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Participants will: learn how VR considers assisting with - - PowerPoint PPT Presentation

Aug 23, 2023 782 likes •1.04k views

A T & VR: POLICY AND P CTICES V R USES TO IMPLEMENT AT Sue LeHew, M.S. Brian Mickelson, VRC VR Counselor Statewide AT Coordinator bmickelson@azdes.gov slehew@azdes.gov Participants will: learn how VR considers assisting with

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SLIDE 1

Brian Mickelson, VRC

VR Counselor bmickelson@azdes.gov

Sue LeHew, M.S.

Statewide AT Coordinator slehew@azdes.gov

A T & VR:

POLICY AND P

CTICES

V R USES TO IMPLEMENT AT

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SLIDE 2

Participants will:

  • learn how VR considers assisting with

implementing AT

  • be able to discern between (perceived)

functional abilities and functional limitations

  • glimpse how comparable benefits may be

considered in a VR plan

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SLIDE 3

VR, or Vocational Rehabilitation is a program for people with disabilities who:

  • Are currently working
  • Would like to work
  • Are capable of benefiting from VR

services

  • Want VR services

Note: The views expressed in this presentation do not necessarily represent the views of The State of Arizona.

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SLIDE 4

The Americans with Disabilities Act defines a disability as:

  • a person who has a physical or mental impairment

that substantially limits one or more major life activities,

  • a person who has a history or record of such an

impairment,

  • or a person who is perceived by others as having

such an impairment.

*The ADA does not specifically name all of the impairments that are covered.

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SLIDE 5

“Assistive Technology Device” is defined as “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.” “Assistive Technology Service” means any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.

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SLIDE 6

Student/Specific Individual: diagnosis, prognosis,

functional limitations, strengths, resources, priorities, concerns, abilities, capabilities and interests

Environment: social environment, physical

environment, technology environment

Tasks: activities in which the individual is expected or

desires to participate

Tools: a system of AT tools and devices that enables

the individual to successfully perform these tasks

The SETT Framework in VR

(Zabala,1995)

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SLIDE 7
  • 1. Know your Diagnosis and have all your

Medical/Psychological Documentation!

  • Review documentation to be sure it

lists all diagnoses

slide-8
SLIDE 8
  • 2. Know your Functional Limitations and if

possible be sure they are in your Medical/Psychological documentation!

  • Ask physician to list all Functional

Limitations

  • 3. Know your AT – even Low Tech!
  • make/model/uses
  • See Handout: My-AT
slide-9
SLIDE 9

Disa Disabil ilit ity Function ional l Limi imitation ions Major jor Lif ife Ar Areas Potential ial Ser Servi vices

Bli lind ndne ness ss or

  • r

Oth Other er Vis isua ual l Imp Impair airmen ments ts

  • Access to print info
  • Mobility
  • Computer access
  • Mobile Device use
  • Independent Living Tasks -Communication
  • Interpersonal Skills
  • Mobility
  • Self-Care and

Home-Care

  • Self Direction
  • Work Skills
  • Rehab Instructional

Services

  • Orientation &

Mobility

  • AT Services

DHH HH: Commu

  • mmunica

nication tion Vis isua ual

  • Language Barriers:

i.e. ASL

  • Face to Face

Communication

  • Access to

Telecommunications

  • Audiology
  • Hearing Aids
  • Cochlear Implants
  • FM System
  • mobile apps/devices

DHH HH: Commu

  • mmunica

nication tion Auditor uditory

Speec Speech Communica Communication tion

Communication Computer Access

  • AAC Devices
  • Fluency Devices
  • Training/Support

Cog

  • gnitiv

nitive Impair…

(l (learning rning, think thinking, pro rocessing info fo, concentr trati tion)

Reading/Writing, Attending, Planning,

  • rganization…
  • text reading AT
  • memory aid apps
  • organization apps

Mob

  • bil

ility ity, ,

Manipula anipulation, tion, Both

  • th,

,

  • ther or
  • ther orthope

thopedic dic

  • Mobility & IL
  • Computer access
  • Mobile Device use
  • Access to print info
  • DME
  • Vehicle Mod
  • Home Mod
  • Computer AT
slide-10
SLIDE 10

Vocational Behabilitaton

Boadmap

STABT >>>

VR Introduction

Tasks: and Intake l

>

Attend a VR Introduction appointment

>

Bring social security card and 1

CJ>

  • ther form of identification

O

>

Bring any available medical records g-

>

Sign intake paperwork

'<

"'

Tasks:

Identify 2 Job Goal

>

Identify job goal

>

Complete labor market survey

>

Informational Interview

>

Complete Individualized Plan for Employment {IPE) with VR counselor

<D

a.

Q)

'<

"'

"C

Q)

N Q)

  • C:

rn ·-

::J -

:Q ~

> ·-

ij -

C:

>, C) rn -~

"C -

I

Q)

LO

Q)

  • .;r- E

3 Prepare for

Employment

Tasks:

>

Complete any required training

>

Maintain monthly contact with your VR counselor

>

Participate in planned services

4

Job Search

Tasks:

>

Meet with job coach regularly

>

Apply for jobs

>

Complete mock interviews

>

Notify VR counselor immediately after you get a job

Employment 5

Congratulations!

Tasks:

>

Complete job placement paperwork > Maintain contact with your VR counselor and job coach for 90 days.

slide-11
SLIDE 11

Vocational Behabilitaton

Boadma -

STABT •••

VR Introduction

and Intake

Tasks:

>

Attend a VR Introduction appointment

>

Bring social security card and 1

  • ther form of identification

>

Bring any available medical records g-

>

Sign intake paperwork

'<

(/)

Tasks:

Identify Job Goal

>

Identify job goal

>

Complete labor market survey

>

Informational Interview

>

Complete Individualized Plan for Employment {IPE) with VR counselor

a.

Ill

'<

(/)

>, 0)

m -~

"O -

I

Q)

I!) Q)

.._,. E

Prepare for

Tasks: Employment

>

Complete any required training

> Maintain monthly contact with your VR counselor > Participate in planned services

Tasks:

Job Search

>

Meet with job coach regularly

>

Apply for jobs

>

Complete mock interviews

>

Notify VR counselor immediately after you get a job

Employments

Congratulations!

Tasks:

>

Complete job placement paperwork

>

Maintain contact with your VR counselor and job coach for 90 days.

slide-12
SLIDE 12

The Journey of A Thousand Miles

VR Introduction

Tasks:

  • Attend a VR Introduction

appointment

  • Bring a social security card and

1 other form of identification

  • Bring any available records

Write Your Work Plan

Tasks:

  • Identify a job goal
  • Determine steps needed to

reach job goal

  • Complete work plan with

VR Counselor

Application, Intake & Eligibility

Tasks:

  • Meet with VR Counselor •
  • Sign application

Participate in Planned Services

Tasks:

  • Contact your VR Counselor
  • nce a month
  • Attend appointments
  • Apply for jobs
  • Prepare for interviews
  • M aintain contact with

VR Counselor

  • Notify VR Counselor

immediately as soon as you get a job

ARIZONA~WORK"'

Innovative Workforce Solutions

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SLIDE 13

Which is why there are POLICIES, PROCEDURES and BEST PRACTICES to OPTIMIZE SUCCESS!!

slide-14
SLIDE 14
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SLIDE 15

The need for Documentation is critical! The counselor is not the only individual involved in the process of determining if VR can pay for something. Because people who have never met a client are making decisions regarding provision of services: Make sure everything is documented!

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SLIDE 16

“Comparable benefits” means services and benefits, including accommodations and auxiliary aids and services, that are-

  • a. Provided or paid for, in whole or in part, by other

federal, state, or local agencies, by health insurance, or by employee benefits;

  • b. Available to the client at the time needed to ensure

progress towards achievement of the employment

  • utcome; and
  • c. Commensurate to the services that the client would
  • therwise receive from the VR program.
slide-17
SLIDE 17

VR Eligibility Employment Planning AT Related Comparable Benefits Medical AT must be Compatible with Vocational AT

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SLIDE 18

VR Process and SETT (Joy Zabala) are sometimes opposing paradigms:

this frequently results in amending IPE Goals and Services…

IPE Implemented Eligible for VR services

Vocational GOAL Vocational AT Needs Medical Related AT

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SLIDE 19

Usually, Comparable Benefits, such as medical treatment services, need to be utilized before VR can pay for services other than assessments. However, per policy, exceptions like the one below exist.

A review of comparable benefits must be conducted prior to purchasing treatment services unless the availability of these benefits would place the client in extreme medical risk and delay the client’s progress toward achieving an employment

  • utcome/jeopardize immediate job placement.
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SLIDE 20

Disa Disabil ilit ity Function ional l Limi imitation ions Medica ical l Rela lated A AT AT AT

Bli lind ndne ness ss or

  • r

Oth Other er Vis isua ual l Impair Impairments ments

Access to print info Mobility Keyboard/PC access Independent Living Tasks Aids/devices prescribed by Clinical Low Vision Doctor (in AZ there are 4) Computer related Mobile Devices, GPS Screenreading, Magnification, Braille, OCR…

DHH: HH: Commu

  • mmunica

nication tion Vis isua ual

Communication Telecommunications Hearing Aids Cochlear Implants Integrated FM technologies Bluetooth Technologies Video Phones Visual Alerts Mobile Devices… Amplified &/or Captioned Phones,

Amplified/visual Alerts

Mobile Devices…

DHH HH: Commu

  • mmunica

nication tion Auditor uditory

Communica Communication tion

Communication Computer Access AAC device Fluency AT AAC, Productivity, ECU’s, computer…

Cog

  • gnitiv

nitive Impair…

(l (learning rning, think thinking, proc rocess ssing info, fo, concentr trati tion)

Reading/Writing, Attending, Planning,

  • rganization…

Medication management Mobile Devices, Literacy Supports, Memory aids…

Mob

  • bil

ility ity, ,

Manipula anipulation, tion, Both

  • th,

,

  • th
  • ther or

er ortho thope pedic dic

Mobility Keyboard access Telecommunications w/c, walkers, scooters, splints, orthotics, prosthetics Home Mods, IL aids, Vehicle Mods, Computer & phone, Ergo supports…

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SLIDE 21

BVI: BVI:

Ma Magn gnifica ification tion Ligh Lighting ting

Scr cree een n Rea eading ding

Br Braill aille

DHH: DHH:

Amplifica Amplification tion Loop S Loop Sys ystems tems Video Phon ideo Phone Visual A isual Aler lerts ts

DB/CHV DB/CHVL: L: Any Any or

  • r Al

All l BVI BVI or

  • r DHH

DHH AT AT Ergo go/PH: /PH:

Er Ergo go C Cha hair/desk ir/desk

Computer Computer:S :Speec peech Recognition ecognition

DME ME Ho Home me Mod

  • ds;

s; Veh ehic icle le Mod

  • ds

Cog Cognition nition:

Text R xt Reading eading softw softwar are Calend Calendar ar Suppo Supports ts

AA AAC: C:

Talking alking

Com

  • mmu

munica nication tion

Suppo Supports ts

Comp

  • mpute

uter r Acc cces ess

  • BVI (Blindness/Visual Impairments) Yellow
  • DHH (Deaf/Hard of Hearing) Green
  • DB/CHVL (Deaf-Blind/Combined Hearing and Vision Loss) Goldenrod
  • Ergo/PH (Ergonomic/Physical Access) Pink – Home Mods Red
  • Cognition (LD, TBI, ADD, ADHD, other) Blue
  • AAC (Augmentative/Alternative Communication) Purple

A Quick Look a t

A T

with color coding for disability specialties

...

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SLIDE 22

https://des.az.gov/services/employment/arizona-rehabilitation-services

Central Office: 602-542-3332 Toll-Free: 1-800-563-1221 TTY - 1-855-475-8194

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SLIDE 23
  • AzT

AzTAP AP: www.aztap.org

  • RSA: https://des.az.gov/services/employment/arizona-rehabilitation-services
  • Local VR Offices: see above link and select Contact Information
  • JAN (Job Accommodation Network): https://askjan.org
  • CAP

CAP (Cli (Clien ent t Assistan Assistance ce Pr Prog

  • gram)

am): www.azdisabilitylaw.org