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Social Adventures Group Program Parent Orientation Packet We would like to welcome you and your child to our Social Adventure Program. We have compiled this orientation packet in an effort to provide helpful information regarding the initial trial sessions, the roles of the leaders, group activity goals, communication with parents and schools, documentation of progress, and management of challenging behavioral concerns. The Social Adventure Group program is a unique group program designed to foster improved social interaction skills in children. It is the philosophy of the group leaders that children learn these skills best in a setting which is dynamic and responsive to the needs of each individual group. As a result, although there are global goals which are common across the group program, weekly activities are chosen and designed to provide the specific support needed to optimize the interactions among members of each individual group. Each group, in essence, becomes a community; a safe space for the individual members to “try-out” new skills. Adult support is provided to each child at the level that they need to achieve success during each activity. As each child comes to the group with individual strengths and challenges, each child is able to be a “peer model” during some activities, while needing more support during others. Through carefully chosen and designed activities, it is our mission to increase each child’s awareness of the social world, to facilitate attention and interpretation of not only the verbal means through which we communicate, but also the nonverbal. We strive to improve each child’s awareness of the many levels of successful peer interaction which include initiation, maintenance through reciprocity and termination of interactive moments. Trial Process: Optimal matching among group members is a priority to CTA. We believe that the most important component to establishing a safe learning environment is to carefully place each new member with a grouping of compatible peers. Therefore, for children who are new to the Social Adventures program, the first 2-3 group sessions are considered a “trial” period. At the end of the trial period, parents of children new to the group are welcome to request a complimentary 15-30 minute meeting with the group leader/s. The purpose of this meeting is to discuss the child’s response to the group program. If the group leaders feel the child is a good fit for the group then the meeting is a chance for parents to discuss their goals for their child and/or to ask any questions or share concerns that they may have about the group program at CTA with the group leaders. If your child is not ready for group at this time, the group leaders will provide you with suggestions for steps that will ensure your child’s readiness for group in the future. Sometimes, the CTA Social Adventures program is not a good fit for certain children. If this is the case for your child, your time at this meeting may be used to problem solve a more appropriate program or better suited therapies in the community to meet your child’s needs. Roles of Speech/Language and Occupational Therapists: In order to meet the needs of the “whole child” within the context of a group the Social Adventure groups at CTA are co-lead by speech language pathologists and occupational therapists. Each discipline shares an important role in shaping the group activities and group dynamics to meet language, motor and sensory processing needs as these concerns relate to social interactions. In general the speech-language pathologist takes a leadership role in introducing and running language-based activities that take place in the small, “learning room”. During times when the speech-language pathologist is leading the group (as well as throughout the entire group) the role of the occupational therapist is to monitor the children’s arousal level, postural stability, and the environment, to facilitate optimal performance from each group member. Typically the occupational therapist takes the lead during gym activities, particularly during those activities that address self-regulation skills, body in space awareness, physical coordination for social interactions, and higher level motor planning skills (e.g., obstacle courses, relay races, “motor challenges”). When one is observing a group session the roles of the leaders may not always be clear, which is intentional on the part of the group leaders. Much time and effort goes into planning and organizing each individual session. Therapists will often “take a backseat” and let the children take the lead during activities. This affords the children the opportunity to practice social roles that they might not have the opportunity to experience in other environments as well as giving them an opportunity to practice previously taught social strategies. Group Activity Goals: During each weekly group your child will participate in activities that are selected by group leaders to meet the unique needs of each group in regard to the following IMAGINE! Social Success goal areas: ● ● ● ● ● ● ● Initiating Interactions Maintaining Interactions Advocating and Conflict Resolution Getting Regulated Interpreting Nonverbal Cues Negotiating Space Experiencing Humor and Idiomatic Language Parents are welcome to observe children throughout the group. Although the leaders of the group prepare activities in advance, it should be noted that due to the dynamic nature of the group program at CTA, the pre-selected group activities generally serve as a guideline for goal areas to be targeted during a specific group session, rather than a definitive plan. If for example, a clinically appropriate spontaneous activity emerges of the children’s design, then the group leaders will veer away from the planned activities to follow the children’s lead. Communication with Parents and School Teams: At CTA we value open communication with parents and school team members. We equally value the privacy and confidentiality of information regarding the individuals. Within the context of a group, the balance of providing parents with information about a given child’s progress while also protecting privacy can be challenging. For this reason, we have determined that consultation at the end of group meetings will be minimal. If the leaders feel that they need to convey general information to all parents about a particular group meeting, then one leader will leave the group 5 minutes prior to dismissal to share with parents while the other leader runs a “wrap-up” activity. No information specific to any one child will be shared at these times. If you are interested in more information specific to your child, please know that you are welcome to schedule one Parent Meeting with one or both of the leaders for 30 minutes at no additional charge. With regard to ongoing consultation with parents, teachers, therapists, etc, you are welcome to schedule a consultation via either phone or email. Time spent with the Group Leader will be charged at the Consultation Rate of $100/hr. An invoice for these consultations will invoiced at the end of each month and may be paid with the credit card number on file or by check. Please email the leaders directly if this is something you would like to schedule. Their email addresses can be found under the Our Team tab on our website. Progress Notes: Your child’s progress will be reported at the end of the entire group session via a report written collaboratively by group leaders. You should expect to get your child’s progress report within three weeks from the last group session. The Social Adventures group program facilitates progress by providing your child with the “just right” social challenge, whereby his/her skill level is pushed to expand on his/her current skill level but not pushed so far that he/she becomes overwhelmed and cannot be successful. In order to foster progress using the “just right challenge” philosophy group leaders utilize a system of graded support depending on individual needs. Your child’s progress note reflects the level of support (maximum, moderate, minimum, independent) he/she needed for progression toward goal and objective areas. When reviewing the progress note it is important to remember that the Social Adventures group is highly contextualized. The level of support your child needs is relative to his/her areas of strengths and challenges and his/her response to the unique dynamic that unfolds in individual groups. Since social interactions and CTA group dynamics are fluid processes, your child’s progress may fluctuate between group sessions depending on the dynamics of the children and the skill level at which the group leaders are guiding the group process. The Social Adventures group program strives to enable children to generalize skills learned in group to the larger community. The process of generalization is gradual and requires collaboration on the part of group leaders, parents, care givers, and educators. Management of Challenging Behavioral Concerns: Over the course of a group session, or series of sessions, we anticipate changes in a child’s presentation within the group. On most occasions these changes are positive. It does happen, however, that for some children, the challenges of the group activities and or the chemistry within a group may exacerbate negative behaviors. Often the group leaders are able to manage minor Management of Challenging Behavioral Concerns (con’t): behavioral challenges, but on occasion, certain behaviors compromise the integrity of the therapeutic process as well as the social-emotional health of the individual child. In an effort to pro-actively manage concerns before they reach this level, the leaders of the group may request a parent consultation meeting. It is through this venue that we hope to collaboratively generate new strategies for managing the concerning behaviors. Following this meeting, if the decision is to continue in the current group placement, a new trial period will begin in an effort to determine one of the following: Have the new intervention strategies been successful in returning the balance to the group process? ● Is there another group within the CTA Social Adventure Program which might be more appropriate for this child? ● Have the needs of the child exceeded the clinical scope of the Social Adventures Program? Are there other group programs within the community that might be more appropriate? ● Is there another model of intervention that might be more appropriate, such as individual therapy, co-treatment or a dyad (therapy with just one other child), which might expedite the child’s readiness for re-entry into the program? ● Throughout the trial period, we will also require that a parent remain on site so that they are available should the behavioral concerns escalate. It is not possible for a group leader to leave the group with an individual child for more than a couple of minutes to address behavioral concerns, because the safety and therapeutic integrity of the rest of the group would be compromised. Although we take every precaution to avoid asking a child to leave a particular group meeting, we do reserve the right to do so if the safety of that child, another child or a group leader is in jeopardy. Thank you for taking the time to review this packet. We look forward to working with you and your child. If you have any questions or concerns regarding any of the above, please do not hesitate to contact one of the leaders of your child’s group or Karen Head, group coordinator, at (508) 650-0457. No part of this document may be reproduced or utilized in any form or by any electronic or mechanical means, including photocopying, without the express written consent of Children’s Therapy Associates, LLP. Children’s Therapy Associates, L.L.P., is a multi-disciplinary private practice providing Speech-Language Therapy, Occupational Therapy, Physical Therapy, Neuropsychology, and Literacy services to children with a variety of learning and developmental difficulties. 11 Huron Drive Natick MA www.childrenstherapyassociates.com 508/650-0457