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 |
Area of Residence | Total | ||
---|---|---|---|
Metro RUCC 1-3 |
Non-Metro RUCC 4-9 |
||
Approved Loan made | 18 | 04 | 22 |
Approved Not made | 00 | 00 | 00 |
Rejected | 05 | 00 | 05 |
Total | 23 | 04 | 27 |
Lowest Income: | $9,672 | Highest Income: | $119,000 |
---|
Sum of Incomes | Loans Made | Average Annual Income |
---|---|---|
$1,133,716 | 22 | $51,533 |
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 | 20 | 00 | 01 | 00 | 00 | 01 | 22 |
Percentage of Loans | 90.91% | 0% | 4.55% | 0% | 0% | 4.55% | 100% |
Type of Loan | Number of Loans | Percentage of loans |
---|---|---|
Revolving Loans | 22 | 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 | 22 | 100% |
Type of Loan | Number of Loans | Dollar Value of Loans |
---|---|---|
Revolving Loans | 22 | $261,172 |
Partnership Loans | 00 | $0 |
Total | 22 | $261,172 |
Lowest | 1% |
---|---|
Highest | 9% |
Sum of Interest Rates | Number of Loans Made | Average Interest Rate |
---|---|---|
29 | 22 | 1.29545454545455% |
Interest Rate | Number of loans |
---|---|
0.0% to 2.0% | 21 |
2.1% to 4.0% | 00 |
4.1% to 6.0% | 00 |
6.1% to 8.0% | 00 |
8.1% - 10.0% | 01 |
10.1%-12.0% | 00 |
12.1%-14.0% | 00 |
14.1% + | 00 |
Total | 22 |
Type of AT | Number of Devices Financed | Dollar Value of Loans |
---|---|---|
Vision | 00 | $0 |
Hearing | 01 | $1,800 |
Speech communication | 00 | $0 |
Learning, cognition, and developmental | 00 | $0 |
Mobility, seating and positioning | 03 | $23,479 |
Daily living | 04 | $42,150 |
Environmental adaptations | 01 | $3,010 |
Vehicle modification and transportation | 13 | $190,733 |
Computers and related | 00 | $0 |
Recreation, sports, and leisure | 00 | $0 |
Total | 22 | $261,172 |
Number Loans in default | 00 |
---|---|
Net loss for loans in default | $0 |
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 |
---|
How would you describe this state financing activity? | Last resort - Activity |
---|
County of Residence | Individuals Served |
---|---|
A. Metro (RUCC 1-3) | 104 |
B. Non-Metro (RUCC 4-9) | 18 |
C. Total Served | 122 |
Performance Measure | |
---|---|
D. Excluded from Performance Measure | 0 |
E. Number of Individuals Included in Performance Measures | 122 |
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:
Type of AT Device / Service | Number of Devices Funded | Value of AT Provided |
---|---|---|
Vision | 8 | $3,700 |
Hearing | 11 | $58,578 |
Speech communication | 3 | $2,174 |
Learning, cognition, and developmental | 0 | $0 |
Mobility, seating and positioning | 18 | $47,864 |
Daily living | 76 | $201,417 |
Environmental adaptations | 211 | $941,302 |
Vehicle modification and transportation | 26 | $170,731 |
Computers and related | 0 | $0 |
Recreation, sports, and leisure | 0 | $0 |
Total | 353 | $1,425,766 |
How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan? | 0 |
---|
Care Chest approved a loan for a ADA vehicle for a single mom who has a disabled daughter and she also has a niece and a nephew who are in her household. Her brother was killed in an automobile accident resulted in her becoming their legal guardian. Due to the added responsibility, she left college to give the children her full time attention. Her daughter was born with Hydrocephalus which is a complicated condition & requires a team approach to even evaluate the assistive technology and the medical treatments, Her team included 5 specialists for rehab, visual impaired treatments, DynaVox special consultant and her medical doctor. She has a highly scheduled day and she has a very high dependency upon others in order to achieve her daily tasks. The mom applied for a CARE Loan to purchase a vehicle; however, she did not qualify due to adverse credit history and insufficient income. She did received some assistance from Easter Seals in Las Vegas where she lives. At that time, CARE Chest did not have an office in Las Vegas. She worked on her history and did research for alternative sources of income. Her efforts which started in 2018, finally materialized when she qualified for a CARE Loan and in addition, she qualified for an IL grant. She showed a great deal of tenacity, patience and determination to achieve her transportation goal.
KE contacted the AT/IL Program for help. Due to her recent injuries, she had some significant barriers due to multiple disabilities. She was living downstairs on her sofa and wasn’t able to get upstairs in her home and was sponge bathing. Goals were established for Home Access, Bathing, Toileting, Transferring, Personal Mobility, Transportation, and Meal Preparation. Her goals for accessing her home were met allowing for greater independence with her essential daily living tasks.
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 | 75 | 75 |
2. AT was only available through the AT program. | 01 | 00 | 51 | 52 |
3. AT was available through other programs, but the system was too complex or the wait time too long. | 00 | 00 | 12 | 12 |
4. Subtotal | 01 | 00 | 138 | 139 |
5. None of the above | 00 | 01 | 00 | 01 |
6. Subtotal | 01 | 01 | 138 | 140 |
7. Nonrespondent | 00 | 00 | 04 | 04 |
8. Total | 01 | 01 | 142 | 144 |
9. Performance on this measure | 100% | 0% | 97.18% |
Customer Rating of Services | Number of Customers | Percent |
---|---|---|
Highly satisfied | 71 | 49.31% |
Satisfied | 09 | 6.25% |
Satisfied somewhat | 00 | 0% |
Not at all satisfied | 00 | 0% |
Nonrespondent | 64 | 44.44% |
Total Surveyed | 144 | |
Response rate % | 55.56% |
NV has the CARE Loan Fund & Assistive Technology for Independent Living (AT/IL) as options to obtain AT. The AT/IL program assists consumers with IL goals, identifying barriers, potential AT solutions, and the options that the consumer has available. The program’s focus is to keep individuals living in their community. Types of AT can include home access mods, vehicle mods, and AT that is necessary for daily living. The program prioritizes services for both Prevention and Transition from institutional living. The reported data is based on closed AT/IL consumer Plans in the reporting year. Closed Plans with 441 Independent Living Goals set and 333 met. There were 120 consumer Goals having Prevention implications, supporting living in the community and not in an institutional setting, 111 closed Goal Met. There were 110 AT solutions documented to achieve goals through other resources that are not reported in the APR, only state funded AT is reported.
Activity | Number of Individuals Receiving a Device from Activity |
---|---|
A. Device Exchange | 00 |
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan | 2,133 |
C. Total | 2,133 |
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. | 103 |
E. Number of Individuals Included in Performance Measures | 2,030 |
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance
State telecommunications equipment program that provides access to no-cost telecommunication devices statewide.
Type of AT Device | Number of Devices Exchanged | Total Estimated Current Purchase Price | Total Price for Which Device(s) Were Exchanged | Savings to Consumers |
---|---|---|---|---|
Vision | 00 | $0 | $0 | $0 |
Hearing | 00 | $0 | $0 | $0 |
Speech Communication | 00 | $0 | $0 | $0 |
Learning, Cognition and Developmental | 00 | $0 | $0 | $0 |
Mobility, Seating and Positioning | 00 | $0 | $0 | $0 |
Daily Living | 00 | $0 | $0 | $0 |
Environmental Adaptations | 00 | $0 | $0 | $0 |
Vehicle Modification & Transportation | 00 | $0 | $0 | $0 |
Computers and Related | 00 | $0 | $0 | $0 |
Recreation, Sports and Leisure | 00 | $0 | $0 | $0 |
Total | 00 | $0 | $0 | $0 |
Type of AT Device | Number of Devices Reassigned/Refurbished and Repaired | Total Estimated Current Purchase Price | Total Price for Which Device(s) Were Sold | Savings to Consumers |
---|---|---|---|---|
Vision | 00 | $0 | $0 | $0 |
Hearing | 00 | $0 | $0 | $0 |
Speech Communication | 00 | $0 | $0 | $0 |
Learning, Cognition and Developmental | 00 | $0 | $0 | $0 |
Mobility, Seating and Positioning | 1,194 | $260,015 | $0 | $260,015 |
Daily Living | 1,263 | $74,663 | $0 | $74,663 |
Environmental Adaptations | 36 | $7,740 | $0 | $7,740 |
Vehicle Modification & Transportation | 00 | $0 | $0 | $0 |
Computers and Related | 00 | $0 | $0 | $0 |
Recreation, Sports and Leisure | 00 | $0 | $0 | $0 |
Total | 2,493 | $342,418 | $0 | $342,418 |
JK has been a longtime client of CARE Chest primarily for diabetic supplies. As a result of diabetes, he experienced kidney disease which took a toll on his body. Adding a significant barrier and affecting his personal mobility. He was unable to get to and from dialysis and at risk of falling. He was able to obtain both a walker and a wheelchair. The immediate availability was fortunate as his insurance would not cover the AT on a short-term basis, and likely would not have been timely for the need.
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 | 1,962 | 1,963 |
2. AT was only available through the AT program. | 00 | 00 | 59 | 59 |
3. AT was available through other programs, but the system was too complex or the wait time too long. | 00 | 04 | 01 | 05 |
4. Subtotal | 01 | 04 | 2,022 | 2,027 |
5. None of the above | 01 | 00 | 02 | 03 |
6. Subtotal | 02 | 04 | 2,024 | 2,030 |
7. Nonrespondent | 00 | 00 | 00 | 00 |
8. Total | 02 | 04 | 2,024 | 2,030 |
9. Performance on this measure | 50% | 100% | 99.9% |
Customer Rating of Services | Number of Customers | Percent |
---|---|---|
Highly satisfied | 1,335 | 62.59% |
Satisfied | 689 | 32.3% |
Satisfied somewhat | 03 | 0.14% |
Not at all satisfied | 00 | 0% |
Nonrespondent | 106 | 4.97% |
Total Surveyed | 2,133 | |
Response rate % | 95.03% |
NATC community partner CARE Chest of Sierra Nevada has been supporting the Reutilization of AT in Nevada for over 30 years. The number of people served continues to grow. CARE Chest’s innovative collaborations with food security organizations have resulted in a consistent presence in Nevada’s rural communities. Also, the organization’s expansion to Las Vegas (most populated urban area in the state). Adding more value, the program makes sanitized equipment available for demonstrations and short-term decision-making loans. Challenges - CARE Chest raises funding for the purchase of some of the AT that is made available, the rising cost of AT/everything has a negative effect. NATRC - (AT Resource Centers) incorporated the state’s telecommunications equipment program into their services. Providing access to no-cost telecommunication devices statewide. The program provided 103 AT devices such as Caption Phones, Amplified Phones, TTYs, visual alert systems, and hearing amplifiers.
Primary Purpose of Short-Term Device Loan | Number |
---|---|
Assist in decision-making (device trial or evaluation) | 36 |
Serve as loaner during service repair or while waiting for funding | 02 |
Provide an accommodation on a short-term basis for a time-limited event/situation | 02 |
Conduct training, self-education or other professional development activity | 04 |
Total | 44 |
Type of Individual or Entity | Number of Device Borrowers | ||
---|---|---|---|
Desicion-making | All other Purposes | Total | |
Individuals with Disabilities | 35 | 04 | 39 |
Family Members, Guardians, and Authorized Representatives | 00 | 01 | 01 |
Representative of Education | 00 | 01 | 01 |
Representative of Employment | 00 | 00 | 00 |
Representatives of Health, Allied Health, and Rehabilitation | 01 | 02 | 03 |
Representatives of Community Living | 00 | 00 | 00 |
Representatives of Technology | 00 | 00 | 00 |
Total | 36 | 08 | 44 |
Length of Short-Term Device Loan in Days | 15 |
---|
Type of AT Device | Number of Devices | ||
---|---|---|---|
Desicion-making | All other Purposes | Total | |
Vision | 32 | 05 | 37 |
Hearing | 00 | 02 | 02 |
Speech Communication | 03 | 05 | 08 |
Learning, Cognition and Developmental | 02 | 00 | 02 |
Mobility, Seating and Positioning | 01 | 00 | 01 |
Daily Living | 11 | 02 | 13 |
Environmental Adaptations | 05 | 00 | 05 |
Vehicle Modification and Transportation | 00 | 00 | 00 |
Computers and Related | 07 | 03 | 10 |
Recreation, Sports and Leisure | 00 | 00 | 00 |
Total | 61 | 17 | 78 |
AT Resource Center staff was working with an older consumer and her friend. Both of them experiencing progressive vision loss. During that engagement demonstrations were provided on possible tools to improve her access to auditory information with their cell phones. One of the options demonstrated was the NanoNob. The NanoNob is a switch device that allows the consumer to interact and control their screen reader on the iPhone or Android phone. It is a simple nob that has a dial and a push switch. This allows a simplified way to use a screen reader instead of having to rely solely on finger gestures on the phone screen. At the end of the demonstration, she choose to borrow the device and see if she wanted to acquire it. An added bonus, this informed consumer participated in an outreach event and shared her knowledge of the device with the other participants. She showed how she could navigate her phone using VoiceOver. Her enthusiasm and success inspire the others. Subsequently, another consumer contacted the ATRC to ask if she could borrow the Nanonob, specifically one compatible with Android. She expressed a desire to begin learning screen reader technology, recognizing that her vision might further deteriorate. The first consumers enthusiasm in sharing her newfound skills played a key role in encouraging the consumer, who had been reluctant to try anything.
Response | Primary Purpose for Which AT is Needed | Total | ||
---|---|---|---|---|
Education | Employment | Community Living | ||
Decided that AT device/service will meet needs | 00 | 01 | 23 | 24 |
Decided that an AT device/ service will not meet needs | 00 | 00 | 08 | 08 |
Subtotal | 00 | 01 | 31 | 32 |
Have not made a decision | 00 | 00 | 03 | 03 |
Subtotal | 00 | 01 | 34 | 35 |
Nonrespondent | 00 | 00 | 01 | 01 |
Total | 00 | 01 | 35 | 36 |
Performance on this measure | NaN% | 100% | 91.18% |
Response | Primary Purpose for Which AT is Needed | Total | ||
---|---|---|---|---|
Education | Employment | Community Living | ||
1. Could only afford the AT through the AT program. | 00 | 00 | 00 | 00 |
2. AT was only available through the AT program. | 04 | 00 | 04 | 08 |
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 | 04 | 00 | 04 | 08 |
5. None of the above | 00 | 00 | 00 | 00 |
6. Subtotal | 04 | 00 | 04 | 08 |
7. Nonrespondent | 00 | 00 | 00 | 00 |
8. Total | 04 | 00 | 04 | 08 |
9. Performance on this measure | 100% | NaN% | 100% |
Customer Rating of Services | Number of Customers | Percent |
---|---|---|
Highly satisfied | 21 | 47.73% |
Satisfied | 20 | 45.45% |
Satisfied somewhat | 00 | 0% |
Not at all satisfied | 00 | 0% |
Nonrespondent | 03 | 6.82% |
Total Surveyed | 44 | |
Response rate % | 93.18% |
We continue to struggle to get back to the level of lending prior to covid. The need for personnel is a challenge and we have struggled with lack of staff and turnover.
Type of AT Device / Service | Number of Demonstrations of AT Devices / Services |
---|---|
Vision | 54 |
Hearing | 14 |
Speech Communication | 06 |
Learning, Cognition and Developmental | 01 |
Mobility, Seating and Positioning | 00 |
Daily Living | 10 |
Environmental Adaptations | 00 |
Vehicle Modification and Transportation | 00 |
Computers and Related | 00 |
Recreation, Sports and Leisure | 00 |
Total # of Device Demonstrations | 85 |
Type of Participant | Decision-Makers | Other Participants | Total |
---|---|---|---|
Individuals with Disabilities | 81 | 01 | 82 |
Family Members, Guardians, and Authorized Representatives | 03 | 34 | 37 |
Representatives of Education | 00 | 00 | 00 |
Representatives of Employment | 00 | 00 | 00 |
Health, Allied Health, Rehabilitation | 00 | 00 | 00 |
Representative of Community Living | 01 | 00 | 01 |
Representative of Technology | 00 | 00 | 00 |
Total | 85 | 35 | 120 |
Type of Entity | Number of Referrals |
---|---|
Funding Source (non-AT program) | 00 |
Service Provider | 00 |
Vendor | 01 |
Repair Service | 00 |
Others | 00 |
Total | 01 |
While doing public awareness at a Senior Resource Fair, the mom of a former independent living consumer stopped by to chat, it had been nearly 25 years since working with her son. She now is aging and has several barriers with vision and hearing. She was given the contact information and she later reached out to set up an appointment to explore AT options. We discussed what she was trying to accomplish and had AT demonstrations to enable her to make decisions regarding magnification options. She will be borrowing the AT via Device Loan so she can try them in her home environment.
Response | Primary Purpose for Which AT is Needed | Total | ||
---|---|---|---|---|
Education | Employment | Community Living | ||
Decided that AT device/service will meet needs | 02 | 03 | 65 | 70 |
Decided that an AT device/ service will not meet needs | 00 | 00 | 09 | 09 |
Subtotal | 02 | 03 | 74 | 79 |
Have not made a decision | 00 | 00 | 05 | 05 |
Subtotal | 02 | 03 | 79 | 84 |
Nonrespondent | 00 | 00 | 01 | 01 |
Total | 02 | 03 | 80 | 85 |
Performance on this measure | 100% | 100% | 92.5% |
Customer Rating of Services | Number of Customers | Percent |
---|---|---|
Highly satisfied | 30 | 25% |
Satisfied | 82 | 68.33% |
Satisfied somewhat | 04 | 3.33% |
Not at all satisfied | 02 | 1.67% |
Nonrespondent | 02 | 1.67% |
Total | 120 | |
Response rate % | 98.33% |
We continue to struggle to get back to the level of lending prior to covid. The need for personnel is a challenge and we have struggled with lack of staff and turnover.
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 | 2,037 | 2,038 |
2. AT was only available through the AT program. | 05 | 00 | 114 | 119 |
3. AT was available through other programs, but the system was too complex or the wait time too long. | 00 | 04 | 13 | 17 |
4. Subtotal | 06 | 04 | 2,164 | 2,174 |
5. None of the above | 01 | 01 | 02 | 04 |
6. Subtotal | 07 | 05 | 2,166 | 2,178 |
7. Nonrespondent | 00 | 00 | 04 | 04 |
8. Total | 07 | 05 | 2,170 | 2,182 |
9. Performance on this measure | 85.71% | 0% | 99.12% | 98.85% |
ACL Performance Measure | 85% | |||
Met/Not Met | Met |
Response | Primary Purpose for Which AT is Needed | Total | ||
---|---|---|---|---|
Education | Employment | Community Living | ||
Decided that AT device/service will meet needs | 02 | 04 | 88 | 94 |
Decided that an AT device/ service will not meet needs | 00 | 00 | 17 | 17 |
Subtotal | 02 | 04 | 105 | 111 |
Have not made a decision | 00 | 00 | 08 | 08 |
Subtotal | 02 | 04 | 113 | 119 |
Nonrespondent | 00 | 00 | 02 | 02 |
Total | 02 | 04 | 115 | 121 |
Performance on this measure | 100% | 100% | 92.11% | 92.5% |
ACL Performance Measure | 90% | |||
Met/Not Met | Met |
Customer Rating of Services | Percent | ACL Target | Met/Not Met |
---|---|---|---|
Highly satisfied and satisfied | 99.60% | 95% | Met |
Response Rate | 92.83% | 90% | Met |
Type of Participant | Number |
---|---|
Individuals with Disabilities | 115 |
Family Members, Guardians and Authorized Representatives | 00 |
Representatives of Education | 00 |
Representatives of Employment | 00 |
Rep Health, Allied Health, and Rehabilitation | 00 |
Representatives of Community Living | 33 |
Representatives of Technology | 00 |
Unable to Categorize | 00 |
TOTAL | 148 |
Metro | Non Metro | Unknown | TOTAL |
---|---|---|---|
148 | 00 | 00 | 148 |
Primary Topic of Educational/Training Activities | Participants |
---|---|
AT Products/Services | 07 |
AT Funding/Policy/ Practice | 00 |
Combination of any/all of the above | 129 |
Information Technology/Telecommunication Access | 06 |
Transition | 06 |
Total | 148 |
Describe innovative one high-impact assistance educational/training activity conducted during the reporting period:
In a continuing effort to address gaps in services and improve access to, and use of assistive technology, the project coordinated training with a group of case managers for Nevada’s Medicaid Waiver Programs (Physical Disability and Frail Elderly). The goal of this training was to ensure front line workers had information regarding assistive technology resources when they were interacting with people receiving the waiver services. The training was attended by 22 case managers throughout Nevada and the outcome increased knowledge, skill, and ability to; understand what the AT Resource Centers offer; identify when assistive technology might be needed; and to connect people at risk of institutionalization with appropriate services.
Briefly describe one educational/training activity related to transition conducted during the reporting period:
In an on-going community partnership, the AT Resource Center was invited to present to participants of the 2024 Partners in Policy Making cohort. This year’s participants were a mixture of people with intellectual and developmental disabilities, parents of kids with disabilities, and statewide advocates. Topics included an explanation of programs and their relevance to transition. Discussed the benefits of assistive technology, transitions over the lifespan, and how different agencies are involved during the transition timelines. We focused most of the training on the early introduction of AT in early intervention, the early school years, and moving into transitions such as employment, community living, and aging in place. Participants were able to discuss frustrations with school age AT related needs and how difficult the advocacy process is to get their child appropriate AT and its appropriate use in the classroom. The group left the training with a better understanding of how the AT Resource Center can play a vital role in AT exploration and statewide leadership.
Briefly describe one educational/training activity related to Information and Communication Technology accessibility:
In the summer of 2024 the project was approached to provide assistance with addressing accessibility to documents and information provided by the State Aging and Disability Services Division (ADSD). It was decided that it would be a two-part training. The first would be primarily with ADSD’s public information officer and a resource coordinator to discuss general responsibilities, what their remediation process was, and what our program could offer to assist them with gaining knowledge and skills. The second training sought to bring in actual users of assistive technology to give the entity a functional perspective of why accessible documents are so important. Peer users told their stories and described the functional barriers they deal with when trying to access information. The outcome of the two trainings improved the entities awareness and understanding of the importance of creating accessible documents from the start rather than relying on remediation after the fact.
Outcome/Result From IT/Telecommunications Educational/Training Activities Received | Number |
---|---|
IT and Telecommunications Procurement or Dev Policies | 00 |
Training or Technical Assistance will be developed or implemented | 06 |
No known outcome at this time | 00 |
Nonrespondent | 00 |
Total | 06 |
Performance Measure Percentage | 100% |
ACL Target Percentage | 70% |
Met/Not Met | Met |
Education | 11% |
---|---|
Employment | 00% |
Health, Allied Health, Rehabilitation | 00% |
Community Living | 11% |
Technology (IT, Telecom, AT) | 78% |
Total | 100% |
Describe Innovative one high-impact assistance activity that is not related to transition:
Through an informal consumer complaint, the project engaged with a local non-profit organization, and its Director, to provide assistance with document accessibility. Specifically with their application form and subsequent grievance procedures. A Zoom meeting was held with the Director. We discussed a recent complaint by a person who is blind and was trying to access services. We discussed briefly the process, accommodations that were offered, and clarified responsibilities that the non-profit has under ADA and Section 504 of the rehab Act to provide accessible documents and forms. Continued technical assistance was offered and recommendations were made to have additional mechanisms for input on their form as well as possible revisions to their policies and procedures.
Breifly describe one technical assistance activity related to transition conducted during the reporting period:
Engaged the Nevada Cooperative Extension about meeting the needs of seniors and addressing gaps in service delivery and programs within the Cooperative Extension. Focusing on transition and including social isolation, home safety, wellness. Specifically, how to bolster programs to inform seniors about the use of assistive technology to keep them living where they want to live. We discussed potential partnerships and how to reach additional agencies and groups more effectively. We also discussed having a shared space that would benefit both programs and reach this specific demographic that is typically underserved.
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 7/26/2024, Anne McNulty was the featured guest on KTVN's Morning Blend where over 100,000 viewers tuned in to learn more about CARE Chest and it's programs as the station celebrated the 35th anniversary of the signing of the ADA. This program marked the first time mainstream media featured CARE Chest in Sothern Nevada and resulted in a noted increase in consumer activity the following week.
2. This PA came about after a LMSW with Optum Community Center, had called in July for information about the AT/IL Program. He was working with a family and trying to find out more about the program and if it would be appropriate for them. The engagement was a success and the LMSW was encouraged to see if an in-service would be helpful for his peers. The result was an in-service training for United Healthcare and Optum Community Center social workers. There were 10 participants in the hour-long meeting via Teams and 5 additional people were provided with a copy of the presentation. The presentation was on all the services and programs within the NATC. The presentation emphasizes the importance of informed consumer decision making and engaging with ATRC's for information, demonstrations, loans, educational training and technical supports. Secondary the options for acquiring AT such as CARE Loan or the AT/IL Program, if it is appropriate. Also included examples of resources outside of the NATC such as Medicaid, Medicaid Waivers, Blind Services (DETR/VR/OBIL), and ADSD subaward funded programs. Contact information for each of the NATC partners and services were shared.
Types of Recipients | AT Device/ Service |
AT Funding | Total |
---|---|---|---|
Individuals with Disabilities | 286 | 240 | 526 |
Family Members, Guardians and Authorized Representatives | 109 | 73 | 182 |
Representative of Education | 04 | 00 | 04 |
Representative of Employment | 02 | 00 | 02 |
Representative of Health, Allied Health, and Rehabilitation | 11 | 00 | 11 |
Representative of Community Living | 36 | 00 | 36 |
Representative of Technology | 05 | 00 | 05 |
Unable to Categorize | 01 | 00 | 01 |
Total | 454 | 313 | 767 |
Referral types vary for the programs. Primarily supporting “acquisition” services and supports for people in their homes leads CARE Chest to do outreach at events and with more of a focus on the Agency/Organizations/Business. CARE Chests participated in 79 PA events and reached an estimated 154,000 people. The referral source data collected from AT/IL Program calls appears to align with that showing 75% of callers describing an Agency/Organizations/Business and 25% from Family/Friend/Neighbor/Acquaintance. UNR/NATRC I&A data shows a consistent spread with referral source groups. Finding that directly accessing PWD/AT Users is most effective to see value of Demonstration and Loan services, that ultimately do not provide the AT. With the use of an additional data field we can determine that 30% of all I&As directly related that an outreach event lead to them making contact. We do need to refine the options for reporting but pleased to see that outreach/PA is working. Unfortunately when a consumer does not know where or who referred them it leaves us with little to go with. The data shows that 23% of the people were not able to identify who referred them. We lean towards it being a Family/Friend/Neighbor/Acquaintance that participated in a PA/outreach but cannot be sure. What is knows is that PA is the key to getting consumers calling.
Specific referral sources are too broad to name, such as the example for this section. Especially when a consumer does not know who referred them. We believe that the data supports that identifying that the referral is tied to a specific PO/Outreach is important and shows that we are reaching people when those events take place.
For many years we have tried connecting referral information to make determinations where outreach is needed and identify different strategies. It is a challenge and we have not found a perfect solution to accomplish this yet. In the NATADs system we collect the referral source as best as we can from the consumer's description. While the consumer may name the specific referral source, it is not often possible to determine those sources’ connection to the NATC's public awareness or connections to other agencies/providers/organizations. Especially when the consumer names a person that referred that has no significance that we can connect with such as a specific person’s name, a neighbor, a friend, or an acquaintance. This also happens when the consumer is unable to relay the referring program/organization/agency/provider. We continue to seek better methods of connecting the referral sources to the public awareness that takes place and guide us to where public awareness is needed.
3. What focus areas(s) were addressed by the initiative?
4. What AT Act authorized activity(s) were addressed?
3. What focus areas(s) were addressed by the initiative?
4. What AT Act authorized activity(s) were addressed?
Additional Coordination/Collaboration activities | 1 |
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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?
In the winter of 2024, the resource center was contacted by a large hospital in northern Nevada. They have a group of therapists including PT/OT/Speech that meet regularly. They were interested in learning more about our program and how we could collaborate more for folks they serve in the acute care setting. The project presented to the group and explained who we are and what we do. We discussed acute care AT related needs including AT for physical limitations, communication access, daily living challenges while in acute care, and introducing AT as early as possible to folks experiencing recent trauma and/or injury. Contact information was provided and we went over the referral process. We discussed more of a coordinated effort to get the relevant information about incorporating AT in the recovery process to the individual and family as soon as possible.
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 public awareness effort the hospital has contacted us again recently to assist with a new patient in acute care because of a cervical spinal cord injury. They are interested in AT and switch controls that may assist the person in using a tablet more effectively, and to communicate with family when they are away from the hospital.
3. What focus areas(s) were addressed by the initiative?
Community Participation and Integration; Transition(school to work or congregate care to community);
4. What AT Act authorized activity(s) were addressed?
Device Loan; Demonstration; Information & Assistance;
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 |
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Fund Source | Amount | Use of Funds | Data Reported |
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Federal | $35,370 | State Financing | True |
State Appropriations | $1,851,149 | State Financing | True |
Amount: $1,886,519 |
B. Public Health Workforce Grant Award |
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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. |
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Initially our Agency planned to utilize this funding to hire "Reginal Coordinators" that would be engaging in public awareness for the agency. The agency found alternative funding for those positions. When the NATC was made aware that the funding was not being used for that purpose, we engaged ACL for an extension and have planned and obligated the funding.