PACT Video call delivery – Guidance for caregivers

** Only use this recording method if it has been agreed by your Trust/Manager and IG **

To record iBASIS or PACT session feedback without using internet data.

Part 1 –Recording play video 

1. Before the session, make sure you have closed all confidential files/windows/videos on your computer to ensure you do not accidentally share them with the share window function.
2. Type Camera into your start bar to find the programme. Open the Camera
3. Make sure the parent/child are in view on the screen. Click the take video icon. It will make a sound and start recording, and you will see the time recorded at the bottom. You cannot minimisethe application (it will stop recording) but could either put a piece of paper over your screen (not covering the camera lens) or open another less interesting page/app over the top of the application e.g. empty google web page.
4. Record for 5-6 minutes. Then click the square stop button. The recording should drop into your Pictures/Camera Roll folder.
5. Open the recording from the folder or from the square tile image in the bottom right of the Camera app. You may want to resave it elsewhere using the 3 dots in the top right.
6. Open the file using your preferred viewing application, e.g., a media player, and plan your session feedback. Leave the child/parent play video open.

Part 2 – Recording your Feedback session. 

1. Open the camera programme
2. Click record and make sure you and the parent are in view. For the recap/review portion of the session, this is all you need to do. The recorded clip will drop into your Pictures folder when you stop recording. You will want to resave it elsewhere.
3. For the video feedback discussion, once you have the Camera programme open and recording you and the parent, open the video in your media player over the Camera programme window. Do not minimise the Camera programme, or it will stop recording.

After the session

• Make sure you have saved and renamed all videos (play, review/recap and feedback & home plan) on the system in a permanent folder.
• Then delete the files from your downloads/pictures folder so you do not accidentally share them in a session with a different family.

To record iBASIS / PACT session feedback using Teams (uses data).

Part 1 – complete part 1 as above using Camera to record your play video. Once it has recorded, open your play video in your media player and check that it is working. Leave this window open.

Part 2 – Record your Feedback session using Teams 

1. Connect to your data.
2. Open Teams
3. Go to Calendar and launch Meet Now. Then launch meeting, then join.
4. Check you and the parent are in view on the screen
5. Go to the 3 dots in teams app upper bar and select record, then start recording. Start recording. This will open a transcript bar on the right-hand side.
6. Once you are sure it is recording, go to ‘share’. Select share window (not share screen) and find the window containing the open parent/child play video. This will open the play video; your face should still be visible but small on the right-hand side of the view.
7. Complete your video feedback discussion with the parent. Then end the meeting on Teams.
8. The recording should be available in Teams under OneDrive, My files, Recordings. Using the dots to the right of the file name, you should be able to resave the file elsewhere.

After the session

• Make sure you have saved both videos (play, feedback & home plan, review) on the system in a permanent folder. Open and play the newly saved files to check they are working.
• Then delete the files from your downloads/teams files.

OPTION A:

You can:

1. record the play video clip on your laptop and then
2. watch it back with the parent through your laptop (Note: Instructions attached on how to do this without Wi-Fi, as in a family’s home it would not be secure to connect to theirs, so it needs to be done without WIFI)
3. Then share the video clip you have recorded through your laptop for supervision purposes. Where you need to record the session, you can also do this without using WIFI if in a family’s home; instructions are also given on the attachment

Before you begin sessions, I would really recommend that you try and record clips on your video and then share and record within your team to practise, so when you go into a live session you are already ready with all the tech and know it works.

If you have work phones, should there be a tech issue with your laptop on the day, you can always record for supervision on your phone, but you would need to find a way to upload this onto your laptop when you get back to base…

OPTION B: Using work phone

Note: works with Lenovo ThinkPads (the laptops at Warks and also at Coventry)

1. You can record the play parent-child clip on your work phone

To watch back the video - You can then connect your work phone to your laptop using the white charging cable - you can then select 'allow computer to access files and photos'. You'll need to put in your phone passcode and then you'll be able to access phone files from your computer (via 'This PC' and 'Apple iPhone' folder will come up when your phone is connected) –This can be done without WIFI if session delivery in the family’s home, in order to meet information governance standards.

 [You can then save on the shared drive and then delete from phone when back on base.]

2. Then for a session that you need to take to supervision, you can either record the parent feedback session on an iPAD or your computer, and watch the parent-child clip with the parent (which was recorded on your phone through the laptop).

For supervision, you will share your recorded session via the Teams call arranged by your supervisor.

Upload onto agreed shared folder – through SharePoint – IMPACT supervisors can send link

OPTION C

You can:

1. record the play video clip on your laptop and then
2. watch it back with the parent through your laptop (Note: Instructions attached as to how to do this without  WIFI, as in a family’s home it would not be secure to connect to theirs, so it needs to be done without WIFI)

Then:-

3. You can record the whole supervision session on your work phone

To watch back the video - You can then connect your work phone to your laptop using the white charging cable - you can then select 'allow computer to access files and photos'. You'll need to put in your phone passcode and then you'll be able to access phone files from your computer (via 'This PC' and 'Apple iphone' folder will come up when your phone is connected) – [You can then save on the shared drive and then delete from phone when back on base.] You can stop/start the recordings in Review; feedback and home plan if recording one long recording is too long for your phones.

OPTION D

Final option (if can't connect phone to laptop without Wifi), is that you records parent-infant clip on iPAD, and records parent feedback on phone, whilst watching clip on the iPAD. As it's a much bigger screen on the iPAD.  

Videoing tips for caregivers

PACT sessions can be done via video call (telehealth) and follow the same format as in-person.

If carried out via telehealth, the caregiver can either send a pre-recorded video 48+ hours before your appointment (see information about this later in the document), or you can record the play interaction during your call.  The following tips will help you prepare and capture a clear, useful interaction:

1.0 Before you start

• Choose a quiet, comfortable space with minimal distractions.
• Test your internet connection to ensure a stable video call.
• Discuss with caregivers what you need to video for each session (see ‘video context’ and ‘toys’ sections later in document). The caregiver /child interactions video recordings will all be 10 minutes long. The full PACT session may be one to one a half hours long including the video feedback discussion.

1.1. Videoing caregiver/child play interaction via video call

If videoing the caregiver/child play interaction live during the video call, ensure that you have let the caregiver note you will start recording and then press record.

• Also ensure that you can see both parent and child and be flexible.

Note: children may move around during the interaction.  If a child walks out of a shot for a moment but returns soon after this is not problematic, but if their attention shifts to another part of the room, ask the caregiver to move the camera their end so the child remains in shot.  Ideally discuss this eventuality before you start recording the interaction to reduce interrupting the play during the recording.

1.2. Videoing caregiver/child play interaction during face-to-face sessions. If recording play interactions in face-to-face sessions in the family’s home or clinic:-

Camera Setup

• Place your device on a stable surface such as a table or tripod.
• Check that the camera angle clearly shows both the caregiver’s and child’s faces.

1.21. Sound

• Keep your device close enough to capture clear audio. Turn off background noise sources like TVs, radios, or fans.

1.22. Lighting

• Use natural light or lamps to brighten the space. Position the camera so that light sources are behind the camera if possible to avoid shadows on faces.
• Adjust curtains or blinds to also avoid shadows on faces.

1.22. Positioning

• Begin in a position so you can see both parent and child
• Be flexible - children may move around during the interaction.

1.23. During Filming

• Ensure both faces are in view but should avoid distracting the child.

Note: if recording on a work laptop, children may be distracted by the screen, so you can place a piece of card or similar over the screen, ensuring the camera remains uncovered.

IMPORTANT: If recording in a child/family home you will not be able to use the family WIFI due to it not being secure and meeting information governance standards for your organisation.  This being the case if you are recording on a work laptop you can record directly on most computers without having to use WIF.  Please refer to separate instructions (‘Recording without WIFI’) for further guidance.

2.0 After Filming

• Upload the video if viewing on your laptop or if using a tablet you can view directly via the laptop.

Ensure you have saved the video in a secure location on your computer / drive when returning to your office / base at least 48 hours before

3.0. If caregivers send in a pre-recorded video

• Remind them to record 10 minutes of them interacting with their child and send at least 48 hours before your session
• Remind them that the video doesn’t need to be perfect! Every moment, even messy or unexpected ones, is helpful so no need to re-record or edit.
• Ensure you have discussed and shared an agreed file sharing platform for them to have uploaded the video.
• Describe the focus of the video / overall theme for the recording such as: “Record interacting with your child with an activity they enjoy”
• You can discuss with the caregiver what types of toys or activities they may make available such as 2-3 toys / activities which your child enjoys for your child to choose from during your recorded play/interaction.

Summary:-

OTHER CONSIDERATIONS WHEN PREPARING FOR PACT DELIVERY - FAQs 

1. What equipment do I have or need?

You will need a device to record the 10-minute caregiver/child interaction and then to watch the video together, which is large enough for the parent to see the video back clearly.

• This could be a camera (such as a Canon) with a memory card, which can then be inserted into your laptop during the session in order to play the recording on a bigger screen.
• Or you could use a tablet (provided you can upload the video afterwards onto your work computer / secure drive).
• Alternatively you could use a work phone provided you can upload this onto your work laptop in session and is quick to upload without WIFI if in the family home.
• Alternatively, you could use your work laptop provided you have tested that you can record easily without WIFI if carrying out F2F sessions in the family’s home.
• Telehealth sessions can be recorded via Teams or other platforms with the parent’s consent.

For accreditation:-

You will also need another device to record yourself carrying out the session (video feedback discussion etc) with the caregiver in order to share later in supervision as you work towards accreditation.  A second device from the previously listed options can work.   Some practitioners choose to record themselves having the discussions with caregivers whilst sharing back the play recording, all on their work laptop without using Wi-Fi, if carrying out face-to-face sessions in the family’s home.  There are instructions as to how to do this on the ‘recording without WIFI’ document.  However, it is usually preferable / simpler to record on a second device, particularly if you feel you are less tech-savvy.

1. Do I need to speak with information governance in my organisation about PACT delivery?

In most organisations, if video feedback therapy is not already routinely offered the information governance (IG) team will want to ensure the necessary information governance is in place.  A data protection agreement is usually required detailing how data will be safely transferred and stored alongside a standard operating procedure/process being completed. Please speak to your manager about this who will need to take this forward with the IG contact in your organisation.   We regret that we cannot directly complete your organisation’s documentation.  However, if you or your manager has further specific questions about the process / helpful content, please contact the IMPACT team for further information/guidance.  We are able to offer an additional session to discuss your organisation’s individual requirements at a small additional cost should this be required.