Access to Assistive Technology and Single Entry Point Programs

Auteurs-es

  • Valerie Penton NL Housing Corporation
  • Diana L. Gustafson Memorial University

DOI :

https://doi.org/10.15353/cjds.v3i1.90

Mots-clés :

assistive technology, disability, access, single entry program, mixed methods

Résumé

People with disabilities experience greater social and economic barriers and higher levels of poverty than people without disabilities. Assistive Technology (AT) helps address barriers and can positively impact on the health of people with disabilities. However, disparities in provision of AT services and supports remain. This exploratory study sought to understand the barriers consumers faced in acquiring and being satisfied with AT in Newfoundland and Labrador (NL). Evidence on efficacy of single entry point systems (SEP) was reviewed for future planning and policy change.

The mixed method design employed descriptive analysis of a survey of adults with various disabilities who were using AT devices or supports (n=49), and thematic analysis of individual interviews with disability service providers (n =8) in community and post-secondary settings throughout NL.

Consumers and service providers recognize the benefits of AT but express dissatisfaction with programs and services. Lack of knowledge, training and funding subsidies were the most significant barriers to accessing AT supports. The potential benefit of a single entry point (SEP) system and subsidy programs, modeled after Canadian and Australian initiatives, is considered. Both initiatives have the potential to improve access and utilization of AT, in a region where health disparities are associated with geographical, social and economic differences. These findings may be relevant to other regions where the population is located in small urban, rural, remote areas.

Bibliographies de l'auteur-e

Valerie Penton, NL Housing Corporation

Senior Policy Analyst

Diana L. Gustafson, Memorial University

Associate Professor of Social Science and Health

Références

References

Agree, E, Freedman, V.A., Cornman, J., Wolf, D.A., & Marcotte, J.E. (2005). Reconsidering substitution in long-term care: When does assistive technology take the place of personal care? Journals of Gerontology: Social Sciences 60, 272-80.

Atlantic Seniors Housing Research Alliance (ASHRA). (2010). Seniors’ housing: challenges, issues, and possible solutions for Atlantic Canada: final report of the Atlantic Seniors Housing Research Alliance. Retrieved from http://ashra.msvu.ca/documents/Final%20Report%20English%202%20w.hyperlinks.pdf

Office of the Auditor General of Toronto (2011). Assistive Devices Program: Follow-up. Ministry of Health and Long-term Care. Retrieved from http://www.auditor.on.ca/en/reports_en/en09/301en09.pdf

Canadian Association for Community Living. (2005). Building an inclusive and accessible Canada. Retrieved from http://www.ccdonline.ca/en/socialpolicy/actionplan/inclusive-accessible-canada

Canadian Association of Occupational Therapists (CAOT). (2006). CAOT Position Statement Assistive Technology and Occupational Therapy. Retrieved from http://www.caot.ca/default.asp?pageid=598

Canadian Institutes on Health Research (CIHR). (2008). The Canadian Longitudinal Study on Aging. Retrieved from http://www.cihr-irsc.gc.ca/e/22982.html

Christ, T. (2008). Technology support services in postsecondary education: A mixed methods study. Technology and Disability, 20, 25-35.

Council of Canadians with Disabilities (CCD). (2007). Consumers with disabilities speak out on health issues. Retrieved from http://www.ccdonline.ca/publications/Health%20Issues/healthissues.htm

DeJonge, D. M. & Rodger, S. A. (2006). Consumer-identified barriers and strategies for optimizing technology use in the workplace [Electronic version]. Disability and Rehabilitation: Assistive Technology, 1), 1748-3107.

Frieden, L. (2003). People with disabilities and postsecondary education. National Council on Disability. Position Paper. Retrieved from http://www.ncd.gov/publications/2003/Sept152003

Government of Newfoundland and Labrador (Gov. NL). (2006). Reducing poverty: An action plan for Newfoundland and Labrador. Retrieved from http://www.hrle.gov.nl.ca/hrle/poverty/poverty-reduction-strategy.pdf

Government of Newfoundland and Labrador (Gov. NL). (2011). What we heard. Retrieved from: http://www.aes.gov.nl.ca/disabilities/Inclusion_for_all.pdf

Government of South Australia. (2012a). Provision and access to aids and equipment in Australia. Retrieved from http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=6442455719

Government of South Australia. (2012b). Equipment Program. Retrieved from: http://www.sa.gov.au/subject/Community+support/Disability/Adults+with+disability/Equipment+and+home+modifications/Equipment

Government of South Australia. (2010). Ageing and Disability Service Improvement Consultation Paper. Retrieved from: http://www.google.ca/url?sa=t&rct=j&q=single%20entry%20point%20%20disability%20services&source=web&cd=3&cad=rja&ved=0CDcQFjAC&url=http%3A%2F%2Fblogs.dfc.sa.gov.au%2Fm%2Fdfcweb_corp%2F1061%2Fdownload.aspx&ei=Ct2xUf-iEdG84AOF0YGwCg&usg=AFQjCNEY9wOvzInOIGt4HwdEWTD1HR2HEw&bvm=bv.47534661,d.dmg

Hopkins, J. (2004). Curriculum Services Canada (CSC). Assistive Technology (AT) to support students with special needs. Retrieved from http://www.curriculum.org/storage/108/1278482872AssistiveTechnology.pdf

Hoppestad, B.S. (2007). Inadequacies in computer access using assistive technology devices in profoundly disabled individuals: an overview of the current literature. Disability and Rehabilitation: Assistive Technology, 2, 189-199.

Human Resources and Skills Development Canada. (2003). Defining disability: a complex issue. Retrieved from http://dsp-psd.communication.gc.ca/Collection/RH37-4-3-2003E.pdf

Independent Living Resource Centre (ILRC). (2008). Adult learners. Retrieved from http://www.ilrc-nl.ca/brochure/sites/default/files/adultlearners.pdf

Kaye, H., Yeager, P., & Reed, M. (2008). Disparities in usage of assistive technology among people with disabilities. Assistive Technology, 20(4), 194-203.

Massachusetts Rehabilitation Commission (MRC). (2006). Massachusetts State Plan for Assistive Technology. Boston, MA; Elmer C. Bartels.

McCreadie, C., Wright, F., and Tinker, A. (2006) Improving the provision of information about assistive technology for older people. Quality in Ageing 7(2), 13–22.

ODSP Action Coalition. (2011). Dignity, adequacy, inclusion: Rethinking the Ontario Disability Support Program. Submission to the Commission for the Review of Social Assistance in Ontario.

Participation and activity limitation survey 2006: A profile of assistive technology for people with disabilities. Retrieved from: http://www.statcan.gc.ca/pub/89-628-x/89-628-x2008005-eng.pdf

Peterson, D.B., & Murray, G.C. (2006). Ethics and assistive technology service provision. Disability and rehabilitation: assistive technology, 1, 1748-3107. Retrieved from http://www.informaworld.com.qe2a-proxy.mun.ca/10.1080/09638280500167241

Public Health Agency of Canada (PHAC). (2013). What makes Canadians healthy or unhealthy? Retrieved from http://www.phac-aspc.gc.ca/ph-sp/determinants/determinants-eng.php#income

Public Health Agency of Canada (PHAC). (2005). Aging and seniors. Retrieved from http://www.phac-aspc.gc.ca/seniors-aines/pubs/fed_paper/fedreport1_01_e.htm

Robison, J. T. & Moen, P. (2000). A life-course perspective on housing expectations and shifts in late midlife. Research on Aging, 22(5), 499–432).

Scherer, M. J. (2005b). Assessing the benefits of using assistive technologies and other supports for thinking, remembering and learning. Disability and Rehabilitation, 27, 731-739.

Statistics Canada. (2010). Population projections: Canada, the provinces and territories. Retrieved from http://www.statcan.gc.ca/daily-quotidien/100526/dq100526b-eng.htm

Statistics Canada. (2006). Census profile of federal electoral districts (2003 Representation Order): Language, mobility and migration and immigration and citizenship.

Statistics Canada. (2007). Participation and activity limitation survey [PALS] 2006: Technical and methodological report. Retrieved from http://www.statcan.gc.ca/pub/89-628-x/89-628-x2010015-eng.htmStatistics Canada

Statistics Canada. (2008b). Participation and activity limitation survey 2006: Analytical report. Retrieved from http://www.statcan.gc.ca/pub/89-628-x/89-628-x2007002-eng.htm

Strobel, W., Fossa, J., Arthanat, S., & Brace, J. (2006). Technology for access to text and graphics for people with visual impairments and blindness in vocational settings. Journal of Vocational Rehabilitation, 24(2), 87-95.

Szlamkowicz, D. (2007). Challenges in assistive technology services in Quebec: A clinician's perspective [Electronic version]. Retrieved from http://www.erudit.org/livre/crir/2007/livrel6_div13.pdf

U.S. Department of Health & Human Services (HSS, 2007). The surgeon general’s call to action to improve the health and wellness of persons with disabilities. Retrieved November 26, 2007 from http://www.surgeongeneral.gov/library/disabilities/calltoaction/future.html

Wagnild, G. (2001). Growing old at home. The Journal of Housing for the Elderly, 14(1-2), 71–84.

Wolff, J. L., Agree, E. M., & Kasper, J. D. (2005). Wheelchairs, walkers, and canes: What does medicare pay for, and who benefits? Health Affairs, 24(4), 1140-1149.

Publié-e

2014-02-16

Comment citer

Penton, V., & Gustafson, D. L. (2014). Access to Assistive Technology and Single Entry Point Programs. Revue Canadienne d’études Sur Le Handicap, 3(1), 93–120. https://doi.org/10.15353/cjds.v3i1.90

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