To Be Effective, Caregivers Must Build and Protect A Relationship of Trust

I have a great deal of respect for anyone who chooses to focus their career on working with the disabled...it’s not something people do for the high salary or the glamour. For the most part, folks who work with the developmentally disabled have big hearts and genuine desire to make a difference in the lives of others. However, all the good intentions in the world will not replace proper training.

Proper training isn't just about the use of adaptive equipment, medical equipment, or administering meds, but must also include disability awareness and sensitivity. I have noticed that often this seems to be lacking. Caregivers, be it therapists, teachers, personal care attendants or even therapeutic recreation instructors must create trust with those that they work with...they must learn how to create and protect that trust. Children who cannot communicate or use their bodies to protect or control themselves must feel completely safe in the hands of those they rely on. If you betray that trust you will have broken a bond that may never be repaired.

I have seen Quincy shut down on people quicker than you can flip a light switch. As soon as she is put in a situation that scares her or hurts her she is simply finished. More than once over the years we have had to replace therapists because we know once Quincy has lost trust in someone she simply will not work for them.

Quincy skis during the winter with the use of adaptive ski equipment. This winter an adaptive ski instructor took a young client down a particularly difficult run at our ski resort and dumped him. The instructor's general attitude was that of a typical, healthy young man...no pain, no gain. It's not fun if you don't push the envelope. I wonder if that instructor has ever experienced being buckled into a bi-ski, arms strapped down so he couldn't use them, put entirely at the mercy of some hot-shot instructor who thought it would be cool to jump into a black diamond run and possibly dump him. I doubt it.

The developmentally disabled process experiences differently than the rest of us. Their trust is built differently, their fear is felt differently, and their ability to recover from something frightening is different. You must understand that sometimes trust is all they have and it should not be taken lightly...it must be protected and respected.

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March 11, 2009
Note: This Perspectives Blog post is written by a Guest Blogger of DrGreene.com and is provided in order to offer a variety of thoughtful points of view. The opinions expressed on this Perspectives Blog post do not reflect the opinions of Dr. Greene or DrGreene.com. As such, Dr. Greene and DrGreene.com are not responsible for the accuracy of the information supplied. This post is used under Creative Commons License CC BY-ND 3.0.
 
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Comments

Anonymous's picture

That's always a tough

That's always a tough situation...we know that if it weren't for some amazing people who dedicate their time to adaptive ski schools disabled people wouldn't have access to the mountain. I really do appreciate everything they do. But, ego sometimes plays a part. It becomes more about what the instructor can do and less about the client. This isn't always the case, but it does happen. I think it's up to each program to make an effort to train their people about disability awareness and sensitivity. It takes an effort from the top down. If it isn't modeled then it isn't understood. I do my best, in a respectful way, to offer my perspective if it is requested. I also don't allow anyone but my husband to use adaptive ski equipment with my Quincy. He's the only one I truly trust. :)
Anonymous's picture

Tawny - I was so disheartened

Tawny - I was so disheartened by your story of the ski instructor who lacked even a small measure of empathy. How did you handle that? I'd love know what you said to him and to his superior. MsGreene