After the last year of editing and modifying and voice training and getting the machine to ID the prime user with speech difficulties I can successfully say we completely modified his home with VoiceAttack so now he can use his computer, play games, answer the phone, open his door, open his drawers to get himself dressed (that took some creative tech), open his refrigerator (we had to build some auto rollers for the trays but now he can get his own drink when he wants it), turn on/off his tv!!!!
Many other small bits but all using VA and allowing him to interact with to contact emergency or patiently retry responses till he gets the right one. He wanted me to thank VoiceAttack for such an improvement in his life!!!!!