At for Supported Employment Day 1


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  • Presenter: Make sure to have the main slide up on the screen when the participants come into the room. Spend some time welcoming each person and making them feel comfortable with this process.
  • Workbook info from slide
  • Presenter: Go over the outline for the day. Don’t worry about the times for each section – just focus on the topics.
  • Presenter: Go over the outline for the day. Don’t worry about the times for each section – just focus on the topics.
  • Presenter: Go over the workshop goals. At the conclusion of this first session, participants will: Understand the consideration process and the use of technology in the vocational rehabilitation process. Become familiar with a range of technology solutions available in the areas of job accommodations and computer access. Obtain a variety of resources that will facilitate the best match between consumer needs and possible technology solutions.
  • Use the microphone – we found this very useful for our participants, staff and consultants. This also inadvertently gives the person with the microphone “the floor.” Say your name before you speak – this helps us remember your name and a needed accommodation for persons with visual impairments. Give everyone a chance to speak – There is a ton of resources here in this class and just so much time. I know that we would all like to share, however, please try to limit your comments to maybe two a day in order to let others share their experience as well. In other words (let’s be blunt) “don’t hog the floor, please.” Sit next to someone you don’t know each day – This will help you get to know each other, network, share interests, etc. We ENCOURAGE you to make comments, however, please keep them short and quiet. Then you might want to continue your comments at break times, lunch or afterwards. Be supportive and positive – During this training, we will try to implement some of the techniques that should be used in team meetings and collaboration activities. We try to practice what we preach. A main point of good communication in a group is being supportive and positive – it is contagious!
  • Presenter: Remind the participants to have fun throughout the training. Also make sure to remind people that this is THEIR training – ask any question to make sure that this training is beneficial to you. Ask if there are any questions before starting the next section.
  • THESE ARE EXPERIENCED COUNSELORS– CAN GO QUICKLY THROUGH THE BASICS Presenter says: At the core of any assistive technology accommodation we are trying to match the individual to the technology. We need to start with the person and their needs – then move to the technology tools. Often, people want to start with the technology and make it fit the person. This “round peg in a square hole” approach will not work and will lead to more technology abandonment.
  • Workbook: Refer to Appendix 1 in back of workbook – “A Brief Introduction to the SETT Framework” Presenter says: The SETT framework was developed by Joy Zabala as a way for school based teams to focus their technology solutions for students with disabilities. The SETT is not an evaluation process but instead is a way to ensure that all the factors that lead to technology success are identified before a tool is put in place for a student. For our purposes, since we will be speaking about adults – we will change the “S” from “student” to “skills”. If we don’t start with the technology first, where do we start? S-E-T-T
  • Presenter says: This section of the SETT focuses on the PERSON. During this step, we gather information related to the persons skills and abilities. We are less concerned with what the person CAN’T do and instead are focused on what they CAN do. Each of the areas described on the slide help us have a better picture of the individual we will be working with. Each of these issues will affect how the person completes the functions of their job. Ex. illustrating importance of knowing Skills: (use your own) When someone had dis, use strengths to get around their weaknesses What are some examples that you have come across? ie., Learning disabilities – doesn’t mean person is a slow learner overall Poor visual perceptual skills (affects reading) but strong auditory comprehension Might note on the consideration form: 5 th grade reading level, but understands anything he is told or hears at a college level.
  • Presenter says: The environments is WHERE the person will be using the technology tools. Typically, since we are focused on employment the environment is the workplace. It is important to understand the issues related to the specific work environment the person will be in. Someone working in a law office will face very different issues as opposed to someone who works at Home Depot. However, there may be other environments that impact the person’s performance within the workplace. For example, the person may be experiencing some accessibility issues at home that affect their ability to work in the community. Also, the person may be completing job tasks in different environments throughout a work day. This all needs to be addressed to ensure the best match between person and technology. Ex. illustrating importance of knowing Environment: (use your own) Environment is not just the building or physical space… Part of environ– co-workers, and their use of the space If you come up with a sol. That doesn’t work for everyone, they might not use it. Worked with someone with a physical dis. who needed a specially adapted phone that had several accessories. Had to make it easy to remove so that the other person who used the space wouldn’t have it in the way- put it on it’s own little cart.
  • CHANGED THE CATEGORIES– NOT JUST COMPUTERS Presenter says: In this step, we focus on WHAT the person has to do in order to complete their job. We should be able to get this information directly from the essential job functions listed in the job description. Other times, we need to explore a little deeper to determine the exact tasks being completed. One way to determine this is to discuss the job functions with another employee that has a similar position within the company. The list on the slide shows different tasks for different kinds of jobs. Ex. illustrating importance of knowing Tasks: (use your own) To meet a goal, need to define it … Will get referrals that just say “AT eval” What are they having trouble doing? (HAVE KRISTEN INSERT EXAMPLE) Manufacturing- person with one arm working in glass lens manufact. Just because she has dis, doesn’t mean she needs any accommodation. When we went through tasks with the supervisor, she could do almost everything Only step difficult– holding the lens while cleaning it Looked for commercial cleaning machines In the end, made a fixture to hold the lenses
  • Presenter says: Finally, we get to the actual technology tools. By following the SETT framework, we make sure we have a complete understanding of the issues facing the consumer before we start to look at tools. An important thing to remember is that we are not focusing on the tool itself but the FEATURES of that tool. Technology changes – devices change. By focusing on the features of the tool, we make sure that the needs of the person are met. We will discuss actual technology tools throughout the remainder of the training series.
  • Workbook: Refer to Appendix 3 – “The Assistive Technology Team” Presenter says: As we move through this consideration process, let’s not forget about the team concept. We are not working in a vacuum. For each technology accommodation, there is a team in place to ensure success. Who are the members of our team? [AFTER THE GROUP DISCUSSION] It is important to remember that every team will be different, just like every consumer’s needs are different. Depending on the circumstances, the team may be very small (only two members) or very large. Also the team size may change throughout the accommodation, depending on the need being addressed. Remember that the team is dynamic and not static. Now that we identified the members of our team, let’s focus on the other issues that can surround the team. Roles and responsibilities for each team members should be identified to ensure that all the areas needed for success are being addressed. As part of any team, there will be times when people don’t agree. This is the part where it is important to practice the strategies of conflict resolution and consensus building to ensure successful collaboration. Presenter: Facilitate a short group discussion about the members of the team. Make sure to remind participants, if it does not come up in conversation, that the team is larger than the consumer and the counselor.
  • Definition – Facilitating competitive employment, within the community, to individuals with disabilities including, but not limited to: cognitive, physical, mental, those with TBI’s, behavioral and other non-specific disabilities Basic components of supportive employment include: - Pre-Placement activities- Include resume development, interviewing skills, job sampling and job development with the outcome of part-time or full-time employment earning at least minimum wage - Intensive Coaching – Training specific to the job-related skills, enabling the individual to perform the job as effectively as their non-disabled peers, with as little support as possible - Long Term Follow Along – On-going support by the Employment Support Professional to ensure continued employment success - Support to the consumer/employer/co-workers
  • Definition – Employment First creates the expectation that individuals with disabilities, like their non-disabled peers, will have to Opt Out of employment rather than Opt In – DDD. What this means is that it is presumed ALL individuals can and should work in their communities - We will assume all individuals can and will work, regardless of disability - If supports are required, they will be available to the individual - If the individual cannot work, they will be required to show documentation as to why they are unable to participate in supported employment Instead of expecting individuals will survive on their SS benefits, it is now expected their income from competitive employment will be their major source of income, while SS will supplement -Employment First in NJ – NJ Became the 14 th Employment First state with Governor Christie’s announcement on April 19, 2012 - Competitive employment is now the first and preferred outcome for people with any type of disability Why E.F. is so Important - The National Council of Disabilities found – an individuals desire to work and at what wage was influenced by expectations that were set for the individual in childhood – DDD - Many people, including employers, service providers, policymakers and the general public still feel individuals with disabilities are not capable of working within their community - People with disabilities want and deserve the opportunities to advance economically and become more productive members of society (National Association of Councils on Developmental Disabilities) - This new initiative is gaining momentum at the State and Federal Levels – David Hoff, APSE President (Association of People Supporting EmploymentFirst) and is being put into place all over the country Plans for Implementation – - The State Employment Leadership Network (SELN), DDD, Division of Mental Health, CBVI, DDS, DVR, Department of Education and State Employment and Training Commission (SETC) are working together with the governor to put a plan into place - At the DDD level, there is an overwhelming focus on employment and expansion of employment services and supports We, as Supported Employment Professionals, must embrace this new movement to support and advocate for supported employment for individuals with disabilities within the community ** Because of the Employment First Initiative, the job accommodations and the increased knowledge of Assistive Technology in Supported Employment is imperative
  • Workbook: Refer to Appendix 2 “AT Consideration Guide for Vocational Rehabilitation” Presenter says: Now let’s talk about the consideration process for assistive technology. Each group will be provided with a case study example. As a group, review the case study and work to complete the consideration form. Once you are finished, select a spokesperson to share your results with the group. You will have 10 minutes to complete this task. Presenter: Move through the group during the activity and provide guidance to the groups. Use the Cool Timer software to project the time remaining in this activity. Try to incorporate a quick 5 minute break into this activity. Tell the group they will have 20 minutes to take a break and complete this activity.
  • - Case Study Activity – - Split up into 3 groups, review the assigned case study and contemplate the consumers abilities and challenges. Identify realistic employment opportunities and job accommodations (both AT and non-AT specific), which would help the individual be successful in their career.
  • Joey is a 21-year-old man diagnosed with Cerebral Palsy. He is able to walk with crutches, but uses a scooter for long distances as his gait is slow and unsteady. Joey is visually impaired (not completely corrected with glass) and is lacking in fine motor skills (he can type on a computer and grasp objects, but cannot keep his grip for a long period of time). Despite his challenges, Joey is just slightly below average intelligence and is driven to excel. He is currently enrolled in a liberal arts program and is not completely sure what he would like his career path will be.
  • Presenter: Make sure to take one minute to make sure that there are no questions before moving to the next section. No questions – enjoy the activity for next week. I am looking forward to talking with you in the discussion forum.
  • Presenter says: When we talk about job accommodations, we look at a hierarchy of accommodation solutions to meet the needs of each person. First, there is the option to find alternative ways to complete given tasks. This could include job restructuring, switching certain difficult tasks with another employee, etc. This option is typically inexpensive or free. Also, there is usually not any technology tools necessary to accommodate a person in this step. We will discuss the other areas of this accommodation hierarchy in the next slides.
  • Presenter says: Next we will talk about computer access. This includes simple accommodations to address access to the keyboard and mouse, as well as software solutions for learning disabilities.
  • Is this good for the consumers you serve?? Discussion – use the backchannel and then share with group
  • Explore the Accessibility Features built into your devices and share Explore the mouse and keyboard alts around the room and complete the form in your workbook
  • Presenter: Take a quick minute to complete this quiz. Don’t spend lots of time on this but it is a good opportunity to lighten the mood.
  • Features: Letter, Number & Function Keys Variable Key Size Programmable Click or Speech Feedback Scripts & Macros Defined Messages Set Screen Locators
  • Features: Shaped to fit Hands Membrane Surface Variable Key Size Programmable Mouse Control Click or Speech Feedback Scripts & Macros Defined Messages Set Screen Locators Programmable Mouse Control Click or Speech Feedback Scripts & Macros Defined Messages Set Screen Locators
  • Features: Shaped to fit Hands Membrane Surface Variable Key Size Programmable Mouse Control Click or Speech Feedback Scripts & Macros Defined Messages Set Screen Locators Programmable Mouse Control Click or Speech Feedback Scripts & Macros Defined Messages Set Screen Locators
  • Pix: Quill Mouse Ergonomic Mouse Wireless Mouse Features Size Programmable buttons Scroll function
  • Ergo Trackball Mac Trac BIGtrak Trackman TurboBall Mini Trackball Orbit Turbo Mouse Penny & Giles MicroSpeed SAM Joystick options Features Proportional Directional Switch
  • Head Mouse Hardware Head Master Head Mouse Boost Tracker Smart Nav Camera Mouse Eye Gaze Features: Number of Monitors Camera Type Letter, Number, Function & Mouse Keys Programmable Scripts & Macros Correction Handling Training Mode
  • Mind Control Features: Interface design head band electrodes implant Number of monitors Activation Foot Mouse Slipper Mouse -
  • More resources listed on WIKI
  • Determine possible switch sites. Consistent and reliable movements Voluntary control Hand, elbow, shoulder, head, chin, cheek, eyebrow, mouth, eyes, knees, feet…. Reflexive movements—should you use? Energy and effort?
  • More resources listed on WIKI Pix Top Left – GUS dwell cursor Top Right – Cross Scanner – RJ Cooper Bottom Right – Magic Cursor – Ablenet
  • More resources listed on WIKI
  • Presenter: Make sure to take one minute to make sure that there are no questions before moving to the next section. No questions – enjoy the activity for next week. I am looking forward to talking with you in the discussion forum.
  • Activity – Split into groups of 3 – take 60 seconds to come up with challenges which may require job accommodations. Think outside of the box. With the Employment First Initiative, we are going to see individuals with a wider and more severe range of disabilities Once the lists are complete – talk about the disabilities we might see more of and types of accommodations, which might be necessary. Talk about how our limited knowledge of AT will hold us and the consumer back.
  • Presenter says: Now that we have discussed the input into the computer, lets spend a couple minutes discussing some software tools that could assist people with either physical or learning disabilities.
  • Presenter says: For people that struggle with reading and writing, perhaps providing auditory support may help them. There are many tools available to enable the computer to read information back to the person to assist with comprehension. One example of this type of tool is a scan and read software tool such as Kurzweil 3000. This tool allows the person to scan in a page directly into the computer and have the computer read this information back. Presenter: Perform a quick demonstration of features of Kurzweil. Presenter says: As for word predication, this type of tool will assist with completion of words by providing a list of words that the computer “thinks” the person is trying to type. If the word is on the list, the person can simply click the word with the mouse or select a corresponding number and the computer types the remainder of the word. This type of tool can increase someone’s typing speed considerably. Presenter: If time permits, show a quick demonstration of word prediction, either Co:Writer or WordQ
  • Presenter says: A software solution that we are asked about all the time is using voice recognition software to enable a person to type into the computer with their voice. While on the surface people expect this to be a easy solution, it is actually one of the more difficult tools to use effectively. There is more to this tool than simply “Talking”. Instead, the person has to complete this entire cycle for each sentence they type. First the person must think about what they want to type. Then they must compose the sentence in their head. For someone people, they may not have the skills to construct a sentence in their head. Now, they speak the sentence into the computer. Once the sentence is in the computer they have to read what the computer wrote and check to make sure it is accurate. This step may become a hurdle for an individual that does not read. If that is the case, they may need auditory support like we discussed in the last slide. If the computer typed the wrong information, the person must now correct that information. This requires various voice commands and formatting skills. Now after all that, the person can finally move onto the next sentence and the whole process starts again. Presenter: If there is time, either give a quick demonstration of Dragon or have someone from the crowd use it. If you pick a volunteer, don’t do voice training, show how the program works right out of the box.
  • Review the case studies on the website and work in groups to determine an effective solution for the consumer.
  • Presenter: Make sure to take one minute to make sure that there are no questions before moving to the next section. No questions – enjoy the activity for next week. I am looking forward to talking with you in the discussion forum.
  • Kindle 2 - $ 359 – 6 inch diagonal screen, 1500 books, pdf docs (through conversion) Kindle dx - $ 489 – 9.7 diagonal screen, 3500 books, pdf reader Both have text to speech
  • Livescribe pen – about $125 Sound note app - $4.99 – performs the same functions as Echo on iPad
  • Everyday Skills – Attainment Company
  • At for Supported Employment Day 1

    1. 1. Assistive Technology forAssistive Technology for Employment SupportEmployment Support ProfessionalsProfessionals
    2. 2. Who are we???? Advancing Opportunities • 20 + Years • Mobile assistive technology services • Serves individuals with all disabilities • Diversity of staff • Technology Lending Center
    3. 3. 3 Training notes • Workbook • Web based Collaboration
    4. 4.
    5. 5. 5 Please … • Introduce yourself • Title and/or profession • Location • Why you are here • Describe your dream vacation!
    6. 6. 6 Training Schedule • Start at 9:00 and end around 3:00pm • Our staff will be in the room by 8:30 am • We will have breaks each day (am and pm) • We will have an hour lunch around 12 noon • We use adult learning principles
    7. 7. Outline – Day 1 • Assistive Technology Consideration Process • Job Accommodation Hierarchy • Overview of Computer Access • Overview of Supports for reading, writing, organization • Everyday Technology as AT
    8. 8. Outline – Day 2 • Mobile tech • Overview of Job Accommodations (non computer related) • Overview of Ergonomics • Assistive Technology Implementation Process • Project
    9. 9. Workshop Goals: At the conclusion of today’s session: 1. Understand the consideration process. 2. Become familiar with job accommodations and computer access. 3. Use resources to match consumer needs and technology solutions. Become familiar with computer workstation ergonomics and accessibility 4. Use resources to match consumer needs and technology solutions. 5. Understand implementation of assistive technology to ensure consumer success
    10. 10. 10 Ground Rules •Say your name before you speak •Give everyone a chance to speak/comment •Sit next to someone you don’t know next time (However, keep side conversations short/quiet) •Please turn off or silence cell phones
    11. 11. Most of All…. • Have fun! • Learn from the many resources in this room! • Network!!
    12. 12. 12 Networking No one can work in a vacuum and provide quality Assistive Technology services to consumers with disabilities. It is important to realize the power of this on-going process of building professional and personal contacts.
    13. 13. AT Consideration Process
    14. 14. Feature Match Individual First • Needs • Abilities • Expectations Then Technology • Interface / input • Processing • Output
    15. 15. The SETT Framework S = Skills E = Environment T = Tasks T = Tools Adapted from Joy Zabala,
    16. 16. Skills of the Individual Motor Cognition/Memory/ Attitude Language/Processing Sensory
    17. 17. Environments Community Work School Home
    18. 18. Tasks  Office Tasks– Phone, Files Retail– Product Handling, Inventory Food Service– Food Preparation, Cleanup Manufacturing– Machine Operation All Jobs– Organization, Reading, Writing
    19. 19. Tools
    20. 20. Develop and Nurture Team Members •Identify team members & responsibilities •Recognize team dynamics – Roles – Responsibilities – Collaboration – Consensus Building – Conflict Resolution
    21. 21. Supported Employment • Definition • Basic Components – Pre-Placement – Intensive Coaching – LTFA
    22. 22. Employment First • Definition • Employment First in New Jersey • Why Employment First is so Important • Plans for Implementation
    23. 23. AT Consideration • Group activity – Review the case study provided – Complete the Consideration Guide – Choose spokesperson to share results with group
    24. 24. Case Studies • Joey • Peter • Jenny
    25. 25. Case Study #1 Joey is a 21-year-old man diagnosed with Cerebral Palsy. He is able to walk with crutches, but uses a scooter for long distances as his gait is slow and unsteady. Joey is visually impaired (not completely corrected with glass) and is lacking in fine motor skills (he can type on a computer and grasp objects, but cannot keep his grip for a long period of time). Despite his challenges, Joey is just slightly below average intelligence and is driven to excel. He is currently enrolled in a liberal arts program and is not completely sure what he would like his career path will be.
    26. 26. Case Study #2 Peter is a 28-year old, extremely intelligent young man who has experience in medical records review work.  Although he has no formal training he has worked as a consultant for a Law Firm where he conducted examinations of patient data and personal medical records with regards to settling billing disputes and facilitating payment on health insurance claims.  Peter also has advanced knowledge and skills in working with various computer software’s.  Peter is living with Asperger’s Syndrome which is a form of Autism making it extremely difficult for him to socialize or even interact other people.  He also has a severe sleep disorder, making it difficult for him to begin his duties prior to 4pm. 
    27. 27. Case Study #3 Jenny is a 50-year-old woman diagnosed at a young age with muscle disorder, which makes it difficult for her to walk (although she does so without adaptive equipment), interferes with her ability to type (she can type slowly) and impairs her ability to speak for long periods of time. Jenny is extremely bright, has a B.A. in Restaurant & Hotel Management (she has never worked in this area) and has previous experience as an adjunct professor, a receptionist, accounts payable and worked as a computer consultant. Jenny left her last position as a research assistant to go back to school to pursue an M.A. in Industrial / Organizational Psychology. She is ready to re-enter the workforce, but finding it difficult to get beyond the interviewing process, possibly because of her obvious disability.
    28. 28. Accommodation Hierarchy Find alternative way to complete task Use commercially available products Design and fabricate custom devices Use commercially available products in creative ways. Combine technologies not typically used together. Modify existing commercially available products.
    29. 29. Alternative Computer Access
    30. 30. Not Just a Computer. .
    31. 31. Group Activity
    32. 32. Who is this???? A. Inventor of the first microchip B. Commissioner of Department of Labor C. Inventor of the Mouse D. My boss
    33. 33. It’s Douglas Englebart Inventor of the Mouse!
    34. 34. When was the first mouse developed? A. 1960s B. 1970s C. 1980s
    35. 35. The first mouse was developed in the 1960s… … but was not used commercially until the 1980s
    36. 36. Keyboard
    37. 37. Modifications to Standard Keyboard • Sticky Keys • Slow Keys • Rearrange Keys • Large Print Letters • Slant Boards • Splints, Sticks, etc. • Keyguards Physical Adjustments Electronic Adjustments ZoomCaps
    38. 38. Onscreen Keyboards Click N Type Pix Writer
    39. 39. Keyboard Alternatives Kinesis Keyboard Comfort Type Big Keys
    40. 40. Keyboard Alternatives Frog Pad Keyboard (R) OrbiTouch Keyboard BAT Keyboard
    41. 41. Mouse Options • Ergonomic Mice • Features
    42. 42. Trackball Options • Features • Features Joystick OptionsJoystick Options
    43. 43. Head Mouse Emulators • Features Input: Eye GazeInput: Eye Gaze Features
    44. 44. Mind Control Features Features Foot Mouse
    45. 45. Input: Switch Control • Direct Switch InterfaceDirect Switch Interface • ScanningScanning • Morse CodeMorse Code
    46. 46. Consider: • Connections: USB; Wireless; Bluetooth • What software will you be using? Input: Switch Control
    47. 47. Source:
    48. 48. Additional Considerations: • Cursor Control • Mouse Clicks Input: Switch Control
    49. 49. Consider: • Wheelchair electronics • Training needs Interface to AT: Mobility Device
    50. 50. Group Activity
    51. 51. Technology for Reading and Writing Assistance
    52. 52. Reading and Writing Assistance Software Various software titles can provide assistance to people struggling with reading & writing Features may include: • Auditory support • Word prediction
    53. 53. Voice Recognition software The Process of Writing with Voice Think Compose Talk ReadCheck Edit (Fonner )
    54. 54. Group Activity
    55. 55. Mobile Tech Options Dedicated eReaders Software & Apps Smart Phones Netbooks & Tablets
    56. 56. Why use “Everyday Technologies” as Assistive Technology? • Easy access- they are out there • Easier to support- family, other people know the basics • More socially acceptable
    57. 57. Accessibility: Built into OS 5
    58. 58. • iPod Touch – Relatively inexpensive ($199) – iPhone without the phone – Built-in cameras, mic Hardware Options
    59. 59. • iPad – Larger buttons – Larger text – Bigger speaker – Still has Built-in cameras, mic Hardware Options
    60. 60. All Smartphones –built-in Apps •Calendar with alarm •To Do List •Voice Recorder •Contacts •Photos •Videos Hardware Options
    61. 61. Apps for Reading
    62. 62. Apps for Writing
    63. 63. Electronic Book Readers
    64. 64. • Livescribe Pen • Soundnote app Note Taking / Organization
    65. 65. Apps for Organization
    66. 66. iPod Touch as AT • Set up Apple ID • Review apps in pairs • Download apps to device
    67. 67. For your Attention today!For your Attention today! See you next week!See you next week!