#1. What We Hear is ‘ABA’
The biggest barrier to parents embracing DIR/Floortime as their a of choice is what they hear. Everywhere you look and most professionals you speak with falsely tell you that Applied Behavioural Analysis (ABA, or Intensive Behavioural Intervention, IBI, in Ontario) is the only choice that is evidence-based.
Even for those parents who don’t feel comfortable with ABA who look elsewhere, and who find that other options are indeed research-based are bombarded with messages that instill doubt that they are not giving their child the best chance by avoiding ABA. You’re constantly made to question yourself: “What if I’m wrong?“
The parent who dares to look beyond ABA finds so many options that it’s overwhelming. Even the most educated and informed parents will discover that the more they look, the more they find. It feels impossible to know what the correct choice is.
It seems that every option has people who sing its praise and many parents feel burdened to try it all just in case. We hear that early intervention is essential and we feel like we are fighting the clock, so we better try everything! But it’s too much. You cannot do it all.
The latest research has finally validated what we all know: no one treatment works for every child with developmental differences! An individualized and family-centred approach is essential. We need to focus on the question, “What are the barriers to this child reaching their potential at this time?“
I feel grateful that I had very strong gut feelings and went with them. I didn’t feel that behavioural services met our needs at all and that DIR/Floortime did. However, even with this strong opinion, I still felt incredible doubt turning down publicly paid for Intensive Behavioural Intervention (IBI) of 35-40 hours/week for our child because it was what we were supposed to do.
Occupational Therapist Ellen Yack gave me a great example of parental style and personality affecting decision-making around treatment. One mother she worked with liked that with Applied Behaviour Analysis (ABA), she knew exactly what to do, could measure her child’s progress, and could relay to her husband at the end of the day what she had accomplished. She found Floortime very challenging.
Despite the mountains of research supporting play as the most essential component of cognitive development in the early years, people still do not respect play! We are sending our children to structured learning settings at earlier and earlier ages and ‘play-based curriculum’ has continued to include learning activities.
Many parents also struggle to be playful with their own child for a variety of reasons. Perhaps they did not have those experiences with their own parents, perhaps they feel they need to be teaching skills, or maybe they feel the need to control their children’s expressions of feelings. These are all barriers.
You can do Floortime yourself, but you have to be willing to learn and take the time to train yourself (by reading the works of Dr. Stanley Greenspan starting with Engaging Autism) or by working with a DIR/Floortime practitioner. It’s far-less structured than behavioural approaches. It is a parent-mediated approach but must be learned, and it doesn’t come natural to everyone.
Occupational therapist, Maude LeRoux, shared with me that one reason why it’s hard for many parents is that DIR/Floortime requires parents to go to emotional places they might not be comfortable going to. If you can’t go there yourself, it will be hard for you to help your child go there and expand their emotional range, which is essential for healthy development.
It is much easier for parents to bring their child to therapy and have the therapist work with their child. It is daunting to try to take it on yourself. After all, the therapist has years of education and training and experience with many children. They are the expert, we think. But, we cannot diminish the fact that we are the expert of our own child! We know what is best for our child!
When you first learn of your child’s challenges, you will be given so much information about developmental differences and different options. You usually don’t hear about DIR/Floortime or explore more about it for awhile. Then, when you do, you find that Floortimers are in the minority. Not only is there no financial support for services in most places, but there is also little professional support for it. This is discouraging enough for a lot of parents to pass it by.
Much like with other things in life, you have to schedule it in. Use the therapy sessions with a DIR/Floortime therapist to learn how to play with your child in a way that helps support their developmental, respecting their individual differences and sensory processing profile. Soon you will be doing Floortime all the time, everywhere.
There are many more barriers out there for parents. It is tough. But most parents who have chosen DIR/Floortime will tell you that it is worth it. What barriers have you faced as a parent and what helped you persist with DIR/Floortime? What about our practitioners? What barriers have you seen parents face in your practice? Please share your experiences in the Comments section below.
Until next time… here’s to affecting autism through playful interactions!