a strong emotional social connection to further enhance development. This model is integrated into our sessions by following the child’s lead and adapting their ideas to enhance these skills through play. 

So why DIRFloortime? 

Well for us it aligns perfectly with our core values and supports our ability to develop connections and relationships with all our clients. But most importantly, it is an intervention model that acknowledges the emotional social development from birth into our adult years. It allows us as clinicians to work through developmental milestones from an early age. It is also a model firmly based on parent coaching; supporting our client’s parents/carers to further develop the skills needed to support healthy relationships. 

So how can we support our communities and families in developing these skills from birth to increase emotional development, resilience and social engagement, in order to avoid seeking intervention at an older age? This is done through awareness, education and acknowledging that the first months up to two years of life are of great importance when developing healthy relationship skills. 

In the first 3 months of life the foundational skills of regulation begin. This is the beginning of co-regulation between the parent and child and fosters shared attention; where the baby can seek the mother’s attention and they respond or vice versa. This then becomes the child’s foundation to a secure attachment. Attachment between the caregiver and the baby. The start of co-regulation is around the caregivers/mother’s ability to understand the baby’s wants, needs and desires. It’s the ability to answer cues and answer questions like are they hungry, uncomfortable, do they require a nappy change or are they in fact tired? The connection and relationship is based on love and learning to soothe the baby, creating a positive experience and strong connection. This ability comes from the baby having their own unique cries or cues to indicate to the mother or caregiver what they need. This is where the baby and caregiver become entrained with one another forming a bond; the foundations to co-regulation.

In an ideal world this seems simple, easy and realistic. However, every baby enters this world differently, every mother has a different experience and every baby has different sensory processing capacities that then impact their own biological rhythms. There simply is no one size fits all when it comes to taking care of an infant. 

As a new baby comes into the world, parents are presented with an array of challenges. Difficulty sleeping, reflux and feeding concerns, high stress births, babies being unable to settle or babies that simply do not enjoy being touched or soothed. These difficulties that arise for every parent, have a flow on effect with little to no sleep, stress, anxiety, self-blame and hormonal changes being merely a few of the impacts on our parents. This too then has an affect on the relationships that surround mum and dad, including their relationship with one another.  

This is all normal. But why don’t we talk about it more? Why do we gloss over the early stages of parenthood and try to make it look as easy as possible to the outside world? I remind my clients and friends that as parents, you simply are NOT a failure for not being able to soothe your baby. The only way you will ever fail is when you stop trying to understand your child. It is about asking questions and seeking medical advice when required, but also not being afraid to ask for help from your family and friends. 

It takes a village to raise a child. 

As OT’s we provide an extra level of support to parents, children and families. We understand and work with children in motor movement patterns at a young age to support their discomfort and the development of their sensory systems, including their sleep-wake cycles. We have the skills and ability to discuss with you your routines and support in identifying cries and ability to connect with your babies. We also acknowledge where other health professionals’ unique strengths can provide positive impacts for you and your child. But most importantly for us, our skills lie in the development of connection. We look to support our parents/caregivers by building the skills to interact, laugh, smile and play together with your child from a young age. We work with you to build upon the ability to co-regulate emotions, to keep you calm in challenging circumstances and to be present in order to assist in the soothing and engagement of your child. 

If you have any questions around the foundational skills of co-regulation and shared attention please don’t hesitate to reach out. The first three months with your baby’s life is the starting point to all engagement, self-regulation and social skill development for life. My hope is that in having these conversations, we will increase our ability to ask for help when needed. We will foster strong, resilient children who have confident, calm parents who are a little kinder to themselves in challenging circumstances. If we make an effort to start from birth, we can positively impact the mental health of our children as they get older. I know I’d love to see our children’s quality of life, self-esteem and love for themselves be greater in future generations. 

In our socials this month we will go through some examples of challenges and strategies that can help to support you. Take a look at our instagram or facebook to see more. Please don’t hesitate to reach out if you need a helping hand or would like further information on how we could help you!

Until next time,
Jess

ORIGINALLY PUBLISHED APRIL 7, 2021

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The Emotional Continuum

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THE EMOTIONAL CONTINUUM

Emotions; the one thing that many people find hard to acknowledge, understand and express freely. 

Yet they are the one thing that binds us together. They are a constant in out lives, changing as we navigate through day to day life. Our emotions live on a continuum and on any given day we eb and flow between them. 

At Explore and Soar, we describe this by using the terms optimal band of arousal and window of tolerance. Each allow us as humans to function optimally on any given day, to be able to maintain a home and  hold down a steady job as adults. For our children, being able to participate in everyday self-care activities, maintain engagement at school for learning and be flexible and dynamic in their thinking and feelings when socialising and playing with peers, is obtained when their optimal band of arousal is reached. 

There are many everyday functions and aspects of our lives that are relying on us to live in our optimal band of arousal, in order to attend and achieve these expectations. However, this is not always achievable and on any given day, our body and minds experience a range of emotions from our internal and external environments. When this happens, our ability to remain in an optimal band of arousal is not always achievable. Instead, we start moving on the emotional continuum either into a high arousal state of survival with responses of fight, flight, fright or freeze where an array of emotions and behaviours can become apparent or alternatively into a low arousal state where fatigue, tiredness or sickness can become apparent. 

Our ability to move consistently on the emotional continuum is guided by natural and unique instincts. 

By doing so, our body is expressing how we are feeling in the moment by telling our mind and body to respond in a particular way. As an example, if we are beginning to feel overwhelmed and stressed, moving into a heightened state, we are required to slow down to allow our body to rest. We can all become unstuck in this state from time to time, when we have difficulty regulating our emotions appropriately and being able to respond to our internal and external environment in an appropriate way, such as size of problem vs reaction. This is where the foundational emotional regulation skills of co-regulation from a young age and the development of self-regulation capacities is fundamental in supporting our children, but also enhances our adaptability and flexibility in all situations when we are older.

Take a look at our previous blog on co-regulation and self-regulation strategies >

In everyday life, if a child is expressing themselves with an action or emotion, that is their way of asking for help. As social beings we do not like expressing ourselves in a way that is perceived to be out of the norm, yet when things are not going ok for young children, their way of and asking for help is through emotive behaviour. As adults it is our job to be role models, provide support and teach them how to express their emotions appropriately. We must offer support to them as they move through these feelings, whilst trying to understand the situation at hand. That’s not always easy. Sometimes we as adults alone are unable to figure it out. This is where we as occupational therapists working within emotional regulation and sensory processing capacities can come in and help, to further breakdown what is going on, determine what is impacting our children and to determine the best strategy to support them in their daily experiences, on their own individual emotional continuum.

As occupational therapists there are a range of strategies and intervention options that we can do to support your whole family in better understanding each other’s emotional continuum. 

Our ultimate goal is to work successfully through everyday activities and allow you and your children to live your life to the fullest.  

Regulation strategies: As occupational therapists we can determine where each individual’s band of arousal sits on the emotional continuum. Once identified, we develop goals and implement strategies to support increased time in optimal throughout the day. Goals and strategies are targeting the development of co-regulation strategies with parents/caregivers and loved ones, self-regulation strategies and increasing the independence in identifying how your body is feeling and reacting, then completing strategies to calm, additionally reducing the time frame and recovery time if their emotions heighten. These are all powerful approaches to supporting our children in order to be successful in everyday activities. 

Take a look at our previous blog on co-regulation and self-regulation strategies >

Sensory processing activities: Utilising our individual sensory needs helps facilitate and develop regulation and achievement in maintaining an optimal band of arousal. Well known strategies such as heavy work, respiration and roughhousing strategies can be quick sensory activities in your everyday life in order to facilitate this. Over the years we have written about the benefits of all these strategies and you’ll see them regularly in our social media posts. This is because the benefits are paramount. This is also why you will see us in sessions working with our children with things like whistles, utilising oral motor strategies to support the development of skills, and individualised heavy work strategies (movement with resistance such as push, pull, lift, carry) to help achieve these outcomes. 

TRE (Trauma Release Exercises): Known as trauma release exercises are a simple yet innovative series of exercises that assist in the body in releasing deep muscular patterns of stress, tension and trauma. TRE can be implemented through an active way of exercises that activate the natural reflex mechanism of shaking or vibrating that releases muscular tension, required for calming down the nervous system. I have been utilising this strategy as a self-regulation and self-care tool for myself consistently since 2013. Due to the extreme benefits of TRE and my own love of it I then studied his intervention approach and have completed my qualification in 2018-2019 to become a trained trainer. Since then, I have been implementing these strategies within our sessions with our children where needed through a passive, non-invasive and safe way. This strategy has been successfully implemented with adults and children in altering their band of optimal arousal and increasing their control and confidence in sitting in the emotional continuum. Do not hesitate to seek further knowledge and information from us on this method.

Cognitive emotional strategies: When working on the emotional continuum, sometimes using sensory processing and bottom up strategies are effective, but can be complimentary providing top down cognitive strategies to assist in the refinement of knowledge and applying these skills in social situations or transfer these skills in everyday environments, including home, school (classroom and playground), and the community. Some strategies you will see us utilising in sessions are concepts of ‘Zones of Regulation’, ‘Size of Problem vs Reaction’, ‘The Alert Program’, ‘The Incredible Flexible You Series’ and ‘The Social Thinking Detectives’. These strategies for us are generally used once the development of the above mentioned skills have been supporting each individual’s emotional continuum and then building these skills on top of. 

As a team we are always building our knowledge and exploring further strategies and intervention approaches to enhance our children’s emotional capacities and independence. Ultimately we are all learning to understand and identify their emotions on a daily basis. The emotional continuum is so important to us as it allows our children to build their confidence, self-worth, self-awareness and to develop strong foundational blocks in order to achieve success in their life. Don’t hesitate to chat to us further about how we can support you and your children with their emotional regulation capacities. 

Until next time,
Jess

ORIGINALLY PUBLISHED MARCH 3, 2021

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Team Culture

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TEAM CULTURE

Over the last few months we have had the privilege of sharing the way in which we as a team can provide support to our clients and families; through a multidisciplinary team approach, therapeutic assistant support and the way in which OT’s share their skills through our own unique lense. 

To be a part of a great team and work alongside some amazing health professionals is a privilege. 

Our desire to offer support, bring joy and give back to our communities through effective collaboration, is the driving force of everything we do.

The Explore and Soar team love working together in our regular meetings. I always encourage creativity and the freedom to express ideas, recommendations and thoughts with one another. Often our greatest ideas stem from our team catch ups. We spend the time bouncing off one another’s energy, brainstorming and providing support or encouragement when needed. As we are a mobile business, it’s vital for us to put aside the time regularly to maintain a positive and productive team culture.

Team culture at Explore and Soar revolves around building strength and unity together, where open communication and connection is paramount. Ensuring that these things remain a core focus, allows us to collectively feel empowered whilst working independently but also allows us to work efficiently and cohesively as a team. Without this integral core value, our quality of service, knowledge and connection with our clients and families would not be present. It is what sets us apart; our connection and relationships. 

Maintaining connection within our team is also encouraged through staff development and training days. These are vital for the continued development of knowledge, skills and support. We also share time together through staff retreats and team days where we can reconnect with each other in order to sustain our culture as a team. This has been paramount over the last few months as we have now doubled our team! To ensure our quality of service remains the same, we must maintain a cohesive work flow and communication. It’s important that we bring our best individual qualities together, placing value on our individual strengths, further allowing us to expand our knowledge as a team. 

Our connectedness as a team allows us to offer adaptive, creative and flexible support options to our clients. In addition, our ability to build relationships and connections with your whole family, whilst collaborating with other services, means that we are able to attain the best results for your unique and desired goals.

As we are a mobile business, our way of connecting can sometimes be different within our own team. That’s why it’s so important for us to maintain our regular coffee debriefs, training days and phone calls in amongst our busy schedules. We offer each other support and advice throughout our weeks and sessions with clients – ensuring that the whole team is there to support our communities and one another.

As we finish one year and get ready to step forward into another, we are truly excited to be expanding our team further in order to support our families. We plan to end the year on a positive note, with excitement for the future and by continuing to offer the highest level of support to our clients. 

Keep an eye out on our socials for some new team members in the coming weeks! We look forward to introducing some new faces to you all!

Until next time,
Jess

ORIGINALLY PUBLISHED NOVEMBER 4, 2020

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Multidisciplinary Approach

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MULTIDISCIPLINARY APPROACH

Building a multidisciplinary team involves a range of professionals from different disciplines, working in harmony to provide care. 

At Explore and Soar, a multidisciplinary approach is about building a strong team around our families, in order to provide high quality, best evidence intervention, coaching and strategies to reach the desired outcomes of each individual and family. 

This process can be somewhat overwhelming but incredibly powerful and rewarding.  

So let’s start by talking about the definition of multidisciplinary care, in order to give you a little more detail on what’s involved.

The following definition outlines the objectives as well as some of the challenges involved in the provision of multidisciplinary team care:

Multidisciplinary care – when professionals from a range of disciplines work together to deliver comprehensive care that addresses as many of the patient’s needs as possible. This can be delivered by a range of professionals functioning as a team under one organisational umbrella or by professionals from a range of organisations, including private practice, brought together as a unique team. As a patient’s condition changes over time, the composition of the team may change to reflect the changing clinical and psychosocial needs of the patient.

Mitchell G.K., Tieman, J.J., and Shelby-James T.M. (2008), Multidisciplinary care planning and teamwork in primary care, Medical Journal of Australia, Vol. 188, No. 8, p.S63.

So now that we know what it involves, how do you find the right team?

Trying to navigate the world of health professionals and creating a seamless connection between each discipline can become somewhat arduous. Deciding on the right individuals that best suit your family and that work well together as a team can take years to build. Having a strong connection and trust with each member of your team is essential. 

It’s important to remember that nothing worth having, ever comes easily. Building the right team can take time and may mean that you will be seeing multiple different professionals until you find the right ones for you. 

But here is the key to successfully building a great multidisciplinary team – it all starts with just one connection and finding that first perfect fit.

Whether you are just starting your journey in the allied health world or you have been working with different professionals for years, exercise patience and keep searching for that first perfect fit. Once you find one professional that you trust, everything will change for the better. This will have a flow on effect with the rest of the required team members. Often if you find a great fit with your OT, they can then recommend a wonderful speech pathologist or physiotherapist that would be the best fit for your family. 

Personally, I too am building my own allied health team after my recent accident.

A team that I can trust, connect to and one that fits seamlessly with my values and goals. One that will support me as I continue to embark on my journey back to full health. In doing so, I have learnt the complexities behind my own injuries, long term implications and affects I will be working through and on, for the years to come. My own team is now quickly building around me in order to personally help me through these challenges, and this is what I hope and wish for you. A strong team to build you up, to inform, educate and support you in the decisions you make for you, your child and your family. 

Professionally speaking, working as a part of a multidisciplinary team brings me so much joy! I have been working alongside some fabulous and highly qualified clinicians for the last decade and have witnessed the benefits of multiple disciplines coming together first hand. 

As occupational therapists we work closely with a range of allied health professionals; speech pathologists, physiotherapists, psychologists and chiropractors, just to name a few. The real power of collaboration lies in open communication and the transference of strategies across our therapy intervention sessions. 

Our love for working within multidisciplinary teams to build support around our clients, families and communities continues to be one of our greatest strengths and passions at Explore and Soar. We are always looking at exploring the best ways to support our families. 

At Explore and Soar we are always listening to the needs of our clients. We pride ourselves on being able to assist you in building a high quality allied health team that achieves your desired goals. So please never hesitate to reach out and ask us any questions that you may have! We want nothing but the best for you, your child and your family – and we won’t stop until that is delivered with a team that you trust.

Over the next month you will see some posts on our social media detailing how occupational therapists work with other allied health professionals to achieve our clients goals. Follow us on Instagram or Facebook (links below) and learn about the ways in which a multidisciplinary team can work together to achieve your goals. 

Until next time,
Jess

ORIGINALLY PUBLISHED SEPTEMBER 2, 2020

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