In partnership with the International Academy of Hope (IHope), a specialized private school in New York focused on providing education for students (aged 5-21) with traumatic brain injuries (TBI) and multiple disabilities. Assistive technologies (AT) are devices used to maintain or improve the functional capabilities of individuals with disabilities. However, commercial ATs are often overpriced and rigid in their design. Creating customized ATs typically requires specialized knowledge and expertise in both fabrication and software. However, many occupational therapists (OTs) lack formal training in this area. The project explored opportunities in practitioner-led adaptive switch design with support from both AI and HCI professionals. Ultimately, our project determined a number of design ideas for how this partnership and practitioner-first adaptive switch design process should be handled and improved in the future.