PERINATAL PARENT INFANT MENTAL HEALTH SERVICE
OPERATING PROCEDURE FOR THE USE OF VIDEO INTERACTION GUIDANCE
PURPOSE AND CONTENT
This operating procedure provides information on Video Interaction Guidance (VIG).
It includes guidelines on consent to being filmed, and the ownership of any recorded material. It also
gives guidance in relation to the storage and retrieval of the video recordings, and the safe storage and
usage of the video recordings and equipment.
1. WHAT IS VIDEO INTERACTION GUIDANCE?
1.1 Video Interaction Guidance is a method, which aims to improve communication and relationships
for participants. Participants are supported by a VIG Practitioner to view and discuss short edited clips
of personal interaction. Participants become much more aware of their own skills in effective
communication through viewing themselves and reflecting on what they observe. The Practitioner aims
to empower participants in the process of change by exploring perceptions, building on their strengths
and challenging assumptions. Relationships, interactions and behaviour can improve as participants
change their communication style.
1.2 This method is based on three theoretical standpoints:
· Theories of intersubjectivity and mediated learning
· Theories of change which emphasise respect, empowerment and collaboration
· Theories of change which use self-modelling and video feedback.
1.3 Professor Colwyn Trevarthen at Edinburgh University has provided the main theoretical core
through his work on intersubjectivity. The method of VIG was developed by Harrie Biemans (Stichting
Promotie Intensive Thusbehandling Netherlands) in the nineteen-eighties, and further developed in
Dundee by Hilary Kennedy, Penny Forsyth and Raymond Simpson (Dundee Educational Psychology
Service).
1.4 VIG is being used in a range of ways in Children’s Services, Community Care and Criminal Justice.
VIG is an accredited training programme with regular supervision and support provided for all VIG
trainees by accredited or trainee VIG Supervisors.
*Please note that the term a VIG Practitioner in this document also relates to trainees undertaking VIG
Practitioner training.
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Chair: Jane Atkinson
Chief Executive: John Brouder
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2. VIDEO INTERACTION GUIDANCE AS A CLINICAL TOOL
2.1 DEFINITION
There is no intention of including the video recording obtained as a permanent part of the medical
record. The video recording is a temporary tool to help as part of a therapeutic intervention.
A clinical tool is here defined as a means through which one intends :
1. To facilitate understanding of a child and family
2. To improve work in progress with a child and family
3. To enable client(s) to develop personally and in their significant relationships
3. PROCEDURE FOR USING VIG AND VIDEO RECORDINGS
3.1 VIG and the use of video recording is explained and discussed with children and relevant family
members at the beginning of the sessions in which recording is about to take place. Family members
should have an opportunity to ask questions about this (see VIG Information Sheet).
3.2 It should be explained to all family members at this stage that there is no intention of including the
recording as a permanent part of the medical record, but that it is a temporary tool to help as part of a
therapeutic intervention.
3.3 All aspects of consent, access and storage should be explained to children and their families at this
stage.
4. CONSENT FOR MAKING VIDEO RECbalORDINGS FOR VIG WORK
4.1 Children and their families are informed that they can withdraw their consent for recording at any
point during the session.
4.2 The video recording does not commence until written consent is given from all present and/or
verbally depending on their age and ability (see VIG Form 1)
4.3 It is advisable that the practitioner reads the consent form aloud to the family. If a child is not willing
for a recording to be made, then there will be no recording even if someone with parental responsibility
consents.
4.4 It is important to ensure that all family members have understood what it is they are consenting to
and that a context is created for genuinely informed consent to take place.
4.5 If a child is videoed in the context of a group, the practitioner(s) should obtain written parental
consent before any recording occurs.
5. ACCESS TO VIDEO RECORDINGS
5.1 The only persons who have access to video recordings include:
 The practitioner(s) as part of ongoing work and as part of VIG supervision of ongoing work.
 Supervisors external to the trust who provide supervision to the practitioners.
 Colleagues in the Trust who are co-workers, supervisors, consultants or line managers with
respect to this child and family.
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Chair: Jane Atkinson
Chief Executive: John Brouder
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5.2 The practitioner should explain clearly who the person/s involved is/are and the purpose for which
the recording would be shared.
5.3 The child or family who are the subject of the video recordings have a right to review recordings of
themselves if they were present at the session concerned.
5.4 If a family member wishes to see a recording at which they were not present, all other family
members present and the practitioner(s) would have to give consent first.
5.5 The practitioner will show the family only edited material (as is usually the case with VIG). The
practitioner should explain and check with the family that they understand that the unused material will
not be kept unless specifically requested by them.
6.1 OWNERSHIP OF VIDEO RECORDINGS
6.1 The making, ownership and access to recordings is subject to the policies of NELFT
6.2 Practitioners can decide to make a copy of a session for the individual/family or give the recording
to the individual or family.
6.3 Where the practitioners retain the video recordings, the recordings will be subject to the policy of
disposal outlined below.
7. POLICY ON THE TRANSPORT, STORAGE AND KEEPING OF VIDEO RECORDINGS IN OUR
POSSESSION
7.1 All video recordings / digital images once taken should be transferred onto the secure networked
drive as soon as possible. They should not be stored on the C drive of a computer.
7.2 Also please note that most camcorders contain memory cards /hard drives. Please erase the video
recordings from the memory card / hard drive once they have been transferred onto the secure
networked drive.
7.3 Video cameras and laptops should be stored in a secure cabinet.
7.4 Where hard copies have been made for families each individual or group should have their
recordings held on their own CD / DVD. This is to prevent accidental breaches of confidentiality.
7.5 Should any equipment or materials (camera, laptop, DVD/CD) go missing this must be reported
immediately to your line manager as well as to those who have been recorded.
7.6 Cameras should be carried in good quality camcorder bags. There should be contact name,
workplace address and telephone number in the bag. All cameras and accessories should be clearly
marked as the property of NELFTT PPIMHS . The video camera should be kept with you at all times.
7.7 Only the essential video recordings should be transported to minimise risks.
7.8 Video recordings are to be erased by the practitioner within two months of ending the work with the
family.
7.9 Once involvement with the family has ended, video recordings should be deleted secured drive.
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Chair: Jane Atkinson
Chief Executive: John Brouder
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7.10 A log of films / recordings that have been taken and deleted will be kept in order to ensure that
recordings are erased 2 months after work has been erased.
8. VIDEO RECORDINGS USED AS TRAINING MATERIAL
8.1 DEFINITION
Training materials (recordings) are used for the training of professionals who are not involved in
contributing to the clinical work.
9. THE USE OF VIDEO RECORDINGS FOR TRAINING PURPOSES
9.1 If a video recording were to be used for training purposes outside of the clinical work, this will
require an additional contract to be completed.
10. PROCEDURE FOR USING VIDEO RECORDINGS FOR TRAINING PURPOSES
10.1 Where a practitioner wishes to make and use a recording of a session(s) for training purposes, this
should be explained and discussed (verbally and in writing) with a child and their family in advance of
an appointment in which recording is to take place.
10.2 Time needs to be given for the family to ask questions about the recording in advance. It is
important to allow the family members reasonable time to consider its uses and to generate questions
for the practitioner(s).
10.3 It will become clear that it would useful to use a particular piece of work for training purposes
where one could not have known in advance. It is acceptable to ask family members for their consent to
use a recording for training purposes after the work has commenced.
10.4 Practitioners should explain to family members who might see the material and in what contexts.
10.5 All aspects of consent, access and storage should be explained in age and ability appropriate
language to children and their family members at this stage.
11. CONSENT FOR MAKING VIDEO RECORDINGS FOR TRAINING PURPOSES
11.1 Children and their families are informed that they can withdraw their consent for recording for
training purposes at any point during the session.
11.2 The video recording does not commence until written consent is given from all present and/or
verbally depending on their age and ability.
11.3 It is advisable for the practitioner to read the consent form aloud to the family.
11.4 Consent for specific purposes such as training should usually be sought separately and may be
sought retrospectively.
11.5 It is important to ensure that all family members have understood what it is they are consenting to
and that a context is created for genuinely informed consent to take place.
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Chair: Jane Atkinson
Chief Executive: John Brouder
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11.6. It is important to advise families whether the material is to be used with people who are training to
do this kind of work or whether they are to be used with a wider audience.
11.7 Consent must be given in writing from all present and/or verbally depending on their age and
ability. If a child is not willing for a recording to be made, then there will be no recording even if
someone with parental responsibility consents.
11.8 Patients should have the right to revoke consent for continued use and ideally a time-limit should
be identified for how long consent will remain in place. To use the recording after this date, fresh
consent should be sought.
12. ACCESS TO VIDEO RECORDINGS FOR TRAINING PURPOSES
12.1 Recordings made for training purposes are subject to the same rules of confidentiality as other
clinical materials.
12.2 Efforts should be made to protect the identity of the clients.
12.3 Access to video recordings is only permitted to those who are considered to be in a relevant
training or learning position in seeking consent.
13. OWNERSHIP RECORDINGS FOR TRAINING PURPOSES
13.1 The video recordings are owned by NELFT PPIMHS and the Data Protection Act.
13.2 The making, ownership and access to recordings is subject to the policies of NELFT PPIMHS and
the Data Protection Act.
14. POLICY ON THE KEEPING OF VIDEO RECORDINGS FOR TRAINING PURPOSES
14.1 Video recordings for training purposes should be kept in a secure place separate from other
materials which are temporary clinical tools.
14.2 Materials should be kept in a secure place such as a locked filing cabinet or a secure part of the
network drive.
14.3 Digital images of children and/or their families should not be stored on the C drive of a computer,
but only on a secure networked drive. Paper or copies on disk (e.g. CD, DVD) should be made and filed
as per policy. Once involvement with the family has ended, digital images should be deleted from
computer storage.
14.4 Removal of the materials needs to be logged in and out by the worker.
15. PERMISSION TO USE VIDEO RECORDINGS FOR PRESENTATION PURPOSES
15.1 All service users or staff, who agrees to feature on a recording that will be used for a presentation,
should sign the relevant sections in VIG FORM 2.
15.2 All video recordings, stills, or personal information used in the presentation must be agreed in
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Chair: Jane Atkinson
Chief Executive: John Brouder
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consultation with the VIG participants.
15.3 A time limited period for retaining the presentation video recordings must be agreed, and images
deleted after this date. This time-limited period should be clearly labelled on the presentation material,
for example, by adding the date into the video recording verbally, through computer text, or by written
labels.
15.4 The VIG practitioner must sign the relevant section in VIG form 2 to confirm that they will carry out
all written agreements on this form
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Chair: Jane Atkinson
Chief Executive: John Brouder
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VIDEO INTERACTION GUIDANCE – INFORMATION SHEET
CLIENTS’ RIGHTS IN RELATION TO VIDEO RECORDING
In asking for your consent to video record the work with you/your family, I agree to:
1.
Explain the purpose for which the video recording will be used and by whom. There is no
intention of including the recording as a permanent part of the medical record, it is a temporary
tool to help as part of a therapeutic intervention.
2.
Ensure that the quality of care being offered is in no way affected by your refusal to have the
meeting(s) video recorded.
3.
Stop the recording at any time during the session if requested to do so by you/your family.
4.
Guarantee that the recording will be kept safe at all times.
5.
Ensure that no copies of the recording will be made without your written consent.
6.
Erase the recording within 2 months of the end of your involvement with Video Interaction
Guidance, or sooner if requested to do so.
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Chair: Jane Atkinson
Chief Executive: John Brouder
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VIG FORM 1
Video Consent Form - Video Interaction Guidance (VIG)
This is to certify that I/we: –
□
Understand the purpose for which my/our consent is being sought to video record today’s
session.
□
Have read the information sheet explaining my/our rights in relation to the video recordings.
□
Agree to my/our meetings being videoed for the purpose of Video Interaction Guidance.
□
Agree that the video recording may be watched by the VIG supervisor.
□
Understand that the video recordings will be erased within 2 months of the end of my/our
involvement with Video Interaction Guidance.
□
Am/ are aware that I/we may withdraw consent at any time.
Client Name(s) and Signature(s):
VIG Guider Name and Signature:
Date(s) of session(s) for which DVD/Video recording is sought:
Date and Sign
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Chair: Jane Atkinson
Chief Executive: John Brouder
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VIG FORM 2
VIDEO INTERACTION GUIDANCE (VIG) VIDEO CONSENT FORM
PERMISSION TO USE VIDEO RECORDINGS FOR TRAINING OR PRESENTATION PURPOSES
The appropriate section(s) must be signed before any video recordings are used for training /
presentation. Permissions can be withdrawn at any time.
1. PERMISSION TO USE VIDEO RECORDINGS FOR VIG PRACTIONER FOR STAFF
DEVELOPMENT PURPOSES.
I/we
understand
and
agree
that
(Name)……………………………....................................................
is undertaking VIG Practitioner or Staff training and will use the edited clips and/or any feedback
tapes for staff development purposes until (D/M/Y)………………...................................................
Details of training course, and who will view the recordings
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
Signature(s)…………………………………………...................................................Date...............
.
2. PERMISSION TO USE VIDEO RECORDINGS FOR PRESENTATION PURPOSES
I/we understand and agree that (Name) ……………………………................................ .........
will use my/our edited clips and any feedback tapes for presentation purposes until
(D/M/Y)……………. …………..The content will be in full consultation with me/us.
Details of presentation, and who will view the recordings...............................................................
.........................................................................................................................................................
.........................................................................................................................................................
Signature(s)…………………………………………........................................................Date..........
3. SIGNATURE OF VIG GUIDER OR COURSE PARTICIPANT
I confirm that I will carry out all agreements undertaken on this form.
Signature…………………………………………............................................................Date.............
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Chair: Jane Atkinson
Chief Executive: John Brouder
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GUIDANCE NOTES FOR REVIEW
The review process
The VIG review form can be used at any time during the delivery of VIG. The VIG Practitioner can call a
review meeting with the main stakeholders. This should be in consultation with the participants.
The VIG Practitioner's role is to organise and facilitate the meeting, and support the participants in
presenting their edited video clips if they wish. The edited video clips will require clear explanation. The
review should be set in the context of being part of the helping process, or at the end of the work as a
celebration of changes made and goals achieved.
VIG Practitioners may also attend other reviews in their own specific work context. It should be noted
that when you are in the role of VIG Practitioner you should:


Support the participant(s) in the review in talking to their own clips of successful or meaningful
interactions.
Present any written reports in consultation with the participant using their strengths and working
points as part of the assessment and/or use the plan in consultation with the participant if you
have been using this assessment format during the VIG work with them. If the participants wish
to show video clips of their progress you should firstly consult with your VIG Supervisor if you
are a trainee. Edited clips shown at reviews should be to demonstrate progress made at that
point in time. Goals or working points should be discussed but not shown on tape.
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Chair: Jane Atkinson
Chief Executive: John Brouder
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VIG FORM 3
VIDEO INTERACTION GUIDANCE (VIG) REVIEW FORM
This review is to celebrate changes made since VIG commenced (with service user or member
of staff) and identify next steps/goals.
Names of those attending review. (VIG Practitioner and VIG participants to decide who should
be invited.)
NAMES……………………………………………………………………………………………………………
…………………………………………………………………………………………………Date…………….
What did you hope to achieve (your goal) when you began VIG?
What changes have you made towards achieving your goal?
What will I/We need to do next towards achieving your goal?
What will You/Others see you doing differently when you have achieved your goal?
On a scale of 1 – 10 how near are you to reaching your goal
When will we know when things are good enough to end our VIG sessions?
Future Plans.
Date of next review
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Chair: Jane Atkinson
Chief Executive: John Brouder
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GUIDANCE NOTES FOR DISCLAIMER FORM - VIG FORM 4
COMPLETION OF VIG WORK:
On completion of VIG work, the service user(s) must sign the disclaimer, VIG Form 4.
Section 1
This section confirms that the video recording has been handed over to the service user who is now
responsible for the safe keeping, or disposal of the video recording.
Section 2
This section confirms that the service user does not wish to have the video recording, and that the VIG
Practitioner must delete it.
If you have any questions about the appropriateness of handing over edited clips you should consult
with your line manager and/or the VIG Supervisors.
Section 3
The VIG Practitioner must sign and date this section when the video recording has been deleted.
VIG Practitioners/Supervisors
Please note that video recordings of the feedback / shared review sessions should not be handed over
to the service user(s). These tapes are a record of your work for training, presentation or accreditation
purposes. They should be deleted after the time scale agreed on VIG Form 3.
DESTRUCTION OF THE VIDEO RECORDINGS
If the service user does not wish to have a copy of the video recording, the VIG Practitioner must delete
the recording and sign the disclaimer form.
At the end of the VIG work all video recordings that have been retained by the Practitioner for
accreditation or presentation purposes, must be deleted at the agreed date on the consent form. They
must then sign this section of their copy of VIG Form 4. This confirms that they have now deleted the
video recording.
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Chair: Jane Atkinson
Chief Executive: John Brouder
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VIG FORM 4
VIDEO INTERACTION GUIDANCE (VIG) – DISCLAIMER FORM
The appropriate section of this form must be signed on completion of the VIG work. This confirms that
the video recording has been handed over to the service user, or deleted.
The service user and the VIG Practitioner must retain copies of this form.
SECTION 1 - SIGNATURE OF SERVICE USER (S)
1. I/we have received the edited clips from..................................................................................
I/we understand and agree that I/we may use them for my/our own purposes.
The VIG Practitioner will destroy any original video recordings at the agreed date.
Signature(s)…………………………………………...................................................Date.............
SECTION 2
2. I/we do not wish to have a recording of the edited clips and give my/our consent to the video
recording being deleted by........................................................................
Signature(s)…………………………………………....................................................Date.............
SECTION 3 - SIGNATURE OF THE VIG PRACTIONER
3. This section must be signed when the video recording has been deleted. For video recordings
retained for VIG Practitioner training, staff development or presentation purposes, the VIG Practitioner‘s
copy of this section must be signed at the agreed date.
I confirm that I have deleted the video recordings of:
Name(s)..........................................................................................................................................
Signature………………………………………….......................................................Date................
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VIG FORM 5
GUIDANCE NOTES FOR EVALUATION
The evaluation form should be completed at the last feedback session to help us monitor and evaluate
our service.
The VIG Practitioner will complete the Evaluation Form with the service user and return completed
evaluations to your their VIG Coordinator.
The VIG participant's goals can also be used to inform this evaluation.
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Chief Executive: John Brouder
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VIG FORM 6
VIDEO INTERACTION GUIDANCE (VIG) EVALUATION FORM
Now that you have ended your Video Interaction Guidance Sessions, we would welcome your
feedback to help us evaluate and improve our service. Please complete the following
information. Thank you.
Name(s)……………………………………….
Date…………………….
Number of Feedback sessions / Shared Reviews:
1. Do you think that VIG has been worthwhile?
YES
NO
2. What do you think the most useful part of VIG was?
3. What do you think the least useful part of VIG was?
4. Video Interaction Guidance aims to improve communication and relationships. Do you think that
communication has changed for the better? YES
NO
6. Do you think that relationships have improved for the better?
YES
NO
7. What did you hope would be the outcome of your VIG work?
8. What (if any) are the main changes you have made? (i.e. in your thoughts, feelings or actions)
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Chief Executive: John Brouder
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9. While receiving the VIG service did it make you feel any of the following?
LISTENED TO
TREATED WITH RESPECT
10. Was the VIG Service? RELIABLE
VALUED AS AN INDIVIDUAL
FLEXIBLE ENOUGH TO MEET YOUR NEEDS
11. Did you feel that the VIG Service supported you to..
MAKE YOUR OWN PLANS
MAKE YOUR OWN DECISIONS
12. Any other comments ?
THANKYOU !
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Chair: Jane Atkinson
Chief Executive: John Brouder
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