Telepractice Activities & Therapy Ideas

• ASHA Article “What Telepractice Platform Features Can Enhance your Sessions?

• Erik Raj’s List of Websites you can use with telepractice (pediatric-focused)

• Erik Raj’s List of Apps to use with telepractice on iphone or ipad (pediatric-focused)

• Spinner online and editable

• Electronic dice

• MadLibs online

• Collaborative SLP Teletherapy Resources is a compendium of resources across a variety of populations

• Telepractice Video Examples folder includes a few examples of telepractice sessions from the PSU Telepractice Fluency Clinic. I’ll be adding more over the next few days.

• Remember that you’re seeing your client/patient in their home with their most salient communication partners and environment. Ask clients to do “show & tell” about something from their house, involve parents/siblings/caregivers as necessary, describe family pets or other relevant objects in the house. Don’t worry about getting caught up in the fancy technology. 

• https://pbskids.org/

  • https://pbskids.org/daniel/games/dress-up/ 

  • https://pbskids.org/molly/games 

• https://thehellofoundation.com/clinic/10-sites-for-telepractice-that-were-loving-right-now/ 

• www.Matchthememory.com   

• https://wow.boomlearning.com/

• Disney princess game: https://www.disneyclips.com/princessdressup/

BOARD GAMES

7 Wonders Duel (2): sevenee.mattle.online/welcome

Agricola (2-4): http://play-agricola.com/

Azul (2-4): https://azee.mattle.online/

Backgammon (1-2): 

• http://dailygammon.com/

• cardgames.io/backgammon

Battleship (1-2): http://en.battleship-game.org/

Blokus (2-4): https://blokee.mattle.online/

Bingo: Coronavirus Edition (1): manfrancisco.com/coronabingo

Board Game Online (1-16): https://www.boardgame-online.com/

Brass (2-4): http://brass.orderofthehammer.com/

Century: Spice Road (2-5): https://spicee.mattle.online/

Checkers (1-2): 

• playingcards.io/game/checkers

• cardgames.io/checkers

Chess (2): https://lichess.org/

Codenames (4+): 

• http://codewordsgame.com/

• https://www.horsepaste.com/

• siemanko.github.io/words2

• netgames.io/games/codenames

• codewords.tv/home

• ninjabunny.github.io/KodeNames

• captnemo.in/codenames

Decrypto (3-8): whoawhoa.github.io/decrypto

Diplomacy (2-7): 

• http://webdiplomacy.net/

• https://www.backstabbr.com/

• https://www.playdiplomacy.com/

Dominion (2-6): https://dominion.games/

GO (1-2): 

• https://go.mattle.online/

• https://online-go.com/

Love Letter (2-4): netgames.io/games/love-letter

Monopoly (2-4):  

• http://www.webopoly.org/

• www.pogo.com/games/monopoly

Neptune's Pride: np.ironhelmet.com/#landing

Pente: https://pente.org

Risk (2-6): 

• http://www.wargear.net/

• https://www.warzone.com/

Reversi: cardgames.io/reversi

Scattergories (2-6): https://scattergoriesonline.net/

Settlers of Catan (2-4): 

• https://colonist.io/

• catanuniverse.com/en/game

Shadow Hunters (4-8): http://www.shadowhunters.live/

Solitaire (1): cardgames.io/solitaire

Splendor (2-4): https://spendee.mattle.online/

Through the Ages: A Story of Civilization (2-4): http://boardgaming-online.com/

Yahtzee (1-2): cardgames.io/yahtzee

CARD GAMES

500 (4): www.trickstercards.com/home/500

A standard deck of cards: playingcards.io/game/standard-deck

Android: Netrunner LCG (2): https://www.jinteki.net/

Bridge (4): www.trickstercards.com/home/bridge

Cards Against Humanity (4+): 

• playingcards.io/game/cards-against-humanity

• pretendyoure.xyz/zy

Coup (2-6): 

• https://www.chickenkoup.com/

• https://coup.thebrown.net/

Crazy 8's: playingcards.io/game/crazy-eights

Euchre (4): www.trickstercards.com/home/euchre

Fish (6): https://playfish.herokuapp.com/

Game of Thrones LCG (2): https://theironthrone.net/

Go Fish: playingcards.io/game/go-fish

Hearts (4): www.trickstercards.com/home/hearts

Hanabi (2-5): https://hanabi.live/

Keyforge (2): https://thecrucible.online/

Legend of the Five Rings (2): https://jigoku.online/

Match Up: 

• playingcards.io/game/match-up

• https://setwithfriends.com/

Oh Hell (4): www.trickstercards.com/home/oh-hell

Pinochle (4): www.trickstercards.com/home/pinochle

Pitch (4): www.trickstercards.com/home/pitch

Poker (2-9): 

• https://blockchain.poker/

• https://donkhouse.com/

Spades (4): www.trickstercards.com/home/spades

Uno (2-10): 

• play-uno.com/newgame.php

• https://play.unofreak.com/

Whist (4): www.trickstercards.com/home/whist

Yu-Gi-Oh: https://www.duelingbook.com

DRAWING GAMES

A Fake Artist Goes to New York (5-10): https://kc-fakeartistonline.herokuapp.com/

Drawful 2 (3-8): jackboxgames.com/drawful-two (Steam account needed)

Pictionary (4+): 

• https://sketchful.io/

• https://skribbl.io/

• https://gartic.io/

• https://www.drawasaurus.org/

• https://www.drawize.com/

• https://www.guessing.io/

Telestrations (4+): 

• https://www.brokenpicturephone.com/

• https://drawphone.tannerkrewson.com/

INCREMENTAL GAMES

A Dark Room: http://adarkroom.doublespeakgames.com/

Cookie Clicker: orteil.dashnet.org/cookieclicker

Candy Box: https://candybox2.github.io/

PUZZLES

Crossword Puzzles: 

• https://downforacross.com/

• www.washingtonpost.com/crossword-puzzles

Escape Rooms: 

• www.paradigmq.com/sos

• www.enchambered.com/puzzles

Jigsaw Puzzles: 

• www.epuzzle.info/multiplayer

• https://jigsawpuzzles.io/

• puzzle.massive.xyz/chill/site/new-player/?next=/chill/...

Little Alchemy: http://littlealchemy.com/

Logic: www.conceptispuzzles.com/index.aspx

Monster Breeder: http://monsterbreeder.com/

Nonograms: https://www.nonograms.org/

Riddles (1): http://weffriddles.com/

Sudoku (1): 

• https://sudoku.com/

• https://www.dailykillersudoku.com/

Tetris (1-20): https://jstris.jezevec10.com/

MMORPGS

Adventure Quest Worlds: https://www.aq.com/

Battle Royale : 

• https://surviv.io/

• http://tanksmith.io

Club Penguin: 

• https://play.cprewritten.net/

• https://cponline.pw/

Dragon Fable: https://www.dragonfable.com/

Dungeons and Dragons: https://roll20.net/

Pokemon Showdown: https://play.pokemonshowdown.com/ 

RuneScape: www.runescape.com/splash

TL; DR eat people, get big: 

• https://agar.io/

• https://slither.io/

ToonTown: https://www.toontownrewritten.com/

Warframe: https://www.warframe.com/

TRIVIA GAMES

Quizbowl: https://protobowl.com/

Quizwitz: www.quizwitz.com/en/party

Sporcle: https://www.sporcle.com/

WORD GAMES

Just One (3-7): runetiera.com/one

Scrabble (2-4): 

• www.pogo.com/games/scrabble

• https://www.isc.ro/

OTHER GAMES

Black Room (1): cass.itch.io/blackroom

Capture the Flag (1): 

• http://generals.io/

• https://tagpro.koalabeast.com/

Fallen London: https://www.fallenlondon.com/

Neopets : https://www.neopets.com/

COLLECTIONS

Board Game Arena: http://boardgamearena.com

Game Design: www.gamedesign.jp/index_en.html

Houseparty (3+): app.houseparty.com/login

Online Video Game Console: https://www.airconsole.com/

Yucata: www.yucata.de/en

Visual Schedules - Communicator 5

 Download Communicator 5

Communicator 5 Tutorial video

Visual Schedules- Powerpoint

Example Powerpoint Visual Schedule 

General Information

• ASHA’s Telepractice Practice Portal - Website with videos, resources, and definitions. 

• Telepractice 101 Poster - Megann’s OSHA poster from 2019 that discusses general information re: telepractice

• OSHA’s Livestream Telepractice Q&A - Recording of a livestream event by the OSHA Telepractice Advisory Committee which answers licensure, practice, and reimbursement questions. 

Trainings

• Recording of Megann’s Zoom training with clinical supervisors 

• The Hello Foundation Telepractice Training - Worth it! (Megann’s comment)

• Northern Speech Telepractice Training - $14/module; 3 modules; ASHA CEUs

• ASHA Learning Center (FREE for us through June 30, 2020) - Preparing To Offer Quality Services Through Telepractice: An Introduction (WEB19970)

Client Forms

• Client Telepractice Set-Up Checklist

• Informed Consent - See Toni’s email to clinic faculty and graduate students.

Telepractice Evaluations

• Q-Global - Pearson’s online repository of standardized testing allowed via telepractice

  • Note: Conducting assessments by showing paper standardized test stimuli to the webcam or via doc camera may be a copyright violation. Additionally, many tests have not been validated for telepractice administration. Tests that have not been standardized with telepractice administration can be used descriptively but standard scores cannot be used. 

• Speech & language sampling can be the best tool we have for telepractice evaluations in some cases where standardized assessments are lacking. 

Link to Form: Speech & Hearing Sciences Telepractice Checklist

The Office of Information Technology, in conjunction with the Speech & Hearing Sciences Department, has defined a list of guidelines for providing telepractice sessions, aligned with the PSU Coronavirus Response. 

Prior to beginning telepractice sessions with clients, each student clinician MUST review this checklist, complete any procedures necessary, initial where indicated, and sign at the end of this document to certify that you have completed all required technology checks.

Check each box below to certify that you have completed the tasks outlined.

General Guidelines

• All students must have Duo Two-factor authentication enabled for SSO. You can contact the Help Desk for assistance setting up Duo at 503-725-4357 or help@pdx.edu. 

• Security incidents or suspicious events must be reported to the Information Security Team at help-security@pdx.edu.

Data Protection Guidelines

• All zoom sessions that will be recorded must be initiated and hosted by the clinical supervisor. This is very important for protecting each client's information. Do not store sensitive data on your computer’s desktop (e.g., patient's files, video sessions, audio sessions, etc). Instead, use the shared drive to store and work on all client documentation. 

• Never print or make physical copies of sensitive data.

• Personal backups of sensitive data are forbidden. 

• No social media browsing while conducting telepractice sessions. 

Protecting Your Personal Computer

• Set a strong password for user login. For more information on what constitutes a strong password, review these documents:

• Windows 10

• macOS

• If you don’t have one already, create your own account profile on your computer with a password. 

• Windows 10

• macOS

• Ensure that malware protection (e.g., antivirus) is installed and up to date. If you do not have antivirus software on your computer, you must install this software prior to your first telepractice session. Visit the Help Desk’s article for instructions on where to download free antivirus software.

• Run a full malware scan before using your personal computer the first time for telepractice.

• Ensure that operating systems and other software applications are up to date and all security patches are applied.

• Windows 10

• macOS

• Enable full-disk encryption if possible, especially on portable devices.

• Windows 10 - Not available on Windows 10 Home edition

• macOS

• Do not leave Zoom telepractice sessions unattended. Lock your account on your computer when not in use.

• Windows 10

• macOS

• Do not leave computers unattended in public places such as coffee shops.

• Do not connect to untrusted or public internet networks (e.g., coffee shops, airports). Connect to your own, password protected internet network. 

• Ensure that your computer’s firewall is enabled.

• Windows 10

• macOS

Guidelines for Telepractice via ZOOM 

• Change your Zoom Account Settings by logging into your account on the Zoom.us website and selecting: 

  • Settings > In Meeting (basic): 

    • Turn on "Require Encryption for 3rd Party Endpoints (H323/SIP)"

    • Turn on "Play sound when participants join or leave"

    • For groups with more than 1 clinician in a session turn on "Co-host"

    • Turn on "Annotation" so you can draw on all the visuals you're sharing - not just the whiteboard!

  • Settings > In Meeting (advanced)

    • Turn on "Waiting Room" for all participants to wait until you call them in by also enabling "play sound when participants join or leave" you're alerted when they join the waiting room so you can "admit" them to the session.

• Do not use your ‘Personal Meeting ID’ when scheduling a meeting. Instead, start a new call with an automated Zoom Meeting ID and invite your client and supervisor to the session by clicking the “Invite” button and emailing the Zoom link. 

• Local recordings (saving your Zoom telepractice sessions to your computer) are forbidden. Additionally, downloading Zoom recordings to your personal computer is not allowed. All recordings must stay saved in the Zoom cloud. 

• Monitor your attendees. Only authorized attendees must be on a telepractice session.

• Protect Privacy on Virtual Meetings.

• Always use a secure - private location

• Use a Zoom waiting room for your meetings

Certification of Compliance

By signing this document, I certify: 

• That I have read the entirety of the “Speech & Hearing Sciences Telepractice Checklist” document and have completed the required technology-based checks, software installations, etc. 

• That I will comply with the privacy and confidentiality practices outlined in this document in addition to those I regularly observe for compliance with HIPAA and FERPA.  

• That I understand any false statements or noncompliance with the practices outlined may result in my immediate removal from clinical telepractice provision.  

 Please review with your clinic supervisor or if possible, return a signed and dated copy of this checklist to Toni Loveland at toni3@pdx.edu. 

________________________________                                                __________________

Student Name (Typed)                                                                            Date

______________________________________       

Student Signature (electronic signatures allowed) 

Please return a signed and dated copy of this checklist to Toni Loveland at toni3@pdx.edu 

Creative Doc Cam Solutions 

Privacy and Confidentiality in Telepractice

The U.S. Health and Human Services Department (HHS) has reported that Zoom Pro (w/ BAA) is an acceptable HIPAA-compliant platform. Recently, HHS has also issued a relaxation of HIPAA enforcement during the COVID-19 pandemic, as indicated on this Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency webpage. The government recognizes that there may be breaches in privacy as clinics shift to telepractice and they are explicitly allowing the use of platforms that aren't typically considered HIPAA-compliant. 

The Chief Information Security Officer at PSU and his team recommend that students use their individual pdx.edu associated Zoom Pro accounts for clinical services. Students' internet connections must be private and password protected and all the criteria on the check list provided need to be met prior to administering telepractice from home.