National Assistive Technology Act Data System

Annual Progress Report - Full Report

North Carolina 2023

General Information

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

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

Lead Agency

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

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

Person Responsible for completing this form if other than Program Director

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

Certifying Representative

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

State Financing

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

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 01 02 03
Approved Not made 02 00 02
Rejected 01 00 01
Total 04 02 06

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $26,400 Highest Income: $73,800

Average Income
Sum of Incomes Loans Made Average Annual Income
$171,100 03 $57,033

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 01 00 00 02 00 03
Percentage of Loans 0% 33.33% 0% 0% 66.67% 0% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 03 100%
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 03 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 03 $118,471
Partnership Loans 00 $0
Total 03 $118,471

4. Interest Rates

Interest Rates
Lowest 4%
Highest 4%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
12 03 4%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 00
2.1% to 4.0% 03
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 03

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 01 $60,000
Vehicle modification and transportation 02 $58,471
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 03 $118,471

6. Defaults

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

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

1. Overview of Activities Performed

How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan? 1
Activity 1
How would you describe this state financing activity?Other: Access grant (ARPA funds) continuation

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)33
B. Non-Metro (RUCC 4-9)15
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 31$61,829
Hearing 13$12,684
Speech communication0$0
Learning, cognition, and developmental 0$0
Mobility, seating and positioning18$42,838
Daily living 12$24,790
Environmental adaptations8$2,283
Vehicle modification and transportation 0$0
Computers and related 7$20,117
Recreation, sports, and leisure2$2,435
Total91$166,976



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 Assistive Technology grant-funded loss reserve enabled Self-Help to make a below-market 4.3% interest rate loan to an African-American borrower in rural Pitt County, NC. The $31,000 loan made it possible for her to purchase a costly specialized van for her daughter, who lives with a disability and requires adaptive equipment to drive. Her daughter is now able to access the local community, go to church, buy groceries, and she is looking at attending the local community college.

Impact Area

Sandra Carr is a sweet 67-year-old lady who resides in her home in eastern North Carolina. Mrs. Carr has Multiple Sclerosis and due to this condition is significantly mobility impaired. She is bed bound and her speech is barely audible. Mrs. Carr lies flat on her back with a monitor hovering over her head and uses head motion to access her computer. When we met Mrs. Carr, she was using an older and discontinued SmartNav tracking device and an older computer. She was having a lot of difficulty accessing her Facebook messages, which she uses as primary communication between her and her caregivers. Due to her outdated computer system, it was unable to update her web browser properly which she used to sign into Facebook. This caused for the image on her monitor to be distorted and she could not properly read anything on her screen that was on the web browser. This caused Mrs. Carr much frustration because she would have to rely on her husband to help her get in communication with her caregivers. With Access Funds NCATP was able to get Mrs. Carr an updated computer system, a new monitor, and a brand new HeadMouse Nano which Mrs. Carr now uses to navigate her computer. Mrs. Carr can continue to independently communicate with her caregivers and uses her brand-new computer to stay connected with friends and family, listen to audio books, stream media services, and write children’s books! Mrs. Carr expressed immense gratitude for the devices purchased under the grant, and for the opportunity to work with NCATP!

Narrative Picture
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. 51 00 00 51
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 51 00 00 51
5. None of the above 00 00 00 00
6. Subtotal 51 00 00 51
7. Nonrespondent 00 00 00 00
8. Total 51 00 00 51
9. Performance on this measure 100% NaN% NaN%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 50 98.04%
Satisfied 01 1.96%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 51
Response rate % 100%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 19
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 61
C. Total 80

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 80

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 03 $8,800 $0 $8,800
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 02 $2,100 $0 $2,100
Daily Living 09 $5,890 $100 $5,790
Environmental Adaptations 03 $25,200 $1,000 $24,200
Vehicle Modification & Transportation 02 $49,000 $25,900 $23,100
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 19 $90,990 $27,000 $63,990

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

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device Number of Devices Reassigned/Refurbished and Repaired Total Estimated Current Purchase Price Total Price for Which Device(s) Were Sold Savings to Consumers
Vision 04 $1,209 $0 $1,209
Hearing 02 $100 $0 $100
Speech Communication 14 $1,716 $0 $1,716
Learning, Cognition and Developmental 06 $1,168 $0 $1,168
Mobility, Seating and Positioning 11 $9,180 $0 $9,180
Daily Living 09 $921 $0 $921
Environmental Adaptations 04 $1,150 $0 $1,150
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 11 $2,365 $0 $2,365
Recreation, Sports and Leisure 00 $0 $0 $0
Total 61 $17,809 $0 $17,809

D. Anecdote

Ramp for Heart Transplant Consumer: NCATP was contacted by a Duke University social worker assisting a heart transplant patient being discharged from Duke University Hospital after ten months in the heart rehabilitation program. The patient could not leave the rehabilitation center until the family was able to obtain and install a ramp at his residence. Due to the location of the ramp, NCATP did not have a portable and temporary ramp available in the NC RAMMP program; however, staff was aware of a ramp that had been donated several months prior through the reuse program. This specific ramp was donated to a Division of Vocational Rehabilitation Services (DVRS) administrator for a fellow church member. NCATP staff reached out to the DVRS employee regarding the status of the ramp. Fortunately, the church member no longer needed the ramp and was happy to donate it to the Duke patient. However, due to the length and complexity of the ramp, neither the patient nor his family could pick it up, transport and install. NCATP staff contacted one of the local DVRS engineers who volunteered to install the ramp for the patient and his family. NCATP arranged for delivery of the ramp by the DVRS administrator and the DVRS engineer completed the installation process. The patient was discharged the following day.

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. 10 00 31 41
2. AT was only available through the AT program. 13 01 21 35
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 03 00 04
4. Subtotal 24 04 52 80
5. None of the above 00 00 00 00
6. Subtotal 24 04 52 80
7. Nonrespondent 00 00 00 00
8. Total 24 04 52 80
9. Performance on this measure 100% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 80 100%
Satisfied 00 0%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 80
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) 673
Serve as loaner during service repair or while waiting for funding 21
Provide an accommodation on a short-term basis for a time-limited event/situation 97
Conduct training, self-education or other professional development activity 150
Total 941

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 224 46 270
Family Members, Guardians, and Authorized Representatives 102 29 131
Representative of Education 105 21 126
Representative of Employment 14 09 23
Representatives of Health, Allied Health, and Rehabilitation 189 137 326
Representatives of Community Living 03 15 18
Representatives of Technology 36 11 47
Total 673 268 941

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 41 32 73
Hearing 24 11 35
Speech Communication 299 84 383
Learning, Cognition and Developmental 61 13 74
Mobility, Seating and Positioning 23 18 41
Daily Living 71 44 115
Environmental Adaptations 14 22 36
Vehicle Modification and Transportation 03 00 03
Computers and Related 109 32 141
Recreation, Sports and Leisure 28 12 40
Total 673 268 941

E. Anecdote

iPad with Proloquo4text on it. A teacher serving homebound students visited the Morganton AT Center to learn more about NCATP and to problem-solve a couple of student situations. She has a teaching background and wants to learn more about assistive technology (AT) and how it can be used to assist her homebound students. One student had used Proloquo2Go in the past but had expressed to the teacher that she wanted to transition to a texted based communication system. Several devices were discussed; however, the AT Consultant and the teacher thought an iPad with Proloquo4text would be a good option to try. The AT staff loaned the teacher the iPad with the Proloquo4text app to try with the student. A few days later, NCATP received the following response from the teacher: “I wanted to share some positive news. I took my student the iPad with Proloquo4text that I borrowed from NCATP and she took to it immediately! She loved choosing her voice and then immediately started creating custom word lists of names of people she knows, pets, characters, etc. She was doing this independently and if me or the mom tried to touch the iPad she would indicate that she wanted to do it herself. She maintained focus for about 45 minutes, which is longer than her usual attention span. I can’t thank you enough for helping me identify this wonderful solution for her.”

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 168 45 334 547
Decided that an AT device/ service will not meet needs 13 16 30 59
Subtotal 181 61 364 606
Have not made a decision 42 08 17 67
Subtotal 223 69 381 673
Nonrespondent 00 00 00 00
Total 223 69 381 673
Performance on this measure 81.17% 88.41% 95.54%

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. 51 12 47 110
2. AT was only available through the AT program. 43 11 61 115
3. AT was available through other programs, but the system was too complex or the wait time too long. 04 02 10 16
4. Subtotal 98 25 118 241
5. None of the above 22 00 05 27
6. Subtotal 120 25 123 268
7. Nonrespondent 00 00 00 00
8. Total 120 25 123 268
9. Performance on this measure 81.67% 100% 95.93%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 884 93.94%
Satisfied 38 4.04%
Satisfied somewhat 03 0.32%
Not at all satisfied 01 0.11%
Nonrespondent 15 1.59%
Total Surveyed 941
Response rate % 98.41%

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 74
Hearing 16
Speech Communication 265
Learning, Cognition and Developmental 46
Mobility, Seating and Positioning 42
Daily Living 59
Environmental Adaptations 40
Vehicle Modification and Transportation 01
Computers and Related 170
Recreation, Sports and Leisure 14
Total # of Device Demonstrations 727

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 475 01 476
Family Members, Guardians, and Authorized Representatives 106 258 364
Representatives of Education 27 112 139
Representatives of Employment 10 99 109
Health, Allied Health, Rehabilitation 85 117 202
Representative of Community Living 18 105 123
Representative of Technology 06 02 08
Total 727 694 1,421

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 399
Service Provider 100
Vendor 108
Repair Service 01
Others 00
Total 608

D. Anecdote

Chris is a Vocational Rehabilitation (DVR) client who has a diagnosis of Non-Proliferative Diabetic Retinopathy. He was referred to NCATP by his DVR Counselor to discuss how he might use technology to return to work in customer service. Chris was concerned that his vision impairment would not allow him to do the things he used to do in his former jobs. During a formal assistive technology assessment by NCATP staff, Chris tried various visual related assistive technology devices including Ruby Digital handheld magnifiers, Envision app, OrCam MyEye and NuEyes e2. During the demonstration with the NuEyes e2, Chris was excited and read several documents. He felt comfortable with the device and was very encouraged to look at employment opportunities in customer service with the use of the NuEyes e2 device.

ChrisS-NuEyes-Demo
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 141 111 425 677
Decided that an AT device/ service will not meet needs 00 00 01 01
Subtotal 141 111 426 678
Have not made a decision 06 15 28 49
Subtotal 147 126 454 727
Nonrespondent 00 00 00 00
Total 147 126 454 727
Performance on this measure 95.92% 88.1% 93.83%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,400 98.52%
Satisfied 19 1.34%
Satisfied somewhat 02 0.14%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total 1,421
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. 112 12 78 202
2. AT was only available through the AT program. 56 12 82 150
3. AT was available through other programs, but the system was too complex or the wait time too long. 05 05 10 20
4. Subtotal 173 29 170 372
5. None of the above 22 00 05 27
6. Subtotal 195 29 175 399
7. Nonrespondent 00 00 00 00
8. Total 195 29 175 399
9. Performance on this measure 86.15% 82.76% 91.43% 88.22%
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 309 156 759 1,224
Decided that an AT device/ service will not meet needs 13 16 31 60
Subtotal 322 172 790 1,284
Have not made a decision 48 23 45 116
Subtotal 370 195 835 1,400
Nonrespondent 00 00 00 00
Total 370 195 835 1,400
Performance on this measure 87.03% 88.21% 94.61% 91.71%
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 99.76% 95% Met
Response Rate 99.40% 90% Met

Training

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

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 159
Family Members, Guardians and Authorized Representatives 40
Representatives of Education 298
Representatives of Employment 67
Rep Health, Allied Health, and Rehabilitation 140
Representatives of Community Living 269
Representatives of Technology 88
Unable to Categorize 50
TOTAL 1,111

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
648 463 00 1,111

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 495
AT Funding/Policy/ Practice 57
Combination of any/all of the above 510
Information Technology/Telecommunication Access 13
Transition 36
Total 1,111

C. Description of Training Activities

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

NCATP staff presented at the Western Regional Aging Advisory Council to over 25 individuals from Catawba, Burke, and Alexander Counties. All rural counties are located in the western portion of the state. Individuals present included senior case managers, family members, and individuals who were aging. Staff presented and showed several devices including aides to daily living, vision and hearing devices, and medication management. Following the event, staff received several calls from individuals requesting onsite demonstrations and/or tours of the local AT Center. A follow-up training was also requested with the Burke County Aging Council.

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

Morganton NCATP staff presented and had a booth at an event titled Step Forward to the Future, a Western NC Transition Event on April 26th, 2023. This event was well attended by over 100 teachers, parents, and students across the area. It was an opportunity for any deaf or hard of hearing high school student or first-year college student, along with their parents or guardians, to attend sessions focused on transition. NCATP’s presentation covered assistive technology such as the Ubi Duo 3, Ava captioning app, Glean, Safe Awake alerting alarm, Square Glow, amplified stethoscope, and the Livescribe Echo 2 pen. Many students were impressed with the Ubi Duo 3 and the Ava captioning app and requested additional information. Following the presentation, staff were available at the NCATP booth providing additional information and the opportunity for individuals to try the devices presented in the presentation.

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

NCATP Director, along with 2 additional staff provided training to the NC Department of Health and Human Services (DHHS) office of Diversity, Equity and Inclusion (DEI) in updating slides, flyers, and educational materials assuring accessibility. NCATP initially assisted in providing information and training to DEI staff on accessibility and accommodations for all online material. Training on use of the accessibility checkers for PowerPoint was provided, along with testing of slides with screen readers and other assistive technology. Information regarding the use of “plain language” was provided, as well as guidance on understanding the audience. Over this past year, NCATP also discussed the need for an office within DHHS addressing communication access needs and other accommodations for employees and customers of all NC DHHS services. As a result of these conversations and due to time limited grant funding, DHHS hired a Language and Communication Equity Coordinator. The role of this position is to establish an advisory board addressing the needs within all DHHS divisions and agencies, establish a timeline, and identify needed resources to continue developing an Office of Language and Communication Access (OLCA). NCATP Director will serve on the advisory board for the next two years (2023-2025).

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 07
Training or Technical Assistance will be developed or implemented 06
No known outcome at this time 00
Nonrespondent 00
Total 13
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 10%
Employment 16%
Health, Allied Health, Rehabilitation 08%
Community Living 25%
Technology (IT, Telecom, AT) 41%
Total 100%

B. Description of Technical Assistance

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

The American Speech-Language-Hearing Association (ASHA) is establishing a clinical certification for augmentative and alternative communication (AAC). This clinical specialty will recognize speech-language pathologists with training and expertise in augmentative and alternative communication (AAC) services. One of the primary objectives of this specialty certification is to reduce the difficulty and expense of identifying speech-language pathologists who are qualified to provide competent AAC services. Along with 10 to 12 colleagues from across the country, NCATP was asked to serve on the ASHA examination review subcommittee for the written test that applicants must pass to earn the AAC Specialty Certification for Speech-Language Pathologists. NCATP was able to directly influence the standards and best practices that will be established in the field of augmentative and alternative communication (AAC) by serving on this review committee.

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

NCATP staff supported an individual transitioning from high school to an adult day program. NCATP Greensboro Speech Language Pathologist (SLP) provided training focused on use of low-tech communication supports, strategies and visual supports to increase the individual’s participation and ability to communicate with staff at the day program. The SLP also supported the individual and his family with the use of low tech visual support while providing training for the transition and implementation of high tech communication device for use at home. The goal was to increase his interest and motivation to use the high-tech communication device in a familiar environment with familiar communication partners prior to transitioning to the day program. This was due to him having a negative experience with the high-tech device in the past consisting of inconsistent support and access to the device causing negative behaviors. The overall goal was that the high-tech device would eventually be used

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. For the second year in a row, NCATP hosted 3 AT Pop Ups across the state. Pop Up events were held in Winston-Salem in partnership with Solutions for Independence IL Center, in Wilmington and in Sanford in partnership with the Division of Vocational Rehabilitation Services. Over 450 people attended the 3 events focused on recreational gaming and adaptive sports. Individuals had the opportunity to try devices using adaptive controllers co-sponsored by AbleGamers, as well as various adaptive recreational activities including fly fishing, beach wheelchairs, accessible racquetball, 2 wheel trikes, accessible archery, gardening and accessible/adapted yoga. The events were a huge hit and NCATP will be hosting 3 more AT Pop ups in 2024 in three different NC cities.

2. 18th Annual Adult Services Expo hosted by Adult Services Coalition of Watauga County on May 4th, 2023. The event was held at the Watauga Recreation Center with various vendors present to provide information on services provided in Watauga County for the Aging Population. Around 100 people stopped by the North Carolina Assistive Technology Programs booth to learn about NCATP, the services we provide, and assistive technology. Many individuals were thrilled to see various pieces of AT that could assist them or someone they know to become more independent with a task. Other vendors at the event we very excited to learn about NCATP and took our business cards to schedule future presentations for their staff or residents.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 902 76 978
Family Members, Guardians and Authorized Representatives 588 86 674
Representative of Education 267 05 272
Representative of Employment 404 01 405
Representative of Health, Allied Health, and Rehabilitation 733 45 778
Representative of Community Living 374 33 407
Representative of Technology 276 12 288
Unable to Categorize 00 00 00
Total 3,544 258 3,802

Referral Types:

NCATP continues to partner with the Division of Vocational Rehabilitation Services (DVRS) providing services to individuals across the state. Last year, NCATP staff provided training to the Department of Public Instruction (DPI) on AT in the classroom and implementing AT Toolkits. The relationship with DPI continues to develop to include DPI being a co-sponsor for the 2023 AT Expo, including hybrid training and an in person expo hall. NCATP partnered with the Division of Aging and Adult Services(DAAS) providing assistive technology technical assistance to staff and individual assistance to seniors identified and served over 200 seniors under the ADRC/Access grants. Most referrals for these grant services came from the states IL program and the Division of Services for the Blind (DSB) Older Adult Program. We continue to have to have limited referrals from Senior Centers and other adult programs; therefore, staff will be providing public awareness and outreach activities across the state during FY 2023-2024.

Referral Sources:

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

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

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

A. Coordination/Collaboration

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

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

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.

As a result of this collaboration and funding, NCATP was able to provide over 900 assistive technology items to individuals who are aging and disabled. Total served was over 300. Several individuals were at risk of moving into long term care and were able to remain at home with the implementation of assistive technology. NCATP continues to reach out to agencies and others serving individuals who are aging and disabled providing ongoing device demonstrations, technical assistance, short term loans, and assist in identifying funding sources. Unfortunately, there is no continued support for the purchase of AT items for individuals; therefore, NCATP continues to work with providers, caregivers, professional to look at opportunities and to increase knowledge of assistive technology devices and benefits. Lessons learned: 1. Individuals serving and working with aging adults need more information and exposure to assistive technology devices and services. 2. Funding streams supporting the use of these devices need to be identified and supported. Several devices (most) were lower tech and aided in the individual's ability to remain independent; however, these devices are not currently funded by external resources. 3. There was an overall lack of interest from professionals in the aging community regarding the use of assistive technology. This hindered receiving referrals and the partnership overall. Most referrals came from family members, caregivers, and professionals in the blind and deaf communities.

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

Community Participation and Integration; Aging; Transition(school to work or congregate care to community); Aging and Disability Network / No Wrong Door;

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

Demonstration; State Financing; 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.

NCATP staff worked with the Division of Deaf and Hard of Hearing (DSDHH) to address tele-health services for individuals who are Deaf, Hard of Hearing, and Deaf/Blind by creating the Telehealth Guidance and Resources: Communication Access for Deaf, Hard of Hearing and DeafBlind Patients and their Providers document and website. Working with NCATP, the site is fully accessible and provides much needed resources for individuals, family members, and medical providers.


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.)

The link to the fully accessible site can be found here: https://www.ncdhhs.gov/dsdhh/telehealth-resources


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

Health, Allied Health, Rehabilitation


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
State Appropriations$220,217Device LoanTrue
State Appropriations$226,175DemonstrationTrue
State Appropriations$25,000ReuseTrue
Public/State Agency$50,990Technical AssistanceTrue
Public/State Agency$197,307State FinancingTrue
Private$48,333DemonstrationTrue
Private$48,333TrainingTrue
State Appropriations$226,175Device LoanTrue
State Appropriations$226,175Technical AssistanceTrue
State Appropriations$226,175State FinancingTrue
Private$48,333Device LoanTrue
State Appropriations$226,175TrainingTrue
Federal$45,212Public Awareness, I&AFalse
Private$48,333Technical AssistanceTrue
State Appropriations$220,217DemonstrationTrue
State Appropriations$226,175Public Awareness, I&ATrue
Amount: $2,309,325

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.

Federal dollars reported above are part of the Public Health Workforce Grant and are reported below.


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).

In SF years 2020 -2022 NCATP received an additional 400,000 for equipment to update the device demonstration and loan program. Equipment was and continues to be ordered provided access to additional items across the state. This federal report includes demos and loans, as well as technical assistance and training activities provided with the use of this additional equipment.


Center for Assistive Technology Act Data Assistance . Saved: Tue Feb 13 2024 14:11:55 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.