National Assistive Technology Act Data System

Annual Progress Report - Full Report

New Hampshire 2024

General Information

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

State AT Program Title:
Assistive Technology in New Hampshire (ATinNH)
State AT Program Title:
State AT Program URL
www.atinnh.org
Mailing Address:
10 West Edge Drive, Suite 101
City:
Durham
State:
New Hampshire
Zip Code:
03824
Program Email:
atproject@unh.edu
Phone:
603-862-1867
TTY:

Lead Agency

Agency Name:
Institute on Disability
Mailing Address:
10 West Edge Drive
City:
Durham
State:
NH
Zip Code:
03824
Program URL:
https://iod.unh.edu/

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):
Valli, Sara
Title:
Director
Phone:
(603) 862-0357
E-mail:
sara.valli@unh.edu
Program Director at Lead Agency (last, first):
Daniels, Jennifer
Title:
Director
Phone:
603-862-3399
E-mail:
Jennifer.Daniels@unh.edu
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):
Therese Willkomm
Title:
Retired as Director ATinNH after 2024 Fiscal year
Phone:
603-491-6555
E-mail:
Therese.Willkomm@unh.edu

Certifying Representative

Name (last, first):
Jensen, Karen
Title:
Director, Pre-Award Compliance
Phone:
603-862-2172
E-mail:
Karen.Jensen@unh.edu

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? No

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? 1
Activity 1
How would you describe this state financing activity?AT Fabrication or AT Maker Program

2. Geographic Distribution and Number of Individuals Served

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)1014
B. Non-Metro (RUCC 4-9)622
C. Total Served1636

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures1636

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 ProvidedTotal Estimated
Current Retail
Purchase Price
Total Price for
Which Devices
Were Sold
Savings
to Consumers
Vision 507$5,940$0$5,940
Hearing 0$0$0$0
Speech communication 62$950$0$950
Learning, cognition, and developmental 0$0$0$0
Mobility, seating and positioning 127$8,655$0$8,655
Daily living 338$9,281$0$9,281
Environmental adaptations 0$0$0$0
Vehicle modification and transportation 10$100$0$100
Computers and related 298$6,272$0$6,272
Recreation, sports, and leisure 294$2,421$0$2,421
Total 1636$33,619$0$33,619


D. Anecdote

A teacher with a rare neurological disorder, needed a hands-free device that would enable her to set up immersive video devices for students without it touching her head. An adjustable desktop holding device that could be used with three different VR headsets was fabricated and a body mount solution was also created.

Impact Area

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 00 00
2. AT was only available through the AT program. 559 02 1,075 1,636
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 559 02 1,075 1,636
5. None of the above 00 00 00 00
6. Subtotal 559 02 1,075 1,636
7. Nonrespondent 00 00 00 00
8. Total 559 02 1,075 1,636
9. Performance on this measure 100% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,634 99.88%
Satisfied 01 0.06%
Satisfied somewhat 00 0%
Not at all satisfied 01 0.06%
Nonrespondent 00 0%
Total Surveyed 1,636
Response rate % 100%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 00
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 808
C. Total 808

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 808

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 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 02 $378 $0 $378
Hearing 01 $143 $0 $143
Speech Communication 01 $100 $25 $75
Learning, Cognition and Developmental 01 $60 $15 $45
Mobility, Seating and Positioning 674 $218,799 $46,081 $172,718
Daily Living 407 $49,342 $12,310 $37,032
Environmental Adaptations 252 $23,350 $5,865 $17,485
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 06 $400 $100 $300
Total 1,344 $292,572 $64,396 $228,176

D. Anecdote

A resident who needed a scooter for mobility related to community access but could not afford one came to REM and purchased a scooter for $100.00 the retail price for the item is $1799.00 saving him $1699.00 and allowing him to access the community for shopping, medical appointments and recreation.

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 02 689 691
2. AT was only available through the AT program. 00 00 76 76
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 01 01
4. Subtotal 00 02 766 768
5. None of the above 00 00 03 03
6. Subtotal 00 02 769 771
7. Nonrespondent 00 00 37 37
8. Total 00 02 806 808
9. Performance on this measure NaN% 100% 95.04%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 721 89.23%
Satisfied 32 3.96%
Satisfied somewhat 01 0.12%
Not at all satisfied 00 0%
Nonrespondent 54 6.68%
Total Surveyed 808
Response rate % 93.32%

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) 164
Serve as loaner during service repair or while waiting for funding 25
Provide an accommodation on a short-term basis for a time-limited event/situation 384
Conduct training, self-education or other professional development activity 17
Total 590

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 04 06 10
Family Members, Guardians, and Authorized Representatives 10 166 176
Representative of Education 90 136 226
Representative of Employment 00 00 00
Representatives of Health, Allied Health, and Rehabilitation 58 107 165
Representatives of Community Living 00 11 11
Representatives of Technology 02 00 02
Total 164 426 590

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 45

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number of Devices
Desicion-making All other Purposes Total
Vision 12 12 24
Hearing 11 02 13
Speech Communication 55 33 88
Learning, Cognition and Developmental 14 23 37
Mobility, Seating and Positioning 47 383 430
Daily Living 130 02 132
Environmental Adaptations 10 02 12
Vehicle Modification and Transportation 00 00 00
Computers and Related 120 10 130
Recreation, Sports and Leisure 223 40 263
Total 622 507 1,129

E. Anecdote

An AAC evaluator borrowed an iPad with 4 communication AAC apps on it for 45 days to complete an evaluation of a student in a school and take the 30 days of data required for insurance coverage of a Dedicated AAC device. They included the data in a report and made a decision on the AAC app and iPad size and case to recommend to the school team.

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 134 00 08 142
Decided that an AT device/ service will not meet needs 01 00 00 01
Subtotal 135 00 08 143
Have not made a decision 09 00 01 10
Subtotal 144 00 09 153
Nonrespondent 07 00 04 11
Total 151 00 13 164
Performance on this measure 93.75% NaN% 88.89%

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. 21 01 333 355
2. AT was only available through the AT program. 16 01 35 52
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 01 07 08
4. Subtotal 37 03 375 415
5. None of the above 00 00 03 03
6. Subtotal 37 03 378 418
7. Nonrespondent 06 00 02 08
8. Total 43 03 380 426
9. Performance on this measure 100% 100% 99.21%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 548 92.88%
Satisfied 31 5.25%
Satisfied somewhat 05 0.85%
Not at all satisfied 00 0%
Nonrespondent 06 1.02%
Total Surveyed 590
Response rate % 98.98%

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 590
Hearing 68
Speech Communication 00
Learning, Cognition and Developmental 00
Mobility, Seating and Positioning 05
Daily Living 00
Environmental Adaptations 00
Vehicle Modification and Transportation 00
Computers and Related 111
Recreation, Sports and Leisure 00
Total # of Device Demonstrations 774

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 761 21 782
Family Members, Guardians, and Authorized Representatives 02 02 04
Representatives of Education 04 00 04
Representatives of Employment 00 00 00
Health, Allied Health, Rehabilitation 01 17 18
Representative of Community Living 06 00 06
Representative of Technology 00 00 00
Total 774 40 814

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 04
Service Provider 60
Vendor 00
Repair Service 00
Others 01
Total 65

D. Anecdote

A community member visited NDHHS and a demo was provided of a number of personal amplification devices for listening to TV at home. He selected a device to purchase, making it so that his family did not have to have the TV so loud at home.

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 04 00 737 741
Decided that an AT device/ service will not meet needs 00 00 00 00
Subtotal 04 00 737 741
Have not made a decision 00 00 19 19
Subtotal 04 00 756 760
Nonrespondent 00 00 14 14
Total 04 00 770 774
Performance on this measure 100% NaN% 95.71%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 724 88.94%
Satisfied 75 9.21%
Satisfied somewhat 04 0.49%
Not at all satisfied 00 0%
Nonrespondent 11 1.35%
Total 814
Response rate % 98.65%

G. Notes:

We had a re engagement with a partner who had not been reporting numbers last year. This partner is a Statewide Blind Low Vision service provider. This created a significant increase in our numbers this year.

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. 21 03 1,022 1,046
2. AT was only available through the AT program. 575 03 1,186 1,764
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 01 08 09
4. Subtotal 596 07 2,216 2,819
5. None of the above 00 00 06 06
6. Subtotal 596 07 2,222 2,825
7. Nonrespondent 06 00 39 45
8. Total 602 07 2,261 2,870
9. Performance on this measure 100% 85.71% 97.74% 98.18%
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 138 00 745 883
Decided that an AT device/ service will not meet needs 01 00 00 01
Subtotal 139 00 745 884
Have not made a decision 09 00 20 29
Subtotal 148 00 765 913
Nonrespondent 07 00 18 25
Total 155 00 783 938
Performance on this measure 93.92% NaN% 95.64% 95.36%
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 99.71% 95% Met
Response Rate 98.15% 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 134
Family Members, Guardians and Authorized Representatives 72
Representatives of Education 234
Representatives of Employment 88
Rep Health, Allied Health, and Rehabilitation 210
Representatives of Community Living 00
Representatives of Technology 50
Unable to Categorize 00
TOTAL 788

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
464 306 18 788

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities Participants
AT Products/Services 595
AT Funding/Policy/ Practice 00
Combination of any/all of the above 41
Information Technology/Telecommunication Access 12
Transition 140
Total 788

C. Description of Educational/Training Activities

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

Three maker fairs of workshops related to fabrication skill building. Provided direct training in how to fabricate AT devices.

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

Training for Littleton NH AT and transitioning to Post Secondary Education associated with the local Community Colleges.

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

We partnered with the IOD Media team and from October 2023 through September 2024, the Institute on Disability delivered over 12 trainings and provided more than 120 hours of technical support to staff, faculty, and partners. Our external training sessions engaged advocacy groups, state agencies, and network partners, fostering accessibility awareness and capacity building. In addition, we provided 80 hours of targeted technical support, including remediation, one-on-one troubleshooting, and diagnosing accessibility challenges. To support sustained accessibility practices, we developed an internal website offering comprehensive accessibility guidance for staff. We also contributed accessibility standards to central marketing's brand book, integrating these principles into the university’s overarching brand strategy. We proudly strive to uphold WCAG 2.1 compliance standards through our designs, workflows, and practices to ensure accessibility across all digital and print channels. These achievements underscore our commitment to promoting inclusion and equity in every aspect of our work. Approximately 250 individual staff members participated in these trainings.

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 03
Training or Technical Assistance will be developed or implemented 07
No known outcome at this time 01
Nonrespondent 01
Total 12
Performance Measure Percentage 83.3%
ACL Target Percentage 70%
Met/Not Met Met

E. Notes:

The director and person who was completing a number of trainings was part time in 2024 as she moved into retirement and this decreased the number of trainings and participants from the year before.

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 50%
Employment 00%
Health, Allied Health, Rehabilitation 00%
Community Living 40%
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:

Assisted the UNH Department of OT to develop a smart home display of AT equipment that uses Alexa and Google Home for training OT students in supporting people with disabilities in Independent living. Provided customer assistance related to using the AT4All website to 24 people.

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

Provided technical assistance to a small business helping individuals transition from care facilities to independent living through the use of AT for independent toileting.

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. Exhibited at Age of Champions State Conference for approximately 450 people attended who were over age 65; we demonstrated over 50 different AT devices for aging in place and home independence. We fabricated at leave 5 devices for people who attended the Age of Champions Conference.

2. We held an Event called Discover the Joy of AT Making, Approximately 125 people, some with disabilities and some who are service providers for people with disabilities were in attendance. 142 devices were provided to attendees to take back to their communities for people with disabilities. In addition we had a display that showed over 400 different devices that can be fabricated to increase independence at home, school, work and play and gave away 60 AT maker books.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 48 01 49
Family Members, Guardians and Authorized Representatives 23 00 23
Representative of Education 13 00 13
Representative of Employment 18 00 18
Representative of Health, Allied Health, and Rehabilitation 70 00 70
Representative of Community Living 20 00 20
Representative of Technology 07 00 07
Unable to Categorize 00 00 00
Total 199 01 200

Referral Types:

By participating the NHAT Expo, family support conference and care giver conference an increase was noted in information and awareness requests from allied health professionals. This lead to the formation of a new partnership with an Allied health provider for schools across the state.

Referral Sources:

State wide school based allied health related services providers have increased referrals and requests for AAC related loans. We have worked with many schools across the sate and approximately 30% of our total referrals for I&A came from speech and language professionals.

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Yes
Yes
Met with the State DOE Assistive Technology and Accessible Educational Educational Materials Leadership team and were asked to participate in statewide AT training moving forward. Met with the New Director of Vocational Rehabilitation and planned for a fee for service contract to train their incoming VR counselors on AT and what ATinNH can offer for employment. Collaborated with Center on Aging and Community Living to get AT into the hands of people with disability related to social isolation and the aging population with disabilities. We provided training and support for this project.
This partnership was formed late in the fiscal year as a result of ATinNH hiring a new director who has a background in AT for education and AEM AT supports. The State DOE reached out to organize the partnership. The partnership will hopefully continue as ATinNH is applying for a RFP from the DOE to support Teacher and Family training related to AT and inclusive educational practices.

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

Education, Employment, Aging,

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

Training, Information & Assistance, Public Awareness, Technical Assistance,

Yes
No
Met with the New Director of Vocational Rehabilitation and planned for a fee for service contract to train their incoming VR counselors on AT and what ATinNH can offer for employment.

No
Worked with the Center on Aging and Community Living on a project to get AT to people with disabilities to reduce social isolation. We provided technical assistance.

No
The focus at the moment is on expanding our connection with Education and Vocational Agencies.

Additional Coordination/Collaboration activities 0

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
Private$60,332State FinancingFalse
Amount: $60,332

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.

We provided AT devices for 10 individuals over the age of 65 who experience social isolation. The AT items were not demos but were open ended loans of iPads with facetime or Amazon Echo Show for video calls with caregivers, friends and loved ones. For socialization and depression reduction.


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).

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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.