<p> Communication and Alerting Technology for DeafBlind People</p><p>Elizabeth Spiers, </p><p>Virginia Department for the Blind and Vision Impaired</p><p>DeafBlind People</p><p>Blind or Visually Impaired, losing hearing</p><p>Deaf or hard of hearing, losing vision</p><p>Losing both senses</p><p>Little or no usable vision or hearing</p><p>Blind or visually impaired, losing hearing</p><p>Maximize vision and hearing</p><p>Use sense of touch</p><p>Use of hearing not as reliable</p><p>Deaf or hard of hearing, losing vision</p><p>May have relied on vision in past, vision is less reliable</p><p>May have relied on speech reading and visual cues for </p><p> speech reading; more difficult now</p><p>May or may not use American Sign Language (may need to rely </p><p> on tactile or adapted signs</p><p>Losing vision and hearing • Age-related causes </p><p>– Hearing (presbycusis)</p><p>– Vision (glaucoma, cataracts, macular degeneration)</p><p>Usher Syndrome 3</p><p>Other causes</p><p>Deafblind</p><p>• Have little or no usable vision and hearing</p><p>• May or may not be proficient in Braille, tactile sign language</p><p>• Some may benefit from newest technology for deafblind people</p><p>Tactile Sign Language</p><p>Tracking</p><p>Other Issues</p><p>Many may have mobilty or dexterity problems as they age</p><p>They may not feel comfortable with new technology</p><p>Simpler is better</p><p>What do deafblind people want to do?</p><p>• Communicate</p><p>• With other people </p><p>• One on one • Groups</p><p>• Use the Phone</p><p>• Use Email/internet</p><p>Awareness and safety</p><p>• Awareness and safety</p><p>– Know when a smoke alarm goes off</p><p>– Know when someone is at the door</p><p>– Know when the phone rings</p><p>– Be aware of other important sounds</p><p>Communication</p><p>Communication is the most important thing and the issue where</p><p> most people have trouble</p><p>Hearing aids and cochlear implants help but aren’t the answer</p><p> to everything</p><p>Hearing Aids</p><p>Digital</p><p>– Computer programmed; person can’t program hearing aid themselves – Can set up different programs for different listening environments</p><p>• Group conversations</p><p>• TV</p><p>• One on one conversations</p><p>• Digital hearing aids require several fittings to program to person’s exact needs</p><p>• Takes some adjustment</p><p>• Can be difficult for some seniors to adjust to</p><p>• Important to add telecoils (so persons can use assistive listening devices)</p><p>Analog</p><p>– Older models of hearing aids</p><p>– Person adjusts volume thesmelves </p><p>– Cannot be programmed; person hears everything</p><p>– May be easier for some seniors to handle and operate</p><p>– Must have telecoils so people can use FM systems</p><p>Cochlear implants</p><p>Internal components</p><p>Implanted receiver</p><p>Electrode system</p><p>External components Transmitter system</p><p>Sound processor</p><p>Microphone</p><p>Cochlear implants</p><p>• Very different from hearing aids</p><p>• Hearing aids amplify everything</p><p>• Cochlear implants bypass damaged portions of ear and send sound directly to auditory nerve</p><p>• Auditory nerve transmits sound to brain</p><p>• Brain recognizes signal as sound</p><p>What do you do when hearing aids or cochlear implants are not enough, or the person is not using them?</p><p>Assistive listening devices</p><p>• Personal assistive listening devices</p><p>• FM devices or systsms </p><p>Pocketalker Ultra</p><p>Pocketalker Pro</p><p>• Pocketalker Ultra is the newest Pocketalker </p><p>• 5 year warranty • Can adjust tone and pitch</p><p>• Can use with neckloop, earbuds, headset</p><p>Pocketalker Pro</p><p>• Pocketalker Pro is an older model</p><p>• Only has volume control</p><p>• Easier for people with dexterity or memory problems</p><p>• Can be used with earbuds, headphone, neckloop </p><p>• Both can be used with TV as TV listening systems</p><p>• Clip a long 12 foot TV cord on the back of the TV</p><p>• Person has to sit close to TV—wired system</p><p>• Both can be used with TV as TV listening systems</p><p>• Clip a long 12 foot TV cord on the back of the TV</p><p>• Person has to sit close to TV—wired system</p><p>Wireless TV listening systems</p><p>• TV Ears—wireless, less expensive (about 129 dollars)</p><p>• Sennheiser, wireless, more expensive (about 169 dollars)</p><p>• Person can listen to TV anywhere in the house</p><p>FM Systems</p><p>Best for group meetings</p><p>One is Contego Contego</p><p>Alerting Systems</p><p>• Purpose</p><p>– Alert someone to phone, doorbell, smoke alarm</p><p>– Alerts someone to other sounds—such as baby crying</p><p>– Wakes someone up (alarm clock)</p><p>• Many are light or strobe based</p><p>Can use tactile components for people who can’t see light</p><p>AL10</p><p>AL 10 Tactile Alert Pager</p><p>Audio Alert Transmitter </p><p>Signature Series</p><p>• Upgrade to Vibracall </p><p>• Uses vibrating watch</p><p>• Will have new vibrating pager sometime in spring of 2012 (similar to old Vibracall pager</p><p>VibraCall</p><p>• Has transmitters for doorbell, telephone, other sounds</p><p>• Has smoke alarm with transmitter</p><p>• Current pager has patterned vibrations person has to learn • New tactile pager coming out soon—person can press a button down-when that vibrates, will indicate its function</p><p>Individual Alert Systems</p><p>• Doorbells and phone signalers</p><p>– Some hard of hearing people prefer to hear chimes</p><p>Doorbells</p><p>– Winchester Chime</p><p>• Can set tone and pitch</p><p>Phones</p><p>• Phone ring signalers</p><p>• Can set tone and pitch so person can hear phone ring</p><p>• Ringmax is one kind; there are others</p><p>Amplified phones</p><p>• Clarity</p><p>• Crystal Tone</p><p>• Clear Sounds</p><p>• Captel 800, 800i</p><p>• Jitterbug Cell Phone</p><p>• All can adjust volume • Some can adjust pitch, volume</p><p>• Some phones better for some people than others</p><p>• Many have large push buttons for easy reading</p><p>Jitterbug</p><p>• Hearing aid compatible cell phone</p><p>• Simple instructions—simply call </p><p>• Large numbers for easy reading</p><p>• Available through VDDHH on a trial basis (temporary)</p><p>• Jitterbug only is provided—people have to pay for phone service</p><p>Captel</p><p>• Captel is a service where you can dial a captioning service</p><p>• Operator will type conversation while you speak into phone</p><p>• Person can read conversation from other caller and speak to caller on phone hand</p><p>Captel 800 and 800i</p><p>• Captel 800 does not need internet connection</p><p>• Captel 800i needs high speed internet connection</p><p>• Font and contrast can be adjusted—letters up to 3 inches high</p><p>WebCaptel • Hamilton Relay runs this in Virginia</p><p>• People can plug a standard phone into a standard phone line</p><p>• Access WebCaptel on the Internet (through an account with a service provider)</p><p>• Person talks into the phone and reads captions on their computer</p><p>Deaf-Blind Communicator</p><p>• Allows a deafblind user who reads Braille access to:</p><p>Phone</p><p>Internet/email</p><p>Face to face communication</p><p>Relay services</p><p>• Virginia Relay Service</p><p>• Internet Relay Services (e.g, Nextalk)</p><p>• Video Relay Services</p><p>Financial assistance</p><p>VDDHH Technology Access Program</p><p>National Deaf-Blind Equipment Distribution Program (NDBEDP)</p><p>NewWell Fund</p><p>Starkey (for hearing aids) Questions and answers</p>
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