Safety assessment of a home-based telecare system for adults with developmental disabilities in Indiana: a multi-stakeholder perspective

Abstract

We investigated the perceptions of people about the safety, security and privacy of a telecare monitoring system for adults with developmental disabilities living in residential settings. The telecare system was used by remote caregivers overnight, when staff were not present in the homes. We surveyed 127 people from different stakeholder groups in the state of Indiana. The people surveyed included those with knowledge or experience of telecare, and those without. The stakeholders were clients, their advocates, service provider administrators and independent case coordinators. The responses in each category for every group were positive except one: only 4 of the 11 telecare case coordinators agreed that the telecare system provided a secure environment. Overall, the telecare system was perceived to be as safe, secure and private as the conventional alternative of having staff in the home.

Beyond Exposure to Outdoor Nature: Exploration of the Benefits of a Green Building’s Indoor Environment on Wellbeing

“…Inspired notably by Maslow’s hierarchy of human needs (Maslow’s, 1943), the model identifies six major environmental needs that are consistent with the larger body of literature on human interactions with space (see a review in Augustin, 2009) and that converge with the literature on important dimensions of wellbeing (Coulombe et al, 2016). (1) Shelter and security refers to being protected from natural elements and physical threats, and to spaces experienced as refuges or havens; (2) Social contact regulation refers to the capacity of a physical setting to supports privacy as well as contact with others, as desired by occupants; (3) Symbolic identification refers to the possibility for the users of a space to transmit their values, goals, preferences, beliefs and social status through the environment; (4) Task instrumentality refers to the functionality of the environment, allowing occupants to easily perform their tasks and activities; (5) Pleasure refers to feelings of gratification associated with being in a space, for example derived from the presence of natural elements (e.g., light, plants, etc.…”

“…Initially developed for the workplace context, this comprehensive model has strong roots in the organizational development literature (Steele, 1973), however, to our knowledge, quantitative studies using this framework are rare (except Jutras et al, 2015; Coulombe et al, 2016; Labbé et al, 2016, but in the home environment context). The quantitative relationships of those needs with measures of wellbeing and workplace environmental features have never been examined, least of all in the HPGB context.…”

Bridging care gaps: using tele-health to provide care for people with autism spectrum disorder

“…This review highlighted several studies that looked at user satisfaction when using telehealth. Brewer et al, 2010 looked at user satisfaction for a telecare safety monitoring system. Additionally Langkamp et al, 2015, evaluated the usage of a school based system that connected children with ASD with their primary care physician to better the care of children with ASD in the school and home.…”

Electronic Video Monitoring in Medicaid Home and Community‐Based Services Waivers for People With Intellectual and Developmental Disabilities

“…While the number of available caregivers for people with I/DD is reducing, the number of people who need care and support is steadily increasing, effectively creating a vacuum of care (Brewer, Taber‐Doughty, & Kubik, 2010; Niemeijer et al, ). In response to this increasing problem, and as a result of advances in technology, the use of telecare, and remote monitoring is becoming more prominent in the long‐term support of people who are aging or have I/DD (Brewer et al, ; Perry, Beyer, & Holm, ). These new technologies aim to save costs, reduce staff burden, assist with activities of daily living while allowing independence, and monitor for safety and harm (Brewer et al, ; Niemeijer et al, ).…”

“…In response to this increasing problem, and as a result of advances in technology, the use of telecare, and remote monitoring is becoming more prominent in the long‐term support of people who are aging or have I/DD (Brewer et al, ; Perry, Beyer, & Holm, ). These new technologies aim to save costs, reduce staff burden, assist with activities of daily living while allowing independence, and monitor for safety and harm (Brewer et al, ; Niemeijer et al, ). As such, this technology aims to be both preventative as well as responsive (Perry et al, ; Niemeijer et al, ).…”