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Tele-Counseling: The Ins and Outs of Providing High Quality Online Services

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1.  What are some common benefits of working in the virtual environment as it relates to a school-age population?
  1. Ability to work with students no matter their location
  2. No travel time and no need to run from campus to campus, allowing for more efficient use of time
  3. Opportunities to be creative in your practice and learn new techniques
  4. All of the above
2.  Which of the following is true regarding client engagement in a digital format?
  1. Young clients are digital immigrants and are not familiar with technology, so they need extra time to become comfortable in the digital space.
  2. Clients (especially school age students) may feel very at home in the digital space as most are comfortable with technology like streaming and FaceTime.
  3. Attempts at engaging clients online should be discontinued if they are not visibly comfortable after one session.
  4. An online model of therapy services should only be used with clients over the age of 18 to follow HIPAA guidelines.
3.  What would be considered professional and successful communication when working remotely in a telepractice setting?
  1. Ask questions about how to communicate most successfully with your school and/or client, log and document all communication that has taken place, provide email reminders, and keep in touch often with your school and/or client.
  2. Make sure that your contact log is always up to date and that you feel confident using it as a reference if ever asked about a specific time and date of communication.
  3. Log and document all communication that has taken place, provide email reminders, and keep in touch often with your school and/or client.
  4. All of the above
4.  Which of the following is true regarding crisis situations in the online setting?
  1. It is best to go with the flow and decide in the moment how to handle each situation as it comes along because every client and crisis is different.
  2. As a telepractitioner you are not able to intervene in a crisis situation because it would violate the student’s privacy.
  3. You should set up a procedure that you will follow if you are in an online session with a client/student and they are experiencing a crisis situation, including steps to contact family, school admin, and/or local crisis response as needed. You will need to document contacts made, what was discussed, and follow up, as well as completing any required state or school incident reports.
  4. As a telepractitioner you may contact the family of the student as needed if they are in crisis, but you should not put anything about the incident in writing as this would violate confidentiality.
5.  Which of the following is true regarding your online platform and engaging students?
  1. It is recommended that you use a free video conferencing platform, and most free platforms do not include any specific features that can be utilized in teletherapy sessions.
  2. Most video conferencing platforms utilized for telepractice include onscreen features such as screen sharing, sharing mouse control with the student, onscreen drawing tools, or annotate options.
  3. Video conferencing features are not allowed.
  4. Video conferencing features are not helpful.
6.  Some important strategies for use of videos in teletherapy sessions include:
  1. Pausing the video at key points to allow for discussion and to keep the student engaged.
  2. Use of a “Safe YouTube” link to avoid any distractions or ads that may appear on the screen.
  3. Choosing videos that address your client’s specific goals and needs, keeping age level and interests in mind.
  4. All of the above
7.  Which of the following is true regarding visuals and online therapy sessions?
  1. Visual supports in telepractice might include: visual schedules, turn taking prompts, use of onscreen drawing tools, and visual supports for positive behavior.
  2. Printing, cutting, and laminating are more efficient.
  3. It is against telepractice guidelines to display visual supports onscreen, but you may choose to email visuals to your client for home practice.
  4. o your client for home practice. Answer D:
8.  Which of the following is true regarding telepractice and movement?
  1. You are not tied to the desk in your teletherapy sessions, you can adjust your computer/webcam as needed and have the student do the same to engage in movement activities.
  2. It is possible for the therapist to demonstrate movement activities during yoga or breathing exercises, but it is not possible for the client/student to engage in movement tasks during teletherapy sessions.
  3. Both the therapist and client should remain seated at all times during teletherapy sessions.
  4. None of the above
9.  When treating adolescent to teenage clients/students, some important telepractice strategies include:
  1. Elimination of all interactive games and activities so that the client can focus on the therapy goals
  2. Use of cartoon videos and silly songs to make the session activities playful and motivating
  3. Use of engaging games and activities that are at the student’s age level, incorporation of the student’s interests into sessions, and use of academic materials when appropriate to make the sessions meaningful and relevant
  4. All of the above
10.  Which of the following is true regarding the teletherapy model:
  1. Teletherapy is not a different type of service, it’s just a different service delivery model.
  2. You can utilize many of the same techniques and strategies in your sessions as you would in onsite therapy, it’s just that the materials are presented on the screen instead of across the table.
  3. Teletherapy can be highly interactive and versatile, you can utilize dynamic digital tools, or engage in simple face to face conversations depending on your client’s needs.
  4. All of the above

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