Clinical rationale
Environmental control systems (ECSs) aim to increase the level of independence in the home environment. Domestic appliances are controlled using a single switch or a voice command input into the ECS, which sends an output command to the appliance to operate. Devices controlled may include lamps, lights, air conditioners, heaters, televisions, videos, stereos, doors, windows and blinds, beds, computers, and telephones.
Options
- There are many types of ECSs on the market. Some options have specifically been designed for people living with a disability. These should be trialled before purchase to ensure they meet the individual needs of the person. Ensure that the ECS trialled in the clinical setting is compatible with their home environment.
- Various switch options exist, including systems that are activated through a person’s power wheelchair.
- Other options have been designed for the mass market and are available ‘off the shelf’. These are controlled through a hub, a smart device and/or via voice control. Compatible smart appliances can then be added to this system to provide greater control over the home environment, such as smart globes, smart door locks, video intercom, doors, air conditioners and thermostats.
- The number and type of devices that a person wants to operate will determine whether they require a simple or more complex ECS.
Assessment
Joy Zabala, an educator, has developed the SETT framework to use when considering a person’s assistive technology requirements. Understanding a person’s abilities and requirements is essential before considering appropriate assistive technology.
- Student/Self – information relating specifically to the person who will be using the technology.
- What is the functional area of concern?
- What does the person need to be able to do that is difficult or impossible to do independently currently?
- Environment – information related to anything or anyone in places where the technology is expected to be used.
- What are the supports and barriers in the person’s usual environments?
- Task – information about what happens in the environment.
- What are the specific things that the person needs to do to be actively involved in their environment?
- Tools – devices, services and strategies that are needed to help a person successfully participate in their environment.
- What needs to be included when developing a system of assistive technology tools for a [person] with these needs and abilities, doing these tasks in these environments?1
Further information
Clinical guidelines and information
- Ability House: Technology for Independence
An interactive website with technology options for operation of appliances at home. [cited 21 July 2020] - Ability Technology [cited 21 July 2020]
- Joy Zabala [cited 21 March 2021]
Clinical practice tools
- Queensland Spinal Cord Injuries Service. Environmental Control System Assessment Tool [pdf]. Woolloongabba: Queensland Spinal Cord Injuries Service; 2020 [cited 5 March 2021].
Product options and suppliers
- Assistive Technology Australia [cited 21 July 2020]
- TAD [cited 29 May 2023]
- Technical Solutions Australia [cited 21 July 2020]
A supplier who provides technical support.
Support and follow up
- Ability Technology: Solutions [cited 21 July 2020]
- Australian Rehabilitation & Assistive Technology Association (ARATA) [cited 21 July 2020]
- KWSM Group: Smart Assistive Technology Support [cited 8 August 2020]
- Life Access: Occupational Therapists Specialising in Electronic Assistive Technology [cited 21 July 2020]
- Life Tech: Assisted Technology and Assessment Trial [21 July 2020]
For practical solutions to everyday activities. - Northcott: Technology [cited 21 July 2020]
Computer assistive technology services - Sargood on Collaroy [cited 21 July 2020]
- TAFE NSW Digital [cited 21 July 2020]
Courses that support students with a disability to learn computer skills in NSW. - Technical Solutions Australia [cited 21 July 2020]
A supplier who provides technical support
1. Joy Zabala. Joy Zabala [Internet]. Joy Zabala; 2010 [cited 21 March 2021].