Empowerment in Action 2014 Keynote by Mark Felling for Canadian National Muscular Dystrophy Association Biannual Conference

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Veterans, Get Your VA Vocational Rehabilitation Benefits!

Reposted from DisabledVeterans.org A book written by a veteran to help navigate the VA vocational rehabilitation programs is available.

Broadened Horizons offers FREE Independent Living Assessments including Returning to Work, Returning to School, & Self Employment /Small Business planning and coaching as a free service to help you and vocational rehabilitation maximize you and results you get from your benefits.  Contact us TODAY to schedule a conference call with you, your vocational rehabilitation counselor, and one of our independent living and small business experts who are themselves disabled, with first-hand experience navigating vocational rehabilitation programs.

———————–
This post helps disabled veterans learn how to get and use their veterans benefits from the Dept of Veterans Affairs Chapter 31Vocational Rehabilitation program. Specifically, we think disabled veterans do not understand Vocational Rehabilitation. They do not understand what Vocational Rehabilitation is truly for. They do not understand what benefits veterans can and should expect to receive from the program.

When it comes to getting help, veterans organizations never bother to tell disabled veterans why they should use these benefits, or how to access them if they are denied.

On this site, I make a point to explain both ends of the veterans benefits agenda – what the benefits are and how to use them.

What is Vocational Rehabilitation?

Vocational Rehabilitation is far more than simple job training – but job training is usually how Vocational Rehabilitation counselors will summarize the program. Find out what Vocational Rehabilitation really is and all that you can do with it. Get the inside scoop on VA Vocational Rehabilitation here.

How to Get Vocational Rehabilitation Benefits

Here, we help you understand the steps you need to follow to get your Vocational Rehabilitation benefits claim started. Click here if you wish to set up your first Vocational Rehabilitation appointment.

The Voc Rehab Survival Guide for Veterans

For some of us, the VA benefits process is clear and logical, and we get a good Vocational Rehabilitation counselor who helps us get the benefits we earned serving our great country.

Unfortunately, for the majority of disabled veterans, including me, getting our hard earned benefits out of the Dept of Veterans Affairs is a far more complicated process than anything we faced in service. In fact, it is more like pulling teeth out of an angry bull. Better get ready.

The Voc Rehab Survival Guide for Veterans I wrote helps disabled veterans, lawyers, family members and others get armed with the facts. It educates veterans about the Vocational Rehabilitation program and how to maximize their benefits. Disabled veterans concerned about getting their benefits, and wanting to understand how the VA works, should check out our guide.

MacOS X Voice-Recognition: Dictation and Command & Control

Nuance Dragon NaturallySpeaking has become the de facto standard for voice recognition on the Windows platform.  It is highly refined having been continually improved since 1980.  Some of that technology has been making it onto the Mac platform the past few years.  Here is a quick overview from ATMac.

Speech-to-Text: Dictation software for Mac OS X

By Ricky Buchanan on April 12, 2012

This entry is part 1 of 10 in the series Speech-to-Text Compilation.

A microphone

Speech-to-text software, sometimes known as dictation software, is something that lets you talk to the computer in some form and have the computer react appropriately to what you are saying. This is totally different to text-to-speech software, which is software can read out text already in the computer.

Command and Control Software

There are two types of speech-to-text software available. One type is called “command and control” and it lets you speak commands to your computer to control it; hence the name. For example, a command that the computer understands might be, “go to the Apple website” or, “tell me the time”. Each command is pre-programmed and the computer will only recognise those commands it’s been programmed for; you can’t use this software to write an email or use iChat for example.

Command and control software for the Mac – known as “Speakable Items” (or sometimes, confusingly, “spoken commands”) – is already built into every OS X computer, although most people don’t know about it. You don’t need to download, buy, or install anything to get this software to work, just a microphone that works with your computer. The main drawback is that the Speakable Items software programmed for English with a standard American accent, and has significant trouble with any other accent. It doesn’t function at all with languages other than English.

Some resources for getting you up and running with Speakable Items include:

Dictation Software

The other type of speech-to-text software is usually called “dictation” software. This is the type that lets you write an article like this one, type stuff to your friends in iChat, or type an email. The most common Windows software for speech to text dictation – you’ve probably heard of it – isDragon NaturallySpeaking. There is only one dictation-capable speech-to-text software available for OS X which is being updated and developed and it’s MacSpeech Dictate. Dictate is the successor to a program named iListen which MacSpeech used to produce.

MacSpeech Dictate Icon
MacSpeech Dictate Icon

Like all dictation-capable text-to-speech products, MacSpeech Dictate works very well for some people and very badly for others. Whether it will work for you depends on many things including: how much effort you’re willing to put into learning it, how good your microphone is, your age (text to speech usually works less well for children), how much your accent matches what the program expects, and whether your voice changes a lot through the day.

MacSpeech Dictate is also still fairly new software – it was onlyreleased on the 15th of February, 2008. In comparison, the premiere speech recognition program for Windows is Dragon NaturallySpeaking which has been in development since the 1980s[1].

When MacSpeech Dictate was originally released it had several major problems which made it unusable for people with disabilities, but most of these have now been resolved:

  • There was no good help functions inside the application – this was rectified in Dictate version 1.3
  • It didn’t learn from corrections – this was rectified in Dictate version 1.2
  • Couldn’t spell words out by voice – this was rectified in Dictate version 1.2
  • Couldn’t request individual key presses (such as command-s or command-option-escape) by voice – this was rectified in Dictate version 1.3
  • Couldn’t be taught new words, such as names or jargon specific to your profession – this was largely rectified in Dictate version 1.2, although some words still resist training
  • There was no way to control the mouse by voice – this was finally rectified in Dictate version 2.0.

I tried using the old iListen program a few years ago and could not get results that were useful, an on-screen keyboard was the best solution at the time. Although MacSpeech Dictate is in its early days as a program, its recognition of my particular voice is hugely better than iListen’s was. This is not surprising though, as MacSpeech Dictate’s speech recognition engine is based on the same engine used by Windows’ Dragon NaturallySpeaking – widely recognised as the best consumer speech recognition available.

MacSpeech Dictate requires the requires Intel-based Macintosh hardware and requires Mac OS X 10.5.6 (Leopard) and higher. Thirteen English dialects/accents are supported, and US and UK spelling options. These are:

  • US Spelling
    • American
    • American – Inland Northern
    • American – Southern
    • American – Teens
    • Australian
    • British
    • Indian
    • Latino
    • Southeast Asian
  • UK Spelling
    • Australian
    • British
    • Indian
    • Southeast Asian

Specialised versions – Dictate Medical and Dictate Legal – are available for dictating in these language areas, and Dictate International is now available and recognises speech in French, German, and Italian. MacSpeech have strongly hinted that Spanish language recognition is next on their agenda.

MacSpeech Dictate is a great program for dictation and some computer control, but it is not something that will let you control the computer completely “hands free”. For quadriplegic users and others who need full computer control, you will need to supplement Dictate with use of a mouth stick and keyboard, or a program such as SwitchXS for switch access to functions not available by voice. I highly recommend Dictate though, it’s part of my suite of accessibility technology and I use it whenever I am able to.

Website: MacSpeech Dictate

– Ricky Buchanan

If you are going to buy or upgrade any version of MacSpeech Dictate from the USA or UK.stores, please consider using these links in this article. If you do, I’ll get a commission – a small percentage of the sale price. It won’t cost you anything and it will help to support me and ATMac.

Get MacSpeech Dictate 1.5: Better, Stronger, Faster

Related posts:

  1. MacSpeech Dictate 1.2 Upgrade Released
  2. MacSpeech Dictate Instructional Videos 
  3. “Text to Speech” or “Speech to Text”?

Broadened Horizons supporting Assistive Technology Education at Stanford University

Broadened Horizons encourages and supports assistive technology innovation, development, and education.

Stanford University LogoMark Felling, designer of many of Broadened Horizons’ unique assistive technologies,  will be volunteering as an industry expert resource for Stanford University’s ENGR110/210  Perspectives in Assistive Technology class. As an engineer and a quadriplegic user of assistive technologies Mark is able to share a unique perspective with Stanford University engineering students.

Perspective future students from all disciplines are encouraged to consider this dynamic course focused on real-world results.

ENGR110/210
Perspectives in Assistive Technology 

In this unique course taught by David L. Jaffe, MS and Professor Drew Nelson students design and prototype real world assistive technology solutions suggested by various participants within the assistive technology industry. Students gain hands-on perspective of how engineering can deeply impact individual people’s lives on a micro-humanitarian level.

UPDATE 04-12-12 :  One student project resulted in a strong, lightweight, aluminum Collapsible Sliding Transfer Board expandable from 16″ to 30″ ideal for transfers across longer gaps such as into an airplane or aircraft seat.  Good work Rahul and Team!

Electric Leg Bag Emptiers – What is available – Wireless coming soon!

QUESTION

—–Original Message—–
From: Patricia Bahr <X@gillettechildrens.com> on behalf of RESNA’s Assistive Technology Forum On Behalf of Jeff Symons
Sent: Aug/23/11 11:49 AM
To: Mark Felling
Subject: FW: Electric Leg Bag emptiers

I had a person contact me about looking for an electric leg bag emptier. They are a quadriplegic. I did some research and found some, RD equip and Superquad companies make, but wanted to see if anyone knows how well they work and if there are any others that anyone would either recommend or not recommend.

Thanks, Jeff Symons, MSE, ATP Rehabilitation Engineer

ANSWER

Jeff, Patricia from Gillette Children’s here in Minneapolis forwarded me your e-mail request regarding electric leg bag emptiers.

First, I am a quadriplegic myself so I have investigated this question more closely simply because I also have a personal need.

Second I know many of our customers have a significant need for a good quality product in this area.  There are about 8 manufacturers and different kits available on the market.

My personal opinion preference is for the styles that simply pinch the tube externally rather than use a electrically powered solenoid that the urine passes through internally.  This causes significant cleaning and maintenance issues.  They work well for people who have someone technical to help them disassemble, clean, and reassemble or even replace parts periodically, but for those who do not it just depends how much solids is in their urine as to how long before it needs maintenance, weeks months or a year.

Of the kits that simply pinch the tube, they seem to be good “starter” kits with the basics, but needed a bit of refinement and some better switches such as our Roughneck Single Pushbutton Switch designed specifically for mounting on a wheelchair armrest and those kind of abusive rugged environments.

Finally my recommendation is for a product that is wireless.  It hooks around your ankle at the bottom of the leg bag with no need for other hoses or cables tying you to the wheelchair that will invariably get yanked out, torn, or otherwise damaged when transferring out of the chair at night and the caregiver forgets to disconnect (it will happen).  Consequently wireless switch activation is highly preferred, also it can be simply mounted on wheelchair armrest or taken on and off quickly and easily when not needed.  Finally this last wireless kit is very compact and falls in about the midrange pricing at around $400-$500.  All of the other eight kits on the market range from $180-$800 depending on how refined, and what components go into them, and ultimately who is selling and supporting.

Unfortunately this last wireless kit is not yet available on the market.  Broadened Horizons is hoping to make it available to our customers in the near future but production from the factory has been repeatedly delayed for the past six months.  So I cannot promise anyone anything for an exact timeframe except hopefully “soon”.

I hope this point you in the right direction to make some good decisions and at least know what is available and what direction to take.

Mark Felling is a Quadriplegic Engineer, Patented Inventor, MBA and President of Broadened Horizons, Inc.

 

Living in the State of Stuck – How assistive technology impacts the lives of people with disabilities.

Living in the state of stuck

How assistive technology impacts the lives of people with disabilities

Book cover with person in a canoe, having transfered from their wheelchair

Marcia J Scherer (2000), (3rd ed), xvii, 217 pages.
Brookline Books: Cambridge, MA

Update: 4th edition now out!

Over the years advancements in technology have produced many solutions that enable persons with disabilities to independently undertake a variety of personally relevant activities of daily living. Whilst the use of assistive technology (AT) has been helpful for some persons, the consistent reporting of AT abandonment or discontinuance (over a 40 year period in the rehabilitation literature) has been of concern to health practitioners. Scherer advises “the physical freedom offered by many technical advances has not resulted in the improved quality of life that many envisioned”. Recommendation of AT solely on the basis of the person’s diagnosis is now known to have contributed to AT abandonment or discontinuance, as no consideration was given to the persons’ unique needs. Currently practitioners are encouraged to use a client-centred approach when recommending AT as it is collaborative in nature and acknowledges the clients’ opinions, values and beliefs.

This book is a valuable resource for any health practitioner or health science student. As a university lecturer in occupational therapy I have used this book with students to facilitate their understanding about the human perspectives of AT use. Scherer advises that the purpose of the book is “to give voices to the users of this technology, and thereby to educate their friends, their families and the professional who work with them”. Students report this book helps them to understand that there are broader client-centred issues to be considered to ensure that there is an accurate match between client and technology, rather than just recommending AT to improve functional abilities. Additionally, after reading this book students appear to have a better grasp surrounding the pragmatic and emotional adaptations which persons experience when coming to terms with an illness or disability.

The author uses case studies throughout this book to provide examples of the impact of AT for persons with congenital (cerebral palsy) and acquired physical disabilities (spinal cord injuries). In the first two chapters the author presents the physiological, psychological and psychosocial characteristics for the two groups as well as providing the reader with an informative comparison. The biographies of the people whose stories are used in this book are also included.

Chapter Three provides a definition of AT, discusses the differences between low-tech, medium-tech and high-tech items and describes the various types (mobility, seating, low tech aids to daily living, transport, communication etc) that are available.

The history of rehabilitation up to 2000, for those persons with disabilities in the United States, is provided in Chapter Four and is particularly interesting as it describes the legislative background to many changes that have occurred within society regarding the visibility of persons with disabilities. The author quite rightly asserts that this does not equate to assimilation.

The concept of rehabilitation success is explored in Chapter Five and highlights the divergent views of persons with disabilities and the rehabilitation providers. This chapter is particularly useful in demonstrating that each person will have their own expectations of the rehabilitation process.

Chapter Six entitled ” Struggles and Strivings” identifies quality of life issues commonly experienced by those persons with disabilities. The stand out message is that being able to independently complete daily tasks is not enough, persons with disabilities want AT that address their psychosocial needs as well. This will go towards ensuring that they experience a better quality of life.

The issue of adjustment to disability is covered in Chapter Seven. The use of Maslow’s Motivational Needs Hierarchy is very skilfully used to illustrate this important process which is highly individualised.

In Chapter Eight the author outlines the reasons for AT abandonment or discontinuance. She uses her expert knowledge from years of work in the area to highlight the various factors which can influence people’s use of their AT. She then goes on to provide guidelines which will facilitate an accurate match between the person, the AT features and the context in which the AT is to be used.

Chapter Nine provides the reader with an update (to 2000) for each of the people who have told their story in this book about experiencing life with AT.

The final chapter suggests the need for the involvement of AT users in the development and refinement of AT, discusses funding issues and the problems for persons with disabilities associated with them obtaining quality personal assistance. There is also comprehensive appendices which provide various checklists for AT evaluation and selection.

This book is a great resource. It is easy to read and most insightful. The use of case studies provides the reader with useful examples of the unique requirements of each of the persons who have related their story about how AT has impacted their life.

Whilst this book is highly recommended reading for health professionals I also believe it would be useful for the anyone with an illness, (their significant others included), to assist them through the adjustment process to experiencing life with AT.

For more information or to purchase a copy of Living in the state of stuck 3rd Edition visit Amazon.com

Reviewed by:

Dr Trish Wielandt
Senior Lecturer, Occupational Therapy Unit
School of Public Health & Tropical Medicine
James Cook University
Townsville, Queensland
Email: Trish.Wielandt@jcu.edu.au

July 2004

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