Orientation and mobility national standard for the low vision clinics in Sweden A national project called Nationella standarder som utvärderingsinstrument för syncentralerna i Sverige (National standards as evaluation instruments for the low vision clinics in Sweden) was conducted between the years 1996 and 1998. Its purpose was, amongst other things, to introduce a common method for evaluating rehabilitation efforts and quality development. The method selected was the DySSSy (Dynamic Standard Setting System), which is based on formulating a standard for describing structural, process and result criteria with a specific quality goal in mind. The standard is evaluated according to a given pattern stated in the method. A standard may be local, for one s own operations, or national. A national standard forms a basis for reaching a level that people have agreed should be attained. This standard for orientation and mobility is a national standard, adopted by the Low Vision Clinics Quality Seminar on November 14, 2001. It indicates the level that according to a decision by the heads of the low vision clinics in Sweden should be reached to ensure that visually impaired and blind persons receive adequate training in orientation and mobility.
Subject: Orientation and mobility technique (O&M) STANDARD 1 Standard no:.version 1 date. Subject unit: O&M with a protection cane or support cane This standard applies from Target group: Persons with O&M problems due to visual impairment Measurements to start Signature group leader. Quality goal: Independent mobility at home/ in a known/unknown environment Signature head of unit.. Signature head of basic unit.. Time required 12 h divided into 1-1.5 h x 2-3 R1 Independent and safe orientation and mobility S1 O&M specialist, low vision therapist/otr with O&M training times/week. *Individually and in groups. S3 Registered optician/optometrist Persons closely associated with client Home environment Known neighbourhood Unknown neighbourhood R2 That closely associated persons can act as guides Orientation devices Optical aids P5 P6 P7 P8 Trying out orientation devices/optical aids S1 Sensory training* (G) S1 Relaxation training* (G) S1 Self-protection techniques* (G) S1 Guiding practice* (G) S1 S3 Orientation* (G) S1 Protection cane technique G) S1 Follow-up S1 S13 Bibliography: Läroplan (Curriculum) X21.24.11 Foundations of orientation and mobility. Bruce B. Blasch, William R. Wienar, Richard L. Welsh, editors 2 nd ed ISBN 0-89128-946-1 AFB PRESS 1997. BYGG FÖR ALLA. (Study material in Swedish on accessibility and utility in a built-up environment. ISBN 91-7332-877-4 1999 AB svensk Byggtjänst och NHR. Brochures about guiding. (Swedish)
Subject: Orientation and mobility technique (O&M) STANDARD 2 Standard no:.version 1 date. Subject unit: O&M skills in home environment (the dwelling and connected spaces such as staircase, cellar, attic, balcony, terrace, laundry room) This standard applies from Target group: Adult persons who require a long cane for O&M due to visual impairment Measurements to start Signature group leader.... Quality goal: Being able to orientate oneself and move around independently in one s home environment Signature head of unit. Signature head of basic unit. Time required 12 h divided into 1-1.5 h x 2-3 R1 S1 O&M specialist; low vision therapist/otr with O&M training times/week. *Individually and in groups. S3 Persons closely associated with client Home environment R2 Time for reconnoitring (orientation) Time for preparation of training material Orientation aids P5 P6 P7 P8 Assessment COPM, S1 Trying out orientation aids S1 Sensory training* (G) S1 Relaxation exercises* (G) S1 S3 Self-protection techniques* (G) S1 S3 Guiding practice* (G) S1 S3 Orientation* (G) S1 S3 Cane technique* S1 S3 Strategies for safe orientation in home environment That closely associated persons can act as guides Assessment instrument - COPM List of references. Appendix 1.
Subject: Orientation and mobility technique (O&M) STANDARD 3 Standard no:.version 1 date. Subject unit: O&M skills in known neighbourhood (the area around the dwelling, the most common service facilities such as shops, post office, bank, school, day home, health centre, recreation area, e.g. walks) This standard applies from Target group: Adult persons who require a long cane for O&M due to visual impairment Measurements to start Signature group leader.. Quality goal: Being able to orientate oneself and move around independently in one s neighbourhood Signature head of unit.. Signature head of basic unit... Time required 30 h divided into 1-1.5 h x 2-3 R1 Mastering the cane technique S1 O&M specialist; low vision therapist/otr times/week. *Individually and in groups. with O&M training R2 S3 Home environment Time for reconnoitring (orientation) Time for preparation of training material Orientation aids P5 P6 P7 P8 Assessment COPM, S1 Assessment time geography/diary S1 Sensory training* (G) S1 Relaxation exercises* (G) S1 S3 Self-protection techniques* (G) S1 S3 Guiding practice* (G) S1 S3 Orientation* (G) S1 S3 Cane technique S1 S3 S3 R3 R4 R5 Being able to use strategies that Being able to use assistive devices that Being able to solve orientation and mobility problems according to one s own conditions Making use of other senses Assessment instrument - COPM - Time geography/diary List of references. Appendix 1.
Subject: Orientation and mobility technique (O&M) STANDARD 4 Standard no:.version 1 date. Subject unit: O&M skills in unknown neighbourhood (areas one seldom or very seldom visits such as travel centres, hospitals, theatres, museums, sports centres) This standard applies from Target group: Adult persons who require a long cane for O&M due to visual impairment Measurements to start Signature group leader.. Quality goal: Being able to orientate oneself and move around independently in an unknown neighbourhood Signature head of unit.. Signature head of basic unit Time required 30 h divided into 1-1.5 h x 2- R1 S1 OT (special teacher, VT) with O&M training 3 times/week. *Individually and in groups. S3 Home environment R2 Time for reconnoitring (orientation) Time for preparation of training material Orientation aids Assessment COPM, S1 Assessment time geography/diary S1 Orientation* (G) S1 S3 Cane technique S1 S3 S3 R3 R4 Being able to use strategies that Being able to use assistive devices that Being able to solve orientation and mobility problems according to one s own conditions Making use of other senses Assessment instrument - COPM - Time geography/diary List of references. Appendix 1.
Bibliography Appendix 1 O&M standards 2-4 Berndtsson Inger. ATT VARA MOBIL Gravt synskadades förmåga att självständigt utföra orientering och förflyttning samt olika faktorers betydelse för denna process. (BEING MOBILE. The ability of persons with severe visual impairment to independently orientate themselves and move around and how various factors affect this process.) Fördjupningskurs 1 i Pedagogik Specialarbete, 10 poäng Vt-1990. Göteborg University, Department of Education. Brandberg Valter, Johansson Roger, Gustafsson Tora. Lugna gatan! En planeringsprocess för säkrare, miljövänligare, trivsammare och vackrare tätortsgator. (The quiet street. A planning process for safer and more environment-friendly, pleasant and beautiful urban streets.) SVENSKA KOMMUNFÖRBUNDET ISBN 91-7099-719-5 1988. Bruce B. Blasch, William R. Wiener, Richard L. Welsh, editors 2 nd ed./ Foundations of orientation and mobility. ISBN 0-89128-946-1 AFB PRESS 1997. Edman, K. Polly. Tactile graphics. ABF PRESS 1992. Ellegård Kajsa, Nordell Kersti. Att byta vanmakt mot egenmakt. Självreflektion och förändringsarbete i rehabiliteringsprocesser. (To exchange hopelessness for self-control. Self-reflection and the work of change in rehabilitation processes. Method book.) ISBN 91-888 1472-6 1997. Holmsäter Lena. Avspänning en energigivare! (Relaxation an energy source.) ISBN 91-87660-13-X 1995. Johansson Roland. MÄNNISKAN I GATURUMMET. Old and disabled persons in the street A manual for rearranging the street environment. Institution för Samhällsbyggnadsteknik, Avdelningen för Trafikteknik 1997:288 CIV ISSN:1402-1617 ISRN:LTU-EX97/288-SE. Lindemann Hannes. Autogen träning. Bekämpa stress genom koncentrerad avslappning. (Autogenic training. Fighting stress through concentrated relaxation.) ISBN 91 7542-004-W 1994. Läroplan (curriculum) X21.24.11 Månsson Karin. BYGGA FÖR ALLA Ett studiematerial om tillgänglighet och användbarhet i byggd miljö. (BUILDING FOR ALL. Study material in Swedish on accessibility and utility in a built-up environment.) ISBN 91-7332-877-4 1999 AB svensk Byggtjänst och NHR. Page Homer L. The transcendence theory and rehabilitation of the visually impaired: a study plan. Colorado Center for the Blind, Willard Administrative Center Campus Box 133, Boulder, Colorado 80309-0133. Planverket. Swedish National Board of Physical Planning and Building. Swedish building standards. Libers förlag.
The Swedish Handicap Institute The Swedish Handicap Institute is a national resource centre on assistive technology and accessibility for persons with disabilities. We work for full participation and equality for persons with disabilities by ensuring access to high-quality assistive technology and an accessible environment. The Swedish Handicap Institute stimulates research and development, tests and procures assistive technology, contributes to knowledge and method development, disseminates information and carries out training. The Swedish Handicap Institute is run by the Ministry of Health and Social Affairs, the Federation of Swedish County Councils and the Swedish Association of Local Authorities. P.O. Box 510, SE-162 15 Vällingby, Sweden Phone +46 (0)8 620 17 00 Fax +46 (0)8 739 21 52 Text phone +46 (0)8 759 66 30 Internet www.hi.se Order no. 02346