National Assistive Technology Act Data System

Annual Progress Report - Full Report

North Carolina 2022

General Information

Statewide AT Program (Information to be listed in national State AT Program Directory)

State AT Program Title:
North Carolina Assistive Technology Program (NCATP)
State AT Program Title:
State AT Program URL
https://www.ncdhhs.gov/divisions/vocational-rehabilitation-services/north-carolina-assistive-technol
Mailing Address:
805 Ruggles Drive, MSC 2801
City:
Raleigh
State:
NC
Zip Code:
27699
Program Email:
tammy.koger@dhhs.ng.gov
Phone:
919-855-3544
TTY:

Lead Agency

Agency Name:
NC Department of Health and Human Services DVRS
Mailing Address:
805 Ruggles Drive, MSC 2801
City:
Raleigh
State:
North Carolina
Zip Code:
27566
Program URL:
https://www.ncdhhs.gov/

Implementing Entity

Name of Implementing Agency:
NC Division of Vocational Rehabilitation Services (DVRS)
Mailing Address:
805 Ruggles Drive
City
Raleigh
State:
NC
Zip Code:
27699
Program URL:
https://www.ncdhhs.gov/divisions/dvrs

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Koger, Tammy
Title:
Director, NCATP
Phone:
919-855-3544
E-mail:
tammy.koger@dhhs.nc.gov
Program Director at Lead Agency (last, first):
Koger, Tammy
Title:
Director, NCATP
Phone:
919-855-3544
E-mail:
tammy.koger@dhhs.nc.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Tammy Koger
Title:
Director, NCATP
Phone:
919-855-3544
E-mail:
tammy.koger@dhhs.nc.gov

Person Responsible for completing this form if other than Program Director

Name (last, first):
Title:
Phone:
E-mail:

Certifying Representative

Name (last, first):
Kinsley, Cody
Title:
Secretary, DHHS
Phone:
919-855-4800
E-mail:
cody.kinsley@dhhs.nc.gov

State Financing

Did your approved state plan for this reporting period include any State Financing? Yes
Did your approved state plan for this reporting period include conducting a Financial Loan Program? Yes

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 05 02 07
Approved Not made 03 00 03
Rejected 01 00 01
Total 09 02 11

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $10,116 Highest Income: $139,024

Average Income
Sum of Incomes Loans Made Average Annual Income
$442,365 07 $63,195

Number and Percentage of Loans Made to Applicants by Income Range
Income Ranges Total
$15,000
or Less
$15,001-
$30,000
$30,001-
$45,000
$45,001-
$60,000
$60,001-
$75,000
$75,001
or More
Number of Loans 01 02 00 01 00 03 07
Percentage of Loans 14.29% 28.57% 0% 14.29% 0% 42.86% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 07 100%
Partnership Loans
Without interest buy-down or loan guarantee 00 0%
With interest buy-down only 00 0%
With loan guarantee only 00 0%
With both interest buy-down and loan guarantee 00 0%
Total 07 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 07 $165,700
Partnership Loans 00 $0
Total 07 $165,700

4. Interest Rates

Interest Rates
Lowest 4%
Highest 4%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
28 07 4%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 00
2.1% to 4.0% 07
4.1% to 6.0% 00
6.1% to 8.0% 00
8.1% - 10.0% 00
10.1%-12.0% 00
12.1%-14.0% 00
14.1% + 00
Total 07

5. Types and Dollar Amounts of AT Financed

Types and Dollar Amounts of AT Financed
Type of AT Number of Devices Financed Dollar Value of Loans
Vision 02 $8,900
Hearing 00 $0
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 04 $111,800
Daily living 00 $0
Environmental adaptations 01 $45,000
Vehicle modification and transportation 00 $0
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 07 $165,700

6. Defaults

Defaults
Number Loans in default 00
Net loss for loans in default $0

B. State Financing Activities that provide consumers with resources and services that result in the acquisition of AT devices and services

1. Overview of Activities Performed

How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan? 1
Activity 1
How would you describe this state financing activity?Other: ADRC/Access Grant under CARES Act

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)86
B. Non-Metro (RUCC 4-9)22
C. Total Served108

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures108

If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:

3. Types and Dollar Amounts of AT Funded

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 123$101,983
Hearing 76$10,518
Speech communication10$4,155
Learning, cognition, and developmental 0$0
Mobility, seating and positioning45$40,229
Daily living 143$14,588
Environmental adaptations36$3,371
Vehicle modification and transportation 0$0
Computers and related 27$14,801
Recreation, sports, and leisure69$19,635
Total529$209,280



C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost

1. Overview of Activities Performed

How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan? 0

D. Anecdote

From Amanda I hope this isn’t too long, but I wanted to express my full gratitude: As a first time auto buyer, navigating the loan process can be quite intimidating. However, the team at the Self-Help Credit Union guided me through every step. They made me feel like they were equally invested in my goals to gain more independence and because of their generosity, I am now the proud owner of a wheelchair accessible van. I can now venture out into the community with more confidence knowing that I have reliable transportation. I’m forever grateful for all the support the Self-Help Credit Union extended towards me.” Amanda

Amanda with Van
Impact Area

Mr. Royce is a 78-year-old gentleman who lives alone in a rural area of Eastern, NC. He was seen by NCATP due to concerns about his low vision. Mr. Royce explained that he has a lot of difficulty trimming his nails. He is unable to see his nail length and the nail clipper clearly enough to feel safe enough to trim his nails. He also mentioned he was having difficulty shaving and recently cut himself. Since the recent passing of his wife, he spends most of the time at home watching television from his recliner and he stated that he "really enjoys watching the news and movies". However, since his declining vision it has become increasingly difficult to enjoy this pastime. NCATP staff completed and AT Assessment and recommended an electric razor, magnifying nail clipper, and Iris Vision 2.0. All items were purchased under the Access grant. Mr. Royce was so excited and couldn't wait to try out his headset!

Mr. Royce-Iris Vision
Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 00 01 109 110
2. AT was only available through the AT program. 00 02 02 04
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 00 03 111 114
5. None of the above 00 01 00 01
6. Subtotal 00 04 111 115
7. Nonrespondent 00 00 00 00
8. Total 00 04 111 115
9. Performance on this measure NaN% 75% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 112 97.39%
Satisfied 00 0%
Satisfied somewhat 00 0%
Not at all satisfied 01 0.87%
Nonrespondent 02 1.74%
Total Surveyed 115
Response rate % 98.26%

G. Notes:

NCATP received funding through the Division of Aging and Adult Services (DAAS) under the Cares Act. The first grant was to provide AT Assessments and training on assistive technology devices to individuals who are aging, disabled, and/or socially isolated. The second grant was to purchase identified equipment due to the lack of funds available for individuals who are aging. Both grants were due to expire at the end of September 2022; however, they were continued through September 30, 2023. NCATP has a small waiting list and will complete all services under both grants by mid-2023. At this time, no additional funding has been identified to continue purchases under the Access grant. Eighty-six people served are identified as being in a "metro" counties; however, 74 or these 86 individuals lived in the rural areas of these counties. This includes individuals served in Pitt (Greenville) and Brunswick (Leland) counties, which recently were identified as urban NC counties.

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 35
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 47
C. Total 82

Performance Measure
D. Excluded from Performance Measure because AT is provided to or on behalf of an entity that has an obligation to provide the AT such as schools under IDEA or VR agencies/clients. 00
E. Number of Individuals Included in Performance Measures 82

If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance

B. Device Exchange Activities

Device Exchange
Type of AT Device Number of Devices Exchanged Total Estimated Current Purchase Price Total Price for Which Device(s) Were Exchanged Savings to Consumers
Vision 01 $3,000 $0 $3,000
Hearing 00 $0 $0 $0
Speech Communication 01 $15,000 $0 $15,000
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 10 $14,693 $720 $13,973
Daily Living 18 $6,000 $550 $5,450
Environmental Adaptations 05 $12,189 $1,200 $10,989
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 35 $50,882 $2,470 $48,412

C. Device Refurbish/Repair - Reassignment and/or Open Ended Loan Activities

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device Number of Devices Reassigned/Refurbished and Repaired Total Estimated Current Purchase Price Total Price for Which Device(s) Were Sold Savings to Consumers
Vision 04 $10,021 $0 $10,021
Hearing 00 $0 $0 $0
Speech Communication 03 $1,361 $0 $1,361
Learning, Cognition and Developmental 04 $100 $0 $100
Mobility, Seating and Positioning 15 $5,607 $0 $5,607
Daily Living 12 $197 $0 $197
Environmental Adaptations 03 $750 $0 $750
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 05 $496 $0 $496
Recreation, Sports and Leisure 01 $190 $0 $190
Total 47 $18,722 $0 $18,722

D. Anecdote

NCATP staff in Raleigh was contacted by a gentleman whose wife was in nursing care following a medical complication with congestive heart failure. She could leave the center if she had a ramp and wheelchair to enter and exit her home. Under the device loan program, NCATP was able to loan a portable ramp allowing the couple to obtain a permanent structure and through the AT Reuse/Reassignment program, NCATP staff identified a gently used manual wheelchair that worked perfect for her. Staff delivered and set up the ramp and provided her husband the manual wheelchair. He was so excited and instantly contacted the nursing home arranging pick up of his wife. He contacted NCATP approximately 1 week later letting staff know his church was funding the permanent ramp and his wife was home and had attended church that Sunday in her new wheelchair.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 04 35 00 39
2. AT was only available through the AT program. 03 00 31 34
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 04 04 09
4. Subtotal 08 39 35 82
5. None of the above 00 00 00 00
6. Subtotal 08 39 35 82
7. Nonrespondent 00 00 00 00
8. Total 08 39 35 82
9. Performance on this measure 100% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 82 100%
Satisfied 00 0%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 82
Response rate % 100%

G. Notes:

We are extremely happy with the performance measures and customer satisfaction this year. Staff have been very involved and made a great effort to assure needs were met and individuals were satisfied, as well as making sure all data was collected.

Device Loan

A. Short-Term Device Loans by Type of Purpose

Loans By Purpose
Primary Purpose of Short-Term Device Loan Number
Assist in decision-making (device trial or evaluation) 487
Serve as loaner during service repair or while waiting for funding 25
Provide an accommodation on a short-term basis for a time-limited event/situation 80
Conduct training, self-education or other professional development activity 46
Total 638

B. Short-Term Device Loan by Type of Borrower

LOANS BY TYPE OF BORROWER
Type of Individual or Entity Number of Device Borrowers
Desicion-making All other Purposes Total
Individuals with Disabilities 218 00 218
Family Members, Guardians, and Authorized Representatives 107 00 107
Representative of Education 56 40 96
Representative of Employment 00 01 01
Representatives of Health, Allied Health, and Rehabilitation 96 100 196
Representatives of Community Living 08 00 08
Representatives of Technology 02 10 12
Total 487 151 638

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 14

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number of Devices
Desicion-making All other Purposes Total
Vision 34 00 34
Hearing 19 00 19
Speech Communication 148 100 248
Learning, Cognition and Developmental 53 40 93
Mobility, Seating and Positioning 35 00 35
Daily Living 53 00 53
Environmental Adaptations 45 00 45
Vehicle Modification and Transportation 00 00 00
Computers and Related 84 11 95
Recreation, Sports and Leisure 16 00 16
Total 487 151 638

E. Anecdote

NCATP staff worked with an employee of SAS Institute, a multinational developer of analytics software company. The employee experiences severe chronic pain impacting repetitive movements, energy and physical stamina. Prior to working with NCATP, she had one workstation that allowed her to move between a seated and reclined position with dual monitors. She was using an eye gaze system with a customized onscreen keyboard, two finger switches for each hand and a trackball for computer access. After trialing various switches, positioning, lighting, input methods, and seating, the following items were added to her office to allow her to alleviate her pain as much as possible by utilizing various positions, seating, access methods and movements: o Movement to a larger office with multiple workstations: Two LED daylight floor lamps to help reduce eye strain, fatigue, and headaches and increase focus: Customized mount adding a wooden panel with Pal Pad switches activated with foot control: Two switch array setup for each hand on dycem eliminating sliding when in reclining position: Two finger switches: A switch velcro’d on a DIY thumb mount: Switch for her to rock her hand to activate it on a separate DIY mount: Alternative seating workstation with a yogibo chair, yoga mat, iPad, and a DIY portable iPad stand for the iPad mount: Wooden panel with four casters attached (two with brakes), workout bench weight to stabilize and prevent tipping of the mount, and a metal mounting plate to attach the iPad mount: A sit-to-stand workstation with an ergonomic chair and a fatigue mat: Two separate workstations were created for when she is sitting and for when she is standing: DNS Software.

SAS Workstation
Impact Area

F. Access Performance Measures

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 178 36 150 364
Decided that an AT device/ service will not meet needs 13 10 25 48
Subtotal 191 46 175 412
Have not made a decision 27 04 44 75
Subtotal 218 50 219 487
Nonrespondent 00 00 00 00
Total 218 50 219 487
Performance on this measure 87.61% 92% 79.91%

G. Acquisition Performance Measures

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 04 01 11 16
2. AT was only available through the AT program. 59 05 42 106
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 06 11 17
4. Subtotal 63 12 64 139
5. None of the above 03 01 07 11
6. Subtotal 66 13 71 150
7. Nonrespondent 00 00 01 01
8. Total 66 13 72 151
9. Performance on this measure 95.45% 92.31% 90.14%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 549 86.05%
Satisfied 62 9.72%
Satisfied somewhat 04 0.63%
Not at all satisfied 00 0%
Nonrespondent 23 3.61%
Total Surveyed 638
Response rate % 96.39%

I. Notes:

NCATP saw an increase in deice demos this year as a result of individuals returning to the center post covid. We are not at pre-Covid numbers: however, we continue seeing an increase across all services.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 109
Hearing 15
Speech Communication 222
Learning, Cognition and Developmental 44
Mobility, Seating and Positioning 38
Daily Living 83
Environmental Adaptations 40
Vehicle Modification and Transportation 04
Computers and Related 182
Recreation, Sports and Leisure 17
Total # of Device Demonstrations 754

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 603 00 603
Family Members, Guardians, and Authorized Representatives 151 278 429
Representatives of Education 00 61 61
Representatives of Employment 00 11 11
Health, Allied Health, Rehabilitation 00 177 177
Representative of Community Living 00 97 97
Representative of Technology 00 138 138
Total 754 762 1,516

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 257
Service Provider 98
Vendor 91
Repair Service 02
Others 00
Total 448

D. Anecdote

Peter and his mom Lydia came into the Raleigh center and worked with staff to demo different switches (specifically ones he had not tried prior to coming to the center). Peter is 10 years old and receives total care from his mom. He cannot hold his head up without assistance and is non-verbal. The identified movements, without assistance, were head turns from right to left. Over the years, Peter has tried many switches; however, none has worked effectively. Peter spends most of his time lying down or in his wheelchair and switch access has been an issue due to the family not having a way to mount the switches parallel to his head. NCATP was able to demo a variety of switches for Peter and his mom. While none of the switches worked individually, they were able to identify the best options and then contacted a vendor to custom design a switch for Peter. Mom recently emailed NCATP staff with a photo of Peter using his new switch and expressed excitement and appreciation to NCATP and the demo/loan program.

Narrative Picture
Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 122 128 422 672
Decided that an AT device/ service will not meet needs 00 03 03 06
Subtotal 122 131 425 678
Have not made a decision 09 17 50 76
Subtotal 131 148 475 754
Nonrespondent 00 00 00 00
Total 131 148 475 754
Performance on this measure 93.13% 88.51% 89.47%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,360 89.71%
Satisfied 76 5.01%
Satisfied somewhat 60 3.96%
Not at all satisfied 20 1.32%
Nonrespondent 00 0%
Total 1,516
Response rate % 100%

G. Notes:

NCATP continues to see an increase in the number of demonstrations and individuals served post Covid.

Overall Performance Measures

Overall Acquisition Performance Measure

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 08 37 120 165
2. AT was only available through the AT program. 62 07 75 144
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 10 15 26
4. Subtotal 71 54 210 335
5. None of the above 03 02 07 12
6. Subtotal 74 56 217 347
7. Nonrespondent 00 00 01 01
8. Total 74 56 218 348
9. Performance on this measure 94.59% 78.57% 89.86% 89.05%
ACL Performance Measure 85%
Met/Not Met Met

Overall Access Performance Measure

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 300 164 572 1,036
Decided that an AT device/ service will not meet needs 13 13 28 54
Subtotal 313 177 600 1,090
Have not made a decision 36 21 94 151
Subtotal 349 198 694 1,241
Nonrespondent 00 00 00 00
Total 349 198 694 1,241
Performance on this measure 89.68% 89.39% 86.46% 87.83%
ACL Performance Measure 90%
Met/Not Met Not Met

Overall Satisfaction Rating

Customer Rating of Services Percent ACL Target Met/Not Met
Highly satisfied and satisfied 96.35% 95% Met
Response Rate 98.94% 90% Met

Training

A. Training Participants: Number and Types of Participants; Geographical Distribution

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 239
Family Members, Guardians and Authorized Representatives 108
Representatives of Education 253
Representatives of Employment 364
Rep Health, Allied Health, and Rehabilitation 188
Representatives of Community Living 282
Representatives of Technology 100
Unable to Categorize 132
TOTAL 1,666

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
855 811 00 1,666

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 741
AT Funding/Policy/ Practice 63
Combination of any/all of the above 825
Information Technology/Telecommunication Access 32
Transition 05
Total 1,666

C. Description of Training Activities

Describe innovative one high-impact assistance training activity conducted during the reporting period:

Four NCATP staff (3 assistive technologists and 1 SLP) hosted a virtual training series titled “Using AT…”. The following trainings were provided to attendees: • Using AT…To Grow Your AT Toolbox o Day 1: focus on elementary school on 8/11/21 with 78 attendees o Day 2: focus on middle and high school on 8/12/21 with 58 attendees • Using AT…To Navigate the Paths to Employment on 12/7/21 with 73 attendees • Using AT…To Reach Your Independence Goals on 3/15/22 with 136 attendees Two of the trainings focused on how to use AT to increase access in the secondary school setting, one focused on use of and access to AT in employment and post-secondary training and the final focused on use of AT for independence in home and community. A range of attendees across several disciplines attended the workshop. Some examples are: Educators, EC Directors, SLP’s, OT’s and PT’s, VR Counselors and Administrators, Business Liaisons and Human Resource professionals, other DHHS employees, Care givers and Family Members, Social workers, and Individuals with disabilities.

Briefly describe one training activity related to transition conducted during the reporting period:

Two NCATP staff presented at a conference titled Disability in a Day at North Wilke Community College. The audience consisted of students with disabilities and professionals. Attendees included Vocational Rehabilitation Counselors, Disability Coordinators across NC Community Colleges, and students. The presentation focused on providing information about NCATP, the services NCATP can provide as well as an introduction to Assistive Technology Devices that can be used in the classroom. Approximately 65 people attended this break out session providing positive feedback on the follow up survey. Follow up was also provided to students and Disability Services Coordinators at 5 separate community colleges.

Briefly describe one training activity related to Information and Communication Technology accessibility:

NCATP staff worked with the Division of Services for the Blind (DSB) and the Deaf Blind Focus Group to develop fact sheets as part of a curriculum for individuals who are deaf/blind, caregivers and providers. NCATP staff specifically provided information related to assistive technology devices for Braille output, as well as tested and provided feedback on access to tele-health portals. Step by step fact sheets on how to use assistive technology before, during and after a telehealth appointment were created. Examples of telehealth portals reviewed are patient portals to check prescription refills, schedule an appointment, message a care provider prior to, during and after an appointment. NCATP and DSB staff co-presented at 2 workshops for individuals who are deaf/blind prior to NCATP providing the fact sheets directly to DSB staff for implementation in their upcoming training events.

D. IT/Telecommunications Training Performance Measure

IT/Telecommunications Training Performance Measure
Outcome/Result From IT/Telecommunications Training Received Number
IT and Telecommunications Procurement or Dev Policies 00
Training or Technical Assistance will be developed or implemented 32
No known outcome at this time 00
Nonrespondent 00
Total 32
Performance Measure Percentage 100%
ACL Target Percentage 70%
Met/Not Met Met

E. Notes:

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 06%
Employment 17%
Health, Allied Health, Rehabilitation 08%
Community Living 14%
Technology (IT, Telecom, AT) 55%
Total 100%

B. Description of Technical Assistance

Describe Innovative one high-impact assistance activity that is not related to transition:

NCATP staff located within Wake Forest Baptist Medical Center was contacted by the Clinical Director to provide technical assistance on implementing assistive technology within the rehab process. The purpose was to introduce the therapy team consisting of 45 Occupational Therapist, Speech Language Pathologist, Physical Therapist and Recreational Therapist to assistive technology and set up a process for introducing patients to the field of AT. Staff provided direct feedback to the process and set up “Lunch N Learn” series for the 45 therapists. The series lasted over 6 months/1 time per month and consisted of assistive technology videos’, center tours, demo stations, and hands on direct patient interaction with A.T. devices

Breifly describe one technical assistance activity related to transition conducted during the reporting period:

NCATP was contacted by the Division of Health Benefits (DHB) to provide technical assistance around assistive technology services and devices for individuals and staff at three of the state’s residential facilities. Under the Olmstead Act, NC is working diligently to transition individuals into community living settings. Staff at state facilities are less familiar with options available and how to best identify next steps when looking at assistive technology and resource availability. The NCATP Director worked with the Professional Development Consultant with DHB to identify areas of improvement and training opportunities. Additional NCATP staff were included to identify best options for assistive technology during the transition period. Facility staff and leaders within the three state operated facilities are now participating in monthly workshops developing skills and partnerships assisting in transitioning individuals across the state. NCATP will be providing training on AT de

C. Notes:

Public Awareness

Public Awareness Activities

Public Awareness Narratives

Describe in detail at least one and no more than two innovative or high-impact public awareness activities conducted during this reporting period. Highlight the content/focus of the awareness information shared, the mechanism used to disseminate or communicate the awareness information, the numbers and/or types of individuals reached, and positive outcomes resulting from the activity. If quantative numbers are available regarding the reach of the activity, please provide those: however, quantative data is not required.

1. NCATP hosted the 2nd Virtual AT Expo Vendor event on October 7, 2021. This annual affair meets the needs of NC citizens with disabilities by providing access to numerous services. Three hundred seventy-five individuals participated with 55 participants representing 17 states including Alaska, New York, Missouri, and Utah and one country (United Kingdom). Fourteen vendors participated in 25-minute sessions to share information and show their assistive technology or durable medical equipment. NCATP Grant Advisory Council (GAC) presented the Stephen E Sallee Awards of Excellence to two individuals with outstanding service in the field of assistive technology. Attending participants included individuals with disabilities, parents of children with special needs, older adults, caregivers, professionals in the field, state policymakers, and other various professionals. CART was provided by Caption Perfect, Inc., and American Sign Language was provided by the NC Division of Services for The Deaf and The Hard of Hearing. We are thankful to our supporters of our Virtual Expo to Easter Seals UCP, Self Help, NC AgrAbility Partnership, and NC Division of Services for The Deaf and The Hard of Hearing. The NCATP staff are currently working on the 3rd Virtual AT Expo for 2022-2023 federal year.

2. In conjunction with Older American Month in May, 2022, NCATP hosted three AT Pop-Up events across the state (Morganton-west, Raleigh-central, and Greenville-east) focusing on Aging Resources. These events were open to everyone with a specific focus on individuals age 55 or older, caregivers and providers supporting individuals who are aging, disabled, or facing long-term medical conditions. Local experts and vendors shared information and provided resources for attendees who could drive up or walk through the event. Participating vendors included Division of Services for the Deaf and Hard of Hearing, Division of Services for the Blind, The Senior Blind Program, local Senior Centers, assistive technology vendors representing mobility, vision, hearing, and smart home technologies, Money Follows the Person, Covid vaccine providers and many more. A total of 250 participants were in attendance across the state. NCATP received positive feedback from vendors and attendees who are interested in future AT Pop Up events. Currently NCATP staff are planning the 2023 AT Pop Up events in Winston-Salem, Sanford, and Wilmington with a focus on accessible gaming and recreation.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 1,285 164 1,449
Family Members, Guardians and Authorized Representatives 571 115 686
Representative of Education 242 08 250
Representative of Employment 575 07 582
Representative of Health, Allied Health, and Rehabilitation 813 98 911
Representative of Community Living 372 40 412
Representative of Technology 466 46 512
Unable to Categorize 00 00 00
Total 4,324 478 4,802

Referral Types:

NCATP partnered with the Division of Vocational Rehabilitation Services (DVRS) and the Department of Public Instruction (DPI) to provide 4 AT Toolkit Virtual trainings. These trainings focused on AT in the classroom in transition for school to work, in post-secondary training and employment and finally in independent living. As a result, NCATP saw an increase in the number of referrals from DVRS, specifically for individuals in post secondary education. NCATP partnered with the Division of Aging and Adult Services (DAAS) providing assistive technology technical assistance to staff and individual assistance to seniors identified. As a result, NCATP provided device demos/loans to over 200 individuals over the age of 62 and provided 109 people specific AT devices under the second grant. This has increased the knowledge of NCATP services across the programs working with DAAS.

Referral Sources:

NCATP continues to see a significant number of referrals from individual practitioners such as physicians, therapists, and social workers. Approximately 40% of NCATP referrals come from this referring source and approximately half of the devices demoed and/or loaned are within the communication category. Most of these referrals are children under the age of 18 year; however, we see a significant number of referrals from case managers working within the I/DD waiver. Again, most of the individuals referred are looking for options within the communication category. NCATP is currently working with Division of Health Benefits (DHB) and Money Follows the Person (MFP) to address specific needs of individuals diagnosed with I/DD who are at risk for institutionalization and/or are currently residing in a state operated facility and are interested in transitioning.Under the partnership with DAAS (noted above), NCATP has seen a significant number of referrals from the Older Blind Program.

Notes:

NCATP has a staff of 19 individuals including 2 temporary employees who provide all the services required across the state. Balancing referrals and services with the number of staff with expertise to provide these services continues to be a challenge.

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Coordination/Collaboration activities are not required. You may report up to two MAJOR coordination/collaboration activities for this reporting period. How many will you be reporting? 1

A. Coordination/Collaboration

1. As concisely as possible, describe the partnership initiative. What activities/services were provided? Who are the major collaborating organizations and what is their role? Who is served/benefited? What funding was used to implement the initiative?

NCATP received additional funding under the Cares Act as part of an MOU with the Division of Aging and Adult Services (DAAS). The initial funding in 2020 under the ADRC grant allowing NCATP to identify needs within the state and across the senior population. One specific concern was the lack of funding and access to AT items needed to remain independent. NCATP received a second grant (Access) for the purpose of providing AT items directly to individuals assisting them to remain independent in their homes and communities. NCATP also implemented the Accessibility4 All virtual demos occurring weekly highlighting products across all categories. These videos are captioned and uploaded to the You Tube channel and shared with partners and individuals, as needed.

2. As concisely as possible, describe the measurable results of the initiative and any lessons learned. How did access to AT change as a result of the coordination/collaboration/partnership? How did awareness of AT change as a result of the partnership? How did the reach of the state AT program change as a result of the partnership? What made the partnership successful? What would you change or wish you had done differently? Provided funding/resources are available, will the initiative continue or is this a one-time event? What advice would you give for replication of the initiative? Please include URL for initiative if available.

NCATP provided 529 devices to 109 individuals across the state. Presentations at Senior Blind Programs, Senior Centers, Money Follow the Person work groups, Healthy Aging, and NC Falls Prevention helped identify individuals in need and at risk of social isolation and/or nursing care. NCATP will continue serving individuals for the 2022-2023 year; however, additional funding specific for AT devices for individuals has not currently been identified.

3. What focus areas(s) were addressed by the initiative?

Housing / Home Automation; Community Participation and Integration; Recreation / Leisure; Health; Aging; Transition(school to work or congregate care to community); Aging and Disability Network / No Wrong Door; Veterans;

4. What AT Act authorized activity(s) were addressed?

Device Loan; Demonstration; State Financing;

Overview of State Improvement Activities

State improvement outcomes are not required. You may report up to two MAJOR state improvement outcomes for this reporting period. How many will you be reporting? 00

Additional And Leveraged Funds

Did you have Additional and Leveraged Funding to Report? Yes

A. Leveraged Funding for State Plan Activities

Fund Source Amount Use of Funds Data Reported
Private$23,243DemonstrationTrue
Private$26,243Device LoanTrue
Private$26,243TrainingTrue
Private$26,243Public Awareness, I&ATrue
Federal$190,157State FinancingTrue
Federal$258,165Technical AssistanceTrue
Private$26,243Technical AssistanceTrue
Private$26,243Public Awareness, I&ATrue
Amount: $602,780

For any leveraged funding reported above for which data could not be reported, please describe the extenuating circumstances that precluded data from being reported and efforts to remediate the situation in future reporting periods.

NCATP received an additional $399,900.00 in state funding for assistive technology equipment. These funds were to be used for purchasing equipment for the nine AT Centers across the state for the purpose of demonstration and loan. NCATP will receive an additional $400,000 for state year 2021-2022. Funds have bee and are currently being used to update older AT equipment in the centers. Some new equipment has been used for device demonstration and device loans and these events were counted in the data reported.


C. Describe any unique issues with your data in this section (e.g., the reason why you were unable to report the number of individuals served with additional or leveraged funds).

NCATP received a total of $448,321.00 under the Cares Act to provide technical assistance and devices to individuals who are aging and socially isolated. These numbers were reported in state financing and in Collaboration.


Center for Assistive Technology Act Data Assistance . Saved: Tue Feb 14 2023 16:34:32 GMT-0600 (Central Standard Time)


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This FY22 State AT Program Annual Progress Report was exported from the National Assistive Technology Act Data System (NATADS). NATADS was developed with partial support from the Center for Assistive Technology Act Data Assistance.