Services and supports for people with disabilities

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Service and supports for people with disabilities are those government or other institutional services and supports specifically provided to enable people who have disabilities to participate in society and community life. Some such services and supports are mandated or required by law, some are assisted by technologies that have made it easier to provide the service or support while others are commercially available not only to persons with disabilities, but to everyone who might make use of them.

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Services for developmentally disabled people

Developmental disabilities, as defined by the Agency for Developmental Disabilities website, are "severe, life-long disabilities attributable to mental and/or physical impairments which manifest themselves before the age of 22 years and are likely to continue indefinitely. They result in substantial limitations in three or more of the following areas: self-care, comprehension and language, skills (receptive and expressive language), learning, mobility, self-direction, capacity for independent living, economic self-sufficiency, or ability to function independently without coordinated services (continuous need for individually planned and coordinated services). Persons with developmental disabilities use individually planned and coordinated services and supports of their choosing (e.g., housing, employment, education, civil and human rights protection, health care) to live in and to participate in activities in the community." These services and supports are different in every state and there is currently no portability for many of these services state to state.

The mission of The Administration on Developmental Disabilities (ADD), as quoted from their website "ensures that individuals with developmental disabilities and their families participate in the design of and have access to culturally-competent needed community services, individualized supports, and other forms of assistance that promote self-determination, independence, productivity, and integration and inclusion in all facets of community life." Though many supports and services for people with developmental disabilities are offered through other federal and state agencies as well as nonprofit organizations and for profit endeavors, some of ADD Programs/Partners are:

Services for the blind and visually impaired

There are a number of services that can be provided for the blind. Guide dogs is one service that is provided for blind and visually impaired people. These service dogs are trained animals that are capable of guiding people from different locations. Also, these dogs are capable of avoiding obstacles and letting the person in service know that there is a step or bump ahead, so a person doesn't get hurt. Guide dogs tend to cost money and not everyone has enough resources to have this service. However, there are some non-profit organizations that help with the expenses to breed, train, and breed a guided dog. "It costs over $50,000 to breed, raise, train, and place one assistance dog; however, all of the Foundations' services are provided at no charge to the individual." [1] Guide Dog Foundation is one of many different foundations that give services to de blind and visually impair people around the United States. There are different acts that the government has signed to help people with guide dogs to enter into places where regular animals are not allowed. There are many different services and help that visually impair people receive on their day. The Braille Alphabet is an information that lets the blind or visually impair read by following some pattern of dots that each will be a letter. "A person who is unable to read standard print material, borrows free of charge, a Braille material. ... This service is provided by a network of libraries around the United States [2]

Accessible Mobile apps are also a new way to help people visually impair. Many of this apps translate writings into audio in which the person can listen to the writings. "Accessible software applications (apps) for smartphones and other mobile devices can be used by those who are visually impaired to read books, newspapers, magazines, and other print material. These apps convert digital text to speech or provide braille output to a compatible braille device". [3]

Services for the hearing impaired

There are many different services that a hearing impair and deaf can receive. Hearing aids is a device that a hearing impair can use in order to hear regular noises and speech. There are different foundations and nonprofit organizations that are able to provide hearing aids to people with hearing loss. Usually people need examinations in order to know which kind of hearing aid they need. Depending if the hearing loss is Sensorineural or Conductive they can receive help. Hearing loss sensorineural is due to the damage of the inner ear, damage to the hair cells. It can be produced due to disease, illness, age, damage due to exposure, etc. Conductive hearing loss is when sound waves cannot travel through the outer or middle ear, this can be because of earwax, fluids in the middle ear, etc. [4] Depending on the type of hearing loss people can get hearing aids that fits their necessities.

STTS (Speech to Text Service) is a term used for the different real time captioning devices where speech and auditory information can be translated into text by a professional. STTS can be used in different environments such as office meetings, classrooms, public speaking events, etc. There are different types of STTS devices and it will work depending on its type, Verbatim or Meaning-to-meaning are two types of STTS devices. Verbatim is the device that translates all the speech in text, including repetitions and misspeaks, this device is known as CARTS (Communication Access Realtime translation). Meaning-to-meaning device is the one that translates the speech into text taking out repetitions and misspeak, two types of devices that meets this type is C-Print and typewell. [5] Depending on the application the individual works, they will be able to decide which devices fits their needs.

Services for the mobility-impaired

The Americans with Disabilities Act of 1990 was a landmark U.S. federal government move towards providing services for the persons with disabilities in a uniform way all across the country. That legislation has been widely copied in other countries.

Accessing services for disabled people

According to the Americans with disabilities act, people with disabilities are guaranteed equal opportunities when it comes to public accommodation, jobs, transportation, [6] government services and telecommunications. These allow for Americans with disabilities to be able to live as normal lives as possible apart from their disadvantage. In the United States, services for disabled people varies by state and sometimes by location within a state. While Medicaid and Social Security income, both SSI and SSDI, are federally mandated, each state is responsible for administering these programs in their state, as part of their services and supports for disabled people. Each state designs its service delivery system differently and as a result, the portals for entry vary for each state. Some states administer services through a state government agency with subordinate offices throughout the state. Some states contract services out (privatize) and maintain a skeleton state government staff. Being a good advocate or self advocate is necessary to maximize services and supports but several advocacy groups have emerged that provide services, especially health advocacy, for disabled people such as Disability Health Support Australia. [7]

See also

Related Research Articles

<span class="mw-page-title-main">Assistive technology</span> Assistive devices for people with disabilities

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 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 abstained injuries that effect their daily tasks.

<span class="mw-page-title-main">Assistance dog</span> Working dog trained to aid or assist an individual with a disability

In general, an assistance dog, known as a service dog in the United States, is a dog trained to aid or assist an individual with a disability. Many are trained by an assistance dog organization, or by their handler, often with the help of a professional trainer.

Perkins School for the Blind, in Watertown, Massachusetts, was founded in 1829 and is the oldest school for the blind in the United States. It has also been known as the Perkins Institution for the Blind.

<span class="mw-page-title-main">Accessibility</span> Modes of usability for people with disabilities

Accessibility is the design of products, devices, services, vehicles, or environments so as to be usable by people with disabilities. The concept of accessible design and practice of accessible development ensures both "direct access" and "indirect access" meaning compatibility with a person's assistive technology.

<span class="mw-page-title-main">Computer accessibility</span> Ability of a computer system to be used by all people

Computer accessibility refers to the accessibility of a computer system to all people, regardless of disability type or severity of impairment. The term accessibility is most often used in reference to specialized hardware or software, or a combination of both, designed to enable the use of a computer by a person with a disability or impairment. Computer accessibility often has direct positive effects on people with disabilities.

<span class="mw-page-title-main">Telecommunications relay service</span>

A telecommunications relay service, also known as TRS, relay service, or IP-relay, or Web-based relay service, is an operator service that allows people who are deaf, hard of hearing, deafblind, or have a speech disorder to place calls to standard telephone users via a keyboard or assistive device. Originally, relay services were designed to be connected through a TDD, teletypewriter (TTY) or other assistive telephone device. Services gradually have expanded to include almost any real-time text capable technology such as a personal computer, laptop, mobile phone, PDA, and many other devices. The first TTY was invented by deaf scientist Robert Weitbrecht in 1964. The first relay service was established in 1974 by Converse Communications of Connecticut.

A physical disability is a limitation on a person's physical functioning, mobility, dexterity or stamina. Other physical disabilities include impairments which limit other facets of daily living, such as respiratory disorders, blindness, epilepsy and sleep disorders.

<span class="mw-page-title-main">Deafblindness</span> Condition of little or no useful sight and little or no useful hearing

Deafblindness is the condition of little or no useful hearing and little or no useful sight. Different degrees of vision loss and auditory loss occur within each individual. Because of this inherent diversity, each deafblind individual's needs regarding lifestyle, communication, education, and work need to be addressed based on their degree of dual-modality deprivation, to improve their ability to live independently. In 1994, an estimated 35,000–40,000 United States residents were medically deafblind. Helen Keller was a well-known example of a deafblind individual. To further her lifelong mission to help the deafblind community to expand its horizons and gain opportunities, the Helen Keller National Center for Deaf-Blind Youths and Adults, with a residential training program in Sands Point, New York, was established in 1967 by an act of Congress.

<span class="mw-page-title-main">Augmentative and alternative communication</span> Techniques used for those with communication impairments

Augmentative and alternative communication (AAC) encompasses the communication methods used to supplement or replace speech or writing for those with impairments in the production or comprehension of spoken or written language. AAC is used by those with a wide range of speech and language impairments, including congenital impairments such as cerebral palsy, intellectual impairment and autism, and acquired conditions such as amyotrophic lateral sclerosis and Parkinson's disease. AAC can be a permanent addition to a person's communication or a temporary aid. Stephen Hawking, probably the best-known user of AAC, had amyotrophic lateral sclerosis, and communicated through a speech-generating device.

Visual impairment, also known as vision impairment, is a medical definition primarily measured based on an individual's better eye visual acuity; in the absence of treatment such as corrective eyewear, assistive devices, and medical treatment– visual impairment may cause the individual difficulties with normal daily tasks including reading and walking. Low vision is a functional definition of visual impairment that is chronic, uncorrectable with treatment or conventional corrective lenses, and impacts daily living. As such low vision can be used as a disability metric and varies based on an individual's experience, environmental demands, accommodations, and access to services. The American Academy of Ophthalmology defines visual impairment as the best-corrected visual acuity of less than 20/40 in the better eye, and the World Health Organization defines it as a presenting acuity of less than 6/12 in the better eye. The term blindness is used for complete or nearly complete vision loss. In addition to the various permanent conditions, fleeting temporary vision impairment, amaurosis fugax, may occur, and may indicate serious medical problems. The abbreviation VIP is sometimes used for Visually Impaired Person, Persons or People.

<span class="mw-page-title-main">Digital Accessible Information System</span> Technical standard for digital audiobooks, periodicals and computerized text

Digital accessible information system (DAISY) is a technical standard for digital audiobooks, periodicals, and computerized text. DAISY is designed to be a complete audio substitute for print material and is specifically designed for use by people with "print disabilities", including blindness, impaired vision, and dyslexia. Based on the MP3 and XML formats, the DAISY format has advanced features in addition to those of a traditional audio book. Users can search, place bookmarks, precisely navigate line by line, and regulate the speaking speed without distortion. DAISY also provides aurally accessible tables, references, and additional information. As a result, DAISY allows visually impaired listeners to navigate something as complex as an encyclopedia or textbook, otherwise impossible using conventional audio recordings.

<span class="mw-page-title-main">GPS for the visually impaired</span>

Since the Global Positioning System (GPS) was introduced in the late 1980s there have been many attempts to integrate it into a navigation-assistance system for blind and visually impaired people.

Adaptive equipment are devices that are used to assist bathing, dressing, grooming, toileting, and feeding are self-care activities that are including in the spectrum of activities of daily living (ADLs). Jennifer McLaughlin Maly a P.T./ D.P.T. in her article located in the journal Exceptional Parent gives a more complete definition of adaptive equipment:

"Typically, a piece of adaptive equipment is utilized to increase a child's function. Examples of adaptive equipment or assistive technology are wheelchairs, lifts, standing frames, gait trainers, augmentative communication devices, bath chairs, and recreational items such as swings or tricycles."

<span class="mw-page-title-main">Service animal</span> Animal to assist people with disabilities

Various definitions exist for a service animal. The Americans with Disabilities Act defines the term as "dogs that are individually trained to do work or perform tasks for people with disabilities". Dogs are the most common service animals, having assisted people since at least 1927.

Braille technology is assistive technology which allows blind or visually impaired people to read, write, or manipulate braille electronically. This technology allows users to do common tasks such as writing, browsing the Internet, typing in Braille and printing in text, engaging in chat, downloading files and music, using electronic mail, burning music, and reading documents. It also allows blind or visually impaired students to complete all assignments in school as the rest of their sighted classmates and allows them to take courses online. It enables professionals to do their jobs and teachers to lecture using hardware and software applications. The advances in Braille technology are meaningful because blind people can access more texts, books, and libraries, and it also facilitates the printing of Braille texts.

Telesensory Systems, Inc. (TSI) was an American corporation that invented, designed, manufactured, and distributed technological aids for blind and low vision persons. TSI's products helped visually impaired people work independently with computers and with ordinary printed materials.

<span class="mw-page-title-main">Video door-phone</span> Stand-alone intercom system

A video door-phone is a stand-alone intercom system used to manage calls made at the entrance to a building with access controlled by audiovisual communication between the inside and outside. The main feature of video door entry is that it enables the person indoors to identify the visitor and, if they wish, engage in conversation and/or open the door to allow access to the person calling.

Alternative formats include audio, braille, electronic or large print versions of standard print such as educational material, textbooks, information leaflets, and even people's personal bills and letters. Alternative formats are created to help people who are blind or visually impaired to gain access to information either by sight, by hearing (audio) or by touch (braille).

Assistive Technology for the Deaf and Hard of Hearing is technology built to assist those who are deaf or suffer from hearing loss. Examples of such technology include hearing aids, video relay services, tactile devices, alerting devices and technology for supporting communication.

National Institute for the Empowerment of Persons with Visual Disabilities (Divyangjan), Dehradun is a premier organisation under the administrative control of Department of Empowerment of Persons with Disabilities (Divyangjan), Ministry of Social Justice and Empowerment, Government of India. Institute is training centre for the blind, located in an area of about 43 acres on Mussoorie-Dehradun Highway. It is also engaged in production of Braille literature, aids and appliances for visually disabled people. It also undertakes research and developmental activities ensuring emergence of disability inclusive policies, programmes and practices. The institute is governed by the Management & Advisory Bodies.

References

  1. "About the Guide Dog Foundation".
  2. "Braille Alphabet Card". Library of Congress .
  3. "Devices and Aids". Library of Congress .
  4. Center for Devices and Radiological health. "Hearing Loss". U.S. Food and Drug Administration, FDA. https://www.fda.gov/medical-devices/hearing-aids/hearing-loss.
  5. "Speech-to-text services(STTS)". National Deaf Center, 6 July 2021. https://www.nationaldeafcenter.org/STTS.
  6. Transportation Patterns and Problems of People with Disabilities. National Academies Press (US). 2007.
  7. "Home". DisabilityHealthSupport.com.au.