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Assistive Technology for Young Children – Effective yet Underutilized (or, is it un-documented?) Considerations for making informed decisions about using assistive technology (AT) – an important discussion. Suzanne A. Milbourne University of Delaware, Center for Disabilities Studies August 16, 2016 JW Marriott New Orleans ECIDEA - Improving Data, Improving Outcomes
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Assistive Technology for Young Children – Effective yet Underutilized(or, is it un-documented?)

Considerations for making informed decisions about using assistive technology (AT) – an important discussion.

Suzanne A. MilbourneUniversity of Delaware, Center for Disabilities StudiesAugust 16, 2016JW Marriott New OrleansECIDEA - Improving Data, Improving Outcomes

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# of studies promoting the use of…

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# of studies promoting the use of…

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aaassistive aatechnology

# of studies promoting the use of…

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0

10

20

30

40

50

60

1960s 1970s 1980s 1990s 2000s 2010s

Studies Promoting the Use of Assistive Technology Devices by Young Children with Disabilities

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ASSISTIVE =providing aid or assistance; specifically: designed orintended to assist individuals with disabilities

TECHNOLOGY =tools created by humans that can make our lives easier or solve problem

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So, What is Assistive Technology?

March 12, 2014Delaware Inclusion ConferenceMilbourne, Mistrett, Gilormini

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1

A = YESB = NOC = It dependsD = I don’t know

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2

A = YESB = NOC = It dependsD = I don’t know

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3

A = YESB = NOC = It dependsD = I don’t know

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4

A = YESB = NOC = It dependsD = I don’t know

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5

A = YESB = NOC = It dependsD = I don’t know

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6

A = YESB = NOC = It dependsD = I don’t know

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7

A = YESB = NOC = It dependsD = I don’t know

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8

A = YESB = NOC = It dependsD = I don’t know

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9

A = YESB = NOC = It dependsD = I don’t know

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10

A = YESB = NOC = It dependsD = I don’t know

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11

A = YESB = NOC = It dependsD = I don’t know

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Assistive Technology Device is

Any ThingThat Helps

A Child with a Disability/Delay

Do SomethingThey Could Not Otherwise Do

~ Suzanne, Sue and Bridget

March 12, 2014Delaware Inclusion ConferenceMilbourne, Mistrett, Gilormini

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Assistive Technology Service is

Any BehaviorThat directly Assists

a family of a child with a Disability/Delay

consider, trial, SELECT, ACQUIRE, and USEassistive technology devices

~ Bridget, Sue, and Suzanne

March 12, 2014Delaware Inclusion ConferenceMilbourne, Mistrett, Gilormini

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Why now? Why should we intervene early with

A ssistiveTechnology ?

Let’s meet Tylerhttp://imtyler.org/index.php/video/

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Tyler“They didn’t let my challenges be show stoppers…

They helped me find accommodations to get around them”

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Reports indicate that AT (services and devices) helps children, regardless of age or disabling condition to participate in everyday life activities; and therefore grow and develop.

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10, 11, 12https://tnt.asu.edu/sites/default/files/ResearchBriefVolume8-1.pdf

0

10

20

30

40

50

60

1960s 1970s 1980s 1990s 2000s 2010s

Studies Promoting the Use of Assistive Technology Devices by Young Children with Disabilities

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Despite its effectiveness, AT use appears to be underutilized.

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?

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Myths often curtail AT use with children.

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Process teaches us so much

Emphasis on methodology

Space in the story to discuss process

Taking it the rest of the way, I don’t

have a clue

The “Run Down” from Adam and Jamie

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Process teaches us so much

Emphasis on methodology

Space in the story to discuss process

Taking it the rest of the way, I don’t

have a clue

The “Run Down” from Adam and Jamie

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WHY ASSISTIVE TECHNOLOGY MATTERS

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Assistive Technology Use with Young Children:

Myths and MythbustersCATEGORY MYTH/MYTHBUSTER BUSTER AIDS

AGE Children with disabilities ages birth - 5 are too young to benefit from AT; AT is not for children under 2; A child must be “old enough” to benefit from AT

MYTHBUSTER: Use of AT for even a short time has been shown to yield positive outcomes even for the youngest child/children

Video - SLP working with 18 month old twins using Vantage Lite http://www.youtube.com/watch?v=7eXD-6TJJ7I

Video - Maya’s Journey (10 MInutes) http://www.youtube.com/watch?v=UyGr7_B2Nrk

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But… it is NOT documented!

Assistive Technology IS effectively being used by more children regardless of age or level of disability

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When AT is used, lack of documentation impedes the ability to report on its effectiveness and the opportunity to link use with child outcomes.

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Item Type

Paradigm shift

Use life

Undefined

Myths

Why not

?

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Where should AT process and outcomes be documented?

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Where should AT process and outcomes be documented?

On the child’s planChild-specific AT planDaily progress notesTransition plans

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How should AT process and outcomes be documented?

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How should AT process and outcomes be documented?

Written documentsPhotographsVideo

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https://sites.google.com/a/udel.edu/fabricate/

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When there is a place, procedure and an expectation to document the AT process…

We can begin to answer questions…

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DaSy - Critical Questions

• What are the characteristics of the [AT] services and supports provided to children/families in early intervention/early childhood special education?

• What characteristics of [AT] services are related to better outcomes for children and families?

• What are the characteristics of practitioners working with children/families?

• What ongoing professional development do practitioners receive?• What are the characteristics of local programs?• What is the cost of providing services to children and families?

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Bridget Gilormini Director, Simon Technology [email protected] Center952-838-9000

Jacqueline HessDirector, Disabilities Studies and Services & Early Care and [email protected]

Suzanne A. MilbourneDirector, [email protected] for Disabilities Studies @ UD302-831-0848

https://sites.google.com/a/udel.edu/weeat/home

http://www.letsparticipate.org/

http://www.pacer.org/stc/tikes/

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Assistive Technology for Young Children – Effective yet Underutilized (or, is it un-documented?) August 16, 2016JW Marriott New OrleansECIDEA - Improving Data, Improving Outcomes

Suzanne A. Milbourne, OTR/L, PhDUniversity of Delaware, Center for Disabilities Studies302-831-0848 [email protected]

The contents of this document were developed under a grant #H327L120010 from the U.S. Department of Education, Technology and Media Services for Individuals with Disabilities program, Models Promoting young Children’s use of Assistive Technology priority. However, those contents do not necessarily represent the policy of the U.S. Department of Education, and you should not assume endorsement by the Federal government.


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