Rachael Gartland

The Team

Blossom Children’s Occupational Therapy Ltd now have a few members of staff to cover the various needs of children and their families. We also have a Trainee Therapy Dog that can be used to support some therapeutic intervention’s where felt to be appropriate.

All staff have have an Enhanced DBS check that is current as well as Safeguarding training.

Rachael Gartland – Specialist Paediatric Occupational Therapist and Sensory Integration Practitioner

(BSc Hons, PG Cert, MRCOT)

I am the Director of Blossom Children’s Occupational Therapy.

I am married and have two children myself so understand the importance of supporting children to achieve their full potential whatever that might be.

I qualified as an Occupational Therapist in 2010 and since then have worked within the field of Paediatrics. I have been passionate about working with children for many years and believe that early intervention is very important. I am very enthusiastic about my work and find that supporting children to achieve daily tasks which others may take for granted to be very satisfying.

I initially started my journey within the NHS Peterborough Paediatric Occupational Therapy service before working independently. I have gained a range of experience working with children that have both physical and also mental health difficulties. My aim is to remain children and family centred; ensuring that individual needs are assessed and supported regardless of a diagnosis. My role is very varied and also includes supporting charities, case managers, schools and nurseries. Furthermore I am commissioned to work with a Private Paediatrician and a Psychologist to support the process of diagnosing children with neurodevelopmental difficulties.

I now have post graduate training in Sensory Integration and value this knowledge when I am assessing and providing therapy to children. I also support schools to provide a whole school approach to developing children’s skills and access to education. This can include environmental accommodations, strategies, staff training or the development of group programmes for identified students. I am also currently completing my training to be a Sensory Attachment Practitioner.

I am registered with the HCPC and also a member of Royal College of Occupational Therapists and the Sensory Integration Network. I always ensure that I keep myself up to date with current research and practice as well as receiving regular supervision and Continuing Professional Development (CPD).

 

Qualifications and Recent Training:

 

Qualifications

  • BSc Occupational Therapy
  • PGC Sensory Integration

Memberships

  • Member of Sensory Integration Network
  • Royal College of Occupational Therapy (RCOT)
  • Registered with the Health and Care Professions Council (HCPC)
  • Enhanced DSB online

Training (processes)

  • Student Education
  • Clinical Supervision
  • Interdisciplinary Working
  • ECAF Training
  • EHC planning process
  • Child Protection and Safeguarding

Recent Training (clinical)

  • Sensory Processing Disorders (Lucy Miller)
  • Diagnosing ASD in complex presentations (GOSH)
  • Down’s Syndrome and behaviour management
  • Postural management (Simple Stuff Works)
  • Wakefield Training
  • Postural Management (Symmetrikit)
  • Cerebral Palsy management and treatment (Jo Coghill Paediatrician)
  • Oral Motor skills and sensory feeding difficulties (NHS Peterborough SaLT and OT team)
  • Attention and Engagement Autism Training (Gina Davies, Specialist SaLT)
  • DIR Floortime Introduction (Denise Wilson , OT and Play Therapist)
  • Eye Gaze and Assistive Technology (Inclusive Technology)
  • Do we still need to Learn to Write? (Lois Addy)
  • 2017:
  • ASD study day (UoN)
  • Parenting our extraordinary children- the magic and the challenges (Carrie Grant)
  • P4C – Partnering for change (Sahana Bolton)
  • 2018:
  • The Autism Experience (High Five)
  • Puberty in ASD (Target Autism , Ron Futuna and Angela Capper)
  • Using sensory strategies to reduce restraint (Sensory Project, Kath Smith and Ros Urwin)
  • Trauma and Loss (Dr Karen Treisman)
  • How to make an unhappy autistics into happy adults (Dr Luke Beardon)
  • 2019:
  • ADHD: Daydream believer to high achiever. (Jannine Harris, ADHD Wise UK)
  • Kinetic Letters Handwriting Programme (Margaret Williamson)
  • Sensory Attachment Intervention- SAI introduction (Eadaoin Bhreathnach)
  • Inside I’m Hurting -Trauma and attachment in schools (Louise Bomber)
  • Diagnosisng and treating Developmental Coordination Disorder (DCD) (Dyspraxia UK)
  • Autism (Debby Elley)
  • Interoception; assessment and intervention (Kelly Mahler)
  • 2020:
  • Respecting Biology- Neuro Developmental Approach to supporting hurting children (Louise Bomber)
  • When children won’t eat, SOS approach to feeding (Kay Toomey)
  • The Alert Programme (Mary Sue Williams and Shelley Shellenberger)
  • Foetal Alcohol Spectrum Disorder (Amy Hendricks, BHS)
  • PANS and implications for Occupational Therapy (Michelle Newby, BHs OT , Director Stepping Stones)
  • Therapeutic Listening -Quickshifts (Anna Roberts)
  • Just Right State programme (Eadaoin Bhreathnach)

Karin

Karin Bayley – Specialist Paediatric Occupational Therapist and Sensory Integration Practitioner

(BSc Hons, PG Cert, MRCOT)

Karin qualified as an Occupational Therapist in 2014 at Bournemouth University and since then has worked within the field of Paediatrics through both NHS and Private sector. Before becoming an Occupational Therapist, Karin gained a Psychology degree. She now uses some of this knowledge to support her clinical reasoning when assessing children. Prior to training as an Occupational Therapist she gained extensive experience working with children while working as a Care Manager in residential special schools. She also set up and managed a Sure Start Children’s Centre in Hampshire.

Karin has specific experience in assessing and providing strategies and intervention for sensory processing difficulties (including oral motor strategies); seating and postural management requirements; and fine and gross motor skill difficulties, including developing self-care skills and handwriting skills.

She is committed to maximising children’s independence and confidence both at home and school or nursery. Karin believes that “each child should be given the opportunity to be as independent as reasonably possible and to have fun while learning these skills”.

Karin works part time for Blossom Children’s Occupational Therapy providing comprehensive assessments, consultations and also therapy with children and their families or Educational settings.

Karin additionally has post graduate training in Sensory Integration and is able to use this knowledge within her clinical work and interventions with children.

Karin is registered with the HCPC and is also a member of Royal College of Occupational Therapists and the Sensory Integration Network. She receives regular clinical supervision to manage her caseload and also attends regular training to ensure that she is continuing her professional development. Karin is currently training to be a Sensory Attachment Practitioner.

Qualifications and Recent Training:

 

Qualifications

  • BSc Occupational Therapy
  • BSc Psychology
  • PGC Sensory Integration
  • NVQ – Level 4 Health and Social Care – Children and Young People
  • NVQ – Level 4 Certificate in Conducting Internal Quality Assurance Assessment Process

Memberships

  • Member of Sensory Integration Network
  • Royal College of Occupational Therapy (RCOT)
  • Registered with the Health and Care Professions Council (HCPC)
  • Enhanced DSB

Training

  • Child Protection and Safeguarding
  • Occupational Therapy: Legal Framework and Practical Implications (Accorda)
  • General Data Protection Regulations
  • Splinting for Neurological Impairment and Thumb Splinting- Paediatric (Lydia Dean)
  • Makaton
  • Interoception: Assessment and Intervention (Kelly Mahler)

Julie Aistrop

Julie Aistrop – Occupational Therapy Technical Instructor

Julie has recently joined Blossom. She is a qualified Nursery Practitioner and additionally has 23 years experience working within the NHS Paediatric Occupational Therapy service as a Technical Instructor. This role involved her supporting Occupational Therapists working within school and home settings.

Julie has worked with individual children ,as well as group therapy sessions helping children to progress and reach their full potential.

Julie is available to provide therapy sessions under the supervision of Rachael or Karin and following a devised therapy plan. She is also available to provide school visits for advice and classroom observations of any children where concerns have been raised.

During school holidays Julie is available to continue therapy within the home environment and will also be available to provide group therapy sessions within the community.

Julie is a member of the Royal College of Occupational Therapists.

Tracey Donativo

Tracey Donativo – Therapeutic Practitioner (BA Hons Social Work)

Tracey is a qualified social worker with 11 years experience working with Looked After and Adopted children. Most recently Tracey worked for the Local Authority in the Post Adoption Team.

Tracey is able to offer advice, guidance and support to families and schools in relation to trauma and attachment awareness and also behaviour management. She offers direct work with children and parent individually or together. The work is tailored to meet the needs of the individual child and family. Tracey will be available for group work to support regulation; including mindfulness and anger management and also to build self esteem or understanding of self. Additionally she can offer parenting support groups and self care sessions for parents.

Tracey’s services can be accessed as a result of an Occupational need identified through assessment or through direct contact from families and schools.

Tracey is registered with Social Work England and is also a member of British Association of Social Workers (BASW).

Training:

  • Theraplay Level
  • Managing Behaviour with Attachment in Mind – Professionals Course
  • Creating an Emotional Regulation Toolkit for the Classroom
  • Domestic Abuse Awareness
  • Emotion Coaching
  • The Developing Child in the Modern World
  • Drawing and Talking Foundation Course
  • Signs of Safety – A strength based model of practice.
  • Interoception- assessment and intervention by Kelly Mahler
  • Respecting Biology- Neuro Developmental Approach to supporting hurting children (Louise Bomber)
  • DDP Level One (Dyadic Developmental Practice, Psychotherapy & Parenting)

Ella

Ella – Therapy Dog

Ella is a Bichon Frise dog who has recently joined our team. She is currently in training to be a Therapy Dog within our service. Her breed means that she is hypoallergenic for those with allergies and also has a calm, gentle and loving temperament. Ella will offer support in some of the therapy sessions only where suitable for the child and their specific goals.

Pet therapy builds on the pre-existing human-animal bond. Interacting with a friendly dog can help many physical and mental health issues. It can help reduce blood pressure and improve overall cardiovascular health. It can also release endorphins that produce a calming effect. This can help alleviate pain, reduce stress, and improve overall psychological state.

Results from recent studies show that children exhibited a more playful mood, were more focused, and were more aware of their social environments when in the presence of a therapy dog. These findings indicate that interaction with dogs may have specific benefits for children and suggest that animal-assisted therapy(AAT) is an appropriate form of therapy.( Martin and Farnum 2002) The general assumptions underlying AAT with children are that although therapy dogs are interactive, children seem to perceive them as non-judgemental participants who are outside of the complications and expectations of human relationships. This unique interaction may offer children a valuable form of social and emotional support in educational and therapeutic settings. (Frieson 2010)

Occupational therapists use animals through approaches such as create/promote, establish/restore, maintain, modify, and prevent (Youngstrom et al., 2002). For example, in the establish/restore approach, mastering the use of grooming tools for a dog may support the establishment of a personal care routine for the client. Learning caregiving for a dog could establish a new occupation. Or modification of objects used in dog training and care could help sustain a meaningful activity in a child’s lifestyle.‘Because you’ve got a dog’, the therapist–client relationship is facilitated through a common non‐human object. Communication is facilitated as therapist and client share stories about past and present pets. Social interaction is less complicated when there is an external focus for the conversation.

The presence of a dog changes the physical and social environment. Skilful use of a dog by the occupational therapist requires a client‐centred approach so that the therapist chooses appropriate goals for each clhild and maximises the use of the dog in the therapeutic encounter.

The goals of a pet therapy program can include:

  • Improving motor skills
  • Increasing self-esteem
  • Increasing verbal communication
  • Developing social skills
  • Increasing willingness to join in activities / motivation
  • Improving interactions with others
  • Making a child happier, lessening depression, and improve outlook on life
  • Decreasing loneliness and isolation by providing companionship
  • Reducing anxiety
  • Helping children learn empathic and nurturing skills
  • Improving a child’s ability to trust adults and feel safe in the therapy space
  • Developing trust
  • Building empathy
  • Opportunities for co-regulation
  • Learning to express and connect with emotions
  • Sensory regulation and exploration
  • Giving children some power and control to practice how this feels safely
  • Providing opportunities to observe nurture and to care for something post trauma
  • Helping children to transition between activities within the sessions and also at the beginning/end
  • Something to relate to when people are too challenging or don’t feel safe after trauma
  • Aiding sensory integration through encouraging movement in sessions, and exploration of the senses
  • Act as a motivator for hard to reach children
  • Improving Interoception

Ella is currently a traditional Therapy Dog however she is going to complete additional training to specialise in young people with social, emotional, mental health difficulties including post trauma. She will also specialise in sensory based activities that promote regulation , motor skills and exploration.