Transcript 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
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.

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
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Assistive Technology services
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Assistive technology training and technical
assistance for an individual with a disability, or
where appropriate, the family of an individual
with disabilities.
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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.
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
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Human Activity Assistive Technology
(HAAT) Model
 Human
 Activity
 Assistive
Technology
 Context (social, setting, &
physical)
HAAT Model
Human
Activity
Assistive
Technology
Steps in the Service Delivery Process
Referral & Intake
Follow-along
Initial Evaluation
Follow-up
Recommendations & Report
Implementation
ATAP 10 Step Process
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Step 1 Intake/referral
Step 2: Identification
of needs
Step 3: identification of
desired outcomes
Step 4: ID team
members
Step 5 Skills
assessment
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Step 6: device trials
Step 7: revisit
desired outcomes
Step 8: Procure
device
Step 9: Technology
implementation
Step 10: followup/follow along
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
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Step 2: ID needs
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Consumers identify their:
Goals
 Interests
 Dislikes
 Priorities
 Living situation
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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
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Life Roles &
Performance
Areas
College
Student
education
Activities
Reading class
assignments in
textbook
Difficult
tasks to
perform
holding book,
turning pages
Contexts
Home
Library
Prior
technology
history
Has used
mouthstick and
bookholders in
the past,
encountered
problems
positioning
book and
mouth
becoming tired
from holding
mouthstick.
Intervention Goals
Evaluate alternatives for holding reading material & turning pages in order to increase
independence in reading
Barriers
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Opportunity Barriers:
(not under client
control)
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policy

practice

attitude
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knowledge

skill
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Access Barriers:
(related to abilities,
attitudes, resource
limitations of client or
support system)
Resistance by
family/others to AT
 Funding
 Others?
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Step 4: ID team members
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Team members
Client
 Family
 Health Care professionals
 School professionals (student)
 Employers
 Friends
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ID member responsibilities
Step 5: Skills assessment
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Sensory abilities
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Physical abilities
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Seating/positioning, ID control sites on body
Cognitive abilities
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Vision, perception, tactile, auditory
Memory, attention, problem solving, sequencing, motivation,
ability to follow directions
Understanding of cause & effect
Communication abilities
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Expressive and receptive, symbol use
Step 5: Skills assessment
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Use of different assessment tools
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(WATI) http://www.wati.org/
Matching Persons & technology
http://members.aol.com/IMPT97/MPT.html
Look at Client, environment, tasks and tools
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Evaluation of
seating & positioning
 Posture
 Reflex
patterns
 Muscle tone at rest
 Muscle tone while performing
tasks
Skills Evaluation - Physical
Identifying potential anatomical sites
for control
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Head
Forehead
Eye
Mouth
Chin
Elbow/Arm
Hand
Knee/Leg
Foot
Skills Evaluation - Physical
Comparative Testing of Control
Interfaces
 Speed of response
 Accuracy of response
Assistive Device
Characteristics
Human/Technology Interface
 Processor
 Activity Output
 Physical Construction
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Assistive Device
Characteristics
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Human/Technology Interface (the portion
of the device that the individual directly
interacts)
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Physical properties
Mountability
User feedback
Number of inputs
Selection methods (Direct or Indirect)
Selection set
Assistive Device
Characteristics
 Physical
Construction
 Mountability
 Portability
 Packaging
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
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-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
…
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
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Step 6: Device trials
Negotiate (廠商 & 病人)what to try
 Set up device trials
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Rental and loaner resources
Decide on data to collect
 Set timelines
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Step 6: Device trials
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Trial Periods
Target meaningful & motivating activities
 Activities should reflect key environments
 Activities & environments should be
consistent across trials
 Document results – successful and
unsuccessful.
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Assessment process
Step 7: Revisit desired outcomes
 Step 8: Procure client’s own device
 Step 9: Implementation technology
 Step 10: Follow-up/follow along
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Principles of Assistive Technology
Assessment & Intervention
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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.
AT can be classified as
Low tech
 Elementary tech
 High tech
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Low Tech
 Easy
to use
 Minimal
 No
learning time
electrical power
 Little
or no training needed
Elementary Tech
 Battery
 Easy
operated devices
to use
 Minimal
amount of learning time
High Tech
 Complex
and programmable
 Requires
training
AT devices can be used in more
than one area…
Communication
 Mobility
 Therapy
 Vocation
 Education
 Recreation
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Activity one
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Name equipment and explain it’s
use! Is it low, elementary or high
tech?
Name
equipment and explain it’s use!
Is it low, elementary or high tech?
Activity Two
Identify
2 pieces of assistive
technology
you use daily!
Activity Three
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Name equipment
and describe a
client who would
benefit from it!
Principles
 Helps
 Must
clients adapt to barriers
be convenient for the client
 Promotes
functional independence
Progression of Implementation
 Use
the least invasive treatment
 Modify
position, task, and environment
 Purchase
 Adapt
commercial products
commercial products
 Design/fabricate
custom equipment
References
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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%E
5%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=zhTW&gl=us&ct=clnk&cd=1

http://www.law.taipei.gov.tw/taipei/lawsystem/showmaster.jsp?LawID=P08E200220051118&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