[Athen] Assistive Technology Assessment Sample Forms or Templates?

Karla Kmetz kmetz1 at mail.usf.edu
Thu Oct 2 17:56:39 PDT 2014


I really recommend taking a look at the publications and forms from the
Wisconsin Assistive Technology Initiative.

On Oct 2, 2014 8:28 PM, "Alexa Schriempf" <ats169 at psu.edu> wrote:

> With apologies for cross-posting, I am putting an urgent plea for resource

> sharing out there. I have been asked by my school's rehab counseling

> program to give a talk to their classes on the provision of AT services in

> disability services.


> Part of this talk would ideally include the sharing of sample AT intake

> and AT assessment templates. Would any of you interested in sharing please

> be so kind as to do so, either on or off list?


> FWIW, the assignment that the students for this class need to complete,

> and for which I'll be providing partial instruction on, is below.


> Thank you!

> Alexa


> <assignment>


> Develop a 8-10 page (double-spaced, not including cover page or

> references) case study in which you apply the principles and practices of

> rehabilitation counseling to a population of your choice.


> This case study should reflect an integrated personal theory of

> rehabilitation counseling in which you incorporate the following components

> (a) provide a brief description of the client and their presenting concerns

> including information about the client’s cultural identity (socioeconomic

> status, ethnicity, abilities, sexual orientation, religion); (b) describe

> an model/framework that informs your assessment and development of an

> initial treatment plan; (c) reviews potential interventions that you would

> consider to address identified needs; (d) reflects that a comprehensive

> resource assessment has been completed, including a list of related

> community resources that are relevant to your client’s needs, (e) documents

> that an assistive technology assessment has been completed, including

> appropriate recommendations, and (f) identifies relevant disability

> policies and regulations that may help to support your client’s goals. In

> conclusion, discuss contextual aspects of the client’s experience that have

> contributed to their presenting problems and represent opportunities and/or

> need for advocacy. Include a preliminary advocacy plan and also discuss how

> consultation with and possibly referrals to other professionals and/or

> rehabilitation team members may be needed to effectively assist your

> client.

> <end assignment>

> --

> Alexa Schriempf, PhD

> Access Tech Consultant

> https://sites.psu.edu/aschriempf/




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