Showing posts with label Accessible. Show all posts
Showing posts with label Accessible. Show all posts

Monday, 21 February 2022

Accessibility not. A personal experience at COVID19 testing 2022

Black & white photo Lady smiling at the camera. of head shot.
Cassandra Wright-Dole

Since the early 1980s, I have watched people’s faces as a matter of necessity. My slow but progressive hearing loss meant I acquired considerable lipreading skills from a young age before my profound sensorineural deafness was diagnosed at six years old. 

When COVID-19 began gaining momentum in Australia in 2020 and the mask mandates were first announced, I sat in my car outside the chemist sobbing uncontrollably to my parents on Facetime. After 35 years of successfully reading lips to communicate with hearing people, I was once again a bewildered three-year-old child, surrounded by meaningless noises laden with social expectations. 

In many ways, the lockdown was my saviour, protecting me from the uncomfortable task of dealing with people who thought that simply turning up the volume of their voice behind three layers of fabric would cure me of my disability.

 While lockdown gave me a layer of protection from dealing with the masked world in a general sense, an unavoidable aspect of the COVID-19 world is the need to be tested. The recent high case numbers of Omicron infections, extended family members testing positive following the new year celebrations, and the lack of available Rapid Antigen Tests saw my husband, our son and I in line for a standard PCR test. We had been fortunate enough until then, and it was only my second test and their first.

 When I reached the end of the line at my first testing experience, six and a half hours later, my human rights weren’t the foremost thing on my mind. I was too drained and exhausted to process the extent to which I was dependent on the kindness of strangers to understand what the nurses required of me or to inform the nurses that I was deaf and lipread. I was just relieved that I was inching closer to the finishing line. However, as someone employed in the accessibility field, I was conscious that my literacy ensured a smoother transition from the hot sun into the sterile testing hub. There was nothing to support independent access to information for someone with low literacy, English as a second language, or an intellectual disability. To the best of my knowledge, no one was employed to provide communication support where required.

 If my first test was infamous for the six and half hours spent in line, the second test was notable for the epiphany it brought. Being triple-vaxxed at the time of my second testing experience, I was happy with my experiences at the vaccination hub. Masks were removed to speak to me upon request, I was positioned where I was visible, and staff were informed of who I was, where I was, and (perhaps best of all) that they needed to remove their face mask to communicate with me. I understand the stakes are much higher at the testing sites, and testing staff will not remove their PPE to speak with a D/deaf person. While entirely understandable from an OH&S perspective, there must be alternatives that will facilitate informed and independent communication competently.

 While I had been unenamoured by the forced dependency on the kindness of strangers when being tested alone the first time, the presumption that my husband had a carer role and would speak for me was tacky at best. For context, my husband is a disabled veteran. His disability does not stand out the way mine does, and according to the Australian Government - I am the carer for both my husband and autistic son. When it comes down to who is best able to answer the relevant questions in these situations – for us – it is me. Having been through testing before, I was aware of the administrative process and prepared to advocate for myself – no kindness of strangers required. Despite my preparedness, the nurse assigned to me continued to engage my husband rather than communicate with me directly. For the sake of retaining my mental health, I have learned to breathe through the experiences that deny me the opportunity to have access to information or to speak for myself.

 If we ask ourselves, ‘are frontline COVID-19 staff being supported at a policy level to engage with people who are d/Deaf, have low literacy or have complex communication needs,’ the answer is still a resounding no. Two years into this pandemic, it’s simply not good enough.

 Cassandra Wright Dole


Specialist Content Writer

Access Easy English

Email: cass@accesseasyenglish.com.au
Website: https://accesseasyenglish.com.au/
Facebook: https://www.facebook.com/accesseasyenglish
Twitter: @accessEEwriter 

LinkedIn linkedin.com/in/casswright


Wednesday, 15 April 2020

Using images to create meaning for COVID19



Thanks to The Workshop NZ for their blog discussion on clear and effective communication. 

posted on 2 April 2020 titled " Lifting people's gaze, a communications formula and concrete language."

They describe the importance of providing positive messages and steps for change, rather than focusing on the negative things we may be doing and using the language of blame and blame shifting.

An excerpt from
their blog

"During COVID-19 we want to enhance the interconnections we have with each other. We also need people to think about how those with the most influence can support us. People in government and employers have a significant role in helping us cope with staying at home and being mentally well. Our communications should focus there. 

We call this lifting people's gaze away from individual behaviour and choice and up to the systems and structures that have a much more powerful influence on shaping our lives and those behaviours. It is a kinder, more effective way to encourage the actions we want during times of fear and anxiety."

In just the same way, Easy English prefers to include information on what 'to do.'
Eg: You must stay at home.
Lots of things are closed. Like XXXXXX

The Workshop blog goes on to explain it is important to include concrete information.


From their blog again
“ HERE ARE SOME EXAMPLES OF HOW TO MAKE YOUR LANGUAGE ABOUT COVID-19 MORE CONCRETE
Try staying at home instead of self-isolating.
Try stay within two kilometres of home instead of stay local.
Try contact tracing officers, researchers, and analysts instead of public health workers (most people don't know about public health workers and think healthcare starts and ends with doctors and nurses).
Try keeping  two metres between us instead of physical distance or bubble.

A great example of being very concrete on physical distance:’



It is great to see The Workshop illustrating this last point with one of Access Easy English' posters on COVID19. It is critical that all images selected are as clear and concrete for Easy English content. And it must be all through the document.
You could spend lots of time working out the language elements. Selecting clear and concrete images to support the messages is as critical to making your Easy English document accessible.

Learn more about choosing images when you come to my training.
Currently I am advertising the first online 2 day Easy English training. Face to face training is still being advertised in Sydney and Melbourne at the moment. However, I am not sure they will go ahead with the current restrictions. As soon as travel restrictions are lifted more face to face in other cities will be advertised.

Keep up to date with the evidence based quality Easy English COVID19 resources and training opportunities via my social media or email me and I will add you to my mailing list.

Stay safe

Cathy
Cathy Basterfield
Owner Access Easy English
Consultant – Speech Pathologist
Telephone: 0466 579 855

LinkedIn: Cathy Basterfield
Blog: http://accesseasyenglish.blogspot.com.au
Twitter: @accesseasyengli



Communication during COVID19


It has been a long time since I have put a blog up. 

With all the content being developed for this current time, it is already useful to have some reflections on what is being created for various audiences.

Below is a blog from Ariella Meltzer from Power to Persuade  @ariella_meltzer on 1 April 2020 discussing her observations as she collates accessible COVID19 resources.


She covers a number of highly relevant issues regarding accessible written content. Some of her comments and excerpts from her article are below:

How quickly does accessible information come out?

" Within a few days of the COVID-19 situation becoming serious in Australia, .....
the timeline should be the same for the accessible information – particularly in a crisis that has disproportionate impacts for people with disability."

Which accessible formats are covered, and why?

"......COVID-19 has been in Easy Read/Easy English format.
Auslan resources have also been produced, but are a distant second in terms of quantity.
Other formats – such as ‘social stories’, entirely pictorial (wordless) information and images for users of alternative and augmentative communication systems – have only been available very rarely, and not necessarily from Australian-based organisations."

" A thorough approach using multiple formats has never been more important."

To what extent is accessible information kept up-to-date?

" one accessible document cannot be enough, because the information – what is happening, what we know, the level of risk and the rules we need to abide by – keeps changing.

Only a minority of those producing accessible information are however continually updating their offerings as the COVID-19 situation changes and people’s information needs change. Access Easy English has provided many updates, including after each announcement of new social distancing rules by Prime Minister Morrison.........

Expression Australia has also provided regular updates in Auslan..............

Other organisations, such as IDEAS and PWD Australia, have included accessible information among their regularly updated COVID-19 information hub pages, ......

The work by these organisations show the importance of accessible information being kept as up-to-date as that which the rest of the population has available."


Is only the baseline information covered or the same variety of sub-topics that others receive?

"....risk ......only the most basic set of information is covered and that many of the sub-topics are left behind. .......A few organisations have led the way by publishing more than one accessible document about COVID-19.

Access Easy English has published many different documents including explainers on the virus and hand washing and summaries of the various social and health rules that have been announced.

Similarly, NSW Council for Intellectual Disability has published not only an easy explainer about COVID-19 but also separate documents about how to maintain one’s mental health during this period and about rules for staying home.

The Growing Space also has a page full of resources on different topics.

.....this variety of information seems very sensible, useful, practical and needed."


How, and by who, is the information produced and disseminated?

"......provision of accessible information on COVID-19 has been done by specialist information access services or disability advocacy groups. .......... In this respect, they are logical places from which such information can be distributed in an already-scary and unsettling time.

On the other hand, however, leaving the production of accessible information to these groups at a time of such critical public health messaging could also be seen as an abdication of responsibility by other information outlets who are otherwise covering COVID-19 and providing health advice. Should news services and governments also be involved in producing such information? There is some government department-branded accessible information on COVID-19, but it came out late and is not as comprehensive as that provided by the specialist information access services and disability advocacy groups."


Who checks the accuracy and quality of the information?

Finally, there is also a question about quality control of any accessible information on COVID-19. At a time when good messaging is of critical importance, it is vital that any accessible material provided to people is both accurate in its medical and social information and good quality, in terms of following accessible production guidelines (e.g. using proper formatting, pictures, easy language etc). Without being accurate and high quality, the usefulness of the information is diminished and, at worst, can confuse people or even give them the wrong information. The difficulty is that accessible information is an area that has not ever been regulated or subject to quality control checks in Australia. At the best of times, the quality of accessible information varies – and this matters even more when people’s lives depend on it. Collaboration between producers of accessible information who are well-trained in accessible production guidelines and health experts who can check the accuracy of the medical information included is ideal, but this is also hard to achieve at a moment when time and resources are so stretched. "

Thanks for sharing your reflections Ariella.

Look out now for my next blogs and commentaries on how information is provided at this time, and my new blog on Easy English and Easy Read. They are different.

Cathy



Cathy Basterfield
Owner Access Easy English
Consultant – Speech Pathologist
Telephone: 0466 579 855