Tele-Services Tool Box

Emily Lindley, MA, LPC-C, CSAYC

NYAP Director of Education & Professional Development

Denny Hoskins
NYAP Foster Parent Training Manager

Jill Rippy
Indiana Foster Care Development Manager

Megan Murphy MA, LMHC

Indiana Training Manager Caring for People
Interim Clinical Supervisor Connecting Communities
Promoting Peace
 Under this Notice, however, Facebook Live, Twitch, TikTok,
Virtual and similar video communication applications are public
facing, and should not be used in the provision of telehealth
Platforms: by covered health care providers.

• Zoom: HIPAA compliant & should

be prioritized for sessions, visits &
clinical supervision

• Teams Meetings: Internal Trainings

& Meetings, Foster Parent
Trainings

• FaceTime, Google Duo, Facebook

Chat, Skype, Updox, Vsee,
Doxy.me, Google Hangouts,
WebEx, GoToMeeting
 How to do Interactive Activities via
Zoom
• Click “Share my Screen”
• Pull up the activity page you want to share
• Click “annotate”

The annotate function will allow the user to draw or

write on the page, or you can use the keyboard
function by clicking on “mouse” and type responses
or use keyboard symbols.
Updating Coping Skills/Safety Planning
What coping skills are currently Do we need to translate any coping
established: skills due to social isolation?

1. ______________________ 1. ______________________
2. ______________________ 2. ______________________
3. ______________________ 3. ______________________
4. ______________________ 4. ______________________
 How to Build Your Own Toolbox
 Host an “Intervention Show & Tell” at your upcoming team meeting: even in virtual team
meetings, you can each take turns presenting activity based interventions/activities that you have
done with youth and families served for others to utilize and add to their toolbox as well.
 Base activities on ‘real time’ needs. When you ‘Zoom in’ and notice that tensions are high in the
household or if a client asks to cancel a Zoom meeting because there is negativity going on in the
household-that’s the perfect time for us to have a meeting to address the issues, mediate and
assist with an extended plan for resolution
 Think about the dynamics of the family and what may need to change. Then plan an activity
using your resources based on how the dynamics could be more positive
Example: If mom and youth have a power struggle going on > make sure you implement a structured
activity that forces mom and youth to slow down and take turns equally
Example: If mom is constantly getting ignored, needs to be empowered> pick an activity like an obstacle
course. Mom gets to blind fold the youth and communicate as “the leader” how the youth can get through
the course. This, by nature, is an excellent way for mom and youth to practice a new role with your help
 Preparing Time
• There are many resources online
to help guide your sessions-just
like a teacher’s lesson plan
• Go in with a plan. It may not
occur as imagined but it will help
inform your goals, activities & set
consistency for next time
• Be flexible. Have a couple back-
up options

Be Intentional
• If you come to a session/visit with no
intent or plan, it may diminish the
importance that youth & families give
to your scheduled time

• Who should be involved in the

visit/session?

• Are you on time & focused on only the

session?
https://www.youtube.com/watch?v=K4unpA1Se5I
• Are you in a quiet, dedicated space?
What to Expect
Helping clients stay grounded in
telehealth:
https://www.threebirdscounseling.com/post/202
0/03/23/tips-for-helping-clients-ground-during-tel
ehealth?fbclid=IwAR3p69V7kQazk3sCH_O-ySxFqS
euz5CyKQlB3U4fm89sCnCFTC2YyBEyETQ
Youth are going to:
 walk out of the room
 be distracted watching TV
 get bored & fidget
 hide their face, be visibly
uncomfortable
Environmental Factors:
 other people in the room
• How can we get creative with
space?
• Are we explaining the need for
privacy?
 siblings wanting to join in
• Are we setting up turns?
• Can we include siblings in an
opening game prior to starting
therapeutic work?
• Are there appropriate group
activities we can do to include
everyone?
 Structuring your Time (Even
Virtually)
Predictability: Youth should know when you are having a virtual session/visit, how long it is going
to last, where to go in the house to spend virtual time. We can help create a habit out of our
virtual time with clients to add a sense of stability & normalcy to the currently uncertain time.
 Structuring your Time (Even
Virtually)
Moderation: Break down an hour long session into 2- 30minute sessions, provide 5min breaks
throughout the session after 15min of focused work, provide a game or choice, etc. if you don’t
think a complete break away would be doable for your youth. Stagger new or harder topic items
between softer, celebratory elements of the session.
 Structuring your Time (Even
Virtually)
Controllability: Can youth weigh-in on what activity they want to do? Maybe give them 3 choices
and let them pick out of those 3 what they want to work on. Can the youth weigh-in on what
time of the day you meet or where they want to take your virtual call? Start the session/visit off
with the youth doing 1 Show & Tell item; they have 5 minutes to pick something they enjoy and
share it with you so that each session is begun with an element of them in control.
 Get Innovative with Resources
Check ahead with caregivers about what materials they have at the home to incorporate in their
sessions/visits

Beautiful Stuff! Working with Found Materials https://www.youtube.com/watch?v=6ZJjo0uja8g

Theranest.com is a site that has ideas for therapeutic activities with teens. Some resources are free,
some have a cost associated with them https://theranest.com/blog/therapeutic-activities-for-teens/

Mylemarks.com is a site with interactive tools to engage kids and teens in virtual visits and therapy
sessions. Some resources are free, others can be downloaded for a nominal cost https
://www.mylemarks.com/

Project Play Therapy https://www.projectplaytherapy.com/author/projectplaytn/

 Get Innovative with Resources
Teletherapy Activities for Occupational Therapy https
://www.theottoolbox.com/teletherapy-activities-for-occupational-therapy/

The Ultimate Guide to Bilateral Coordination Skills https

://www.yourtherapysource.com/blog1/2017/10/01/bilateral-coordination-skills/

Liana Lowenstein- Activities resource list http

://www.lianalowenstein.com/artcileProfTeleplayLowenstein.pdf

Jackie Flynn- therapy technique videos https

://www.youtube.com/channel/UCzm_jOqzM_L6oTMRe5FOa1A/videos

Additional resource list attached

 You might have already seen these...
It’s important to consider how to make all elements of your sessions & visits experiential so youth of
all ages are able to stay engaged, want to attend & still get valuable help from our virtual encounters

Guided Tour: Have youth give you a guided virtual tour, sharing info from their perspective to describe the home and
what’s going on in it in a fun way
Structured Activities: 1. Write a pen pal 2. Decorate a card to family or friends 3. Send homemade cards to local
nursing homes 4. Bake or cook dinner together 5. Play show and tell 6. Themed Dress Up Party 7. Inside or Outside
Scavenger/Treasure Hunt 8. Go for a walk/hike/nature trail, walk the dog 9. Play a Game/Make a Game 10. Write a
Song 11. Show & Tell with Music 12. Download online color sheets 13. Explore the world on Google Earth 14. Make
sock puppets 15. Make indoor tents 16. Camp-out in the Backyard 17. Start a Diary 18. Drawing Assignments 19. Play
with clay or playdough
Create a story bag: Find a bag and collect items to go in it that relate to your story. If you can’t find an item, you could
draw a picture to include. Tell your family your story using your collected props.
Create a New Invention
 Toolbox Items for Older Youth
For older youth:
 Share music videos or favorite songs to prompt
discussion
 Go for walks together while you talk, IL activities, host a
mock interview
https://
www.today.com/health/teenagers-stuck-home-here-are-1
3-life-skills-they-can-t176759?cid=sm_npd_td_in_td-sto_1
80511
 Create a competition: Trash can basketball, drawing face
off, color & share, card games
 Watch a movie or You Tube video together to spark
conversation
 O*Net Career search, info, assessment:
https://www.onetonline.org/
 Apps to Share with Older Youth
Connect by playing games such as:
 Words with Friends
 Scrabble
 Farmville
 Boggle
 Trivia Crack
 Toolbox Items for Younger Youth
 Scavenger Hunts
 Story Bags
 Nurture groups
 Activities pages you can do via Zoom
 Sesame Street App: Emotional Management (age 4-
5, free) Breathe, think...
Kimochi: Screen share emotion chart > child can act
out a feeling they had over this last week & you need
to guess: https
://languageduringmealtime.com/wp-content/upload
s/2015/04/Kimochis-e1429039370972.jpg
 Online Games for Younger Youth
Uno Playlink
Gummy Drop
SwitchZoo (ages 4+)
Lego (ages 6+)
Spongebob (ages 6+)