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Assistive Technology services

Assistive Technology services. Hsin-yu Chiang. 如何申請輔具補助？. Where? 戶籍所在地的鄉鎮市區公所社會科辦理 How? a. 設籍並實際居住該縣市 b. 持有身心障礙手冊 c. 申請補助未獲政府醫療補助或社會保險補助. Assistive Technology services.

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Assistive Technology services

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  1. Assistive Technology services Hsin-yu Chiang

  2. 如何申請輔具補助？ • Where? 戶籍所在地的鄉鎮市區公所社會科辦理 • How? a.設籍並實際居住該縣市 b.持有身心障礙手冊 c.申請補助未獲政府醫療補助或社會保險補助

  3. Assistive Technology services • Evaluation of the technology needs of the individual, including a functional evaluation of the individual with a disability in a customary environment. • Purchasing, leasing or otherwise providing for the acquisition of assistive technology devices for the individual with disabilities.

  4. Assistive Technology services • Selecting, designing, fitting, customizing, adapting, maintaining, repairing or replacing of assistive technology devices • Coordinating and using other therapies, interventions, or services with assistive technology devices, such as those associated with existing education and rehabilitation plans and programs

  5. Assistive Technology services • Assistive technology training and technical assistance for an individual with a disability, or where appropriate, the family of an individual with disabilities. • Training or technical assistance for professionals, employers, or other individuals who provide services to, employ, or otherwise are substantially involved in the major life functions of the individual with a disability.

  6. AT Assessment Process (ATAP) • The ATAP is NOT specific to one area of AT • Uses GUIDELINES for overall AT intervention • Considers human (H), activity (AT) and context (HAAT) • Goal is to enable, not restore or rehabilitate • Is a collaborative process

  7. Human Activity Assistive Technology (HAAT) Model • Human • Activity • Assistive Technology • Context (social, setting, & physical)

  8. HAAT Model

  9. Referral & Intake Follow-along Initial Evaluation Follow-up Recommendations & Report Implementation Steps in the Service Delivery Process

  10. Step 1 Intake/referral Step 2: Identification of needs Step 3: identification of desired outcomes Step 4: ID team members Step 5 Skills assessment Step 6: device trials Step 7: revisit desired outcomes Step 8: Procure device Step 9: Technology implementation Step 10: follow-up/follow along ATAP 10 Step Process

  11. Step 1: Intake/Referral • Gather preliminary information on client • Referral source-might influence AT covered and services provided • Personal, medical, & health information gathered • educational/vocational background • prognosis

  12. Step 2: ID needs • Consumers identify their: • Goals • Interests • Dislikes • Priorities • Living situation

  13. Step 2 & 3: ID needs & desirable outcome • Directions -ID life roles and performance areas -ID activities interested in performing -ID specific tasks difficulty performing -ID contexts in which activities are carried out • Determine past HX of AT for the activity and the outcomes

  14. Opportunity Barriers: (not under client control) policy practice attitude knowledge skill Access Barriers: (related to abilities, attitudes, resource limitations of client or support system) Resistance by family/others to AT Funding Others? Barriers

  15. Step 4: ID team members • Team members • Client • Family • Health Care professionals • School professionals (student) • Employers • Friends • ID member responsibilities

  16. Step 5: Skills assessment • Sensory abilities • Vision, perception, tactile, auditory • Physical abilities • Seating/positioning, ID control sites on body • Cognitive abilities • Memory, attention, problem solving, sequencing, motivation, ability to follow directions • Understanding of cause & effect • Communication abilities • Expressive and receptive, symbol use

  17. Step 5: Skills assessment • Use of different assessment tools • (WATI) http://www.wati.org/ • Matching Persons & technology http://members.aol.com/IMPT97/MPT.html Look at Client, environment, tasks and tools

  18. Evaluation of seating & positioning • Posture • Reflex patterns • Muscle tone at rest • Muscle tone while performing tasks

  19. Skills Evaluation - Physical Identifying potential anatomical sites for control • Head • Forehead • Eye • Mouth • Chin • Elbow/Arm • Hand • Knee/Leg • Foot

  20. Skills Evaluation - Physical Comparative Testing of Control Interfaces • Speed of response • Accuracy of response

  21. Assistive Device Characteristics • Human/Technology Interface • Processor • Activity Output • Physical Construction

  22. Assistive Device Characteristics • Human/Technology Interface (the portion of the device that the individual directly interacts) • Physical properties • Mountability • User feedback • Number of inputs • Selection methods (Direct or Indirect) • Selection set

  23. Assistive Device Characteristics • Physical Construction • Mountability • Portability • Packaging

  24. Where to get assessment tools in Taiwan? • 各地區衛生署核可之身心障礙鑑定醫療機構詢問 • 各地區社會局或輔具中心 -台北市輔具資源中心 -中華民國無障礙科技發展協會附設視障輔具中心 -台北市南區輔具中心(第一輔具資源中心) -台北榮民總醫院醫療復健輔具中心 -國立台灣大學身心障礙者輔具工程研究中心 …

  25. 中央級輔具中心 • 內政部多功能輔具資源整合推廣中心 • 內政部顏面損傷輔具資源推廣中心 • 內政部足部輔具資源推廣中心 • 內政部聽語障輔具資源推廣中心 • 內政部資訊科技輔具資源推廣中心

  26. Step 6: Device trials • Negotiate (廠商 & 病人)what to try • Set up device trials • Rental and loaner resources • Decide on data to collect • Set timelines

  27. Step 6: Device trials • Trial Periods • Target meaningful & motivating activities • Activities should reflect key environments • Activities & environments should be consistent across trials • Document results – successful and unsuccessful.

  28. Assessment process • Step 7: Revisit desired outcomes • Step 8: Procure client’s own device • Step 9: Implementation technology • Step 10: Follow-up/follow along

  29. Principles of Assistive Technology Assessment & Intervention • Integrates the Human, Activity, Assistive Technology, & Context Model • Assessment is ongoing & deliberate • Requires collaboration & a consumer-centered approach • Requires an understanding of how to gather & interpret data • Source: Cook & Hussey (2002). Assistive Technologies: Principles & Practice. 2nd edition. St. Louis: Mosby.

  30. AT can be classified as • Low tech • Elementary tech • High tech

  31. Low Tech • Easy to use • Minimal learning time • No electrical power • Little or no training needed

  32. Elementary Tech • Battery operated devices • Easy to use • Minimal amount of learning time

  33. High Tech • Complex and programmable • Requires training

  34. AT devices can be used in more than one area… • Communication • Mobility • Therapy • Vocation • Education • Recreation

  35. Name equipment and explain it’s use! Is it low, elementary or high tech? Activity one

  36. Name equipment and explain it’s use! Is it low, elementary or high tech?

  37. Activity Two • Identify 2 pieces of assistive technology you use daily!

  38. Name equipment and describe a client who would benefit from it! Activity Three

  39. Principles • Helps clients adapt to barriers • Must be convenient for the client • Promotes functional independence

  40. Progression of Implementation • Use the least invasive treatment • Modify position, task, and environment • Purchase commercial products • Adapt commercial products • Design/fabricate custom equipment

  41. References • www.buffalostate.edu/offices/disabilityservices/glossary. • www.remedy.com/customers/dev_community/UserExperience/glossary.htm • http://209.85.165.104/search?q=cache:fStOT9kQJCcJ:www.6law.idv.tw/law/%E8%BA%AB%E5%BF%83%E9%9A%9C%E7%A4%99%E8%80%85%E4%BF%9D%E8%AD%B7%E6%B3%95.doc+%E6%AE%98%E9%9A%9C%E7%A6%8F%E5%88%A9%E6%B3%95&hl=zh-TW&gl=us&ct=clnk&cd=1 • http://www.law.taipei.gov.tw/taipei/lawsystem/showmaster.jsp?LawID=P08E2002-20051118&RealID=08-05-3004 • http://www.llaids.com.tw/support/support1.htm • Cook & Hussey (2002). Assistive Technologies: Principles & Practice. 2nd edition. St. Louis: Mosby. • Trombly C.A. (2001).Occupational Therapy for Physical Dysfunction

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