ohio-apse-2013 - ohio association of county boards of dd · pdf filehow atc can help: patient...
TRANSCRIPT
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ENABLING TECHNOLOGIES:
Tony Gentry, PhD OTR/L
Leveraging the Miracle Machines
Virginia Commonwealth University
The largest university in the Commonwealth
Located in Virginia’s capital city
Historic Richmond
On the banks of the James River
Ongoing Work
¨ NIDRR DRRP iTouch in Job Support research trial in collaboration with DARS
¨ NIDRR RRTC developing customized employment model for people with “most severe” disabilities (P. Wehman)
¨ TATRC physiological monitoring for sleep in PTSD research trial
¨ Smart Homes for state vocational rehabilitation center and McGuire VAMC
¨ Pilots exploring handheld devices for people with mental illness and sleep hygiene cueing for adults with autism.
VCU Autism Center of Excellence Facebook: “Assistive Technology for Cognition”
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The Age of Technology What is Disability?
Person
Task
Place
21st Century Rehabilitation How do we get there?
What is AT?
¨ Any item, piece of equipment or product system, whether acquired commercially off the shelf, or modified, or customized, that is used to increase, maintain, or improve the functional capabilities of individuals with disabilities.
¨ Any service that directly assists an individual with a disability in the selection, acquisition, and use of an assistive technology device.
¨ Tech Act, 1988
Everyday AT - mobility
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Everyday AT – Wheelchairs, etc. Johnny Kelley
¨ IT Engineer ¨ Inspirational Speaker
Now & Soon
iBot
Magicwheels
Whii e-wheels
Puma by Segway
Everyday AT - Cars Toney Lineberry, Esq.
¨ Law Professor ¨ Road Safety Lecturer ¨ Inspirational Speaker and Author ¨ Graduate of University of Virginia School of Law ¨ Father of twins
¨ All achieved after an auto accident caused a C-6 spinal cord injury at age 17
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New & Soon…
Kenguru e-car
Google Self-Driving Car
Everyday AT – in home & out
Now & Soon
RI-Man
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Computer Access
¨ Mouse control & Pointers ¨ Alternative keyboards ¨ Speech Recognition ¨ Software adaptations
¤ Spell Check ¤ Sticky Keys ¤ Word prediction ¤ Screen readers ¤ Task Organization
Task Adaptations
¨ Computer skill is the strongest indicator of competitive employment for people with mobility impairments
¨ Develop skills ¨ Focus on computer access
technologies ¨ Opportunities for home-
based employment/telecommuting
Internet socializing
¨ www.facebook.com ¨ www.myspace.com ¨ www.disabilities-r-us.com/
community/ ¨ www.inspire.com/groups/
paralysis-resource-center/ Chris and Diana Reeves Foundation-sponsored site
¨ www.disaboom.com
COMPUTER ACCESS – Now & Soon
Everyday AT - Cognition iPod Touch 4g/5g
¨ Organization apps ¨ Still/video camera ¨ Face Time video-calls ¨ Built-in microphone ¨ Voice-over accessibility ¨ Background-running program
capability ¨ Application Folders ¨ Highly portable ¨ All-day battery
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Functional Cognition
¨ Remembering to do things (medications, appointments)
¨ Memory for names/faces, locales ¨ Task Sequencing ¨ Multi-tasking ¨ Dealing with Distractions ¨ Adapting to transitions and changes in
routines ¨ Dealing with frustration
Impact on Everyday Life
¨ Inconsistent medication: ¨ Hospitalization, decline in health ¨ Missing appointments: ¨ costs money, jobs and friends ¨ Missing bills: ¨ Eviction from your home, bill collectors ¨ Spatial orientation problems: ¨ Getting lost, traffic accidents ¨ Task-Sequencing Problems: ¨ Job failure, need for supervision ¨ Problems multi-tasking or dealing with
distractions: ¨ Home and community safety, difficulty at
work
¨ Remembering to do things/forward planning
¨ Task-Sequencing
¨ Wayfinding
¨ Managing Problematic Behaviors & Situations
¨ Health Management
¨ Safety
¨ Communication
¨ Home & Money Management
¨ Academics
¨ Sensory ability accommodations
How ATC Can Help: Patient Services Representative Assistant at Doctor’s Office
§ Filing patient charts
alphabetically
§ Checking shelves for
alphabetical order
§ Scanning new patient
information
§ Sorting and delivering faxes
to the 7 doctors
VoCal Task Analysis in Notes
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Hack Story Kit
¨ Free app ¨ Picture sequences ¨ Captioning and
drawing ¨ Audio cues ¨ http://www.youtube.com/watch?
v=RSWQkUS4kXk
Story Kit
Story Kit cont. Before Story Kit prompts
With Story Kit prompts Cognitive AT – Now & Soon
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Everyday AT - Vision
SENSORY AT - other The Service Side of AT
Team Approach
¨ Client – The Expert ¨ Caregiver ¨ Employer ¨ Co-workers ¨ Rehab Counselor ¨ Occupational Therapist ¨ Job Coach/Supported
Employment Specialist ¨ Assistive Technology
Practitioner
Person-Centered Collaborative Problem-Solving
¨ Assessment of Skills and Needs in the Workplace ¨ Not just what jobs am I good at, but what activities
on the job require supports, which do not ¨ Costs and Benefits of various adaptations ¨ Rent or borrow AT – trial and error ¨ Work with employer, job coach, coworkers, too ¨ Who will act as team facilitator/leader? ¨ Follow-along and revision
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Heirarchy of AT provision:
1. Modify the task parameters 2. Use commercially available products 3. Combine technologies not typically
used together 4. Modify existing commercial devices 5. Use rehabilitation-specific products 6. Fabricate new devices
Employer & Co-worker concerns
¨ He’s got an easier job than I do.
¨ She’s not safe here. ¨ Our insurance costs will go
up. ¨ Now everyone will want this
accommodation. ¨ Expect sub-par work. ¨ I don’t want outsiders
making accommodations here.
Questions for Vendors
¨ What service is provided? ¨ Do you loan or trial AT with
users? ¨ Do you provide training? ¨ What happens if it breaks? ¨ Repair and return time? ¨ Get a statement of charges
for services & repairs
Formative and Summative Evaluation
¨ Assess on-site ¨ Reassess ¨ Try something else ¨ When do you know it’s
working? ¨ When do you check back in? ¨ How do you build on success? ¨ Don’t forget the
interpersonal.
Worksite Social Issues
¨ Communication ¨ Sharing ¨ Collaboration ¨ Management ¨ The importance of the interpersonal ¨ Socializing
What does it mean to be an Assistive Technology practitioner?
¨ You are a therapist ¨ But you are also a technician ¨ Follow-along and maintenance ¨ Collaboration and “Buy-in” ¨ Transparency ¨ Not too new ¨ Not too weird ¨ Seek help and share.
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FUNDING
¨ Early Intervention Programs (IDEA) ¨ Head Start ¨ Public Schools (IEP or Section 504 of Rehab Act) ¨ Vocational Rehabilitation Services ¨ Social Security Administration (PASS and IRWE) ¨ Medicaid ¨ Loans ¨ Non-Profit Disability Associations ¨ Foundations ¨ Civic Organizations ¨ Charities and Fund-Raisers ¨ Used Equipment Sales ¨ Leasing
Issues with Technology
¨ It breaks ¨ It requires maintenance ¨ It evolves ¨ Liberating and
confining