As the prevalence of teletherapy has grown, fueled by the need for physical-distancing during COVID-19, we as clinicians have been faced with the challenge of how to make teletherapy work for us and for our clients. The good news is that many therapists have already been doing teletherapy for years, and there is a growing body of evidence that suggests teletherapy can be just as effective as traditional, in-person therapy for many clients. In fact, some studies have even shown that telehealth service delivery improves therapy attendance (check out this article by Covert and colleagues to learn more). Getting to the clinic in person is a struggle for many of our clients, even without COVID-19 as a concern.
But of course, there’s the bigger question – how do I actually DO teletherapy? Read on to learn about a few of our favorite teletherapy tools across various platforms, and to learn how to adapt the amazing therapy and tools you’re already delivering. I’ve taken some of my favorite features from several popular video meeting systems and outlined them below!
Our first and foremost commitment as therapists is always to the wellbeing of our patients, and a big component of that is protecting our patients’ PHI (protected health information), especially online. Before you begin teletherapy, you need to make sure you have a HIPAA compliant teletherapy option. Many Electronic Health Records (EHR) systems have a telehealth add-on that is HIPAA compliant, while other commercial meeting software programs may have ways to make their software HIPAA compliant. You usually will need to sign a Business Associates Agreement (BAA) to make sure that whatever software program you’re using is protecting your patients’ PHI appropriately. Reach out to your IT department if you’re at a larger institution, or if you’re a smaller practice (like me!), read up online about the HIPAA compliant options your video chat software of choice may offer.
A word that has become almost ubiquitous in 2020, Zoom is one of the most popular video conferencing platforms, and for good reason. One of my favorite features on Zoom is the ability to share your iPad screen. This is particularly seamless if you’re on a Mac, but is also an option on PC as well.
Here’s how to share your screen using Zoom:
This will allow you to share your iPad screen as if you were sharing your screen on your computer. I love using this feature to show clients exercises on apps like Constant Therapy, or even to share a quick photo for us to talk about while practicing conversation skills. Although your client won’t be able to interact with your screen, being able to show your client your iPad screen is extremely helpful. Also, if you’ve got a tech savvy client, you could even have them share their own iPad screen with you, allowing you to see what they’re seeing in real time as they practice their Constant Therapy exercises. This is great for strategy teaching and cueing.
While Zoom might be the superstar, Google Meet is also a useful tool with a host of great features that shouldn’t be overlooked. Google Meet has made it so incredibly easy to use closed captioning, and I’m honestly dazzled by how accurate the transcriptions are.
How to turn on closed captioning in Google Meet
This is great for clients to use as a support if they are hard of hearing or if they benefit from written language support to help augment their auditory comprehension. It’s also easy for clients to turn this feature on themselves because it’s a single button click, which is a huge win.
Another great video conferencing platform, WebEx has fantastic annotation tools. Here’s how you can take advantage of them.
How to turn on annotation tools in WebEx:
In the picture below you’ll see my document camera, which is fast becoming my favorite add-on tool to help make my paper-based materials more functional in teletherapy. A quick Google search will present you with a whole host of different document cameras, but do you know how to connect and use them? Here’s a step-by-step guide.
How to connect and use a document camera
What do I use my document camera for? I love to make a quick schedule on my whiteboard, write out cues, and even display my existing materials just as I would have during in-person therapy.
Did you know that on some meeting systems you can actually give your client remote control access to your computer?
If your client is using a computer, you can allow them to move the mouse around your screen and even move items on your screen. You can also create interactive PowerPoint or Google Slide presentations to mimic more manipulatives-based therapy tasks you used to do in clinic! There are also some more pediatric-focused tools like Boom Cards that can also be adapted for adult clients as well.
Having a program like Constant Therapy that allows your clients to do homework at home, and also lets you check in on their progress from anywhere in the world is incredibly impactful. Make sure you’ve downloaded Constant Therapy Clinician so that you can manage your patients’ homework from wherever you and your iPad are. And remember, if you have a patient who is struggling to make ends meet, especially in these tough times, we’re always happy to work with them on a subscription cost that fits within their limited budget. We offer scholarships for patients in need – just tell your patient to give our friendly Customer Support team a call or send them an email and we will take care of the rest! They are specifically trained in working with persons with communication disorders and have a wealth of patience and experience meeting the needs of our customers, your clients!