AT Decision Tree - AMAC Accessibility Solutions

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Assistive Technology Decision Tree .
The Assistive Technology Decision
Tree is a descriptor of the essentials
of providing a technically oriented
accommodation to an injured or
disabled employee. The suggested
accommodations are representative
and illustrative.
The individual
situation
will
determine
the
appropriate technology for each
occurrence.
© Copyright 1999, UNUMProvident
Assistive Technology Decision Tree
Steps to Evaluate Assistive Technology Solutions
Any solution to the problems created by a physical impairment must be birthed in a proper
understanding of the problem.
The essential first step is to define the problem. It is important to emphasize that the problem is
not the impairment. The problem is the dis-ability the conflict between what historical way of
doing the work requires and what the impairment limits. With Carpal Tunnel Syndrome, for
example, the problem is not the pain in the wrists and hands, it is the inability to do prolonged
manual tasks. Defining the problem in terms of factors of the job has the potential to more
correctly identify the artificial barriers rooted in the circumstance or environment rather that in
the person. Can the tasks be done other than manually?
Second, because the problem is defined in terms of the work, we are positioned to ask the
question, can the work be modified? Assistive Technology is not the first resort. If a simple
change in the work can suffice, that is preferred. If the typing is done all at once, that is a
problem. Perhaps by spacing the manual components of the job out more evenly during the day,
the demands on the hands do not exceed the hands tolerance to deliver.
Third, is it possible to modify the environment in which the job is done? Perhaps there is a
component of stress that aggravates the injury with typing. If soundproofing could be offered,
would that lower the noise, the stress, the injury?
Fourth, is there some piece of hardware, software, or equipment that is currently being used in
the organization that could be applied to this situation? Once it has been determined that some
type of technical assistance is needed, the first place to look is within the organization. Are there
existing “solutions” that are hiding around the office? For example, if handling and reading mail
aggravate the pain, can the mail be scanned in to a computer to avoid manual shuffling of
documents?
Fifth, is there something commercially available that will solve the problem? While an “inhouse” solution will work best, if there is nothing that can be creatively used within the
organization, is there a solution being offered commercially that would work?
Sixth, if there is nothing in-house and nothing commercially available, can something be created
or modified to solve the problem? Frequently, local and even national vendors are looking for
ideas for new products and services. Often they are willing to partner with an organization to
help solve their accommodation needs if the potential is their to develop a product that may have
wider application.
Once all of these alternatives are exhausted, it is time to consider placing the employee in
another position.
Page 2
© Copyright 1999, UNUMProvident
Assistive Technology Decision Tree
Level of
Functionality
Impairment
Range of
Motion
Issues
Good ROM
Yes
Suggested
Technology
Grasp and
Point
Yes
Alternative
Pointing Devices
Ergo Keyboard
Moveable Numeric
Keypad
Electric Office
Equipment
Touchscreen
No
Point but no
Grasp
Yes
Alternative
Pointing Devices
Over/Undersized
Keyboard
Wireless Headset
No
Word Prediction
Software
Large Button
Phone
Touchscreen
No
No Dexterity
Foot Mouse
Over/Undersized
Keyboard
Macro Writing
Software
Wireless Headset Phone Foot Switch
Moderate ROM
Voice Integrated
Software
Yes
Grasp and
Point
Yes
Auto Adj. Work
Station
Voice Integrated
Software
Hands Free
Telephone
Over/Undersized
Keyboard
Moveable Numeric
Keypad
Arm/Elbow
Supports
Articulated K'bd/
Mouse Tray
Over/Undersized
Keyboard
Word Prediction
Software
Electric Office
Equipment
No
Point but no
Grasp
No
Yes
Multiple Mice
Arm/Elbow
Supports
Articulated K'bd/
Mouse Tray
Voice Integrated
Software
Large Button
Phone
No
Minimal ROM
Or
No Dexterity
Voice Integrated
Software
Hands Free Phone Wireless Headset
Over/Undersized
Keyboard
Foot Mouse
Page 3
© Copyright 1999, UNUMProvident
Assistive Technology Decision Tree
Level of
Functionality
Impairment
Quadriplegic
Some Upper
Extremity ROM
Yes
Representative
Technology
Grasp and
Point
Yes
Alternative
Pointing Devices
Ergo Keyboard
Moveable Numeric
Keypad
Electric Office
Equipment
Touchscreen
No
Point but no
Grasp
Yes
Alternative
Pointing Devices
Over/Undersized
Keyboard
Wireless Headset
No
No
Large Button
Phone
Scanner &
Software
Word Prediction
Software
Voice Integrated
Software
Touchscreen
Tape Recorder Notes
OCR Page Reader
Tape Recorder Phone
No Dexterity
Some Lower
Extremity ROM
Yes
Foot Mouse
Scanner &
Software
No
No Upper or Lower
ROM
Phone Foot Switch
Macro Writing
Software
OCR Page Reader Wireless Headset
Tape Recorder Notes
Voice Integrated
Software
Hands Free
Telephone
Tape Recorder Phone
Voice Integrated
Software
Wireless Headset
Hands Free
Telephone
Over/Undersized
Keyboard
Scanner &
Software
OCR Page Reader
Tape Recorder Phone
Tape Recorder Notes
Alternative
Pointing Devices
Page 4
© Copyright 1999, UNUMProvident
Assistive Technology Decision Tree
Impairment
Level of
Functionality
Back
Impairment
Static Position
Preferred
Representative
Technology
Yes
Foot Mouse
Ergo Keyboard
Moveable Numeric
Keypad
Electric Office
Equipment
Articulated K'bd/
Mouse Tray
No
Static Position to
be Avoided
Visual
Impairment
Auto Adj. Work
Station
Can See
Clearly
Ergo Keyboard
Moveable Numeric
Keypad
Articulated K'bd/
Mouse Tray
Alternative
Pointing Devices
Hi-Rez Monitor
Glare Guard
Oversized Monitor
Glare Guard
Telephone LED
Reader
Closed Circuit TV
Hi-Rez Monitor
Oversized Monitor
Screen Magnifier
Glare Guard
Talking Calculator
Telephone LED
Reader
Closed Circuit TV
Oversized
Keyboard
Yes
Electric Office
Equipment
No
Can See
Monitor Up
Close
Yes
Hi-Rez Monitor
No
Can See w/
Enlarged Type
Yes
No
Uses Other
Senses
Page 5
Talking Calculator
Large Button
Phone
Screen Reader
Braille Display
Telephone LED
Reader
Talking Calculator
OCR System
Tape Recorder Telephone
Tape Recorder Notes
Personal Reader
© Copyright 1999, UNUMProvident
Assistive Technology Decision Tree
Impairment
Level of
Functionality
Auditory
Impairment
Some Audition
Representative
Technology
Yes
Amplified
Telephone
Computer Aided
Note Taking
Light Ringer
Kinetic Beeper
Computer Aided
Note Taking
Personal
Translator
No
LIttle or No
Audition - Deaf
Speech
Impairment
Some Speech
TTY/TDD
Yes
Assisted Comm.
Device
Real Time
Captioning
Voice Synthesizer Voice Synthesizer
- Computer
- Larynx
No
Psych
Impairment
LIttle or No
Speech
TTY/TDD
Assisted Comm.
Device
Inability to Focus/
Maintain
Concentration
Oversized Monitor
Task Organization
Software
Voice Synthesizer Voice Synthesizer
- Computer
- Larynx
Graphical Idea
Tree
Palm Pilot
White Noise
Generator
Cognitive Deficit
Page 6
Alternate Pointing
Devices
Word Prediction
Software
Tape Recorder Phone
White Noise
Generator
© Copyright 1999, UNUMProvident
Assistive Technology Decision Tree
Page 7
© Copyright 1999, UNUMProvident
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