Autism NOW Webinar April 30, 2013

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    Transportation Options for Individualswith intellectual and Developmental

    Disabilities

    Amy Goodman, Autism NOWKrystian Boreyko, Easter Seals Project ACTION

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    PresentersProfile

    Amy Goodman, MA

    Co-Director of Autism NOW

    The Arc

    1825 K Street NW, Suite 1200Washington, DC 20006

    202-600-3489

    [email protected]

    https://www.facebook.com/AutismNowCenterhttps://twitter.com/autismnowcenter

    mailto:[email protected]://www.facebook.com/AutismNowCenterhttps://twitter.com/autismnowcenterhttps://twitter.com/autismnowcenterhttps://www.facebook.com/AutismNowCenterhttps://www.facebook.com/AutismNowCentermailto:[email protected]
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    The Air Carrier Access Act

    Prohibits discrimination on the basis ofdisability in air travel and requires aircarriers to accommodate the needs of

    individuals with disabilities.

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    The Air Carrier Access Act (cont.)

    Passed by Congress 1986 Covers all disabilities, including broken bones

    Cannot refuse a passenger because of disability

    Must provide any information given to others

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    The Air Carrier Access Act (Cont.)

    Cannot require proof of disability

    Do not generally require travel withanother person as a condition to fly

    Air carriers cannot charge for providingfacilities, equipment, or services

    Airports must be accessible and usable forall individuals

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    Provides assistance with:

    Moving to and from seats

    Enplaning and deplaning

    Preparation for eating Use of wheelchair if needed

    Stowing, retrieving carry-on items

    Access to information of importance

    The Air Carrier Access Act (Cont.)

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    Does not assist with: Cannot lift or carry an individual

    Cannot feed an individual

    Using the restroom

    Cannot help with elimination functions or

    any medical services

    The Air Carrier Access Act

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    Tips for Air Travel

    Plan Ahead Be Assertive

    Research Airlines

    Navigating Airport Security

    Utilize airline assistance hotlines

    Know your rights as a passenger

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    Transportation Security Administration

    (TSA)

    Procedures for screening and checkpoints

    Information related to disability

    TSAs Notification Card to help communicate discretely.

    All passengers regardless of medical condition ordisability must be screened

    Depending on disability or medical condition thescreening may be different

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    Acceptable Items on an Airplane Casts

    Crutches Wheelchairs

    Support Braces

    Service Animals

    Ostomy supplies

    Canes

    Walkers

    Scooters

    Hearing Aids

    Slate and stylus

    Coclear Implants

    Any other disability

    related equipment and

    associated supplies

    Orthopedic shoes

    Prosthetic devices Support appliances

    Baby apnea monitors

    Augmentation devices

    Exterior medical devices

    Assistive/adaptive equipment

    CPAP machines and respirators

    Braille note takers

    Tools for prosthetic devices

    Personal supplemental oxygen

    concentrators

    Medications and associated supplies

    Tools for wheelchair

    disassembly/reassembly All diabetes related medication,

    equipment, and supplies

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    Transportation Security Administration

    (TSA)

    All items must be screened or visually inspected

    Including wheelchairs and scooters

    Types of screenings:

    o Metal detectoro Advanced imaging technology

    o Pat down screening

    o TSAs notification card

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    Transportation Security Administration

    (TSA)

    The type of screening you use will depend on yourdisability or medical condition

    Discuss the options with TSA prior to the screening tochoose the appropriate one

    Be patient

    Be honest

    Know your rights

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    Transportation Security Administration

    (TSA) TSA Cares: Help Line- Call 3 days prior to

    travel 1-855-787-2227

    Hours of Operationo Monday-Friday 8am-11pm EST

    o Holidays 9am-8pm EST

    E-mail: [email protected]

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    Touching Individuals with Autism and other

    Intellectual or Developmental Disabilities

    Appropriate or

    Inappropriate?

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    Touching Individuals with Autism and other

    Intellectual or Developmental Disabilities

    Ask first

    Use firm pressure when touching someone

    Explain what you are doing and why you doing it.

    Never use light touch

    Only touch necessary places

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    Tactile Defensiveness

    Touching can be a problem for individuals withdisabilities.

    The reason: tactile defensiveness

    Body and brain use flight or fight response

    Individual may hit if touched the wrong way It is not their fault, they may not understand why they

    did it

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    Tactile Defensiveness

    Sensory Issues

    Different reactions to sensations

    Dont be alarmed or frightened

    Touch in a non-intrusive way Only touch if absolutely necessary

    Minimize touching body unless individual is okay withit.

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    Obtaining a Drivers License

    Against law- not to report Procedure-exactly the same

    Medical form

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    Obtaining a Drivers License

    What to bring with you: Medical form

    o filled out and signed by doctor Birth Certificate

    o Original copyo

    Courthouse not hospitalo Proof of identity

    Social Security Card

    o Legally given nameo Social security number

    Proof of Residencyo two formso i.e. voter registration card, bank statement

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    Drivers License- How to acquire?

    Fill out application and medical form Go to Division of Motor Vehicles (DMV)

    Take required information

    Take up to desk and get number

    Wait turn

    Take written exam

    Take eye exam

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    Drivers License- How to acquire (cont.)

    Take picture Pay fees

    For more information contact local DMV

    In person

    On phone

    On-line

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    Adapting Motor Vehicles

    Evaluate your needs Select the right vehicle

    Choose qualified dealer to modify the vehicle

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    Evaluating your Needs

    Driver Rehabilitation Specialistso Evaluation includes

    Vision

    Muscle strength

    Coordination Reaction Time

    Judgment and decision making skills

    Ability to drive with the equipment

    Insurance Company may pay

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    Selecting the right vehicle

    Collaboration: you, evaluator, and modification dealer

    You: purchase or lease vehicle

    Vehicle modification dealer: properly modifying thevehicle

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    Choose qualified dealer to modify the

    vehicle

    State Agencies specify dealer you must use- forreimbursement purposes

    Phone inquiry-ask questions

    Credentials, experience, and references

    Visit dealer-ask questions

    Specific questions: Cost, payment, how long, etc.

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    Auto Insurance for Individuals with

    Disabilities

    Illegal for an insurance company to charge higherpremiums solely on the basis of a disability

    ADA- prohibits insurance companies from increasing

    auto insurance rates for disabled individuals withoutany due cause

    Diabetes, epilepsy, and certain heart conditions

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    Auto Insurance for Individuals with

    Disabilities

    Anyone can get auto insurance providing you have a carand a valid drivers license

    Be upfront about disability

    Provide any documentation to get best rate possible Some disabilities may require additional coverage

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    Disability Plates and Permits

    Qualifying disabilities

    Portable oxygen

    Legal blindness

    One leg or no legs

    Inability to walk 200ft

    Neuro-muscular dysfunction

    Class III or IV cardiac conditions

    Arthritic, neurological or orthopedic conditions

    Lung disease

    Physical or mental impairments which are equal indegree of disability

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    Disability Plates and Permits

    Proof of disability

    Need doctor to fill out the forms for you(MD,DO,DPM, OD)

    Application for License Plates and Parking Permits

    for People with Severe Disabilities

    Available at DMV, call center, or internet

    Doctors statement less than 1yr old

    Doctors Letterhead

    Doctors licensing state, number and signature arerequired

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    Disability Plates and Permits

    License Plates: International Symbol Passenger cars

    Motorcycles

    Vans

    Pick ups not for commercial use

    Only issued for a vehicle registered in the name ofperson who has the disability

    May only have one set of plates

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    Disability Plates and Permits

    Person with disability must be travelling in the car inorder to use handicapped parking spaces

    Never park in access aisle or striped area next to areserved space

    Remember you are not exempt from parking regulationsor fees

    If you move to a new state, you must start over withyour proof of disability

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    Driver Services

    Vocational Rehabilitation Assessment and Training Services

    Teens, Seniors, and individuals with disabilities

    Check with local VOC REHAB for specifics

    o Each one may have slightly different requirements

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    Tax Relief Scheme for Vehicles

    Vehicle must be modified for a specific disability toqualify

    Individual must have a severe and permanent medicalcondition or disability in that they cannot use the lower

    half of their body

    Need to have a Primary medical Certificate to qualify

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    Tax Relief Scheme for Vehicles

    Vehicles that are relieved of taxes must be usedprimarily for the transportation of a qualifying personwith a disability

    Three ways to apply:

    o Driver with a disabilityo Passenger with a disability

    o Family members

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    Car Share

    Car Sharing is a service that provides 24/7 self-serveaccess to a network of vehicles stationed around yourcity, which can be reserved by the hour or day viasmart phone, internet and call centers.

    Use and return it when you trip is over

    Cities: Washington DC (Zip Car), Austin (Car2Go),Boston (ICar),Los Angeles (LAXcarshare),Oklahoma City(Time Car), New York City (Mint), and other countriesas well.

    For more info: refer to the handout that will be e-mailed to you.

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    Bike Share

    Bicycles that you share by reserving them by the hour($1.50 and up), day ($5-$10), or year ($60-$75).

    For reservations: visit kiosk, use credit card, punch incode, remove bike, ride and return

    Cities: Boston, Denver, Miami Beach, Minneapolis, andWashington DC

    For more info: refer to handout that will be e-mailed toyou.

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    References

    www.southwestada.org www.tsa.gov

    www.mhtsa.gov

    www.transportation.wv.gov

    www.dmv.ny.gov

    www.compuquotes.com

    www.couragecenter.org

    www.revenue.ie

    http://www.carsharing.org/about/what-is-car-sharing/

    http://www.bicyclinginfo.org/promote/bikeshare.cfm?/bikeshare www.walkinginfo.org

    http://www.southwestada.org/http://www.tsa.gov/http://www.mhtsa.gov/http://www.transportation.wv.gov/http://www.dmv.ny.gov/http://www.compuquotes.com/http://www.couragecenter.org/http://www.revenue.ie/http://www.carsharing.org/about/what-is-car-sharing/http://www.bicyclinginfo.org/promote/bikeshare.cfm?/bikesharehttp://www.walkinginfo.org/http://www.walkinginfo.org/http://www.bicyclinginfo.org/promote/bikeshare.cfm?/bikesharehttp://www.carsharing.org/about/what-is-car-sharing/http://www.carsharing.org/about/what-is-car-sharing/http://www.carsharing.org/about/what-is-car-sharing/http://www.carsharing.org/about/what-is-car-sharing/http://www.carsharing.org/about/what-is-car-sharing/http://www.carsharing.org/about/what-is-car-sharing/http://www.carsharing.org/about/what-is-car-sharing/http://www.revenue.ie/http://www.couragecenter.org/http://www.compuquotes.com/http://www.dmv.ny.gov/http://www.transportation.wv.gov/http://www.mhtsa.gov/http://www.tsa.gov/http://www.southwestada.org/
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    WWW.PROJECTACTION.ORG

    Transportation Options and Accommodations

    for Individuals with Disabilities

    Krystian BoreykoTraining and Technical Assistance Specialist

    Easter Seals Project ACTION

    April 30, 2013

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    Meet the Presenter

    Krystian Boreyko

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    Multiple projects focusing on:

    Accessible transportation for people withdisabilities

    Transportation for older adults

    Veterans transportation concerns

    School transition programs and travel skillsfor students

    Mobility management

    Easter Seals Transportation Group

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    Funded by the U.S. Department of

    Transportation, Federal Transit Administration

    Housed within Easter Seals Office of PublicAffairs Since 1988

    Easter Seals Project ACTION

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    To promote universal access to transportation for

    people with disabilities under federal law and

    beyond by partnering with transportation providers,people with disabilities and others through the

    provision of training, technical assistance, applied

    research, outreach and communication.

    Our Mission

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    Session Outline Overview of ADA regulations for transportation

    Available transportation options including:

    Buses Paratransit

    Trains and Subways

    Taxis

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    ADA Basics The ADA is a civil rights law prohibiting discrimination

    against persons with disabilities

    Regulations pertaining to transportation intended tocreate an equal travel environment

    Requirement to make reasonable modification to

    policies and procedures

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    ADA Regulatory and Enforcement Authority

    US DOJ

    Title II public entities

    Title III places of public accommodation and

    commercial facilities US DOT

    Title II Part B public transportation

    Private transportation taxicabs and motor

    coaches Transit facilities

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    Stop Announcements1. At transfer points with other fixed routes

    2. At other major intersections and destination points

    3. At intervals along a route sufficient to permit

    individuals with visual disabilities to be oriented to

    their location

    4. At the request of a person with a disability

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    Route Identification If a stop is served by more than one route, operator

    must make sure a route identification announcement

    is made at the stop for waiting passengers

    Operators must know the other routes well enough to

    provide travel instructions

    Announcement must be loud enough for individuals

    to hear clearly

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    Service Animals No national certification process for identifying

    service animals

    Transportation providers can not ask for:

    A certificate

    Identification card

    Note from a physician

    The animal to wear a vest or other identifying gear

    No limitation on the type of animal

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    Determining Service Animal Status A transportation provider can ask:

    Is that a service animal?

    Is that a pet?

    What tasks does the animal perform?

    Must rely on the answer provided by the customer

    Can not ask for a demonstration

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    Finer points of regulation No limit to the number of animals a person uses

    One in training

    Performing different tasks

    Fear, allergies, other objections not a reason to deny

    service

    For the driver

    For other passengers Handler must always be in control of the animal

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    If There is a Problem Speak to the person handling the animal

    Explain the problem

    Allow the person to take action Follow policies regarding what to do when disruption

    occurs on the vehicle

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    Regulations on Mobility Devices The term common wheelchair has been removed

    from the regulatory language

    Originally intended as operational use of design

    concept

    In practice, was used to exclude customers using

    mobility aids that didnt meet the definition

    Court found that this was legal given the DOTlanguage on common wheelchairs

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    New Regulatory LanguageTransit providers must carry a wheelchair and occupant

    If the lift (or ramp) and vehicle can physicallyaccommodate them

    Unless doing so is inconsistent with legitimatesafety requirements

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    Lifts, Ramps, and Securement Areas Lifts are for the use of anyone who asks for them.

    Need not be a person using a wheelchair.

    Securement spaces for the use of passengers in

    wheelchairs

    ADA requires securement be available. Transit

    agencies can have a policy on use.

    If your agency has a policy requiring securement but

    equipment is unable to secure the mobility device,

    you are still required to transport the individual.

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    Amendments for Rail Rail station requirements apply only to new or altered

    commuter, intercity and high-speed station platforms

    No retrofitting is required Where no track through station is shared with freight,

    full-length level-entry boarding is required

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    Methods to Achieve Performance Standard

    Full-length level-entry boarding

    Car-borne lifts

    Station-based lifts Mini-high platforms

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    ADA Resources

    Federal Transit Administration

    http://fta.dot.gov/ADA

    http://fta.dot.gov/ADAhttp://fta.dot.gov/ADA
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    Resources

    U.S. Access Board

    http://www.access-board.gov

    http://www.access-board.gov/http://www.access-board.gov/http://www.access-board.gov/http://www.access-board.gov/
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    MOBILITY OPTIONS

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    Public Transportation Services

    Fixed Route

    Demand Response

    Motorcoach ADA Complementary Paratransit

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    How to Ride

    Trip planning

    Visit your local transit providers website

    Level of service depends on population size

    Take advantage of customer service line

    Online resources

    Google transit directions

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    Accessibility for Fixed Route External vehicle signs Bike racks

    Steps, lifts, ramps, kneeling system

    Wheelchair boarding and deboarding processes

    Fare box

    Internal vehicle signs

    Alternative format signs

    Stop request signals

    Priority seating area

    Mobility aid securement system Securement locations and processes

    Public Announcement (PA) system

    Security equipment and processes

    Safety equipment and processes 62

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    Demand-Response

    Popular in more rural areas

    Rides are reserved ahead of time

    Smaller vehicles Often does not have designated stops

    Origin to destination service

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    Motorcoach Service

    Larger vehicles

    Travel longer distances

    Wheelchair Lift located in rear of vehicle

    On trip longer than 3 hours, drivers must provide acomfort stop on request if the coach has an

    inaccessible restroom

    Operators providing interline service to customersusing mobility devices are required to contact all

    subsequent carriers so that each one is prepared to

    provide accessible service for the customer at

    transfer points64

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    DOT Definition of Large and Small

    Operators

    Determined by annual revenue

    Large operator has gross annual transportationrevenue equal to or exceeding $9.3 million

    Small operator has a gross annual transportation

    revenue less than $9.3 million

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    Accessibility of Fleet

    Large operators are expected to have accessible

    fleets

    Replace inaccessible buses as they go out of service

    Most should be close to 100% accessible by now

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    Accessibility of Fleets (cont.)

    Small operators may request customers to give 48

    hours notice if an accessible vehicle is needed

    If the request is not made in advance, provider is still

    required to make a good faith effort to provide an

    accessible vehicle

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    ADA Complementary Paratransit

    Paratransit as a complement to fixed route service

    Each public entity operating a fixed route systemshall provide paratransit or other special service to

    individuals with disabilities that is comparable tothe level of service provided to individuals withoutdisabilities who use the fixed route system. 37.121 (a).

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    Where Paratransit Goes

    Service must be comparable to fixed route service

    Must service within mile of the fixed route

    For rail or bus stations, service must be within a mile radius round the station

    If an eligible rider resides outside service area, s/he

    can travel into service area and then use the service

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    Eligibility for Paratransit Services

    Three categories of eligibility:

    Category 1: includes persons with disabilities that

    are unable to use accessible fixed route service

    Category 2: includes persons with disabilities that

    have the ability to use the accessible fixed route

    services, but the service available is not accessible

    Category 3: includes persons with disabilities that

    are unable to travel to or from a station or a bus stop

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    Types of Eligibility

    Unconditional: Not reasonable for individual to use

    fixed-route services for any trips under all conditions

    Conditional: Individual is able to use fixed-route

    services under certain conditions

    Temporary: For an individual whose disability is

    temporary or functional abilities are expected to

    change

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    Scope of Paratransit Service

    Trips are origin-to-destination

    Systems can have a basic level of service Curb-to-curb

    Door-to-door No specified trip type: can be medical, work, recreation,

    etc.

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    Trains/Subways

    Heavy Rail

    Light Rail

    Passenger Rail

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    Accessibility

    Level boarding

    Tactile strips along platform edge at key stations

    Area in rail vehicle for mobility device Stop announcements

    Stations made accessible with elevators

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    Taxis

    Must offer same level of customer service

    Drivers provide assistance upon request (not

    including lifting the passenger)

    Must transport customers in mobility devices

    Must transport service animals

    Cannot charge additional fees

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    Important Note

    Passenger can request assistance from theoperator on any mode

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    Learning to Ride

    Travel Training:

    Learning to ride public transportationindependently

    Contact ESPA for more information on traveltraining services in your area

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    Different Levels of Travel Training

    Transit Orientation

    Group or individual activity which explains thetransportation systems

    Options and services available

    Use of maps and schedules;

    Paying fare;

    Use of mobility devices while boarding, riding and exiting

    Other vehicular features

    1-5

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    Levels of Travel Training (cont.)

    Familiarization

    Individual or small group trip activity to demonstrate theuse of transportation systems;

    A travel trainer accompanying experienced traveler(s) ona new mode of transportation or route.

    1-6

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    Levels of Travel Training (cont.)

    Travel Training for an Experienced Traveler

    One-to-one short-term instruction

    Provided to an individual who has previously traveledindependently

    Provided to individual who needs additional training orsupport to use

    A different mode of travel

    A different route

    Mode of transit Travel to a new destination

    1-7

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    Levels of Travel Training (cont.)

    Travel Training for a New Traveler

    One-to-one comprehensive, specially designed instructionin the skills and behaviors necessary for independenttravel on public transportation

    Provided to an individual who does not have independenttravel concepts or skills to go from point of origin of trip todestination and back

    1-8

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    Thank you!

    Krystian Boreyko

    800-659-6428

    www.projectaction.org

    [email protected]

    82

    http://www.projectaction.org/mailto:[email protected]:[email protected]://www.projectaction.org/
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    Webinar Materials

    The PowerPoint, recording and additional handouts will be provided in a follow-upemail. Email Phuong ([email protected] ) if you have any questions.

    Website:

    www.autismnow.org

    Information & Referral Call Center:

    1-855-828-8476

    Next Webinar:

    Tuesday, May 28, 2012, 2:00-3:30 PM, EDT

    Service Implications of the DSM-5 for People with Autism

    mailto:[email protected]:[email protected]://www.autismnow.org/http://www.autismnow.org/http://www.autismnow.org/http://www.autismnow.org/mailto:[email protected]