Assistive Technology

 

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General Information
Alerting Devices
The Devices
Alarm Clocks
Door Knock Lights
Signal Light For Doorbells
Ringer Enhancers
Signal Light for the Telephone
Smoke Alarm
Sound Activated Lights
Weather Alert
Other
Installation
For Your Car
Captioning
Closed Captioning
Open Captioning
Realtime Captioning
Rear Window Captioning
Theaters Using Rear Window Captioning
Assistive Listening Devices/Systems
Low Tech Reduction of Background Noise
FM Systems
Sound Field FM Systems
Loop Systems
Infrared Systems
For the Health Care Worker
Realtime Transcription
 
Telecommunication
Telephones
Amplification for the Telephone
Hearing Aid Telecoils and the Telephone
Cochlear Implants and the Telephone
Telephone Relay
TTY/TDD
Pagers

Computers

When You Travel

State Resources

Resources for Used Equipment


I have included a brief note for some of the sections. You will notice that there are some negative comments. I do not mention these because I'm being overly critical, but so that you can better make an informed decision. I would far rather you found out something did not meet your needs before you purchased it than after. If you are interested in the devices listed on this page, links to vendors or manufacturers can be found on our Online Catalog & Product Resources page.


General Information

Some cities have vendors who have set up demonstration centers where you can see and test out products before you purchase them. Ask your audiologist if there are any such centers in your area. I have received information that Self Help For Hard Of Hearing People (SHHH) has a list, available via e-mail, of demonstration centers .

Abledata - The National Institute on Disability and Rehabilitation Research Database.

    I contacted these folks to comment on what seemed like a lack of information about products for the Deaf/HOH and their response was:

      We do not currently have available Informed Consumer Guides of Fact Sheets concerning assistive technology for individuals with hearing disabilities,
      although we do hope to develop them in the future. However, because of the size of our staff and the demands of maintaining the database and responding to information requests, our writing time is severely limited.

      Regarding product listings in the database, if you enter a KEYWORD SEARCH on "Deaf and Hard of Hearing" (without the quotation marks) you'll get the complete listing. Each page shows 10 records; to see each subsequent group of 10 records, return to the top of the page and click on  the "Next 10 Records" button. Just a note: The software sorts search results so that the older records appear first, so the "Discontinued" records usually come up first.

 

Asking Your Audiologist About Hearing Assistive Technology and Audiologic Rehabilitation - From ASHA.

Assistive Device Warranty (ADW) Laws - Self Help for Hard of Hearing People (SHHH) Position Statement.

Assistive Technology Electronic Marketplace (AT-Exchange) - A database developed to help keep assistive technology that is no longer being used in circulation. If you have an assistive technology device that you no longer need, you may list it in the AT-Exchange. You can also search the AT-Exchange for people looking for your item. If you need some assistive technology, you can search the AT-Exchange as well as post your own request to the AT-Exchange. Mostly for Washington State.

Assistive Technology Recycling/Matching Program-Mostly for Florida.

AT & the IEP

EquipmentExchange - If you have used medical equipment for sell, or to donate, this is the list for you. Or if you are looking for a piece of equipment, you may find it here. I created this list for people involved with disabilities, who desperately need medical equipment at an affordable price. What better way then to link people, parents, and families together! For more information, visit Onelist.

Family Guide to Assistive Technology

Funding Assistive Technology - ABLEDATA Fact Sheet #14

Microsoft's new Accessibility and Disabilities Web site

Microsoft® Synchronized Accessible Media Interchange (SAMI) - Making Multimedia Accessible

Obtaining Assistive Technology From The Schools

Oral Deaf Education's Page On Support Aids

Technical Assistance Project - RESNA Library

Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) - The RESNA Technical Assistance Project provides technical support to the 56 State Tech Act projects.

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Alerting Devices - Making Your Home Deaf/Hoh-Friendly

    The Devices - There are a number of devices available. I'll list the ones I know about here. 

      Alarm Clocks - available with either a flashing light or a vibrating unit. The clocks come with the alerting device either as a plug in option or hard wired to the unit. Ours is hardwired to the clock and the vibrating unit has gone out twice now. When we replace it this time we'll try the plug in type.

      Door Knock Lights - Install a light switch on the outside of the bathroom and bedroom used by the deaf/hoh person. Since you can't knock and have them hear you, you can flash the lights instead of barging in or waiting in frustration. This is easily accomplished by installing a 3 way switch and placing the extra switch on the outside of the door.

      Signal Light For Doorbells - Not much explanation required here, but if you frequently have a Deaf/Hoh visitor or a small child, you may want to think about some sort of reverse installation so that when they ring the doorbell they will know that it rang. I know that as a hearing person, whenever I ring a doorbell I listen to see if I can hear it ring.

      Ringer Enhancers - Alter the pitch or volume of the phone's ringer to make it more audible.

      Signal Light for the Telephone

      Smoke Alarm - There are a number of types of smoke alarms for the Deaf/HOH, but the "ideal" smoke alarm system has yet to be developed. There are a number of systems out there including visual smoke alarms, vibrating smoke alarms, a combination of visual and vibrating, and even one that uses a scent as its alert. Links are included in the previous sentence not as an endorsement, but to allow you to investigate this type of smoke alarm. The smoke alarm can be hooked up to your burglar alarm system (such as ADT).

      Underwriters Laboratories (UL) and the National Fire Protection Association do NOT consider many smoke alarm products for the Deaf/HOH currently on the market as adequate life safety solutions, however they do offer a higher degree of protection than audible smoke alarms alone.

      Sound Activated Lights - Have a sound activated night light or lamp in the deaf/hoh person's bedroom. This is especially helpful to a hard of hearing person since they don't usually wear their hearing aids when they go to bed at night. We use a lamp from Radio Shack and you can see it here.

      Weather Alert - New out on the market is a weather alert monitor with a special screen which alerts the user visually as to the nature of the alert: tornado, storm, flood, etc. Also available is a special kit that fits many brands of weather radios that will alert the user via strobe light or vibrator when an alarm is sounded. 

      Other - There are a number of other devices available such as wrist watches with alarms, devices that let you know when the baby awakes from their nap, prenatal listening devices, amplified stethoscopes, and many others. New devices are being developed all the time.
       

    Installation  

      Single Function Alerts: Each device functions independently, such as flashing only a single specific light when the phone rings. The signal is directly from the device to the flasher.

      Line-Carried Systems: Each device signals a number of locations, such as flashing all the lights in the house when the phone rings. This system requires receivers and transmitters. The signal is carried from the transmitter to the receivers along the wiring of the house. Signal codes allow you to know what is setting off the signal, like a flash for each time the phone rings, or a 2 quick flashes for the doorbell. Surge protectors, multiple lines in the home, or a nearby apartment with another line-carried system may all cause problems with the system. You also have to remember the specific flash code for each transmitter so if you have a number of items on the line-carried system, it could get complicated. If the power goes out, your system fails. This system is inexpensive and easy to install.

      Wireless Alerting Systems: The transmitter sends its signal via radio waves. The receiver can be fixed or portable. The personal receiver is similar to a pager, in that it can beep or vibrate, and show text. Some receivers require batteries so these require monitoring and recharging.

      Dedicated Hardwired Systems: The most expensive, but the most reliable. Some systems even check themselves for malfunctions or can be tied into a wireless paging system.

    For Your Car

    There are special devices that will alert a Deaf/HOH driver.

  • "Hear" the siren of an approaching emergency vehicle and notify the driver with an audible and visual signal. If you purchase a new car, you may even qualify for a 100% reimbursement of the cost of purchase and installation of the device. This program is available from Ford, Saturn, Chrysler, and General Motors Corporation. In an e-mail I received from the president of one of the manufacturers of this device, the VA will pay for it and so will some insurance companies, so even if you aren't in the market for a new car there may be some funding available to you.
  • Devices are also available that alert the driver when their blinker is on.
    • Blinker Buddy II - Flashing light and alarm signal the driver when the turn signal is left on. Volume level increases the longer the device is left on.

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Assistive Listening Devices/Systems

The purpose of an Assistive Listening Device is to cut down (or eliminate) the background noise which allows easier access to the communication. The volume of the communication compared to the volume of the background noise is what is called the "Signal To Noise Ratio". It is important to get a qualified person or the company to come in to set up the devices/systems and do in-service for those who will be using them. The newest ALD to enter the market is the Directional Hearing Array.

Low Tech Reduction of Background Noise

Many schools have reduced the background noise in classrooms without carpeting by placing tennis balls on the legs of the tables and chairs. Simply cut an X into the tennis ball and stick it onto each leg. It may look funny, but it is effective. Tennis Clubs are often happy to donate their old used tennis balls to this worthwhile cause. Here is an article about this: Tennis Balls Increase Children’s Attention. For cutting tennis balls to go onto chairs, here's a nifty little gadget. A few alternatives to tennis balls are:

FM Systems

See our discussion about How FM Systems Can Help.

The person talking speaks into a microphone and the signal is passed along to the transmitter. The signal is then sent through the air via FM radio waves to a personal receiver. The signal travels to the ear via one of many possible routes. One route (the one my son uses) is called Direct Audio Input (DAI). This is where the signal travels directly into one or both hearing aids along a cord that is plugged into the receiver on one end, and the hearing aids on the other. A special "boot" or "shoe" slips over one end of the hearing aid and the cord plugs into this device. The hearing aid then passes the signal to the ear. A second method is via a loop. This is where the signal goes to a Neckloop or Silhouette. The telecoil in the hearing aids picks up the signal. The hearing aid then passes the signal to the ear. A third method is via "buttons", ear pieces, or headphones. This is where the signal travels up a cord directly into something that fits in or over the person's ear. Some FM systems are able to amplify sound so the hearing aids may not be needed with them, depending on the hearing loss of the individual. For those with a very profound loss, Direct Audio Input may be the only method that will provide the assistance needed. Some FM systems are very compact and the receiver is housed in the "boot" or "shoe" that slips onto the hearing aid, or in a small unit that plugs into a boot or shoe. There are even some hearing aids that have the FM receiver built into them. FM systems are susceptible to areas of interference depending on other equipment in the building. Any links in this paragraph are included not as an endorsement or advertisement, but to allow you to see what it looks like.

There is one thing you may want to check for when you choose a personal FM system. My son used to use a system that required 9 volt batteries. We could either use rechargeables and he had to change them in the middle of the school day, or he could use non-rechargeables and we changed the transmitter battery every day and the receiver battery every other day. This can add up $$$. He now uses a system where the rechargeables (AA batteries) will last him the full school day. While I would not base a final decision for an FM system on the type of battery it uses, it may be something to keep in mind. 

      Sound Field FM Systems

      A type of FM system where instead of the signal traveling to a personal receiver, it travels to speakers that are meant for the entire room. These may be mounted on the walls, in the ceiling, near the individual, or on their desk. An added bonus with the sound field FM system is that all those in the room benefit.

    Loop Systems  

    Infrared Systems  

For The Health Care Worker

    Devices are available that will allow the health care worker to listen to a stethoscope. More info can be found on our Medical Resources page.

    Realtime Transcription

    This is sort of like captioning for real life. As a person speaks, the words are transcribed and displayed to the audience on a monitor, screen, or laptop computer. This is often used at conferences and in the schools (usually colleges and universities, but it's use is even beginning to be seen in elementary schools). When used in an academic setting, after the class the file of the lecture can be made available to the student. Closely related to Realtime Captioning (often the terms are used interchangeably). The only drawback to this system is that if the speaker goes too fast, the transcriptionist may get behind and skip parts of what was said to catch up.  

    Each system of providing this service goes by a slightly different name, but most often the systems are referred to as CART (Computer Aided Realtime Transcription). 

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Captioning

  • A Guide to DVD Subtitles and Captioning
  • Caption.com
  • Caption FAQ
  • Closed Captioned TV: A Resource for ESL Literacy Education
  • Computer Prompting & Captioning Co. - Articles on captioning .
  • Detection/Deletion Parental Control - The worlds First Caption Decoder offering people the choice to remove swear words from Captioned Television.
  • Personal Captioning Systems - a wireless microphone system transmits speech to a laptop computer where voice recognition software converts it directly into text. The converted text is broadcast throughout the room, where anyone with Personal Captioning System glasses can read the converted text. This system is still under development.
  • Solving Caption Problems
  • Here is a little known and unadvertised fact about Humongous Entertainment games: virtually all of their products are captioned though you have to know what to do to turn the captions on. This comes from Jamie, the web guide at About.com: Run the file "hegames.ini." That opens up Notepad in Windows, and you can edit the file. Find the name of each game you have installed, and under the game name in brackets, add the line "TextOn=1" (without the quote marks) and save the file. That's it. The  next time you run the game, there will be captions.
  • Closed Captioning

    • Note: We got our first CC-TV this summer for our son. I must say that if I knew how great it was, I would have gotten him one sooner. He loves it! I'll pass on a few things I have learned about them. When picking out your TV, be sure you can figure out how to turn the captioning on. Each brand has a different way to do it. Some were as simple as pushing a button on the front of the TV. Others had a complicated routine you had to go through. Some brands allowed you to turn on the captioning via the TV or the remote, others via the remote only. Also the text was easier to read on some than others. I've noticed while my son was watching some movies on a major network that sometimes when the voice is edited for language, the captioning is not! One other small hint I would like to pass along to you is that sometimes when you change the channel, the captioning from the previous channel will stick around, especially if what's on the new channel is not captioned. To get rid of this simply adjust the volume on the TV since it blanks out the captioning momentarily when you adjust the volume.
    • A teacher at my son's school said that she recently read a study that showed when captioning is used with hearing children, their reading skills show a marked improvement. There are 3 things I do not like about the way captioning is currently done. The first is that there are often errors where the wrong word is used. The second is that words are often not spelled right. The third is that the sentence is often changed, which can be confusing when a child hears "Lets eat the delicious cake my mother sent" and reads "Lets eat the cake".  
    • Captioning Group Inc. - General info and how captioning is done

    • Closed Captioning FAQ - Includes info about captioning improving literacy.

    • Closed Captioning Web

    Open Captioning

    • This is when the captions are visible without any special equipment. This is very similar to subtitles for foreign films. In fact, if you have seen subtitles on foreign films, you have seen open captioning. This same technology can be used to provide the script for movies and videos for the deaf/hard of hearing.  
    • Captioned Media Program - borrow open captioned films for FREE! We use this program and it's a wonderful service. They even provide postage for you to return the films back to them when they are finished with it. If you have a deaf/hoh child in school, see if they know about this program. If not, then tell them about it. There are many educational titles and is a wonderful resource for schools. All the school has to do to qualify to join this program is to have 1 deaf/hoh student. For individual members to join there needs to be 1 deaf/hoh person in the household. It's funded by the Department of Education and run by the National Association for the Deaf.  

    • Theatrical Movie Captioning Systems - From The Access Board.

    • Tripod Captioned Films   
    • TypeWell® Educational Transcription System

    Realtime Captioning

    • Closely related to Realtime Transcription. When using realtime captioning it is very important that the speaker understand that they must not talk too fast. Please see the section on Realtime Transcription for any links. 

    Rear Window Captioning

    • Note: We saw this for the first time at Disney World. It was very interesting and I had only just heard of it. What happens is the person using this technology is given a Plexiglas screen on a floor stand (it kind of reminded me of a gooseneck lamp base). In the rear of the theater is a LED display that shows the captioning in reverse. The person adjusts their screen so that the LED display in the back of the theater is reflected off the Plexiglas. My son thought this was really cool! Some systems have the Plexiglas screens attach to their seats. Rear window captioning was invented by the CPB/WGBH National Center for Accessible Media (NCAM) and Rufus Butler Seder of Boston.  

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Telecommunication

  • Cell phone learns to lip-read
  • Note: Instruction in the use of telecommunication equipment should be included in a deaf/hoh child's IEP.
  • Nationwide 7-1-1 TRS Access!
  • Telecommunications Accessibility Guidelines
  • Texas Office for Deaf and Hard of Hearing Services  - Voucher for Telecommunications Equipment
  • To find out if your state has a program to assist in the purchase of telecommunication equipment, visit this map on the Telecommunications Equipment Distribution Program Association (TEDPA) website.
    • Telephones  

        Amplification for the Telephone  

        • Portable - The amplifier is a little box like device that fits over the earpiece of the phone and is held in place with a strap or elastic.

        • Handset - The amplifier is in the handset of the phone. You can replace the handset of many phones to turn them into amplified phones.

        • Inline Amplifiers - The amplifier attaches to the line cord or the cord between the phone and the handset.

        • Amplified Phones - The amplifier is built into the phone.  

        Cochlear Implants and the Telephone  

        • Some people report being able to understand conversation better when they use older telephones.
        • Phone adapters are available that suction onto the telephone and plug into the processor. Check with your implant center or manufacturer.

        Hearing Aid Telecoils and the Telephone

        • Since 1989, telephones made for use in the US are required to be hearing aid compatable. In order for your hearing aid to pick up the signal from the phone, the hearing aid must have a telecoil. Switch your hearing aid to telecoil and experiment to find the best placement of the earpiece in relation to your hearing aid. If you have a problem with feedback while doing this you can get an earpiece cushion that is designed to create a space between the hearing aid and phone receiver.  

      TTY/TDD

      • TTYs have a wide range of features that may be offered so be sure to check into the features that interest you. These features can be as simple as only those essential for TTY communication or can be as varied as printer, direct connect, varying amounts of memory, built-in voice announcer, built-in phone directory, ASCII mode, built-in telephone handset, built-in answering machine, large display letters (1/2" vs. 1/4 "), colored lenses to enhance readability, and a Braille keypad and printer. There is also a wide range of sizes, depending on the features you select.  

      • Can I Use a Regular Computer Modem to Call a TTY?

      • ASCIITDD.ZIP - program for connecting an IBM compatible computer with a TTY/TDD that has ASCII.

      • NXi Communications - Modem & Software to turn your computer into a TTY.

      • TTYs and TDDs - Deafness at About.com - Jamie has so many wonderful resources on her site that I won't even try to duplicate her efforts. If you want to know more about TTYs, then this is where you want to visit.

      • Using a TTY - From The Access Board.

      Pagers

      A Pager equipped with a vibrator and an alphanumeric display can be used to receive messages. An alphanumeric display is one in which shows letters as well as numbers. The vibrator will signal an incoming message. There is also a paging service available that will allows text messages to be sent from a teletype (TTY/TDD) to a pager.

  • Mobile/Cellular Phones and Hearing Aids

    • More info to come

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Computers

A computer can be a very interesting and versatile assistive technology device. With the right software or hardware, you can communicate others via e-mail, chat rooms, TTY, ICQ, or a number of other programs. A computer can be used as a tool to improve articulation, or many other skills a speech pathologist may work on. It can be used as an educational device to teach children concepts and reading through repetition and rewards. You can look up information with it via the Internet (as you are doing right now). You can caption with it. By connecting to others on the Internet, you can establish a broader support system, something that helps us all cope with some of the stumbling blocks along the way.

Here is a little known and unadvertised fact about Humongous Entertainment games: virtually all of their products are captioned though you have to know what to do to turn the captions on. This comes from Jamie, the web guide at About.com: Run the file "hegames.ini." That opens up Notepad in Windows, and you can edit the file. Find the name of each game you have installed, and under the game name in brackets, add the line "TextOn=1" (without the quote marks) and save the file. That's it. The  next time you run the game, there will be captions.

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When You Travel

    When you can't be home, you don't have to be without your assistive technology. The ADA requires places such as hotels, motels, hospitals, and the workplace to provide you with assisstive equipment. When you make your hotel or motel reservations, or arrange for a stay in the hospital, be sure to make your needs known. For more information on the ADA, see the Your Rights page.

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State Resources


Resources for Used Equipment


 

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