Practicalities and issues from a local service perspective
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Transcript of Practicalities and issues from a local service perspective
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Practicalities and issues from a local service perspective
Anne Williams: AAC Officer, Cornwall
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www.cornwall.gov.uk
Sally Chan
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On the road to becoming a spoke in the South West
BCAS/DHR
CAACAT
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www.cornwall.gov.uk
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The Remit of the Local AAC Service
• A more limited multi-disciplinary team including at least SLT, OT and teachers where appropriate
Reference:The AAC Subgroup, Advisory Group for the Complex Disability Equipment Clinical Reference Group.
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CAACAT
?
Alison Webb SLT
Anne WilliamsAAC Officer
OT
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Cornwall Augmentative Alternative Communication Assessment Team
(CAACAT)• Pediatric service – birth to 21 • Based in Truro covering the whole of Cornwall and
supporting students who are Cornish and educated in other Counties
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• Alison works one day a week for the AAC assessment service and is employed by Cornwall Foundation NHS Trust
• It has been proposed that this SLT support should be increased to 3 days a week
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• I work for Cornwall Council, Education, Health and Social Services for five days a week supporting AAC assessment, ongoing AAC work and assessing and supporting children who use AAC with ICT.
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• There is a proposal that we have a specialist OT working for one day a week this will fulfil the remit for a local service
as well as someone who can support the team with specialist technical support
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AAC Funding
• All AAC funding in Cornwall, until now has come through the Education Authority
• Health have provided one day a week SLT for three years
• We had one day a week of OT support for a year in 2011
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Our caseload is increasing!
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Our expenditure is increasing!
• 2009/10 £18,465• 2012/12 £40,363
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We have referred three children for NHS funding – they all require Eye Gaze
• All three referrals went in at the same time!• One student attends mainstream school• Two students attend special school and Alison is
their SLT• All need specialist mounting for wheelchairs
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Referrals
• Forms• Assessment
• Mounting• Training
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Record keeping once device was delivered
Skill required Evidence (include video evidence)
M T W T F S S
Eye gaze control:
Screen Engagement
Able to look around whole screen Target gaze Dwell on target to select Can wake up machine by gaze Can control device for games, fun
and educational software
Intentional Communication
Yes/no Getting attention Greetings – Social contact and
connecting to people
I want – basic needs, choices Protesting/complaining Comments – like/don’t like;
describing
Requesting/Giving information - sharing experiences; talk about things I cannot see
Questions Feelings Thoughts –preferences; reasoning Creative Communication – stories,
humour,
Peer interaction Using combinations of words
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Wheelchair Mounting
DHR Devon
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Cornwall CouncilCounty HallTruro TR1 3AY
Tel: 0300 1234 100www.cornwall.gov.uk