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Support Systems (DISABILITY-SPECIFIC SUPPORTS (Will Technology Replace…
Support Systems
DISABILITY-SPECIFIC SUPPORTS
Personal Assistance Services (PAS)
can be provided in a variety of settings
The personal assistant becomes the employee of the disabled individual
Service Animals
primarily dogs
animals trained to assist disabled
people with their daily tasks
Assistive Technology (AT) and Tools
"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 individuals with disabilities
It does not matter what the technology is; the important aspect is who is using the tool and what he or she is trying to accomplish with it.
durable medical equipment
can withstand repeated use
is primarily and customarily used to serve a medical purpose
generally is not useful to an individual in the absence of an illness or injury
is appropriate for use in the home
supports active lifestyles and roles
Will Technology Replace Assistance?
it reduce the need for attendant care
less expensive substitute for personal assistance services
an increase in autonomy and
independence with the use of technology
but Interpersonal connection and interaction are major elements of being human
technology should not be mistaken for human interaction
Assistive strategies (AS)
Interaction and Interrelatedness of Support System Elements
Assistent tenchnology + personal assistance services+ adaptive strategies
A disabled person's ability to function is determined by the adequacy of her support system
The elements can shift dramatically, depending on the environment within which the support is used
CONCLUSION
support systems are the interface between a person and the environment
We continue to manipulate the various supports in the
system, but we need a much better understanding of the interaction between the elements and the whole
Recognition of common goals, development of common strategies, presentation of shared objectives, and insistence on integrated
outcome measures are needed to develop a unified agenda for individualized or integrated support system development.
Embedding of DisabilitySpecific Supports within the Support System for All Human Accomplishment
links the individual to the physical environment.
The basic elements of
anyone's support system are tools, cooperation, and strategies
three sides of the human accomplishment triangle
Dynamics of Support Systems
Different circumstances call for different balances among elements of a
personal support system
vary depending on changing environmental and situational demands), location, strategies, and psychosocial orientation
CONSUMER CONTROL IN CHOICE OF SUPPORTS
Criteria for Making Choices
Cost of the support and ability of the individual or family to pay
Time required to use one type of support versus another
Availability of the support in one's society and area
The degree of privacy and confidentiality versus companionship that a particular type of support affords
Outofpocket cost of managing the support, including personnel, training, supervision and quality control issues, upkeep of equipment, maintenance of animals, and
amount of training required to use the support well.
Physical and mental ease of use.
Visibility, intrusiveness, and degree of stigma attached to the support
Consumer control does not mean that there is no role for professionals in deciding the mix of supports needed