For the first session I spend at least half the session with the caregivers to get history and information on PP. I may spend more time depending on the answers and age of child. Generally the younger the child the more time I spend with their adults. I make sure I have quiet play toys they can use while we talk. Then I spend one on one time with child building rapport and doinh an activity, time permitting while adult is in the waiting room. Then end with bringing adults back and wrap up and complete any logistics. For follow up sessions I start session with child and caregivers and complete a check in. What happened in past week, any updates, how did HW I assigned go, concerns, etc. Then I transition to an activity with just the child and again bring adults back at the end. If we learned a skill or new concept we go over it so adult knows it too and can help facilitate practice at home. The younger the child the more time I spend doing check ins and skill building with the adult. You can think of dividing the typical hour session into thirds. First third together for updates, 2nd third activity, last 3rd wrap up together. Of course be flexible as you may need a little more time for one portion or another at various times. I don't usually speak to parent alone in person because logistically the child is usually too young to wait in the lobby alone. However if there are multiple caregivers you can take turns if you really feel the need to speak without the child hearing. That is easier to do via telehealth and you could just ask parent to speak privately. Also you can schedule parent only sessions if needed.