1. S. Pagliara, G. Cinquemani, G. Novelli
A Pepino, C. Freda
info@centroausili.org - www.centroausili.org
Phone +39 081 19301360

2. Autonomy
“…ability to design own life, to get into
relation with others and to take part into
building up of society with them”
(Andrich)
 Indipendence doesn’t necessarily mean
doing things without help
 But it means to be actor of one’s own
life, promoter of one’s own choices

3. Introduction
 The aim of this work is to facilitate the
going back home of a person with a
severe disability, by removing those
barriers limiting activities and
participation (ICF WHO 2001)

4. The case
 The person is a women 50 y.o.
 She has a severe motor impairment
 She needs rehabilitation therapies all week
long to maintain fine mobility with her arms
and hands and the control of respiration
 She rests in bed when is unnecessary to
do something
 She moves with a wheelchair
 For all of this facts she has been so far
forced to live in rehabilitation centre

5. The needs
 Living at home
 Near the rehabilitation centre
 Building up a “new” autonomy
…

6. The project
Multidisciplinary approach taking into
account different levels:
Project design with her
Building or strengthen her “Social
Network”
Implementation with less discomforts
possible
Costs

7. Promoters
 ASL NA1 - National Health Service,
district of Naples
 Department of Biomedical, Electronic
and Telecommunication Engineering,
University of Naples Federico II
 Centro per l’Autonomia Ausilioteca
Campana – A SME working in Assistive
Technologies for Autonomy
 The person with disability and her family

8. Project Phases
 She demands ASL-NA1 for independent
living at home
 ASL-NA1 with UNINA – DIBET and
CAAC build up an individual project that
takes care the whole needs
 CAAC implement the Project

9. Promoters: ASL NA 1
 Legislative support
 partial funding for the project
 supervisor of the entire process

10. Promoters : Department of Biomedical,
Electronic and Telecommunication
(UNINA - DIBET)
 Scientific supervising
 Validation of multidisciplinary
intervention

11. Promoters:
Centro per l’Autonomia Ausilioteca
Campana (CAAC)
 Was born as a natural spin-off from the
Department of Biomedical Engineering
 Is composed by electronic and
biomedical engineers, psychologysts,
AAC and rehabilitation therapists, ITC
technicians
 Biased on a multisciplinary model of
intervention
 Use ICF as a common language

12. CAAC’s - Workflow

13. Project implementation:
CAAC main role
 linking in a unique network different
SMEs
For
 Home renovation
 Home automation
 Wheelchair and other assistive
technologies customizations

14. Project implementation:
“side effects”
• Building up and strengthening of her social
network through the action of health services,
rehabilitation centre, family, caregivers and all
other actors that could give contributions to this
project.

15. Project implementation

16. Project Implementation
Outcomes
• installation of an environmental control tailored
to the user’s real needs at lower costs
• Two wheelchairs one electronic to get out
home and the other lighter to move faster in
her house
• A new life… priceless

17. The Costs
 Before:
 About 45.000 Euros per year only for long
staying
 After
 A one-time expense (investment) of about
30.000 Euros for the first year and less than
10.000 Euros per year

18. The Costs
 On a three years experimental project
the gross amount is less than 50.000
Euros
 Versus a previous expense of
135.000 Euros

19. S. Pagliara, G. Cinquemani, G. Novelli
A Pepino, C. Freda
info@centroausili.org - www.centroausili.org
Phone +39 081 19301360