National Assistive Technology Act Data System

Annual Progress Report - Full Report

Nevada 2024

General Information

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

State AT Program Title:
Nevada Assistive Technology Collaborative
State AT Program Title:
State AT Program URL
https://adsd.nv.gov/Programs/Physical/Physical/
Mailing Address:
10375 Professional Circle
City:
Reno
State:
Nevada
Zip Code:
89521
Program Email:
jrosenlund@adsd.nv.gov
Phone:
7756870835
TTY:
711

Lead Agency

Agency Name:
Aging and Disability Services Division
Mailing Address:
10375 Professional Circle
City:
Reno
State:
Nevada
Zip Code:
89521
Program URL:
https://adsd.nv.gov/Programs/Physical/Physical/

Implementing Entity

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

Program Director and Other Contacts

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

Person Responsible for completing this form if other than Program Director

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

Certifying Representative

Name (last, first):
John Rosenlund
Title:
NATC Director; SSPS III
Phone:
7756870835
E-mail:
jrosenlund@adsd.nv.gov

State Financing

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

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 18 04 22
Approved Not made 00 00 00
Rejected 05 00 05
Total 23 04 27

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $9,672 Highest Income: $119,000

Average Income
Sum of Incomes Loans Made Average Annual Income
$1,133,716 22 $51,533

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 20 00 01 00 00 01 22
Percentage of Loans 90.91% 0% 4.55% 0% 0% 4.55% 100%

3. Loan Type

Loan Type
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%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 22 $261,172
Partnership Loans 00 $0
Total 22 $261,172

4. Interest Rates

Interest Rates
Lowest 1%
Highest 9%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
29 22 1.29545454545455%

Number of Loans Made by Interest Rate
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

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 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

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?Last resort - Activity

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)104
B. Non-Metro (RUCC 4-9)18
C. Total Served122

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures122

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

3. Types and Dollar Amounts of AT Funded

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 8$3,700
Hearing 11$58,578
Speech communication3$2,174
Learning, cognition, and developmental 0$0
Mobility, seating and positioning18$47,864
Daily living 76$201,417
Environmental adaptations211$941,302
Vehicle modification and transportation 26$170,731
Computers and related 0$0
Recreation, sports, and leisure0$0
Total353$1,425,766



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

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.

Impact Area

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.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 00 00 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%

F. Customer Satisfaction

Satisfaction
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%

G. Notes:

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.

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 00
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 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.

B. Device Exchange Activities

Device Exchange
Type of AT Device Number of Devices Exchanged Total Estimated Current Purchase Price Total Price for Which Device(s) Were Exchanged Savings to Consumers
Vision 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 00 $0 $0 $0
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 00 $0 $0 $0

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

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device Number of Devices Reassigned/Refurbished and Repaired Total Estimated Current Purchase Price Total Price for Which Device(s) Were Sold Savings to Consumers
Vision 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

D. Anecdote

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.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 01 00 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%

F. Customer Satisfaction

Satisfaction
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%

G. Notes:

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.

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) 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

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 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

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 15

D. Types of Devices Loaned

Types of Devices Loaned
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

E. Anecdote

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.

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 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%

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. 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%

H. Customer Satisfaction

Satisfaction
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%

I. Notes:

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.

Device Demonstration

A. Number of Device Demonstrations by Device Type

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

B. Types of Participants

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

C. Number of Referrals

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

D. Anecdote

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.

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 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%

F. Customer Satisfaction

Satisfaction
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%

G. Notes:

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.

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. 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

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 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

Overall Satisfaction Rating

Customer Rating of Services Percent ACL Target Met/Not Met
Highly satisfied and satisfied 99.60% 95% Met
Response Rate 92.83% 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 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

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
148 00 00 148

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
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

C. Description of Educational/Training Activities

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.

D. IT/Telecommunications Educational/Training Activity Performance Measure

IT/Telecommunications Educational/Training Activity Performance Measure
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

E. Notes:

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 11%
Employment 00%
Health, Allied Health, Rehabilitation 00%
Community Living 11%
Technology (IT, Telecom, AT) 78%
Total 100%

B. Description of Technical Assistance

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.

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 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.

Information And Assistance

Information And Assistance Activities by Recipient
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:

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.

Referral Sources:

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.

Notes:

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.

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

No
Conversation was initiated with the Nevada AT Council's State Education Representative to promote NATC services but was not finalized.

Yes
Yes
Referrals to NATRC as appropriate where AT Demonstration and Loans could benefit the VR consumer or anyone accessing the 55 and over blind services. AT Act funding is utilized.
At this point there are not measurable results beyond referrals from VR services for consumer to access AT Demonstrations and AT Loans.

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

Employment, Community Participation and Integration,

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

Device Loan, Demo, Training, Technical Assistance,

Yes
No
Nevada's Aging services are sub-awarded to organizations and agencies (over 100 subawards and partners). The capacity of NATC is a challenge supporting the required services.

Yes
Yes
Training was provided to LSWs of Nevada's Physical Medicaid Disability Waiver and Medicaid Aging Waiver. AT Act funding was utilized. The benefit that was promoted within the training was for the Waiver consumer.
At this point there are not measurable results.

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, Demo, Reuse, Training, Information & Assistance, Technical Assistance,

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?

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;

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$35,370State FinancingTrue
State Appropriations$1,851,149State FinancingTrue
Amount: $1,886,519

For any leveraged funding reported above for which data could not be reported, please describe the extenuating circumstances that precluded data from being reported and efforts to remediate the situation in future reporting periods.


C. Describe any unique issues with your data in this section (e.g., the reason why you were unable to report the number of individuals served with additional or leveraged funds).

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.

Back to state program information page | Top of page

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.