National Assistive Technology Act Data System

Annual Progress Report - Full Report

Hawaii 2022

General Information

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

State AT Program Title:
Assistive Technology Resource Centers of Hawaii
State AT Program Title:
State AT Program URL
http://www.atrc.org
Mailing Address:
200 N Vineyard Blvd, Suite 430
City:
Honolulu
State:
HI
Zip Code:
96817
Program Email:
barbara@atrc.org
Phone:
8085327112
TTY:

Lead Agency

Agency Name:
Hawaii Division of Vocational Rehabilitation
Mailing Address:
1010 Richard Street #217
City:
Honolulu
State:
HI
Zip Code:
96813
Program URL:
http://humanservices.hawaii.gov/vocationalrehab

Implementing Entity

Name of Implementing Agency:
Assistive Technology Resource Centers of Hawaii
Mailing Address:
200 N Vineyard Blvd, Suite 430
City
Honolulu
State:
HI
Zip Code:
96817
Program URL:
http://www.atrc.org

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Fischlowitz-Leong, Barbara
Title:
Executive Director
Phone:
8085327112
E-mail:
barbara@atrc.org
Program Director at Lead Agency (last, first):
Bates, Maureen
Title:
Vocational Rehabilitation Administrator
Phone:
8085869741
E-mail:
Mbates@dhs.hawaii.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Fischlowitz-Leong, Barbara
Title:
Executive Director
Phone:
8085327112
E-mail:
barbara@atrc.org

Person Responsible for completing this form if other than Program Director

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

Certifying Representative

Name (last, first):
Cain, Iva-Starr
Title:
Vocation Rehabilitation Assistant Administrator
Phone:
8085869240
E-mail:
icain@dhs.hawaii.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 00 00 00
Approved Not made 00 00 00
Rejected 00 00 00
Total 00 00 00

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $0 Highest Income: $0

Average Income
Sum of Incomes Loans Made Average Annual Income
$0 00 $0

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 00 00 00 00 00 00 00
Percentage of Loans 0% 0% 0% 0% 0% 0% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 00 0%
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 00 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 00 $0
Partnership Loans 00 $0
Total 00 $0

4. Interest Rates

Interest Rates
Lowest 0%
Highest 0%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
00 00 0%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 00
2.1% to 4.0% 00
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 00

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 00 $0
Hearing 00 $0
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 00 $0
Daily living 00 $0
Environmental adaptations 00 $0
Vehicle modification and transportation 00 $0
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 00 $0

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? 0


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

No loan were made this year

Impact Area

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 00 00 00
2. AT was only available through the AT program. 00 00 00 00
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 00 00 00
5. None of the above 00 00 00 00
6. Subtotal 00 00 00 00
7. Nonrespondent 00 00 00 00
8. Total 00 00 00 00
9. Performance on this measure NaN% NaN% NaN%

F. Customer Satisfaction

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

G. Notes:

Re: Validation warning: "You have indicated that your sate plan includes a financial loan program but have not indicated that you provided any loans". Hawaii does. continue a cash loan program. However, there was no loans made this fiscal year for ATRC

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 00
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 00
C. Total 00

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 00

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 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 00 $0 $0 $0
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 00 $0 $0 $0

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 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 00 $0 $0 $0
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 00 $0 $0 $0

D. Anecdote

No anecdote to include because no reuse was implemented.

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 00 00 00
2. AT was only available through the AT program. 00 00 00 00
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 00 00 00
5. None of the above 00 00 00 00
6. Subtotal 00 00 00 00
7. Nonrespondent 00 00 00 00
8. Total 00 00 00 00
9. Performance on this measure NaN% NaN% NaN%

F. Customer Satisfaction

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

G. Notes:

Per communication with ATRC, the computer recycling program was discontinued so no reuse activities were conducted in FY22 even thought they were included in the State Plan. The 2023 update to the State Plan will be changed to represent current program status for FY23.

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) 32
Serve as loaner during service repair or while waiting for funding 03
Provide an accommodation on a short-term basis for a time-limited event/situation 00
Conduct training, self-education or other professional development activity 01
Total 36

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 21 00 21
Family Members, Guardians, and Authorized Representatives 08 00 08
Representative of Education 00 00 00
Representative of Employment 00 01 01
Representatives of Health, Allied Health, and Rehabilitation 03 00 03
Representatives of Community Living 00 03 03
Representatives of Technology 00 00 00
Total 32 04 36

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 42

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number of Devices
Desicion-making All other Purposes Total
Vision 21 02 23
Hearing 01 00 01
Speech Communication 00 00 00
Learning, Cognition and Developmental 04 01 05
Mobility, Seating and Positioning 06 00 06
Daily Living 00 00 00
Environmental Adaptations 00 00 00
Vehicle Modification and Transportation 00 00 00
Computers and Related 00 01 01
Recreation, Sports and Leisure 00 00 00
Total 32 04 36

E. Anecdote

An older woman (100 years old) visited ATRC to get information on how she could continue to read and fill out documents for her real estate management business. The client was shown various magnification and OCR devices that could meet her needs. ATRC encouraged the client to borrow their chosen device before making a purchase. After about 4 weeks, the client had made her decision and purchased the Merlin HD Enhanced CCTV.

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 03 05 24 32
Decided that an AT device/ service will not meet needs 00 00 00 00
Subtotal 03 05 24 32
Have not made a decision 00 00 00 00
Subtotal 03 05 24 32
Nonrespondent 00 00 00 00
Total 03 05 24 32
Performance on this measure 100% 100% 100%

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. 01 00 03 04
2. AT was only available through the AT program. 00 00 00 00
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 01 00 03 04
5. None of the above 00 00 00 00
6. Subtotal 01 00 03 04
7. Nonrespondent 00 00 00 00
8. Total 01 00 03 04
9. Performance on this measure 100% NaN% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 34 94.44%
Satisfied 02 5.56%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 36
Response rate % 100%

I. Notes:

Re Validation warnings: "The number of borrowers is roughly equal to the number of devices loaned. Please ensure that devices being loaned are grouped together on loans going out to one borrower.": Borrowers tried out devices in ATRC facilities to determine which was of greatest interest to them. They typically borrow the device of interest (often just one). "The loan period by policy is greater than 35 days. This is a longer than typical loan period.": Our agency is typically able to honor a loan period of 6 weeks (42 days), unless demand for the item is high.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 49
Hearing 02
Speech Communication 01
Learning, Cognition and Developmental 10
Mobility, Seating and Positioning 00
Daily Living 03
Environmental Adaptations 00
Vehicle Modification and Transportation 06
Computers and Related 01
Recreation, Sports and Leisure 00
Total # of Device Demonstrations 72

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 57 00 57
Family Members, Guardians, and Authorized Representatives 08 00 08
Representatives of Education 02 00 02
Representatives of Employment 00 00 00
Health, Allied Health, Rehabilitation 04 00 04
Representative of Community Living 00 00 00
Representative of Technology 01 00 01
Total 72 00 72

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 147
Service Provider 354
Vendor 79
Repair Service 00
Others 00
Total 580

D. Anecdote

ATRC provided a demonstration to a visiting client of a variety of magnification devices, such as: Ruby XL - Freedom Scientific, Zoom Max Panda, and Onyx portable HD magnifier w/Open Book. At the conclusion of the demonstration, the client decided on the Ruby 7 HD portable magnifier.

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 05 25 42 72
Decided that an AT device/ service will not meet needs 00 00 00 00
Subtotal 05 25 42 72
Have not made a decision 00 00 00 00
Subtotal 05 25 42 72
Nonrespondent 00 00 00 00
Total 05 25 42 72
Performance on this measure 100% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 67 93.06%
Satisfied 05 6.94%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total 72
Response rate % 100%

G. Notes:

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. 01 00 03 04
2. AT was only available through the AT program. 00 00 00 00
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 01 00 03 04
5. None of the above 00 00 00 00
6. Subtotal 01 00 03 04
7. Nonrespondent 00 00 00 00
8. Total 01 00 03 04
9. Performance on this measure 100% NaN% 100% 100%
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 08 30 66 104
Decided that an AT device/ service will not meet needs 00 00 00 00
Subtotal 08 30 66 104
Have not made a decision 00 00 00 00
Subtotal 08 30 66 104
Nonrespondent 00 00 00 00
Total 08 30 66 104
Performance on this measure 100% 100% 100% 100%
ACL Performance Measure 90%
Met/Not Met Met

Overall Satisfaction Rating

Customer Rating of Services Percent ACL Target Met/Not Met
Highly satisfied and satisfied 100% 95% Met
Response Rate 100% 90% Met

Training

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

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 128
Family Members, Guardians and Authorized Representatives 28
Representatives of Education 25
Representatives of Employment 15
Rep Health, Allied Health, and Rehabilitation 28
Representatives of Community Living 21
Representatives of Technology 03
Unable to Categorize 00
TOTAL 248

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
236 12 00 248

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 00
AT Funding/Policy/ Practice 00
Combination of any/all of the above 234
Information Technology/Telecommunication Access 11
Transition 03
Total 248

C. Description of Training Activities

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

ATRC coordinated a one-hour accessible technology workshop focusing on the iPhone and iPad for individuals who are blind, visually impaired or have other print reading disabilities. The group consisted of seniors, students and professionals, and the goal was to introduce them to the accessibility features of these devices.

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

Fifteen participants consisting of special education professionals at the college level participated in a workshop at the ATRC facilities. The workshop included information and demonstrations of dedicated augmentative and alternative communication (AAC) devices, eye-gaze technology, switch accessibility, third-party software, and built-in accessibility features within computers and tablets, primarily the built-in screen reader Voiceover.

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

ATRC often provides technical assistance for people who need help with tasks such as firm ware upgrades and help diagnosing basic software glitches. The training we provide on Information and Communication Technology Accessibility includes primarily information on website accessibility, accessible document formats, and accessible telephones.

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 11
No known outcome at this time 00
Nonrespondent 00
Total 11
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 60%
Employment 12%
Health, Allied Health, Rehabilitation 02%
Community Living 26%
Technology (IT, Telecom, AT) 00%
Total 100%

B. Description of Technical Assistance

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

ATRC provided technical assistance to a group of caregivers who then transferred that information to their clients. The technical assistance has expanded the possibilities for the participants to communicate, connect, develop skills and socialize. The participants range from adults with developmental to physical disabilities but are able to retain their abilities through the use of assistive technology such as communication and mobility. ATRC has provided demonstrations of various hand held digital magnifiers, speech apps, and built in accessibility features on computers/phones such as dictation and magnification. ATRC's technical assistance has resulted in a deeper understanding of current devices that will aid the caregivers when recommending possible solutions to the participants in their home or community.

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

ATRC provides technical assistance to assist programs and agencies in the State in improving their services, management, policies, and/or outcomes via various means: in-person, electronic media, i.e. video, telephone, e-mail. Services rendered that can be found at ATRC are needs assessment, program planning or development, administrative or management consultation, and policy development.

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. Public awareness activities include public service announcements, internet outreach and social networking, radio and TV talk shows, news reports, newspaper stories, newsletters, brochures, and invitations to speak from various groups. ATRC has Informative workshops are featured with demonstrations on various AT software programs. Invitees include state representatives, teachers, speech pathologists, occupational therapists, vocational rehabilitation counselors and representatives from other organizations. ATRC is also featured annually in Generations Magazine, a publication for persons over fifty. The magazine is accompanied by a radio program on which our Executive Director, Barbara Fischlowitz-Leong, is featured. Both the magazine and the radio show highlight assistive technology (AT) for older persons. The magazine reaches approximately 25,000 subscribers, while the radio program is island wide, potentially reaching 1 million individuals on the island of Oahu.

2. Each year we participate in an average of six educational conferences and health expos. We also actively participate in Technology Day at the Capitol where promotional materials, brochures, and newsletters are available to provide information about our organization and assistive technology (AT). Our exhibits feature various AT devices and are targeted to the audience and theme of the event. ATRC's staff is experienced in delivering the services of the program and explaining the AT devices.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 694 474 1,168
Family Members, Guardians and Authorized Representatives 725 150 875
Representative of Education 369 845 1,214
Representative of Employment 131 145 276
Representative of Health, Allied Health, and Rehabilitation 149 91 240
Representative of Community Living 227 87 314
Representative of Technology 228 66 294
Unable to Categorize 39 34 73
Total 2,562 1,892 4,454

Referral Types:

Out of all of our public awareness strategies, such as conferences, local workshops, presentations, the strategy that yields the most response is advertising through local periodicals and radio. Through this strategy we reach the consumer directly whereas other methods provide information to other professionals.

Referral Sources:

ATRC receives approximately 10% of client referrals statewide through our Rehabilitation Technology Services (RTS) contract with the Department of Vocational Rehabilitation (DVR). Approximately 25% come from other nonprofit agencies in the community (Centers for Independent Living, Counsel on Aging, Abilities Unlimited). Approximately 10% come from academic institutions (University of Hawaii, DOE Special Education Department), and the remaining 55% hear about us through our advertising in periodicals and radio and word-of-mouth from clients.

Notes:

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?

ATRC participates in a new statewide referral program called “No Wrong Doors. This program includes a variety of social service agencies, and the goal is to facilitate the referral process by educating one another about our respective agency mission and goals.

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.

The initiative is still in the implementing phase. ATRC has received a total of two referrals in 2022 from this system. Hopefully as the program grows and become more refined, referrals will increase.

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

Education; Employment; Community Participation and Integration; Health; Aging; Transition(school to work or congregate care to community); Aging and Disability Network / No Wrong Door; Information and Communication Technology / Remote Connectivity;

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

Demonstration; Training; Information & Assistance; Public Awareness; Technical Assistance;

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$62,319TrainingTrue
Amount: $62,319

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.


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).


Center for Assistive Technology Act Data Assistance . Saved: Tue Feb 14 2023 16:29:14 GMT-0600 (Central Standard Time)


Back to state program information page | Top of page

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.