Factors that Influence Assistive Technology Decision Making

With technological advances and growth in availability of assistive technology, infants and toddlers with disabilities have many more options than they had previously. Professionals that serve this population are required by law to consider assistive technology for each child with a disability that they serve. This study examines the factors that impact the decisions made about assistive technology by the professionals that serve them through the Kentucky First Steps Program. Fifteen of 16 professionals approved to provide assistive technology services in Kentucky were interviewed. An analysis of the differences in experience, philosophy, and beliefs of the participants by discipline provide insight into the process of decision making and the implications they have on the implementation of assistive technology. The analysis revealed several contradictions. While appearing to be philosophically aligned, the participants delivered assistive technology services in many different ways. Teaming was espoused as an important component of service delivery but was frequently not implemented. Family members were not seen as important members of these teams but client goals were rated as extremely important factors in making decisions about assistive technology. Parents and professionals need to be aware of the differences between disciplines and delivery strategies to assure a complete and balanced look at the whole child.