The starting point for using the Environment and Communication Assessment Toolkit is the ECAT Manual—a user’s guide, technical manual, and educational resource all in one easy-to-use-book!
The Manual details how limitations associated with dementia can impact communication, describes step-by-step how to complete the assessments, and includes appropriate interventions and modifications in handy tables cross-referenced to the assessments.
These interventions and modifications offer specific strategies for implementing environmental changes that tackle the communication difficulties the ECAT Toolkit allows you to pinpoint.
The Manual has other bonuses, too—such as the final section with everything you need to know about lighting (methods, types, fixtures, bulbs, suppliers, and more).
Sold separately and also included as part of the Environment and Communication Assessment Toolkit (ECAT).

Jennifer Brush, MA, CCC-SLP, is the Director of Brush Development, USA and the Program Director, Montessori Education for Dementia, St. Nicholas Montessori College, Dun Laoghaire, Ireland. Jennifer serves on the Association Montessori Internationale (AMI) Advisory Board for Montessori for Aging and Dementia, and she is the only AMI Certified Trainer of Trainers for Montessori for Aging and Dementia in the US. Jennifer is the co-author of several nationally recognized books on dementia.
Understanding the particular needs of healthcare organizations and families engaged in dementia care she brings more than 20 years of experience as both a leading researcher and direct-care coach in this complex field. She is a nationally recognized speech-language pathologist known for her work in the areas of memory and environmental interventions for people with dementia. She has served as the principal investigator on applied research grants that examined issues pertaining to HIV/AIDS dementia, hearing impairment, dining, swallowing disorders, and the long-term care environment. Ms. Brush has served as Chair of the Professional Development Committee of the American Speech-Language Hearing Association Gerontology Special Interest Division and on the Editorial Review Board of 



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