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Independent Transportation Options for Persons with Disabilities

Introduction: My degree is in occupational therapy, and since 1993, I have worked as one of the assistive technology specialists at the Utah Center for Assistive Technology (UCAT).. UCAT is the statewide resource for Assistive Technology (AT) information, equipment review, assessment and modificatio

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Independent Transportation Options for Persons with Disabilities

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    1. Independent Transportation Options for Persons with Disabilities

    2. Introduction: My degree is in occupational therapy, and since 1993, I have worked as one of the assistive technology specialists at the Utah Center for Assistive Technology (UCAT). UCAT is the statewide resource for Assistive Technology (AT) information, equipment review, assessment and modification, and the exploration of assistive technology funding options. UCAT may be thought of as a team of AT specialists. Two of my specialties are vehicle access and adaptive driving.

    3. Some of my Assumptions, Considerations and Challenges when doing this Work Vehicle adaptations are necessarily individualized to meet unique physical limitations and lifestyles.

    4. Some of my Assumptions, Considerations and Challenges when doing this Work Vehicle adaptations are necessarily individualized to meet unique physical limitations and lifestyles. AT challenges and considerations are often much different for those who want to drive than for those who need only adapted transportation.

    5. Some of my Assumptions, Considerations and Challenges when doing this Work Vehicle adaptations are necessarily individualized to meet unique physical limitations and lifestyles. The AT challenges and considerations are often much different for those who want to drive than for those who need only functional transportation. Modifications may be made to cars, trucks and vans, and there are pros, cons and custom applications for each.

    6. Some of my Assumptions, Considerations and Challenges when doing this Work Vehicle adaptations are necessarily individualized to meet unique physical limitations and lifestyles. The AT challenges and considerations are often much different for those who want to drive than for those who need only functional transportation. Modifications may be made to cars, trucks and vans, and there are pros, cons and custom applications for each. Assessing transportation options often includes listing wrenching trade-offs that must be assessed and reconciled. Sometimes there are many unrealistic hopes to be shed.

    7. Some of my Assumptions, Considerations and Challenges when doing this Work Vehicle adaptations are necessarily individualized to meet unique physical limitations and lifestyles. The AT challenges and considerations are often much different for those who want to drive than for those who need only functional transportation. Modifications may be made to cars, trucks and vans, and there are pros, cons and custom applications for each. Assessing transportation options often includes listing wrenching trade-offs that must be assessed and reconciled. Sometimes there are many unrealistic hopes to be shed. One’s reasonable function is usually at odds with, and not possible in, one’s “dream machine”—or often even one’s second or third choice of vehicle. I often hear replies like, “It will cost how much?” “I need to drive a what!” “I wouldn’t be caught dead in a minivan!”

    8. Question: Why not use Mass Transit?

    9.

    10. I often state the obvious that we would all be better off living within blocks of our employment, and not require a commute vehicle, but although this is a great goal, it seldom seems realistic to clients. Additionally, vehicles are often intrinsic to the many roles in which a person participates, as much or more so for a person with a disability as any other.

    11. That said, one of my roles is to assist a person determine whether he or she will be a driver or strictly a passenger. My client and I must determine how far today’s technologies can take her or him toward total independence?

    12. To simply my presentation I need to speak of two groups of individuals: those who will be vehicle passengers, and those who will be drivers.

    13. Group “A”: Persons with Disabilities who will not be a Driver Obvious Considerations: Safety: Prevention of injuries during transfers into and out of the vehicle to the person with a disability and the caregiver and if a wheelchair is used, adequate wheelchair securement. Cost: The best accessibility option for the least expense.

    14. Other Considerations: Will the person need to ride while seated in a wheelchair or in the vehicle seat?

    15. Other Considerations: Will the person need to ride while seated in a wheelchair or in the vehicle seat? How many other passengers will there be?

    16. Other Considerations: Will the person need to ride while seated in a wheelchair or in the vehicle seat? How many other passengers will there be? How able is the caregiver to assist with either transfers to vehicle seats or stowing of a wheelchair?

    17. Other Considerations: Will the person need to ride while seated in a wheelchair or in the vehicle seat? How many other passengers will there be? How able is the caregiver to assist with either transfers to vehicle seats or stowing of a wheelchair? How much cargo area is required for the vehicle’s other uses?

    18. Adaptations to Cars

    19. Adaptations to Trucks and Vans

    20. Adaptations to Minivans

    21. Video Show video: Bryan_1Show video: Bryan_1

    22. Group “B”: Persons with Disabilities who will be the Driver Obvious Considerations: Will the person have safe, functional access? What is the “lowest-tech,” lowest-cost driving system that will allow the person to become a safe driver?

    23. Group “B”: Persons with Disabilities who will be the Driver Subtle Considerations: Is the person able to transfer into the vehicle driver seat, or will he or she need to drive while seated in a wheelchair? How many passengers will there be? If the person transfers into the driver seat, how will the wheelchair be stowed? What are the person’s past times? How much cargo area is required for the vehicle’s other uses?

    24. Person will Drive a Car

    25. Video Show video: Farah_1 Show video: Farah_1

    26. Person will Drive a Pickup Truck Better access to range of outdoor activities. A 4 X 4 can still be difficult to transfer into. Sometimes only certain models of truck can be modified for the equip-ment that is needed.

    27. Video Show video: Ken_1, stop at 5:30 Show video: Ken_1, stop at 5:30

    28. Person will Drive a Minivan Often best for persons who use a powered wheelchair or scooter and walk a few steps safely. There are various lift models for both rear and side doors. Usually able to conserve seating with lift in rear.

    29. Person will Drive a Lowered-Floor Minivan Drive wheelchair quickly into the van out of weather. Some passenger seats remain. Nearly doubles the price of the vehicle. Drive into driver position or make transfer inside van. Best suited for higher-tech driving systems

    30. Videos: Corbin and Jeremy Show videos: Jeremy_1 (first 3 minutes), Corbin_1 (first 2 minutes) Show videos: Jeremy_1 (first 3 minutes), Corbin_1 (first 2 minutes)

    31. Person will Drive a Full-Sized Van More room for cargo, wheelchair and passengers. Luxurious interior available. A beast to drive. Show video: Steve van1Show video: Steve van1

    32. Video Show Steve_1, first 2 minutesShow Steve_1, first 2 minutes

    33. Driving Systems In many large population States, such as California, Texas and New York, there are large adapted driving evaluation centers where persons with disabilities may evaluate several types of elaborate and very expensive driving systems, if needed. Utah has a much smaller population and it is only appropriate for us to have available driving systems for perhaps 95-99% of our clients. This saves Utah 100s of thousands of dollars. Persons who would need more elaborate systems due to extreme limitations need to do an assessment out of State. There are fewer than one person each year in Utah who needs to do such an evaluation.

    34. Driving Systems at UCAT Manual Gas/Brake on Steering Column

    35. Video: Ken’s gas/brake controls Video: other gas/brake controls Video: Ken_1, starting at 5:30 mark. Video: Steve_1, starting at 2:00 mark.Video: Ken_1, starting at 5:30 mark. Video: Steve_1, starting at 2:00 mark.

    36. Driving Systems at UCAT Manual Gas/Brake on Steering Column Manual Gas/Brake with Mechanical Advantage

    37. Driving Systems at UCAT Manual Gas/Brake on Steering Column. Manual Gas/Brake with Mechanical Advantage. Manual Gas/Brake with Mechanical Advantage and boosters to brake system and/or power steering. Show video: Corbin_1 (start at 2:00 minutes)Show video: Corbin_1 (start at 2:00 minutes)

    38. Video: Corbin’s driving controls

    39. Driving Systems at UCAT Manual Gas/Brake with Mechanical Advantage and boosters to brake system and/or power steering, and an adapted steering wheel. Show video: Jeremy_1 (start at 3:00 minutes)Show video: Jeremy_1 (start at 3:00 minutes)

    40. Video: Jeremy’s driving system

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