Docstoc

486

Document Sample
486 Powered By Docstoc
					Using the Toolkit
AAC Evaluations Simplified: Tools & Resources

Review


Name 1 new thing you learned yesterday
 



Ideas Resources Equipment

Review process – so far
Person with complex communication needs (CCN) 1. Determine what you know about them Case History / Case History Summary 2. Evaluate skills - with your toolkit 3. Summarize skills 4. Look at device features

Agenda







 



Evaluation Examples: 3 types of communicators Work through your individuals with complex communication needs (CCN) Feature matching Device selection options and research Trialing equipment Vendor Presentations Questions and Summary

Evaluation Examples


3 types of communicators

 

Emerging Context – dependent / situation dependent Independent

Emerging
No RELIABLE means of EXPRESSIVE communication through SYMBOLIC language


Have some functional non-verbal communication (gestures, vocalizations, other nonsymbolic communication) Able to attend, even briefly, to individuals, conversations, pictures, or symbols Yes/no (acceptance/rejection) depicted with body language; i.e. no reliable yes/no for more complex communication





Case Study #1 - RM



 



Age 23 TBI at age 18 Quadriplegic, no functional movement Can turn head but unclear to what degree Limited arousal/attention

Forms



   

Vocalization Body movement Facial expressions Inconsistent eye contact Blinks for yes/no (inconsistent) Attends to family, friends, TV

Function



 


 

Make request Make choices Continue Stop Protest/reject Help Pain/discomfort

Toolkit items



 


 

Pictures (black/white, color) Velcro Board Eye gaze board Switch Switch mount Single message voice output Computer with switch interface and communication software

Outcome



 

Eye gaze f/2 Single switch hits Single message voice output Partner-assisted scanning

Context- or Partner-Dependent
Has SYMBOLIC communication that is RELIABLE but limited to particular CONTEXTS or PARTNERS
    

Rely on partners to provide limited response set Need frequent instruction and cueing Difficulty with initiation May only be functional in particular settings Wide range with regard to # of partners and # of settings

Case Study #2 - JM
        

TBI age 7 Age 15 at evaluation Power w/c, drives with left non-dominant hand Can point to objects Has Delta Talker but doesn’t really use it Receptive vocabulary worse than most give credit for Rarely initiates communication Answers specific questions if he knows the sequence Uses some signs

Functions
        

Make requests / choices Indicate continue / stop Greet and simple interactions Answer questions Make comments Ask questions Relate personal events Participate in class Communicate physical problems

Toolkit Items


Communication devices –

 



Dynamic display Picture-based Minspeak Icon prediction



Keyguards

Minspeak Devices

Outcome


Vantage
   

Small (can mount to w/c and not hit doors) Dynamic display All pages fit keyguard Minspeak

  

Training seminar for school Imitation to increase verbal speech Learn to string icons together

Independent (Generative)
Can communicate ANYTHING on ANY TOPIC to ANYONE in ANY CONTEXT






Locate, select, and convey messages on their own Can interact with familiar / unfamiliar partners equally well Can sequence symbols or letters to generate novel messages

Case Study #3 - LU
Independent communicator  ALS  Computer literate  Physical access – degenerative  Verbal speech still good

Functions - all


Including computer access

Toolkit


Access
  

Headpointing Eye gaze Scanning – single / double switch



Language Representation method
   

Spelling Word-based Pre-stored messages Conversation facilitation

Outcome



  



Intake form V Max with EyeMax AlphaCore May use direct touch for now Continued use of computer for written communication MDA funding

Augmentative Communication Strategies for Adults with Acute or Chronic Medical Conditions
Beukelman, Garrett, & Yorkston, eds. Paul H. Brookes Publishing Co.

Your turn


Decide on groups
  

 

Decide on 1 person the group will focus on Get out your forms
   

Emerging communicators Context – depending communicators Independent communicators

Summary of Observations (CD) The Communicator The Device Toolkit list

Your process
1) Look at known skills of person with CCN (complex communication needs) 2) Look at items in toolkit to continue assessment 3) Speculate on possible devices or communication tools which would meet communication needs

Summary
Pertinent background  Medical, etc.  Hearing/Vision  Physical
 

Ambulatory Access: direct select, scanning, switch placement, etc.

Known skills summary



 

Cognitive Pragmatics/Behavioral Receptive Expressive

 



Current communication methods Verbal Speech Symbols used Message Formulation

Functions – WHY are they communicating?



    

Attend to environment/others Express wants/needs Make requests / choices Continue/stop Request attention / help Protest Greet




    

Answer / ask questions Direct actions of others Initiate – maintain – end conversation Make comments Relate personal experiences/events Repair communication breakdowns Express novel thoughts / ideas

Communication Needs – WHO and WHERE
Communication partners “With WHOM are they communicating?”
 

Communication situations “ WHERE are they communicating?”

Toolkit items to use for evaluation



 

No – tech Lite – tech Digitized High-tech
 

Access Additional features

LOOK at FEATURES REQUIRED






No – Tech (no voice) vs. Higher Tech (voice output) Input features to be addressed (on next slides) Output features to be addressed ( on next slides)

INPUT FEATURES


Selection Technique;

 

Direct select (modifications?) Scanning (type) Switches (number, type, etc.)
Pictures (type – photos, drawings) Alphabet



Symbol features
 

Input Features continued:


Use of multiple pages:
  

Understand navigation How to change pages Who changes pages . . . Etc.
Prestore messages Dynamic display required Premade vocabulary Word / phrase / character /grammatic prediction



Rate enhancement:
  



OUTPUT FEATURES


Voice output
   

Synthesized Digitized Other languages Text – to – speech
Static display – or dynamic screen Size of screen – small, med., large Other considerations:



Visual display
 



OUTPUT FEATURES (continued – quick review)





   

Message key characteristics Message bar characteristics Other device requirements (computer access, printer, telephone, etc.) Accessories Environmental controls Accessories (mounts, carry bags, etc) Device style: keyboard vs. tablet

break

How do you proceed?
. . . . . Know user’s skills . . . . . . . . Know device features . . . . .now what?

Device Selection Options


Catalogues


AAC TechConnect – contact manufacturers
Go to individual ones – AAC TechConnect has list Pictures (thumbnails of 85+ devices) Free flyers



Manufacturer websites




AAC TechConnect – free resources






Vendors

Lite Tech Low Cost Chart

Device Assistant – free trial

Time for lunch!

Trialing equipment

   

Vendors – local resources Manufacturers Loan equipment Rental options ASHA – list of questions to ask manufacturers

Explore Programming of the device







Try the actual programming – see how it feels Communication partners need to feel comfortable with the programming Sales representatives can assist Ask what support options include

Accessories (list on CD)
   


 




Carry bags Keyguards Access hardware (switches/head controlled device, joystick, etc.) Mounting systems/componants Extra power (if required) Internet/computer access (hardware/software) Environmental controls Software to make overlays (for digitized devices) Others?

Completing the paperwork



  

Gather Summarize Write report Get quote / info from manufacturer Complete funding paperwork (packets from each company)

Funding
 

    

Medicare, Medicaid 3rd party medical funding (Private Insurance – BCBS, AETNA, Cigna, etc.) VA Vocational Rehab Independent living Private pay Auto Insurance





MDA Charitable Organizations
  


 

Animal Shelters (Elks, Moose, Lions, etc.) Kiwanis Rotary Club JCs Make-a-Wish Religious organizations

Work with your local device representatives

www.aacfundinghelp.com

Free templates
    

CD www.aac-rerc.org Report Coach: aacfundinghelp.com Dynavox – funding manager Templates on www.aactechconnect.com

Vendors
30 minute stations

Do you . . .
Have some new strategies to try?

Have some things in your closet you will dig out for use?

Questions? ? ?

CEU’s from AAC Institute: Follow instructions on form
How did we do? What else include next time? ? ?  Please complete survey – we make changes based on your input  Testimonials – greatly appreciated

AAC Institute




Find our workshop listed Fill out attendance form and evaluation form (on website)

Our goals were . . .


Explain the process of obtaining an AAC tool/device Describe tools/techniques used to determine the AAC candidate’s skills





Complete many of the components with templates provided for gathering, compiling and reporting the results.
Identify components on AAC devices such as common features and categories of devices (i.e. dynamic display, digitized, integrated, etc.) Identify local resources and consultants for trials, support, and funding assistance for AAC devices.





Review your goals
How did we do? Place a check mark by the ones you accomplished. What else to include next time? ? ?  Please complete survey – we make changes based on your input  Testimonials – greatly appreciated and will be posted on website

THANK YOU

for helping others get their voice

www.aacTechConnect.com 866.4U.AAC.RX info@aacTechConnect.com www.aacTechConnect.com 866.4U.AAC.RX ( 866.482.2279)


				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:18
posted:12/24/2009
language:English
pages:65