Wha t s Ne w in AAC & AT ? K e lly Rine ha rt, M.A., CCC-SL P - - PDF document

Wha t’ s Ne w in AAC & AT ?

19th Annua l De ve lo pme nta l Disa b ilitie s: Upda te fo r He a lth Pro fe ssio na ls F rida y, Ma rc h 6, 2020

K e lly Rine ha rt, M.A., CCC-SL P

disc lo sure s

• I

a m a n a sso c ia te with Aug me nta tive Co mmunic a tio n & T e c hno lo g y Se rvic e s (ACT

S). We pro vide AAC & AT

c linic a l se rvic e s a nd e va lua tio ns fo r infa nts, to ddle rs, a nd sc ho o l a g e d c hildre n a s we ll a dults with c o ng e nita l a nd de ve lo pme nta l disa b ilitie s, a s we ll a s me nto rship, c o nsulta tio n, a nd pro g ra m de ve lo pme nt.

• ACT

S a sso c ia te s, no t inc luding myse lf, de ve lo pe d the CSA to o l; I ha ve no fina nc ia l g a in fro m it.

• I

a m a le c ture r a nd c linic a l supe rviso r a t SF SU.

• I

wo rke d a t the Bridg e Sc ho o l, b ut did no t de ve lo p the F ra ming a F uture to o l a nd ha ve no fina nc ia l g a in fro m it.

• I

ha ve no re le va nt fina nc ia l a nd no re le va nt no n-fina nc ia l re la tio nships with UCSF .

2

le a rning o b je c tive s

• Pa rtic ipa nts will b e a b le to list 1-3 a sse ssme nts to a id g o a l

se tting fo r individua ls with c o mple x c o mmunic a tio n ne e ds.

• Pa rtic ipa nts will b e a b le to list a t le a st 3 c urre nt te c hno lo g ie s

in AAC/ AT .

• Pa rtic ipa nts will b e a b le to ide ntify a ne w iDe vic e a c c e ssib ility
• ptio n.
• Pa rtic ipa nts will b e a b le to ide ntify 3 funding so urc e s fo r SGDs.

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• the re a re no pre re q uisite s fo r AAC
• it’ s ne ve r to o e a rly to sta rt
• b iling ua l individua ls do no t ne e d to pic k a la ng ua g e
• AAC do e s no t inte rfe re with spe e c h de ve lo pme nt
• g e t b e yo nd re q ue sting

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I t’ s the Go a l! No t the T

• o l!

Multimo da l Co mmunic a tio n Ac c e ss

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I t’ s the Go a l! No t the T

• o l!

Multimo da l Co mmunic a tio n Ac c e ss

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I t’ s the GOAL ! No t the to o l!

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www.pra a c tic a la a c .o rg

• http:/ / c sa .a c ts-a t.c o m/
• o b se rva tio ns re c o rde d o n sa mpling fo rm
• o nline to o l:
• ma nua l & tips
• sa mple
• da ta summa ry re po rt
• re po rt te mpla te

11 12

• me a ns
• func tio ns
• la ng ua g e sa mple

• https:/ / c o mmunic a tio nma trix.o rg /
• o utline s c o mmunic a tio n sta tus a nd pro g re ss o f e a rly

c o mmunic a to rs with CCN

• a ddre sse s pre -inte ntio na l b e ha vio r thro ug h la ng ua g e use
• lo o ks a t a va rie ty o f func tio ns: re fuse , o b ta in, so c ia l, info rma tio n
• Spa nish ve rsio n

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F ra ming a F uture

• http:/ / se lfde te rmine d.b ridg e sc ho o l.o rg / fra ming -a -future /
• 65 ite ms in 7 ma jo r life a re a s
• wha t is impo rta nt?
• ho w sa tisfie d a re the y?
• e sta b lish prio ritie s
• ste ps to a ddre ss prio ritie s
• e xa mple s o f mo dific a tio ns o n we b site
• Spa nish ve rsio n

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a dult se rvic e s

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I t’ s the Go a l! No t the T

• o l!

Multimo da l Co mmunic a tio n Ac c e ss

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E 2500 E me rg e nt & Supple me nta ry SGDs

Talking Brix 2 (single message) Step-By-Step & Sequencer (sequential messaging) GoTalk Go (multiple message)

E 2502 E ntry SGDs

Smart/Scan Series SuperTalker FT

E 2508/ 2510 I nte rme dia te SGDs

Quicktalker Freestyle (not MediCal) PRC Prio/Mini (not MediCal) TouchChat Express

E 2510 Adva nc e d SGDs

NOVA Chat / Chat Fusion* * headpointing Forbes WinSlate (not MediCal) Accent (new: Empower software)

E 2599 Adva nc e d SGDs with e ye tra c king

Tobii Dynavox i13 & i16 PRC’s Look eye tracking module Forbes WinSlate w/ Enable Eyes (not MediCal)

me dic a lly-b a se d SGD e va lua tio ns

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SGD funding so urc e s

• Priva te I

nsura nc e

• Ca lifo rnia Childre n’ s Se rvic e s (CCS)
• Me di-Ca l
• CPUC De af and Disable d T

e le c ommunic ations Pr

• gr

am (DDT P)

• Sc ho o l Distric t
• L
• w I

nc ide nc e F unds

• Ge ne ra l E

duc a tio n F unds

• Re g io na l Ce nte r: funding fo r SGD e va ls & re pla c e me nt e va ls

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children AND adults

http:/ / www.c puc .c a .g o v/ sg d/

de dic a te d/ lo c ke d de vic e s unlo c k c o de s

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I t’ s the Go a l! No t the T

• o l!

Multimo da l Co mmunic a tio n Ac c e ss

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se a ting a nd po sitio ning

• e nsure c o mfo rt
• e nsure sa fe ty a nd sta b ility
• pro mo te & e na b le func tio na l skills

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Sc a nning : se le c tio n c o ntro l te c hniq ue s

Blue2 Candycorn Tapio

sip n puff SCATIR string switch membrane switch

Ne uro No de

b y Co ntro l Bio nic s

• e ye g a ze
• E

MG

• to uc h & mo tio n se nso rs

40

• E

MG a c tiva te d switc h

b ra in c o mpute r inte rfa c e (BCI )

42 44

iDe vic e Sc a nning

• Switc he s: E

xte rna l; Sc re e n; Ca me ra (iPa d Pro : he a d tra c king , fa c ia l mo ve me nts)

• R

e c ipe s (ha ndo ut)

• T

r iple c lic k to exit sc anning mode

iPa d Pro he a d tra c king / fa c ia l mo ve me nts

re c ipe s

48 49

50 51

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I nte g ra tio n with o the r de vic e s & a pplic a tio ns

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National Joint Committee for the Communication Needs of Persons With Severe Disabilities (NJC)

COMMUNICATION BILL OF RIGHTS

All people with a disability of any extent or severity have a basic right to affect, through communication, the conditions of their existence. Beyond this general right, a number of specific communication rights should be ensured in all daily interactions and interventions involving persons who have severe disabilities. To participate fully in communication interactions, each person has these fundamental communication rights: 1. The right to interact socially, maintain social closeness, and build relationships 2. The right to request desired objects, actions, events, and people 3. The right to refuse or reject undesired objects, actions, events, or choices 4. The right to express personal preferences and feelings 5. The right to make choices from meaningful alternatives 6. The right to make comments and share opinions 7. The right to ask for and give information, including information about changes in routine and environment 8. The right to be informed about people and events in one’s life 9. The right to access interventions and supports that improve communication

• 10. The right to have communication acts acknowledged and responded to even when the

desired outcome cannot be realized

• 11. The right to have access to functioning AAC (augmentative and alternative

communication) and other AT (assistive technology) services and devices at all times

• 12. The right to access environmental contexts, interactions, and opportunities that promote

participation as full communication partners with other people, including peers

• 13. The right to be treated with dignity and addressed with respect and courtesy
• 14. The right to be addressed directly and not be spoken for or talked about in the third

person while present

• 15. The right to have clear, meaningful, and culturally and linguistically appropriate

communications For more information, go to the NJC website at: www.asha.org/njc

11220 Brady, N. C., Bruce, S., Goldman, A., Erickson, K., Mineo, B., Ogletree, B. T., Paul, D., Romski, M., Sevcik, R., Siegel, E., Schoonover, J., Snell, M., Sylvester, L., & Wilkinson, K. (2016). Communication services and supports for individuals with severe disabilities: Guidance for assessment and

• intervention. American Journal on Intellectual and Developmental Disabilities, 121(2), 121-138.

Simplifying Switch Access with Switch Control Recipes

Apple, iPad, iPhone, and iPod touch are trademarks of Apple Inc., registered in the U.S. and other countries. iOS is a trademark or registered trademark of Cisco in the U.S. and other countries and is used under license. Updated September 9, 2019 7:05 PM

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Table of Contents

Introduction ......................................................................................................................................................................2 What You Need .................................................................................................................................................................2 Getting Started ................................................................................................................................................................3-5 Turn Pages On An eBook................................................................................................................................................6-8 Control Music ...................................................................................................................................................................8-11 Cause and Effect with Garage Band ...........................................................................................................................12-15

Introduction

With Switch Control for iOS 13 and iPadOS 13 you can do almost anything with a switch. With this power comes some complexity for the user. The recipes feature found within Switch Control for iOS 13 can greatly simplify switch use on the iPad, iPhone, or iPad touch. To help introduce you to recipes and simplifjed switch access for the user, we’ve put together a few tutorials.

What You Need

For all Switch Control Recipe tutorials you will need the following:

• An iPhone or iPod touch with iOS 13 or iPad with iPadOS 13
• A switch interface for your device
• Hook+ iOS Switch Interface: Hook+ is an Apple MFi approved switch interface that provides a reliable

wired connection to the iPad, iPhone, or iPod touch via the Lightning connector. Connect one to four wired switches to Hook+ for use with Switch Control. More information at www.ablenetinc.com.

• Blue2 Bluetooth Switch: The Blue2 Bluetooth switch provides single or dual switch access when

used with Switch Control. Users can activate the orange and white switch tops, or they can plug in two external switches for activation. More information at More information at www.ablenetinc.com Hook+ iOS Switch Interface Blue2 Bluetooth Switch

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Getuing Started

Before you can begin any of the Switch Control Recipe tutorials, you need to make sure that your switch interface is connected to your device and two switches are confjgured.

SET UP HOOK+ iOS SWITCH INTERFACE

• 1. Plug switches into Switch Jack 1 and Switch Jack 2 on Hook+
• 2. On the device go to Settings App > Accessibility > Switch Control
• 3. Turn Switch Control On
• 4. Plug Hook+ into the Lightning Connector on your device. Two switches will automatically confjgure.
• 5. You are now ready to proceed with the Switch Control Recipe tutorials

After Step 4, you will see these two switches

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SET UP BLUE2 BLUETOOTH SWITCH

• 1. On the device go to Settings App > Bluetooth
• 2. Turn Bluetooth on the device On if it is not already On
• 3. Turn the Blue2 Bluetooth Switch on. Blue2 will appear under the list of Devices.
• 4. Select Blue2 to pair with your device.
• 5. Once paired, Blue2 will show under My Devices as Connected
• 6. On the device go to Settings App > Accessibility > Switch Control and select Switches
• 7. Select Add New Switch...
• 8. Select External
• 9. Press the White switch top on Blue2
• 10. Name the switch White
• 11. Select Move To Next Item
• 12. Select Add New Switch
• 13. Select External
• 14. Press the Orange switch top on Blue2
• 15. Name the switch Orange
• 16. Select Select Item
• 17. You now have two switches confjgured.
• 18. You are now ready to proceed with the Switch Control Recipe tutorials

After Step 4, you will see Blue2 is Connected

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For additional details on using the Hook+ iOS Switch Interface or Blue2 Bluetooth Switch with iOS Switch Control, download iOS Accessibility - Switch Control - The Missing User Guide at www.ablenetinc.com. After Step 16, you will see these two switches

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Tutorial 1: Turn Pages In An eBook

In this tutorial you will create a Switch Control Recipe that enables the user to turn pages in an eBook forward and backwards with two switches. Before starting, make sure you have completed setting up your Hook+ iOS Switch Interface with two switches or your Blue2 Bluetooth Switch.

• 1. On the device go to Settings App > Accessibility > Switch Control
• 2. Turn Switch Control Off. If Switch Control is On, the Recipe will not work correctly.
• 3. Select Recipes
• 4. Under Recipes select Turn Pages
• 5. You will notice that both of your switches were automatically assigned to Right to Left Swipe and Left to

Right Swipe

• 6. Make sure Timeout is turned Off
• 7. At the top of the screen select Recipes to go back to the main Recipes menu
• 8. Select Launch Recipe
• 9. Select Turn Pages

Step 5, if you are using Hook+, in- stead of Orange it will say Next and instead of White it will say Select. Step 6, make sure Timeout is turned

• ff

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• 10. At the top of the screen select Recipes to go back to the main Recipes menu
• 11. At the top of the screen select Switch Control to go back to the man Switch Control menu
• 12. Turn Switch Control On
• 13. When Switch Control turns On, you will see a message appear in the middle of your device screen that

says Your switches are configured to use the “Turn Pages” recipe. After Step 9, you will see this Step 13, you will see this warning message

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• 14. On the device, open the iBooks App
• 15. Select a book the user would like to read
• 16. When the user activates the Orange Switch on Blue2 (or if using Hook+, Switch 2 / Next) the page will

turn forward. When the user activates the White Switch on Blue2 (or if using Hook+, Switch 1 / Select) the page will turn backwards.

• 17. Once fjnished with the eBook, you can turn the Recipe Off, by going to Settings App > Accessibility >

Switch Control and turning Switch Control Off. You must ALSO go to Recipes > Launch Recipe and change this back to None.

Tutorial 2: Control Music

In this tutorial you will learn how to create a custom Switch Control Recipe that can be used to control

• music. We will be using a paper marker on the device screen to mark where the Skip Track Forward button

is located and you will need a small piece of a Post-It-Note to do this. Before starting, make sure you have completed setting up your Hook+ iOS Switch Interface with two switches or your Blue2 Bluetooth Switch.

• 1. Orient the device in the direction the user will be using it. This is important because we will be marking a

specifjc location on the screen of the device for the Switch Control Recipe.

• 2. On the device open the Music App
• 3. Select a song so that the music player controls appear on the screen
• 4. Using a small piece of the Post-It-Note, mark on the screen where the Skip Track Forward button is
• located. If you wanted to use the Play/Pause or Skp Track Backwards buttons, you could mark those

instead. Step 4, Post-It- Note marker over Skip Track Forward button

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• 5. Exit out of the Music App. Make sure you leave your Post-It-Note marker on the screen of your device.
• 6. On the device go to Settings App > Accessibility > Switch Control
• 7. Turn Switch Control Off. If Switch Control is On, the Recipe will not work correctly.
• 8. Select Recipes
• 9. Under Recipes select Create New Recipe...
• 10. Name your recipe Skip Track Forward (if using Blue2, you will need to activate the keyboard button on the

side of Blue2 to get the on-screen keyboard to appear)

• 11. Select Assign a Switch
• 12. If using Blue2, choose White (or if using Hook+, choose Select)
• 13. Select Custom Gesture
• 14. You will be brought to a screen with instructions. Tap on your Post-It-Note marker and then select Save

in the upper right corner of the screen.

• 15. You will now see under Switches that White (or if using Hook+, Select) has been assigned Custom

Gesture

• 16. Make sure Timeout is turned Off

Step 14, Post- It-Note marker showing where the Skip Track Forward button is located

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• 17. At the top of the screen select Recipes to go back to the main Recipes menu
• 18. Select Launch Recipe
• 19. Select Skip Track Forward

Step 15, the White switch has been assigned a custom gesture (if using Hook+ instead of White you will see Select) Step 16, make sure Timeout is turned

• ff

After Step 19, you will see this

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• 20. At the top of the screen select Recipes to go back to the main Recipes menu
• 21. At the top of the screen select Switch Control to go back to the man Switch Control menu
• 22. Turn Switch Control On
• 23. When Switch Control turns On, you will see a message appear in the middle of your device screen that

says Your switches are configured to use the “Skip Track Forward” recipe.

• 24. On the device, open the Music App. Make sure the device is in the same orientation as it was when you

placed your Post-It-Note marker on the screen.

• 25. Select a song to bring up the music player controls. Make sure the music is playing before giving the

device to the user. They will only be able to change the song playing.

• 26. When the user activates the White switch top on Blue2 (or if using Hook+, Switch 1 / Select) and the song

will skip to the next song

• 27. Once fjnished with the Music App, you can turn the Recipe Off, by going to Settings App > Accessibility >

Switch Control and turning Switch Control Off. You must ALSO go to Recipes > Launch Recipe and change this back to None. Step 23, you will see this warning message

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Tutorial 3: Cause and Effect with Garage Band

In this tutorial you will learn how to create a Switch Control Recipe for a simple cause and effect activity using Garage Band. We will be using a paper markers on the device screen to mark where the drums are located and you will need small pieces of a Post-It-Note to do this. Before starting, make sure you have completed setting up your Hook+ iOS Switch Interface with two switches or your Blue2 Bluetooth Switch.

• 1. Orient the device in the direction the user will be using it. This is important because we will be marking a

specifjc location on the screen of the device for the Switch Control Recipe.

• 2. On the device open the Garage Band App
• 3. Under Tracks select Drums
• 4. Once you select the Drums you will be presented with a full drum set. Place small pieces of the Post-It-

Note on three different drums (you can select less or more than three drums to mark).

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• 5. Exit out of the Garage Band App. Make sure you leave your Post-It-Note marker on the screen of your

device.

• 6. On the device go to Settings App > Accessibility > Switch Control
• 7. Turn Switch Control Off. If Switch Control is On, the Recipe will not work correctly.
• 8. Select Recipes
• 9. Under Recipes select Create New Recipe...
• 10. Name your recipe Drum Solo (if using Blue2, you will need to activate the keyboard button on the side of

Blue2 to get the on-screen keyboard to appear)

• 11. Select Assign a Switch
• 12. If using Blue2, choose White (or if using Hook+, choose Select)
• 13. Select Custom Gesture
• 14. You will be brought to a screen with instructions. Quickly tap all of your Post-It-Note markers multiple

times and then select Save in the upper right corner of the screen. Tapping your Post-It-Not markers needs to be done quickly because when the user activates their switch it will play your drums back in the same sequence they were recorded in.

• 15. You will now see under Switches that White (or if using Hook+, Select) has been assigned Custom

Gesture

• 16. Make sure Timeout is turned Off

Step 4, Post-It- Note markers over drums

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• 17. At the top of the screen select Recipes to go back to the main Recipes menu
• 18. Select Launch Recipe
• 19. Select Drum Solo

Step 15, the White switch has been assigned a custom gesture (if using Hook+ instead of White you will see Select) Step 16, make sure Timeout is turned

• ff

After Step 19, you will see this

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• 20. At the top of the screen select Recipes to go back to the main Recipes menu
• 21. At the top of the screen select Switch Control to go back to the man Switch Control menu
• 22. Turn Switch Control On
• 23. When Switch Control turns On, you will see a message appear in the middle of your device screen that

says Your switches are configured to use the “Drum Solo” recipe.

• 24. On the device, open the Garage Band App. Make sure the device is in the same orientation as it was when

you placed your Post-It-Note marker on the screen.

• 25. Select the drums.
• 26. When the user activates the White switch top on Blue2 (or if using Hook+, Switch 1 / Select) the drum

solo will play

• 27. Once fjnished with the Garage Band App, you can turn the Recipe Off, by going to Settings App >

Accessibility > Switch Control and turning Switch Control Off. You must ALSO go to Recipes > Launch Recipe and change this back to None. Step 23, you will see this warning message