NeuroRehabilitation - Volume 28, issue 3

Authors: Casey, Kelly Showalter

Article Type: Research Article

Abstract: For persons with Amyotrophic Lateral Sclerosis (ALS), comprehensive multidisciplinary care can effectively improve overall quality of life from diagnosis to end of life [16]. Considering the rapidly progressive loss in overall function experienced by persons with ALS, it is essential to provide comprehensive multidisciplinary care, including Assistive Technology (AT) services, in an effective and efficient manner. AT is an important adjunctive therapy for people with neurological disability. For people with complex conditions, access to a comprehensive AT clinic can be the best way to access these tools. Unfortunately, few medical centers have invested in AT clinics, and managers may not …understand how to go about developing AT resources at their facility. This article chronicles the step-by-step development of The Johns Hopkins Assistive Technology Clinic for persons with ALS. It offers background evidence, the process of program development, and insight into the experience of professional accountability of one occupational therapist turned AT Director. It also details descriptions of the stakeholders and their roles in the development process, funding and ethical considerations, and barriers to implementation. It is hoped that this may provide guidance for teams who may wish to build AT facilities in their own practice settings. Show more

Keywords: Amyotrophic Lateral Sclerosis (ALS), assistive technology, occupational therapy, speech-language pathology, multidisciplinary clinic

DOI: 10.3233/NRE-2011-0656

Citation: NeuroRehabilitation, vol. 28, no. 3, pp. 281-293, 2011

Authors: Wallace, Joseph

Article Type: Research Article

Abstract: The funding of assistive technology (AT) in the United States falls within a complex web of traditional and non-traditional funding sources that often create challenging barriers for individuals with disabilities. This article outlines the founding policies that drive the federal and state funding of AT across insurance, education, rehabilitation sectors and beyond. A presentation of specific medical and non-medical funding options is discussed addressing eligibility, types of AT covered and general program characteristics. I conclude with recommendations for the pursuit of AT funding in light of these policies and options.

Keywords: Assistive technology, funding, assistive technology policies, best practices

DOI: 10.3233/NRE-2011-0657

Citation: NeuroRehabilitation, vol. 28, no. 3, pp. 295-302, 2011

Authors: Bartfai, Aniko | Boman, Inga-Lill

Article Type: Research Article

Abstract: The purpose of this paper is to describe policies, laws and regulations regarding the procurement of assistive technology and home modifications for individuals with disabilities in Sweden. Children up to ages 17–21 are entitled to free access to assistive technology. For adults the access is substantially subsidized with public funding. We will discuss the issues and implications of new technology, with an emphasis on assistive technology for cognitive impairment. Today, the social security system is financially burdened due to increasing demands and limited economic growth. However, the basic doctrine of the “Swedish model” remains, evoking structural and ethical issues.

Keywords: Assistive technology, home modification, disability, cognitive impairment, reimbursement policies, “Swedish model”

DOI: 10.3233/NRE-2011-0658

Citation: NeuroRehabilitation, vol. 28, no. 3, pp. 303-308, 2011