The pandemic accelerated the adoption of online therapy, and now many patients expect to be able to choose between in-person and virtual sessions. Managing both modalities efficiently is key to offering a professional and flexible service.
In this article, we share practical tips for implementing a hybrid model in your practice without going crazy with logistics.
1. Define Clear Criteria for Each Modality
Not all patients or situations are suitable for online therapy. Establish criteria:
Ideal for Online
- Follow-ups and maintenance sessions
- Patients with reduced mobility
- Patients who live far away
- Mild social anxiety
- Coaching and guidance
Better In-Person
- Initial evaluation sessions
- Crisis or self-harm risk
- Therapy with young children
- Techniques requiring contact
- Patients without privacy at home
2. Basic Technical Equipment
To offer professional quality online sessions you need:
Technical Checklist
- Stable Internet Connection: Minimum 10 Mbps upload and download.
- HD Webcam: The laptop’s built-in camera is usually sufficient.
- External Microphone or Headphones: Greatly improves audio quality.
- Good Lighting: Frontal natural light or a ring light.
- Neutral Background: Avoid visual distractions for the patient.
3. Secure Platforms for Video Calls
Not all video call tools are suitable for therapy. Look for:
Security Requirements
- End-to-End Encryption: No one else can access the conversation.
- GDPR Compliance: Data stored in the EU.
- No Automatic Recording: Total control over sessions.
- Virtual Waiting Room: The patient doesn’t enter until you admit them.
Tip
Avoid using free versions of generic tools like Zoom or Skype for clinical sessions. Opt for platforms designed for healthcare professionals or with healthcare compliance plans.
4. Organize Your Hybrid Schedule
Mixing in-person and online appointments can create chaos if you don’t have a clear system:
- Differentiated Blocks: Group online sessions in certain time slots so you’re not constantly switching between modalities.
- Time Between Sessions: Leave 10-15 minutes to prepare the physical space or digital environment.
- Visual Indicators: Use different colors in your calendar to distinguish modalities at a glance.
- Specific Reminders: Include the video call link in reminders for online sessions.
5. Clear Communication with the Patient
Set expectations from the beginning:
Information for the Patient
Send a brief document explaining how online sessions work: technical requirements, what to do if there are connection problems, the importance of being in a private space, and how to access the video call.
Plan B
Always have an alternative plan: if the video call fails, do you continue by phone? Reschedule? Communicate this before it happens.
Puntos clave para recordar
The hybrid model is not the future, it’s the present. Patients value flexibility and you can expand your reach without geographical limitations. With the right organization, managing both modalities is easier than it seems.