Assistive Technology for Young Children Assistive technology engages children with disabilities and their families in new ways. It helps them participate in educational opportunities and community activities that might otherwise be unavailable to them. When providers seek creative solutions using assistive technology, they open up new opportunities for children with disabilities and their families. This module, Assistive Technology for Young Children, describes how assistive technology (AT) facilitates child development and independence by increasing participation in everyday routines and activities. Participants will learn the range of AT available for infants, toddlers and children with disabilities and how to select and use AT effectively. Current research focuses on: The benefits of using AT with young children Ways that AT can support individual children in inclusive settings When to consider using AT Strategies to determine solutions for embedded use in natural environments. The best way to determine effective AT solutions involves a team decision making process. Topics covered in the module include: • Definitions of AT devices and services • Supporting inclusive practices • Functional outcomes for participation • Features of AT solutions • Strategies to select, analyze, and customize AT solutions • Routine + Activity AT matrices for infants, toddlers, and young children Objectives In completing this module, you will: • Learn definitions, significance, and practice implications for AT • Define issues related to using AT • Identify the functional domains of participation • Describe the features and characteristics of a range of low to high AT supports • Apply a systematic activity-based approach for AT decision making PART I: WHAT IS ASSISTIVE TECHNOLOGY? Note the key elements of the definition for AT. Include examples if helpful. Legal Foundations Use this chart to note the key elements of legislation. Legislation Things to Remember Civil Rights Laws The Rehabilitation Act of 1973, Section 504 The Americans with Disabilities Act of 1990 Technology Laws The Technology Related Assistance for Individuals with Disabilities Act of 1988 (Tech Act) Assistive Technology Act (ATA) of 1998 Special Education Laws The Individuals with Disabilities Education Act (IDEA), formerly Education for the Handicapped Act (EHA) What is AT for Young Children? Use this chart to describe AT. Statement AT is a physical item AT can be found anywhere AT is defined by its purpose Description Assistive Technology Categories Using this chart, note some examples of low, mid, and high tech devices. LOW-TECH MID-TECH HIGH-TECH readily available, off-thespecial catalog, designed shelf, low-cost, little for disability, more costly, training training required Combining AT Categories Use the example provided in the module to determine how you could combine high- and low-tech AT. Non-Tech Strategies and Modifications Note ways to add non-tech strategies of modifications to your work. Using this chart, create a list of low-tech and high tech AT items for various activities. Activity Low Tech High Tech Bath Time Sitting on Floor Eating Communicating Playing Answer the following questions. 1. Compare your list to another member of your team or colleague. 2. Discuss your lists: Are there many similarities, differences. What other AT could you add? 3. Did you include materials such as Velcro, non-slip or rolled towels? How would you defend their use as AT? Blowing Bubbles Answer the question below: 1. How can a child with only the use of one hand participate in blowing bubbles with his friends? AT Continuum Use the following activity sheet (www.teachingei.org/technology/documents/1.2%20AT%20Continuum%20Exam ples.pdf) to first review examples of AT options for painting a picture, reading a book and communicating. Then work with your team to suggest a range of AT options to help a child participate in three new activities. LOW-TECH readily available, off-the-shelf, low-cost, little training AT Supports for Sitting on the Floor AT Supports for Taking a Bath AT Supports for Cutting with Scissors AT Services Note the key ideas regarding AT services. HIGH-TECH specialty catalog, designed for disability, more costly, training required Federal Mandates Using this chart, note the Federal mandates related to each column. AT in the Natural Role of Family Identification of AT Consideration Environment & in AT DecisionFunding the LRE Part C making Part C Education Medical 619 Technology How does this work for me? Reflect on the question below: 1. What do you know about the AT services within your program? 2. How can you access these services to better include AT devices in your planning? 3. How can you help families access AT services that will support them? PART II: EARLY CHILDHOOD AND AT PRACTICES Note the ways AT supports the concepts below. Family-Provider Partnerships and Diversity Naturalistic Model Natural + Least Restrictive Environments Note the ways AT supports inclusion, particularly related to the strategies listed. Inclusion Universal Design Response to Intervention (RTI) Technology Use How does this work for me? Reflect on the question below: 1. How do you engage families in making decisions about technology? 2. When thinking about your own environment, what kinds of technology do you encounter? 3. How does the technology available help the children you serve participate and learn? Benefits and Underutilization Benefits Note the benefits of AT. Review the abstracts of articles (www.teachingei.org/technology/documents/2.4a%20AT%20Mini%20Bib.pdf) in the AT for Young Children Mini-bibliography. Select 2-3 articles and use the activity sheet (www.teachingei.org/technology/documents/2.4b%20Mini%20Bib%20Activity.pdf ) to identify purpose, population, intervention and results. Answer the following questions. 1. What are the common trends of AT use? 2. What are the field’s approaches to selecting, acquiring, and/or using AT? 3. Did you discover new ideas or understandings? What questions to you have? Underutilization of AT Note the causes of underutilization. Review the Tots ’n Tech Research Brief on AT Training Practices Use Assistive Technology Training for Providers & Families of Children in Early Intervention, http://tnt.asu.edu/files/ATtrainingbrief2-8-05.pdf (Research Brief Volume 1, Number 6, 2005). Answer the following questions. 1. How did providers primarily receive information and training about AT? 2. What was their preferred method of receiving training? 3. Does the training appear to be sufficient in building AT skills of providers? 4. Based on the survey results how would you describe effective AT training practices? How would you know if the training worked? 5. How do you receive your information on AT use with young children and how to share the information with their families and teachers? Practice Guidelines Note the practice guidelines and how they are relevant to your work. 1. 2. 3. 4. 5. 6. 7. 8. 9. Why Low-Tech? Note the key ideas for using low-tech AT. Knowing each team member’s skills in using AT with young children is a valuable way to understand their expertise and training needs. Take the AT Confidence Scale (www.teachingei.org/technology/documents/2.6%20AT%20Confidence%20Scale .pdf) to define your current knowledge, skill, and training needs to provide AT services. Although the scale is designed for providers of children birth to 3, it can be easily adapted for those working with preschool children. Answer the questions below. 1. What are your team’s training needs? How should they be prioritized? 2. What are your training resource options? 3. How does the team prefer to receive training and gain knowledge about AT? 4. Do you have adequate access to AT devices to use with children? What local resources are available? 5. Discuss how various members share information with families and preschool teachers. What approaches are most effective? PART III: USING ASSISTIVE TECHNOLOGY Note the key routines where AT might assist your work. Think about the children you work with and create a list of their environments and routine activities on this worksheet (below). You will use this information for later activities. ACTIVITIES ENVIRONMENTS Participation Framework Note the ways in which this framework supports your work. How does this work for me? Reflect on the question below: 2. How do you plan AT strategies to help children and families engage in home activities? In community activites? In early education activities? 3. How do these approaches support movement, communication, and/or interactions? Functional Areas Note the resources most relevant to your services. Movement Resources Communication Resources Interaction with Materials Resources Products with Universal Design (UD) Features Review the CONNECT Examples of Environmental Modifications booklet from a preschool classroom (http://community.fpg.unc.edu/connectmodules/resources/handouts) (Winton, Buysse, Turnbull, Rous, & Hollingsworth, 2010). According to the AT definition, most of the modifications can be considered AT. Use the activity sheet (below), Identify AT Supports by Function, to identify AT solutions on each page. Then identify how each supports one or more functional area: Movement, Communication or Interaction with Materials. Think about the purpose of the AT supports in each picture. Identify AT Supports by Function Activity Sheet Use the CONNECT handout on Environmental Modifications to look for ways AT can be used to support MOVEMENT (positioning and mobility), COMMUNICATION and INTERACTION with MATERIALS. Identify the AT in each picture and its functional area. What is the purpose of the AT? How does it help a child to do something she couldn’t do before? Page 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Assistive Technology Used M C I How does this work for me? Reflect on the question below: 1. How does the AT support participation in the activity? 2. Which functional area was addressed most frequently? 3. Was low or high tech used more often? 4. What routine activities were the children participating in? 5. Do you agree with your colleagues as to the purpose of the AT in each picture? 6. What non-tech strategies were also used? 7. Did the exercise change your perception of what AT is? 8. Did you see any uses of AT that were new to you? Adaptive Material Note the resources most relevant to your services. AT Purpose & Participation in the Natural Environment Note the key ideas for using AT in natural environments. 1. Participating in Natural Routines: Using this activity sheet (http://teachingei.org/technology/documents/3.14%20Participation%20actions .pdf and below), identify two activities from your list of natural routines. Describe the ways that children participate in the activity. Link each action to movement, communication, and/or interaction with materials. Ways of Participating in Natural Environments What does a child need to do to participate? Select two routines from your list of daily routine activities. Identify all of the ways that children participate in the activity. Then identify whether each action relates to how children move, communicate and /or interact with materials. ACTIVITY 1 Participation Actions Move Communicate Interact ACTIVITY 2 Participation Actions Move Communicate Interact 1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 6. 2. Embedding AT Supports in Natural Routines: After identifying what a child needs to do to participate in two activities, use this form (www.teachingei.org/technology/documents/3.15%20AT%20solutions.pdf and below) to suggest AT supports for each functional area: Movement, Communication or Interaction with Materials. Use the resources provided in the module to identify supports. Ask: What will help the child to participate more? Activity 1 AT Supports to Consider What will the child be able to do? AT Supports to Consider What will the child be able to do? Movement Expectations Communication Expectations Interaction with Materials Expectations Activity 2 Movement Expectations Communication Expectations Interaction with Materials Expectations How does this work for me? Reflect on the question below: 1. Did you include a range of low to high-tech options? Did you have a preference? Why? 2. Were the module resources helpful? Which ones? 3. Did you use any of the same AT solutions for both activities? 4. How can you best determine the level of a child’s participation? Or the key actions of the activity? 5. Compare natural settings and routine activities for infants and toddlers with those of preschoolers. What are the similarities and differences? AT Toolkits Note the resources most relevant to your services. PART IV: AT DECISION-MAKING FRAMEWORK Note the key ideas to help you make decisions about AT. When to Consider AT Observations: Consideration of AT A Collaborative, Activity-Based Approach Elements of the SETT Framework How does this work for me? Reflect on the question below: 1. How do you and your team make decisions about AT? 2. What considerations guide your decisions? 3. What are 3 things that work well? What 3 things will you do differently? Six Steps to Finding AT Solutions Note the key ideas about the SETT framework. Ongoing Re-evaluation Suggested Forms for Decision-making Using this chart, describe each step in the SETT framework and note the forms. Steps Descriptions Forms 1. Collect child and family information 2. Examine the child’s natural environments 3. Identify key activities for participation 4. Brainstorm AT solutions 5. Create an Intervention Plan 6. Modify + Recommend Select a case study from the module: Infants and Toddlers with Disabilities, which can also be found in the toolkit. Read the background about the child and think about what the child needs to do to fully participate in the activity described below and where AT supports are indicated. Use forms for each step of the decision making process. Use the resources in this module to brainstorm AT solutions. Identify a list of potential AT solutions; discuss and prioritize the most effective ones and create an implementation plan. Review the statements and answer the appropriate questions. Allison wants to play with toys while on the floor, either sitting or lying down. How can she comfortably and successfully interact with toys? Jake has trouble remembering school routines with more than 2 steps such as washing his hands, getting ready for departure, sharing at show and tell, or cleaning up after choice time. How can AT help him to independently complete each routine? Kaila is now 2 years old and loves mealtimes with her family. She picks up and eats food from her tray; her mother feeds her ‘spoon foods’ (for example, soup, yogurt, and applesauce). She will be going to preschool in a couple of months and needs to be able to independently feed herself when she is there. How can AT help her get ready? A special activity for Kavon is going to the playground then out for lunch with his grandmother. He becomes frustrated when his grandmother doesn’t know what he wants to eat. He also gets impatient when he finishes and wants to play. How can AT help? Walter wants to play outside with Emily who likes to kick, throw, and catch balls. How can Walter be more successful in catching and/or kicking balls? How can AT help? Program Plans and Acquiring AT Note the key ideas about the including AT in IFSPs and IEPs. Acquiring the AT Use this chart to note and plan funding to acquire AT. Funding Consideration Funding Question Child data IFSP or IEP documentation Device determination Child outcomes Funding Action Learning environments Device utility Device longevity Device appropriateness Device availability Device sources Funding application Funding appeal Lending Libraries Note ways you can access lending libraries for AT. Next steps: Once you have completed the module, use your responses to the reflection questions and your notes to develop 1 or 2 goals for your professional practice. Once you have selected your goal(s), complete the attached action plan to outline the activities, necessary resources, timelines, and methods for assessing whether you have met your goal. If you have more than one goal, create a separate action plan for each. Date: Professional Goal: Activity Resources Timeline Measure of success Contemporary Practices in Early Intervention for Children Birth to Five: A Companion Workbook to the Distance Learning Curriculum 19