Showing posts with label assistive technologies. Show all posts
Showing posts with label assistive technologies. Show all posts

I've had a hard time putting the current unemployment data into context based on my own experiences – at OPEN MINDS, we've been on a hiring frenzy…and having trouble getting responses to our ads. Then, one Sunday morning a couple months ago I was watching Laura Tyson in an interview on ABC's This Week with Christiane Amanpour, and I had a flash of revelation. Ms. Tyson, former Chair of the President's Council of Economic Advisers during the Clinton Administration, said that "unemployment for those with college educations is now 4.5 percent." She went on to cite Bureau of Labor Statistics data that for those with less than a high school diploma, the seasonally adjusted unemployment rate was 13.8 percent during July. For those with a high school diploma but no college, the rate was 10.1 percent.


After thinking about that data, I have a new take on the unemployment situation. We have a structural unemployment problem, which is how labor economists refer to a mismatch between the skills of the people who of are out of work and the skills needed for the jobs that are available. And what this really boils down to is an education problem. A fundamental part of the long-term solution to our high unemployment rates is to improve our education system at every level – not only improving the graduation rates from high school and college, but also increasing the academic rigor of those programs. While it is certainly a valid point that "not everyone should go to college," given this employment situation, we also need to think of improvements to non-college technical/vocational training programs. Those training programs need to be relevant in the current context of a global economy and focused on areas with growth-potential that can provide a continuous living wage.

Diving deeper into the nationwide unemployment statistics and the prominence of the education attainment-aspect of the numbers led me to wonder what the implications of this situation would be for individuals with cognitive and mental disabilities. While assistive technologies are increasingly available to facilitate completion of advanced degrees by individuals with physical disabilities, disabilities that interfere with the thought processes are more punitive. In an economic environment where advanced degrees and related skill sets directly correlate to economic well being, the challenge of independently maintaining economic viability is becoming more and more insurmountable for these individuals.

I thought the best summary of the situation was in an article by Steven Pearlstein, The Bleak Truth About Unemployment. Mr. Pearlstein notes: "Somewhere between the rantings of the Republican right, which is peddling the nonsense that excessive government spending is to blame for high unemployment, and the Democratic left, which clings to the false hope that another helping of fiscal stimulus is all that is needed to get millions of Americans permanently back to work, is this stubborn reality: The loss of 8 million jobs reflects problems that are largely structural, not cyclical, which means they won't be brought back by fiddling with a magic dial in Washington that controls how much the government spends."

As Americans are pushed to develop a better-trained and more highly-educated workforce, the employment space for individuals with cognitive and mental disabilities will get smaller and smaller – leaving a population that will struggle to find a viable place in the fast-paced global market economy that we are heading towards.

The New York Times recently had a piece, "Patient Money: When Elder Care Problems Escalate, You Can Hire an Expert," on the challenges of getting good advice when it comes to caring for elderly parents. The author recommends families hire a geriatric care manager, and adds that

"you must pay these professionals out of your own pocket. Regular insurance does not cover them, although some long-term care policies do. But a good care manager can buy you time and some peace of mind so you can concentrate on your job, your family and your own health."
In addition, the article comes complete with rates—$100 to $200 for consultation; $500 to $1,200 for assessment; and continuing case management by the hour.

I don't see many of the behavioral health and social service organizations I work with preparing to provide in-home support consultations and management needed by an aging U.S. population. There are so many factors that will assure this is a booming market (both private pay and third-party pay, by the way).

We have an aging population, with predictions that the 50+ population will live to 110 years of age(!). There is the push by financially destitute Medicaid programs to keep people at home and out of state-paid nursing homes, coupled with the increasing amount of service cost that consumers and families must pay out-of-pocket. New technologies allow more people with greater levels of disability to live at home. And, we have a changing consumer demographic—a soon-to-be-aging baby boomer population that wants to remain home as long as possible.

Behavioral health and social service provider organizations that give up the market for in-home services and supports for an aging population risk losing the in-home market altogether. Integration isn't a phenomenon limited to physician offices.

August 24, 2009

I just finished reading the briefing by Center for Technology and Aging (click to view) about the seven technologies that will improve chronic health care and increase independence. They
list these seven technologies as:

  1. Medication Optimization. Technologies designed to help manage medication information, dispensing, adherence, and tracking.
  2. Remote Patient Monitoring. Technologies designed to manage and monitor a range of health conditions
  3. Assistive Technologies. Devices and equipment that help individuals perform a task or prevent injury.
  4. Remote Training & Supervision. Technologies used to train and supervise health and long-term care workers, and the potential for continuing education and quality assurance.
  5. Disease Management. Patient-centric, coordinated care processes for patients with chronic conditions and conditions that have a significant self-care component.
  6. Cognitive Fitness & Assessment. Technologies that measure cognition or include cognitive practice regimens.
  7. Social Networking. Technologies that enable the building of communities of interest that help older adults communicate, organize, and share with other older adults and care providers.

How will these technologies affect the consumers you serve? This is a great question for your next strategic plan...

Check out some tech-related resources from the OPEN MINDS Circle Industry Library: