Look Ma, No Hands… - AzTAP

A Look at High Tech Driving and Vocational RehabilitationBy: Jenny Nordine, OTR/L, CDRS & Jill Sclease, CTRS, CDRS

Driving To Independence

Look Ma, No Hands ...

Look, No Hands……

7/24/2017 AzTAP - 50 Years Of Service: PAVING THE WAY TO THE FUTURE 2

AzTAP - 50 Years Of Service: PAVING THE WAY TO THE FUTURE 7/24/2017 3

High Tech Drivers Case studies ...

Referrals:With all driving evaluations we receive a referral from Vocational Rehabilitation


REFERRAL FOR SERVICES

This referral is to be attached to all Authorizations to Contract Providers or for providers of

Evaluation services, as appropriate. Only client information that is needed to ensure quality and

appropriateness of services should be shared. This information is confidential. It is provided solely to

assist you in providina the requested service(s). X Original Referral

To (contact name): Referral Requiring Additional Service

Agency/Company RSA Client Name: CIF ID: Home Phone: Cell Phone:

Driving to Independence

Current VR Status (status number and Title) :

Case ID:

13

Provider Instructions (Provide instructions to the vendor regarding the service being authorized. If

requesting evaluation services, specify the questions for which you and the client want answers. Attach any

other pertinent documentation): Please provide the adaptive driving assessment to determine if the client can drive with the modifications

that he needs in the vehicle. Determine the modifications in his vehicle that the client need to ensure that he can drive safely.

Impediment to Employment (check all that apply):

Total Blindness Visual Impairment Hard of Hearing Lower body limitation/s Mental Health

Legal Blindness Deaf Upper body limitation/s TBI

Ex-Offender

X Other: Born without arms/legs' and paralyzed from waist down

Describe how these are impediments: Work History, Vocational Training: Occupation: Employer:

Phone:

Start Date:

End Date:

Vocational Training:

Client Care Coordinator Questions to ensure the client is scheduled with the appropriate evaluator and the appropriate vehicle

Diagnosis Driving history Height/weight Mobility device Transfer status Driver’s license information Doctors Referral


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Evaluation Clinical evaluation Vision/vision perceptual skills Behind the wheel assessment Recommendations


Training Training is completed in a Driving To Independence vehicle.

Insurance Appropriate equipment needs Vehicle maintance/safety


Prescription A Certified Driving Rehabilitation Specialist writes a vehicle

modification prescription Vehicle make, model, year and mileage Entry/exit

Remote Start Seating / Mobility equipment Driving equipment Secondaries

Turn signals, high beam/low beam, horn, HVAC Other

Mirrors, chest strap, rubber flooring, etc


Approval/Authorization for vehicle modification For high tech vehicle modifications a staffing is held to discuss the

process Insurance requirements for vehicle Time table Safety over aesthetics


Fitting Wheelchair position and lock down

Driver’s position or vehicle midship Mechanical release/manual release

Driving equipment placement Hand control Control panel Secondaries


Check out Drive / Drive Off The client and VR counselor are met at the vehicle modification

vendors location. The client is required to

Independently enter/exit the vehicle Stow/recover adaptive equipment Drive the vehicle

If client is independent with the above VR paperwork completed Arizona Department of Motor Vehicle licensure completed



Case Studies

Taylor 201316 years old Duchene’s muscular DystrophyPower wheelchairLimited walking

He wanted to learn to drive so he could drive to school, work and community activities without always having his parents or one of his caregivers with him.


Honda Element Remote start Ez-Lock lock down Seatbelt system Reduced effort steering Pedal extension Reduced effort braking Gearshift extender Quad key


Taylor 2017


20 years old Duchene’s muscular DystrophyPower wheelchairNo walking

He wants to continue driving to school, for work and to participate in community activities of interest. He would also like to be able to take his younger brother places.

I

2017 Toyota Sienna with Braun Conversion Infloor ramp Remote start Wheelchair lockdown (driver and passenger position) EMC – Joy stick Digitone for secondaries Safety barrier for service dog









Shannon

Arthrogryposis, Elbow, wrists and knees fused

37 years old Driving equipment

Zero effort steering Airbag shutoff Gear shift extension Seatbelt modifications Seat adjustment – modifications Pedal extensions







... = .., , ... -., --

Joseph

Left side stroke with right side paralysis

Has 3 daughters who are very active in sports and wants to transport them to events

Driving Modifications: Left foot accelerator Seatbelt extension 6 way transfer seat – control

modifications




Charley Congenital Amputations/Paraplegia 29 years old Certified Dog trainer

Would like to learn to drive to travel to/from appointments and work. Would like to be able to drive to participate in community activities of interest.





2018 Chevrolet Silverado – ATC conversion Lift into/out of vehicle Wheelchair lock down Joystick Digitone Control panel











Other high tech situations….








Contact informationJenny Nordine, OTR/L, CDRS

[email protected]

Jill Sclease, CTRS, [email protected]

1414 W. Broadway Road, Suite 111Tempe, AZ 85282

480-449-3331

AzTAP - 50 Years Of Service: PAVING THE WAY TO THE FUTURE 7/24/2017 54

mailto:[email protected]

mailto:[email protected]

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Look Ma, No Hands… - AzTAP