Access:

1
Access

• Utilization and Assessment

2
Computer Utilization

• Vocation
• Avocation
• Education
• Communication
• Augment impaired sensory, motor, or cognitive
  skills

3
User Competence

• Careful match between user and device (users
  skills with skills necessary for device
  training!)
• Teaching user to diagnose device problems
  (knowing the source of problems increases user
  competence)

4
Function and Ability

• Skills necessary for
• Keyboard control
• Mouse control
• Seeing computer display
• Hearing auditory cues
• Writing or reading text

5
Alternatives

• Consider keyboard control, adaptations, or an
  alternative keyboard (Intellikeys)
• Consider switch control, headpointer, number
  arrows, alternative mouse (i.e., big Sam)
• Consider contrast, color and glare, screen
  reader, or mouse cursor
• Consider Spell checkers, grammar checkers,
  outliners for those with learning disabilities.

6
Access Assessments

• Why Assess? What do we assess? How do we assess
  the information we get?
• Lifespace Access Profile 69.95
• Developed by SLP, OT, and Biomechanical engineer
  to assess and plan for LT programming
• Physical Characteristics Assessments Checklist
  (PCA) Computer Access for Individuals with
  Cerebral Palsy 24.95
• Developed by educators and an OT for individuals
  and interdisciplinary teams prescribing AT for
  people with CP.

7
Assessments Contd

• LifeSpace Access Profile
• 2 versions- one for higher cognitive functioning
  clients (upper extension) and one for clients
  with multiple/severe impairments
• 3 premises
• AT prescription and training not an exact science
• No one person has all the answers
• Need for technology may exceed resources

• PCA Checklist
• Pilot study, 3 groups of people- experts in CP,
  practitioners who provide services to people with
  CP, and people with CP (10 people in each group)
• 3 groups reviewed the PCA
• Responses- 83 overall return rate (100 from
  experts and practitioners and 50 from people
  with CP)
• Generally favorable reviews from all 3 groups

8
More on Assessments

• LifeSpace Access
• PO Box 2355
• Sebastopol, CA 95473-2355
• Collects information on
• Physical status
• Cognitive resources
• Emotional resources
• Support resources
• Environments

9
And more

• PCA Checklist
• Don Johnston, Inc
• djde_at_aol.ocm
• www.donjohnston.com
• Decision tree format 70 questions divided into 8
  sections for information about body parts and
  movement

• Eight sections are
• Body parts for activation
• Finger activation
• Activation via head pointer, mouth held device,
  or voice
• Activation via hand/arm movement
• Activation via head movement
• Activation via knee movement
• Activation via foot movement
• Basic postural considerations

10
Outcomes

• There are some and well talk about these April
  7th!
• Next week we are at Sparks- 2nd floor Conference
  room with Becky Bellah, SLP.