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Real life; real low tech

Real life; real low tech. Julie Atkinson (Access to Communication & Technology) Helen Paterson (COMPASS). Summary. Symbol & Text resources Practical ideas Interspersed with case studies / videos Children Adults with acquired conditions. Access to Communication & Technology.

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Real life; real low tech

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  1. Real life; real low tech Julie Atkinson (Access to Communication & Technology) Helen Paterson (COMPASS)

  2. Summary • Symbol & Text resources • Practical ideas • Interspersed with case studies / videos • Children • Adults with acquired conditions

  3. Access to Communication & Technology • Regional NHS Tertiary Assistive Technology Service • AAC, EC, computer access • Children and adults • Mission statement: • To empower people with disabilities, using techniques and technologies which optimize potential for communication and control • Staff: OT, SLT, Clinical Scientists, Workshop team, Administrators – about 20 people • Website: http://nww.bhamcommunity.nhs.uk/departments-and-services/rehabilitation-services/services/act • Email: julie.atkinson@bhamcommunity.nhs.uk • Phone number: 0121 466 3050 • Referral helpline 0121 472 0754

  4. Royal Hospital for Neuro-disabilityCOMPASS • Based in London, serving all of UK. • Rehabilitation & longer term care • 230 Patients & Residents with Head Injury, Stroke, MS, HD & a range of other neurological conditions.

  5. Compass • 6 team members working with High Tech AAC, Computer Access, Environmental Control and Powered Mobility Computer Access Environmental Control Communication Aids Switches & Mounting Powered Mobility

  6. COMPASS • http://www.rhn.org.uk/our-work/our-services/electronic-assistive-technology/ • hpaterson@rhn.org.uk

  7. Symbol Resources

  8. PictoSelectorhttp://www.pictoselector.eu/

  9. SparkleBox http://www.sparklebox.co.uk/

  10. Widgit • http://www.widgit.com/resources/health/a_and_e/index.htm • http://www.widgit.com/resources/classroom/index.htm

  11. Foreign Language Charts • Bedside messages, hospital flashcards, A and E passport - 28 languages: http://www.widgit-health.com/downloads/languages.htm

  12. Foreign Language ChartsEastern Health cue cardshttp://www.easternhealth.org.au/gp/service,serviceid,35836.aspx

  13. Straight-street (Mulberry symbols)www.straight-street.org

  14. Matrix Maker

  15. Symbol Resources • Eye Encoding • Partner Assisted Scanning • ACT symbol resources • Talking Mats • Books

  16. Eye pointing / colour encoding to decorate cakes

  17. Perspex boards for eye pointing

  18. ACT symbol resources • Doll play – Aided Language Display • Bath – with symbols • “Where’s Daddy” book – symbols to tell story Practicalities: • Consider displaying on classroom whiteboard • Use a tabard / old woolly pully – free hands • Tupperware for wet environments

  19. Low Tech Ideas • Aided Language Displays / Stimulation

  20. Daniel using Partner Assisted Scanning on an Aided Language Display • Used to demonstrate to Mum the flexibility of vocabulary within a non-Noun-based Aided Language Display (and Partner Assisted Scanning) when reading the ‘My Presents’ book

  21. In the real World!

  22. i-SET • ACT Goal setting tool based on Talking Mats and the Means, Reasons, Opportunities model (Bulpitt1989)

  23. Talking Mats to review AAC

  24. Talking mats to review AAC

  25. Talking mats to review AAC

  26. Sally Conner books

  27. Other Book-based resources • Birmingham Children’s Hospital book • Life Book / Communication Passports • Look 2 Talk • PODD-type • Communication placemat

  28. Angelo video • Spinal Muscular Atrophy • In hospital • Using his symbol book to talk about what he wants for Christmas

  29. A book for Billy • Receptive use of symbol communication book for adult post-brain injury with acquired central hearing impairment • For behavioural management • 2 way communication

  30. Chart based on Talking Mats

  31. Chart based on Talking Mats

  32. Text-based resources • Direct access • Indirect access • Eyes • Partner Assisted Scanning

  33. Direct access: Video-Brenda using direct access

  34. Help with direct access: prodders

  35. Charts with guards & FAB

  36. E-tran frame

  37. SpeakBookhttp://www.speakbook.org

  38. SpeakBook

  39. SpeakBook

  40. Eye Linking-videohttp://www.youtube.com/watch?v=zdTeVwTXjxI

  41. PAS chart SPACE MISTAKE

  42. Partner Assisted Scanning How to use the alphabet chart • Need to establish a reliable yes/no response • Have a pen and paper handy so you can keep track of all the letters the person is giving you • Hold the chart where the person report they can see it • Point down to the beginning of each row (row A, row E, etc), until they indicate the row containing the letter they want • Once the row is selected, move along it, starting with the first letter, until they indicate that you have got to the letter they want

  43. Practicalities 1 “The alphabet board was wonderful, except that nobody else knew how to use it. The rules were too long and complicated. First of all, there were not any set rules written down and when somebody did write down rules there were too many.” Alec in Fried-Oken et al 1991

  44. Practicalities 2 “ One of the problems… was that people wouldn’t know how to hold the board high enough up for me. I’m laying on my back and they’re standing up…They need to hold it at their head level so I can see what’s going on… people wouldn’t be aware of holding it at a proper height for me and not for them” Vic in Fried-Oken et al 1999

  45. Practicalities- clear Communication Guidelines • Richard can understand everything you are saying to him. • Richard looks up for ‘yes’: and downfor ‘no’: • You can use this method to • ask closed questions • e.g. are you in pain? • Do you want to go back to bed?

  46. Video-Andrew using PAS

  47. You Tube clips • http://www.youtube.com/watch?v=pLb6-Oi3uR0 (memorised Partner Assisted scanning of AEIOU) • http://www.youtube.com/watch?v=3jynuu7smBM (low tech temporary vocab, laser pointer)

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