1. The WWRC Smart Cottage Environmental AT for People with Disabilities Tony Gentry, PhD OTR/L Funded by Grant #08-201 of the Commonwealth Neurotrauma Initiative Trust Fund, administered by VA Department of Rehabilitative Services.

2. Funded by Grant #08-201 of the Commonwealth Neurotrauma Initiative Trust Fund, administered by VA Department of Rehabilitative Services.

3. Why Smart Homes? We live there. Safety & Security. Health.ADL/IADL. Functional independence begins at home.

4. Technologies: Low-tech environmental organizers Mid-tech appliances (alarm clock, kitchen timer) Electronic Aids to Daily Living (lighting/appliance control) Safety features (fire, smoke, water, injury alarm) Task Cueing (PDA, pc, pillbox, lighting cues) Cognitive Remediation (Wii and pc games)

5. Living Room

6. Study

7. Kitchen

9. Bedroom

10. Bedroom Sink

11. Bathroom

12. Medications

13. Safety options Bathroom tub bench, rails, hot water control Stoveguard - turns off stove if kitchen unoccupied Water leak alarms Medic-alert bracelet Voice-prompt fire alarm Motion-controlled lighting Telephone and calling schedule Training in emergency management

14. Task Cueing Options PDA calendar alarm Reminder pillbox PC onscreen prompt Kitchen timer/alarm clark Automated light blink

15. Environmental Management De-clutter -- a place for everything...." Drawer dividers Closet dividers Divided clothes hamper on wheels Washing machine directions Refrigerator file Food expiration tag

16. Costs Equipment Total: $3200 pc and EADL software: $600 Motion-controlled lighting: $500 Low-tech/mid-tech appliances: $500 Insteon pc-controlled lighting: $400 Video-cam for front door: $400 Stoveguard: $360 Nintendo Wii and Brain Age: $310 Palm z-22 pda: $100

17. Other Costs: Electrician to install motion-controlled lighting and Insteon wall switches (8 hours) Therapist to assess client needs, collaborate with client in selection, installation, training and follow- along (will vary widely) Replacement and upgrade costs of products (estimate over ten years)

18. Comments: That Stoveguard saved my life! The Palm pilot really keeps me on schedule. I feel safe here, even though Im by myself. Having the lights turn on and off saves energy and helps me see when I come home after dark. At first it was a little spooky, but I got used to it. The water alarm went off and kept me from flooding the basement when I was washing my clothes. I used the pillbox to schedule my blood pressure tests, too. The Wii games are fun and keep me using my brain.

19. OT Comments: We are learning the equipment, too, which takes time. The safety alarms have saved the house at least 3 times already. I wish they had more time in the house, to experiment with different strategies and really get the hang of it. This house is like a lab, where we can try out stuff that may work at home. These things will work for our spinal cord clients, too.

20. Next Steps: Smart Suites in new wing of WWRC Smart apartment and suites at McGuire Veterans Administration Medical Center Smart apartments at Faison School for Autism Collaborate with Blue Roof and other smart technology teams to provide service to Virginians Include passive-monitoring options for aging in place and off-site caregiver communication

21. Monitoring Options: Quiet-Care (www.quietcaresystems.com) www.quietcaresystems.com Wireless motion sensors/changes in routine noted e-Neighbor (www.healthsense.com) www.healthsense.com motion sensors/telehealth/medic-alert Grandcare (www.grandcare.com) www.grandcare.com set-top box on tv acts as communicator and control center for remote sensors

22. Resources www.vcu.edu/partnership/pda www.vacni.org www.smarthome.com www.epill.com www.insteon.com www.independentliving.com www.abledata.org

23. References Cook, A.M. & Hussey, S.M. (2002). Assistive Technologies: Principles and practice. St. Louis, MO: Mosby. Cook, A.M. & Hussey, S.M. (2002). Assistive Technologies: Principles and practice. St. Louis, MO: Mosby. Gentry, T. (in press). Smart homes for people with neurological disability: State of the art. NeuroRehabilitation. Gentry, T. (in press). Smart homes for people with neurological disability: State of the art. NeuroRehabilitation.

24. Tony Gentry, PhD OTR/L Assistant Professor Dept. of Occupational Therapy Director, Assistive Technology for Cognition Laboratory Virginia Commonwealth University Richmond, VA 23298 logentry@vcu.edu (804) 828-3397 Paula Martin, OT Woodrow Wilson Rehabilitation Center Department of Occupational Therapy PO Box 1500 Fishersville, VA 22939 Paula.Martin@wwrc.virginia.gov logentry@vcu.edu Paula.Martin@wwrc.virginia.gov logentry@vcu.edu Paula.Martin@wwrc.virginia.gov