1. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Assistive technology to support everyday life - Description of the service delivery systems MARIANNE KYLBERG 1, PHD STUD, REG OT Co-authors: C. Löfqvist 1, Z. Liepina 2, S. Tomsone 2, J. Phillips 3, Susanne Iwarsson 1 1Lund University, Department of Health Sciences, Centre for Aging and Supportive Environments 2Riga Stradins University, Department of Rehabilitation 3Centre for Innovative Ageing, Swansea University, Wales, UK.

2. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Background for the study Ageing population European Union –Improved health for all citizens –Active ageing Member states of EU Latvia Sweden Differences in use of assistive technology

3. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Outdoor use of cane Sweden n=67Latvia n=59 No need 22 In use 23 Available 9

4. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Outdoor use of wheeled walking frame Sweden n=67 Latvia n=59 Available 4 In use 1 Available 6 No need 17 In need 1 In use 43

5. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student How does the service delivery systems for assistive technologies work? in Latvia and Sweden

6. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student What did we do to find out?

7. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Reading and interviewing Laws Regulations Policies Key actors were interviewed about their perception of how these laws, regulations and policies work in praxis

8. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Findings

9. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Laws and regulations Law on Social Services and Social Assistance Cabinet of Ministers National Rehabilitation Centre Vaivari Health and services act Regions/municipalities LatviaSweden

10. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Two cases – Janis and Carl Photo: Grozz, flickr.com Photo: Michael Coghlan, flickr.com

11. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Janis from Latvia Referral Application Registration Assessment Waiting list Costs Photo: Grozz, flickr.com

12. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Carl from Sweden Home visit Needs assessment Rehabilitation plan Evaluation Waiting time Costs Photo: Michael Coghlan, flickr.com

13. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student What does this tell us?

14. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Similarities and differences between the countries whywho whatwhen

15. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Consequences for the ageing population Where you live have consequences for the kind of ATs that are available Professional assessments affect opportunities for the use of ATs Opportunities for activity and participation are different There is a risk for social and occupational injustice

16. 21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student Thank you all for your attention! I would also like to thank the participants for their time and interest in taking part in this study. My supervisors, Professor Susanne Iwarsson, Professor Judith Phillips, PhD Charlotte Löfqvist and co-authors Reg. OT Zane Liepina, PhD Signe Tomsone for creative supervision.