Parental Occupational Executive Training (POET)

Parental Occupational Executive Training (POET)

The POET approach was developed by Dr. Carmit Frisch during her PhD studies, under the supervision of Prof. Sara Rosenblum of the University of Haifa and Prof. Emanuel Tirosh from the Faculty of Medicine, Technion Institute.

The POET’s purpose is to enable early and timely intervention in young children presenting with ADHD symptoms and/or executive functioning delays. The intervention is designed to improve the children’s daily functioning and executive functions (EF); no preliminary medical diagnosis is required.

During the intervention process, parents will come to understand what EF are, how executive delays influence the daily functioning of children with ADHD symptoms, and what they can do to help their children be more successful in their day-to-day functioning.

The POET approach relates to all aspects of the child’s life, from getting up and handling their daily routines to organizing their personal belongings; from managing frustration and excitement reactions to occupying themselves independently. Combining training and coaching principles, the intervention includes eight sessions with parents after their child’s occupational therapy assessment. Its content is tailored to the child’s and family’s personal needs. We have also successfully used the POET protocol with children’s educators.

Study outcomes supports the POET’s feasibility and efficacy in face-to=face as well remote sessions!

Young children aged 3.0 to 7.5 years presenting functional difficulties due to executive delays or early ADHD symptoms.

The child will succeed (with an adult’s help) in:

  • Finishing dressing in the morning within 20 minutes
  • Leaving the restroom after washing and drying hands
  • Playing independently in the afternoon for 15 minutes
  • Touching a friend or parent in a pleasant way
  • Getting out of their chair only once or twice during a meal
  • Calming down and moving on from frustration
  • Falling asleep within 30 minutes

“The POET language gives me, as a mother, a multidimensional observation and the possibility to put abilities into practice. The mapping of the executive functions areas in the diagram helps me understand our parenting struggles. It helps to give a broad picture, on the one hand, and a focus on the other hand. It organizes and enables.”

“The communication in the training process is very significant for me. . . . The empathy for the difficulties we face as parents, together with a very respectful attitude and support for our abilities as parents, allow cooperative work in the sessions and later at home. The solutions grow from a dialogical approach. . . . It’s a combination of knowledge and professional experience from which a clear action plan is created, along with listening to us as parents to find out what worked and what didn’t.”

Occupational therapists who have met the 35-hour training requirements may use the POET approach. Hebrew and English training POET courses are available at least once a year. Please visit the POET website for further details.

You can find information about POET courses and lectures on new developments related to it on the POET website.

Publications

  • Frisch, C., Tirosh, E., & Rosenblum, S. (2023). Children with ADHD Symptomatology: Does POET Improve Their Daily Routine Management?. Children10(6), 1083. https://www.mdpi.com/2227-9067/10/6/1083#
  • Frisch, C., Rosenblum, S., & Tirosh, E. (2020). Parental Occupational Executive Training: Feasibility and parental perceptions. OTJR: Occupation, Participation and Health, 1539449220912191.
  • Frisch, C. Tirosh, E., & Rosenblum, S. (2019) Parental Occupation Executive Training (POET): An efficient innovative intervention for young children with attention deficit hyperactive disorder, Physical & Occupational Therapy in Pediatrics, DOI:10.1080/01942638.2019.1640336
  • Aviran, A., Frisch, C., Berman, S., Rosenblum, S (2017). How Parents with Symptoms of Attention Deficit/Hyperactivity Disorder (ADHD) Experience the Parental Occupational Executive Training (POET) Intervention Process, Initial Impressions. The Israeli, Journal of Occupational Therapy, 23(3) E38-E39 (In Hebrew).

Imagine: How much fun would it be to see your child playing independently for 10 minutes, sitting until the end of the meal, or relaxing and falling asleep in a short time?

Why imagine? Through this fascinating and short-term therapy, it can happen!

See what a 5 1/2-year-old boy’s mother wrote, after treating him with the POET approach:

“The POET is tailored to the needs of the child and the family. Every week at the session, parents are given tools and creative methods to deal with specific problems.

“The improvement is evident from session to session, and the more you persevere, the change will be more noticeable.

“In this way, the child receives tools from the parents to better deal with his challenges in academic, emotional, and day-to-day fields.

“The training is no doubt a gift for every family that wants to lead a routine life in a more pleasant atmosphere for everyone.

“The fact that the sessions are held on Zoom is an additional bonus that allows flexibility of times and saves time for parents who have difficulty coming to a clinic.”