Emerging Trends Field of Vision Rehabilitation - Virginia …：新兴趋势的视野康复-弗吉尼亚…

1、Emerging Trends: Field of Vision RehabilitationMary Frances McAndrews, CVRTJayne Meekings, CVRT, CLVTJulia Halpern-Gold, COMS, CVRTHow has the field changed?University Trained InstructorsHome Training InstructorsAgency Trained Instructors1950s Veterans Administration was training individualsat Hines

2、 VA to provide O&M instructionThese individuals were then returning to homeagency and training other instructorsUniversity Training Programs1960-Boston College started 1st graduate O&M training program1961-Western Michigan started graduate O&M training program1963-Western Michigan started 1st gradua

3、te Rehab Teaching training programWho are all these people?Orientation and Mobility SpecialistRehabilitation TeacherLow Vision TherapistVision Rehabilitation TherapistLiving Skills InstructorManual Skills InstructorTravel TrainerADL InstructorMobility InstructorPeripatologistDual Certification Progr

4、ams1983-Boston College pilots dual certification program-O&M and RT1997-Low Vision Therapist certification is offered through AERJanuary, 2000-ACVREP becomes certifying body for blind rehabilitation professionalsVision Rehab vs Blind Rehab vsMultisensory Vision Rehabilitation- focus on LOW VISION in

5、dividuals short-term targeted training /training offered in home or outpatient program Comprehensive Rehabilitation- focus on PROGRESSIVE VISION LOSS long -term training/training offered in residential settingMulti-sensory Rehabilitation- focus on individuals with vision loss and other disabilities

6、(deafness, TBI, stroke) training offered long-term with interdisciplinary team inpatient and outpatientDemographics:Vision Impaired PopulationSummary of Virginia Statistics -2009LB = 34,627 25,521 44 years of ageVI = 232,651204,731 44 years of ageTotals: 267,278230,252 45yr. Virginia OBG Statistics

7、from 2008 & 2009 (DBVI)20 case workers2009 - 1,434 people served2008 1,317 people servedDemographics:Professionals Serving ThemLow Vision Demonstration Project Final Report November, 2010VRTs Less than 550O&M Specialists 2,000OTs 100,000 (this number does not indicate the numbers trained in vision r

8、ehabilitation)50% of DBVI VRTs are over the age of 55Where are VRTs & LVTs going?Medical Community is recognizing Occupational Therapists as Vision Therapists & Vision Rehab TherapistsAmerican Academy of Ophthalmology SMARTSIGHT-MAKING THE MOST OF REMAINING VISION 2007-Academy Initiative in Vision R

9、ehabilitation Order for Rehabilitation Training “The physicians order for Medicare reimbursed occupational therapy rehabilitation training should include :Glaucoma Research Foundation January 2011 Gleams Newsletter Article “Getting Help if You Have Low Vision” “An occupational therapist can also hel

10、p you learn new ways to do daily tasks”. “Occupational therapists help patients decide what type of lighting is most comfortable Janet R. Meyers, MS, OTR/L, CLVT and Denise Thomas Wilcox, PT, OD, PhD of the Philadelphia VAMC Advanced Low Vision Clinic Program have coauthored a chapter on low vision

11、evaluation in a book just published by the American Occupational Therapy Association Press. Occupational Therapy Interventions for Adults with Low Vision is a textbook that will be used in occupational therapy curricula across the country.Functional Independence No Matter Who Provides the ServiceSma

12、rtsight OT Rehabilitation Training Activities ListScotoma awareness and uses for central and peripheral field lossVisual Motor-scanning, tracing, tracking and target localizationVisual Perceptual skill: visual closure, visual perspectiveReading & writingADLApplication of optical and non-optical devi

13、cesEnvironmental adaptations: lighting, contrast, labeling, organization, hazardsWorkplace assessments and adaptationsAdaptive computers: enlargement, speech outputSafe mobility in home and communityRecreationalResources-local & nationalCaregiver support and trainingDriver evaluation and training (n

14、ot reimbursable)Medical Model=Effectiveness, Accountability, and ProfessionalismContrast Sensitivity Testing Visual Field Testing for Central ScotomasNear Vision TestingDistance Vision TestingContrast Sensitivity TestsMARS ($150)LEA Flip Card-More reasonable & portable ($90)Visual Field TestingMacul

15、ar Mapping online TestingMy Vision TestA free modern Amsler Grid test for Macular Degeneration Near Vision Reading AssessmentsSmith Kettlewell Reading Test Kit-Available from Mattingly InternationalMedical Model=Effective Service Provider Consultation on multi-disciplinary team Established licensure

16、 & clinical practice standardsMore opportunities for professional growth and career advancementLicensure-History & Debate5-year Medicare Low Vision Rehabilitation Demonstration ProjectNY Licensure Bills to “Provide for the licensing of orientation and mobility specialists and vision rehabilitation t

17、herapists” Benefits of licensure to profession, agency and customersFuture of Vision RehabAER Blindness Professionals Recruitment Taskforce Strategic Work Plan 2011Mission Statement:Goal 1: Partnerships: The AER Blindness Professionals Recruitment Committee will establish and maintain partnerships o

18、f professionals, parents, blind students and other committed organizations and individuals to ensure that recruitment efforts effectively meet appropriately documented service needs.Goal 2: Products: The Committee will develop recruitment products and venues as well as strategies to attract potential professionals to the field, and will provide these materials and strategies as well as training in their use to recruiters and employers.Goal 3: Promotions: The Committee will actively mob