• The play
therapist should review the state and/or
federal
guidelines, as well as their professional organization’s legal and ethical code regarding the use of technology with teens.
• Use platforms that are HIPAA compliant and that agree to provide a Business Associate Agreement (BAA). The most up to date HIPAA regulations and guidelines should be reviewed and followed.
The standard of care for a teleplay session is the same as an in- person visit (Jeffrey et al., 2020). Remember to: and its limits.
technology issues and a plan to manage challenges.
• Discuss with caregivers the device and camera set-up including video quality, lighting, and audio.
• Ensure session time is being held in a private space (e.g., away from siblings or other family members). Request that the client verify privacy of the space.
With appropriate planning and consideration, teleplay therapy can be private, ethical, supportive, and functional for many busy families.
Teleplay Therapy in Action One of the authors wrote a case study reflection in March of 2020
after beginning teleplay therapy with a 13-year-old female shortly after the pandemic began.
Yesterday, I used a creative drawing activity with a teen. She did a good job of drawing the objects but when it came to processing, proceeded and the client realized each object would be processed, she started catching on that this takes a bit more in depth thought and expressed herself more fully. The client
then began to turn
off the video and started clicking buttons on settings and turned the volume on and off. By nonjudgmentally tracking her actions, reflecting her feelings of excitement and intrigue, using patience, and then gently re-directing, I noticed that she was more willing to respond. I also recognized that she probably needed to have some control, fun, novelty, and excitement during the session and therefore wanted to manipulate the technology, which was understandable considering teen brain development. Additionally, the teen was likely showing me that
this technology was her domain and felt
more at liberty to be authentic and bold. She later participated in an online sandtray activity. This gave her an opportunity to express herself non-verbally, and she seemed less pressured than during in-person sessions. Later, she processed her sandtray with ease. to accommodate the stage of brain development for teens.
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26 | PLAYTHERAPY | June 2022 |
www.a4pt.org
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