7 min read

How to Build Rapport with Families & Kids in Home Health

Published on
September 4, 2025
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How to Build Rapport with Families & Kids in Home Health | Sanctum
Sanctum Health Partners

How to Build Rapport with Families & Kids in Home Health

A joyful first impression, thoughtful prep, and play-first connection turn evaluations into relationships. Here’s a practical playbook you can use tomorrow.

Therapist greeting family at the door
TL;DR:
  • Lead with a big, genuine smile and upbeat energy—it sets the tone before you say a word.
  • Text caregivers ahead of time to learn the child’s preferred toys, videos, sounds, and routines.
  • Open sessions with low-demand, high-interest play to let natural language and trust emerge.

1 Win the doorway: smile + energy

“When they open the door, they see you with a big smile.” That moment frames everything. A warm, upbeat presence tells the family: We’re safe. We’re collaborative. We’re here to help. Even on long days, choose a positive opener—your energy is the first intervention.

Script: “Hi! I’m so glad to see you. How’s your day going? What’s been fun for Bobby Joe this week?”
3 quick cues that signal safety
  • Visible smile + relaxed shoulders
  • Slow, friendly pace (no rushing through the doorway)
  • Curiosity first: ask a caregiver-centered question

2 Text before you visit

Send a quick message a few hours before: ask about preferred toys, shows, songs, sensory items, and any “big wins” from the week. This lets you tailor materials, preload your AAC pages, and bring something familiar to the first five minutes.

Copy-and-paste template

“Hi! I’m excited to see you today. What’s {child} really into right now (toys, shows, songs)? Any new favorites? I’ll bring/play something they love to kick things off.”

Ideas to bring/prepare
  • Mini visuals or icons for favorite characters
  • Short screen recording of a preferred video (no internet needed)
  • AAC buttons preloaded: sounds, phrases, character names
  • Two sensory options (bubbles, pop tubes) for choice-making

3 Lower the demand, raise the trust

Play-first warmup

On arrival, keep demands low and follow the child’s lead. Use preferred items to spark engagement, model language naturally, and celebrate tiny bids. Pressure drops; connection grows.

“I’ll start where you are.” — Treat the first minutes like a warm-up, not a test.
Try this flow:
  1. Offer a choice between two favorites
  2. Join the play, mirror + narrate (“You popped it!”)
  3. Model 1–2 target words/gestures/AAC hits
  4. Only then layer gentle goals or probes

4 Make caregivers co-pilots

Invite caregivers into the process from minute one. Ask for their language, routines, and priorities; reflect back what you heard; and co-create an easy “one thing to try” for the week.

Teach-back in 60 seconds

“Can you show me how you’ll try the one thing this week?” (Coach, cheer, simplify.)

One-sentence recap text

“This week, practice {strategy} during {routine} for ~2 minutes. I’ll check in next visit—text me wins!”

Carryover Family-centered

5 Your pre-visit checklist

Ask parents (quick text)
  • Current obsessions (toys, characters, songs)
  • Any tough moments this week we should plan around?
  • Times/places the child communicates most
Prep to bring
  • Preferred item or a close “dupe”
  • 1 sensory tool + 1 language game
  • Mini visuals/AAC page updates for favorites
  • Simple home strategy card (1 step)

6 Avoid these easy rapport killers

  • Jumping straight into demands or testing
  • Talking more than playing in the first 5 minutes
  • Ignoring sensory needs or preferred routines
  • Skipping the caregiver’s priorities or language
Flip it:

Lead with play, mirror the child, sprinkle targets, and keep the caregiver driving the “why.”

Big takeaway: Rapport isn’t a single moment—it’s a rhythm. Smile at the door, prep with parent intel, open with low-demand play, and co-pilot with caregivers. Trust follows.

Join our growing team of therapists!

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