Service Delivery Flashcards
RESNA Code of Ethics
- Hold paramount the welfare of persons served professionally
- practice only in their area(s) of competence and maintain high standards
- Engage in no conduct that constitutes a conflict of interest or that adversely reflects on the association and, more broadly, on professional practice
- maintain the confidentiality of privileged information
- Seek deserved and reasonable renumeration for services
- Inform and educate the public on rehabilitation/assistive technology and its applications
- Issue public statements in an objective and truthful manner
- Comply with the laws and policies that guide professional practice
Ethical dilemmas
- recommendations for powered wheelchair in context of medical necessity
- some devices may be used to do things a person is still able to do for themselves which may make their problems worse
- Devices may restrict freedom or privacy
Common AT Funding sources
-State vocational rehab agency
-Work comp
-Educational systems (IDEA, IDEIA)
-Children’s rehabilitation or medical services
-Developmental Disabilities programs
-VA
-Medicaid
-Medicare
-Social Security Disability
-Private Insurance
Eligibility criteria for voc rehab
-must be disabled and require VR services to prepare for, secure, retain, or regain employment
-evaluation of eligibility
-written plan setting forth the individual’s employment goal and the specific services to be provided (known as Individualized Plan for Employment or IPE)
-comprehensive assessment that may also include referral for provision of rehab technology services to assess and develop the capacities of the individual to perform in a work environment
-Informed choice
Vocational Rehab Services
-assessment
-counseling
-training
-diagnosis and tx of physical or mental impairments to reduce or eliminate impediments (to the extent financial support is not available from other sources)
-transportation
-personal assistance
-supported employment
-assistive technology
-evaluation of needs
-purchasing, leasing, or otherwise providing for the acquisition of AT devices
-coordinating and using other therapies, interventions, or services with AT
-training or technical assistance for consumer
-training or technical assistance for professionals
Ticket to Work and Work Incentives Improvement Act
-consumers receiving SSI and SSDI get ticket to purchase services from employment networks
-outcome based payment to networks
-still eligible for VR
-money for technical assistance
-longer period of medicare benefits after cash payments cease due to income and possible continued Medicaid eligibility for SSI (varies by state)
AT Team Members
-consumer
-family and care providers
-payer/funding source rep
-therapists
-educators
-physician/other healthcare professionals
-employer
-assistive tech supplier
-rehab engineer/technologist
Role of ATP on rehab team
-referral and intake
-needs identification
-evaluation
-fabrication of AT
-implementation
-training on use and application of AT
-follow up
-follow along
Principles of universal design
-equitable use
-flexibility in use
-simple and intuitive use
-perceptible information
-tolerance of error
-low physical effort
-size and space for approach
Per RESNA’s code of ethics, which scenario would NOT represent an ethical dilemma?
a. recommending devices that may restrict freedom or privacy
b. purchasing AAC devices following an assessment by a qualified speech therapist
c. selecting devices based on price more than function
d. recommending only devices manufactured by the ATP’s employer
B
Which legislation authorizes state wide programs to provide technology-related assistance to children and adults with disabilities, but prohibits payment of funds directly to vendors who provide AT devices to individuals?
a. Assistive Technology Act (Tech Act)
b. Rehabilitation Act
c. Medicaid
d. Medicare
A
Which legislation is NOT an entitlement program?
a. ADA
b. Ticket to Work
c. Individuals with Disabilities Act
d. Medicare
A
definition of assistive technology device
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
hard technologies
readily available components that can be purchased and assembled into assistive technology system
eg- computers, software, mouth sticks, etc
soft technologies
human areas of decision making, strategies, training, concept formation
