The most positive part of remote work for E1 has been the fact that he does not have to commute to work, as well as the increased focus and uninterrupted work. The biggest challenge has been the lack of physical communication and even though E1 works as a programmer and says that it is not as big of a problem for him as it might be for others, E1 still said that: “Sometimes you need to sit as a group and talk about things. It’s a lot easier if you
can see each other, so I think that part is toughest” When asked about the biggest challenge E2 touched upon an issue that E1 also raised, that help, or assistance is slower when working remotely. E2 says that: “Well, I believe that the biggest challenge has been, for example, if you end up in a situation where you don’t know what to do, it takes a long time before you get
a response in the chat to get help. Instead of being able to go directly to someone at the office to get help because you know that person can solve it, I think it just takes time to get help.” Additionally, E2 also says that the most difficult thing about working remotely has been that she misses the sense community and her co-workers. When asked about the opportunities
that she sees with regards to working
remotely E2 simply said that the positive part of remote work so far has been that it actually works, and they could keep working normally. E3 thinks that the challenges with working from home is that one has to think about all the tasks that were done on “auto-pilot” before. E3 has a lot of papers to handle in her daily work and she says: “It feels like I will have hundred
thousand documents that are in the wrong place, they have not come to the right people that need to sign them because we cooperate with someone who also works at home who is sitting somewhere else, you do not meet physically to hand over actual original documents.” She gets affected by the fact that everyone else is also working from home. E3 means that it
would be a different thing if only she was working from home and the other colleagues were still working from the office. E3 also mentioned positive things with working from home, such as the fact that it is more quiet when working from home than in the office, which leads to less disturbance and more focus on the work that she is actually doing. On the other hand, she mentioned that is it maybe the silence that also makes it boring. When we asked E3 if she
had difficulties to keep the focus
and what she does to be focused she answered sometimes, some days have been that way, but I don’t think that I experience any major difference, you have better and worse days in the office too. I don't think it's been more difficult at home. technology is empowering individuals with ID/DD to achieve more independence and autonomy. In pursuing those
these individuals may be presented with situations which formerly they have not previously been allowed to manage. Embracing the dignity of risk means accepting that they can benefit from having to deal with such challenges. The result is an improvement in self- confidence and self- esteem, goals that are desirable for everyone to achieve at every level of capacity.
Accelerating the Adoption of Remote Supports There are a number of key decision makers in the complex process for determining who should receive funding via Medicaid waivers for remote support services, and how those waivers should be distributed to ensure that benefits are equitably distributed. Responsibility for identifying potential improvements that will ensure that every facet of the process can be equally fragmented. The contribution that each of
stakeholders makes to such outcome
especially with the challenge of staying State Directors of Developmental Disability Services Almost half of state directors have not yet mandated regulations for “Technology First” status. As of this writing, Washington, Colorado, Alaska, Hawaii, Minnesota, Missouri, Oklahoma, Tennessee, North Carolina, Indiana, Ohio, Pennsylvania, New York, Delaware, Maryland, North Carolina, Washington DC, and Connecticut, have been leading the way and have all
initiated “Technology First” principles (Ohio and Missouri were the first to do so). States moving along in the process of designating their states as “Technology First” states are Maine, New Hampshire, Massachusetts, Iowa, and Illinois. Missouri, New York, Ohio, Pennsylvania, Tennessee, Washington, and Wisconsin are designated as “Technology First”
states (Tanis & Collins, 2021). Arkansas and Louisiana have written Technology First into their American Rescue Plan Act; Maine has a new Technology Initiative in process, Illinois has proposed a Technology First bill, and a committee in New Hampshire has proposed to the Governor that the state should support the adoption of assistive technology inclusive of
Conclusion
Singling out “Technology First” as a policy initiative shifts the focus to an improved service plan that holds the promise of greater autonomy and privacy.Agencies that devise the rules by which individuals qualify for HCBS waivers that cover remote support services. Some states maintain separate waitlists for each waiver, some allow people to be on multiple waitlists, and
some use different methods of prioritizing people on their waitlists. The result is that the need for supports outweighs provider capacity. The patchwork system leads to thousands of people on waitlists. States, through their national association, , share information regarding rules governing waivers, amendments, and promising practices, but even with excellent
communication, the ability to standardize eligibility criteria is more complex due to the variability of state policies. Solving this problem may require new state legislation. The goal should be to reduce the burden on families. The 2020 Joint Position Statement adopted by the Boards of Directors of both the American Association on Intellectual and Developmental
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