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
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.
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.
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.
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.
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
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.
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
$21,157
Public Awareness, I&A
True
State Appropriations
$230,526
Demonstration
True
State Appropriations
$211,892
Public Awareness, I&A
True
Private
$21,157
Training
True
State Appropriations
$211,892
Technical Assistance
True
State Appropriations
$211,895
Demonstration
True
State Appropriations
$25,222
Reuse
True
State Appropriations
$211,892
Training
True
Private
$21,157
Technical Assistance
True
State Appropriations
$211,893
Device Loan
True
Federal
$10,252
Public Awareness, I&A
True
State Appropriations
$230,526
Device Loan
True
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.
B. Public Health Workforce Grant Award
All Section 4 AT Act grantees were awarded $80,000.00 in supplimental Public Health Workforce grant funding
to increase the full-time equivalent (FTE) of staff withing the disability and aging network for public
health professionals. Please document the status of these funds below.
Please report the amount expended (drawn down and liquidated) in this reporting period, FY24:
|
$10,252.00
Please report the number of Full Time Equivalent (FTE) positions this funding supported by type. This can be a direct employee FTE or contractual FTE.
Type of FTE Position
FTE Positions (0.01 to 9.99)
Assistive Technology Specialist
0.00
Information and Assistance Specialist
0.00
Outreach and Awareness Specialist
0.50
Training Specialist
0.00
Health Care Professional (includes PT, OT, SLP)
0.00
Accessibility Expert
0.00
Policy Expert
0.00
Technology Expert (Digital Divide, Mobile Tech)
0.00
Program Manager
0.00
Other positions needed to advance public health and prevent, prepare for, and respond to COVid-19 (describe with narrative field required)
0.00
Please describe the activities of the above FTE and how such activities advance public health.
NCATP continued providing outreach services initiated in FY 2022-2023 by providing online (bi-weekly) AT4All device/service demonstrations, assuring all online resources are accessible, including captioning and ASL services. Bi-weekly attendance averages 30+ individuals with a yearly total of 712 attendees (may include duplicate attendees). This year, NCATP worked with Methodist University Occupational Therapy (OT) program providing supervision for an OT doctoral student beginning outreach services through the use of 3D printing. Over three consecutive months, the OT student developed tools for NCATP staff, provided training to staff on the 3D printers, provided training to the Grant Advisory Council, local school professionals and spoke at the 2024 AT Expo. In addition to training activities, the student produced 3D line readers for distribution at the 2024 AT Expo. Activities with 3D printing continues in two of the local NCATP offices (Raleigh and Sanford). In November 2024, NCATP will be hiring the OT student as a part-time assistive technologist working across the state implement additional opportunities with 3D printing devices and training.
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.
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.