Therapists and teachers often hear this common phrase from caregivers: “If only my child were like this at home!” It’s no secret our clients often behave differently in the home compared to the therapy environment. Much of this has to do with differences in expectations, the influence of peers, structure, and routine. But this therapeutic environment doesn’t just come together like magic; it takes a lot of work from everyone on that client’s team. But, don’t worry! There are many strategies that therapists use in the clinic that caregivers can implement at home to reflect a more structured therapeutic environment.

Schedules: Setting the Scene for Success 

Children thrive when they understand expectations and are given an environment and structure to succeed. Start by keeping common routines, like getting ready and going to bed, at the same or closely similar times each day. Keep these routines very structured, with the same kinds of things occurring each time. For example, bedtime will always be at 8. So, at 7 we take a bath, then pjs, then brush teeth, then story time, then snuggles with mom and dad, then lights out. Written and visual schedules will further help this process, as children can cross things off and see their progress through the schedule as they go along. This predictability and routine will help things move along smoothly! 

First/Thens and Timers: Knowing What to Expect 

Sometimes a simple shift in the way we say and present things can make all the difference. Transition warnings, timers, and first/thens are excellent and easy tools for home. For example, maybe hair brushing is a non-preferred activity. So, when it’s time for hair brushing, we can say, “First brush hair, then read a book.” Putting a more preferred activity after a non-preferred activity often helps with the motivation to complete that activity. Timers also can be useful. “We will brush hair for 5 minutes, then all done.” The child can watch this timer and understand that this non-preferred activity has an endpoint, which makes them much more likely to complete the activity without protest. Meeting a child where they are and telling them what to expect helps them to trust us; this helps them listen to us when it matters most! 

Star Charts and Token Boards: Motivation Helpers 

Sometimes certain expectations and routines may be especially challenging, and our children may need a little more incentive. Token boards and reward charts can help with this. For example, a token board may look like this: 

The child would choose a reward that they don’t often have access to, like a treat or an iPad video, and “earn” that reward by completing tasks or keeping safe hands/feet/body while completing tasks. Children can also use sticker charts throughout the week and earn rewards at the end for completing certain routines, tasks, and keeping good behavior or good listening. 

Bring It Home: You Can Do This! 

The strategies above can help your child achieve success in the home environment, and it’s important to customize these based on your unique family routines and goals. Our team of multi-disciplinary therapists are here to help, and if you’d like more specific advice based on your child’s individual goals and strengths, please reach out to your child’s therapy team!