Remote Technology and Beyond... Supporting Independent Living and Community Engagement Jarrod Hunt Wynn-Reeth Jordan B. Wagner The Ohio State University Nisonger Center
Remote Support Animation
Technology Project Energy and Excitement at State level. Governor Kasich and Director Martin traveled the state to highlight the state budget proposal while talking-up remote support and technology.
Remote Support (Remote Monitoring) Assisting an individual from a distance using technology. Just like having Direct Support Professionals only they re not in your home.
Remote Support Sensors Flood Sensors Bed sensors Door and window sensors Seizure mats Medication dispensers Tooth brush sensors Motion detectors Etc.
Remote Support Sensors Video Sometimes necessary Usually, cameras are used in less private areas in the home: living room, kitchen, doorway Only used when determined least intrusive solution
Remote Support Sensors Video Equipment changes based on the needs of the individual Teams can be creative Sound intensity measure Man who burned his popcorn
HCBS Waivers Remote Support HCBS waivers allow States to offer a variety of services that provide a combination of standard medical services and non-medical services. All three Ohio DD waivers permit: (1) remote monitoring equipment and (2) remote monitoring services.
Remote Support 37,000 eligible Ohioans (everyone on a DD waiver). How many people ( of 37,000) do you think use remote support?
Goals DODD OSU Nisonger Center Technology Project Take an in-depth look at the role technology, including remote monitoring, plays in the lives of people with developmental disabilities and their families. Increase use of remote monitoring in Ohio. Create a vision for how the use of technology may be improved and expanded upon. Identify technological advances that might benefit people with developmental disabilities increase their independence. Technology Council guidance.
Focus Groups and Phone Interviews Early Focus Groups Self Advocates Liked: Independence and safety But were Concerned about Privacy and relational Interaction Parents Sounded good but weren t sure about it Concerns Privacy, Tech use and security, and inadequate attention to son or daughter Families Safety: #1 Concern
Demographic Information Counties 88 Counties in Ohio 44 Counties use remote supports People from 20 counties participated in focus groups and phone interviews
Demographic Information Relationship to remote monitoring Adults who use/ have used remote supports: 21 Guardians of adults who use/ have used remote supports: 27 SSA of an individual who uses remote supports: 2 Adults who use remote supports and their guardian: 7 42 % 54 % 4%
Demographic Information Gender Answered: 46 Skipped: 4 Male: 15 Female: 31 33% 67%
Demographic Information Do you currently use remote supports? 83% 17%
Focus Groups and Phone Interviews Why did you choose to begin remote supports? 19 9 14 31 3 2 1 40% 19% 30% 66% 6% 4% 2%
Focus Groups and Phone Interviews What do you like about remote supports? 16 25 22 18 16 10 1 34% 53% 47% 38% 34% 21% 1 2 1
Focus Groups and Phone Interviews What do you like about remote supports (Adult Ohioans who use remote supports)? 11 7 6 6 5 4 32% 32% 21% 58% 37% 26% 1 1 1
Focus Groups and Phone Interviews What do you like about remote supports (Guardians)? 17 17 9 8 6 5 1 35% 65% 65% 23% 31% 19% 1
Technology Project Health and Safety Health 34% mention health Emergency Support 53% of respondents like the emergency support Home Security 34% mention home security Emergency Support or Home Security 31 respondents (66 %)
Technology Project Independence Independence Reason for starting remote supports: 66% Something they liked about remote supports: 47% Less staff (including overnight staffing) Moving out
Focus Groups and Phone Interviews 32% 7% 18% 4% 14% 7% 14% 4% 21% 18% 7% 11% 1 1 2 2 2 3 4 4 5 5 6 9 What do you NOT like about remote supports?
Focus Groups and Phone Interviews What did you not like about remote supports? Exposing barriers to success Paying for internet Organizing Backup What to address Technology Support Updating contact information Developing more detailed protocols More clearly identifying when the physical presence of staff is necessary
Focus Groups and Phone Interviews What did you not like about remote supports? - Privacy (32%) - didn t like the cameras - Individual felt babysat - Felt like people were watching all the time - Families may need to reevaluate their technology to consider less intrusive solutions such as sensor technology
Focus Groups and Phone Interviews How much Privacy do you feel you have in the home? - 91% felt they had privacy in their homes 9% 4 47% 21 44% 20
Technology Project Disability Services Workforce Crisis High Turn over 38.2% (Hetzler, 2016) to estimates of 50% At a 40% turnover rate, it s possible that between residential and day services, someone may have 770 different staff from age 18-65 Historically low wages Competing with Babyboomers technology can play a critical role in... creating more opportunities for individuals with IDD including, helping [someone] perform daily functions so they can live more independently and not require as much staff-time without reducing outcomes. (ANCOR, 2017).
Concluding Remarks With advancements in technology, people with developmental disabilities will have the opportunity to live more independent and socially engaged lives. Technology, including remote monitoring, might be one piece of the solution to DSP shortages.