Relay IndianaRelay IndianaServices provided by InTRACServices provided by InTRAC

Indiana Telephone Relay Access CorporationIndiana Telephone Relay Access Corporation

The Captioned Telephone: A The Captioned Telephone: A Tool for Improved Tool for Improved

Communication for the Hard Communication for the Hard of Hearingof Hearing

Humor in Hearing--Good, Bad, and Ugly!!!Humor in Hearing--Good, Bad, and Ugly!!!

Raymond L. Furner, Ph.D.Raymond L. Furner, Ph.D.AgrAbility National Training WorkshopAgrAbility National Training Workshop

First Hand Experience with First Hand Experience with Hearing LossHearing Loss

Blue Report CardBlue Report CardQuarterback and kickerQuarterback and kickerBig Ben Hearing TestBig Ben Hearing TestAdvice to attend trade schoolAdvice to attend trade schoolFirst and second hearing aidsFirst and second hearing aidsFM systemFM systemCochlear ImplantCochlear ImplantCapTel PhoneCapTel Phone

Goal of Relay IndianaGoal of Relay Indiana

To identify citizens of Indiana, who To identify citizens of Indiana, who have telephone service, and who are have telephone service, and who are deaf or hard-of-hearing, and to tell deaf or hard-of-hearing, and to tell them about the CapTel telephone.them about the CapTel telephone.

Facts about InTRACFacts about InTRACInTRACInTRAC

– a Non-Profit organization chartered in 1991a Non-Profit organization chartered in 1991

– charged with helping the hard of hearing and charged with helping the hard of hearing and speech-impaired to communicate by telephonespeech-impaired to communicate by telephone

Services are supported by telephone tax of Services are supported by telephone tax of $0.03 per telephone line per month including $0.03 per telephone line per month including cells phones.cells phones.

My GoalMy Goal

My goal is to open a new path of My goal is to open a new path of communication for the communication for the

hard of hearing.hard of hearing.

Why are you here?Why are you here?

CuriosityCuriosityWays of dealing with hearing lossWays of dealing with hearing lossFunny storiesFunny storiesJuice and cookiesJuice and cookies

ObjectivesObjectives

Have some fun Have some fun

Discuss hearing lossDiscuss hearing loss

Talk about new technologyTalk about new technology

What is Hearing Loss?What is Hearing Loss?

Hearing loss is the inability to Hearing loss is the inability to understand the meaning of sounds.understand the meaning of sounds.

Hearing loss is an intensely personal Hearing loss is an intensely personal disability.disability.

““I’m hard of hearing:I’m hard of hearing: Not Stupid!”Not Stupid!”

Ray FurnerRay Furner

DefinitionsDefinitions

SpeechSpeech: The attempt to transfer : The attempt to transfer information using sound.information using sound.

HearingHearing: Knowing that a sound has : Knowing that a sound has been made.been made.

CommunicationCommunication: Understanding the : Understanding the meaning of sounds that are made.meaning of sounds that are made.

DefinitionsDefinitionsGood Hearing—When you hear Good Hearing—When you hear

sounds and understand what they sounds and understand what they mean.mean.

Bad Hearing—When you hear Bad Hearing—When you hear sounds and do not understand what sounds and do not understand what they mean.they mean.

Ugly Hearing—When you hear Ugly Hearing—When you hear sounds and may THINK you know sounds and may THINK you know what they mean—but are mistaken.what they mean—but are mistaken.

After all, what’s a little After all, what’s a little misunderstanding?misunderstanding?

I’m proud of you!I’m proud of you! I’m tired of you too!I’m tired of you too!

MiscommunicationMiscommunication

Hearing Problems in AgricultureHearing Problems in AgricultureHigh Levels of Noise ExosureHigh Levels of Noise Exosure

MinesMinesFactoriesFactoriesUtility WorkersUtility WorkersFarmersFarmers

DavidBaker, Assistant Dean of Agricultural Extension, University of Missouri, DavidBaker, Assistant Dean of Agricultural Extension, University of Missouri, November 2010November 2010

ProblemProblem43% of agricultural workers are exposed 43% of agricultural workers are exposed

to dangerous levels of noise (NIOSH to dangerous levels of noise (NIOSH Surveys)Surveys)

Farm operators and managers 2Farm operators and managers 2ndnd highest highest in hearing difficulty.in hearing difficulty.

Examples that can cause temporary Examples that can cause temporary hearing loss:hearing loss:– 2 hours on an open tractor2 hours on an open tractor– 2 minutes running a chain saw2 minutes running a chain saw

How to Minimize Hearing LossHow to Minimize Hearing Loss

1. Use hearing protection devices1. Use hearing protection devicesEar plugsEar plugs

Noise cancellation protectorsNoise cancellation protectors

2.2. Use properly designed and maintained Use properly designed and maintained equipment equipment

Broste et al., 1989Broste et al., 1989

Farmers are Risk TakersFarmers are Risk Takers

Along with truck-drivers, farmers are Along with truck-drivers, farmers are among the last of the “Cowboys”.among the last of the “Cowboys”.

Factors Affecting Hearing LossFactors Affecting Hearing Loss

NoiseNoiseAgeAge

NoiseNoise

SourceSourceSound Level Sound Level in Decibelsin Decibels

ThresholdThreshold 00

LibraryLibrary 4040

ConversationConversation 6060

TractorTractor 112112

CombineCombine 105105

Pig SquealsPig Squeals 115115

Leaf BlowerLeaf Blower 110 110

Rock ConcertRock Concert 110-130110-130

Hearing Impairment by AgeHearing Impairment by AgeDeaf and hard-of-hearingDeaf and hard-of-hearingGallaudet Research Institute 1990-1991 *Before Walkman, MP3 and IPODGallaudet Research Institute 1990-1991 *Before Walkman, MP3 and IPOD

U.S. population U.S. population

20,295,00020,295,000 8.6%8.6%

ages 3-17ages 3-17 968,000968,000 1.8%1.8%

Ages 18-34Ages 18-34 2,309,0002,309,000 3.4%3.4%

Ages 35-44Ages 35-44 2,380,0002,380,000 6.3%6.3%

Ages 45-54Ages 45-54 2,634,0002,634,000 10.3%10.3%

Ages 55-64Ages 55-64 3,275,0003,275,000 15.4%15.4%

Ages 65 +Ages 65 + 8,729,0008,729,000 29.1%29.1%

SuggestionsSuggestions

Noise control regulations should be over-Noise control regulations should be over-hauled and the permissible exposure hauled and the permissible exposure limited to 85 dBAlimited to 85 dBA

Alice Suter and Associates, Ashland, OregonAlice Suter and Associates, Ashland, Oregon

Accommodating Hearing LossAccommodating Hearing LossWhat to do???What to do???

Hearing aid with t-coilHearing aid with t-coilCochlear implantsCochlear implantsFM systems for remote pickupFM systems for remote pickupFlashing alarm clocksFlashing alarm clocksPhone signalers lights and soundPhone signalers lights and soundText messagingText messagingCaptioned TVCaptioned TVCaptioned telephonesCaptioned telephonesSteve Hawkins/ Matt Getts Plowshares #23, Purdue UniversitySteve Hawkins/ Matt Getts Plowshares #23, Purdue University

SeniorsSeniors

1/3 of all Seniors1/3 of all Seniors

areare hard of hard of hearinghearing

This may be even higher among those This may be even higher among those

exposed to chronic intense noise.exposed to chronic intense noise.

Hearing Loss is a Serious Problem Hearing Loss is a Serious Problem for Many Peoplefor Many People

In the United States:In the United States:

Approximately 40 million people are hard Approximately 40 million people are hard

of hearing. Common causes are:of hearing. Common causes are:

increased ageincreased age increased exposure to noise increased exposure to noise

Hearing Loss Association of America 2009 Hearing Loss Association of America 2009

Deaf Population in IndianaDeaf Population in Indiana

About 6% of all Hoosiers have difficulty About 6% of all Hoosiers have difficulty hearing normal conversation.hearing normal conversation.

About ½ % of all Hoosiers cannot hear About ½ % of all Hoosiers cannot hear normal conversation.normal conversation.

Estimates based on U.S. Census Bureau data collected 1994-1995 on persons Estimates based on U.S. Census Bureau data collected 1994-1995 on persons 16 years of age and older. Percentages may vary, depending upon the 16 years of age and older. Percentages may vary, depending upon the organization ororganization or agency.

Teenagers:Teenagers:A local assessmentA local assessment

Almost 70% of teenagers who live or work on Almost 70% of teenagers who live or work on a farm show signs of noise induced hearing a farm show signs of noise induced hearing loss.loss.Based on reports by the Breaking new Ground Resource Center, Purdue University, West Lafayette, IndianaBased on reports by the Breaking new Ground Resource Center, Purdue University, West Lafayette, Indiana

National Farm Medicine Center in WisconsinNational Farm Medicine Center in Wisconsin

Many young people have “older ears on Many young people have “older ears on younger bodies.” This is a growing trend, younger bodies.” This is a growing trend, since the debut of the portable Walkman a since the debut of the portable Walkman a few years back. Now we have iPOD.few years back. Now we have iPOD.Dr. Robert Novak, Director of Clinical Education in Audiology, Purdue University, Boston Globe, January 16, 2006Dr. Robert Novak, Director of Clinical Education in Audiology, Purdue University, Boston Globe, January 16, 2006

Problems with the telephoneProblems with the telephone

Poor connectionsPoor connectionsBad equipmentBad equipmentCaller lives on Mars or speaks in Caller lives on Mars or speaks in

“tongues”“tongues”It’s 2:00 AM and you are “brain-dead”It’s 2:00 AM and you are “brain-dead”Some words sound alikeSome words sound alikeNo visual cluesNo visual clues

InvisibilityInvisibility

Disappearance from public view.Disappearance from public view.

ShynessShyness

May be caused by hearing loss!!!May be caused by hearing loss!!!

Five Stages of Five Stages of Hearing LossHearing Loss

DenialDenial

AngerAnger

BargainingBargaining

Depression/WithdrawalDepression/Withdrawal

AcceptanceAcceptance

Hearing Loss and Mental HealthHearing Loss and Mental HealthDepression for late deafened adults is 5 times

the national average

Severe anxiety is 2.5 times the national average

Depression in partners for late deafened adults is 2.5 times the national average

Severe anxiety is 1.5 times the national averageTerry D. Portis, Hearing Loss Association of America May/June 2006

Hard of Hearing?Hard of Hearing? Cheap & Simple Tests Cheap & Simple Tests

Do people mumble a lot?Do people mumble a lot?

Do you miss some words in a conversation?Do you miss some words in a conversation?

Do you ask people to repeat what they said?Do you ask people to repeat what they said?

Do you “turn up” the TV?Do you “turn up” the TV?

Do you avoid talking on the telephone?Do you avoid talking on the telephone?

What do gatekeepers do?What do gatekeepers do?Assume responsibility for the safety and Assume responsibility for the safety and

well-being of others for whom they are well-being of others for whom they are responsible.responsible.

Act as advisors, helping those in need of Act as advisors, helping those in need of information with the most current information with the most current information available.information available.

A trusted person who does no harm.A trusted person who does no harm.

Why Are Gatekeepers Important?Why Are Gatekeepers Important?

They are providers and They are providers and protectors…..and they care!!! protectors…..and they care!!!

Who are the communication Who are the communication gatekeepers?gatekeepers?

Parents Friends

Teachers Nurses

Doctors Children

Ministers You

The Captioned TelephoneThe Captioned Telephone

CapTel provides both voice and

captions that are much like

captioned television

When his friend talks to him, her When his friend talks to him, her voice is also routed to the operator voice is also routed to the operator

at the at the CapTelCapTel relay relay

CapTel Works With One Analog LineCapTel Works With One Analog Line

The operator transcribesThe operator transcribesthe friend’s voice intothe friend’s voice intotext and sends it backtext and sends it backto the displayto the display

TextText

The The CapTelCapTel user dials his own user dials his own call and talks to his friendcall and talks to his friend

How incoming calls are captioned using a How incoming calls are captioned using a single telephone line!single telephone line!

Friends, family, and associatesFriends, family, and associates

first dial first dial

1-877-243-2823 1-877-243-2823 (magic number)(magic number)

Then, they enter your phone numberThen, they enter your phone number

(XXX) ***-****(XXX) ***-****

and press the # keyand press the # key

When his friend talks to him, her voice is also routed to telephone

line two to the operator

CapTel works with 2-Lines:CapTel works with 2-Lines:Analog or DigitalAnalog or Digital

Line #1

The operator transcribesthe friend’s voice intotext and sends it backon line #2 to the display

Line #2

CapTel user dials his own call on telephone line one and talks to

his friend

How it works with two lines!How it works with two lines!

Your friends, family, and associatesYour friends, family, and associates

call you by dialing your phone numbercall you by dialing your phone number

(XXX) ***-****(XXX) ***-****

There is NO magic number.There is NO magic number.

Service is direct, prompt, and no hassle.Service is direct, prompt, and no hassle.

Benefits of CapTel in a Benefits of CapTel in a Personal or Business CallPersonal or Business Call

No third party (husband, wife, mom, No third party (husband, wife, mom, dad or operator) intrudes on the calldad or operator) intrudes on the call

The pace and “feel” of the call is like The pace and “feel” of the call is like any other telephone call any other telephone call

The information is accurate, complete The information is accurate, complete and privateand private

It’s time to make your move!!!It’s time to make your move!!!

Get Get CapTelCapTelA telephone that helps you stopA telephone that helps you stop

being invisible!!!being invisible!!!

““Experience is what you get,Experience is what you get,

When you don’t get what you want!”When you don’t get what you want!”

How Can You Get How Can You Get a CapTel Phone?a CapTel Phone?

CapTel phones are available in most CapTel phones are available in most states nationwide. Each state has slightly states nationwide. Each state has slightly different requirements. To check the different requirements. To check the availability in your area do the following:availability in your area do the following:

www.captel.com/availability/MA.phpwww.captel.com/availability/MA.php

Personal InformationPersonal Information

Proof of IncomeProof of IncomeAttach copy of 1040Attach copy of 1040

Check CapTelCheck CapTelSignSign

MailMail

How to get a CapTel How to get a CapTel

Order FormOrder FormFor business & persons who For business & persons who do not qualify for a loando not qualify for a loan

Number of Number of PhonesPhones

Method of Method of PaymentPayment

Name, Address, Name, Address, Shipping AddressShipping Address

Mailing Address Mailing Address for Orderfor Order

InTRACInTRACIndiana Telephone Relay Access CorporationIndiana Telephone Relay Access Corporation