Assistive technology service providers help individuals with disabilities acquire and use appropriate Assistive Technology (AT) to help them participate in activities of daily living, employment and education.
There are few pre-service programs that offer degrees or certificates explicitly in assistive technology service provision. In the United States, only three institutions have such accredited programs: University of Illinois Chicago, University of Pittsburgh, and University of Wisconsin-Milwaukee. [1] The programs at University of Illinois Chicago and University of Wisconsin-Milwaukee are graduate certificates; the University of Pittsburgh's is a master's degree. Rather than consisting entirely of individuals with explicit AT education, the field of AT service provision consists of an interdisciplinary group of rehabilitation engineers, occupational therapists, physical therapists, speech-language pathologists, suppliers, educators and other professionals who specialize in AT. AT professionals typically have a degree in one of these other fields, but will have additional training in assistive technology.
Professional organizations for AT service providers include: the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA), AAATE (Association for the Advancement of Assistive Technology in Europe (AAATE), ARATA (Australian Rehabilitation and Assistive Technology Association (ARATA), and Rehabilitation Engineering Society of Japan (RESJA).
Since the profession includes people with such varied backgrounds, beginning in 1995, RESNA developed several certification programs for recognizing a demonstrated level of professional competence in the service provision of assistive technology: [2]
Credentialed service providers must meet specific education and professional experience levels, and must demonstrate knowledge of assistive technology, as shown by passing a credentialing exam. According to RESNA, several thousand individuals hold these credentials.
Assistive technology service providers may specialize in several areas of assistive technology, including job accommodations, computer accessibility, vehicle modifications, architectural modifications and home modifications, augmentative and alternative communication, environmental controls, positioning devices, seating and mobility, sensory aids, and learning accommodations. They may be affiliated with hospitals, state vocational rehabilitation programs, schools, assistive technology companies, or disability organizations.
Assistive technologies are often used for people who have any type of speech, hearing, or visual impairment. In fact, assistive technologies are often used for people with any type of impairment that affects their everyday life whether it is permanent or temporary. There are a variety of types of assistive technologies which include: wheelchairs, canes, hearing aids, prosthetic devices, orthotic devices, cognitive devices, adaptive switches, closed captioning, and many more different types of assistive technologies. What many people don't know is how wide of a range assistive technologies provide to us. For example, one would never assume that closed captioning programs are a type of assistive technology. But at the same time assistive technology can also be considered something more in depth like the various types of prosthetic devices used to replace body parts.
According to Ben Satterfield of Georgia Institute of Technology, (AT) or assistive technology refers to “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.” The first initial use of AT was to help in the education field, it developed in the mid-1990s. The purpose of assistive technology is to enrich learning and academic performance within the classroom. [6]
The devices that are used to help those with disabilities are usually paid for by a third party, for example, insurance. To acquire an assistive technology device, you need to seek help from a trained individual in the assistive technology field of services. They will perform evaluations on the individual to see what they require help in, whether that be physical, cognitive or sensory functions. After the device is assigned, medical equipment companies, rehabilitation facilities or volunteer organizations all customize, maintain and repair it. There is so many factors that go into the piece of technology. [7]
To earn the Assistive Technology Professional (ATP) Certification an individual must display extensive knowledge of the needs of those with disabilities, be able to aid them in the proper selection of assistive technology to suit their needs, and provide adequate training on the utilization of said equipment. [8]
As of April 2012, according to RESNA, "To take the exam for ATP certification, candidates MUST meet both the educational and work experience requirements for ONE of the combinations listed below. "
'Degree' | 'AT Training & Education' | 'Work Experience' |
---|---|---|
Master's Degree or Higher in Special Education | 1000 hours in 6 years | |
Master's Degree or Higher in Rehab Science | 1000 hours in 6 years | |
Bachelor's Degree in Special Education | 1500 hours in 6 years | |
Bachelor's Degree in Rehab Science | 1500 hours in 6 years | |
Bachelor's Degree in Non-Rehab Science | 10 hours | 2000 hours in 6 years |
Associate Degree Rehab Science | 3000 hours in 6 years | |
Associate Degree Non-Rehab Science | 20 hours | 4000 hours in 6 years |
HS diploma or GED | 30 hours | 6000 hours in 10 years |
Once the exam is scheduled and ready to be taken, there are five different areas to be judged on: assessment of need, development of intervention strategies, implementation of intervention strategies, evaluation of intervention, and professional conduct.
For the assessment of need portion of the exam an individual should be prepared to: evaluate the consumer and determine their needs, analyze relevant past documents, plan the assessment to fit the consumer's needs, take environmental factors into account, work jointly with team members, ensure the technology suits the consumer's needs and abilities, suggest outlets for further support, make the client's goals a priority, and make the outcome of the assessment clear to the consumer.
For the action plan portion of the exam an individual should be prepared to: explain potential options, choose equipment fitting the consumer's needs/goals/capabilities, evaluate the differences between the equipment being considered and past equipment used, train consumers on use of selected equipment, monitor progress, make note of recommendations, and come to a final solution.
For the implementation of strategies portion of the exam an individual should be prepared to: discuss the plan, monitor the order process, inspect equipment, adjust equipment to suit the consumer's needs, inform consumer on necessary maintenance, assess consumer's capability to use equipment after demonstrations, ensure the consumer has continued training, document the process, and ensure the consumer understands their rights and responsibilities.
For the follow-up portion of the exam an individual should be prepared to: identify the results, begin the restoration process if necessary, make possible strategy changes, and continue to work toward the consumer's goals.
Throughout the exam an individual will also be evaluated to ensure they are following to code of ethics and actively participating in opportunities for advancement in the assistive technology field. [10]
It is important to note that after certification, the learning process is not over. Assistive technology is a constantly changing field and survey participants collectively agreed that the most important training needs are following the newest advancements in technology; comprehend funding for services; and communicating with consumer's/their families, along with other professionals. [11]
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: CS1 maint: unfit URL (link)Assistive technology (AT) is a term for assistive, adaptive, and rehabilitative devices for people with disabilities and the elderly. Disabled people often have difficulty performing activities of daily living (ADLs) independently, or even with assistance. ADLs are self-care activities that include toileting, mobility (ambulation), eating, bathing, dressing, grooming, and personal device care. Assistive technology can ameliorate the effects of disabilities that limit the ability to perform ADLs. Assistive technology promotes greater independence by enabling people to perform tasks they were formerly unable to accomplish, or had great difficulty accomplishing, by providing enhancements to, or changing methods of interacting with, the technology needed to accomplish such tasks. For example, wheelchairs provide independent mobility for those who cannot walk, while assistive eating devices can enable people who cannot feed themselves to do so. Due to assistive technology, disabled people have an opportunity of a more positive and easygoing lifestyle, with an increase in "social participation", "security and control", and a greater chance to "reduce institutional costs without significantly increasing household expenses." In schools, assistive technology can be critical in allowing students with disabilities to access the general education curriculum. Students who experience challenges writing or keyboarding, for example, can use voice recognition software instead. Assistive technologies assist people who are recovering from strokes and people who have sustained injuries that affect their daily tasks.
Biomedical engineering (BME) or medical engineering is the application of engineering principles and design concepts to medicine and biology for healthcare purposes. BME is also traditionally logical sciences to advance health care treatment, including diagnosis, monitoring, and therapy. Also included under the scope of a biomedical engineer is the management of current medical equipment in hospitals while adhering to relevant industry standards. This involves procurement, routine testing, preventive maintenance, and making equipment recommendations, a role also known as a Biomedical Equipment Technician (BMET) or as clinical engineering.
Occupational therapists (OTs) are health care professionals specializing in occupational therapy and occupational science. OTs and occupational therapy assistants (OTAs) use scientific bases and a holistic perspective to promote a person's ability to fulfill their daily routines and roles. OTs have training in the physical, psychological, and social aspects of human functioning deriving from an education grounded in anatomical and physiological concepts, and psychological perspectives. They enable individuals across the lifespan by optimizing their abilities to perform activities that are meaningful to them ("occupations"). Human occupations include activities of daily living, work/vocation, play, education, leisure, rest and sleep, and social participation.
Special education is the practice of educating students in a way that accommodates their individual differences, disabilities, and special needs. This involves the individually planned and systematically monitored arrangement of teaching procedures, adapted equipment and materials, and accessible settings. These interventions are designed to help individuals with special needs achieve a higher level of personal self-sufficiency and success in school and in their community, which may not be available if the student were only given access to a typical classroom education.
An Individualized Education Program (IEP) is a legal document under United States law that is developed for each public school child in the U.S. who needs special education. It is created through a team of the child's parent(s) and district personnel who are knowledgeable about the child's needs. IEPs must be reviewed every year to keep track of the child's educational progress.
Cisco Certifications are the list of the Certifications offered by Cisco Systems. There are four or five levels of certification: Associate (CCNA/CCDA), Professional (CCNP/CCDP), Expert (CCIE/CCDE) and recently Architect, as well as nine different paths for the specific technical field; Routing & Switching, Design, Industrial Network, Network Security, Service Provider, Service Provider Operations, Storage Networking, Voice, Datacenter and Wireless.
There are also a number of the specialist technician, sales, Business, data center certifications, CCAI certified instructor.
A pedorthist is a professional who has specialized training to modify footwear and employ supportive devices to address conditions which affect the feet and lower limbs. They are trained in the assessment of lower limb anatomy and biomechanics, and the appropriate use of corrective footwear – including shoes, shoe modifications and other pedorthic devices.
A biomedical engineering/equipment technician/technologist or biomedical engineering/equipment specialist is typically an electro-mechanical technician or technologist who ensures that medical equipment is well-maintained, properly configured, and safely functional. In healthcare environments, BMETs often work with or officiate as a biomedical and/or clinical engineer, since the career field has no legal distinction between engineers and engineering technicians/technologists.
Rehabilitation counseling is focused on helping people who have disabilities achieve their personal, career, and independent living goals through a counseling process.
Rehabilitation engineering is the systematic application of engineering sciences to design, develop, adapt, test, evaluate, apply, and distribute technological solutions to problems confronted by individuals with disabilities. These individuals may have experienced a spinal cord injury, brain trauma, or any other debilitating injury or disease. Functional areas addressed through rehabilitation engineering may include mobility, communications, hearing, vision, and cognition, and activities associated with employment, independent living, education, and integration into the community.
Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) is an association of people with an interest in technology and disability. Its mission statement notes that RESNA's mission is to improve the potential of people with disabilities to achieve their goals through the use of technology through promoting research, development, education, advocacy and provision of technology; and by supporting the assistive technology service providers engaged in these activities.
Aural rehabilitation is the process of identifying and diagnosing a hearing loss, providing different types of therapies to clients who are hard of hearing, and implementing different amplification devices to aid the client's hearing abilities. Aural rehab includes specific procedures in which each therapy and amplification device has as its goal the habilitation or rehabilitation of persons to overcome the handicap (disability) caused by a hearing impairment or deafness.
Supported employment refers to service provisions wherein people with disabilities, including intellectual disabilities, mental health, and traumatic brain injury, among others, are assisted with obtaining and maintaining employment. Supported employment is considered to be one form of employment in which wages are expected, together with benefits from an employer in a competitive workplace, though some versions refer to disability agency paid employment. Companies such as Skilcraft in the United States are an example of "supported employment" which is defined in law for state and federal reimbursements.
MedStar National Rehabilitation Network is located in Washington, D.C., and specializes in treating persons with physical disabilities. The National Rehabilitation Hospital was founded in 1986 by Edward A. Eckenhoff, and is a member of the MedStar Health system, the Washington, D.C.-Baltimore region's largest non-profit healthcare organization.
A standing wheelchair is assistive technology, similar to a standing frame, that allows a wheelchair user to raise the chair from a seated to a standing position. The standing wheelchair supports the person in a standing position and enables interaction with people and objects at eye level.
The Cisco Certified Internetwork Expert, or CCIE, is a technical certification offered by Cisco Systems. The Cisco Certified Internetwork Expert (CCIE) and Cisco Certified Design Expert (CCDE) certifications were established to assist the industry in distinguishing the top echelon of internetworking experts worldwide and to assess expert-level infrastructure network design skills worldwide. Holders of these certifications are generally acknowledged worldwide as being very advanced with regards of knowledge in the industry. The CCIE and CCDE community has established a reputation of leading the networking industry in deep technical networking knowledge and are deployed into the most technically challenging network assignments. The expert-level certification program continually updates and revises its testing tools and methodologies to ensure and maintain program quality, relevance and value. Through a rigorous written exam and a performance-based lab exam, these expert-level certification programs set the standard for internetworking expertise.
The Assistive Technology Industry Association (ATIA) is a not-for-profit membership organization of manufacturers, sellers and providers of technology-based assistive devices and/or services, for people with disabilities. ATIA represents the interests of its members to business, government, education, and the many agencies that serve people with disabilities. One goal of the ATIA is to "speak with the common voice" for Its mission is to serve as the collective voice of the Assistive Technology (AT) industry so that the best products and services are delivered to people with disabilities.
Assistive Technology Acts provide federal funding from the U.S. Department of Education to each state and territory to support "State efforts to improve the provision of assistive technology to individuals with disabilities of all ages through comprehensive statewide programs of technology-related assistance." Assistive Technologies are equipment, items or devices used to improve or keep the functionality of an individual with a disability. This will allow an individual with a disability to be more independent in life, this includes: education, recreation, and any daily activity. The services being offered for Assistive Technology include being able to use AT devices, assessment for the devices, and any maintenance included, such as customization, repair, and training. Under the Assistive Technology laws, federal grants are granted to each state to fund an Assistive Technology Act Project (ATAP) which provide services for individuals with disabilities, their families, guardians and more for their life span. The act, first passed in 1988, expires each years and needs to be continuously renewed to ensure the services can still be used.
Driver rehabilitation is a type of rehabilitation that helps individuals facing challenges caused by a physical or cognitive impairment or age to achieve safe, independent driving or transportation options through education or information dissemination. Professionals who work in the field use adaptive equipment and modified vehicles to help people attain independent community mobility.
Rory A. Cooper is an American bioengineer who currently serves as FISA/PVA Distinguished Professor, Past Chair, in the Department of Rehabilitation Science and Technology and professor of bioengineering, physical medicine and rehabilitation, and orthopedic surgery at the University of Pittsburgh. He is also assistant vice chancellor for research for STEM and Health Sciences Collaboration. He holds an adjunct faculty position at the Robotics Institute of Carnegie Mellon University, and is an invited professor at Xi'an Jiaotong University in Xi'an, China.