National Assistive Technology Act Data System

Annual Progress Report - Full Report

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Missouri 2023

General Information

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

State AT Program Title:
Missouri Assistive Technology
State AT Program Title:
State AT Program URL
www.at.mo.gov
Mailing Address:
1501 N.W. Jefferson
City:
Blue Springs
State:
Missouri
Zip Code:
64015
Program Email:
info@mo-at.org
Phone:
816-655-6700
TTY:
816-655-6710

Lead Agency

Agency Name:
Missouri Assistive Technology
Mailing Address:
1501 N.W. Jefferson
City:
Blue Springs
State:
Missouri
Zip Code:
64015
Program URL:
www.at.mo.gov

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):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org
Program Director at Lead Agency (last, first):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org
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):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org

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 22 04 26
Approved Not made 00 00 00
Rejected 01 00 01
Total 23 04 27

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $10,284 Highest Income: $175,725

Average Income
Sum of Incomes Loans Made Average Annual Income
$1,695,201 26 $65,200

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 16 01 02 04 01 02 26
Percentage of Loans 61.54% 3.85% 7.69% 15.38% 3.85% 7.69% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 26 100%
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 26 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 26 $367,657
Partnership Loans 00 $0
Total 26 $367,657

4. Interest Rates

Interest Rates
Lowest 1%
Highest 4%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
85 26 3.26923076923077%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 05
2.1% to 4.0% 21
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 26

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 07 $28,591
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 02 $5,180
Daily living 00 $0
Environmental adaptations 05 $28,665
Vehicle modification and transportation 12 $305,221
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 26 $367,657

6. Defaults

Defaults
Number Loans in default 05
Net loss for loans in default $17,770

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? 5
Activity 1
How would you describe this state financing activity?Other: MFP AT Service

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)31
B. Non-Metro (RUCC 4-9)14
C. Total Served45

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures45

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 0$0
Hearing 0$0
Speech communication0$0
Learning, cognition, and developmental 0$0
Mobility, seating and positioning4$14,065
Daily living 58$42,224
Environmental adaptations11$24,270
Vehicle modification and transportation 0$0
Computers and related 0$0
Recreation, sports, and leisure0$0
Total73$80,559

Activity 2
How would you describe this state financing activity?Other: School Reimbursement Program

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)214
B. Non-Metro (RUCC 4-9)61
C. Total Served275

Performance Measure
D. Excluded from Performance Measure275
E. Number of Individuals Included in Performance Measures0

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

Schools have obligation to provide AT under IDEA

3. Types and Dollar Amounts of AT Funded

Type of AT Device / ServiceNumber of Devices
Funded		Value of
AT Provided
Vision 87$190,829
Hearing 24$35,847
Speech communication135$239,747
Learning, cognition, and developmental 78$45,299
Mobility, seating and positioning2$3,118
Daily living 1$81
Environmental adaptations29$15,599
Vehicle modification and transportation 0$0
Computers and related 58$45,989
Recreation, sports, and leisure0$0
Total414$576,509

Activity 3
How would you describe this state financing activity?Other: iCanConnect

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)39
B. Non-Metro (RUCC 4-9)9
C. Total Served48

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures48

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 61$55,680
Hearing 43$19,452
Speech communication0$0
Learning, cognition, and developmental 0$0
Mobility, seating and positioning0$0
Daily living 0$0
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 21$19,904
Recreation, sports, and leisure0$0
Total125$95,036

Activity 4
How would you describe this state financing activity?Other: Telecommunications Access Program

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)388
B. Non-Metro (RUCC 4-9)181
C. Total Served569

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures569

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 110$92,273
Hearing 317$108,933
Speech communication10$6,345
Learning, cognition, and developmental 10$640
Mobility, seating and positioning36$1,048
Daily living 0$0
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 323$175,353
Recreation, sports, and leisure0$0
Total806$384,592

Activity 5
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)22
B. Non-Metro (RUCC 4-9)8
C. Total Served30

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures30

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 0$0
Hearing 1$747
Speech communication3$8,220
Learning, cognition, and developmental 0$0
Mobility, seating and positioning18$73,705
Daily living 5$31,967
Environmental adaptations2$10,498
Vehicle modification and transportation 0$0
Computers and related 0$0
Recreation, sports, and leisure1$4,143
Total30$129,280



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

A brain hemorrhage in utero resulted in Xavier being born with multiple disabilities, including Cerebral Palsy, a seizure disorder, and speech delays. Undeterred by the challenges placed in front of them, Xavier and his parents have worked hard to increase his opportunities to have a typical childhood. Unable to find funding to help Xavier obtain a variety of assistive devices, his parents turned to the Kids Assistive Technology Program (KAT), MoAT’s funding program of last resort. Through the KAT Program they were able to obtain two Little Candy Corn Switches, two Little Step By Step AAC devices, mounting clamps and plates that will provide Xavier with easy-to-access speech communication and compliment the work his therapist is undertaking to further his development.

Xavier sits surrounded by his new assistive devices.
Impact Area

Every morning since his ramp and deck were installed, Jamall, a 21-year old resident of Kansas City with Cerebral Palsy, spends time outside with his dog. This simple pleasure was previously unavailable to Jamall until a Show-Me Loan made possible the construction of an accessible entrance, deck, and ramp that allows Jamall to freely and safely come and go from the family home. “He loves being able to go out on his own and down the ramp. It gives him a sense of independence,” his mother reports.

Jamall and his dog out on their accessible deck.
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 00 718 718
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 00 718 718
5. None of the above 00 00 00 00
6. Subtotal 00 00 718 718
7. Nonrespondent 00 00 00 00
8. Total 00 00 718 718
9. Performance on this measure NaN% NaN% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 703 70.8%
Satisfied 62 6.24%
Satisfied somewhat 42 4.23%
Not at all satisfied 19 1.91%
Nonrespondent 167 16.82%
Total Surveyed 993
Response rate % 83.18%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 03
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 2,666
C. Total 2,669

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 2,669

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 01 $100 $5 $95
Daily Living 05 $5,155 $640 $4,515
Environmental Adaptations 02 $8,700 $1,100 $7,600
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 08 $13,955 $1,745 $12,210

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 62 $37,074 $1,094 $35,980
Hearing 25 $5,240 $0 $5,240
Speech Communication 42 $55,251 $0 $55,251
Learning, Cognition and Developmental 09 $3,646 $0 $3,646
Mobility, Seating and Positioning 1,622 $783,531 $32,058 $751,473
Daily Living 1,800 $405,658 $34,256 $371,402
Environmental Adaptations 175 $38,633 $0 $38,633
Vehicle Modification & Transportation 09 $6,435 $149 $6,286
Computers and Related 38 $6,760 $0 $6,760
Recreation, Sports and Leisure 10 $13,317 $0 $13,317
Total 3,792 $1,355,545 $67,557 $1,287,988

D. Anecdote

When Rose’s aide became concerned about her stability when she walked over to visit her neighbor, she reached out to MoAT’s device reuse center in far Southeastern Missouri to find out more about devices to help Rose walk safely and steadily. Reuse center staff introduced Rose and her caregiver to a variety of different options from walkers to wheelchairs and from transport chairs to rollators. Due to its comfort, ease of use and light weight, Rose identified a transport chair as an ideal solution and went home from her visit with one at no cost. Rose noted that her insurance would not pay for equipment and was very appreciative that the reuse center was available. For Rose’s aide she rests easier now that she knows Rose can independently and safely leave her house and visit her neighbor.

Rose stands between two different types of wheelchairs.
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. 06 06 1,146 1,158
2. AT was only available through the AT program. 21 04 1,216 1,241
3. AT was available through other programs, but the system was too complex or the wait time too long. 04 02 256 262
4. Subtotal 31 12 2,618 2,661
5. None of the above 01 00 07 08
6. Subtotal 32 12 2,625 2,669
7. Nonrespondent 00 00 00 00
8. Total 32 12 2,625 2,669
9. Performance on this measure 96.88% 100% 99.73%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 2,309 86.51%
Satisfied 355 13.3%
Satisfied somewhat 03 0.11%
Not at all satisfied 02 0.07%
Nonrespondent 00 0%
Total Surveyed 2,669
Response rate % 100%

G. Notes:

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) 841
Serve as loaner during service repair or while waiting for funding 14
Provide an accommodation on a short-term basis for a time-limited event/situation 11
Conduct training, self-education or other professional development activity 32
Total 898

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 12 02 14
Family Members, Guardians, and Authorized Representatives 10 02 12
Representative of Education 584 20 604
Representative of Employment 13 01 14
Representatives of Health, Allied Health, and Rehabilitation 120 11 131
Representatives of Community Living 58 21 79
Representatives of Technology 44 00 44
Total 841 57 898

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 35

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number of Devices
Desicion-making All other Purposes Total
Vision 221 08 229
Hearing 111 00 111
Speech Communication 1,128 15 1,143
Learning, Cognition and Developmental 336 00 336
Mobility, Seating and Positioning 00 00 00
Daily Living 147 17 164
Environmental Adaptations 248 00 248
Vehicle Modification and Transportation 05 07 12
Computers and Related 461 27 488
Recreation, Sports and Leisure 00 00 00
Total 2,657 74 2,731

E. Anecdote

Not so much an anecdote this year as a collage since there are far too many anecdotes so share just one. What follows is a sampling of the impact the device loan program has for the month of June 2023. “Great for family to see what an AAC device was and how it could help their little one with Down Syndrome communicate more effectively.” “My student showed ownership of the device, made progress toward her goals, and was able to make her voice heard because she was able to borrow this device.” “The switch toy and spinner were both very useful. My student was able to participate in games with peers more easily…” “Since his stroke in February, Rick has been unable to communicate and it has been very frustrating to him. The apps have made it possible for Rick to communicate more effectively.’ “The device allowed me to better hear and thus understand and participate in the Poor People’s Campaign Moral Action Congress held in DC.” “They will be able to help our their spouse by being notified when their newborn cries.” “Life changing for her functional communication.”

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 296 08 129 433
Decided that an AT device/ service will not meet needs 107 06 26 139
Subtotal 403 14 155 572
Have not made a decision 153 03 34 190
Subtotal 556 17 189 762
Nonrespondent 56 09 14 79
Total 612 26 203 841
Performance on this measure 72.48% 82.35% 82.01%

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. 19 03 21 43
2. AT was only available through the AT program. 02 01 04 07
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 01 00 01
4. Subtotal 21 05 25 51
5. None of the above 01 00 00 01
6. Subtotal 22 05 25 52
7. Nonrespondent 03 00 02 05
8. Total 25 05 27 57
9. Performance on this measure 95.45% 100% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 848 94.43%
Satisfied 45 5.01%
Satisfied somewhat 03 0.33%
Not at all satisfied 02 0.22%
Nonrespondent 00 0%
Total Surveyed 898
Response rate % 100%

I. Notes:

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 244
Hearing 202
Speech Communication 18
Learning, Cognition and Developmental 16
Mobility, Seating and Positioning 251
Daily Living 224
Environmental Adaptations 32
Vehicle Modification and Transportation 01
Computers and Related 51
Recreation, Sports and Leisure 16
Total # of Device Demonstrations 1,055

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 937 09 946
Family Members, Guardians, and Authorized Representatives 100 191 291
Representatives of Education 07 03 10
Representatives of Employment 02 04 06
Health, Allied Health, Rehabilitation 06 13 19
Representative of Community Living 01 10 11
Representative of Technology 02 04 06
Total 1,055 234 1,289

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 104
Service Provider 179
Vendor 99
Repair Service 01
Others 28
Total 411

D. Anecdote

As Missouri’s rural agricultural communities age, their residents often find that with aging comes disability.. Such was the situation that faced 69-year old Doris as her eyesight began to fade. Fiercely independent, Doris found it a struggle to see her bills and read her bible as her vision worsened. To address the barriers she faced, Doris connected with one of MoAT’s demonstration centers and was provided the opportunity to meet with their trained staff and compare and contrast an array of different types of traditional and electronic magnifiers. During her first visit, Doris identified a 7x stand magnifier that worked well for her, but upon returning home she discovered that it didn’t help in all situations. Doris scheduled a second visit to learn more about the CCTV systems she’d seen on her first visit, identified one that worked better for her when reading and was able to secure a donated one during her visit and is now reading freely again. “I love this device,” Doris said,” because I do not have to strain or guess when reading any more.”

Doris sits using her CCTV
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 54 24 936 1,014
Decided that an AT device/ service will not meet needs 00 01 16 17
Subtotal 54 25 952 1,031
Have not made a decision 01 05 18 24
Subtotal 55 30 970 1,055
Nonrespondent 00 00 00 00
Total 55 30 970 1,055
Performance on this measure 98.18% 83.33% 98.14%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 978 75.87%
Satisfied 241 18.7%
Satisfied somewhat 24 1.86%
Not at all satisfied 04 0.31%
Nonrespondent 42 3.26%
Total 1,289
Response rate % 96.74%

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. 25 09 1,885 1,919
2. AT was only available through the AT program. 23 05 1,220 1,248
3. AT was available through other programs, but the system was too complex or the wait time too long. 04 03 256 263
4. Subtotal 52 17 3,361 3,430
5. None of the above 02 00 07 09
6. Subtotal 54 17 3,368 3,439
7. Nonrespondent 03 00 02 05
8. Total 57 17 3,370 3,444
9. Performance on this measure 88.89% 82.35% 92.19% 92.09%
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 350 32 1,065 1,447
Decided that an AT device/ service will not meet needs 107 07 42 156
Subtotal 457 39 1,107 1,603
Have not made a decision 154 08 52 214
Subtotal 611 47 1,159 1,817
Nonrespondent 56 09 14 79
Total 667 56 1,173 1,896
Performance on this measure 74.8% 82.98% 95.51% 88.22%
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 98.24% 95% Met
Response Rate 96.43% 90% Met

Training

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

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 862
Family Members, Guardians and Authorized Representatives 230
Representatives of Education 1,430
Representatives of Employment 687
Rep Health, Allied Health, and Rehabilitation 614
Representatives of Community Living 1,509
Representatives of Technology 221
Unable to Categorize 667
TOTAL 6,220

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
4,424 1,730 66 6,220

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 4,355
AT Funding/Policy/ Practice 812
Combination of any/all of the above 749
Information Technology/Telecommunication Access 247
Transition 57
Total 6,220

C. Description of Training Activities

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

Considerable effort has been invested by MoAT over the last couple of years to help the state’s Vocational Rehabilitation Agency incorporate better awareness of and knowledge on assistive technology and its benefit to employees with disabilities. Central to this effort is the provision of training to counselors, many of whom are new within the past two years. In an effort to engage counselors directly and provide them with hands-on access to devices, staff prepared and sent out to each VR office an AT Mystery Box filled with a variety of simple devices useful on a job. Counselors were encouraged to play and learn about the devices found in the box prior to a presentation from MoAT staff about AT, how to assess for AT, and MoAT program and services.

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

MoAT partners with Missouri’s Show Me Homes Transition Coordinators across the state to fund needed assistive technology, home modifications, and vehicle modifications they need to transition safely and securely into their own places back in the community. As part of this partnership, MoAT staff provide frequent training on assistive technology and related services to transition coordinators in order to prepare them to provide individuals with the best transition situation possible. MoAT staff revamped the training this year and designed it to work better with the Show Me Homes federal guidelines and their intake process. The refreshed training is intended to increase knowledge and consideration of AT and its importance and role in a successful transition. To date, 52 transition coordinators have participated in the training and additional training is provided on roughly a quarterly basis.

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

ICT Training (Let’s Talk ICT) MoAT’s “Let’s Talk ICT” series continues to draw participants and build knowledge through its “how-to” approach to teaching individuals, both novices and professionals, how to create accessible digital materials. This year, 8 sessions were provided and covered topics ranging from color palettes to PDF remediation and from captioning to how to use a screen reader to assess accessibility. In all, 247 individuals attended the webinar series with many going on to share the information learned with others in their organization. The webinar is also available on MoAT’s YouTube Channel where it has garnered over 1,000 additional views.

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 118
Training or Technical Assistance will be developed or implemented 106
No known outcome at this time 23
Nonrespondent 00
Total 247
Performance Measure Percentage 90.7%
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 22%
Employment 15%
Health, Allied Health, Rehabilitation 00%
Community Living 63%
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:

Missouri Assistive Technology has spent considerable time this past year providing insight and suggestions to the Department of Elementary and Secondary Education related to increasing district understanding of accessible educational materials and increasing their use. Related activities have included presentations to educators and administrators, working toward inclusion of AEM in the IEP and developing a more robust effort statewide related to helping districts adequately meet the AEM needs of all students.

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

MoAT continued its work with Missouri's NWD and it's UCEDD related to increasing knowledge and access to assistive technology for individuals in or transitioning to community living. Activities have included the monthly Missouri Open Door Workshop series which melds assistive technology into the Charting the Life Course framework and the further development of the AT Academy. The initial pilot was conducted in November of 2023 and is anticipated to be fully executed during the Charting the Lifecourse Show Case in April of 2024. The overarching goal is to increase knowledge and resources around AT throughout the lifespan of individuals with Developmental Disabilities. Technical assistance is being provided by David Baker, MoAT Director, with additional staff providing additional subject matter contributions as needed.

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. MoAT has put a focus on connecting the state's employment providers with greater understanding and resources on assistive technology and it's relationship to making things possible for employees with disabilities. In addition to its work with VR (mentioned elsewhere), MoAT staff have presented widely this year at conferences that draw large numbers of employment providers (County DD Board Conference, Professionals in Employment Conference, Missouri Rehabilitation Association Conference, etc.). In addition to presenting, staff have manned multiple exhibits at these conferences to share information on programs and services, as well as to provide a forum for greater discussion about needs within organizations. Approximately, 1,200 individuals have been reached through a combination of exhibits and presentations. An increase in the number of providers contacting MoAT for guidance, to access the device loan program, and accessing other programs has been noted in the data.

2.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service		 AT Funding Total
Individuals with Disabilities 1,888 641 2,529
Family Members, Guardians and Authorized Representatives 610 302 912
Representative of Education 2,069 120 2,189
Representative of Employment 102 04 106
Representative of Health, Allied Health, and Rehabilitation 750 51 801
Representative of Community Living 2,691 44 2,735
Representative of Technology 86 04 90
Unable to Categorize 00 00 00
Total 8,196 1,166 9,362

Referral Types:

MoAT is working to expand knowledge of its services more widely throughout the state and in particular is focusing on reaching the wide array of disability service providers that operate on the community and local level, in particular disability focused non-profits and agencies that provide targeted case management. Via the Missouri Open Door Series of webinars, conference participation, and targeted presentations, an increase in the types of agencies and geographical distribution of agencies and organizations accessing information and assistance on various assistive technology issues has shifted. While an overall increase does not show up in the I & A numbers, it did show itself when data was plotted across the state and clearly showed the wider distribution of counties reached.

Referral Sources:

Referral sources have been consistent for several years with the primary sources being Centers for Independent Living, school districts, Vocational Rehabilitation and the state's Division of Developmental Disabilities. Rough estimates include about 25% of referrals coming from school districts, 30ish% from IL Centers and other community providers. Geographically, the majority of referrals are coming from entities located along the I-70 (St. Louis-Columbia-Kansas City Corridor), but targeted outreach is showing an increase in the number of counties across the state that show at least one contact with staff.

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?

Missouri Assistive Technology (MoAT) has begun a multi[year partnership with our state Developmental Disabilities Council (MODCC) that focuses on increasing digital inclusion for individuals with I/DD. This effort has 4 components: increase digital literacy, increase digital safety, increase knowledge about assistive technology and encourage utilization of the Affordable Connectivity Program. MoAT developed the initiatives content and is performing the training; MODCC is providing funding and logistical support. Funds were provided through a grant provided to MoAT by MODCC.

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.

Though only in its first year, much has been learned including the degree to which individuals with I/DD are not as well versed on digital literacy and digital safety as the general population; the lack of information on various assistive technologies that can increase useability of the internet and appropriate digital devices and how the state’s broadband plan does not adequately address the unique digital needs of this segment of the population. Access to AT is being increased through this initiative as more individuals learn about MoAT and are introduced to both devices and MoAT programs that can assist them. It has increased MoAT’s reach across the state in several ways including more connection and outreach in rural and low income areas of the state and increased connection with the IDD community and IDD providers statewide. This initiative will continue for at least two more years, if not longer, and is springboarding thought on future projects to continue closing the digital gap within the I/DD community.

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

Education; Employment; Community Participation and Integration; Recreation / Leisure; Health; Information and Communication Technology / Remote Connectivity;

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

Training; 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
Federal$175,985State FinancingTrue
State Appropriations$781,609State FinancingTrue
Public/State Agency$600,000State FinancingTrue
Private$10,000Technical AssistanceTrue
Private$6,000TrainingTrue
Public/State Agency$80,579State FinancingTrue
Public/State Agency$137,000State FinancingTrue
Amount: $1,791,173

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 13 2024 14:09:11 GMT-0600 (Central Standard Time)

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This FY23 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.