AVIGuk Guidance for delivering Video Interaction Guidance via video conferencing methods(Version 7; updated 21.5.20)

This guidance will be updated regularly as many platforms are developing very fast in the current lockdown situation.

These are unprecedented times and everyone is having to adapt the ‘how’ they deliver essential services. This summary may be helpful for:

Video Interaction Guidance (VIG) practitioners VIG Supervisors Managers Information governance IT support teams

to weigh up the relative risks and benefits of using different platforms and the risks vs benefits of providing/not providing VIG while direct contact visits are not possible.

AVIGuk believes that is important that where managers, (trainee) practitioners and (trainee) supervisors continue to prioritise the need for offering VIG remotely to enable continuity of service for key professionals and vulnerable families and children, that practitioners and supervisors are enabled by IT systems to do so.

Contents1. What is Video Interaction Guidance and why is it important that this therapeutic intervention can continue web based meetings during the Covid-19 pandemic 2020?

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2. What IT functions are needed in order for teleconference VIG practice and supervision to be delivered effectively and safely?

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3. What platforms is AVIGuk recommending for VIG training, supervision and delivery to families?

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3.1 Zoom: benefits, risks, security p.33.2 Microsoft Teams: benefits, risks p.4

3.3 Other possible platforms p.53.4 Platforms not recommended for VIG p.5

4. What considerations should practitioners and supervisors make when delivering VIG on a virtual platform?

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5. What do some professional bodies say about delivery of service via virtual platforms, IT systems and data protection/information governance?

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Bibliography p.10Appendix 1 Step by step instructions for using Zoom p.11Appendix 2: Information to share with clients about using zoom written by Rachel Pardoe, AVIGuk accredited supervisor

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Appendix 3: Step by step instructions for using Microsoft Teams written by Emma Custance, AVIGuk accredited practitioner and trainee supervisor

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1. What is Video Interaction Guidance and why is it important that this therapeutic intervention can continue remotely during the Covid-19 pandemic 2020?

Video Interaction Guidance (VIG) is a therapeutic intervention which can be used to support a range of individuals. For example families who are vulnerable where difficulties in interactions or perceptions of relationships are impacting on the parent/carer-child interaction and/or the mental health of parent and/or child. Schools are closed to most children and many support services have reduced their offer. Most families are spending increased time together, often in crammed conditions. Many will be experiencing additional stressors such as worry about their own or family health and financial worries associated with loss of income. There is already a rise in domestic violence reported to helplines, social workers and the police. There are concerns about neglect and parental capacity to cope in unusual times and expectations to not just parent but also home school/and or work from home. This can make sensitive parenting all the more difficult.

VIG is also used extensively in education, health and care settings. VIG in schools with staff and directly with children and young people (CYP) has been impacted by school closures. Support for CYP and their families deemed as vulnerable also is essential to help them manage their needs associated with SEND. VIG via school settings or with families to help CYP to manage lockdown restrictions is also important in such unprecedented times. Given that the take up of school places for CYP deemed as vulnerable is currently at a worryingly low level, continued support which engages families and ensures that safeguarding can be continued in some capacity is essential, while education staff and professionals are not seeing families as they would in normal circumstances.

It is likely that families and relevant education, care and health professionals will benefit from VIG more than ever.

While delivering VIG through video calls is new, there is evidence that telehealth and telepsychology (delivering psychological health care via telephone or videocalls ) has been deemed to be effective and in some cases better due to the convenience of connection and it can be easier for some clients to engage with professional support and interventions.

Initial feedback from practitioners who are delivering VIG remotely is that it is successful and clients comment that it is helpful that the support is not being stopped because of lockdown.

2. What IT functions are needed in order for teleconference VIG practice and supervision to be delivered effectively and safely?

Audio and visual needs to be of good quality even with low band width.

Sharing of screen (but not control of screens) needs to be possible.

Needs to work on mobile, computer, tablet, android/PC and apple device.

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Needs to be easy/intuitive/accessible to use, particularly for clients.

Ideally, practitioners should to be able to record key adult-child interactions through the platform. If this is not possible, the parents/key adults can take the film and send securely to practitioner (less preferable in terms of VIG).

Trainee practitioners need to be able to record their meetings (shared reviews) with parents/key adults.

Safeguards in place to keep data safe both in terms of hardware and software security options.

What platforms is AVIGuk recommending for VIG training, supervision and delivery to families?

AVIGuk’s new learning platform (about to go live) integrates with Zoom and Microsoft teams.

All platforms seem to be regularly updating and responding to user feedback particularly about security and functionality. You will need to make your own decisions based on your own IT governance and making sure that you have the most up to date information from the platform provider.

3.1 ZoomBenefits: Has been widely used successfully in VIG supervision and training Many practitioners and supervisors report that it is intuitive and easy to use. There are tutorials available:

https://support.Zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials Does not require ‘guest’ e.g. client, to download software as guest can just click

on a ‘link’ Contains all features necessary for online VIG practice and supervision,

intervision (practitioner peer group supervision) and training. Free use for two participants (which is all that is needed for VIG casework and

supervision; VIG training would involve more than 2 people, but the cost would be incurred by the trainer).

Recommended as fit for purpose in the BPS Division of Clinical Psychology Digital Healthcare Sub-Committee Effective therapy via video: Top tips which says “However, for independent practitioners we recommend only fit–for–purpose VOIP systems (such as Skype or Zoom) are used”

AVIGuk has bought 10 Business Zoom licences which will enable VIG ITCs, mid-point trainings and other group trainings to be delivered from the new Learning Platform.

Zoom has a large range of settings and features which can be changed through the web based profile. This means a practitioner, with guidance from IT departments or information governance teams as necessary, should set settings to improve security (see section 5.

Initial feedback from practitioners who are using zoom for online VIG cases indicate it can be successful, with client being positive that the support has not stopped during lock down.

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Online initial training courses for VIG have taken place with more planned. These will be evaluated at the end of July, with adaptations made. These courses build capacity for VIG to be used by practitioners who under other circumstances their training (face to face mode) would have to be cancelled in the current lockdown.

Risks:Concerns have been raised about zoom’s security.

It is not within our expertise to be able to evaluate the level of risk in terms of likelihood of security hazards happening or the impact of harm of these hazards. Practitioners/supervisors should check their institutions’ IT/information governance policies. Independent practitioners and supervisors should make their own decisions and may want to consult with each other.

More specifically: It sounds like some risks like zoom bombing and unwanted visitors are more

related to how people use zoom rather than zoom itself and therefore it is important that practitioners and supervisors follow the recommendations below.

These potential threats may be greater for larger groups of participants (greater than 20) and VIG practice or supervision involves two devices. Zoom guidance says that waiting room and setting password reduces this further.

Other hazards have been identified such as where the data is being sent (e.g outside Europe; sharing data with facebook) and how Zoom impacts on the security of the device. However we note that Zoom says it is GDPR compliant.

SecurityZoom is regularly updating their security.Section 4.3 provides a list of actions that we advise VIG practitioners and supervisors to have in place which may reduce potential security threats (many can be done by changing their settings).

3.2 Microsoft teams (now merged with Skype Business)https://www.skype.com/en/business/pop up box which says "Microsoft® Teams replaces Skype for Business Online as Microsoft’s professional online meeting solution."

AVIGuk is planning to do a more detailed analysis for Microsoft teams as soon as possible.

Benefits: NHS trusts and Local authorities have bought into this so it is widely available AVIGuk learning platform can integrate to Microsoft teams. It can provide the minimum requirements for delivering online VIG practice and

supervision

Possible disadvantages Does not seem so easy to use so may possibly be less accessible to clients

compared to Zoom

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Currently some practitioners and supervisors report problems in getting sound from shared videos and the webcam stopping when sharing screens but this seems to vary and the community is sharing ideas to overcome these (see Appendix 3)

Recording function relies on Microsoft Streams and so users will need both Streams and Teams to be functional. Alternatively there are other recording functions that can be used and practitioners and supervisors can ask their IT department for guidance.

Initial feedback from some supervisors and practitioners who have used Microsoft Teams is that the quality of audio and visual and showing film via video playback is not as good as zoom and that the ease of use is not as good which may impact on the user experience.

o Other possible platforms Practitioners and supervisors are using other platforms such Attend Anywhere.

We are awaiting feedback and this guidance will be updated as we get more information.

o Platforms not recommended for VIG

Skype (standard) – the sound quality is not good enough.

Google meet/Hangouts?– the sound quality not good enough.

4 What considerations should practitioners and supervisors make when delivering VIG on a virtual platform?

4.1 Practitioner considerations Organisations should write brief policy and procedure for delivering VIG via video

conferencing methods. Tthis should not be onerous – and organisations can use information from this document as a guide and this can be appended to the existing policy.

Is the practitioner adequately competent in both VIG and the use of the technology to deliver VIG safely in this situation? It is not possible to give specific guidelines because each situation is different, but the more complex the situation the more skilled and experienced the practitioner should be. Practitioners should also consider increasing level of supervision/intervision as required. Trainee practitioners should discuss with their supervisor whether doing virtual VIG with their client is appropriate and safe. What other CPD opportunities can VIG practitioners make to acquire the competence to deliver VIG in more challenging situations?

Practitioners/supervisors/organisations can carry out a simple risk assessment of using the different video conference platforms to check the benefits outweigh the risk and what they are doing to mitigate the risks.

VIG practitioners should apply the same standard of care and ethical standards in delivery of online VIG as they would in face to face VIG.

Check the organisation’s policy and that the way you are delivering VIG fits within new ways of working in response to the covid-19 pandemic.

Does practitioner understand how to adjust settings so that client and practitioner can still see each other when practitioner is sharing screen?

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Consider using a simple checklist for the practitioner to use to remember to discuss the points in section 4. This can also can be used as a record of this discussion. There is an example checklist from https://www.nationalregister.org/npc-telepsych-video/ on the ‘zoom section’ of www.videointeractionguidance.net although it would have to be edited a lot to be relevant to UK and VIG practice.

4.2 Client considerations

Before starting VIG with a client, practitioners (with support from their line manager and VIG supervisor) should undertake a simple risk assessment to consider the relative risk of delivering VIG virtually against the risk of not delivering VIG.

In some instances, for clients deemed as vulnerable or at higher risk if direct support/intervention is ceased, the benefits of VIG delivered virtually following an appropriate risk assessment may outweigh the risks.

It may be that the risk of delivering a therapeutic intervention via web based platform increases:

-for clients who have Axis 2 features (e.g. personality disorder/psychosis)-Where there is already a difficult working relationship-Practitioner is inexperienced with using the technology-High risk client-Situation with custody issues/ high levels of conflict-Client with reduced social support

This links to reviewing practitioner competence (see 4.1 bullet point 2). Plan with client for unplanned ending of a VIG session whether this is because of

technology glitch (the other person should stay in the meeting and wait for the person to rejoin? Send a new invite? Make contact via email/ text/call?) or client leaving the session unexpectedly. If someone becomes distressed or there is concern for their safety or immediate physical threat have a plan of what you will do and who/how to contact. This should link to your organisation’s usual clinical emergency plans.

Provide appropriate and reasonable support to client for using the platforms (e.g. instructions/guidance). The step by step guidance in Appendices 1, 2 and 3 can be used.

4.3 The video conferencing sessions themselves

Where will you sit during the session? Lighting should be at the side/front rather than from behind. Will you use a virtual background and if not, what will your client see behind you? What likely visual and auditory distractions are there and how can you minimize them? How likely will you have any interruptions and what can you do to manage them? Who else is in the house and how will you ensure privacy?

Where will your client be during the sessions? Are there any mobility/access issues for your client that may impact on the sessions and how will you address these? Where will their children be? Who else is in the house and how will this impact on the efficacy and the safety of the sessions? What plans can you make to mitigate this? What can practitioner and client do if client feels they are being interrupted or does not want to continue the session.

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At start of the session confirm location of client. Confirm contact numbers so they can reach you and you can reach them. Revisit your emergency contact plan.

At the start of each session you may need to spend longer checking in with client and how ready they are to start. You might check in with them more frequently in the session because you’re not in the same physical space.

How does attunement work during a web based meeting? What adaptations might you need to make? Might you want to negotiate with the client how far you both sit from the screen so that you can both be seen and heard but so that you don’t appear too overpowering to each other if sat too close to the camera?

Use of chat feature may allow easier communication at times if the session needs to be ended unexpectedly or information needs to be shared without others overhearing. This can be communicated with the client.

Protecting the child: how will you protect the child from overhearing comments/questions made by practitioner and client which might be unhelpful/harmful for the child to hear? (use of headphones, chat function?)

Consider the length of the shared reviews – it can be tiring looking at screens and so they may need to be shorter than usual; how will you factor some movement breaks in if necessary?

4.3 Information governance and IT security considerations

Informed consent – in addition to usual methods of gaining informed consent, how will you help clients understand:

o the unique concerns related to delivering VIG virtually and weigh up the risks and benefits of doing VIG remotely? that there is a potentially increased risk to confidentiality inherent in the use of telecommunication and how these weigh up with risk of not doing VIG/benefits of doing VIG;

o Any limitations that delivery of VIG virtually has in relation to face to face;

o that delivering VIG remotely is relatively new and that initial feedback is that it works well and that the method of VIG is likely to be suited to web based delivery;

o Clear understanding of confidentiality, information security and storage, although this will not be very different from usual VIG consent, just different in the ‘how’ this data is obtained and shared;

o If the client is taking their own film, the practitioner will need to identify a secure method of transferring the film. You will also need to confirm that the client is happy to do this and ask them to delete their film as soon as it has been transferred to you;

o How will you document this and how will client provide written consent?

o Do not use in a public network

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o Make sure that practitioners understand that they have responsibility to make reasonable steps to ensure security measures are in place

o Do not reveal information that might identify a client or supervisor (e.g. use of full names, addresses, work setting, service name etc) during any virtual meeting;

o Keep a tidy desktop– make sure there is nothing visible that could reveal confidential information about yourself or other clients;

o Set a new password for each meeting (now default by zoom);

o Use a different personal meeting ID for each meeting (rather than using the personal meeting room, which uses the same id and password every time, so this needs to be switched off in settings);

o Consider carefully how and with whom you share the meeting ID and password;

o Do not allow participants to join the meeting before the host;

o Set up a ‘waiting room’, so host will only accept someone to join the meeting who they know (now default by zoom);

o Enable ‘play sound’ when anyone leaves or enters a meeting for all to hear;

o Practitioners consider allowing screen sharing for host only when they are hosting;

o Disable remote control;

o Consider whether you wish to disable re-entry of participants to meeting and whether to lock meeting once the practitioner and client are in the call;

o Only allow host to record meetings and consider where to save the recordings (e.g. in the cloud or on local drive – different organisations may take different views as to what is more safe so check your organisation’s view on this);

o Check with your organisation’s IT policy whether to encourage your client to download the app or not;

o Consider the use of headphones by the practitioner and possibly the client to ensure that no sensitive information is overheard in the environment where VIG is carried out;

o Live chat’ features – practitioners should not click on attachments or links from clients if you were not expecting them to be sent.

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Discuss with your client any possible recording during the sessions (e.g. recording client-child interactions as the therapeutic tool for VIG and recording the shared review for supervision purposes). Disable client recording (latest zoom update allows this feature).

How will you dispose of data safely?

Keep reviewing the virtual platform that you are using to ensure it remains fit for VIG purposes and that it continues to meet security and data processing requirements. Similarly, review different platforms to consider whether another platform meets your needs better.

These points are all relevant to video call supervisions, intervisions, training days and accreditations.

5 What do some professional bodies say about delivery of service via virtual platforms, IT systems and data protection/information governance?

5.1 NHS Covid-19 Information Governance advice for health and care professionals (see link below):

states that we will need to work in different ways from usual and the focus should be what information you share and who you share it with, rather than how you share it.https://www.nhsx.nhs.uk/key-information-and-tools/information-governance-

guidance/health-care-professionals

“It encourages the use of videoconferencing to carry out consultations [VIG would fit with this] with patients and service users. This could help to reduce the spread of Covid-19. It is fine to use video conferencing tools such as Skype, WhatsApp, Facetime as well as commercial products designed specifically for this purpose.

The consent of the patient or service user is implied by them accepting the invite and entering the consultation. But you should safeguard personal/confidential patient information in the same way you would with any other consultation.”

Please note though, this guidance does not make clear whether it includes recording web meetings.

5.2 HCPC guidance: Many VIG practitioners are regulated by HCPC and includes professionals working in health, care and education

“As registered professionals, the first concern of the individuals on our registers will be the care of their patients and people who use health and social care services. We encourage health and care professionals, working in partnership with each other and people using services, to use their professional judgement to assess risk to deliver safe care informed by any relevant guidance and the values and principles set out in their professional standards.

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We recognise that in highly challenging circumstances, professionals may need to depart from established procedures in order to care for patients and people using health and social care services. Our regulatory standards are designed to be flexible and to provide a framework for decision-making in a wide range of situations. They support professionals by highlighting the key principles which should be followed, including the need to work cooperatively with colleagues to keep people safe, to practise in line with the best available evidence, to recognise and work within the limits of their competence, and to have appropriate indemnity arrangements relevant to their practice.”

5.3 Guidance for psychological professionals during Covid -19 (BPS, BPC, ACP, BABCP, ACPuk, AFT, PPN, UKCP, BACP) says in 3.7

“The priority is continuation of services and data protection concerns should not prevent this. The Information Commissioner’s Office will not penalise organisations that need to adapt their usual approach.”

5.4 Information Commissioners Office:

“Against this backdrop (Covid-19 pandemic), it is right that we must adjust our regulatory approach.

Our UK data protection law is not an obstacle to such flexibility. It explicitly sets out the importance of my office taking regard of the general public interest, and allows for people’s health and safety to be prioritised without the need for legislative amendment.

A principle underpinning data protection law is that the processing of personal data should be designed to serve mankind. Right now, that means the regulator reflecting these exceptional times, and showing the flexibility that the law allows.

We must reflect these exceptional times. We will continue to recognise the continuing importance of privacy protections, and the value of transparency provided by freedom of information. These rights are a part of modern life we must not lose. But my office will continue to safeguard information rights in an empathetic and pragmatic way that reflects the impact of coronavirus.”

Bibliography

American Psychological Society: Guidelines for the practice of telepsychology https://www.apa.org/practice/guidelines/telepsychology

https://blog.zoom.us/wordpress/2020/04/01/facts-around-zoom-encryption-for- meetings-webinars/

British Psychological Society, Division of Clinical Psychology: Effective Therapy Via Video: top tips

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https://www.forbes.com/sites/zakdoffman/2020/01/28/new-zoom-roulette-security-warning-your-video-calls-at-risk-from-hackers-heres-what-you-do/#35e03067343d

https://ico.org.uk/about-the-ico/news-and-events/news-and-blogs/2020/04/video- conferencing-what-to-watch-out-for/

https://www.nationalregister.org/npc-telepsych-video/

https://www.vice.com/en_us/article/k7e599/zoom-ios-app-sends-data-to-facebook- even-if-you-dont-have-a-facebook-account

https://www.zdnet.com/article/zoom-fixes-security-flaw-that-could-have-let- hackers-join-video-conference-calls/

https://zoom.us/gdpr

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Appendix 1: Step by step instructions for using zoom for VIG with clients written by Rachel Pardoe, VIG supervisor

Filming a client

You can use Zoom with a client using their laptop, PC, iPad, Tablet etc. or mobile phone. They don’t need to download Zoom (for free) from the internet or mobile App Store, but it might make things easier.If they haven’t downloaded Zoom, they can join the meeting by clicking on the link you send via email or mobile messaging.

1. Set up the meeting as above2. Start the meeting and check client can see and hear you, and vice versa3. Ask the client to orientate their device so that you can see them and their child

– preferably standing up the device so they don’t have to hold it.4. If your client is using a mobile, ask them to rotate their phone (ie hold it

horizontally) while you are filming – otherwise your film will be a narrow vertical window.

5. Explain as you usually do that the filming can be paused or stopped at any time.

6. Before your press Record, right click on the window showing yourself on the screen and select Hide self view from the drop down menu. This will leave only the client view on the screen.

7. During filming of your client/client’s activity, you can prevent the camera from recording you, eg when you give any spoken VIG practitioner directions. Select the pin video option. This can be found by hovering over your client’s video window, and clicking on the 3 horizontal dots … The option to pin video will appear.

8. At the end of filming, you can select Show self view from the menu, so that you can again see both you and your client.

Following filming you will microanalyse and edit clips as normal.

Conducting a shared review remotelyTo conduct a shared review remotely, you will need to share your screen with the client. You can also record the shared review – although while you are viewing/pausing the video, you and your client will appear in small windows to the right of your screen (called ‘Video panels’). You can only film yourself and the client in larger windows when not sharing your screen.

1. Set up the meeting as above.2. Have ready your parent-child clips to show.3. Start the meeting and check the client can see and hear you, and vice versa4. Before you share your screen, press Record to start filming the shared review

(you cannot start recording once in share screen mode). A red record icon appears on your screen (top left) and on your client’s screen.

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5. To show a parent-child clip, select Share (green icon on toolbar) to share your screen.

6. To share computer sound, select ‘More’ on toolbar, and then select Share Computer sound.

7. Do not select Optimise for full screen otherwise the video panels of you and the client will disappear.

8. Your recording will be of the parent-child clip you are showing, and the 2 small video panels showing you and the client – the size of these panels makes it harder to look at practitioner-client attunement. Once you have finished looking at clips, and if the shared review discussion continues, you can stop sharing your screen and continue recording – with the 2 panels of you and your client now normal size.

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Appendix 2: Information to share with clients about using zoom

In these difficult times, VIG can be done remotely using Zoom. You can use Zoom for free. The same safe practice is followed regarding confidentiality. All recordings are stored on the VIG practitioner’s device.

Accessing ZoomYou will need to access Zoom on your device, eg a PC, laptop, iPad, or mobile phone.

You don’t need to download Zoom (for free) from the internet or mobile App Store, but it might make things easier. If you want to download zoom, you can do so from:https://Zoom.us/If you are using your mobile, and you download Zoom from the App Store, you will need to.

Agree the Terms and Conditions Allow access to your camera.

VIG session using Zoom1. Before your VIG session time, check your email (or mobile phone messaging)

for an invitation from your VIG practitioner to join a Zoom meeting. 2. At the agreed time, click on the Zoom link.3. Make sure you join with audio and video.4. You will see your VIG practitioner, and yourself, on screen and be able to

hear each other.

With your consent, your VIG practitioner will film you and your child playing/interacting together. Here is what you need to do:

1. Move your device so that you and your child can be seen by your VIG practitioner.

2. If you are able to prop up your device so you don’t have to hold it, this is much better.

3. The filming will last 5-10 minutes and can be paused or stopped at any time.4. When your VIG practitioner stops the recording, you will be able to continue

the session, talking to each other again via Zoom.

If you are using a mobile phone, rotate your phone (ie hold it horizontally) during the filming. This gives your VIG practitioner a better view.The recorded film is stored on your VIG Practitioner’s device, not yours. As is usual with VIG, your VIG practitioner will edit the film, and share the selected clips of ‘best moments’ with you at a later time, in a shared review.Your VIG practitioner will set up another Zoom meeting to have the shared review – and will show you clips by sharing their screen with you.Please do ask any questions about this. We hope that VIG therapeutic work can continue by taking advantage of online facilities. Thank you for being prepared to try this out, and bearing with the inevitable communication challenges.

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Appendix 3: Guidance for using Microsoft Teams for VIG

Invitations to families can be sent via outlook calendar or the meetings tab on the front page of Microsoft teams. For Hotmail email addresses we have encountered some problems. Other emails addresses such as gmail work well.

Ask parents to click on the join Microsoft teams meeting link which they will have received as an email below:

Parents may receive the message below and need to click ok

Download Microsoft teams app

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After download, parents will be prompted to open the app

If parents don’t have an account they can sign up and enter their email address and date of birth. instructions on how to do this are here:https://support.microsoft.com/en-sg/help/4026324/microsoft-account-how-to-create

After this, parents can go back to meeting invite and click on link – this should take them st into the meeting and ‘into the lobby’. Click invite into meeting and support them to turn on their sound and video.

For shared reviews or to stream video content Click on the 3 dots on the task bar to start recording the meeting if needed

and consent has been given, (eg for supervision or intervision) Both the presenter and the parent will see that the session is being recorded.

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Click on the share screen icon and ensure that the clips or stills you want to share are open and in pause mode. Before choosing the film, ensure that the ‘connect to system audio box’ is ticked otherwise there will be no sound. The parent will see the film in full screen and will still be able to see you in a smaller box.

Connect to system audio box to be ticked to allow sound

The film will be saved to Microsoft Stream where it can then be saved downloaded and edited in the same way

Taking VIG films via MST Currently the record meeting function in MST does not work adequately for

filming play or interactions as the recording is saved in split screen. Use software as agreed by your organisation such as ‘ free cam a’ which can

be installed on your laptop. This software allows you to record your screen and audio while in a MST meeting, making editing easier and showing more of the VIG interaction between parent and baby, while also allowing the parent

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to see you and for you to support them to scaffold the interaction. Films taken can be saved and edited in the same way as face to face sessions although more care and scaffolding of the interaction needs to be considered (where parent’s place their phone or laptop to ensure you can view and film the interactions well)

Emma Custance April 2020

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