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Family-Professional Relationships

The Individualized Family Service Plan (IFSP) is intended to document the agreed upon goals and strategies parents and professionals have collaboratively worked out.

The family and each professional need to aim for a working relationship that will assure optimal outcomes in a timely manner.

Professionals need to view parents as colleagues who bring skills, knowledge and experiences to the partnership. Like the professional, these past experiences and current knowledge base contribute to a parent's bias/opinion for what will and won't work.

However, like all good working relationships, the parent and professional should aim to tap into and capitalize on the strengths, knowledge and experiences that are different from one another.

The parent-professional relationship can be viewed as a consultative relationship in which the parent as colleague seeks a "consultant's " help to solve a particular problem. Once the problem is addressed/solved the consultant can move on to help other families. The aim of the consultation should be to enhance the family's ability to solve similar problems in the future independently.

Types of Consultation/Helping in Family-Professional Relationships

Short-term direct Consultant/professional provides direct service to fix the problem they identify and then leaves the relationship and discontinues the service.
Prescriptive: Consultant/professional assesses the problem (observation, interview), prescribes what should be done, and exits for a while only to return to evaluate how well the family has done and how well the prescribed plan has worked.

Informational:

Consultant/professional provides information to family in the form of explanations, reading materials, videos, or phone #s and addresses on where to seek the information. The information may be requested by the family or assumed needed/wanted. Family is left to interpret the information and apply it when and how they see appropriate.
Collaborative: Consultant/professional engages family in discussion about what needs to be addressed. Family and professional negotiate who should collect needed information and brainstorm options for solving the problem. They mutually agree who will implement each part of the solution plan and discuss ongoing findings relative to progress in the plan and changes noted. Roles may reverse along the way and family and professional feel comfortable exchanging ideas for the purpose of solving this mutually-identified problem.

 

The type of consultation the professional provides, however, will be dictated by the family's specific request and the level of the parent/professional working relationship .

Clarifying Requests

Time must be taken to clarify the request in order to avoid a mismatch between what the family wants/needs and what the professional provides in their efforts to help.

Specifically, the parent and professional must engage in dialogue (not simply questions and answers) to determine the following:

  • What is the main problem/desire/need?
  • Why is this important/priority?
  • What has been tried to resolve this problem/need?
  • What has happened as a result of those efforts?
  • What specifically would be most helpful for the professional to do? For Example:
    • Provide information/reading . . .
    • Demonstrate . . .
    • Explain . . .
    • Observe and give feedback . . .
    • Brainstorm/problem solve together . . .
    • Explore . . .
    • Assess . . .
    • Access . . .
    • Fix. . . .
    • Listen . . .
    • Facilitate . . .

Levels of the Working Relationship

Parents and professionals will have different degrees of a working relationship depending on the amount of reciprocity and trust they show each other.

"Working Relationships"
on a Continuum of Reciprocity and Trust

Lowest    
Highest
Co-activity
Cooperation
Coordination
Collaboration

These different levels of reciprocity and trust are often dependent upon time and the willingness of the partners to advance the relationship. Collaborative relationships are seldom established on first meeting of the partners. The following table shows how these relationships might look at different levels of reciprocity and trust, and suggests ways to advance the relationship at each level. Think about what relationships you have at each level.

Defining and Advancing Work Relationships

Level
Continuum of respect/trust Description Focus on advancing by . . .
1.
No Relationship
-- No previous contacts or hostile, indifferent Developing amicable interactions; getting to know one another before talking about work-related topics; giving reasons to want to see each other in the future.
2.
Social Relationship
Co-activity Only formal, social conversations at the workplace or time of service; "adult parallel play" Discussing work-related issues; drawing attention to the specific reasons for working together; sharing ideas and views as well as knowledge and skills
3.
Limited Working Relationship
Cooperation Talk about general issues; cautious; requests/offers for help are not carried through Identifying similar interests desires; clarifying roles & responsibilities in the relationship; offering help outside the main focus of your work
4.
Adequate Working Relationship
Coordination Talk about specific issues; ready to accept/offer ideas and carry through; rigid role identities and turf markers; "not my job" Increasingly recognizing issues needing additional assistance/ideas; offering/requesting help beyond original plan; helping brainstorm options; receiving help graciously and respectfully; commenting on partner's strengths/actions
5.
Reciprocal Relationship
Collaboration Partnership; open to & offer new ideas; seek help/give help; trust/respect is evident; empathetic to others Acknowledging satisfaction and gratitude and the accomplishments of the partnership

 

 
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