Presentation focuses on access-related issues in the use of technology assisted clinical supervision. Both challenges and solutions are addressed from five major vantage points: (1) human-related factors, (2) geographic factors, (3) use of technology and skills, (4) factors relevant to access for people with disabilities, and (5) digital agility and decision-making.

1. Melissa D. Deroche, M.Ed., LPC-S, LMFT
University of New Orleans, Doctoral Candidate
Edina Renfro-Michel, Ph.D., ACS
Montclair State University

2.  Terminology andTechnologies
 Technology Skills
 Human Factors
 Geographical Factors
 Digital Agility and Decision Making
 Disability-related access concerns
 Implications

3.  Technology-assisted supervision and training
(TASTS)
 Technology-assisted distance supervision
(TADS)

4.  Email
 Computer-based teleconferencing
 Electronic mailing lists
 Chat rooms
 Technology-assisted live supervision
 Bug-in-the-ear

5.  Cost and availability
 Compatibility, maintenance, and upgrades
 Technology use
 Comfort and ease of use
 Technology training
 Reliable Internet access
 Security

6.  Challenge
Working Alliance
 Solutions
 Video Conferencing
 Hold first supervision session face to face if
possible
 Using the technology prior to meeting online

7.  Challenge
 Access to supervision based on geographical
location
 Seasonal or inclement weather
 Solutions
 Access to more qualified demographically
culturally diverse supervision
 Have a backup plan

8.  Seale et al (2010) identified two themes that
integrate accessibility, attitude and inclusion
factors intoTADS.
1. Digital agility – extremely familiar with technology,
using a wide range of strategies, and having high
levels of confidence in ability to use technology.
2. Digital decision making – choice of technology to
use based on the situation, personal needs, and
available resources (e.g. support, training, and
funding). .

9.  Benefits – geographic location, transportation,
quality supervisors, and flexibility
 Challenges – interactive nature of digital
technologies and inadequate use of universal
design principles
 Solutions – assistive and adaptive technologies,
environmental modifications, and contextual
factors

10.  Challenges to Access
 Interactive nature of devices/technologies
 Solutions
 Alternative input devices, dictation software,
assistive touch and guided access
 Abbreviation or short hand methods for digital
input
 Extended response time
 Location and placement of digital devices

11.  Challenges
 graphics and image-based text
 non-standard document formats
 inconsistent web layouts
 fixed font sizes and poor contrast
 Solutions
 Collaboration with supervisee regarding
accommodation needs
 Assessment of digital technologies prior to use

12.  Compatibility of assistive technology with
other software applications or websites
 Navigation and response time
 Accessibility does not mean user friendly
 Accessible documents are text-based and do
not contain graphics or scanned images of
text
 Video-based supervision and non-verbal
communication

13.  Challenges
 Auditory-based digital technologies
 Environmental or background noise/interference
 Poor sound quality
 Solutions
 Text-based technologies
 Evaluate ability to hear communications
 Communication Access Real-TimeTranslation (CART)
 Telecommunication devices
 Qualified ASL interpreter

14.  Focus on content of communication not the
delivery
 Allow extra time for communication
 Ask follow-up questions if uncertainty in what
was communicated.

15.  7Ways to make your class accessible
 http://goo.gl/bdJPfH
 AccessibilityChecklist
 http://goo.gl/c1t3C3
 Gallaudet University CACREP Program
 http://goo.gl/iOST4P