Changing role of OT: “E”nabling              Lynne Allsopp    Highly Specialist Occupational Therapist   Access to Communi...
ACT•  Regional NHS Tertiary Assistive Technology Service: all ages   and conditions•  Mission statement     –  To work wit...
Starter for 10!•  Do you/how do you use the internet in   your current practice?•  Where would you look on the web for   O...
Professional resourcesOT/As: knowledge sharing, developing resources, publicity and marketing, “lean” working
Occupational MediaADL: shopping, bankingSocial activities: dating, connecting with friendsEducation/support: courses, peer...
Occupational MediaComputers play a part on almost every area of our daily lives in one form or another (Blain, McKeever, &...
Digital InclusionA recent BBC World Service  poll found that almost four in  five people around the world  believe that ac...
Digital Divide“The gap between those  who have access to, and  use and control of the  internet and digital  media; and th...
AccessibilityThe internet has been proposed as a liberating space for people who in offline life face many disabling barri...
Accessible? (DRC 2004)                                             I have troubleI can’t afford it                     I d...
I have trouble using a keyboard             and mouse•  Customisation•  Alternative Input•  Software
Computer Customisation•  Simple modifications available on the   computer to make access easier.•  Mouse, Display and Acce...
Computer Customisation•    Display Settings•    Keyboard Settings•    Mouse Settings•    AccessibilityThis varies between ...
Customisation: Keyboard•  Adjust key repeat rate•  Filter out unwanted key presses•  Sticky keys- will automatically hold ...
Customisation: Windows                      Accessibility OptionsHolds down Shift,Control, Alt orWindows key forone press ...
Customisation: Mouse  Switch left  and right  buttons over                                      Adjust the                ...
Customisation: Mouse                                    Can alsoChange the                          importpointer         ...
Customisation: MouseAdjust sensitivityof the mousecurser                                 Snap to points on                ...
Customisation: Mouse•  Adjustment of the Mouse and Trackpad•  Assignable Mouse Buttons
Customisation: Windows             Accessibility OptionsAlso access Magnifier, Narrator & OnScreen Keyboard through menus
Accessibility Options•  Voice Recognition•  Screen Reader•  Screen Magnification
Accessibility Options•  On screen keyboards
Input to the computerWhat is an input to the computer??•  Mouse•  Keyboard•  Something to control what you want to do on  ...
Alternative Inputs to the            computerPhysical Access•  Mouse/ Cursor Control  –  Glide pad - USB  –  Tracker ball ...
Alternative Inputs to the            computerPhysical Access•  Mouse/ Cursor Control  –  Glide pad - USB  –  Tracker ball ...
Alternative Inputs to the             computerPhysical Access•  Keyboard  –  Key guard,  –  Single hand keyboard  –  Keybo...
Alternative Inputs to the            computerPhysical AccessVoice•  Voice recognition software
Computer Access: Software•  Freeware  –  On Screen Keyboards  –  Mouse Click Emulators  –  Dwell Click  –  Auto Hot Keys  ...
Access to the computer:            Switchesi.e. bypassing the mouse and keyboard   completely•  Attaching them to PC:  –  ...
What next?Page turners……     eReaders
More possibilities…•  Texting via the computer•  Environmental control•  Communication
Further Training•    Local Resources•    Ability Net – Skill sheets and fact sheets•    ITCH•    RNIB•    Aidis Trust
Practical next steps•  Go and play on your computer!•  How you use a computer in your personal   life?•  How you use a com...
Resourceswww.actwmids.nhs.ukwww.ace-centre.org.ukwww.abilitynet.org.uk/myway/www.microsoft.com/enable/www.apple.com/access...
References & Resources•    www.keytools.co.uk•    www.qedltd.co.uk•    www.inclusivetechnology.co.uk•    www.lakefolks.org...
ReferencesBlain, S., McKeever, P. & Chau, T. (2010) Bedside computer access for an individual with severe and multiple    ...
Contact me•  Lynne.allsopp@nhs.net
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Access to Communication and Technology (ACT) presentation by Lynne Allsopp

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Access to Communication and Technology (ACT) presentation by Lynne Allsopp

  1. 1. Changing role of OT: “E”nabling Lynne Allsopp Highly Specialist Occupational Therapist Access to Communication and Technology, West Midlands Rehabilitation Centre
  2. 2. ACT•  Regional NHS Tertiary Assistive Technology Service: all ages and conditions•  Mission statement –  To work with patients/clients and their local teams to assess and provide techniques and technologies which optimise the potential for communication and control –  Staff: OT, SLT, Clinical Scientists, Workshop team, Administrators: about 30+ people•  Other teams in UK are similar but each is unique
  3. 3. Starter for 10!•  Do you/how do you use the internet in your current practice?•  Where would you look on the web for OT resources?•  Have you ever communicated with a OT colleague online (except email!)?•  Have you ever “e”nabled a client, i.e. used a computer based occupation?
  4. 4. Professional resourcesOT/As: knowledge sharing, developing resources, publicity and marketing, “lean” working
  5. 5. Occupational MediaADL: shopping, bankingSocial activities: dating, connecting with friendsEducation/support: courses, peer support groupsPolitical/self advocacy: digital petitions, consultations, comments, emailsLeisure occupations: music and video, gamesOnline work and volunteeringCreative activities: writing, artwork, photography
  6. 6. Occupational MediaComputers play a part on almost every area of our daily lives in one form or another (Blain, McKeever, & Chau, 2010)Chard (2007) acknowledges emailing, playing games online, editing pictures or music on a computer are some of the arts and crafts of our age
  7. 7. Digital InclusionA recent BBC World Service poll found that almost four in five people around the world believe that access to the internet is a fundamental right (BBC 2010).In Finland access to the internet is a legal right (CNN 2009).
  8. 8. Digital Divide“The gap between those who have access to, and use and control of the internet and digital media; and those who do not” (Goldfarb & Prince, 2008; Smedema & McKenzie, 2010).
  9. 9. AccessibilityThe internet has been proposed as a liberating space for people who in offline life face many disabling barriers (Childers & Kaufman-Scarborough, 2009; Dobransky & Hargittai 2006; Guo, Bricout & Huang 2005)
  10. 10. Accessible? (DRC 2004) I have troubleI can’t afford it I don’t want to be a using a mouse victim of identity and keyboard theft I need help to understand how to I have a I don’t know do new things sensory what you can impairment do on a computer!I have no idea how I’m not good to use a computer with technology, I might break it!
  11. 11. I have trouble using a keyboard and mouse•  Customisation•  Alternative Input•  Software
  12. 12. Computer Customisation•  Simple modifications available on the computer to make access easier.•  Mouse, Display and Accessibility Options can be adjusted Windows and Mac operating systems
  13. 13. Computer Customisation•  Display Settings•  Keyboard Settings•  Mouse Settings•  AccessibilityThis varies between operating systems and also between Windows and Mac.
  14. 14. Customisation: Keyboard•  Adjust key repeat rate•  Filter out unwanted key presses•  Sticky keys- will automatically hold Shift, Alt or Control keys down•  Keyboard shortcuts
  15. 15. Customisation: Windows Accessibility OptionsHolds down Shift,Control, Alt orWindows key forone press to remove Helps to reduceneed for holding a number ofkey down. accidental key pressesOtherAccessibilityoptions areuseful.
  16. 16. Customisation: Mouse Switch left and right buttons over Adjust the double click speedClick Lock willhold down themouse buttonwhile user dragscurser acrossscreen BUTTONS
  17. 17. Customisation: Mouse Can alsoChange the importpointer newschemes cursorsfrom list e.g. Priory Woods POINTERS
  18. 18. Customisation: MouseAdjust sensitivityof the mousecurser Snap to points on the screen automaticallyHelps to locatemouse curseron screen
  19. 19. Customisation: Mouse•  Adjustment of the Mouse and Trackpad•  Assignable Mouse Buttons
  20. 20. Customisation: Windows Accessibility OptionsAlso access Magnifier, Narrator & OnScreen Keyboard through menus
  21. 21. Accessibility Options•  Voice Recognition•  Screen Reader•  Screen Magnification
  22. 22. Accessibility Options•  On screen keyboards
  23. 23. Input to the computerWhat is an input to the computer??•  Mouse•  Keyboard•  Something to control what you want to do on computer•  Maybe start with wireless
  24. 24. Alternative Inputs to the computerPhysical Access•  Mouse/ Cursor Control –  Glide pad - USB –  Tracker ball –  Joystick –  Head mouse –  Eye Gaze –  Integra Mouse –  USB Finger Mouse
  25. 25. Alternative Inputs to the computerPhysical Access•  Mouse/ Cursor Control –  Glide pad - USB –  Tracker ball –  Joystick –  Head mouse –  Eye Gaze –  Integra Mouse –  USB Finger Mouse
  26. 26. Alternative Inputs to the computerPhysical Access•  Keyboard –  Key guard, –  Single hand keyboard –  Keyboard size•  Alternative to mouse / keyboard –  Switches, On-screen keyboard –  Touch screen –  Communication Aid
  27. 27. Alternative Inputs to the computerPhysical AccessVoice•  Voice recognition software
  28. 28. Computer Access: Software•  Freeware –  On Screen Keyboards –  Mouse Click Emulators –  Dwell Click –  Auto Hot Keys –  Steady mouse –  Mouse Wrap
  29. 29. Access to the computer: Switchesi.e. bypassing the mouse and keyboard completely•  Attaching them to PC: –  Joy Cable, Crick box –  Switch driver
  30. 30. What next?Page turners…… eReaders
  31. 31. More possibilities…•  Texting via the computer•  Environmental control•  Communication
  32. 32. Further Training•  Local Resources•  Ability Net – Skill sheets and fact sheets•  ITCH•  RNIB•  Aidis Trust
  33. 33. Practical next steps•  Go and play on your computer!•  How you use a computer in your personal life?•  How you use a computer in your work life?•  Reflect: what are my concerns?•  Discuss in your teams•  Find out about local IT training services•  Research relevant charities
  34. 34. Resourceswww.actwmids.nhs.ukwww.ace-centre.org.ukwww.abilitynet.org.uk/myway/www.microsoft.com/enable/www.apple.com/accessibility/www.aidis.org/
  35. 35. References & Resources•  www.keytools.co.uk•  www.qedltd.co.uk•  www.inclusivetechnology.co.uk•  www.lakefolks.org•  www.cameramouse.com•  www.wivik.com•  www.orin.com•  www.nuancestore.com•  www.smartboxat.com•  www.cricksoft.com•  www.microsoft.com•  www.apple.com
  36. 36. ReferencesBlain, S., McKeever, P. & Chau, T. (2010) Bedside computer access for an individual with severe and multiple disabilities: A case study. Disability and rehabilitation. Assistive technology. Early Online 1-11Chard, D. (2007) Computer games and karate: the arts and crafts of today. British Journal of Occupational Therapy. 70 (8) 329Childers, T. & Kaufman-Scarborough, C. (2009) Expanding opportunities for online shoppers with disabilities. Journal of Business Research. 62 (5) 572-578Disability Rights Commission (2004) The web: access and inclusion for disabled people. Available online at: http://www.ifap.ru/library/book427.pdf Accessed 14/05/2010Dobransky, K. & Hargittai, E. (2006) ‘The disability divide in Internet access and use’, Information, Communication & Society, vol. 9, no. 3, pp. 313–334.CNN Fast Internet access becomes a legal right in Finland. http://edition.cnn.com/2009/TECH/10/15/finland.internet.rights/index.html Accessed 14/05/10BBC. Four in Five Regard Internet Access as a Fundamental Right: Global Poll http://news.bbc.co.uk/1/shared/bsp/hi/pdfs/08_03_10_BBC_internet_poll.pdf Accessed 15/05/2010Goldfarb, A. & Prince, J. (2008) Internet adoption and usage patterns are different: Implications for the digital divide. Information Economics and Policy. 20 (1) 2-15Smedema, S. & McKenzie, A.(2010) The relationship among frequency and type of internet use, perceived social support, and sense of well-being in individuals with visual impairments. Disability and rehabilitation. 32 (4) 317-25
  37. 37. Contact me•  Lynne.allsopp@nhs.net

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