Technology utilization in dyadic coaching sessions

Abstract

In‐vivo coaching is a hallmark of most forms of dyadic (often parent‐child) therapy for young children. Providers utilize this process in the Pediatric Partial Hospital Program (PPHP) in the context of “floortime” which creates the opportunity to give pointed modeling and/or feedback to the dyad using real‐time instances of behavior in the milieu. Similarly, supervisors use in‐vivo coaching in the training context to build greater awareness of skill execution and attunement to the therapeutic relationship(s). While there are multiple ways to use in‐vivo coaching, the following discussion will explore practical and innovative applications for using technology (e.g., bug‐in‐the ear, telehealth, and video) in a manner that does not rely on the therapist (or supervisor) being physically present as another visible relationship in the treatment space. The application of technology to create this type of therapeutic and supervisory frame existed (e.g., Parent‐Child Interaction Therapy) long before the COVID‐19 pandemic; however, the circumstances of social distancing created a renewed necessity and appetite for conducting dyadic coaching in a modified and accessible manner. Further, as we migrate from a clinical space that has relied on telehealth in unprecedented ways, to a more hybrid (telehealth/face‐to‐face) treatment model, we will continue to be faced with questions of how to utilize technology in the therapeutic space in a creative and balanced manner.