# data[].attributes.body
Tennessee provides grants to businesses across the state to have adult changing tables and increase bathroom accessibility.

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Personnel Prep and Incentivizing Direct Care and Therapies

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Personnel Prep and Incentivizing Direct Care and Therapies

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Accessible spaces are not always accessible

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Accessible spaces are not always accessible

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wheelchairs do not fit in all accessible spaces...internet access may be limited if the person's accommodation requires on line connection...

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Impact of IDEA relative to PT, OT, AT, etc.

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Impact of IDEA relative to PT, OT, AT, etc.

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It is important for related services providers like us to help schools understand that they whole point of special education (including these services) is to enable successful postsecondary outcomes in employment, independent living and education....it's in the law!

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Federally funded programs to prepare quality professionals (OT, PT, SLP, AT, etc.) to serve the needs of youth and young adults before, during, and after transition

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Shortage of OT/PT/SLP and other providers

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Shortage of OT/PT/SLP and other providers

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The need for these professions is projected to grow faster than the average for the foreseeable future.

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OT/PT/SLP and other providers are fully prepared to provide services to transition age youth 

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OT/PT/SLP and other providers are fully prepared to provide services to transition age youth 

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Professional preparation programs will include education on transition and best practices to support transition age youth

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lack of expectations for person's abilities and future

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lack of expectations for person's abilities and future

# data[].attributes.body
the message of why bother with therapies and accommodations if they are too disabled to work, live independently, etc.

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Starting with training for professionals in early intervention - value of what they're doing today to feed a meaningful life in adulthood

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As we witnessed with Helena and guests, it takes time to actually listen. We need to be more comfortable with silence and waiting.

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More research evidence that supports the effectiveness and value of OT/PT/SLP and other providers.

More research evidence that support interventions post-graduation.

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Reimbursement rates that honor the expertise of the licensed professionals providing services

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Full understanding of the scope of practice of occupational therapy and other providers 

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Full understanding of the scope of practice of occupational therapy and other providers 

# data[].attributes.body
What is the learned and maintained skill over the long haul, that is adapted to the different parts of life.

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community spaces and organizations valuing universal design

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community spaces and organizations valuing universal design

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(not because they have to follow some ADA rule)

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Assistive Technology can follow the individual

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Assistive Technology can follow the individual

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The systems all have different requirements to access.

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Work on our waitlist issues in each state

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Work on our waitlist issues in each state

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video about 1-page profile of Chuck Roberts.

# data[].attributes.subject
video about 1-page profile of Chuck Roberts.

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check it out.  https://ouhsc.edu/Portals/1154/EasyGalleryImages/29469/PortfolioPro/Thumbs/1312fqV3RWAbIwE.jpg

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Object Symbols & Tactile Symbols for Literacy Development

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Object Symbols & Tactile Symbols for Literacy Development

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Pilot projects developed that can be more inclusive and address these issues with this population. 

# data[].attributes.subject
Pilot projects developed that can be more inclusive and address these issues with this population. 

# data[].attributes.body
How can the k-12 system better prepare for community integration? Flexible scheduling? A move away the traditional 8-2 day?

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Need to take time to ask questions about what do you want your life to look like. Emphasizing the individual nature of what school is supposed to be about

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Important to be inclusive across race, ethnicity, socioeconimic status, etc.

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Important to be inclusive across race, ethnicity, socioeconimic status, etc.

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Self-advocacy models that allow youth to express their needs

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Self-advocacy models that allow youth to express their needs

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Need to reframe our approach

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How do we make a life accessible?

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AI
What's new and unknown

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One Page Profile as a tool for improved health outcomes

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One Page Profile as a tool for improved health outcomes

# data[].attributes.body
1-page profile sample for an adult with CP see YouTube video as evidence to use in medical world.

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PTs can develop person-centered plans unique to each individual. Important to develop a one page profile for and from the PT, for example to the school, to the job developer, etc., that is much more inclusive.

# data[].attributes.subject
PTs can develop person-centered plans unique to each individual. Important to develop a one page profile for and from the PT, for example to the school, to the job developer, etc., that is much more inclusive.

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101 time to understand the student. Way beyond the IEP. Focusing on person-centered, holistic approach

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Sustainability of Services and Supports Across the Lifespan

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Sustainability of Services and Supports Across the Lifespan

# data[].attributes.body
Lack of full understanding about the purpose and scope of related services during transition to adulthood.
Related services are not just about remediation of deficits.
For examples, OTs are skilled in modifying tasks and environments to help individuals become more successful in engagement in meaningful activities.

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Spending a couple of days with the student/youth through their typical life, not just an hour or two would be an effective practice. The best assessment would be "hanging out with intent"!

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Spending a couple of days with the student/youth through their typical life, not just an hour or two would be an effective practice. The best assessment would be "hanging out with intent"!

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Accommodations/strategies are more likely to be successful when they are identified by the client or in collaboration with the client.

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The rigidity of the system, especially medical system, creates barriers

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In communication

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Interventions must include actually practicing the activity that the client wants to perform within the natural context as much as possible.

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insurers disallow OT/PT/SLP for developmental delays

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insurers disallow OT/PT/SLP for developmental delays

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fund if you've had an accident, but not if it is caused by a developmental delay (unless you can access EPSDT if you have medicaid) AND this rarely is funded once person reaches 18

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Systems set up as deficit based rather than strengths based

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Systems set up as deficit based rather than strengths based

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Families are our biggest strength and are not invited to engage in opportunities for employment often enough - families are our biggest connectors.

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Families are our biggest strength and are not invited to engage in opportunities for employment often enough - families are our biggest connectors.

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Services delivered in natural environment

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Services delivered in natural environment

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Pause so youth can engage

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Families are our strongest advocates. They can connect kids well

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Advancements in eye gaze but need for further advancements.

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Focusing OT/PT and AT for transition environments that are outside of the classroom.

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Focusing OT/PT and AT for transition environments that are outside of the classroom.

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For profit coffee shops that employ individuals with disabilities.

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teachers and others are often not trained on augmentative communication devices so there can be a failure to understand how to support a student that relies on the device

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Build on personal connections within the community to develop opportunities.

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Build on personal connections within the community to develop opportunities.

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Giving Youth Space: Authentic Youth Voice

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Giving Youth Space: Authentic Youth Voice

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Giving the time to prepare for meaningful conversations. Ensuring accommodations to ensure youth voice is supported

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Not Your Average Joe is an amazing coffee shop that serves great products and employees even better people - folks with intellectual and developmental disabilities

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People must be willing to be uncomfortable enough to learn how to communicate with people who are using alternative communication modalities.

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Spend time up front really getting to know the student and who they are

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Spend time up front really getting to know the student and who they are

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can disrupt communication development, etc

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Modality should be aligned with what is currently normalizing.