What excites me most about FGRBI?
Description of the video:What excites me the most. And I didn't know it was going to be exciting. And until I started using some of it, is how it really seems to empower parents to take the lead, to be advocates for their children. They're often so overwhelmed with everything that they have to do. They don't know that they know what to do. I think this model really helped them realize, oh, I guess I can't.
Description of the video:Both of them, it's really neat to see parents being empowered, meaning that confidence to play with their kids or a PT. So we do a lot of play and positioning and things like that. So that's been really cool and it's also really neat to add more to my toolbox as being a therapist. Like make me look at things a lot differently and make me be better at what I do. So that's been really neat about being with the first, first cohort. You get to kinda see how it evolves and get to learn a lot about your profession.
What is a success I've experienced with FGRBI?
Description of the video:I with my new kids. As I've started this training process, the new children and I've gotten on my caseload, I kinda just walked in doing this model, this one family, it's a grandma who's gotten these two grandkids of hers that she has been taken care of. And you can tell she's just super overwhelmed. That first day I came in, this little boy is pretty delayed, kind of all over the place, tough. So I just kinda started with, well, what do you want to work on? What's most important to you? To help you in your daily routine. And she's like, well, I really want him to sit. I'm like, Okay. I just showed her how to do things then this position and we can get him sit safely here or let's work on this to get to sitting. So we just picked three different things that she wanted to work on that day. And really it was me showing and handing it back to her and the competence that she gained and the calmness like you could tell after a couple of session, she was just feeling so much better about how to maneuver and handle and position him in a safe way. So it wasn't just stuck in a seat all day. That was pretty, pretty cool and I feel like a really great success for the, one of the first times I've tried it as a start of a session or a startup, a caseload.
Description of the video:Well, I've been doing all virtual sessions since the beginning of the pandemic and I am still doing virtual sessions. So coaching is really dovetails very, very well doing virtual sessions. But what was so cool after we started doing the training is using the language as we go through The session. After a few sessions, I didn't even have to ask questions. The mom would say. So here's what worked this week and here's what didn't work this weekend. This is what I want to work on today. And I think if we do it this way, it might work. And here's my plan for next week. And it's like, yeah. Right.
How does FGRBI differ from my previous practice?
Description of the video:Pretty long stretch and clinics. And when I changed early intervention, that was a major change in the way I delivered services. And almost immediately I realized Okay. I realized that it's the child's name on the IFSP, but I'm nearly there for the family. So I've been coaching since the very beginning. I'm not sure I knew I was coaching, but it's been the model because I would walk into a family's home and say, I'm here for one hour a week and you're with your child the rest of the time, so you know who's doing the work. And so I think that what the FTR BI model has given me, as I said before, the vocabulary, the language, a structured framework, something that we do very consistently week-to-week. And I think it's helped me be well, eventually I think it will help me be more organized once I get it all down. But I also think it helps the parent know what to expect. So everybody does better with routines including parents. So I think those are some of the improvements to what I was doing already. But now I think I can do it better.
Description of the video:I've always done coaching because I think and to an extent, because I think that's so important. Because like David, you can't just do an hour, an hour a week. Like no one's gonna get better with an hour. It needs to be so much more than that. But I think the way I used to think was, here's some ideas. Pick a couple that you want to do this week. And another thing is I want you to work on versus giving the parents the power to tell me what they want to work on and then me being flexible and okay. Well, how can I work on what I want to work on with that routine that they want to work on. I think that that's been a very big difference in the way I approach a treatment session is, is more not what I unnecessarily think the most important, but what is most important to the family. Kinda shifting that mindset.
Description of the video:I think the biggest thing, especially being a newer provider, I'm going into year two of being an OT. But kind of I think I lacked the confidence to get the parents engaged like I was like, Okay, they're just going to sit on the couch and watch me even though I wanted them to be engaged and I wanted to teach them, I didn't have the toolkit to get them engaged in. I like the vocabulary and the steps and the key indicators have really helped me get those parents AND gates like I want them to.
FGRBI and Families
Description of the video:One of the things that I have started doing to, to talk to parents about shifting to this, to this coaching model is when I first started out with a family. We've talked about that. That's some of the easier ways to get into this. To reinforce for them. You're the expert on your child. Instead of the very first time I taught you're the expert on your child and you know what your child wants, what your child doesn't want, what he likes, routine, you know, them all. Think of me as your code. Together. I'm going to help you help your child learn how to communicate because almost everybody knows what a coach does. But maybe they don't know what a speech pathologist or they think they know because in school kids got pulled out and went to a closet, worked on their articulation. But I just started out from the very beginning introducing it that way now. And it's like, I'm your host. I'm also your cheerleader, but mostly.
Description of the video:But one thing I've tried to explain to parents is like medical model versus Early Intervention Model. The FTR BI is really a true, If you look up the definition of EI, it really a true model. Whereas before we were really doing more of an outpatient medical model in homes, in my opinion. So I tried that with parents and kind of just explain the differences between outpatient and early intervention.
Description of the video:It's really cool to see parents success and parent confidence boost. I've had parents now we're treating on the floor and apparent literally comes in and just takes over. And I'm like, they're doing the treatment that I was doing and they just feel confident enough to be like, oh no, I wanna do it. The kit crawled over to me and they're putting them in sitting the right way and doing that though. So seeing that an action has been really, really nice.
Description of the video:You mentioned those aha moments when families really you see it in their face like, Oh, I get this. And that is, That's what we're aiming for. Again, the two words that really I tried to stick with when I walk out of this session is how have I drew this family's confidence and their competence? And if you can walk out of a session and feel like you've done both and you've really done a good job and coaching that family.
How does FGRBI help providers?
Description of the video:To really rethink the idea of routine. That a routine could be how a family plays with bubbles on the front porch, or how they play with the little pig toy on the floor. Or it could be how they transition to the car and get buckled in. It could be a bigger routine like mealtime and brushing, brushing your teeth. So routines can be all sorts of things. It doesn't have to be a big established set of steps. I think it could be a small player team who could be an everyday routine, it could be a transitional routines. So really kind of opening your opening your mind to what what routines could truly be and where you can work on some of those routines, those things that happen naturally every day with families. Yeah. And another great comment. I tell parents to let siblings play too, because they are a huge part of the child's life and they aren't messing up the session. There again, that was something I came into that I had happened to a session this week where the older sibling, they feel like they're not getting attention and it's sometimes it's problem-solving with the parent. How can we include this really important little person into this session because they want to be a part of it. And they are the most motivating, most motivating thing for those little babies and toddlers. They want to be just like their older sibling. And so I love that perspective that you're bringing. It doesn't even have it. Part of it's to not only just using a variety of routines and strategies, it's working with every member in the household that we can if grandma wants to be involved, if there's an aunt or uncle, if there's a sibling, including all of those peoples that we can really all support the children.
Description of the video:The biggest thing, especially as therapists, is we always want to learn. We always want to know what the newest evidence-based practices. So I think this opportunity is wordings and knew of the new. And then another thing is I've really seen just a difference in my parents, like throughout sessions pulling more confidence and I think That's like the number of doors for me. Being in this experience is like you wrote, honestly see a big change in the family atmosphere with your treatment.
Description of the video:Physical Therapist, I kinda feel like we're all teachers. So I feel like that was really instilled in me as a student that we teach. And so I feel like this model is really emphasizing that piece of my education, of that piece of my profession is teaching others. So teaching people how to model exercises are handled children or do those things. And so I feel like that's been a big component that's made me rethink and improve on that area. And as a physical therapist.