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Using Occupational Therapy Principles and Practice to Support Independent Message Generation by Individuals Using AAC Instead of Facilitated Communication

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Title: Using Occupational Therapy Principles and Practice to Support Independent Message Generation by Individuals Using AAC Instead of Facilitated Communication
Language: English
Authors: Loren F. McMahon (ORCID 0000-0001-9208-6152), Howard C. Shane (ORCID 0000-0003-2115-9451), Ralf W. Schlosser (ORCID 0000-0002-2069-3911)
Source: Augmentative and Alternative Communication. 2024 40(1):12-18.
Availability: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 7
Publication Date: 2024
Document Type: Journal Articles
Reports - Descriptive
Descriptors: Occupational Therapy, Allied Health Personnel, Augmentative and Alternative Communication, Ethics, Facilitators (Individuals), Interpersonal Communication, Personal Autonomy
DOI: 10.1080/07434618.2023.2258398
ISSN: 0743-4618
Abstract: Facilitated communication (FC) has been a heavily debated and documented topic across multiple disciplines, including sociology, education, psychology, pediatrics, speech-language pathology, and disability studies. Although many professionals from various disciplines and advocates have offered opinions, suggestions, and research on the topic, there has been minimal input from the occupational therapy (OT) profession. The lack of OT input is noteworthy as OTs are experts in enabling upper extremity performance and independence through a variety of training, adaptation and modification strategies, and use of external supports. Because of their professional code of ethics and a specific knowledge base, OTs are uniquely positioned to provide a host of ethical and evidence-based strategies that enable independent access to communication technology. The consideration of multiple access options is contrary to the typical facilitated encounter where facilitators exclusively choose to manipulate an upper extremity in order for letters to be selected on a display or keyboard. The purpose of this paper is threefold: (a) To offer insight into the standard of care by OTs including their ethical standards; (b) to identify varied accommodations that enable access using a feature-matching standard of care that eliminates the need for a facilitator; and (c) to highlight how to increase independent assistive technology/augmentative and alternative communication access, thus dissuading the need or use of facilitated access to letters.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1414206
Database: ERIC
FullText Text:
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  Data: Using Occupational Therapy Principles and Practice to Support Independent Message Generation by Individuals Using AAC Instead of Facilitated Communication
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  Data: <searchLink fieldCode="AR" term="%22Loren+F%2E+McMahon%22">Loren F. McMahon</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-9208-6152">0000-0001-9208-6152</externalLink>)<br /><searchLink fieldCode="AR" term="%22Howard+C%2E+Shane%22">Howard C. Shane</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2115-9451">0000-0003-2115-9451</externalLink>)<br /><searchLink fieldCode="AR" term="%22Ralf+W%2E+Schlosser%22">Ralf W. Schlosser</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-2069-3911">0000-0002-2069-3911</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Augmentative+and+Alternative+Communication%22"><i>Augmentative and Alternative Communication</i></searchLink>. 2024 40(1):12-18.
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  Data: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
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  Data: <searchLink fieldCode="DE" term="%22Occupational+Therapy%22">Occupational Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Allied+Health+Personnel%22">Allied Health Personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Augmentative+and+Alternative+Communication%22">Augmentative and Alternative Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Ethics%22">Ethics</searchLink><br /><searchLink fieldCode="DE" term="%22Facilitators+%28Individuals%29%22">Facilitators (Individuals)</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+Communication%22">Interpersonal Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Personal+Autonomy%22">Personal Autonomy</searchLink>
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  Data: 10.1080/07434618.2023.2258398
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  Data: 0743-4618
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  Data: Facilitated communication (FC) has been a heavily debated and documented topic across multiple disciplines, including sociology, education, psychology, pediatrics, speech-language pathology, and disability studies. Although many professionals from various disciplines and advocates have offered opinions, suggestions, and research on the topic, there has been minimal input from the occupational therapy (OT) profession. The lack of OT input is noteworthy as OTs are experts in enabling upper extremity performance and independence through a variety of training, adaptation and modification strategies, and use of external supports. Because of their professional code of ethics and a specific knowledge base, OTs are uniquely positioned to provide a host of ethical and evidence-based strategies that enable independent access to communication technology. The consideration of multiple access options is contrary to the typical facilitated encounter where facilitators exclusively choose to manipulate an upper extremity in order for letters to be selected on a display or keyboard. The purpose of this paper is threefold: (a) To offer insight into the standard of care by OTs including their ethical standards; (b) to identify varied accommodations that enable access using a feature-matching standard of care that eliminates the need for a facilitator; and (c) to highlight how to increase independent assistive technology/augmentative and alternative communication access, thus dissuading the need or use of facilitated access to letters.
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      – Text: English
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      – SubjectFull: Occupational Therapy
        Type: general
      – SubjectFull: Allied Health Personnel
        Type: general
      – SubjectFull: Augmentative and Alternative Communication
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      – SubjectFull: Ethics
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      – SubjectFull: Facilitators (Individuals)
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      – SubjectFull: Interpersonal Communication
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      – SubjectFull: Personal Autonomy
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      – TitleFull: Using Occupational Therapy Principles and Practice to Support Independent Message Generation by Individuals Using AAC Instead of Facilitated Communication
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