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Assisitive Technologies in rehabilitation services,[object Object],Is the sky really the limit?,[object Object],Prague, 8 September 2011 ,[object Object],Jan Spooren, Secretary General EPR,[object Object]
The limits and risks of AT ,[object Object],Anassistiveproduct,[object Object],A productthat no onewants!,[object Object]
Modernisation of disability and social services sector,[object Object],Paradigm shift in health and social services,[object Object],From public programming regulation to market-based regulation,[object Object],Positive & proactive approach,[object Object],High level expertise,[object Object],Modernisation,[object Object],[object Object]
 Inclusion / maximise potential
 Empowerment
Decentralization
Demonstrate added value
 Quality assurance
 Competition: tendering
 Market analysis and orientationParadigm shift in disability field,[object Object],From medical model to social model,[object Object]
The limits and risks of AT,[object Object],Anassistiveproduct,[object Object],A neednotcreatedandunexpected,[object Object]
Use of ATin rehabilitation – Preliminary remarks,[object Object],Assumption: Disabled and elder people wish to lead independent lives in a familiar environment.,[object Object],AT are not new and their use has never been uncontroversial.,[object Object],Technological advances will considerably expand the areas in which AT are used.,[object Object],Literature is critical of the technology-driven nature of AT development.,[object Object],Care should be taken that AT supports communication.,[object Object]
Assistive Technology (AT) – Definition,[object Object],Any item,piece of equipment or product system, whetheracquired commercially, modified or customized,that is used to increase, maintain or improvefunctional capabilities of individuals with disabilities.,[object Object],(The US Assistive Technology Act of 1998, Section 3),[object Object],AT has the potential to help people with disabilities to live in the least restrictive environments and attain their personal and vocational aspirations.,[object Object],(Peterson DB, Murray GC. Ethics and assistive technology service provision. Disability and Rehabilitation: Assistive Technology 2006;1:59–67),[object Object],6,[object Object]
ATand Telecare,[object Object],AT&T = the delivery ofhealth and social care to individuals within thehome or wider community outside formal institutionalsettings, with the support of devices enabledby information and communication technologies,[object Object],(Tang P, Curry R, Gann D. Telecare: new ideas for care and support @ home.Bristol: The Policy Press, 2000.),[object Object],7,[object Object]
AT – universal design,[object Object],Assistive technology which is not guided by the universal design concept may benefit people with disabilities but result in separate and stigmatising solutions, for example, a ramp that leads to a separate entry to a building from the main stairway. Universal design strives to be a broad-spectrum solution that helps everyone, not just people with disabilities and it recognises the importance of how things look.,[object Object],(Perry J, Beyer S, Holm S. Assistive technology, telecare and people with intellectial disabilities: ethical considerations. J Med Ethics 2009;35:81-86.) ,[object Object]
75% of AT professionals believe that persons with disability do not receive the AT that they need,[object Object],Assistive product as a successful solution is very knowledge demanding and needs technical expertise of various domains ,[object Object],Experience of rehabilitation professionals,[object Object]
CS 1: Knowledge about the products and their functionality,[object Object],[object Object]
Too many and complex products
 Different skills needed (communication, mobility, computer access, orientation) and continuous updating
 “one-size fits all” mentality
 Not sufficient evidence-based practice
Solutions

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