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The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA [email protected] Sara Menzel, UCP Michigan Assistive Technology Center [email protected]

The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA [email protected] Sara Menzel, UCP

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Page 1: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The Team Approach for Considering Assistive

TechnologyMelanie Tervo, UCP Michigan Assistive Technology Center/[email protected]

Sara Menzel, UCP Michigan Assistive Technology [email protected]

Page 2: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Session Objectives

Define AT Consideration for IEP teams

Provide resources to assist in the consideration process

Describe a different way to deliver AT services

Offer tools/forms to assist IEP teams with AT implementation and data collection

Page 3: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The Law & ATPart 1:

Page 4: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The Individuals with Disabilities Act (IDEA) requires that AT be provided for all students with disabilities who require this support.

The law states: Each public agency shall ensure that AT devices, AT

services, or both, are made available to a child with a disability if required as a part of the child's (1) Special education (2) Related services (3) Supplementary aids and services

Laws Affecting IEP Teams

Page 5: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Definition:The term assistive technology device

means any item, piece of equipment, or product system, whether acquired

commercially off the shelf, modified, or customized, that is used to increase,

maintain, or improve functional capabilities of children with disabilities.

AT Device

Page 6: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Services

Definition: Any service that directly assists a child with a disability in the selection, acquisition or use of an assistive technology (AT)

device.

Page 7: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Services

Evaluation

The evaluation of the needs of a child with a disability, including a functional evaluation of the child

in the child’s customary environment.

Page 8: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Services

Page 9: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Services

Customizing

Selecting, designing, fitting, customizing, adapting, applying,

maintaining, repairing, or replacing assistive technology devices.

Page 10: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Services

Coordination

Coordinating and using other therapies, interventions, or

services with assistive technology devices, such as those associated

with existing education and rehabilitation plans and programs.

Page 11: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Services

Training

Training or technical assistance for a child with a disability or, if appropriate,

that child’s family.

Page 12: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Services

Technical Assistance

Training or technical assistance for professionals (including

individuals providing education or rehabilitation services),

employers, or other individuals who provide services to, employ,

or are otherwise substantially involved in the major life functions

of that child.

Page 13: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

What are some common barriers teams encounter

with Assistive Technology?

Common Barriers

Page 14: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Reasons given for lack of ATDon’t know what is availableNot enough ATNobody knows what AT we needIt’s too expensiveThey don’t know what to do with the ATIt’s too hard to manageThey can’t use it on school networksWe don’t know if they can use it on tests…

Common Barriers

Page 15: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

ConsiderationPart 2:

Page 16: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

What does it mean to check this box?

Page 17: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Where do we get Guidance?

The mission of QIAT is to guide the

provision of quality AT services to improve educational

achievement of students with disabilities.

Page 18: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Qiat.org

Page 19: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The QIAT Community provides:

Quality Indicators for Assistive Technology

Developed by focus groups and validated through research.8 quality indicator areas

“input into the ongoing process of identifying, disseminating, and implementing a set of widely-

applicable Quality Indicators for Assistive Technology Services in school settings”

What is QIAT?

Page 20: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

1. Consideration 2. Assessment 3. AT in the IEP4. Implementation5. Evaluation of Effectiveness 6. Transition7. Administrative Support 8. Professional Development

Quality Indicator Areas

Page 21: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Quality Indicators for Consideration

Page 22: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

1. AT devices and services are considered for all students with disabilities regardless of type or severity of disability.

Quality Indicators for CONSIDERATION

Page 23: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

2. During the development of the IEP, every IEP team consistently uses a collaborative decision making process that supports systematic consideration of each student’s possible need for AT devices and services.

Quality Indicators for CONSIDERATION

Page 24: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

3. IEP team members have the collective knowledge and skills needed to make informed AT decisions and seek assistance when needed.

Quality Indicators for CONSIDERATION

Page 25: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

4. Decisions regarding the need for AT devices and services are based on the student’s IEP goals and objectives, access to the curricular and extracurricular activities, and progress in the general education curriculum.

Quality Indicators for CONSIDERATION

Page 26: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

5. The IEP team gathers and analyzes data about the student, customary environments, educational goals and tasks when considering a student’s need for AT devices and services.

Quality Indicators for CONSIDERATION

Page 27: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

6. When AT is needed, the IEP team explores a range of AT devices, services, and other supports that address identified needs.

Quality Indicators for CONSIDERATION

Page 28: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

7. The AT consideration process and results are documented in the IEP and include a rationale for the decision and supporting evidence.

Quality Indicators for CONSIDERATION

Page 29: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Consideration Guide

Page 30: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Consideration Guide

Page 31: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

There are four possible outcomes:* AT is not needed to support attainment of the students

IEP goals and objectives.

* AT currently being used is supporting the student’s progress toward IEP goals and objectives and therefore should be continued and documented in the IEP.

* AT is being used but is not sufficiently supporting the student’s progress toward IEP goals and objectives.

* The student is not using AT and may benefit from its use.

IEP AT Considerations Outcomes

Page 32: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Consideration Outcomes in the IEP

Page 33: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Self Assessment

Page 34: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

How did you rate??

Self Assessment

Page 35: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT is considered for students with severe disabilities only.

No one on the IEP team is knowledgeable about AT. Teams don’t use a consistent process based on student

data. Consideration is limited to items the team members are

familiar with or are available in the district. Team members fail to consider access to the curriculum

and IEP goals in determining if AT is required for FAPE. If AT is not needed, team fails to document the basis of

its decision.

Common Errors with Consideration

Page 36: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

So You Think You Need AT… Now What?

Part 3.

Page 37: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Initial AT evaluations must follow the REED process.

Must obtain consent Follow the thirty school day timeline Conduct an IEP and/or Amendment.

If you are only looking at obtaining existing data, then you do NOT have to conduct a REED and obtain consent.

Requirements

Page 38: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT and the REED

Page 39: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

AT Center ChangesHIAT

Part 4.

Page 40: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

In order for the Assistive Technology Center to provide a higher level of service to students with more significant challenges, we are developing a new service provision model for High Incidence and Low Incidence AT.

High Incidence = HIAT

New Assistive Technology Model

Page 41: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Definition: High Incidence Disabilities are those involving the largest numbers of students.

* Students most likely to be in mainstream educational environments with a range of interventions and tools including assistive technology.

High Incidence Disabilities (HIAT)

Page 42: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

HIAT include more than 10% of students in an average classroom:

* Communication Disorders (Speech and Language Impairments)

* Specific Learning Disabilities (including some OHI eligibilities such as ADHD)

* Mild/moderate cognitive impairments* Emotional or behavioral disorders* Autism Spectrum Disorder (Asperger’s)

High Incidence Disabilities (HIAT)

Page 43: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Students with high incidence disabilities can benefit from strategies that help many students.

Universal Design for Learning (UDL) approach is beneficial to more students

School staff are needed to implement these strategies – not experts

School staff can “own” this type of knowledge

DeCoste/Bowser: The Changing Roles of AT Teams 2014

Rationale

Page 44: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Low Incidence Part 5.

Page 45: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Include less than 1% of school-aged population which include:

* Blindness* Low vision* Deafness* Hard-of-hearing* Deaf-blindness* Significant developmental delay* Complex health issues* Serious physical impairment* Multiple disability* Autism Spectrum Disorder* Complex communication disorders

Low Incidence Disabilities

Page 46: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Low Incidence Disabilities can pose challenges for schools struggling to meet their needs because they encounter them so infrequently.

*This makes it more difficult for schools to:o Stay up to date on the best strategies to educate.o Be familiar with available technologies.o Be aware of available support services from outside

agencies.

Low Incidence Disabilities

Page 47: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Students with low incidence disabilities often require:

Specialized, ongoing AT expertise Programming AAC devices Alternate computer access Continuous support to related services

DeCoste/Bowser: The Changing Roles of AT Teams 2014

Rationale

Page 48: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The AT Evaluation and Teams

Part 6.

Page 49: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Assistive Technology Team

Page 50: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The SETT (Student, Environment, Task, Tools) framework was developed to guide IEP teams through the process of considering AT:

S for the STUDENTE for the ENVIRONMENTT for the TASKST for the TOOLS needed to address the

tasks

*See SETT form

SETT Framework

Page 51: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

SETT Form

Page 52: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The team will conduct an AT staffing to gather information using the SETT process

The team will identify (using SETT) equipment/strategies to be trialed by the student for achievement of educational goals.

If the team does not have sufficient knowledge of and experience with a hierarchy of tools/assistive technology, assistance may be sought through the AT Center.

The team will develop a plan of implementation and a system for data collection.

HIAT Teams

Page 53: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The LI population requires more assistance with implementation of AT to be successful.

LI Team members may include all service providers.The AT center will provide increased support to local teams, for example, help with complex communication needs, switch training and modified classroom activities to compliment the curriculum. Provide on going follow-up and support to teams. Assist with adaptations to the AT plan. Provide product training to the teams upon request.

Low Incidence Team

Page 54: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

In order for AT to be successful it may require: o Several or all disciplines focusing on the same

ultimate goal. EX. Communication Systems

Speech Focus- Language OT Focus- Direct selection or switch activation PT Focus- Core Stability VI Focus- Visually attending to communication system Case Manager- Daily implementation

Low IncidenceTeam

Page 55: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Where do I get the stuff??

Part 7:

Page 56: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The team may borrow equipment for evaluation and trial purposes from:* ISD *Michigan Integrated Technology Supports (MITS – statewide).

How do I get AT equipment to try?

Page 57: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

MITS

Page 58: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Data Collection & AT PlanPart 8.

Page 59: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

The team will utilize data to determine what features of the AT

are educationally necessary to meet IEP goals/objectives.

Data Analysis

Page 60: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Data Collection Form

Page 61: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Define criteria for performance of identified

task• Select a functional, frequently-

occurring activity from identified tasks.

• Identify present level of performance (baseline) for the task and what change is expected with tool/strategy use.

• Define what success will look like for this student.

• Specify when and how the student will use the device(s) in the activity and supports needed.

Page 62: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Specify the variable to be measured

What aspect of student performance are you trying to measure?

Accuracy/Quality Rate - speed/frequency/amount Spontaneity Duration Latency Level of assistance

Page 63: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Identify schedule for data collection

o Identify times, places, and duration of the trial.

o Collect data when it is most appropriate and reflects actual performance.

o Specify how and who will collect data.

o Identify when and what team members will reconvene to discuss data.

Page 64: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Analyze & discuss data collected

Teams should reconvene to review and discuss data, then make decisions regarding appropriate tools/strategies.

Plan for further intervention or data collection.

Keep AT Plan up to date

Page 65: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Possible outcomes of data collection

Assistive technology improves the student’s performance toward goals

Assistive technology does not improve the student’s performance toward goals

Team identifies the need to collect more data because need was not clearly defined.

Data collection identifies new areas of concern and need for further assessment.

Page 66: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

Putting it all togetherThe Assistive Technology

Plan

Page 67: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

An Ongoing Process

The team will continually re-assess the appropriateness of

technology and modify the plan as necessary.

Page 68: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

After Device Trials andData Collection

Acquisition of AT determined educationally necessary will be

done in a timely manner.

Page 69: The Team Approach for Considering Assistive Technology Melanie Tervo, UCP Michigan Assistive Technology Center/MARESA mtervo@maresa.org Sara Menzel, UCP

How do I get help?