Structure in Uncertainty: kids still need their routines

Structure in Uncertainty: kids still need their routines
Posted on Thu 7 May 2020

Written by Lauren Leahy

 

If there is one thing 2020 has taught us, it’s that everything can change in an instant. It’s unsettling for adults. Imagine how it feels for kids!

Pre-pandemic parents were probably aware of the importance of routine. It gives the day structure, ensures that the whole family know what is expected of them, and generally helps us maintain our sanity. But how can we have any semblance of a routine when the world is changing daily, when parents are working from home (or out of work), schooling is happening through computers, and we can’t visit grandma anymore?

Here, CPA therapists, Belinda Cluff (Speech Pathologist) and Melinda Conroy (Occupational Therapist [OT]), share their insights on how parents can maintain a level of normalcy for their kids at this time.

 

What's a routine and why does routine matter?

According to RaisingChildren.net.au, “Routines are how families organise themselves to get things done, spend time together and have fun… they help family members know who should do what, when, in what order and how often.” Routines can take place every day – such as meal times and getting ready for bed – or they can occur weekly or only occasionally, like medical appointments or play dates.

CPA Speech Pathologist, Belinda Cluff, agrees that routines are an essential part of life with kids.

“Routines offer children (and adults) a structure and understanding of what will happen in their day. It makes their day predictable, safe and secure. Without a structure, children are unsure of what is coming next in the day and you may see behaviours driven by emotions like anxiety or anger stemming from uncertainty,” she says.

“A good way to think of this is when you have been driving and you came across a roadblock or a detour. How did you feel about having to go another way? Did you get butterflies in your belly? Did you clench your teeth a bit harder?”

Melinda Conroy (OT) agrees, saying “This is the way children develop a foundational understanding of predictability, meaning the sequence of what happens during their day and night, and what is expected of them.”

RaisingChildren.net.au refers to three main aspects of effective routines. They should be:

  • well planned, with all family members understanding what is required
  • as consistent as possible, to minimise anxiety
  • predictable, so kids can plan ahead and know what to expect.

“When things happen in the same sequence, children are not learning a new pattern every day, which allows them to build on previous learning,” says Melinda.

Belinda adds: “It also offers the child an understanding that a certain event will end, particularly if it is something they are not too keen on!”

 

Why are routines especially important for children with disabilities?

While routines in some form are important for all children, they may be even more important for children with disability, who often need regular medicines or medical procedures, or who may have particular goals in terms of skill development that require daily practice.

According to RaisingChildren.net.au, “If your child has complex needs, you might need to carry out most of her routine care. But your child will still enjoy and benefit from being part of your daily routines.”

 

How can I maintain a routine during a pandemic?

You can access a free downloadable routine template from the CPA website. There are templates for families with children, teens, and adults.

RaisingChildren.net.au is also a great resource to turn to when trying to establish or review a routine, particularly during times of stress. The website even has information on routines for children with a disability.

RaisingChildren.net.au recommends establishing the goal of the routine, listing the individual steps in order, working out the time needed, and then working out what your child can do independently, and where you need to help. Parents should also consider anything that may get in the way of the routine’s success – such as TV and other distractions – any family rules that need to be reinforced, and how an element of fun can be included.

"It is also important to think about any strategies that can support your child with moving through steps of a routine,” says Melinda. Strategies can include:

  • Verbal cues (e.g. saying “it’s time to brush your teeth”)
  • Physical cues (e.g. a touch on the shoulder to prompt moving on to the next step)
  • Visual supports (e.g. pictures of the steps in a routine, even just with sticky notes or drawings)
  • Social StoriesTM (customised books with photos to describe the specific events for a new routine).

Belinda suggests involving your child in developing these strategies as much as possible, such as asking them to help put together a visual chart.

“This gives the child ownership over the routine and they are more likely to follow it,” she says. “If your visual allows for the pieces to be moved to a ‘finished’ side, it enables your child to have a clear start and ending to activities.”

 

The most important part of a routine is flexibility

Both Belinda and Melinda agree the most important part of a routine is flexibility. As Melinda says, “What works effectively for a family or child at one point in time might not always be a ‘good fit’.” Circumstances change. Pandemics happen. Or children – and adults – just sometimes have ‘off’ days.

“If you are having a great time painting, don’t pack it away when it’s time for a walk,” says Belinda. “Discuss this with your child and ask their opinion. Do they want to keep painting or go for a walk?”

 


Download CPA’s free routine templates to help you get started with your routine:

If you are looking for help in setting up or maintaining a routine with your child, speak with one of the CPA speech pathologists and occupational therapists. They can assist you in building a routine that works for you and your family, and brainstorm solutions to any problems that you may face.


Call 1300 888 378 or email ask@cerebralpalsy.org.au

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