Each household is different and time must be allotted for experimentation to find appropriate photography, lighting and audio conditions to meet the needs of both the therapist and the client. Telephone line problems can occur if the consumer has call waiting or answering machines. The telephone infrastructure in rural as well as urban areas can have out dated switching systems, which interfere with transmission from the home to the therapist. Sometimes, the solution may be having the consumer turn off call waiting and not pick up any extensions during the visit. Hanging up and calling back to get a better line can often, solve telephone infrastructure problems.
Human factors are at least as important as technological problems.
A guiding principle of ours is that the patient and family must be central to our treatment team. Team building among all these diverse people is necessary to create a treatment team to achieve mutually agreed upon client goals. Team members bring their unique expertise and experience to the team. Many factors can decrease the effectiveness of the team and make it more difficult to achieve patient goals. Competition between team members, lack of trust and established patient goals, and unrealistic expectations are all barriers to effective teamwork.