Working with Professionals
The Parent/Professional Relationship
Parent Cory Moore, speaking directly to professionals,
writes, "We need respect, we need to have our contribution valued. We need
to participate, not merely be involved. It is, after all, the parent who
knew the child first and who knows the child best. Our relationship with
our sons and daughters is personal and spans a lifetime." (Moore, 1993,
p. 49)
Recognizing the central role of the family in a child's life, many service
systems now provide assistance to parents and other family members using
what is known as family- centered support principles (Shelton, Jeppson,
& Johnson, 1989). Within this philosophy, the family's influence is recognized
as primary, both because of its direct impact on the child's development
and because the family serves as the link between the child and the outside
world. Thus, you have the right to be fully informed and involved in decisions
affecting your child and family.
Many of the books listed throughout this News Digest offer insight into
how you might work together with professionals for the benefit of your child
and family. The best relationships are characterized by mutual respect,
trust, and openness, where both you and the professional exchange information
and ideas about the best care, medical intervention, or educational program
for your child. Information also must be exchanged about the needs of your
family and about ways to take advantage of helping patterns that already
exist within the family. (Fewell & Vadasy, 1986) Both you and the professional
need to speak clearly about issues and listen carefully. Indeed, both of
you have important expertise to share.
You, for example, have intimate knowledge of your child with special needs;
you live with and observe your son or daughter on a daily basis and can
contribute invaluable information about his or her routine, development,
history, strengths, weaknesses, and so on. To make an accurate diagnosis,
determine appropriate therapy or other interventions, and understand both
your child and the needs and resources of your family, the professional
needs your perspective and unique insight.
The professional, too, has specialized knowledge to contribute -- that of
his or her discipline. Often you must rely upon the judgment of the professional
in matters that are critical to the well-being of your child, a position
that may make you feel on unequal and uncertain footing. How comfortable
you feel with the professional, how well you feel that individual relates
to your child, and how openly he or she responds to your concerns and input
will, in many cases, determine whether you continue to work with the professional
or decide to seek the services of another.
Thus, there should be a mutuality in the parent/professional relationship.
Both parents and professionals need to trust and feel trusted, both need
to admit when they do not know or are wrong, and both need to negotiate
with each other (Finston, 1990). Trust, respect, and open communication
between parent and professional are, therefore, essential to building a
good,working relationship. This can take time to develop and may require
effort from both parties. To that end, many parent writers suggest:
If you are looking for a specialist with whom you
can work well, ask other parents of children with disabilities. Often,
they can suggest the name of a good speech or physical therapist, doctor,
dentist, surgeon, and so on.
If you don"t understand the terminology a professional
uses, ask questions. Say, "What do you mean by that? We don"t understand."
If necessary, write down the professional's answers.
This is particularly useful in medical situations when a medication
or therapy is to be administered.
Learn as much as you can about your child's disability.
This will assist you with your child, and it can help you participate
most fully in the team process.
Prepare for visits to the doctor, therapist, or school
by writing down a list of the questions or concerns you would like to
discuss with the professional.
Keep a notebook in which you write down information
concerning your special needs child. This can include your child's medical
history, test results, observations about behavior or symptoms that
will help the professional do his or her job, and so on. (A loose-leaf
notebook is easy to maintain and add information to.)
If you don't agree with a professional's recommendations,
say so. Be as specific as you can about why you don't agree.
Do whatever informed "shopping around" and "doctor-hopping"
is necessary to feel certain you have explored every possibility and
potential. As Irving Dickman (1989) says, "Shop. Hop. Hope" (p. 100).
Measure a professional's recommendations for home
treatment programs or other interventions against your own schedule,
finances, and other commitments. You may not be able to follow all advice
or take on one more thing, feeling as Helen Featherstone (1980) did
when she wrote, "What am I supposed to give up?...There is no time in
my life that hasn't been spoken for, and for every fifteen-minute activity
that has been added, one has to be taken away" (p. 78). Peggy Finston
(1990) points out that "most professionals won't be familiar with the
sum total of our obligations and will not take it upon themselves to
give us permission to quit. This is up to us. It's in our power to make
the decision" (p. 188).
In conclusion, it is important that the parent/professional
relationship empower the parent to be a full participant in information-gathering,
information-sharing, and in decision- making. However, it is ultimately
up to you to decide what role(s) you want to take in this process and
what role(s) you need help with. It is helpful to know that families do,
indeed, choose different roles in relationship to professionals. Some
parents want to allow professionals to make most decisions about their
child, others want to serve as an informant to the professional, some
want veto power, and some parents want a shared role in the intervention
with their child (McBride, Brotherson, Joanning, Whiddon, & Demmit, 1992).
You are also free to change your mind about the role or level of involvement
you may want or be able to assume regarding your child's services. You
may find that you choose different roles at different times for different
purposes. Be as direct as possible about what you want or don't want to
take on in this regard.
Adapted from information
published by the National Information Center for Children and Youth with Disabilities
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