Emerging Technology: Presentation to Community Living Ontario Annual Conference 2014
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Using Emerging Technology to Enable Person-Directed Support
Presenters: Julie Malette, Wayne Mills, Clem Pelot and Keenan Wellar
Helen Sanderson Associates Canada
Adagio Integrated
Mills Community Support Corporation
LiveWorkPlay
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Emerging Technology: Presentation to Community Living Ontario Annual Conference 2014
1. Presented at the Community Living Ontario Annual Conference 2014
Using Emerging
Technology to Enable
Person Directed Support
Presenters: Julie Malette, Wayne Mills, Clem Pelot and Keenan Wellar
Helen Sanderson Associates Canada
Adagio Integrated
Mills Community Support Corporation
LiveWorkPlay
2. Project Overview
MCSS approved a grant of $24,000 in September 2013 for the
purchase of 10 Mon Ami units to:
1. Improve the effectiveness and efficiency of
communication for people supported
2. Increase self-determination (person directed support)
3. Re-direct staff resources from “caring for” activities to
activities which support community contribution and
membership
3. Mon Ami™ Learning Partners
LiveWorkPlay
CLA Lanark County
Lanark Community Programs
Adagio Integrated
4. Mission
We help create welcoming communities through capacity building,
partnerships and person-centered services.
What we do
Support adults and TAY with intellectual disabilities
Provide seniors services and programs through home support, assisted
living and respite care
Provide affordable housing to seniors and families
Undertake community development initiatives that bring people
together and build better communities
25. Life Empowerment
Wayne Mills, 205, 30 Church Street, Toronto, ON, M5E 1S7
Wayne.mills@adagiointegrated.com
26. Adagio Solutions
Person Centred and Community Health Well-being Solutions
Enabling each person, with their family, friends, caregivers and communities to:
Live, care, work, share, support and play
Through integrated technology solutions
Increase Quality of Life
Helping health, wellness and community organizations support
individuals to live well through:
Supporting and integrating care delivery
Maximizing Quality of Life
Life Enabling tools
Caring Companion
Building Care Together
30. Mon Ami™ Services
To Home
Internet
Cloud
From Home
From Home
To Home
31. Unique Capability
1. Designed to anticipate and support a person’s needs with minimal
interactions
2. Communicates with the person, asking questions and recording
answers for the Family and/or Caregiver, and where appropriate
making suggestions
3. Carefully crafted to fulfill multilayered needs of a person – physical,
mental, spiritual, ambulatory, security and social
4. Ensures care is delivered to those who need it most, maximizing
efficiencies and resources, allowing caregiving to take place from
anywhere, at any time
5. Enables the person’s support (carers and family/community) to work
as an integrated team (as needed and agreed)
6. Enables Caregivers to provide the range of service to fit the person
32. Unique Capability (part 2)
8. Reducing the cost of caregiving in home
9. Multi-lingual
10. Plug and Play
11. Easy and fun to use
12. Uses a worldwide network of tools, extending the person’s
connectivity and community anywhere in the world
35. Personal Support
Mon Ami™ assists with health and care by:
Reminding the person
to take their medication at the correct time
about important health-related events (medical appointments) and activities (using the
bathroom)
about regular mealtimes to encourage healthy eating habits
Suggesting a time for daily exercising or getting outside to go for a walk or do some
gardening
Automatically sending email to the Caregiver and other designated individuals to report
that the user has failed to respond when requested to do so (for medication intake
purposes or other agreed-upon situations)
Monitoring daily activities of the user and reporting back to the Caregiver
Providing the Caregiver with the ability to monitor and support the home environment
remotely (for example, turning off fans, lights etc.)
And……….
37. Communication
Mon Ami™ supports by:
Enabling the person to connect with the caregiver, family members, friends or
anybody else through video or email by using a simple button touch
Reminding about the birthdays, anniversaries and special days in the lives of family
and friends
Reminding about events that are of interest to them that they could attend
Suggesting a time for daily exercising or getting outside to go for a walk or do some
gardening
Suggesting that the user call a friend to give them support
Reminding that a friend or family member will be picking them up so that they can
attend a special function
Hearing the voices of family members who respond with a voice recording or email
And……
39. Mobility
Mon Ami™ assists with mobility by enabling the person to:
Control electrical appliances such as fans or drapery controllers through the touch
of a button
Control the home environment (lights) through the touch of a button
Reach the outside world through video chat or simple email
Launch music, have books read aloud or access Internet radio through Mon Ami™
41. Social
Mon Ami™ supports by:
Connecting with family and friends through video chat and email
Stimulating the mind by reading books aloud, playing music, playing intellectual
games and providing access to a wide range of Internet radio sites
Keeping the person informed about current weather conditions as well as the date
and time on demand
Enabling knowledge about the past by recording the user’s memoirs for their family
Enabling family members to be involved in the life of the user through a shared
calendar and by providing questions for the memoirs
And……..
48. Mills Community Support
5 Units installed
3 units in TAY program
2 with individuals living in group living hoping to make the move to
their own place
49. Enhanced SIL (TAY)
3 individuals are using the system, all at different levels and degrees
One person is knowledgeable in its functions but is still using it for
very basic needs. She is using MonAmi mostly for reminders, some
games, and Facebook. She has high anxiety and is encouraged to use
the journal to track her stress level on a daily basis.
The second person has very little computer experience and is using it
mostly for medication reminders, games, music and videos.
The third person has just begun to get her unit set up, as she recently
moved from group living to enhanced SIL. She is using the unit mostly
for Skype and emails. She is able to connect with family living in
Niagara Falls and friends living in surrounding communities.
50. Group Living
The 2 individuals in group living are both deaf and blind.
The MonAmi unit has been used mostly for entertainment and some
reminders.
The challenge has been that without sight the person is unable to
access the unit without staff support. We are working with Adagio
Integrated to create a 3 dimensional touch pad with braille like tiles
that will be hooked up to the unit and the person will be able to
control the unit themselves.
51. LiveWorkPlay
3 units (LiveWorkPlay acquired a third MonAmi unit as the project got
underway)
All three units are being used to assist in day to day functions
Communication, reminder, routines and calendars
People are connecting more and gaining independence in their lives
52. Community Living Lanark County
2 units
One unit is being used for medication reminders and cleaning tasks,
this is giving the person a more structured day and keeping anxiety
down that she has to remember these things on her own. She enjoys
listening to music and books and is able to do this on her own. Staff
like that they can acknowledge the reminders through the day vs
having to go over, this is freeing up time to support more people and
focus on other skill development with her.
Second unit?
53. Lanark Community Programs
1 unit originally for a young man living at home, but when he realized he could not down
load computer games was not interested in the unit.
LCP decided to take the unit and use it for something a little different. The unit has been
installed in a Social Rec Program. It is a day program for young adults who are/have
transitioned out of high school. They do life skill based activities such as cooking and job
placements. The program has been using the MonAmi for:
Reminders (prompting the group for lunch, work placements, end of day etc.)
Recording daily journals about what they did that day at program
Books – they have been reading/following along with the books that are pre-downloaded
on the system
Entertainment – listening to music, accessing recipes for cooking and internet for how
to videos
Calendar – they have put their big events (trips, holidays etc.) into the calendar
This information has been very valuable to Adagio and the Mills. MonAmi was originally
designed for personal use, to see it successful with groups opens up other possibilities to
consider. Such as: a recreation room at a seniors building or schools transitioning young
adults into day services and employment opportunities.
54. Evaluation
At the end of the first quarter each person completed an introductory
metric and a Q1 metric. Adagio Integrated will take completed
metrics and run an analysis report to determine what the MonAmi is
being used for most and after 90 days what impact has it had on the
person using the unit.
High level description of metric development process and planned
reporting categories enclosed. The MAPS reporting was based upon
listing the metric and stating x% of the population reported the metric
applied to them which doesn’t work for us given the small study
population set. As an alternative I plan to employ graphical
presentation such as a bar chart where feasible with the hope of
demonstrating the level of client independence (etc.) has improved
over time. Next steps include identifying which metrics lend
themselves to such a presentation versus which are best served by
presenting the text of the response itself.
55. Indicator Review
Baseline Client
Baseline Family Member
Baseline Support Staff
Quarterly Update Client
Quarterly Update Family Member and
Quarterly Update Support Staff
56. MonAmi Metrics Categories
1. Choice
2. Family
3. Goal Setting
4. Safety & Security
5. Social Isolation
6. Other
57. MonAmi Metrics
The planned analysis will report based upon these 6 categories. It will
also plot the metrics back to and provide reporting using the original
MAPS categories.
58. Josie
Question: How has MonAmi impacted your confidence in the client's
ability to do things independently?
Response: The MonAmi has allowed Josie to feel that she has an
entertainment outlet for her music and videos which she is very proud
of, her understanding on how to use the MonAmi has been impressive.
59. Moe
Question: Now that you have MonAmi what has changed about what
you and your support worker do together?
Response: I tell staff when it’s time to take pills instead of staff
telling me
60. Meghan
Question: Now that you have MonAmi what has changed about what
you and your family do together?
Response: I’m able to respond to Facebook posts and see what my
friends are doing. I will be able to email and Skype my friends soon
Question: How has MonAmi changed your work relationship with the
client?
Response: It has increased my confidence knowing that Meghan has
acknowledged medication reminders, lock your door reminders and
having those come to my cell.
61. Graham (LiveWorkPlay)
Question: What activities have you started doing more on your own?
Response: Managing my schedule, taking the bus
Question: Have you shown MonAmi to any of your friends? What did
they say?
Response: Yep- they’re jealous!
62. Phil (LiveWorkPlay)
Question: Now that you have MonAmi what has changed about what
you and your support worker do together?
Response: I am more independent and need less phone reminders
Question: Now that you have MonAmi what has changed about what
you and your family do together?
Response: We Skype more and parents are more confident of my
abilities
Question: Family – what do you like about MonAmi
Response: Skyping and the fact my son is being more independent
63. Day Program (LCP)
Question: How has MonAmi impacted you confidence in the client’s
ability to do things independently?
Response: They need fewer reminders to complete tasks or move on
to the next activity. Those who take medication can do so on their
own now – staff do not have to prompt them because MonAmi does.
65. Over 1,000,000 people have watched this cat.
People with intellectual disabilities want in on the action. And why shouldn’t they?
66. Keenan’s social media passion:
made, not born!
Keenan’s passion for inclusive
communities: also made, not born!
67. Social media influence is
not going away.
So we’d better learn to deal with it and
maybe even benefit from it!
69. Andrea and I are interested in training with a team of
LiveWorkPlay members to participate in this fun event either
by walking or jogging the 2K, 5K, 10K, or half marathon.
Social Media “Loss Of Control” Can Be A Great Thing!
72. THE ULTIMATE INTERNET SAFETY
Mess with me, and you’re messing
with all my friends and family!
73. THANK YOU! QUESTIONS?
Using Emerging
Technology to Enable
Person Directed Support
Presenters: Julie Malette, Wayne Mills, Clem Pelot and Keenan Wellar
Helen Sanderson Associates Canada
Adagio Integrated
Mills Community Support Corporation
LiveWorkPlay