National Assistive Technology Act Data System

Annual Progress Report - Full Report

Nevada 2022

General Information

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

State AT Program Title:
Nevada Assistive Technology Collaborative
State AT Program Title:
State AT Program URL
http://adsd.nv.gov/Programs/Physical/ATforIL/Nevada_Assistive_Technoloyg_Collaborative_(NATC)/Nevada
Mailing Address:
9670 Gateway Drive, Suite 100
City:
Reno
State:
Nevada
Zip Code:
89521
Program Email:
jrosenlund@adsd.nv.gov
Phone:
7756870835
TTY:
7756882969

Lead Agency

Agency Name:
Aging and Disability Services Division
Mailing Address:
9670 Gateway Drive, Suite 100
City:
Reno
State:
Nevada
Zip Code:
89521
Program URL:
https://adsd.nv.gov/Programs/Physical/Physical/

Implementing Entity

Name of Implementing Agency:
Mailing Address:
City
State:
Zip Code:
Program URL:

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Rosenlund, John
Title:
Social Services Program Specialist III
Phone:
7756870835
E-mail:
jrosenlund@adsd.nv.gov
Program Director at Lead Agency (last, first):
John Rosenlund
Title:
NATC Director; SSPS III
Phone:
7756870835
E-mail:
jrosenlund@adsd.nv.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Title:
Phone:
E-mail:

Person Responsible for completing this form if other than Program Director

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

Certifying Representative

Name (last, first):
John Rosenlund
Title:
NATC Director; SSPS III
Phone:
7756870835
E-mail:
jrosenlund@adsd.nv.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 06 03 09
Approved Not made 01 00 01
Rejected 01 00 01
Total 08 03 11

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $15,000 Highest Income: $145,700

Average Income
Sum of Incomes Loans Made Average Annual Income
$402,100 09 $44,678

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 03 03 01 00 01 09
Percentage of Loans 11.11% 33.33% 33.33% 11.11% 0% 11.11% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 09 100%
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 09 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 09 $149,526
Partnership Loans 00 $0
Total 09 $149,526

4. Interest Rates

Interest Rates
Lowest 1%
Highest 8%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
09 09 1%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 06
2.1% to 4.0% 00
4.1% to 6.0% 02
6.1% to 8.0% 01
8.1% - 10.0% 00
10.1%-12.0% 00
12.1%-14.0% 00
14.1% + 00
Total 09

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 01 $10,358
Daily living 00 $0
Environmental adaptations 03 $16,200
Vehicle modification and transportation 05 $122,968
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 09 $149,526

6. Defaults

Defaults
Number Loans in default 01
Net loss for loans in default $15,876

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?Last resort - Activity

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)96
B. Non-Metro (RUCC 4-9)9
C. Total Served105

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures105

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 8$9,163
Hearing 17$32,984
Speech communication2$217
Learning, cognition, and developmental 0$0
Mobility, seating and positioning11$21,275
Daily living 80$106,688
Environmental adaptations191$787,339
Vehicle modification and transportation 30$173,499
Computers and related 0$0
Recreation, sports, and leisure0$0
Total339$1,131,165



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

The CARE Loan Fund was utilized to purchase a modified vehicle for a woman with osteoarthritis and her daughter living with cerebral palsy. They live in a multi-generational household which includes a grandmother and cousin. Applicants have lived in poverty for generations and did not have opportunities to establish credit history. Their credit report did not reflect any derogatory information. Our loan policy allowed us to accept payment history for rent to qualify them. We also were able to establish that they had a payment history for their subsidized rental. The family was forced to leave their previous home due to fire damage that destroyed all of their personal belongings. The housing authority in their community assisted by providing shelter until affordable housing became available. Data shows that their community is the worst in the nation that offers affordable housing. With proof of income from all of the family members we were able to satisfy the income to debt ratio challenge. The consumers initially established their transportation goals with the Assistive Technology for Independent Living program (last resort), that provided funding towards the vehicle modifications as well. This partnership enabled the family to fulfill their goal of having transportation. With this loan, they are able to have transportation to make doctor appointments, pick up food from the Food Bank and attend social activities. When we visited them at their home, they sang to our staff and made some of their traditional dishes to eat.

Impact Area

FB is consumer that lives in an urban county but a rural area. He requires a wheelchair and power wheelchair for his mobility. He was not able to get in or out of his home independently, was having difficulty addressing his bathing and personal care, was unable to meet his own transportation needs and transport his mobility device, and also had barriers to meal preparation. A combination of factors lead to the prioritization including living in a rural area, lack of services, and most importantly a fall would very likely have led to placement in a care facility. The solutions to achieve his Independent Living goals was a ramp into the home. To address his bathing and personal care the bathroom was modified with a roll-in shower, accessible toilet and sink area. A lowered cooking island was built in the kitchen with access to a cook top, microwave, and toaster oven. To address his transportation needs a modified vehicle was identified and the program provided partial funding toward the vehicle modifications. The consumer is now totally independent with his home access, self-care and transportation.

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 76 76
2. AT was only available through the AT program. 00 00 32 32
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 06 06
4. Subtotal 00 00 114 114
5. None of the above 00 00 00 00
6. Subtotal 00 00 114 114
7. Nonrespondent 00 00 00 00
8. Total 00 00 114 114
9. Performance on this measure NaN% NaN% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 51 44.74%
Satisfied 09 7.89%
Satisfied somewhat 00 0%
Not at all satisfied 02 1.75%
Nonrespondent 52 45.61%
Total Surveyed 114
Response rate % 54.39%

G. Notes:

NV has the CARE Loan Fund & Assistive Technology for Independent Living (AT/IL) as options to purchase AT. The AT/IL program assists consumers with their Independent Living goals, identify barriers, provide potential AT solutions, and to explore options that the consumer has available. The program’s focus is to keep individuals living in their community. The resources can be used to provide many forms of AT including home access modifications, vehicle mods, and AT that is necessary for daily living. The program prioritizes services related to a Transition from institutional living, as well as Preventative. The reporting is based on closed AT/IL consumer cases that consisted of 355 Independent Living Goals set and 283 met. Program funding provided 29 AT solutions that had Prevention implications and 26 AT solutions were provided for Transition of the consumer from back into the community. There were 64 AT solutions through other resources that were not included in the APR data.

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 1,182
C. Total 1,182

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. 55
E. Number of Individuals Included in Performance Measures 1,127

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

The addition and blending of the states Telecommuncations program into our Assistive Technology Resource Centers was not as smooth as we would have liked it to be, and the Access Performance Measure was used part of the time. We excluded the OELs where the Access performance measure was used.

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 50 $4,792 $0 $4,792
Hearing 311 $37,126 $0 $37,126
Speech Communication 03 $2,405 $0 $2,405
Learning, Cognition and Developmental 01 $399 $0 $399
Mobility, Seating and Positioning 1,291 $204,368 $0 $204,368
Daily Living 1,087 $75,023 $0 $75,023
Environmental Adaptations 27 $5,805 $0 $5,805
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 48 $15,926 $0 $15,926
Recreation, Sports and Leisure 00 $0 $0 $0
Total 2,818 $345,844 $0 $345,844

D. Anecdote

When “C” was paralyzed from in a catastrophic motorcycle accident, he felt lost and completely overwhelmed at the thought of securing all the equipment he would need to live independently. A cousin referred him to CARE Chest where he was able to find a wheelchair, transfer bench, grab bars, and other medical supplies so that he could remain safely in his home. Now, five years later, he enjoys getting around town in his own vehicle using hand controls, but his favorite thing is being able to play in the park with his daughter using his ultra-light all terrain wheelchair. By accessing both the reuse program and the AT/IL program the consumer was able to obtain the AT that he needed to reach the independent living goals he had.

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. 01 00 980 981
2. AT was only available through the AT program. 02 02 133 137
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 03 03
4. Subtotal 03 02 1,116 1,121
5. None of the above 00 00 05 05
6. Subtotal 03 02 1,121 1,126
7. Nonrespondent 00 00 01 01
8. Total 03 02 1,122 1,127
9. Performance on this measure 100% 100% 99.47%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,055 89.26%
Satisfied 57 4.82%
Satisfied somewhat 01 0.08%
Not at all satisfied 01 0.08%
Nonrespondent 68 5.75%
Total Surveyed 1,182
Response rate % 94.25%

G. Notes:

NATC community partner CARE Chest of Sierra Nevada has maintained this significant Reutilization of AT in Nevada for over 30 years. The program continues to grow and make impacts be collaborating with other organizations that deliver food and resources to rural communities. The program continues to make huge impacts to those with both limited and no resources available to them. The availability of appropriate used AT prevents a larger waitlist to the statewide Assistive Technology for Independent Living (AT/IL) program. All consumers accessing the AT/IL program are encouraged to donate AT that is no longer needed. Adding more value, the program makes sanitized equipment available for demonstrations and short-term decision-making loans. This is a huge benefit for people to make informed decisions and advocate for the AT that best meets their need. Challenges faced were supply chain delays for equipment and supplies.

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) 29
Serve as loaner during service repair or while waiting for funding 04
Provide an accommodation on a short-term basis for a time-limited event/situation 07
Conduct training, self-education or other professional development activity 04
Total 44

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 29 14 43
Family Members, Guardians, and Authorized Representatives 00 00 00
Representative of Education 00 00 00
Representative of Employment 00 00 00
Representatives of Health, Allied Health, and Rehabilitation 00 01 01
Representatives of Community Living 00 00 00
Representatives of Technology 00 00 00
Total 29 15 44

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 22 04 26
Hearing 05 01 06
Speech Communication 16 07 23
Learning, Cognition and Developmental 24 14 38
Mobility, Seating and Positioning 02 01 03
Daily Living 00 00 00
Environmental Adaptations 05 01 06
Vehicle Modification and Transportation 00 00 00
Computers and Related 10 08 18
Recreation, Sports and Leisure 00 00 00
Total 84 36 120

E. Anecdote

Program staff have been working with a long-time consumer familiar to the program that has cerebral palsy and speech challenges. He was having difficulty with communication and especially composing text messages without errors and in a timely manner. Communication challenges that presented barriers to effective communication for the meeting were addressed. He met with program staff members who continued to discuss choices that included the built in voice to text feature, as well and a two-button blue switch controller. The consumer was able to make an informed decision about what was presented and was eager to begin incorporating those options into his routine of how he composes messages. Staff also suggested that the switch could be used for similar barriers that he might encounter such as filling out online forms. The consumer left the office optimistic about all the possibilities.

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 04 02 09 15
Decided that an AT device/ service will not meet needs 01 00 05 06
Subtotal 05 02 14 21
Have not made a decision 01 01 03 05
Subtotal 06 03 17 26
Nonrespondent 00 00 03 03
Total 06 03 20 29
Performance on this measure 83.33% 66.67% 82.35%

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. 02 00 02 04
2. AT was only available through the AT program. 04 02 04 10
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 06 02 06 14
5. None of the above 00 00 01 01
6. Subtotal 06 02 07 15
7. Nonrespondent 00 00 00 00
8. Total 06 02 07 15
9. Performance on this measure 100% 100% 85.71%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 29 65.91%
Satisfied 03 6.82%
Satisfied somewhat 02 4.55%
Not at all satisfied 00 0%
Nonrespondent 10 22.73%
Total Surveyed 44
Response rate % 77.27%

I. Notes:

The year was a positive transition back to in-person contact with consumers. Our Nevada AT Resource Centers partner, the Nevada Center for Excellence in Disabilities (NCED), opened two new locations primarily for our AT Resource Centers. Having the available AT onsite and at locations open to the public is a great transition from the covid. The NCED brought in the addition of the states telecommunications equipment services which has created more consumer engagements. Blending services also means challenges. The program came with pre-purchased AT as well as other equipment for individuals. Free devices can be positive for the consumer, but we also identified that it led to jumping to those solutions instead of exploring all options. We identified many areas that decision making demonstrations and loans should have taken place. Going forward there will be more informed decision-making opportunities that historically haven’t existed.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 22
Hearing 14
Speech Communication 06
Learning, Cognition and Developmental 04
Mobility, Seating and Positioning 00
Daily Living 00
Environmental Adaptations 03
Vehicle Modification and Transportation 00
Computers and Related 04
Recreation, Sports and Leisure 00
Total # of Device Demonstrations 53

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 47 01 48
Family Members, Guardians, and Authorized Representatives 03 01 04
Representatives of Education 00 00 00
Representatives of Employment 00 00 00
Health, Allied Health, Rehabilitation 02 00 02
Representative of Community Living 01 01 02
Representative of Technology 00 00 00
Total 53 03 56

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 03
Service Provider 09
Vendor 00
Repair Service 00
Others 01
Total 13

D. Anecdote

The program was contacted by a family of a young girl who has multiple barriers in development . They were struggling to find assistive technology that might help their daughter with developmental and learning milestones. Basic information and assistance happened, and the program engaged in conversations about goals and short term needs. Program staff met with the consumer and her parents at the AT Resource Center to explore options for alternative communication and learning. They had been receiving services from several programs around the area, but it seemed like nobody had the types of items she was thinking of. Fortunately, we had a number of different items such as simple communication boards and other simplistic speech generating devices that were relevant to the consumer's barriers. She tried them and the decision was made that a few of the items might be what the consumer and her parents were looking for. The demonstration led to a device loan for further decision making. An interesting aspect is that the devices were donated several months earlier by a retiring speech therapist. The program was reluctant to accept the donated items because they were outdated and frankly did not appear to be useful. Just a reminder that the consumer really is the ultimate decision maker and where the AT Professional didn’t see the value in antiquated items, our consumers might.

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 06 02 36 44
Decided that an AT device/ service will not meet needs 00 00 01 01
Subtotal 06 02 37 45
Have not made a decision 01 01 03 05
Subtotal 07 03 40 50
Nonrespondent 00 00 03 03
Total 07 03 43 53
Performance on this measure 85.71% 66.67% 86.05%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 37 66.07%
Satisfied 09 16.07%
Satisfied somewhat 01 1.79%
Not at all satisfied 00 0%
Nonrespondent 09 16.07%
Total 56
Response rate % 83.93%

G. Notes:

The year was a positive transition back to in-person contact with consumers. Our Nevada AT Resource Centers partner, the Nevada Center for Excellence in Disabilities (NCED), opened two new locations primarily for our AT Resource Centers. Having the available AT onsite and at locations open to the public is a great transition from the covid. The NCED brought in the addition of the states telecommunications equipment services which has created more consumer engagements. Blending services also means challenges. The program came with pre-purchased AT as well as other equipment for individuals. Free devices can be positive for the consumer, but we also identified that it led to jumping to those solutions instead of exploring all options. We identified many areas that decision making demonstrations and loans should have taken place. Going forward there will be more informed decision-making opportunities that historically haven’t existed.

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. 03 00 1,058 1,061
2. AT was only available through the AT program. 06 04 169 179
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 09 09
4. Subtotal 09 04 1,236 1,249
5. None of the above 00 00 06 06
6. Subtotal 09 04 1,242 1,255
7. Nonrespondent 00 00 01 01
8. Total 09 04 1,243 1,256
9. Performance on this measure 100% 100% 98.71% 98.73%
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 10 04 45 59
Decided that an AT device/ service will not meet needs 01 00 06 07
Subtotal 11 04 51 66
Have not made a decision 02 02 06 10
Subtotal 13 06 57 76
Nonrespondent 00 00 06 06
Total 13 06 63 82
Performance on this measure 84.62% 66.67% 85% 83.54%
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 99.44% 95% Met
Response Rate 90.04% 90% Met

Training

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

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 14
Family Members, Guardians and Authorized Representatives 01
Representatives of Education 00
Representatives of Employment 00
Rep Health, Allied Health, and Rehabilitation 00
Representatives of Community Living 102
Representatives of Technology 01
Unable to Categorize 17
TOTAL 135

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
135 00 00 135

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 04
AT Funding/Policy/ Practice 00
Combination of any/all of the above 62
Information Technology/Telecommunication Access 52
Transition 17
Total 135

C. Description of Training Activities

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

The AT Resource Center was approached by the management of the United Way of Southern Nevada to provide a training regarding accessibility to online meetings. The training objectives were to improve the knowledge, skills, and abilities of their statewide managers to address barriers that some of their members were experiencing as far as ensuring all of their meetings were accessible, especially to those with vision and hearing issues. They were looking for a better understanding of the barriers that various disabilities could present and how staff may be able to better support the participation of people with disabilities. The Resource Center put together a panel of staff with personal, and gained peer knowledge, to provide insight into the everyday barriers that a multitude of disabilities can have in accessing and participating in online meetings. The training involved making sure the settings in the platform were turned on and what the accessibility features actually did for people experiencing barriers. It also provided details on addressing any accommodations requested during meeting. The training went well as the participant now understand where to find certain features and how to improve access to their members as well as the community partners they work with on a daily basis. The door was left open to provide future trainings to even more members and additional community partners.

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

The Nevada AT Collaborative put together a panel of assistive technology users to explore and discuss lifelong transitions and the importance of incorporating assistive technology. The training explored many areas including where assistive technology needs can change throughout the lifespan, the importance of planning ahead, and the importance of engaging peers to support self-informed choices. A focus was on the importance of peer-to-peer engagements and understanding the independent living philosophy of supporting individuals making informed choices throughout their lifelong transitions. Potential transition areas included early learning and school age transitions, employment, community living, as well as later in life transitions including remaining in your home safely and adaptations to the home environment.

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

The AT Resource Center was contacted by the Economic Opportunity Board (EOB) in southern Nevada. Information and Assistance was initially provided and led to further discussion about barriers that some members were having. Both during the pandemic and going forward the EOB sought to address social isolation through online activities, such as the most popular one which is online BINGO. Many of the members struggle with various barriers such as vision or hearing issues. The EOB and the individuals did not have the supports needed or experience with basic IT needs to support consumer engagement. The training was approached as a method to understand some of the barriers and to provide training and supports to both the EOB and its many older and low-income members in southern Nevada. The program supplied all needed devices and provided in depth one on one supports for folks that were novice users or those who had additional barriers. The training and the process of engaging with a community partner that has a large population of potential AT Users is a great way to reach those who may be isolated in their communities.

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 52
Training or Technical Assistance will be developed or implemented 00
No known outcome at this time 00
Nonrespondent 00
Total 52
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 25%
Employment 13%
Health, Allied Health, Rehabilitation 07%
Community Living 42%
Technology (IT, Telecom, AT) 13%
Total 100%

B. Description of Technical Assistance

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

The program was approached by a University colleague who manages the Virtual Reality Experience in the campus library. He was referred by our new Regent. During a tour of the facility the Regent noticed that the VR driving experience was not accessible to students with disabilities who might want to participate in the experience. The Regent mentioned our program and made the referral. Basic information was provided initially, leading to further discussion and ways to incorporate assistive technology into the overall experience. A meeting was held onsite where we looked at several ways to make it more accessible, from clear floor space and general access, to discussing ways to incorporate various types of hand controls with the existing equipment and layout. After the initial meeting we reached out to individuals with experience in vehicle hand-controls as well as fabrication on ideas and provided to the manager. Technical assistance will continue to be provided until completion.

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

The AT Resource Center provided technical assistance to the Nevada Center for Excellence In Disabilities’ Path to Independence Program regarding various types of AT, applications and techniques to help student with disabilities. Provided multiple in-person meetings in order to assist the program and its students to incorporate assistive technology into the college experience and to understand the tools that are available to make their experience better. Another goal was to address gaps in acquisition. The program will develop on going practices that improve access and acquisition of AT.

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. Between January 2022 and September 2022, CARE Chest launched an aggressive social media and traditional media campaign to highlight NATC services across the State of Nevada. The campaign, while successful in high-density population centers like Reno and Las Vegas, was particularly successful reaching individuals living in rural Nevada communities across the state. More than 210,000 Nevadans were reached during this campaign.

2. AT Resource Center staff attended the Dayton High School and Dayton Intermediate School Resource Fair for students with disabilities and their parents. The schools are in a small rural community. The format of the event was individual program booths where students and parents came by to ask questions. It also involved a presentation by students regarding inclusion and being accepted at the school by their peers. 25 people participated in the event. In the weeks following the event the program received at least 3 referrals for additional AT Exploration.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 247 34 281
Family Members, Guardians and Authorized Representatives 12 00 12
Representative of Education 01 00 01
Representative of Employment 00 00 00
Representative of Health, Allied Health, and Rehabilitation 12 01 13
Representative of Community Living 11 00 11
Representative of Technology 09 03 12
Unable to Categorize 02 00 02
Total 294 38 332

Referral Types:

Our objective is to reach consumers that can benefit and need our program services. That guides our focus to events, disability groups, and organizations/agencies that provide service or supports to people with disabilities. Consequently our largest referral source are self-referrals. Programs want to know if the public awareness that we are doing is working. Our top three I&A referrals were 43% prior consumer and self-referral, 19% program area entities/providers, and 19% awareness and outreach. For many years we have tried to use referral information to make determinations if outreach events or different strategies have worked. However, have also determined that it not entirely possible. The challenge is that people do not often recall how they heard about your services and cannot accurately describe where the referral came from.

Referral Sources:

The past year our priority has been to re-establish an Assistive Technology Resource Center in Las Vegas. The focus was on finding and participating in any events and groups where people with disabilities were. With our largest portion of referrals being self-referrals and former consumers the importance of directly engaging the consumer/decision maker appears to be the most beneficial.

Notes:

The NATC wants to receive good referrals and provide good referrals. If an inappropriate referral is received the program reaches out and encourages an in-service training. Likewise, if we make an inappropriate referral the program would request corrective information. The I&A data reported is solely from the Nevada AT Resource Centers. All NATC partners provide information and referral services as long-standing agencies in the community. However, there are complications of collecting data in those systems. In addition to the data provided the AT/IL Program (last resort/state financing) that has a focus on essential daily living activities and removing the barriers with AT had 413 calls during the year. With 57% being the consumers themselves and 26% from an authorized representative of the consumer. Through AT/IL 1428 referrals made to other resources, 71 instances of technical assistance provided, and 104 Independent Living Plans created.

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?

Working with the Southern Nevada Public Library System we began with discussions about on-going collaborations to establish a long-term partnership for information dissemination, outreach, and creating additional methods to reach underserved populations with assistive technology needs. AT Act funding supporting the AT Resource Centers was used for staff time.

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.

While there are currently no measurable results, we are certain to see increased referrals, consumer engagements onsite and training opportunities. We will track consumer services are implemented and carried out at libraries. At this point the initial research has been conducted and meetings held establishing strategies to address mutual concerns and potential benefits for the State of Nevada. Plans for FFY 2023 include establishing small AT resource type areas within 2-3 larger libraries. AT Collaborative staff will provide basic training and technical assistance to library staff. With the intent of adding other areas of service based on on-going needs and demands from library patrons with disabilities. This initiative will not only reach underserved populations but it will help address rural areas of our state where local libraries are crucial to those smaller and somewhat isolated communities and populations.

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

Other: AT Services and Programs;

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

Device Loan; 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? 01

B. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.

Improved knowledge and skills, and the ability to work more effectively with people with disabilities in our state who may have barriers and difficulties navigating statewide systems and supports.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)

While there are currently no measurable results, we are certain to see increased referrals, consumer engagements onsite and training opportunities. We will track consumer services implemented and carried out at libraries. At this point the initial research has been conducted and meetings held establishing strategies to address mutual concerns and potential benefits for the State of Nevada. Plans for FFY 2023 include establishing AT resource areas within 2-3 larger libraries. AT Collaborative staff will provide basic training and technical assistance to library staff. With the intent of adding other areas of service based where on-going needs and demands from library patrons with disabilities. This initiative will not only reach underserved populations, but it will help address rural areas of our state where local libraries are crucial to those smaller and somewhat isolated communities and populations.


3. What was the primary area of impact for this state improvement outcome?

Community Living


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
Federal$201,613State FinancingTrue
State Appropriations$1,229,865State FinancingTrue
Amount: $1,431,478

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 16:33:14 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.