Presentation on theme: "Assistive Technology & Regional Centers This training is provided by the AT Network and the California Foundation for Independent Living Centers in partnership."— Presentation transcript:
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A Program of PHP Library, Ed Dept., Parent Trainings, Support Groups iTECH Techsplorations ; http://www.youtube.com/watch?v=x2G1U6U3zh8 AT Loan Kits Don Johnston Learning Center Proloquo2Go and Therapy Box Demonstration Centers Crick Software Clicker Center Information and Referral Trainings and Consultations Technology for Infants & Preschoolers (TIP) Member AT Network of California
A Word on the Loan Kits Available only for PHP members through the PHP library Recommend families have a Techsploration first Kits available: LD Low-Tech Kits K-4 th LD Low-Tech Kits 5 th - 12 th Math Low-Tech Kit LiveScribe Pen Kit Low-Tech Communication Kit Early Literacy Kits-Spanish and English
Outline of Presentation Participants will: Understand how the Lanterman Act guides the Regional Center in service priority delivery Receive an overview of the process for getting Assistive Technology through the Regional Center, including the importance of the IPP/IFSP Understand how iPads and Apps fit under Regional Center criteria Find out how to appeal a Regional Center decision
A Regional Centers is a community-based, private nonprofit corporation that is funded by the State of California to serve people with developmental disabilities as required by the Lanterman Developmental Disabilities Act There are 21 Regional Centers throughout the State of CA Eligibility Criteria: https://dds.ca.gov/general/Eligibility.cfm https://dds.ca.gov/general/Eligibility.cfm
Regional Center and Lanterman Act Lanterman Act: Individual qualifies for services if they have a substantial disability in three or more areas: Self-Care Receptive and Expressive Language Learning Mobility Self-Direction Capacity for Independent Living Economic Self-Sufficiency http://www.dds.ca.gov/Statutes/WICSectionView.cfm?Section= 4500-4519.7.htm
Lanterman Act and Assistive Technology Assistive Technology is called adaptive equipment and supplies and transportation services. Specifies "special adaptive equipment such as wheelchairs, hospital beds, communication devices, and other necessary appliances and supplies – but no complete listing of tools is provided. www.disabilityrightsca.org/pubs/532401.htm
Regional Centers Must be a client of a Regional Center; eligibility based on Developmental Disability Funder of last resort-must show other possible funding sources (medical insurance, Department of Rehab, Schools, etc) have been denied Must also show that Assistive Technology is needed to meet an IPP (Individual Program Plan) or IFSP (Individual Family Service Plan) goal http://www.dds.ca.gov/AT/at_RC.cfm
Schools Is the device needed to meet, or make adequate progress, on an IEP goal? Does the school have the data needed to justify that tools as the right AT tool, vs using other tools?
Medical Insurance Is the device going to meet a medical need? Does the family have Durable Medical Equipment coverage on their medical insurance? Co-Pays? Caps? What does the medical insurance company need to justify purchase of tools for medical reasons? TAR if Medi-Cal, etc
Department of Rehabilitation If the Assistive Technology needed helps them meet a vocational goal on the clients Individual Plan for Employment (IPE), then Department of Rehabilitation will pay for it.
Regional Centers – Last Resort Does the device help the client meet an IPP/IFSP goal? Are there any other funders that will cover the technology? Is there proof that the device is both appropriate and cost-effective?
Regional Center Goals Highest Priority: Allows children to live with families Allows adults to live as independently as possible in the community Allow all people with developmental disabilities to positively and meaningfully interact with people without disabilities Welfare and Institution Code 4648(a)(1)
Regional Centers and AT Assist consumers/clients in obtaining services from another agency Mandated to provide cost-effective services to their clients If Regional Center purchases equipment, it is owned by them, but consumer/client has exclusive use of it Move within CA, Regional Centers can allow equipment to move with you Move outside of CA, supposed to turn equipment back into Regional Center Note- Day Programs need to provide AT tools for clients to meet Day Program goals
What about Repair Costs? The regional center has the primary responsibility to make sure that you get needed supports and services, including assistive technology. Welf. & Inst. § 4648(a). Can help you get services from other agencies, or contract with outside vendors and services for repairs and maintenance. http://www.disabilityrightsca.org/pubs/532401.pdf
How Should the Regional Center Consider AT needs?
Quality Indicators for Effective Consideration www.qiat.org www.qiat.org Team has the knowledge and skills to make informed decisions A continuum of AT devices and services is explored Team uses good team process to make decisions Decisions are made based on IPP/IFSP goals and objectives Determination of need is based on data about client, environments, tasks Decisions and supporting data are documented Team decisions are made in compliance with federal and state statutes
21 Consideration Steps 1. Review present levels of achievement & functional performance. 2. Develop annual goals. 3. Determine the difficulty of the clients tasks or barriers to success. 4. Identify appropriate supports and services, including AT. Does the client need AT or not?
Consideration Outcomes www.wati.orgwww.wati.org No AT required AT is required and specific devices are known AT is required, but trials with different devices are needed to make a final decision More information is needed
Trial Period Decide who, what, where and how Acquire technology to trial www.atnet.org for local resources www.atnet.org Vendors may offer loans or free 30-day trials Collect data on effectiveness of each tool. Does it provide the expected benefit? Discuss data and reach a team decision
Team Needs Help Obtain additional information or assistance Web-Based Resources Local AT centers http://www.atnet.org/resources/AT- centers.php http://www.atnet.org/resources/AT- centers.php Local Independent Living Center AT advocate http://www.atnet.org/resources/advocacy/at- advocates.php http://www.atnet.org/resources/advocacy/at- advocates.php Refer for full AT assessment For AAC assessment: http://www.atnet.org/resources/speech/aac- evaluations.php http://www.atnet.org/resources/speech/aac- evaluations.php
Assessment Best Practices Procedures of assessment clearly defined Conducted by a group of professionals who are knowledgeable in the clentss deficit areas Client and family should be actively involved in the AT process Conducted in the clients customary environment Extended trial-period Data-collection List of recommended tools to team based on data Reassessment if changes occur in client, task or environment Quality Indicators for AT www.qiat.orgwww.qiat.org
How does the team arrive at an outcome? 26 Theres got to be an easier way!
A well-defined process…. Frameworks & Guidelines SETT – Student Environment, Task & Tools developed by Joy Zabala www.joyzabala.com www.joyzabala.com Georgia Project for AT www.gpat.orgwww.gpat.org Wisconsin Assistive Technology Initiative www.wati.org www.wati.org
CETT Client, Environment, Tasks and Tools (adapted from HIAT) http://www.montgomeryschoolsmd.org/depart ments/hiat/ATCycle/SETT.shtm http://www.montgomeryschoolsmd.org/depart ments/hiat/ATCycle/SETT.shtm
Assistive Technology Consideration: Client, Environment, Tasks and Tools Client:DOB:Date: Team participants: names and titles Contact Name & Phone Number:Case Manager: IPP/IFSP Goal(s) AT being considered for: Client: What are the clients strengths and needs? ENVIRONMENT: Places and situations where help is needed? TASKS: What are the tasks that the client needs to be able to accomplish to meet goals? TOOLS: What AT or services will address these tasks ? Next Steps: _________________________________________________________________
Before the Device… What's the task? What is the clients level of performance and participation at this time? In what environments does client need help? What are the device features the client needs? How does the device you are considering match those tasks and features? What data do you have that the client can use the device for those tasks? What's the expected benefit to the client? Dont forget CETT!
What About iPads and Apps? Lets Review! Does it help a client meet an IPP/IFSP goal? Is there another funding source for the iPad and apps? Is this the most cost-effective tool to help the client meet that goal? Is there data to show that this is the right tool for the client to meet that goal? Nothing prevents the Regional Centers from purchasing an iPad and an App if the right conditions are met.
Learning Activity Bens parents have requested an iPad from the Regional Center for Ben, who has autism. Ben is 10. What is the Regional Centers role?
What is the Goal? Communication? Behavior? Education? Independent Living? Ben will learn to read 30 high-frequency words.
Assistive Technology Consideration: Client, Environment, Tasks and Tools Client: BenDOB: 01/01/1998Date: 01/17/13 Team participants: names and titles Contact Name & Phone Number:Case Manager: IPP/IFSP Goal(s) AT being considered for: Ben will learn how to independently cross the street safely Client: What are the clients strengths and needs? ENVIRONMENT: Places and situations where help is needed? TASKS: What are the tasks that the client needs to be able to accomplish to meet goals? TOOLS: What AT or services will address these tasks ? Visual Learner – likes the iPad Hands-on Learner Learns best one-to- one Friendly Unaware of surroundings and possible dangers In the community Crossing streets Taking public transportation Recognize danger Look both ways while crossing street Understand traffic lights and pedestrian signs Mobility Trainer Safety curriculum Safety signs manipulatives Computer w/ Safety signs software iPad with Safety Signs app Next Steps: _________________________________________________________________
When would an iPad be the tool of choice under the Regional Center? Goal Supporting data Funding not available from another agency Cost-effective
Regional Center Limitations Regional Center must notify you in writing if; does not have money to provide equipment listed on an IPP, (runs out of funds) wants to cut back, change or stop a service on the IPP refuses to provide a service you request Can appeal- request a Fair Hearing postmarked within 10 days of receipt of written notice-stay is put in place on IPP How to appeal – http://www.dds.ca.gov/Complaints/Home.cfm http://www.dds.ca.gov/Complaints/Home.cfm
Thank you! We would appreciate if you would share your experience with us by completing a survey at the end of this webinar. Your feedback is highly valued and participation is greatly appreciated for our future webinar opportunities. When you exit the webinar platform a pop-up training survey window will appear. http://www.surveymonkey.com/s/011713-at-and-regional-centers