hearing loss technology - aztap · 2016. 5. 9. · •traditional phone service •high speed...

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5/9/2016 1 HEARING LOSS TECHNOLOGY Where have we been? Where are we headed? 5/9/2016 Arizona AT Services for D/HOH 1 Laura E. Plummer, MA, CRC, ATP Sr. Rehabilitation Technologist / Wistech Director Stout Vocational Rehabilitation Institute UW Stout BACK IN THE DAY 5/9/2016 Arizona AT Services for D/HOH 2 HEARING AIDS Styles In-the-Canal In-the-Ear Receiver-in-the-Ear Behind-the-Ear Technology Analog Digital Programs Streamers or Remotes 5/9/2016 Arizona AT Services for D/HOH 3

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Page 1: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

5/9/2016

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HEARING LOSS TECHNOLOGY

Where have we been?

Where are we headed?

5/9/2016 Arizona AT Services for D/HOH

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Laura E. Plummer, MA, CRC, ATP

Sr. Rehabilitation Technologist / Wistech Director

Stout Vocational Rehabilitation Institute – UW Stout

BACK IN THE DAY

5/9/2016 Arizona AT Services for D/HOH

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HEARING AIDS

• Styles

• In-the-Canal

• In-the-Ear

• Receiver-in-the-Ear

• Behind-the-Ear

• Technology

• Analog

• Digital

• Programs

• Streamers or Remotes

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Page 2: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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HEARING AIDS

• Directional microphones

• Telephone (telecoil)

switch

• Direct audio input

• Bluetooth

• Streamers

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TELECOIL – WHAT IS IT?

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TELECOIL – WHAT IS IT? • Telecoil (t-coil) – A telecoil is a small coil of wire inside a

hearing aid that is designed to pick up a magnetic signal.

• When using the telecoil setting on your hearing aid it

turns off the microphone so that it will only pick up the

electromagnetic signal and converts it to sound.

• This allows you to hear only the magnetic signal from the

sound source which can be from hearing aid compatible

phones and a number of ALDs (Assistive Listening

Devices).

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Page 3: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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TELECOIL – WHAT IS IT?

• Position Matters (horizontal vs

vertical)

• “Most” hearing aids and

cochlear implants

• Size (of hearing aid) Matters!

• Activated by switch, button or

streamer control

• “Doubles” what the hearing aid

can do

• Also known a telephone or t-

switch

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WHAT DOES IT WORK WITH?

• Telephones

• Neckloops

• FM Systems

• Looped Facilities

• M/T = Microphone and Telecoil work together

• T = Telecoil only (no other sounds)

5/9/2016 Arizona AT Services for D/HOH

Must be in “manual mode”

not automatic

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COMMON MISHAPS

TELECOILS AND HEARING AIDS

• Not installed

• Not activated

• Automatic Setting

• Only activated on the streamer remote (no button)

• No training on what it can do = Get informed

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Page 4: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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BLUETOOTH IS BETTER RIGHT?

• Bluetooth is an option for some hearing aids

• Requires a “streamer” (in most cases)

• Pairs the hearing aid, via streamer, to phones or

audio devices

• DOES NOT REPLACE THE NEED FOR A

TELECOIL

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ASSISTIVE LISTENING DEVICES

• Personal Amplifiers

(Pocket Talkers,

Bean, etc.)

• Personal FM

Systems

• Loop Systems

• Ear buds

• Headphones

• Ear pieces

• Neckloops

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NECKLOOPS

• Create an electronic field to bring sound

signal to the hearing aid

• Analogy: Neckloops are headphones for

hearing aids

• Plugs or pairs with phones and audio

devices

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Page 5: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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ASSISTIVE LISTENING DEVICES –

HARD WIRED • Single Unit listening device

• Several headset options

(headphones, earbuds,

neckloop)

• One to one settings, in the car,

television

• Pocket Talker

• $15 - $425

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ASSISTIVE LISTENING DEVICES –

PERSONAL FM • Consists of two parts –

transmitter and receiver

• Can travel from room to room /

through walls

• Wireless listening for

churches, schools, theaters,

etc.

• Loop and PA systems

• Multiple microphone and

headphone options for the

most flexibility

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Self-contained, fully portable audio frequency induction

loop system. The induction telecoil loop is built into a

clipboard, so you can take it anywhere for assisted

listening. It runs on rechargeable batteries, making it ideal

for one-on-one conversations (within five feet), small group

meetings, workplaces and more. $275.00

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The listener must

have a telecoil

program mode to

receive the signal.

Page 6: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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ASSISTIVE LISTENING DEVICES –

INFRARED • Consist of two parts – transmitter and receiver

• Generally used for television or movie theaters

• Must be in “direct line of sight”

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LOOP SYSTEMS

• Entire area or room is looped

• Telecoil mode in the hearing aid will pick up the

sound signal

• Telecoil users – no need for a receiver “box”

• Non-telecoil users will need a receiver “box”

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COMMUNICATION OPTIONS

• Handwritten notes

• Typed notes

• Text Messages

• Instant Messaging

• Email

• Communication Access

Realtime Translation(CART)

• Sign language / interpreters

• Electronic

• Captions

• Relay Services

• Video Interpreting

• Video Relay

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Page 7: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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TELECOMMUNICATIONS

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TELEPHONE ACCESS

• In-Line

Amplification

• Amplified

Telephones

• Voice Carry Over

• Phone line

extenders

• Captel

• Large Print Captel

• Web / Mobil Captel

• Telebraille

• Cellular options

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TELEPHONE ACCESS

• Landline phones must be hearing aid compatible

and they connect to the telecoil when the receiver is

placed next to the aid

• Some need an added magnet to make the signal

stronger (rare)

• Neckloops can be plugged into landlines or

cellphones

• Bluetooth Neckloops can be paired with cell phones

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Page 8: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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5/9/2016 Arizona AT Services for D/HOH

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SIGNALING

• Central Alert

• Silent Call

• Sonic Alert

• Alertmaster

• Telephones, doors, babies, motion, smoke,

carbon monoxide, weather alerts, emergency

vehicles, room noise

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Page 9: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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ELECTRONIC COMMUNICATION

• Cellular / Text

• Skype / IM

• Video Relay

• Video Interpreting

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VRS VS VRI

Video Relay Services Video Remote Interpreting

• Telecommunications Based

• No Cost

• Videophones, computer based

or smartphone/tablet apps

• Used to make or receive

TELECOMMUNICATIONS

from one location to another

• Fee Based

• Provides INTERPRETING

services

• Brings the interpreter into the

room for communication

between person who is Deaf

and hearing people

• Videophone, computer based

or smartphone/tablet access

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Arizona AT Services for D/HOH

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5/9/2016 Arizona AT Services for D/HOH

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http://www.wisconsinwistech.com/wp-content/uploads/2016/05/Apps-for-

Deaf-and-Hard-of-Hearing.pdf

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APPS 5/9/2016 Arizona AT Services for

D/HOH

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Page 11: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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NOT TECHY TECH

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ACCESS OPTIONS

Landline / DSL

Cellular / Repeater

Cable

Satellite

WISP

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ACCESS

Landline / DSL Cable

• Traditional phone service

• High speed provided via traditional phone lines

• Speeds 1.5 – 6 mbps

• No special equip aside from a DSL filter

• Must be available – physical cable connection

• Can provide phone, television and high speed internet

• Speeds begin 3-5mbps and max out approx 60 mbps

• Requires cable modem

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Arizona AT Services for D/HOH

Page 12: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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ACCESS

Cellular

• Must be available

• Phone, hot spot options

• Repeaters and Signal Boosters (terms vary) available

• SB require coax hi speed access

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Arizona AT Services for D/HOH

ACCESS

WISP Satellite

• Wireless Internet Service Providers

• Localized antenna services

• Speeds, costs and limits vary

• Can reach rural areas if available

• Clear view of Southern sky

• Speed limits

• Expensive

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Arizona AT Services for D/HOH

NON-CONNECTED ACCESS

• Used for face to face or work situations

• iPod Touch, iPad, tablets

• Non-Connected apps (notes, images, etc.)

• Still teaches digital skills

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Page 13: Hearing Loss Technology - AzTAP · 2016. 5. 9. · •Traditional phone service •High speed provided via traditional phone lines •Speeds 1.5 – 6 mbps •No special equip aside

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DECISIONS • What will the device be used for?

• Where will it be used?

• What is affordable?

• Connected device or not?

• What is affordable? (prepaid, package, etc.)

• Where will the device be used?

• If “connected”; what providers are available?

• What is affordable?

• Setup and Training options?

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AZTEDP

• Arizona Telecommunications Equipment Distribution Program

• http://www.acdhh.org/aztedp

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AZTAP • Arizona Technology Access Program

• http://aztap.org/

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Laura Plummer, MA, CRC, ATP

Sr. Rehabilitation Technologist / Wistech

Director

Stout Vocational Rehabilitation Institute

715-232-3300

[email protected]