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Definition
What is Assistive Technology?

Four major concepts related to assistive technology
(AT) and the delivery of AT services are presented.
Table of Contents
The
Impact of Environmental Demands
People with disabilities often experience difficulties coping with the
demands that are placed upon them from the environment. For example, people
with severe visual impairments may encounter problems in traveling from
place to place. Those with hearing losses may have difficulty understanding
information presented on television. Children with severe speech impairments
may have difficulty communicating with others in school. Others with physical
disabilities may be unable to control common appliances in their environment.
Adults with severe learning disabilities may not be able to read printed
materials required for them to perform their jobs.
It is possible to use a variety of devices and services to respond to
needs such as the ones just described. Some devices help people with disabilities
perform a given task. These often are called assistive devices. For example,
a lap board with pictures on it may assist a person who cannot talk to
communicate. Other devices change the environment or help the person to
modify the environment. These are called adaptive devices. A switch that
would allow control of different appliances from a wheelchair would be
an example of an adaptive device. Another adaptive device is a ramp that
could be used in place of steps for someone in a wheelchair.
The terms, assistive device
and adaptive device, are
frequently used as a single phrase when discussing the general topic.
In reality, many people use them interchangeably. The evolving trend is
to use the term, assistive technology,
to encompass both types of devices, plus services associated with their
use.
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The Federal Definition-with Embellishments
The potentWednesday, August 16, 2006f PL 100-407, the Technology-Related Assistance for Individuals with
Disabilities Act. The definition of assistive technology that was included
in PL 100-407 was modified slightly in the federal regulations for the
Individuals with Disabilities Education Act (PL 101-476) to make the definition
more applicable to children with disabilities:
Assistive technology 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 the functional capabilities of children with disabilities.
-- (Federal Register, August
19, 1991, p. 41272)
The federal regulations went on to state that an array of services also
is included when considering applications of assistive technology. Such
services include activities such as evaluation of a person's needs for
assistive technology devices, purchasing or leasing assistive technology
devices for people, designing and fabricating devices, coordinating services
offered by those who provide assistive technology services, providing
training or technical assistance to a person who uses assistive technology,
and training and technical assistance to those who work with people who
use assistive technology devices, such as teachers or employers.
To elaborate further on the definition:
Assistive technologies include
mechanical, electronic, and microprocessor-based equipment, non-mechanical
and non-electronic aids, specialized instructional materials, services,
and strategies that people with disabilities can use either to (a) assist
them in learning, (b) make the environment more accessible, (c) enable
them to compete in the workplace, (d) enhance their independence, or (e)
otherwise improve their quality of life. These may include commercially
available or "home made" devices that are specially designed to meet the
idiosyncratic needs of a particular individual.
-- (Blackhurst & Lahm,
2000, p. 7)
The functional model that is being used to guide many of the National
Assistive Technology? Research Institute activities addresses a number
of areas of human function that people need to be able to perform in order
to respond successfully to demands placed upon them from the environment.
Assistive technology devices and services can be used to enhance those
functions. A full description of the functional model can be accessed
from the article,called A Functional Approach
to the Delivery of Assistive Technology Services, on the Assistive
Technology Fundamentals Menu. When you review that information, note how
the functional model relates to the definition of assistive technology
provided in the federal regulations cited above, which specifically addresses
the improvement of functional capabilities.
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The Assistive Technology Continuum
When many people think of assistive technology, they think primarily
about computers or sophisticated electronic devices. However, It is important
to realize that assistive technology applications can be viewed as a continuum
that ranges from "high-tech" to "no-tech".
High Tech
High-tech devices incorporate sophisticated electronics or computers.
Medium Tech
Medium-tech devices are relatively complicated mechanical devices, such
as wheelchairs.
Low Tech
Low-tech items are less sophisticated and can include devices such as
adapted spoon handles, non-tipping drinking cups, and Velcro fasteners.
No Tech
No-tech solutions are those that make use of procedures, services, and
existing conditions in the environment that do not involve the use of
devices or equipment. These might include services such as physical therapy,
occupational therapy or the services of other specialists.
An Example of Applying the Technology Continuum
In making decisions about the type of technology tools a particular person
might require, a good approach is to start with the no-tech solutions
and then work up the continuum, as needed. For example, in teaching a
student with one arm to use a mixing bowl to prepare ingredients for cooking,
it might be better for a home economics teacher to teach that student
how to wedge the bowl into a drawer and hold it with a hip while stirring,
rather than request the purchase of an expensive medium-tech electric
mixer that is equipped to stabilize the mixing bowl while it is being
operated.
Too often, when making technology decisions, there is a tendency to start
at the upper end of the technology continuum when, in fact, it is better
to start at a lower point. For example, when making decisions about a
person whose handwriting is difficult to recognize, it is not uncommon
to hear recommendations that a laptop computer should be provided that
can be taken to various environments in which written products are required
(cost: $1,000 - $4,500). In reality, an electronic keyboard with memory
that can be downloaded into a desktop computer later in the day may be
more appropriate (cost: less than $250). Although the student in this
example may eventually require a laptop computer, the electronic keyboard
may be a better place to start.
Additional information about assistive technologies, including devices
and services that they encompass is provided by Blackhurst and Lahm (2000).
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The Importance of Assistive Technology
One of the greatest potentials for the use of technology is in the education
of children with disabilities. In one of the first published reports on
the implications of technology in special education, Blackhurst (1965)
speculated about ways that a variety of technological devices could be
developed to enhance the learning and independence of students with a
variety of disabilities. Devices such as computer assisted instruction,
adjustable electronic magnification of text, touch sensitive response
pads, specialized switches, and auditory displays were envisioned, among
others.
Within the ensuing 15 years, many of those devices (and others) were
developed, thus confirming those earlier speculations. As noted in their
review of the history and status of technology, Blackhurst and Hofmeister
(1980) concluded that applications of technology could have significant
implications for special education. The early work in technology, particularly
after the invention of the personal computer, often focused more directly
on equipment and devices that were available and training programs concentrated
primarily on how to operate them. Often, the emphasis was on computer
programming and other technical considerations rather than on the best
ways to integrate those devices into the lives of people with disabilities.
Fortunately, this trend is changing.
The functional model, mentioned earlier, helps to place assistive technology
into its proper perspective (i.e., as an external support) that can be
used to enhance the person's ability to function within the environment.
While ability to use a technology device is still important, primary emphasis
should be placed on arranging circumstances to enable the device to be
used in the most effective and efficient manner.
Although the focus of technology applications appears to be changing,
one thing seems clear: Most researchers and other authorities who are
knowledgeable about technology (e.g., Behrmann, 1984, 1988; Blackhurst
& Edyburn, 2000; Bowe, 1984; Church & Bender, 1989; Goldenberg,
Russell, & Carter, 1984; Johnson, 1987; Lewis, 1993; Lindsey, 2000;
Male, 1994) have concluded that technology has the potential for dramatically
improving the quality of education and the quality of life for people
with disabilities.
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References
Behrmann, M. (1984). Handbook of microcomputers in special education.
San Diego, CA: College-Hill Press.
Behrmann, M. (1988). Integrating computers into the curriculum: A
handbook for special educators. San Diego, CA: College-Hill Press.
Blackhurst, A. E. (1965). Technology in special education - some implications.
Exceptional Children, 31, 449-456.
Blackhurst, A. E., & Edyburn, D. L. (2000). A brief history of special
education technology. Special Education Technology Practice, 2(1),
21-35.
Blackhurst, A. E. & Hofmeister, A. M. (1980). Technology in special
education. In L. Mann & D. Sabatino (Eds.). Fourth review of special
education (pp. 199-228). New York: Grune and Stratton.
Blackhurst, A. E. & Lahm, E. A. (2000). Foundations of technology
and exceptionality. In J. Lindsey (Ed.) Technology and Exceptional
Individuals (3rd ed, pp. 3 - 45). Austin, TX: Pro-Ed.
Bowe, F. G. (1984). Personal computers and special needs. Berkeley,
CA: Sybex.
Church, G., & Bender, M. (1989). Teaching with computers: A curriculum
for special educators. Boston, MA: College Hill Press.
Goldenberg, E. P., Russell, S. J., & Carter, D. J. (1984). Computers,
education and special needs. Reading, MA: Addison-Wesley.
Johnson, D. L. (1987). Computers in the special education classroom.
New York, NY: CBS College Publishing.
Lewis, R. B. (1993). Special education technology. Pacific Grove,
CA: Brooke Cole Publishers.
Lindsey, J. (Ed.) (2000). Technology and exceptional individuals (3rd
ed). Austin, TX: Pro-Ed.
Male, M. (1994). Technology for inclusion: Meeting the special needs
of all students (2nd Ed.). Needham Heights, MA: Allyn & Bacon.
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Credits
What is Assistive Technology? (© 2001) was prepared for the National
Assistive Technology Research Institute by A. Edward Blackhurst, Professor
Emeritus, Department of Special Education and Rehabilitation Counseling,
University of Kentucky. It may be duplicated and circulated for non-commercial
purposes, provided this credit is included.
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Last Updated:
Wednesday, April 19, 2006
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