Stop Convincing Parents to Participate in Therapy

Stop Convincing Parents to Participate in Therapy

September 11, 2026•5 min read

You need the parent involved.

You need them in the session.

You need them to understand the home program.

You need them to follow through between visits.

So it can be tempting to tell them exactly that.

“You really need to be involved.”

“You need to come back to the session.”

“You need to do this at home.”

The problem is those words may mean very little to a parent who is already overwhelmed.

I don’t want to CONVINCE parents to participate.

I want to help them understand why participating matters to something they desperately want to change.

That is a very different conversation.


Start With the Problem That Is Affecting Their Life

Imagine a parent whose child is having tantrums at school every day.

The school keeps calling.

The parent has to leave work.

Again.

And again.

Now they’re worried about their child AND worried about what their boss is going to say the next time that phone rings.

That is their pain point.

If I start talking about emotional regulation and attention without connecting those goals to what is happening in their life, I may lose them.

Instead, I can connect the therapy directly to the problem they already care about.

We’re working on these skills so your child can better manage these situations at school.

That could mean fewer calls.

Fewer interruptions at work.

And a child who is more successful during their school day.

Now the parent understands WHY this work matters.


“You Need to Be Here” Isn’t Enough

Clinic owners, this is an important distinction to teach your team.

Your therapists may be saying all the right things clinically.

But parents may still be wondering:

Why does this matter?

Why do I need to be in the room?

Why do I need to practice this at home?

What is this actually going to change for my family?

Telling someone what they NEED to do doesn’t answer those questions.

And when people feel like they’re being pushed into something, resistance can show up pretty quickly.

Think about someone repeatedly telling you:

“You need to go to the gym every day.”

Okay.

But WHY?

What am I working toward?

Why should this become a priority in a life that already feels full?

Parents need that connection too.


Find Their Sliver

I like to think about finding the parent’s “sliver.”

What is the small, specific problem they want help solving?

Maybe mornings are a disaster because their child can’t get dressed independently.

Maybe they’re getting calls from school several times a week.

Maybe every trip to the grocery store ends in a meltdown.

Maybe bedtime takes two hours.

Maybe their child desperately wants to play with other kids but doesn’t know how to join in.

Those are the things parents feel.

Those are the things affecting their daily lives.

CONNECT THE THERAPY GOAL TO THAT SLIVER.

Suddenly, “emotional regulation” isn’t an abstract clinical term.

It has a purpose.


Your Therapists Know the Clinical Why

This is where I see a disconnect happen.

Your therapist knows exactly why they’re working on a particular skill.

They can explain the clinical reasoning.

They understand how today’s activity connects to the plan of care.

But the parent isn’t living inside the therapist’s brain.

And frankly, they shouldn’t have to.

Your team has to translate that clinical reasoning into something meaningful for the family.

Instead of stopping at:

“We’re working on attention.”

Take it one step further.

“We’re working on your child’s ability to attend so they can participate more successfully at school.”

Then connect it specifically to THEIR problem.

That last piece matters.

Clinical value becomes much easier to understand when parents can see where it fits into their actual life.


This Is Bigger Than One Therapist Conversation

As a clinic owner, you don’t want this skill to depend on whether you happen to have one therapist who is naturally great with parents.

It needs to become part of how your team communicates.

Can your therapists identify what matters most to the family?

Can they connect clinical goals to those priorities?

Can they explain why parent participation matters without simply saying, “You need to participate”?

Can they show parents how what happens inside the treatment room connects to Tuesday morning at home?

Those are skills.

And skills can be taught.


Parent Buy-In Gets Easier When Therapy Feels Relevant

Parents have jobs.

Other children.

Appointments.

School problems.

Meals to make.

Bills to pay.

And sometimes a phone that keeps ringing because their child is struggling again.

Then we hand them a home program and wonder why therapy isn’t immediately their biggest priority.

We have to help them make the connection.

THIS is what we’re working on.

THIS is why it matters.

THIS is how it connects to the problem you told me you want help solving.

THIS is what you can do this week.

Now you’re giving the parent a reason to participate instead of another obligation to manage.


Your Clinic Doesn’t Need Better Salespeople

I don’t want therapists feeling like they have to sell parents on therapy.

That isn’t their job.

I want them to become better at connecting the dots.

Listen for the problem the parent wants solved.

Connect the clinical goal to that problem.

Explain why their participation matters.

Then give them a clear way to participate.

When your team learns how to do that consistently, you aren’t forcing parent engagement.

You’re making therapy meaningful enough for parents to understand why their involvement matters.


Want to Go Deeper?

If your therapists keep saying, “The parents just aren’t bought in,” I’d look at the conversations happening before assuming the family doesn’t care.

Your team may need better tools for identifying what matters to parents and connecting therapy to the problems those families are trying to solve.

That is a big part of the work I teach pediatric therapists and clinic owners.

My book, Meet Me Halfway, is a great place to start if you want practical strategies for creating stronger partnerships with parents.

If you want to build these skills across your entire team, explore my parent engagement programs or schedule a Discovery Call to talk about what’s happening inside your clinic.


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Stephanie Wagers

Stephanie Wagers

Stephanie Wagers, OTD, OTR/L, is a pediatric occupational therapist, clinic owner, author, and educator dedicated to helping pediatric therapists and clinic owners improve parent engagement, reduce burnout, and build successful therapy practices.

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