National Assistive Technology Act Data System

Annual Progress Report - Full Report

North Carolina 2024

General Information

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

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

Lead Agency

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

Implementing Entity

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

Program Director and Other Contacts

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

Person Responsible for completing this form if other than Program Director

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

Certifying Representative

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

State Financing

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

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 05 08 13
Approved Not made 00 00 00
Rejected 00 00 00
Total 05 08 13

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $15,000 Highest Income: $108,000

Average Income
Sum of Incomes Loans Made Average Annual Income
$579,000 13 $44,538

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 01 03 04 01 01 03 13
Percentage of Loans 7.69% 23.08% 30.77% 7.69% 7.69% 23.08% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 13 100%
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 13 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 13 $126,393
Partnership Loans 00 $0
Total 13 $126,393

4. Interest Rates

Interest Rates
Lowest 4%
Highest 4%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
52 13 4%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 00
2.1% to 4.0% 13
4.1% to 6.0% 00
6.1% to 8.0% 00
8.1% - 10.0% 00
10.1%-12.0% 00
12.1%-14.0% 00
14.1% + 00
Total 13

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 01 $4,000
Hearing 05 $15,000
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 01 $1,527
Daily living 00 $0
Environmental adaptations 04 $14,600
Vehicle modification and transportation 02 $91,266
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 13 $126,393

6. Defaults

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

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

1. Overview of Activities Performed

How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan? 0


C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost

1. Overview of Activities Performed

How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan? 0

D. Anecdote

Impact Area

I have been aware of NCATP's alternative finance program with Self-Help Credit Union since July 2021. I have recommended this program to various individuals, not knowing how easy the process was. Upon becoming a mother in June 2024, I realized that my current BraunAbility Chevy Traverse did not adequately support my independence both in my professional role and as a parent. Therefore, I sought a ramp-access minivan that would better meet my needs. Given the increasing interest rates ranging from 10% to 13% at multiple banking institutions, I chose to work with NCATP asking questions about the AT loan process. I was assigned to the Wilson, NC Self-Help Credit Union branch to explore the low-interest AT loan. Self-Help Credit Union provided exceptional guidance throughout the entire process and was readily available to address any questions I had. This low-interest AT loan enabled me to purchase a 2023 VMI Toyota Sienna, equipped with ramp access. This vehicle has significantly enhanced my independence, facilitating my commutes to work and allowing me to more easily transport my son from daycare, improving safety and comfort.

Narrative Picture
Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 00 00 13 13
2. AT was only available through the AT program. 00 00 00 00
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 00 00 13 13
5. None of the above 00 00 00 00
6. Subtotal 00 00 13 13
7. Nonrespondent 00 00 00 00
8. Total 00 00 13 13
9. Performance on this measure NaN% NaN% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 13 100%
Satisfied 00 0%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 13
Response rate % 100%

G. Notes:

During FY 2022-2023, NCATP received funding under the CARES Act as a sub-grantee to the Division of Aging and Adult Services (DAAS). Funds were used to provide identified assistive technology to seniors and low-income residents in the most rural portions of our state. These funds ended in September 2023; therefore, we are not reporting additional data for acquisition activities during FY 2023-2024.

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 19
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 20
C. Total 39

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 39

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 01 $300 $0 $300
Mobility, Seating and Positioning 07 $6,850 $0 $6,850
Daily Living 06 $4,840 $40 $4,800
Environmental Adaptations 02 $7,040 $0 $7,040
Vehicle Modification & Transportation 02 $27,500 $26,800 $700
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 01 $2,959 $1,000 $1,959
Total 19 $49,489 $27,840 $21,649

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 01 $200 $0 $200
Hearing 00 $0 $0 $0
Speech Communication 01 $150 $0 $150
Learning, Cognition and Developmental 01 $5,148 $0 $5,148
Mobility, Seating and Positioning 08 $10,340 $0 $10,340
Daily Living 06 $1,061 $0 $1,061
Environmental Adaptations 01 $10 $0 $10
Vehicle Modification & Transportation 01 $200 $0 $200
Computers and Related 01 $30 $0 $30
Recreation, Sports and Leisure 00 $0 $0 $0
Total 20 $17,139 $0 $17,139

D. Anecdote

In June 2024, the NCATP office in Greenville received a request for assistance from a pediatrics clinic in Beaufort County. The clinic staff were seeking funding resources to help a family acquire a pediatric walker for a young patient. The patient, a 5-year-old child who recently immigrated to the United States from Mexico, has cerebral palsy and global developmental delays but demonstrates a strong desire to walk independently. The family is uninsured and has limited financial means, making it difficult for them to purchase a pediatric walker. Fortunately, NCATP was able to provide a donated pediatric walker through our AT Reuse program. The family expressed their gratitude and were encouraged to reach out to NCATP for any future assistive technology needs.

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 01 19 20
2. AT was only available through the AT program. 00 00 09 09
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 10 10
4. Subtotal 00 01 38 39
5. None of the above 00 00 00 00
6. Subtotal 00 01 38 39
7. Nonrespondent 00 00 00 00
8. Total 00 01 38 39
9. Performance on this measure NaN% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 37 94.87%
Satisfied 02 5.13%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 39
Response rate % 100%

G. Notes:

Device Loan

A. Short-Term Device Loans by Type of Purpose

Loans By Purpose
Primary Purpose of Short-Term Device Loan Number
Assist in decision-making (device trial or evaluation) 661
Serve as loaner during service repair or while waiting for funding 22
Provide an accommodation on a short-term basis for a time-limited event/situation 109
Conduct training, self-education or other professional development activity 151
Total 943

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 203 52 255
Family Members, Guardians, and Authorized Representatives 137 54 191
Representative of Education 40 83 123
Representative of Employment 05 15 20
Representatives of Health, Allied Health, and Rehabilitation 240 41 281
Representatives of Community Living 02 04 06
Representatives of Technology 34 33 67
Total 661 282 943

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 14

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number of Devices
Desicion-making All other Purposes Total
Vision 35 22 57
Hearing 15 18 33
Speech Communication 224 62 286
Learning, Cognition and Developmental 138 27 165
Mobility, Seating and Positioning 44 08 52
Daily Living 25 37 62
Environmental Adaptations 15 39 54
Vehicle Modification and Transportation 00 01 01
Computers and Related 146 47 193
Recreation, Sports and Leisure 19 21 40
Total 661 282 943

E. Anecdote

NCATP staff worked with an individual to identify suitable assistive technology solutions aimed at enhancing his computer access for employment purposes. Due to a congenital condition, the young man does not have arms or legs; however, he retains some functionality in his left upper limb, including an elbow joint that he utilizes to hold objects for various tasks. Additionally, he has a detached cornea in his left eye, which impacts his vision. To assist with daily activities and mobility, he utilizes a motorized wheelchair, which is operated via a joystick located on the left side. He is employed as an auctioneer, conducting live auctions on Facebook, as well as in-person and virtual estate sales. His role necessitates accessing a computer and using a camera and microphone for online interactions. Through his collaboration with NCATP, he received a loaner 12.9-inch iPad Pro, a Blue2 switch, and a REACH Stylus equipped with EaZyHold silicone aids, all designed to enhance his ability to participate in weekly online auctions. The iPad Pro, recognized for its touchscreen interface, provided improved accessibility when combined with the REACH stylus and EaZyHold aids. Furthermore, the larger screen accommodated his vision requirements, allowing him to mirror the iPad's display to his television during auctions for improved visibility. The Blue2 switch was configured to connect with his iPhone, which serves as the camera for the online auctions. Given his challenges with pinch gestures for zooming in and out on images, a custom recipe was developed to enable zoom functionality via a simple button press using the Blue2 switch. He reported that the assistive devices provided significantly enhanced his productivity and reduce strain on his body.

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 222 78 295 595
Decided that an AT device/ service will not meet needs 04 10 16 30
Subtotal 226 88 311 625
Have not made a decision 18 05 13 36
Subtotal 244 93 324 661
Nonrespondent 00 00 00 00
Total 244 93 324 661
Performance on this measure 92.62% 94.62% 95.99%

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. 46 13 30 89
2. AT was only available through the AT program. 79 09 59 147
3. AT was available through other programs, but the system was too complex or the wait time too long. 29 00 05 34
4. Subtotal 154 22 94 270
5. None of the above 00 01 10 11
6. Subtotal 154 23 104 281
7. Nonrespondent 00 00 01 01
8. Total 154 23 105 282
9. Performance on this measure 100% 95.65% 90.38%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 877 93%
Satisfied 54 5.73%
Satisfied somewhat 10 1.06%
Not at all satisfied 01 0.11%
Nonrespondent 01 0.11%
Total Surveyed 943
Response rate % 99.89%

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 63
Hearing 12
Speech Communication 241
Learning, Cognition and Developmental 45
Mobility, Seating and Positioning 31
Daily Living 61
Environmental Adaptations 63
Vehicle Modification and Transportation 04
Computers and Related 205
Recreation, Sports and Leisure 14
Total # of Device Demonstrations 739

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 493 446 939
Family Members, Guardians, and Authorized Representatives 117 133 250
Representatives of Education 30 56 86
Representatives of Employment 05 03 08
Health, Allied Health, Rehabilitation 73 32 105
Representative of Community Living 11 06 17
Representative of Technology 10 04 14
Total 739 680 1,419

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 213
Service Provider 150
Vendor 71
Repair Service 00
Others 00
Total 434

D. Anecdote

NCATP staff worked with students, parents and school aids on resources for students with intellectual and developmental disabilities (I/DD). Staff presented assistive technology (AT) and artificial intelligence (AI) tools such as Google Keep that can be a valuable tool for a school aide and parents working to support students with I/DD. The app has an intuitive interface, the ability to incorporate pictures, and compatibility across devices making it ideal for assisting students with organization, managing tasks, and improving communication. The NCATP staff also demonstrated and provided a loan of the Cosmo Switch Bundles to a team of educators, including a teacher, occupational therapist, and speech-language pathologist, for use in their classroom. These switches allow students with limited motor skills or cognitive challenges to interact with technology and learning materials more easily. By pressing a large, easy-to-activate button, students can participate in educational activities without relying on more complex gestures or fine motor skills, making it more inclusive. What makes these switches unique is each switch can light up in a variety of colors and have adjustable activation levels. During a group game, one student shouted "red switch" to help a classmate choose the correct switch, ultimately leading to a win. The class reacted positively, as this student had never previously spoken the word "red" or any color at all. The team was thrilled to share with the parents that their child was making progress in distinguishing and verbalizing colors.

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 124 121 427 672
Decided that an AT device/ service will not meet needs 00 01 05 06
Subtotal 124 122 432 678
Have not made a decision 09 25 27 61
Subtotal 133 147 459 739
Nonrespondent 00 00 00 00
Total 133 147 459 739
Performance on this measure 93.23% 82.99% 94.12%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,382 97.39%
Satisfied 32 2.26%
Satisfied somewhat 05 0.35%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total 1,419
Response rate % 100%

G. Notes:

Overall Performance Measures

Overall Acquisition Performance Measure

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 46 14 62 122
2. AT was only available through the AT program. 79 09 68 156
3. AT was available through other programs, but the system was too complex or the wait time too long. 29 00 15 44
4. Subtotal 154 23 145 322
5. None of the above 00 01 10 11
6. Subtotal 154 24 155 333
7. Nonrespondent 00 00 01 01
8. Total 154 24 156 334
9. Performance on this measure 81.17% 95.83% 83.87% 83.48%
ACL Performance Measure 85%
Met/Not Met Not 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 346 199 722 1,267
Decided that an AT device/ service will not meet needs 04 11 21 36
Subtotal 350 210 743 1,303
Have not made a decision 27 30 40 97
Subtotal 377 240 783 1,400
Nonrespondent 00 00 00 00
Total 377 240 783 1,400
Performance on this measure 92.84% 87.5% 94.89% 93.07%
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 99.34% 95% Met
Response Rate 99.96% 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 34
Family Members, Guardians and Authorized Representatives 55
Representatives of Education 131
Representatives of Employment 61
Rep Health, Allied Health, and Rehabilitation 107
Representatives of Community Living 151
Representatives of Technology 00
Unable to Categorize 07
TOTAL 546

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
345 201 00 546

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities Participants
AT Products/Services 303
AT Funding/Policy/ Practice 16
Combination of any/all of the above 166
Information Technology/Telecommunication Access 26
Transition 35
Total 546

C. Description of Educational/Training Activities

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

Since 2011 a rich collaboration has grown between the Winston-Salem AT Center (NCATP) and the Occupational Therapy department at Winston-Salem State University. Paul Eklund, ATP, has managed the AT Center for the past 16+ years and has advanced the learning opportunities with Megan Edwards-Collins, PhD, a professor with WSSU OT department and her OT students. Over the past several year, an annual visit to the local NCATP Center has taken place via small groups of OT students providing a “hands-on” experience with various assistive devices. In 2024, Dr. Edwards-Collins approached NCATP with a unique opportunity to co-present at the ATIA (Assistive Technology Industry Association) National Conference January on the collaboration between NCATP and Winston-Salem State and the training experience offered to OT students. The ATIA presentation was titled “Exposing Health Care Students to AT Centers: Tips and Tricks”. It discussed how the professor of OT graduate students has worked with the local AT Center to expose the students to a wide variety of AT devices and services that the local AT Center offers. Further, it detailed the advice for planning the visit, strategies, and lessons learned as well as student feedback. The ATIA session was well received by over thirty attendees nationwide. Dr. Edwards-Collins and NCATP staff will be presenting at the NC OT Conference in 2025, as well as providing feedback and assistance to other local NC colleges and universities on implementing and introducing assistive technology training and the Occupational Therapy course of study.

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

NCATP staff provided a virtual training for Inclusion Works, an NC Department of Health and Human Services (DHHS) Initiative to promote competitive integrated employment (CIE) for individuals with intellectual or developmental disabilities (I/DD), focused on the effective use of Assistive Technology (AT) for individuals with I/DD transitioning into the workplace. Over 100 attendees consisted of Employment and Independence of Persons with Disabilities (EIPD), formerly NC Vocational Rehabilitation (VR) staff, families, professionals, and other community members and partners. The training aimed to equip participants with knowledge on how AT (including the use of artificial intelligence (AI) tools) can enhance workplace success. Topics included various tools, apps and strategies for computer access, notetaking, organization, time management, and aids for daily living, (for bathroom breaks and lunch). The session emphasized how AT can help promote independence, improve task management, and support individuals in navigating the complexities of work environments. To many on the training call, they indicated this was their first time thinking about the use of AT by individuals with I/DD as they transition into roles with greater responsibilities, increased production, and enhanced abilities to obtain and maintain employment. A follow up training session was scheduled and provided with NC NAMI, an organization of families, friends and individuals whose lives have been affected by mental illness, covering similar topics as above to assist individuals impacted by mental illness in the employment setting.

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

Participation in the “Ageless Digital Access: Shift/Control Project” Goals of the project included: 1. Create a statewide network of highly skilled people capable of teaching other professionals the basics of how to best utilize existing resources, teach a standardized digital curriculum, and work with older adults at various skill levels. 2. Infuse North Carolina’s aging network with professionals who can teach older adults to understand and use technology, resulting in improved computer skills, increased confidence in their abilities and knowledge of what scams/fraud looks like and how to protect themselves from these attacks. As a member of the rollout team, NCATP provided training to the core members on accessibility features/functions and resources, as well as provided input, feedback, insights, and engaged in guided exercises to maximize useability, relevance, and sustainability of the Ageless Digital Access Toolkit. Training with digital navigators on accessibility recommendations and various assistive technology tools was provided following the collection of data on needed skills and areas of needed training. NCATP staff assisted with collecting and providing requested information such as surveys and reviewed particular components to create the final Aging Digital Equity Toolkit. Website for toolkit: https://thecenterfordigitalequity.org/aa-dn-toolkit/

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 04
Training or Technical Assistance will be developed or implemented 22
No known outcome at this time 00
Nonrespondent 00
Total 26
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 08%
Employment 15%
Health, Allied Health, Rehabilitation 14%
Community Living 18%
Technology (IT, Telecom, AT) 45%
Total 100%

B. Description of Technical Assistance

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

NCATP director participated with the Division of Aging and Adult Services (DAAS) stakeholder committee in the development of the new All Ages, All Stages aging plan. As a result, NCATP led the technology work group focusing on access to technology for individuals and family members supporting Aging in Place. The work group consisted of aging specialists, technology specialists and vendors such as Simply Home, caregivers, and state agency personnel. Recommendations submitted from the workgroup were: 1. Increase public awareness and education by launching a public awareness campaign defining technology-based solutions and public education on the benefits and impact of these types of technologies. 2. Strengthen provider and residential support/technical assistance/education by motivating providers to embrace technology-based services. Offer incentives and provide access to broadband solutions, as well as provide technical assistance and training for implementation and use. 3. Promote

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

NCATP staff in the western part of the state collaborated with a young man, his personal assistant, rehabilitation counselor, job coach and employer to support his transition from school to the workforce. Steven, diagnosed with tetraplegia related to cerebral palsy, uses a ratchet walker for mobility. He expressed an interest in securing a janitorial position at his former high school. NCATP assisted in convening a meeting with Steven, his aide, the job coach, and his work supervisor to outline his job responsibilities. Each task was reviewed to identify potential barriers to his performance. A significant challenge was that Steven's walker was too large to fit into the bathrooms he was assigned to clean, and attempting to perform the job without it posed safety risks due to his balance difficulties. To mitigate this issue, NCATP recommended a detailing chair which features drawers that would enable Steven to store and transport all required cleaning supplies. Additionally, Steven en

C. Notes:

Public Awareness

Public Awareness Activities

Public Awareness Narratives

Describe in detail at least one and no more than two innovative or high-impact public awareness activities conducted during this reporting period. Highlight the content/focus of the awareness information shared, the mechanism used to disseminate or communicate the awareness information, the numbers and/or types of individuals reached, and positive outcomes resulting from the activity. If quantative numbers are available regarding the reach of the activity, please provide those: however, quantative data is not required.

1. For the third year in a row, NCATP hosted three AT Resource Fairs (AT Pop Up’s) across North Carolina, partnering with key organizations to expand the reach of assistive technology. This past year, we collaborated with the independent living center, Solutions for Independence in Winston-Salem, the Exceptional Family Members Program on Fort Liberty army installation in Fayetteville and hosted our third event at the Charlotte NCATP Center. These Pop Ups serve as an extension of our annual AT Expo held in Raleigh each fall, aiming to broaden our outreach and promote awareness about the significance of assistive technology in enhancing independence and creating new opportunities for individuals. Through these events, we strive to make AT resources more accessible across the state. This year, our focus was on adaptive recreation and active living, attracting over 425 participants across these three regional events. Each pop up had between 25-35 exhibitors and resource tables. Individuals have the opportunity to interact with devices, try tools, apps and sporting adaptive sporting equipment. Feedback has been extremely positive from individuals, family members, professionals, exhibitors, and community partners. For 2025, NCATP has been contacted by several additional partners requesting an AT Pop up to come to their local area. We are excited to see where the 2025 events land.

2. The North Carolina Assistive Technology Program successfully hosted the 2023 AT Expo: A Day in the Life with AT on October 5th, 2023, at the McKimmon Center in Raleigh, NC. The Expo featured 31 exhibitors, including state agencies and assistive technology vendors, who presented a variety of assistive technology solutions in the categories of vision, hearing, recreation, mobility, 3D printing, computer access, speech communication, and learning and cognition. Additionally, the event included seven hybrid educational sessions and offered various accommodations, such as ASL interpretation, Spanish translation, audio descriptions, CART services, and reserved seating for in-person participants. The Expo attracted a total of 349 in-person attendees and 201 virtual attendees, representing nine states, the U.S. Virgin Islands, and Nottingham, UK.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 900 77 977
Family Members, Guardians and Authorized Representatives 534 101 635
Representative of Education 189 01 190
Representative of Employment 152 04 156
Representative of Health, Allied Health, and Rehabilitation 739 64 803
Representative of Community Living 325 28 353
Representative of Technology 234 34 268
Unable to Categorize 00 00 00
Total 3,073 309 3,382

Referral Types:

In the past year, the NCATP Director has served in an advisory role for the North Carolina Division of Aging and Adult Services (DAAS) as the chair of the technology workgroup. This workgroup has played a pivotal role in formulating the upcoming objectives outlined in the All Ages, All Stages Plan for the DAAS program. As a result, NCATP has enhanced its outreach to professionals within the aging networks across the state, although we acknowledge that there are still challenges related to limited referrals and inquiries in this area. NCATP continues to collaborate with the Department of Public Instruction (DPI), which co-hosts the annual Assistive Technology Expo. Planning has commenced for 2024 and 2025 to co-host a series of training sessions for therapists in local schools, focusing on augmentative communication devices, services, strategies, and funding options. As part of the Division of Employment and Independence of People with Disabilities (EIPD), formerly known as DVRS, NCATP continues to receive inquiries and referrals from EIPD staff and the consumers they serve. Our outreach initiatives, including the annual AT Expo, regional pop-up events, and regular public awareness presentations, remain the primary means of generating referrals.

Referral Sources:

NCATP has been receiving a substantial number of referrals from various professionals in the rehabilitation field, including individual practitioners, therapists, counselors, and educators. Notably, approximately 38% of these referrals come directly from practitioners. In contrast, the primary source of referrals, accounting for 58%, is individuals, family members, and friends, often through word of mouth. Many clients report discovering NCATP through acquaintances or neighbors who have previously utilized our services. A survey conducted by the University of Asheville, as part of the No Wrong Door study, highlighted NCATP as a key resource, with mentions in the focus group exceeding any other state or community program regarding how individuals learn about available resources. Specifically, NCATP was referenced 22 times throughout the surveys. To further enhance our outreach and engagement, NCATP is utilizing the EIPD (formerly DVRS) Facebook page to promote upcoming events and is actively updating the NCATP website with pertinent information, which has significantly contributed to an increase in referrals. North Carolina Assistive Technology Program | NCDHHS

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Yes
Yes
NCATP partnered with the Dept of Public Instruction (DPI) Assistive Technology Specialist to co-host the annual AT Expo in 2023 and again in 2024. As a result, DPI approached NCATP to outline a training program for all school based SLP's to be initiated in November 2024 at the statewide Exceptional Children's (EC) conference. NCATP is and will fund the training prep and coordination utilizing leveraged state funding.
Training will be held in November 2024 at the statewide EC conference to over 100 SLP's based in local school districts across NC. Follow up assistive technology demonstrations are being planned across North Carolina at all nine of the AT offices providing direct access to alternative/augmentative communication devices, as well as other assistive technology devices in the demo and loan program increasing the awareness of NCATP services and assistive technology available for professionals and students in local school districts.
N/A

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

Education,

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

Training, Technical Assistance,

Yes
Yes
As an agency under the DVRS program in NC, NCATP continues to partner with the executive leadership team providing input into policies, procedures around assistive technology, AgrAbility, use of Artificial Intelligence for individuals served, as well as staff and serving on the employee accommodation team providing recommendations for ergonomic and accommodation requests.
Assuring new DVRS staff are up to date with information and resources available to better serve individuals is imperative. Over the past year, DVRS has experienced over a 65% vacancy rate. New DVRS staff have been hired filling these vacant positions. NCATP has been part of the new employee training for all new hires, as well as part of the COAST training (individual training for new employees) sharing information about NCATP services, referral program and access to demonstrations and loans. These training has assisted new staff in knowing about resources and making referrals to the NCATP program when needed. This program will continue withe the new employee orientations taking place every 3-4 months.

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

Employment,

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

Information & Assistance, Public Awareness,

Yes
Yes
Development of the All Ages, All Stages statewide plan on aging. Collaborators consisted of state agency personnel representing aging, vocational rehabilitation, independent living, council on developmental disabilities, AAA and senior centers, vendors, research developers as Duke, UNC-CH, and UNC Charlotte, caregivers, and individuals who are aging. Funding to be identified and/or restructured based on aging state plan initiatives.
Access to assistive technology services, devices, and smart home technologies was added to the statewide plan for aging. Using current resources and/or identifying additional resources assisting individuals to better age in place are listed as a key objective on the new state plan. This is significant as assistive technology devices and access to such has not been part of previous planning. The plan is currently up for review and public comment and will be modified as needed once public comments are held and prior to submitting to the NC legislative body for final approval.
https://www.ncdhhs.gov/all-ages-all-stages-nc-plan/open

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

Housing/Home Automation, Community Participation and Integration, Aging, Aging and Disability Network/No Wrong Door,

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

Information & Assistance, Technical Assistance,

No
NC Medicaid has expanded this past year with the implementation of Behavioral Health Plans and the expansion of the NC Medicaid program to additional participants. This significant increase in service delivery has created challenges within the system limiting outreach opportunities. NCATP staff continues to be aware of changes/challenges and opportunities as they present themselves and we will continue to look for opportunities to partner.

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? 01

B. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.

The central idea is to create a scalable, master digital navigator trainer program responsible for supporting digital navigator services and community-based partners across the state to train rural areas, individuals with disabilities and older adults to use technology.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)

A digital navigator training program hosted by NC DIT and NC State has been developed training individuals across the state on digital access, including broadband resources and services, smart devices, and social media, as well detection of scams/fraud. Over 16 digital navigators have been hired and trained. In summer 2024, NCATP staff assisted in the development of an online toolkit and provided training on assistive technology devices and resources for the digital navigators assisting them to better meet the needs of individuals across the state.


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

Technology (ICT accessibility and AT


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$21,157Public Awareness, I&ATrue
State Appropriations$230,526DemonstrationTrue
State Appropriations$211,892Public Awareness, I&ATrue
Private$21,157TrainingTrue
State Appropriations$211,892Technical AssistanceTrue
State Appropriations$211,895DemonstrationTrue
State Appropriations$25,222ReuseTrue
State Appropriations$211,892TrainingTrue
Private$21,157Technical AssistanceTrue
State Appropriations$211,893Device LoanTrue
Federal$10,252Public Awareness, I&ATrue
State Appropriations$230,526Device LoanTrue
Amount: $1,619,461

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.

All data is reported for each leveraged funded activity. There is a significant difference between leveraged funding for 2023-2024 and funding in 2022-2023 due to grant funding under the Cares Act which expired in September 2023. Data and funding were included in last year's federal report.


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).

NCATP received additional state funding for the purpose of updating the nine AT labs (centers) across the state. This is the third consecutive year that NCATP has received this additional funding of $400,000.00. Equipment for all nine AT centers continues to be updated including 3D printing and smart home devices, virtual reality and artificial devices and applications, and augmentative communication and robotic technologies. This federal report includes data on demonstrations, device loans, technical assistance and training provided with the use of the additional equipment.

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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.