Telehealth vs In-Person Therapy

Published on

21 October 2024

Category: Speech Pathology

A child doing in person occupational therapy

Telehealth has emerged as a convenient alternative to traditional in-person therapy sessions in the ever-evolving healthcare landscape. While telehealth appointments offer a range of benefits, especially regarding accessibility and convenience, it is essential to consider the unique advantages of in-person therapy, particularly for children and therapists. In-person therapy sessions provide an environment that fosters better communication, stronger therapeutic relationships, and more effective outcomes.

For children, in-person therapy offers a structured and interactive setting that is difficult to replicate through a screen. The physical presence of a therapist can significantly enhance a child’s engagement and participation. 

Children often respond better to face-to-face interactions where they can read body language, observe facial expressions, and engage in hands-on activities that are crucial for their development. In-person therapy also allows therapists to create a safe and controlled environment tailored to each child’s specific needs, facilitating a more personalised and practical therapeutic experience.

Therapists, too, benefit immensely from in-person sessions. Being physically present with their clients enables therapists to pick up on subtle cues and non-verbal signals that might be missed during virtual sessions. 

This deeper level of observation is vital for accurately assessing a child’s progress and adjusting treatment plans accordingly. Moreover, the rapport and trust built through direct human interaction are foundational to successful therapy, helping children feel more comfortable and open during their sessions.

While telehealth has its place in modern healthcare, it is essential to recognise that in-person therapy provides irreplaceable benefits that significantly enhance the therapeutic experience for both children and therapists. For parents considering the best approach to support their child’s mental and emotional well-being, prioritising in-person therapy can make a profound difference in their child’s developmental journey.

What is an In-Person Therapy Session?

An in-person therapy session involves a child meeting with a therapist face-to-face in a clinical or therapeutic setting. These sessions are designed to provide a safe, structured, and engaging environment where children can receive personalised care tailored to their specific needs. In-person therapy allows therapists to utilise a range of techniques and tools that are often difficult to replicate through virtual platforms.

During an in-person session, therapists can interact directly with the child, observing their behaviour, body language, and responses in real time. This hands-on approach enables therapists to adapt their strategies on the spot, ensuring that the therapy is responsive to the child’s immediate needs and reactions. The therapist’s physical presence also helps build a stronger therapeutic relationship, fostering trust and rapport that are invaluable for effective therapy.

In-person therapy sessions often include activities requiring physical interaction, such as play therapy, sensory integration exercises, and motor skills development. These activities engage children and are essential for their developmental progress. The therapist can guide the child through these exercises, providing immediate feedback and encouragement, which enhances the learning experience.

In-person therapy settings, such as clinics like BillyLids in Queensland, are specifically designed to be child-friendly and conducive to therapy. These spaces are equipped with therapeutic tools and resources supporting various interventions. Moreover, the structured environment helps children focus and engage more effectively, making the therapy sessions more productive.

Overall, in-person therapy provides a holistic and immersive experience that supports the child’s development in ways that virtual sessions may not be able to match. The direct interaction, immediate feedback, and specialised environment all contribute to its effectiveness, making it a preferred choice for many parents and therapists.

A child doing in person speech therapy

How Do In-Clinic Appointments Work?

In-clinic appointments offer a hands-on, face-to-face approach to therapy, allowing healthcare providers to deliver services in person. The process begins by scheduling an appointment, similar to other healthcare settings. Once an appointment is set, families arrive at the clinic at the agreed time.

During the in-clinic session, therapists work directly with the child and often involve parents or caregivers in the process. The therapist may use physical tools and materials, such as toys, books, or therapy equipment, to engage the child in activities tailored to their therapeutic goals. This environment allows therapists to conduct assessments and interventions that require direct observation and interaction, providing opportunities to closely monitor progress and adjust strategies as needed.

In-clinic appointments also enable a more personal connection between the therapist and the child. The therapist can provide immediate, hands-on guidance, such as adjusting posture, demonstrating techniques, or modeling behaviours. Sessions might include a range of therapeutic techniques, from speech and language exercises to physical and occupational therapy activities, depending on the child’s individual needs.

To ensure a smooth experience, families are encouraged to arrive on time and bring any necessary items, such as reports, communication devices, or comfort objects. The clinic space is designed to be engaging, supportive, and comfortable for children, creating an optimal setting for therapy.

In-clinic sessions provide a deeper level of interaction, with opportunities for therapists to observe subtle behaviours, social cues, and physical movements that can sometimes be harder to assess through virtual platforms. This in-person engagement allows for a comprehensive, tailored approach to therapy.

What Are the Benefits of In-Clinic Appointments?

In-clinic appointments offer several advantages, making them an essential option for families seeking comprehensive, hands-on therapy for their children. One of the primary benefits is the opportunity for direct interaction. In-person sessions allow therapists to engage children through physical activities, hands-on techniques, and real-time adjustments, which can be especially valuable for therapies that involve movement, coordination, or sensory integration.

Another significant benefit is the ability to observe subtle behaviours and physical cues that might be missed in virtual settings. In-clinic sessions give therapists the chance to closely monitor a child’s body language, social interactions, and responses to different stimuli, providing a more thorough assessment. This leads to tailored interventions that can be adjusted on the spot, ensuring the child is fully supported during therapy.

In-clinic appointments also provide access to specialised equipment and materials that may not be available at home. Therapists can use a wide range of tools to create dynamic, engaging sessions that enhance the child’s learning and skill development. This includes everything from sensory play areas to fine motor tools, which are essential for certain therapeutic goals.

For many families, in-clinic appointments help create a structured routine. The dedicated space and time away from home can reduce distractions and encourage the child to focus fully on therapy. It also fosters a stronger personal connection between the therapist, the child, and their family, building trust and collaboration.

In addition, the clinic environment offers a supportive and therapeutic setting where children can feel safe and engaged, surrounded by professionals who understand their needs. This immersive experience can have a positive impact on the child’s progress, helping them develop essential skills in a well-equipped and controlled environment.

While in-clinic therapy may require time for travel, the benefits of direct interaction, immediate feedback, and access to professional tools make it a highly effective approach for many children.

Child playing in a sensory gym

When to Use In-Clinic Appointments

In-clinic appointments are the best choice for many children when hands-on, direct interaction is necessary to achieve therapy goals. They are particularly important for therapies that require physical involvement, such as occupational therapy, physiotherapy, or speech therapy that focuses on oral-motor skills. In these cases, the therapist needs to closely observe, guide, and physically assist the child to ensure proper technique and progress.

In-person sessions are also recommended when a thorough assessment is needed, especially for evaluating a child’s posture, movement, fine motor skills, or sensory responses. These assessments are more accurate when performed in a clinic setting, where therapists can use specialised tools and techniques to gather essential data.

For children who struggle with attention or focus, an in-clinic environment can offer fewer distractions and a structured space designed for therapy. The controlled environment allows the therapist to manage the session more effectively and tailor activities to the child’s specific needs.

In-clinic appointments are particularly helpful when working on complex interventions, such as feeding therapy, where physical guidance is critical. Additionally, children who benefit from using equipment, like sensory swings, fine motor tools, or adaptive technology, will find in-clinic therapy beneficial due to access to these specialised resources.

For families who prefer a highly interactive, hands-on approach or who want to build a stronger, personal connection with their therapist, in-clinic appointments are ideal. They offer the opportunity for immediate feedback, guidance, and real-time adjustments that can lead to faster progress.

Ultimately, in-clinic appointments are most appropriate when physical presence and the use of specialised tools are essential to the success of the therapy, ensuring children receive the comprehensive, tailored support they need.

Child occupational therapy and speech pathology Telehealth

What is a Telehealth Appointment?

Telehealth appointments have gained significant popularity, especially since the onset of the COVID-19 pandemic. These sessions allow patients to consult with healthcare professionals via digital platforms, such as video calls, phone calls, or online messaging. The convenience of telehealth has made it a favoured option for many, as it eliminates the need for travel and reduces waiting times, making healthcare more accessible to a broader population.

Telehealth appointments are conducted using secure, HIPAA-compliant platforms that ensure patient confidentiality and privacy. These sessions can include a wide range of services, from general consultations and follow-up appointments to specialised therapy sessions and mental health support. For families with children, telehealth has provided a way to continue receiving necessary therapeutic interventions during times when in-person visits were not possible or practical.

The pandemic catalysed the rapid adoption of telehealth, as social distancing measures and lockdowns restricted traditional face-to-face healthcare interactions. This shift highlighted the potential of telehealth to bridge gaps in healthcare accessibility, especially for those living in remote or underserved areas. Telehealth’s flexibility and convenience have made it a vital tool in maintaining continuity of care during unprecedented times.

However, while telehealth has proven to be a valuable resource, it is essential to understand that it is not a one-size-fits-all solution. For certain conditions and patient groups, particularly children, the nuances of in-person interactions cannot be entirely replicated through a screen. For parents and guardians of children requiring therapy, it is essential to balance the benefits of telehealth with the irreplaceable advantages of in-person therapy — ensuring that children receive the most effective and comprehensive care possible.

How Does Telehealth Work?

Telehealth operates through the use of digital communication technologies, enabling healthcare providers to deliver services remotely. The process typically involves scheduling an appointment with a healthcare provider, similar to traditional in-person visits. Once the appointment is set, patients receive a link or instructions to join a secure virtual meeting room at the scheduled time.

During the telehealth session, the patient and the healthcare provider connect via video, phone, or secure messaging platform. Video calls are the most common method, as they allow for visual assessment and more personal interaction. The healthcare provider conducts the session much like they would in person, asking questions, providing advice, and guiding the patient through any necessary examinations or exercises.

Telehealth therapy sessions, particularly for children, involve engaging the child through the screen. Therapists may use digital tools and interactive activities to maintain the child’s attention and involvement. These sessions can include a variety of therapeutic techniques — from cognitive-behavioural strategies to speech and occupational therapy exercises.

To ensure a successful telehealth session, it is important to have a reliable internet connection and a quiet, private space free from distractions. Devices such as computers, tablets, or smartphones with cameras and microphones are necessary for video calls. Some telehealth platforms also offer features like screen sharing, virtual whiteboards, and document sharing, which can enhance the therapy experience.

While telehealth is convenient and accessible, it requires careful planning and adaptation from both therapists and families. Ensuring the child is comfortable with the technology and environment is crucial for effective therapy. 

Despite technological advances, the virtual nature of telehealth can sometimes limit the depth of interaction and observation that in-person sessions provide, highlighting the need for a balanced approach to utilising these services.

What are the Benefits of Telehealth?

Telehealth offers numerous benefits, making it an attractive option for many families. One of the most significant advantages is convenience. Telehealth eliminates the need for travel, saves time, and reduces the stress of commuting to and from appointments. This mainly benefits families living in remote areas or those with tight schedules.

Another key benefit is accessibility. Telehealth makes it possible for individuals to receive care from specialists who may not be available locally. This is especially important for children with specific needs that require specialised therapy, as telehealth can connect them with experts from anywhere in the country. Additionally, telehealth can reduce the barriers to accessing care for those with mobility issues or chronic illnesses that make travel challenging.

Telehealth also offers flexibility. Appointments can often be scheduled outside of traditional office hours, providing more options for families. This flexibility can lead to better adherence to therapy plans, as it is easier to fit sessions into busy lives. Furthermore, telehealth allows for continuity of care during times when in-person visits are not feasible, such as during the pandemic or for families facing temporary relocations.

Another notable benefit is cost-effectiveness. Telehealth can reduce the financial burden associated with transportation and time off work. Some telehealth services are also more affordable than their in-person counterparts, making therapy more accessible to families with limited financial resources.

Despite these advantages, it is important to recognise that telehealth may not be suitable for all situations. The lack of physical presence can sometimes hinder the effectiveness of therapy, especially for children who benefit from hands-on activities and direct interaction with their therapists. 

While telehealth is a valuable tool, it is essential to consider the specific needs of each child and the nature of the therapy required.

Telehealth with a child

When To Use Telehealth

Telehealth is an excellent option in various scenarios, providing a practical solution for maintaining continuity of care. It is particularly useful during times when in-person visits are not possible, such as during the COVID-19 pandemic or other public health emergencies. Telehealth can also be advantageous for families living in remote or rural areas with limited access to healthcare facilities and specialists.

For children with mobility issues or chronic illnesses that make travel challenging, telehealth offers a way to receive necessary therapy without the physical strain of commuting. It is also beneficial for families with tight schedules, as telehealth appointments can often be arranged outside of traditional office hours, fitting more seamlessly into daily routines.

Telehealth can serve as a valuable supplementary tool, providing additional support between in-person sessions. For example, follow-up appointments, progress check-ins, and consultations that do not require physical examination can be effectively conducted via telehealth. This approach helps maintain momentum in therapy and ensures that any emerging issues are addressed promptly.

Moreover, telehealth can be a preferred option for initial consultations or assessments, allowing therapists to gather preliminary information and determine the best course of action for in-person sessions. It is also helpful for parents seeking expert advice on managing specific behaviours or implementing therapeutic strategies at home.

However, it is imperative to recognise the limitations of telehealth. For therapies that rely heavily on physical interaction, such as occupational therapy, physiotherapy, or certain types of behavioural interventions, in-person sessions are often more effective. 

The decision to use telehealth should be based on the child’s individual needs, the nature of the therapy, and the therapist’s professional judgement. Balancing telehealth with in-person visits can ensure that children receive comprehensive and effective care.

How Does Telehealth Compare to In-Person Therapy?

When comparing telehealth to in-person therapy, it becomes clear that while telehealth offers convenience and accessibility, in-person therapy provides unique benefits that are particularly important for children’s development. Clinics like BillyLids in Queensland exemplify how a clinic’s physical space can enhance the therapeutic experience for both children and therapists.

In-person therapy allows therapists to work side-by-side with children, creating opportunities for incidental learning that are often missed in telehealth sessions. The tactile and interactive nature of in-person therapy enables therapists to use a variety of tools and activities that engage children in ways that virtual platforms cannot. This hands-on approach is essential for therapies that involve physical activities, such as occupational therapy and physiotherapy.

One significant advantage of in-person therapy is the ability to address problem-solving questions immediately. In a clinical setting, therapists can observe and respond to a child’s behaviour and needs in real-time, providing instant feedback and guidance. This immediacy is particularly beneficial for younger children who may struggle to stay engaged or focused during virtual sessions. The presence of a therapist can also help children feel more secure and supported, enhancing their willingness to participate and open up during therapy.

Additionally, many parents prefer in-person therapy despite the travel involved, as they recognise the benefits of a structured and controlled environment. The clinic setting provides a dedicated space free from the distractions of home, allowing children to focus entirely on their therapy. This dedicated time and space can lead to more effective sessions and better overall outcomes for the child.

While telehealth has advantages, in-person therapy offers irreplaceable benefits essential for comprehensive and effective care. The physical presence of a therapist, the interactive environment, and the ability to provide immediate support and feedback make in-person therapy a superior choice for many children and their families.

FAQ’s

What Are The Limitations Of Telehealth In Australia?

Telehealth, while beneficial in many ways, has several limitations in the Australian context. One of the primary challenges is the issue of internet connectivity, especially in rural and remote areas. Many regions in Australia still struggle with unreliable or slow internet, which can significantly hinder the effectiveness of telehealth sessions. Poor connectivity can lead to disruptions, making it difficult for therapists to conduct thorough assessments and maintain engagement with the child.

Another limitation is the lack of physical interaction required for certain types of therapy. Therapies that rely on hands-on techniques, such as physiotherapy or occupational therapy, are less effective when delivered remotely. The absence of physical presence makes it challenging for therapists to provide immediate adjustments and support during exercises, which can impact the child’s progress.

Telehealth also presents challenges in building rapport and trust, which are essential components of effective therapy. The screen creates a barrier that can make it harder for children to feel comfortable and open up during sessions. Non-verbal cues, such as body language and facial expressions, are also less perceptible, limiting the therapist’s ability to understand and respond to the child’s needs fully.

The home environment can introduce distractions that are not present in a clinical setting. Interruptions from family members, pets, or household activities can disrupt the flow of the session, reducing its effectiveness. While telehealth offers valuable benefits, these limitations highlight the importance of balancing it with in-person therapy to ensure comprehensive care.

What Is The “20 Rule” For Telehealth?

The “20 Rule” for telehealth refers to a guideline for managing screen time during virtual therapy sessions. This rule suggests that for every 20 minutes of screen time, children should take a break to reduce eye strain and maintain focus. The breaks can be brief, lasting around 20 seconds, and should involve looking at something 20 feet away. This practice helps alleviate the fatigue associated with prolonged screen use, which is particularly important for younger children who may find it difficult to stay engaged for extended periods.

Implementing the 20 Rule in telehealth sessions is essential to maintaining the child’s attention and ensuring the therapy’s effectiveness. Therapists can incorporate these breaks into the session by planning short, interactive activities that allow the child to step away from the screen momentarily. These activities can include physical exercises, mindfulness practices, or simply looking out of a window to rest the eyes.

Parents play an integral role in supporting the 20 Rule by creating a conducive environment for these breaks. Ensuring that the child has a quiet, distraction-free space for telehealth sessions and encouraging them to take regular breaks can enhance the overall experience. Adhering to this rule helps mitigate some of the challenges associated with virtual therapy. It promotes better engagement and outcomes for the child.

By incorporating the 20 Rule, telehealth sessions can be more manageable and effective, addressing one of the key limitations of virtual therapy for children. It is a simple yet impactful guideline that helps balance the convenience of telehealth with the need to maintain the child’s well-being during screen-based interactions.

s rule helps ensure that children receive the care they need for their development and overall health.

Is It Better To Have An In-Person Session vs A Telehealth Session?

For several reasons, in-person therapy sessions are generally better than telehealth sessions, benefiting the child, therapist, and parents. For children, in-person sessions provide a structured and interactive environment that is difficult to replicate through a screen. The physical presence of a therapist enhances engagement and participation, allowing for hands-on activities that are necessary for developmental progress. Children can benefit from the immediate feedback and guidance provided during in-person sessions, making the therapy more effective.

For therapists, in-person sessions enable better observation and assessment. Therapists can pick up on subtle cues and non-verbal signals that might be missed during virtual sessions. This deeper level of observation is essential for accurately understanding a child’s needs and adjusting treatment plans accordingly. The ability to work side-by-side with children also facilitates incidental learning, where therapists can model behaviours and skills that children can observe and imitate.

Clinics like BillyLids in Queensland exemplify the advantages of in-person therapy, providing dedicated spaces equipped with therapeutic tools and resources. These environments are designed to be child-friendly and conducive to therapy, helping children focus and engage more effectively. Parents often prefer in-person therapy despite the travel involved, recognising the benefits of a structured and controlled environment. The clinic setting offers a distraction-free space that enhances the quality of therapy, leading to better outcomes for the child.

For parents, in-person therapy provides peace of mind, knowing their child is receiving comprehensive care in a supportive environment. The direct interaction with therapists also allows parents to receive immediate feedback and guidance, helping them support their child’s progress at home.

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