Working with Minors and Special Populations

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25 Questions

What strategy is recommended when directing visually impaired clients in a telehealth session?

Using orientation heuristics like clock positions for reference

Why is it essential to have a consistent path for visually impaired clients in a telehealth setting?

To avoid confusion and disorientation for the client

What should practitioners consider when providing telepsychology services to child cases?

Adjusting telehealth care to meet the specific needs of child patients

Which factor may amplify barriers for underserved clients who have a disability?

Being underinsured

In a clinical setting, what principle should be kept in mind when interacting with visually impaired clients?

Considering pathing and choosing straightforward paths over quickest routes

What is one way to help build the therapeutic alliance when working with individuals with disabilities?

Being more descriptive in describing the counseling environment

Which technology can be used to allow deaf or hard of hearing patients to communicate via videoconferencing?

Video remote interpreting

Why is it important to have needed materials in the same place every time when working with disabled clients?

To create a sense of familiarity and routine

What is a common challenge faced by individuals with disabilities in society and healthcare systems?

Lack of acknowledgment and invalidation

Which term refers to devices or equipment that can improve a patient’s Activities of Daily Living (ADLs) and enhance their communication abilities?

Assistive technology

What is the recommended approach when communicating with individuals who are hard of hearing?

Ask them what language they prefer in reference to their disability.

When working with individuals with physical disabilities, what is the focus of providing accommodations?

Keeping the individual in an active role through appropriate accommodations.

In clinical settings, why is it crucial to consider accommodations for individuals with disabilities?

To ensure equal access to services for all individuals.

What is a common misconception to avoid when interacting with underserved populations?

Taking away their autonomy by making decisions for them.

How should you address individuals with disabilities based on the provided text?

Respect their preferences on language and avoid making assumptions about their abilities.

What is a recommended tool for establishing rapport with a child during telehealth sessions?

Storytelling and toys

How should practitioners approach engaging young children in telehealth sessions?

By switching activities or using interactive technology

What is an accommodation that might be necessary for a child without reliable internet during telehealth services?

Allowing therapy sessions over the phone

Which factor should be considered for children with disabilities during telehealth treatments?

Recreating routines of in-person care closely

Why is it important to be aware of the potential for child abuse and neglect during telehealth services?

To develop an awareness of the possibility

What is a recommended strategy when adjusting your voice for hard of hearing clients?

Asking what specific changes could help

Which accommodation is suggested for physical disabilities in a telehealth setting?

Velcroing needed materials to the desk for consistency

What should be considered for clinical settings providing telehealth to underserved populations?

Ensuring accessible paths, doors, and restrooms

When using telehealth equipment, what should be considered for individuals with fine motor control and dexterity issues?

Ensure equipment is accessible regarding fine motor control and dexterity issues

In a telehealth setting, why is velcroing needed materials to the desk recommended?

To maintain consistency in needed materials

Study Notes

Barriers to Underserved Clients

  • Underserved clients face amplified barriers when they also have a disability, including transportation issues, lower SES, underinsurance, and rural residence.

Considerations for Visually Impaired Clients

  • Take the perspective of the client and use orientation heuristics, such as clock positions, to direct them.
  • Maintain a consistent path to and from things, and reorient if furniture is rearranged or if using a different room/environment.
  • Paths that involve a small number of turns or are more straightforward, even if longer, are preferred.

Telepsychology for Child Cases

  • Telepsychology needs for child cases may differ from adult cases, and practitioners should adjust their care accordingly.
  • Important considerations include developing an understanding of telepsychology in child patients and working with minors and special populations.

Special Populations

  • Special populations include individuals with disabilities, economically disadvantaged families, single parents, out-of-workforce individuals, homeless individuals, and youth in or aged out of foster care.

Guiding Principles

Access and Autonomy

  • Enable equal access to service while respecting the individual's autonomy.


  • Address clients with the language they prefer regarding their disability.
  • Avoid assuming a physical disability implies a mental disability or IDD.


  • Be descriptive when explaining the counseling environment and process to help build the therapeutic alliance.
  • Avoid using psychojargon to better accommodate IDD, for instance.

Routineness and Consistency

  • Keep needed materials in the same place every time to maintain consistency.

Patient Advocacy

  • Recognize that systems and social environments are not built for people with disabilities and may be invalidating, requiring advocacy.

Accessible Technologies

  • Utilize video remote interpreting and assistive technology to provide accessible services to those with visual or hearing impairments.

Establishing Rapport with Children

  • Use stories, toys, and technologies to establish a strong patient-provider relationship over telecommunications.

Awareness of Child Abuse and Neglect

  • Develop an awareness of the possibility of child abuse and neglect, which can be more difficult to detect over telehealth.

Adaptations for Children with Disabilities

  • Adapt treatment for children with disabilities, medical needs, language barriers, and low-income homes.
  • Use appropriate screening methods to determine telepsychology fit, considering environmental factors and the ability of the family to create an optimal testing and service environment.

Learn about guiding principles in counseling for individuals with intellectual and developmental disabilities, focusing on descriptiveness, avoiding psychojargon, routineness, and consistency. Enhance your skills in creating a therapeutic alliance and accommodating individuals with IDD.

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