Findings from this study are consistent with the wider literature showing a link between parental depression and the parent-child relationship and extend this link to the cerebral palsy population. The importance of routine screening for parental mental health problems in early childhood intervention is highlighted by these findings. In addition, this study emphasizes the need to better understand how therapists support parents to implement therapeutic strategies to minimize negative impact on the developing parent-child relationship.

No abstract

Statement of context: The effectiveness of early intervention for children with developmental disabilities is thought to be related to parental sensitivity and responsiveness. A brief relationship-focused occupational therapy intervention for Shelly, a young girl with cerebral palsy, and her mother, Jane, is described. Critical reflection on practice: The distress of both mother and child at presentation compromised the ability of therapists to provide developmentally orientated interventions. Focusing on parent-child interactions enabled Shelly to make both emotional and physical gains, and facilitated ongoing interventions. Implications for practice: Observations in this practice application demonstrate the need for further research into parenting interventions and developmental outcomes for children with cerebral palsy.

No abstract