Program Director for State AT Program (last, first):
Bonney, Kobena
Title:
Assistive Technology Program Coordinator
Phone:
617-204-3826
E-mail:
kobena.bonney@mass.gov
Program Director at Lead Agency (last, first):
Bonney, Kobena
Title:
Assistive Technology Program Coordinator
Phone:
617-204-3826
E-mail:
kobena.bonney@mass.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):
Wolf, Toni
Title:
Commissioner
Phone:
617-204-3600
E-mail:
toni.wolf@mass.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
36
00
36
Approved Not made
00
00
00
Rejected
05
00
05
Total
41
00
41
2. Income of Applicants to Whom Loans Were Made
Lowest/Highest Incomes
Lowest Income:
$10,355
Highest Income:
$210,000
Average Income
Sum of Incomes
Loans Made
Average Annual Income
$2,122,496
36
$58,958
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
03
09
09
01
03
11
36
Percentage of Loans
8.33%
25%
25%
2.78%
8.33%
30.56%
100%
3. Loan Type
Loan Type
Type of Loan
Number of Loans
Percentage of loans
Revolving Loans
19
52.78%
Partnership Loans
Without interest buy-down or loan guarantee
10
27.78%
With interest buy-down only
04
11.11%
With loan guarantee only
01
2.78%
With both interest buy-down and loan guarantee
02
5.56%
Total
36
100%
Loan Type Summary
Type of Loan
Number of Loans
Dollar Value of Loans
Revolving Loans
19
$34,166
Partnership Loans
17
$650,517
Total
36
$684,683
4. Interest Rates
Interest Rates
Lowest
0%
Highest
5%
Interest Rate Summary
Sum of Interest Rates
Number of Loans Made
Average Interest Rate
57
36
1.58333333333333%
Number of Loans Made by Interest Rate
Interest Rate
Number of loans
0.0% to 2.0%
22
2.1% to 4.0%
10
4.1% to 6.0%
04
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
36
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
06
$6,000
Hearing
12
$23,790
Speech communication
00
$0
Learning, cognition, and developmental
00
$0
Mobility, seating and positioning
02
$3,384
Daily living
00
$0
Environmental adaptations
02
$3,262
Vehicle modification and transportation
14
$644,517
Computers and related
04
$3,730
Recreation, sports, and leisure
00
$0
Total
40
$684,683
6. Defaults
Defaults
Number Loans in default
00
Net loss for loans in default
$0
B. State Financing Activities that provide consumers with resources and services that result in the acquisition of AT devices and services
1. Overview of Activities Performed
How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan?
0
C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost
1. Overview of Activities Performed
How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan?
0
D. Anecdote
A 17-year-old boy living with Wolfe-Hirschhorn Syndrome faced significant medical challenges, including the inability to bear weight on his legs and walk. As a result, he relied on a wheelchair for mobility. When he grew too large for his mother to lift safely into their family vehicle, she began exploring solutions to address their transportation needs.
Through the Massachusetts Alternative Financing Program, the mother applied for and secured a financial loan to purchase a wheelchair-accessible van. This new vehicle has transformed their lives, enabling their safe and reliable transportation for medical appointments and community activities.
The mother shared, "My son’s entire world has changed! He went from being a bored teenager stuck at home to an extremely happy child who gets out daily." This newfound mobility has allowed him to engage more fully with his community and experience exciting new opportunities, greatly improving his quality of life.
A 69-year-old woman overcame a brain injury caused by carbon monoxide poisoning from a faulty furnace, which left her with significant vision and hearing challenges. To manage glare, prisms, and photosensitivity, she requires three sets of specialized neuro-optometric glasses, which are essential for her to navigate daily life effectively. However, her insurance classified the glasses as “not medically necessary” and refused to cover the cost.
Living on a fixed income, she could not afford the glasses on her own. Determined to regain her independence, she applied for and received a no-interest Mini Loan through the Massachusetts Alternative Financing Program, enabling her to purchase the glasses.
Reflecting on the impact, she shared, “With the glasses, I can function normally—read, use the computer at the library, drive, stay active in my church, and live very well independently.”
The Alternative Financing Program provided her with the means to restore her quality of life and maintain her autonomy.
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
24
25
2. AT was only available through the AT program.
00
00
02
02
3. AT was available through other programs, but the system was too complex or the wait time too long.
00
00
05
05
4. Subtotal
01
00
31
32
5. None of the above
00
00
00
00
6. Subtotal
01
00
31
32
7. Nonrespondent
00
00
04
04
8. Total
01
00
35
36
9. Performance on this measure
100%
NaN%
88.57%
F. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
32
88.89%
Satisfied
00
0%
Satisfied somewhat
00
0%
Not at all satisfied
00
0%
Nonrespondent
04
11.11%
Total Surveyed
36
Response rate %
88.89%
G. Notes:
Reutilization
A. Number of Recipients of Reused Devices
Activity
Number of Individuals Receiving a Device from Activity
A. Device Exchange
51
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan
2,532
C. Total
2,583
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
2,583
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
04
$185
$0
$185
Daily Living
49
$4,290
$0
$4,290
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
53
$4,475
$0
$4,475
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
07
$7,086
$0
$7,086
Hearing
38
$6,106
$0
$6,106
Speech Communication
12
$2,424
$0
$2,424
Learning, Cognition and Developmental
06
$330
$0
$330
Mobility, Seating and Positioning
1,497
$3,525,916
$0
$3,525,916
Daily Living
1,052
$422,355
$487
$421,868
Environmental Adaptations
23
$9,540
$0
$9,540
Vehicle Modification & Transportation
01
$750
$0
$750
Computers and Related
39
$12,819
$0
$12,819
Recreation, Sports and Leisure
16
$4,364
$0
$4,364
Total
2,691
$3,991,690
$487
$3,991,203
D. Anecdote
In March 2024, a 73-year-old man with cancer contacted the Massachusetts Reuse Program office in Pittsfield, MA to request a power scooter for himself. As a result of his medical condition, he had recently become afraid to venture into the community the way he used to, due to the risk of falling. After working with him to identify a suitable scooter in the inventory, REquipment's partner, UCP of Western Mass delivered a 4-wheel scooter to his residence within two weeks. Now that he has a scooter, the gentleman is able to resume his community activities and feels that his quality of life has been enhanced by having the scooter.
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.
03
11
2,349
2,363
2. AT was only available through the AT program.
00
00
189
189
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
03
11
2,544
2,558
5. None of the above
00
01
23
24
6. Subtotal
03
12
2,567
2,582
7. Nonrespondent
01
00
00
01
8. Total
04
12
2,567
2,583
9. Performance on this measure
75%
91.67%
99.1%
F. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
2,491
96.44%
Satisfied
91
3.52%
Satisfied somewhat
00
0%
Not at all satisfied
00
0%
Nonrespondent
01
0.04%
Total Surveyed
2,583
Response rate %
99.96%
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)
315
Serve as loaner during service repair or while waiting for funding
20
Provide an accommodation on a short-term basis for a time-limited event/situation
57
Conduct training, self-education or other professional development activity
40
Total
432
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
46
38
84
Family Members, Guardians, and Authorized Representatives
115
33
148
Representative of Education
43
05
48
Representative of Employment
04
00
04
Representatives of Health, Allied Health, and Rehabilitation
38
17
55
Representatives of Community Living
03
03
06
Representatives of Technology
66
21
87
Total
315
117
432
C. Length of Short-Term Device Loans
Length of Short-Term Device Loan in Days
30
D. Types of Devices Loaned
Types of Devices Loaned
Type of AT Device
Number of Devices
Desicion-making
All other Purposes
Total
Vision
49
32
81
Hearing
21
23
44
Speech Communication
79
25
104
Learning, Cognition and Developmental
67
33
100
Mobility, Seating and Positioning
15
17
32
Daily Living
122
101
223
Environmental Adaptations
41
44
85
Vehicle Modification and Transportation
00
00
00
Computers and Related
210
61
271
Recreation, Sports and Leisure
05
12
17
Total
609
348
957
E. Anecdote
A resident of Pittsfield, MA who recently underwent knee surgery and would be unable to walk independently for a few weeks to months contacted the Assistive Technology Regional Center (ATRC) in Pittsfield looking for assistance with how to navigate her daily activities during this time as she lived alone. She was able to borrow several AT devices such as a portable ramp for entry in and out of the home and a dressing stick and sock/shoe aid to help her during that time. Having the different AT allowed her to get dressed independently and go to her appointments while being home alone. The AT intervention allowed her to have less stress on her during her recovery period and enabled her to still be able to do her regular routines despite the temporary disability.
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
103
10
127
240
Decided that an AT device/ service will not meet needs
11
05
31
47
Subtotal
114
15
158
287
Have not made a decision
03
02
12
17
Subtotal
117
17
170
304
Nonrespondent
03
00
08
11
Total
120
17
178
315
Performance on this measure
97.44%
88.24%
92.94%
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.
13
03
31
47
2. AT was only available through the AT program.
13
03
29
45
3. AT was available through other programs, but the system was too complex or the wait time too long.
02
00
02
04
4. Subtotal
28
06
62
96
5. None of the above
00
00
10
10
6. Subtotal
28
06
72
106
7. Nonrespondent
01
02
08
11
8. Total
29
08
80
117
9. Performance on this measure
100%
100%
86.11%
H. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
385
89.12%
Satisfied
23
5.32%
Satisfied somewhat
04
0.93%
Not at all satisfied
00
0%
Nonrespondent
20
4.63%
Total Surveyed
432
Response rate %
95.37%
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
24
Hearing
07
Speech Communication
07
Learning, Cognition and Developmental
07
Mobility, Seating and Positioning
03
Daily Living
38
Environmental Adaptations
03
Vehicle Modification and Transportation
00
Computers and Related
21
Recreation, Sports and Leisure
03
Total # of Device Demonstrations
113
B. Types of Participants
Type of Participant
Decision-Makers
Other Participants
Total
Individuals with Disabilities
56
75
131
Family Members, Guardians, and Authorized Representatives
10
87
97
Representatives of Education
16
26
42
Representatives of Employment
00
00
00
Health, Allied Health, Rehabilitation
14
33
47
Representative of Community Living
06
42
48
Representative of Technology
11
20
31
Total
113
283
396
C. Number of Referrals
Referrals
Type of Entity
Number of Referrals
Funding Source (non-AT program)
01
Service Provider
37
Vendor
30
Repair Service
00
Others
01
Total
69
D. Anecdote
A woman came to the Assistive Technology Regional Center in Pittsfield looking for guidance and assistance with navigating a new gradual vision loss. She did not know what was out there for her and what AT would help. The ATRC staff showed her a variety of low vision AT ranging from portable digital magnifiers to desktop CCTVs. She was able to try each product and was able to better assess what AT would work best for her. In the end, she decided on a portable digital magnifier to loan out. She mentioned how fantastic it was to demo the technology because she did not know where to begin. Seeing all the options gave her lots of hope that she would have technology that could help her as her vision worsens.
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
21
04
50
75
Decided that an AT device/ service will not meet needs
00
00
07
07
Subtotal
21
04
57
82
Have not made a decision
05
03
22
30
Subtotal
26
07
79
112
Nonrespondent
00
00
01
01
Total
26
07
80
113
Performance on this measure
80.77%
57.14%
71.25%
F. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
389
98.23%
Satisfied
05
1.26%
Satisfied somewhat
01
0.25%
Not at all satisfied
00
0%
Nonrespondent
01
0.25%
Total
396
Response rate %
99.75%
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.
17
14
2,404
2,435
2. AT was only available through the AT program.
13
03
220
236
3. AT was available through other programs, but the system was too complex or the wait time too long.
02
00
13
15
4. Subtotal
32
17
2,637
2,686
5. None of the above
00
01
33
34
6. Subtotal
32
18
2,670
2,720
7. Nonrespondent
02
02
12
16
8. Total
34
20
2,682
2,736
9. Performance on this measure
90.91%
94.44%
98.13%
98.02%
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
124
14
177
315
Decided that an AT device/ service will not meet needs
11
05
38
54
Subtotal
135
19
215
369
Have not made a decision
08
05
34
47
Subtotal
143
24
249
416
Nonrespondent
03
00
09
12
Total
146
24
258
428
Performance on this measure
94.41%
79.17%
86%
88.49%
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
99.85%
95%
Met
Response Rate
99.25%
90%
Met
Educational/Training Activities
A. Educational/Training Activity Participants: Number and Types of Participants; Geographical Distribution
Educational/Training Activities by Participant Type
Type of Participant
Number
Individuals with Disabilities
157
Family Members, Guardians and Authorized Representatives
48
Representatives of Education
93
Representatives of Employment
24
Rep Health, Allied Health, and Rehabilitation
216
Representatives of Community Living
116
Representatives of Technology
54
Unable to Categorize
214
TOTAL
922
Geographic Distribution of Participants
Metro
Non Metro
Unknown
TOTAL
625
00
297
922
B. Educational/Training Activity Topics
Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities
Participants
AT Products/Services
528
AT Funding/Policy/ Practice
17
Combination of any/all of the above
160
Information Technology/Telecommunication Access
83
Transition
134
Total
922
C. Description of Educational/Training Activities
Describe innovative one high-impact assistance educational/training activity conducted during the reporting period:
Staff from the Assistive Technology Regional Center (ATRC) in Pittsfield, MA, collaborated with the Massachusetts College of Liberal Arts (MCLA) Office for Disability Resources to provide a training series on the accessibility features of the Microsoft Windows operating system. Over the course of a month, weekly sessions explored various Windows applications and demonstrated how to optimize their built-in accessibility tools.
The training focused on applications such as OneNote, emphasizing its potential for enhancing organizational and executive functioning, as well as Immersive Reader, which supports diverse learning needs. Both students and faculty participated in the workshops, gaining valuable insights into the available tools and practical strategies to support a wide range of student needs.
Participants expressed appreciation for the expertise shared by the ATRC staff, noting that the training sessions provided meaningful resources to enhance accessibility and inclusivity in their academic environment.
Briefly describe one educational/training activity related to transition conducted during the reporting period:
On May 15, 2024, staff from the Assistive Technology Regional Center (ATRC) in Worcester participated in the Bay State Transition Fair held in Holyoke, Massachusetts. The event aimed to provide resources and tools to support youth with disabilities as they transition into postsecondary education and community life. Vendors included community organizations, non-profits, colleges, job services, assistive technology (AT) providers, and others. Attendees comprised individuals with disabilities, their families, and service providers.
The ATRC staff showcased the ATRC Outreach Van, which was equipped with a wide array of assistive technology devices. This allowed attendees to explore the available technologies and better understand their potential applications. The staff provided detailed information about various assistive technologies, including tools for communication, hearing, vision, switch access, activities of daily living (ADLs), and smart home technology.
Participants were also given a mini tour of the ATRC, represented by the Outreach Van, to gain a hands-on understanding of how these devices can be utilized and adapted to meet specific goals and needs. The demonstrations aimed to empower participants with knowledge they could share with the students they work with, enabling them to incorporate these tools into their transition plans for postsecondary education and future employment.
A total of 150 individuals directly engaged with the ATRC staff during the event.
Briefly describe one educational/training activity related to Information and Communication Technology accessibility:
In FY24, the State AT Act Program established a plan to conduct a series of Information and Communication Technology (ICT) accessibility trainings on an ongoing basis. According to the plan, the program will facilitate a minimum of six training sessions each fiscal year.
The inaugural session, titled “Creating Accessible Microsoft Word and PDF Documents,” was held virtually via Zoom on Wednesday, September 25, 2024. This interactive session catered to both new and experienced document creators, equipping them with the skills to make documents more inclusive for individuals with various disabilities.
The training emphasized the importance of accessibility, highlighting its impact on individuals with disabilities and its role in fostering a more inclusive digital environment. Additionally, participants explored the legal implications of accessibility compliance.
Attendees were guided through the process of creating accessible Microsoft Word documents that can be effortlessly converted into accessible PDF formats. The session covered essential topics, including:
• Proper use of heading structures,
• Adding descriptive text for images, and
• Designing accessible tables.
Presenters provided practical insights and best practices to help document creators meet accessibility standards effectively.
The session received significant interest, with 127 individuals registering and 83 participating.
D. IT/Telecommunications Educational/Training Activity Performance Measure
Outcome/Result From IT/Telecommunications Educational/Training Activities Received
Number
IT and Telecommunications Procurement or Dev Policies
07
Training or Technical Assistance will be developed or implemented
53
No known outcome at this time
18
Nonrespondent
05
Total
83
Performance Measure Percentage
72.3%
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
71%
Employment
00%
Health, Allied Health, Rehabilitation
00%
Community Living
19%
Technology (IT, Telecom, AT)
10%
Total
100%
B. Description of Technical Assistance
Describe Innovative one high-impact assistance activity that is not related to transition:
On May 31, 2024, the Director of the Adaptive Technology for the New Way Division of the Mental Health Association, Inc., visited the Assistive Technology Regional Center (ATRC) in Worcester. This visit marked the culmination of ongoing discussions between ATRC staff and the organization, which had recently received a billion-dollar grant to support individuals with acquired brain disorders in Massachusetts.
The Director sought recommendations and guidance on implementing assistive technology solutions, including consulting therapists and conducting AT evaluations. The collaboration highlighted opportunities to enhance services and improve outcomes for individuals with acquired brain disorders across the state.
Breifly describe one technical assistance activity related to transition conducted during the reporting period:
Clark University in Worcester, MA, embarked on the development of a community Maker Space with a commitment to ensuring accessibility and equity for all users. To support this goal, the initiative's leadership convened a focus group comprising individuals with professional expertise in assistive technology (AT) as well as those with lived experience.
Among the participants were Michele Boutelle, Manager of the Assistive Technology Regional Center (ATRC) in Worcester and Boston, and Kobena Bonney, Statewide Coordinator of the State AT Act Program. The group engaged in discussions aimed at making the Maker Space inclusive and accessible to individuals with diverse abilities.
Key topics included identifying and accommodating the physical and functional needs of people with various disabilities, implementing inclusive policies, optimizing space organization, promoting equity, and leveraging AT solutions. The group also explored strategies for marketing the Maker Space to the broa
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. On July 15, 2024, two staff members from the Assistive Technology Regional Center (ATRC) in Boston participated in the annual Plymouth County Golf Classic, serving as presenters both on the golf course and at the country club.
On the golf course, the Assistive Technology (AT) Specialists showcased devices designed to enable individuals with disabilities to play golf and discussed research highlighting the benefits of sports participation for individuals with disabilities. At the country club, the AT Specialists presented a range of assistive devices for vision, hearing, leisure, play, and activities of daily living (ADLs).
A working 3D printer was also set up to demonstrate how small, customized devices can be created to meet specific individual needs. Participants engaged with the demonstrations, explored the devices, and asked questions to better understand how assistive technology can enhance independence and accessibility.
The event, a collaborative effort between Easterseals Massachusetts and the Plymouth County Golf Club, welcomed 100 attendees who gained valuable insights into the transformative potential of assistive technology.
2.
Information And Assistance
Information And Assistance Activities by Recipient
Types of Recipients
AT Device/ Service
AT Funding
Total
Individuals with Disabilities
126
32
158
Family Members, Guardians and Authorized Representatives
197
56
253
Representative of Education
98
02
100
Representative of Employment
11
00
11
Representative of Health, Allied Health, and Rehabilitation
100
19
119
Representative of Community Living
89
50
139
Representative of Technology
106
09
115
Unable to Categorize
04
00
04
Total
731
168
899
Referral Types:
Collaboration with MassAbility’s ARPA-Funded AT Projects
During FY24, the State AT Program experienced a notable increase in referrals attributed to two key initiatives:
1. Collaboration with MassAbility’s ARPA-Funded AT Projects
A significant source of increased referrals stemmed from the Assistive Technology (AT) initiatives implemented by MassAbility, the parent agency of the State AT Program, through funding from the American Rescue Plan Act (ARPA). Although these initiatives were not directly managed by the State AT Program, they contributed to heightened awareness of the program's offerings. The collaboration involved MassAbility staff, sister state agencies serving individuals with disabilities, and hundreds of affiliated provider agencies. This expansive network facilitated broad outreach and engagement, ensuring that participants in the ARPA-funded projects became aware of the State AT Program. Notably, partnerships with agencies such as Centers for Independent Living (CILs) and Area Agencies on Aging (AAAs) played a pivotal role in extending the reach of these efforts.
2. Rebranding and Expansion of the State Reuse Program
Another critical driver of increased referrals was the rebranding and expansion of the state’s Reuse Program. In FY23, Massachusetts centralized its reuse activities, incorporating a broader range of Assistive Technology devices into its offerings alongside durable medical equipment. This strategic shift positioned the program to better meet the needs of individuals seeking affordable AT solutions. To support the rebranding, the reuse partner launched an extensive public awareness campaign in FY24. The campaign utilized diverse outreach strategies, including community events, partnerships with healthcare providers, and targeted digital media efforts. These activities resulted in a measurable increase in referrals from healthcare practitioners, educators, and rehabilitation counselors who became more aware of the expanded services and their potential benefits for individuals with disabilities.
Referral Sources:
In FY24, the Massachusetts State AT Program received referrals from a diverse range of sources, reflecting broad geographical coverage and strong partnerships. Below is a narrative description of the referral sources and their contributions:
1. Sister State Agencies
Referrals were consistently received from state agencies, including the Massachusetts Office on Disability (MOD), the Massachusetts Commission for the Blind (MCB), the Massachusetts Commission for the Deaf and Hard of Hearing (MCDHH), and the Massachusetts Department of Developmental Services (DDS). Collectively, these agencies accounted for approximately 40% of the total referrals. These agencies provide statewide coverage, ensuring that individuals with various disabilities across all regions have access to AT program services.
2. Non-State Organizations
Non-state organizations played a crucial role in referring individuals to the program. Key contributors included:
- The Federation for Children with Special Needs and the Brain Injury Association of Massachusetts, which together accounted for about 15% of referrals.
- **Independent Living Centers (ILCs):** The state’s 10 ILCs provided referrals from every county, covering urban, suburban, and rural areas, representing approximately 20% of the total referrals.
- Senior Centers and Area Agencies on Aging (AAAs): These organizations provided 10% of the referrals, primarily serving older adults and their families statewide.
3. Healthcare and Individual Practitioners
The healthcare sector contributed significantly to referrals, with approximately 25% of the total coming from hospitals, healthcare institutions, and individual healthcare practitioners. These referrals were distributed across the state, with larger hospitals contributing in metropolitan areas and individual practitioners expanding the reach to smaller communities.
4. Educators, Case Workers, and Rehabilitation Counselors
Educators, case workers, and rehabilitation counselors collectively provided 10% of referrals, ensuring that individuals with disabilities in educational and rehabilitation settings could access AT resources. These professionals contributed both from urban schools and rural districts, broadening the program’s reach.
By fostering partnerships with a wide range of referral sources and ensuring geographical representation, the Massachusetts State AT Program has been able to expand awareness and provide assistance to individuals across the state.
Notes:
Coordination/Collaboration and State Improvement Outcomes
Overview of Coordination/Collaboration Activities
Yes
No
We are in the process of identifying the right people to collaborate with.
Yes
Yes
With funding from MassAbility’ s Career Services Division, the State AT Act Program and its AT Regional Center (ATRC) partner in Worcester, MA hosted a virtual Assistive Technology (AT) Training and Expo on Thursday, 9/12/2024. The event was titled "2024 Assistive Technology Training and Expo – where innovation meets accessibility, and empowerment transforms lives. The all-day event was held using the Zoom Conference platform. The platform provided an interactive experience allowing participants to explore different rooms and exhibit hall. The exhibit hall held 16 AT vendors from areas of education, employment, community living, mobility, communication, hearing and vision as well as Massachusetts based AT programs.
Toni Wolf, Commissioner of MassAbility delivered the Opening Remarks to kick off the day’s activities. The day was full of opportunities for learning and networking. Expert presenters shared their insights, best practices, and ingenious solutions tailored to enhance the lives of people with disabilities. There were a variety of topics for both seasoned experts and those who are just learning about assistive technology. The workshops addressed topics such as existing programs and services, referral processes, innovative solutions, preparing for college and many more. The event was free and open to the public including Individuals with Disabilities, Family Members, Service Providers, and Community Partners.
The overall purpose of the AT Training and Expo event was to expand participants' access to and awareness of AT and how it can help individuals with disabilities achieve their employment-related and independent living goals.
A total of 318 people registered for the event of which 264 individuals attended. The attendees were made up of 44 Family Members, Guardians, or Authorized Representatives, 29 Individuals with Disabilities, 35 Representatives of Community Living, 38 Representatives of Education, 39 Representatives of Employment, 43 Representatives of Health, Allied Health and Rehabilitation, and 36 Representatives of Technology.
Due to the overwhelming success of the expo, it is hoped that there will be funding in the future to make it an annual event.
3. What focus areas(s) were addressed by the initiative?
Education, Employment, Housing/Home Automation, Community Participation and Integration, Recreation/Leisure, Health, Aging, Transition (school to work or congregate care to community), Information and Communication Technology/Remote Connectivity,
4. What AT Act authorized activity(s) were addressed?
Device Loan, Training,
Yes
Yes
As part of the ongoing collaboration, Karyn Wylie, the ADRC Coordinator and Community Care Ombudsman at the Massachusetts Executive Office of Elder Affairs, delivered a presentation titled "The ADRCs and the No Wrong Door System" to the State AT Act Advisory Council.
In her presentation, Karyn outlined her role overseeing services for aging and disabled populations, fostering partnerships with organizations such as MassAbility (formerly the Massachusetts Rehabilitation Commission), and collaborating with various local agencies. She emphasized the critical role of ADRCs in implementing a coordinated and seamless approach to service delivery, ensuring individuals can access the support they need through streamlined, collaborative processes.
Key Highlights from Karyn’s Presentation
1. ADRC Overview
ADRCs adopt a “no wrong door” approach, ensuring individuals only need to explain their needs once to access appropriate services.
Massachusetts has 11 ADRCs, which are structured around Independent Living Centers.
2. Core Functions
Information and Referral: Centralized resources and advocacy for aging and disability services.
Options Counseling: Personalized guidance to help individuals make informed decisions about long-term care and support.
Care Transitions: Assistance with moving between care settings, such as transitioning from a nursing facility to community living.
Quality Assurance: Continuous improvement efforts to maintain high standards in service delivery.
3. Options Counseling
Provides tailored, in-depth support for up to two months to help individuals and families navigate care options.
Offers guidance for immediate needs or long-term planning, aligning services with personal goals.
4. Family Caregiver Support
Supports caregivers of individuals aged 60+ or those with dementia or disabilities.
Services include emotional support, practical advice, respite care, and caregiver training.
5. Mass. Options
Operates as a centralized call center providing referrals to state agencies and resources, accessible via phone, chat, or online.
Additional Contributions
In addition to her presentation, Karyn supported efforts to publicize the activities of the State AT Act Program, with a particular focus on promoting the 2024 AT Training and Expo throughout the ADRC network.
At present, we have no data on the impact of the above activities. However, we intend to continue the collaboration and hope to engage in more activities such as direct outreach to members of the ADRC network.
3. What focus areas(s) were addressed by the initiative?
Housing/Home Automation, Transportation, Community Participation and Integration, Recreation/Leisure, Health, 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?
Reuse, Public Awareness,
Yes
No
A new representative from the state's Medicare agency - MassHealth was recently appointed to serve on the State AT Act Program's Advisory Council. As a result, discussions about future collaboration efforts are now ongoing.
Additional Coordination/Collaboration activities
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?
The State AT Act Program and its Assistive Technology Regional Center (ATRC) partner in Pittsfield, MA, collaborated with the Occupational Therapy program at American International College (AIC) in Springfield, MA to conduct a series of AT trainings for their senior Occupational Therapy class. The training provided the students with hands-on experience with real-life AT devices and explored the use of assistive technology (AT) in their future professional practice. ATRC Pittsfield staff conducted two comprehensive AT training sessions.
The first session provided an in-depth overview of assistive technology, ranging from low-tech to high-tech solutions. It included an in-person lecture and live demonstrations of various AT devices. ATRC staff guided students through the processes involved in identifying appropriate AT solutions for specific situations, offering practical insights into real-world applications.
The second session focused on an AT competencies exam, developed collaboratively by ATRC staff and AIC faculty. The exam featured both written components and hands-on activities conducted at the ATRC Pittsfield location. Students rotated through various stations featuring scenarios in which they had to identify the appropriate AT solution, demonstrate its use, and effectively explain the technology to peers.
This interactive and experiential learning approach made the subject matter engaging while preparing students for challenges they may encounter in their careers. In addition to gaining a deeper understanding of AT, students learned about the resources available through the ATRCs in Massachusetts and similar State AT Act Programs across the country.
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.
Everyone involved in the initiative believe it was successful. In particular, the students shared how grateful they were to have that opportunity. While that activity was for just that time, the State AT Act Program and its partners will continue to look for opportunities to conduct similar trainings in the future.
3. What focus areas(s) were addressed by the initiative?
Education; Employment; Housing / Home Automation; Transportation; Community Participation and Integration; Recreation / Leisure; Health; Aging; Transition(school to work or congregate care to community); Information and Communication Technology / Remote Connectivity;
4. What AT Act authorized activity(s) were addressed?
Demonstration; Training;
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
$25,000
Training
True
State Appropriations
$1,074,981
Training
False
State Appropriations
$1,393,807
Reuse
True
Amount: $2,493,788
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.
B. Public Health Workforce Grant Award
All Section 4 AT Act grantees were awarded $80,000.00 in supplimental Public Health Workforce grant funding
to increase the full-time equivalent (FTE) of staff withing the disability and aging network for public
health professionals. Please document the status of these funds below.
Please report the amount expended (drawn down and liquidated) in this reporting period, FY24:
|
$40,000.00
Please report the number of Full Time Equivalent (FTE) positions this funding supported by type. This can be a direct employee FTE or contractual FTE.
Type of FTE Position
FTE Positions (0.01 to 9.99)
Assistive Technology Specialist
0.01
Information and Assistance Specialist
0.00
Outreach and Awareness Specialist
0.01
Training Specialist
0.00
Health Care Professional (includes PT, OT, SLP)
0.00
Accessibility Expert
0.00
Policy Expert
0.00
Technology Expert (Digital Divide, Mobile Tech)
0.00
Program Manager
0.00
Other positions needed to advance public health and prevent, prepare for, and respond to COVid-19 (describe with narrative field required)
0.00
Please describe the activities of the above FTE and how such activities advance public health.
During the year under review, the Massachusetts State AT Act Program implemented a telehealth initiative funded by the Assistive Technology for Public Health Workforce Grant. The project served 80 individuals across the state, primarily older adults and persons with disabilities, by providing iPads equipped with protective cases and navigation guides to improve access to healthcare services.
In collaboration with community health partners, the program ensured that participants received referrals and support to meet their virtual healthcare needs. The initiative addressed a variety of telehealth applications, including managing prescriptions and medication delivery services, accessing medical portals, scheduling and managing appointments, and meeting with healthcare providers virtually.
Participants shared how the initiative transformed their healthcare experiences. Jane, one participant, remarked: “I am bedbound most of the time, which makes it very difficult to get to appointments. I have to rely on others to help me get out of bed and arrange transportation, which takes up an entire day. Now, I can easily meet with my doctors on this iPad on my own terms, without needing anyone else. This has given me great freedom.”
Another participant, Ray, expanded the use of the telehealth device beyond medical appointments: “I started by using my iPad to look at my healthcare portal and message my doctor. I then used it to search for medical terms I didn’t understand and do some of my own research. That was very empowering.”
By addressing critical barriers to healthcare access, the project demonstrated the transformative impact of assistive technology in empowering individuals to manage their health more independently and effectively.
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).
This FY24 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.