Video Presentation of AT Process Google Slides Jeff Coolman

Video Presentation of AT Process   Google Slides   Jeff Coolman


Hi everyone it’s Jeff and this is a video
presentation of my AT assessment process. I would like to point out that I am not
using the real name of my student and the pictures are intentionally blurred
and video is pixelated to preserve his privacy. I’m also using a pseudonym for
the school district and city. I’m not going to read each slide because it
would make this video way too long. I just want to give you a quick idea of
the process I used in this evaluation. Of course you can always pause the video at
any time. I started with gathering information from school records. You can
see my student is Charles age 14 in the 8th grade,
he has right-side paralysis and is legally blind,
he receives physical therapy, orientation and mobility, has a one-on-one para and
uses a wheelchair and a magnifier as his only assistive technology at present. His
current IEP started a week ago, has a mobility goal for walking at school with
a gait trainer so the PT has already identified a gait trainer as appropriate
and initial results are good. Here’s a picture of Charles. It’s blurred
for privacy. I wish I could show you what a great smile he has. He really is a very
nice young man. Next I gathered information from interviews and
discovered from IEP Team Members what the desired outcomes are: we want Charles
to stand and walk more, get around better with his wheelchair, increase his
independence and safety, and decrease his dependence on others– there’s a concern
that as he gets older he will get heavier and harder to move so it’s
better if he can do it himself instead of having others lift him. Charles
himself has his own desired outcome: he wants to walk “everywhere at school”
without the risk of falling. He used to hold on to his wheelchair for balance
support when walking but he fell a couple of times and now he wants
something that’s safer and works better. Here are some interview video clips… Next I gathered information from
observation including walking with the gait trainer in the hallway… …and walking in the gym… Once I had my information I could
summarize some things, including Strengths and Abilities… …and Challenges… …and all of this information can be put
into the SETT Framework to help organize what we know about the student… about the environments that he’s in… about the tasks he needs to do… and all of this informs us as to what
types of tools he needs including a bracing system, a wheelchair a gait
trainer, maybe a mobile stander, maybe an adapted tricycle, and perhaps an audio-based technology that would help compensate for his vision loss. Once we
have identified the types of tools we can research what’s out there. Each of
the following recommendations comes directly from the tools identified in
the SETT Framework. The first recommendation is for a bracing system
to support his right extremities during mobility. There are a couple of options,
each with its pros and cons for the IEP Team to decide which way to go.
And “which way to go” depends on several factors including
funding, insurance, personal preferences; maybe the physical therapist has an
over-the-counter generic splint available that can be tried to see how
it works and the Team can then go from there. The recommendation here includes
cost differences and the vendor sources to help the Team decide. The second
recommendation is for a wheelchair. Again, there are more than one option and which
option is quote unquote better depends on funding, insurance, and personal
preferences. For example, maybe the family has plenty of insurance but they have no
way to maintain a heavy power wheelchair, maybe they have no ramp to get into the
house and no way to transport it for family outings. A manual wheelchair with
a one-arm-drive is more functional than the one he has now it allows, for
independent mobility and it’s easier to store and transport.
I think the point here is you can’t as an evaluator micromanage every decision.
That’s not your responsibility. Your job is to offer viable options and let the
Team make the final decision. And quickly recommendation 3 is a gait
trainer which is already being used. I have vendor options here in case the
family wants to pursue getting Charles his own gait trainer through his
insurance. Recommendation 4 is for a mobile stander that can help build leg
strength and endurance in support of walking.
Recommendation 5 similarly is for an adaptive trike that can build leg
strength and endurance while also serving as a fun alternative activity in
gym class. Recommendation 6 is for an audio-based
technology app like Microsoft Soundscape that can enhance awareness of
surroundings for people with vision loss. So here are the conclusions and the plan
moving forward. Looks like we’re off to a solid start.
IEP Team Members have data to collect and decisions to make over the course of
the next three months, and in four months everyone is going to meet again to
review progress, tweak things if necessary, and plan for the future. So it
will be an ongoing process– it’s not a “once and done.” We need to keep assessing,
analyzing, researching, and moving forward. So I’ll end this show with a final
comment from my buddy Charles…

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