Basic principles for becoming an effective early intervention coach

by Jessica Klein, MS, CCC-SLP

“Give a man a fish and you feed him for a day.Ā  Teach a man to fish and you feed him for a lifetime.”Ā 

This oldĀ proverbĀ comes to mind when describing the benefits of using a coachingĀ modelĀ with adult learners, specifically within the field of early intervention.Ā 

Although early intervention has always been family-centered, in recent years the role of the provider has shifted.Ā Previously, the providerĀ ledĀ the session while the caregiver observed. Currently, itĀ is oftenĀ theĀ caregiverĀ whoĀ drivesĀ the session, with the provider observing and providing feedback or coaching.Ā Ā Ā Ā 

Coaching is an evidence-based practice and adult learning strategy that promotes the learnerā€™s ability to: choose an action step, carry out that action, reflect on the action and then determine next steps. When coaching is applied to early intervention, the hope is that parents will learn strategies to support their childā€™s development and feel empowered to use these strategies throughout their childā€™s day.Ā In order forĀ providers to become effective coaches,Ā hereĀ are several basic principlesĀ they needĀ to keep in mind:Ā Ā 

  1. Build relationships.Ā Invest time in getting to know the family. In order to provide the best services, it is important to know about the familyā€™sĀ culture, interests,Ā concerns and values.Ā  Respect those values that may be different from your own.Ā Relationships also need to extend beyond the family. Get to knowĀ the childā€™s other providersĀ (ex: audiologist, occupational therapist, physical therapist, etc.) in order to support the whole child. To help with this, download a copy of CID’s free Guidelines for Teaming reference.
  2. Establish roles. Let the parent know their expected involvement in sessions from the get-go.Ā  Communicate your role as a coach, too. Establishing these roles up-front will lead to more productive sessions.
  3. Consider family needs and emotions. By observing a family and having open conversations, you will be able to determine where a family isĀ in regards toĀ having their needs met. Consider their basic needsĀ (ex: food and shelter)Ā as well asĀ how they areĀ coping with their childā€™s diagnosis.
  4. ConsiderĀ caregiversā€™ knowledge and learning styles.Ā Make sure that caregivers haveĀ the necessary knowledgeĀ about typical child development, speech,Ā languageĀ and listeningĀ developmentĀ and their childā€™s hearing loss (see CID’s free Domains of Knowledge handout). Understanding areas relevant to their childā€™s development will make the strategies used with their child more meaningful.
  5. Capitalize on daily routines.Ā Help caregivers take advantage of their everyday activities to build their childā€™s listening and spoken language skills. Once a caregiver is successful with a technique during one activity, it will be easier for that strategy to be applied to other parts of the day. See our previous blog post for more information.

CIDā€™sĀ Early Listening at HomeĀ curriculum uses a coaching model.Ā  It contains several components (a manual, rating form and activities) that support early intervention providersĀ who areĀ working with families of infants and toddlers to develop listening and spoken language skills. Between this resource and the guidelines above, you’ll be on your way to becoming an effective early intervention coach in no time!Ā 

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ReferencesĀ 

Friedman, M., Woods, J. & Salisbury, C. (2012). Caregiver coaching strategiesĀ for early interventionĀ Ā providers: Moving toward operational definitions.Ā Infants and Young Children, 25(1), 62-82.Ā Ā Ā 

Manley, J., Odendahl, J. & Samson, M. (2019).Ā Early Listening at Home.Ā St. Louis, MO: Central InstituteĀ for the Deaf.Ā Ā 

Jessica Klein began working as a speech-language pathologist at CID in 2004, assessing and treating children from birth to age 12. Klein co-wrote the ā€œTargeting Speech Skills for Children Who Are Deaf and Hard of Hearingā€ workshop, presenting annually at CID as well as at Southeast Missouri State University and the Missouri Speech and Hearing Association conference. In 2011, she accepted a job as a speech-language pathologist at a St. Louis charter school. While in the public school setting, Klein assessed and provided services to students with varying speech and language needs. She was a member of the schoolā€™s CARE team, collaborating with teachers and specialists to develop interventions for students struggling in the classroom. In 2015, she returned to CID ready to share her public school experiences with colleagues to help better prepare CID students for mainstream settings. Since her return, she has written a webinar about developing literacy skills in children who are deaf and hard of hearing as well as spoken about literacy skills and case managing students who are deaf and hard of hearing at Fontbonne University. She became associate coordinator of the CID Emerson Center for Professional Development in 2017.

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