| What
is Assistive Technology? |
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What is an Independent Assistive Technology Evaluation? |
| Is
Assistive Technology just AAC and is it all High Tech? |
| Are
there different types of Assistive Technology? |
| What
are the regulations school personnel should know about? |
| Who
pays for Assistive Technology? |
| What should
an A.T. evaluation consider? |
| Who Evaluates
a student for Assistive Technology? |
| What
Quality should be seen in Individuals working with Assistive Technology? |
| What questions
should be asked when reviewing an Assistive Technology Evaluation? |
| What is
an A.T.P.? |
| Does an
Item need to be purchased for only one individual? |
| Who is
Responsible for the Assistive Technology Device? |
| Is
a school district responsible for providing AT in the home if a child
is home tutored? |
| What School
Documents are necessary for Assistive Technology? |
| If
my child has a computer in their classroom, do they have Assistive
Technology? |
| When
is Assistive Technology Appropriate? When is it Necessary? |
| Assistive
Technology Glossary |
| Webliography |
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| What
is Assistive Technology? |
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Any item, piece of equipment,
or product system, whether acquired commercially off the shelf,
modified, or customized, that is used to increase, maintain,
or improve functional capabilities of children with disabilities.-
I.D.E.A.
A quandary that districts face
is the delineation of educational vs. therapeutic therapies
and assistance. There is a need for greater justification
in I.E.P. goals to demonstrate the use of equipment or assistive
technologies is being used not just for skill development but
for educational needs. Equipment should assist greater
independence and lessen dependence of a caregiver or further
goals that are moving towards a less restrictive environment. |
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| What
is an Independent Assistive Technology Evaluation? |
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Independent
Educational Assistive Technology Evaluations are created in accordance
with I.D.E.A. regulations for Assistive Technology consideration
which by law should appear in every Students I.E.P. All evaluations
are made after direct assessment of a students abilities, a review
of pertinent school records, parent interviews, teacher interviews
with district staff including classroom teachers, related service
staff, special needs educators. Evaluations from district and
outside sources are reviewed which normally include educational,
psychological, medical, and speech language and hearing reports, Specialized
medical, clinical, and educational testing will also be
used where available.
Evaluations are prepared based
on the standards and ethics demands specified for RESNA for
Assistive Technology Providers. Recommendations are
independently crafted without undue influence from the school
district or advocates for the student. The evaluator
is not affiliated with any specific manufacturer or product
and any item suggested in the report Ethical testing and evaluation
standards for individuals examining students are also discussed
at http://www.nichcy.org/pubs/outprint/nd13txt.htm
An independent evaluation is
requested either from a C.S.E., or when an impasse has been
reached on the evaluation. These evaluations are presented
at a district C.S.E. The C.S.E. by consensus approve
the recommendations. |
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| Is
Assistive Technology just AAC and is it all High Tech? |
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Assistive Technology is for more
independent, productive and enjoyable living. It can be simple
or complex. It can include Velcro, adapted clothing and toys,
computers, seating systems, powered mobility, augmentative communication
devices, special switches, assisted listening devices, visual
aids, memory prosthetics, and thousands of other commercially
available or adapted items. These technology solutions are designed
to improve an individual's educational abilities to learn, communicate,
work and interact. Assistive technology should help a student
achieve greater independence and enhance the quality of
their lives . Outside of school this might also include Environmental
Control Devices or E.C.U.s. They may also be known by the
mnemonic E.A.D.L. (Electronics for Assisted Daily Living) |
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| What
are the regulations school personnel should know about? |
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I.D.E.A. A.D.A. and specific knowledge
of law cases, I.E.P. regulations, and 504 regulations are all
vital “talking points” about which district
C.S.E.s should be well versed. Knowing the specific
regulations and training for teachers and those who are responsibility
for teaching to assist I.E.P. goals is often a missing piece
in a district or classroom planning.
Supplementary aids and services
- These services include aids, services and other supports,
and are to be made available in regular education classes and "other
education-related settings" to enable children with disabilities
to be educated with their nondisabled peers to the maximum
extent appropriate. 20 U.S.C. § 1401(29). AT devices
and services would be included in this definition. These
supports are to be provided in other settings, in addition
to the classroom, such as extracurricular activities. See 34
C.F.R. § 300.306. A student who needs an alternative communication
system, for example, should be able to use that system in after
school and other nonacademic functions. As noted above, any
such use must be listed on the IEP. 20 U.S.C. 1414(d)(1)(A)(iii).
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| Who
pays for Assistive Technology? |
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AAC devices are considered to be "durable
medical equipment" and generally are funded through private
insurance or through Medicare. The process in obtaining an AAC
device has many steps.
A school district or agency may purchase AAC for use by
an individual but the device is the property of the school or
agency, not the individual. This can be problematic if the individual
moves out of the district or the agency service area.
All other equipment may be provided from home or outside sources,
but if it is used in the educational setting, then it is the
districts responsibility to provide any equipment that is listed
in the students’ I.E.P. Part of a home school collaboration
is the sharing of equipment and devices within the regulations. |
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| Who
Evaluates a student for Assistive Technology? |
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Assistive technology is not nice and
neat and in most cases can not be taken care of by a single
individual. A C.S.E. will often pay for an evaluation out
of ignorance of the materials requested, for items that will cost
less the evaluation itself. A P.T. can pick out a modified
toilet with the C.S.E. will have no problem with that, yet if assistive
technology is recommended they are hampered by a lack of familiarity
with the particular components, or overwhelmed with anything beyond
a basic computer. This often delays or hinders acquiring
Assistive Technology often having it languish between staffings
and annual reviews.
If an Assistive Technology Evaluation is to be done, it should
be done right. A
justification of need should be done with evaluation in various
settings, with classroom and parental involvement. A battery
of tools should be employed to look at the educational day of a
student and determine where if any assistive technology should
be integrated into a students personal curriculum.
This justification
includes a profile of the potential user including vision, hearing,
motor and cognitive abilities, present ability to communicate,
communication situations he/she might regularly encounter, necessity
of being able to communicate emergency information to a caregiver
(medical necessity), and summaries of the user's ability in the
interaction with each AAC device. In this part the clinician has
to state why one device is more appropriate than the other. A complete
list of equipment including the AAC device, amount of memory, batteries,
carrying cases, A/C adapters, specialized software and other peripherals
must be a part of the justification as well as a request for funds
for repair and maintenance, usually 5% of the overall cost of the
device per year.
SETT stands for Student, Environment, Tasks and Tools. Determining
the students hopes, their dreams, their goals, their aspirations,
their strengths, their abilities. Find out what is we asking that
student to do in what environment? The classroom, the library,
the cafeteria, the bus? Look at what tasks students to do in those
places. Finally, after we know that student, the tasks we want
them to do and the places we want them to do them, then we take
a look at the solutions or the tools that will help that child
do those things in those places. Those solutions can run the gamut
of really fall into three groups of options, from no-technology
options to low-technology options to high-technology options.
Assistive Technology evaluation is a cross discipline process.
Often a team of professionals including an S.L.P., and O.T. a P.T.,
a reading specialist, as vision, Hard of Hearing , or Deaf Education
professionals are needed to be part of this process.
An A.T.P.
(assisted technology provider) can be a certified specialist in
this area. This
is a national certification from the Rehabilitation Engineers Society of North
America (R.E.S.N.A.). There are excellent exemplar training programs like
the one offered from California State University at Northridge, which help train
generalists in aspects of this transdisciplinary approach to learning.
A district technology coordinator is usually NOT the person who
should do an A.T. evaluation. They may be very helpful when it comes to getting hardware
and peripherals but few have any special education training or knowledge, and
most would not know a Cheap talk from a Liberator. You should ask questions
if you have a recommendation made by a person who is unqualified to do assistive
technology evaluations. |
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| What
is an A.T.P.? |
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An Assisted Technology Provider is
certified through the Rehabilitation Engineering
Society of North America (R.E.S.N.A.) . In order to be considered as
an A.T.P. a candidate must have extensive experience working with Assistive Technology
in the field, had a course of study directly in assistive technology. Candidates
are then eligible to sit for a national test of 200 questions demonstrating their
knowledge and proficiency in areas of A.T.
There are 10 competencies an
A.T.P. needs to demonstrate in order to be certified. (See RESNA.org for
the complete list) |
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| Does
an Item need to be purchased for only one individual? |
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Missing from the federal requirements
is the notion that assistive technology is for all students. On
a broader scale, assistive technology, or any technology, is for
all students. If you look at schools today, you see grand computer
labs for students, and assistive technology should become a part
of the total technology program and make the technology for students
with disabilities a bit more personalized through the I.E.P. process. School
districts and visionary principals should be looking at access
for all instead of modifications for a few.
Universal Design for Learning (UDL) draws upon and extends principles
of universal design as used in architecture and product design.
Architects practicing universal design create structures which
accommodate the widest spectrum of users possible. In universally
designed environments adaptability is subtle and integrated into
the design. Designing for the divergent needs of special populations
increases usability for everyone. The curb cut is a classic example.
Although they were originally designed to help those in wheel chairs
negotiate curbs, curb cuts ease travel for those pushing carriages,
riding skateboards, pulling suitcases, or simply walking.
- Students with disabilities fall along a continuum of learner
differences rather than constituting a separate category
- Teacher adjustments for learner differences should occur
for all students, not just those with disabilities
- Curriculum materials should be varied and diverse including
digital and online resources, rather than centering on a single
textbook
- Instead of remediating students so that they can learn from
a set curriculum, curriculum should be made flexible to accommodate
learner differences
The central practical premise of UDL is that a curriculum should
include alternatives to make it accessible and appropriate for
individuals with different backgrounds, learning styles, abilities,
and disabilities in widely varied learning contexts. The "universal" in
universal design does not imply one optimal solution for everyone.
Rather, it reflects an awareness of the unique nature of each
learner and the need to accommodate differences, creating learning
experiences that suit the learner and maximize his or her ability
to progress.
The C.A.S.T. program which is well known for the BOBBY web
check program for accessible web sites, is a good resource on
other types of modifications and techniques that a school can
look at integrating into their system. |
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| Who
is Responsible for the Assistive Technology Device? |
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Assistive Technology in the schools
is funded through the Individuals with Disabilities Education Act
(IDEA). This special education program lists a variety of assessments
and services that school systems must provide so students with
disabilities may receive a "free and appropriate public education."
Section A, Part 300 of IDEA states that for Special Education
in a school district:
Assistive technology service means any service that directly
assists a child with a disability in the selection, acquisition,
or use of an assistive technology device.
This includes:
- The evaluation of the needs of a child with a disability,
including a functional evaluation of the child in the child's
customary environment;
- Purchasing, leasing, or otherwise providing for the acquisition
of assistive technology devices by children with disabilities;
- Selecting, designing, fitting, customizing, adapting, applying,
maintaining, repairing, or replacing 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.
Can any Device or Equipment go home?
If an individual is school-age and has a disability, and
if the AT service or tools are written into the IEP in such a way
that they must be available in the home for the student to successfully
complete homework, then the school district is responsible for
providing the tools. The Individualized Educational Program (IEP)
is the plan or outline of placement decisions, goods, and services
to be provided to the student according to the annual determinations
of a student's IEP team.
Part of the complete IEP is attachment of goals and objectives
for each individual student. If the student needs Assistive Technology
to successfully meet the goals and objectives, and if it is written
in, then the student must have access to the same tools at home
as he uses in school.
Equipment (hardware/software) written into IEPs should appear
in the Special Equipment section of the IEP as well. It is
only by having it written into the IEP that the school becomes
responsible for ensuring that it is available to the student,
it necessary, outside of the school.
Is a school district responsible
for putting AT in a private school setting?
If the student has
a disability and if the school has placed the child in a private
school setting, the Assistive Technology equipment and services
must be provided on site of the private school.
If
the parents (not the school district) have placed the student
with the disability into a private school setting it does not
have to be provided within the private school. –I.D.E.A.
If,
however, the student has a disability that is identified and
the student has an IEP, and if the IEP has Assistive Technology
equipment or services written as part of the educational plan,
this service must be provided. According to IDEA, it can be provided
in the public school setting or at a neutral site to which the
student with the disability must travel. |
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|
| Is
a school district responsible for providing AT in the home if a child
is home tutored? |
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Home tutoring is described as an employee
of the school district entering the home of a student for a prescribed
length of time weekly or daily to work directly with the student
who requires such service.
If the student has a disability that is identified and the student
has an IEP, and if the IEP has Assistive Technology equipment or
services written as part of the educational plan, the technology
and services must be provided, but it does not have to be provided
within the home. According to IDEA, it can be provided in the public
school setting or at a neutral site to which the student with the
disability must travel.
Is a school district responsible for providing AT in the home
if a child is home schooled? (IDEA)
If the student has a disability that is identified and the student
has an IEP, and if the IEP has Assistive Technology equipment
or services written as part of the educational plan, it must
be provided, however, it does not have to be provided within
the home. According to IDEA, it can be provided in the local
public school setting or at a neutral site to which the student
with the disability must travel.
Who
needs to be trained to use any Assistive Technology?
Training or technical assistance for a child with a disability
or, if appropriate, that child's family; and training or technical
assistance for professionals (including individuals providing
education or rehabilitation services), employers, or other individuals
who provide services to, employ, or are otherwise substantially
involved in the major life functions of that child. It includes
everything from evaluation through coordination of the assistive
technology services with all the other services that the student
receives.
Training for the child and professionals is very important. Without
that training, that technology goes unused and stays in the closet.
As assistive technologies are being considered for all students,
consideration of how that technology is going to be implemented
in the classroom, who is responsible for that hardware and software,
and how to support people to implement that technology are needed. |
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| When
is Assistive Technology Appropriate? When is it Necessary? |
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Assistive Technology is appropriate
any time a student needs help or needs the ability to concentrate
and be more efficient on their work then it could qualify as
being appropriate to meet their needs. If they are a special
needs student in order for it to be acceptable, then it needs
to be in their I.E.P. with verifiable ease of access and classroom
coordination. If not and the district C.S.E. is unwilling
to consider this, then it needs to be appealed. Additionally
needed equipment must be in working order, and needs to be should
be documented by a comprehensive A.T. evaluation done in the
student’s regular learning environment.
It becomes a necessary item for consideration when the student
can benefit from the use of technology. Just having the computer
in the room does not make it accessible, usable, or appropriate.
This does not count if they are asked to settle for a broken
computer in the corner of the room. This does not mean that they
may need to have their own computer or a laptop. A basic system
used properly and possibly with some small modifications can
be sufficient to meet a student's needs.
Computers can help level the playing field
It becomes an assistive technology issue when a level of transparency
can not easily be met because of logistics. Examples would
be a high school student moving between rooms where each room
would need modifications. Practicality issues should also be
addressed, such as Is the student y are trying to use the
computer facing the back of the room to take classroom notes,
or they have to go down to the library to print anything). In
these cases the best solution often is having the student be
as independent of the system, often by the use of a portable
device, often a laptop computer.
Districts are not
always ready to jump to the laptop level (because then everyone
will want one), and staff will not know how to use them. A step
I usually take is to ask for training for staff, set up benchmarks
for using the existing computer system, with a follow up C.S.E.
or at least a staffing to demonstrate why the current system
is or is not working well (and then get the laptop). A
district might also consider a lower technology device before
going to a laptop level. There are systems like the alphasmart that
are keyboards with little monitors that use infrared to send
work to the printer or to a word processing program. They
have their merits but a laptop or tablet can be used for many
more and things (they have started to add Internet and little
work applications to the systems), but a computer that goes back
and forth to and from school is far more appropriate.
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