National Assistive Technology Act Data System

Annual Progress Report - Full Report

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New Hampshire 2025

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:

Zip Code:

03824

Program URL:

https://iod.unh.edu/

Implementing Entity

Does your Lead Agency contract with an Implementing Entity to carry out the Statewide AT Program on its behalf? (Check if Yes)

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:

Program Coordinator

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):

Title:

Phone:

E-mail:

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?

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?

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?

Activity 1

How would you describe this state financing activity?

Cooperative Buying Program

2. Geographic Distribution and Number of Individuals Served

County of Residence	Individuals Served
A. Metro (RUCC 1-3)	1
B. Non-Metro (RUCC 4-9)	1
C. Total Served	2

Performance Measure
D. Excluded from Performance Measure	0
E. Number of Individuals Included in Performance Measures	2

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 / Service	Number Provided	Total Estimated Current Retail Purchase Price	Total Price for Which Devices Were Sold	Savings to Consumers
Vision	0	$0	$0	$0
Hearing	0	$0	$0	$0
Speech communication	0	$0	$0	$0
Learning, cognition, and developmental	0	$0	$0	$0
Mobility, seating and positioning	2	$155	$135	$20
Daily living	0	$0	$0	$0
Environmental adaptations	0	$0	$0	$0
Vehicle modification and transportation	0	$0	$0	$0
Computers and related	0	$0	$0	$0
Recreation, sports, and leisure	0	$0	$0	$0
Total	2	$155	$135	$20

Activity 2

How would you describe this state financing activity?

AT Fabrication or AT Maker Program

2. Geographic Distribution and Number of Individuals Served

County of Residence	Individuals Served
A. Metro (RUCC 1-3)	566
B. Non-Metro (RUCC 4-9)	330
C. Total Served	896

Performance Measure
D. Excluded from Performance Measure	0
E. Number of Individuals Included in Performance Measures	896

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 / Service	Number Provided	Total Estimated Current Retail Purchase Price	Total Price for Which Devices Were Sold	Savings to Consumers
Vision	70	$2,453	$0	$2,453
Hearing	0	$0	$0	$0
Speech communication	239	$4,687	$0	$4,687
Learning, cognition, and developmental	0	$0	$0	$0
Mobility, seating and positioning	55	$642	$0	$642
Daily living	181	$2,896	$0	$2,896
Environmental adaptations	0	$0	$0	$0
Vehicle modification and transportation	0	$0	$0	$0
Computers and related	149	$3,812	$0	$3,812
Recreation, sports, and leisure	204	$10,505	$0	$10,505
Total	898	$24,995	$0	$24,995

D. Anecdote

ATinNH worked with an OT to fabricate two mounts for a 3rd grader who uses a communication device and also wanted to use an ipad for fun at the same time. The mounts were successful in meeting this goal.

picture of an AAC device mounted on a stander for a student.

Impact Area Education Employment Community Living

ATinNH hosted a maker event for 18 OT's to make custom mounts that went to the school children that they were working with. Every OT left with at least one custom mount that went to a student.

Impact Area Education Employment Community Living

E. Performance Measures

Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
1. Could only afford the AT through the AT program.	211	00	671	882
2. AT was only available through the AT program.	16	00	00	16
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	227	00	671	898
5. None of the above	00	00	00	00
6. Subtotal	227	00	671	898
7. Nonrespondent	00	00	00	00
8. Total	227	00	671	898
9. Performance on this measure	100%	NaN%	100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services	Number of Customers	Percent
Highly satisfied	892	99.33%
Satisfied	04	0.45%
Satisfied somewhat	02	0.22%
Not at all satisfied	00	0%
Nonrespondent	00	0%
Total Surveyed	898
Response rate %	100%

G. Notes:

We have had a director change to a director who is not a fabricator, but kept the former director on to support fabrication for events for part of the year. The numbers are lower because of this change. We are starting the process of working with Makerspaces and other makers from around the sate to 3D print devices across the state. This will be reflected in next years numbers as we move to that model. It is important to note that the AT discount purchasing program was started in July of 2025 and that getting the word out has been slow as we are working on revamping the ATInNH website to have information on it about the program for bulk purchasing/collaborative buying

Reutilization

Did your approved State Plan for this reporting period included conducting any device reuse activities?

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	1,545
C. Total	1,545

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	1,545

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

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

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device	Number of Devices Reassigned/Refurbished and Repaired	Total Estimated Current Purchase Price	Total Price for Which Device(s) Were Sold	Savings to Consumers
Vision	00	$0	$0	$0
Hearing	02	$378	$0	$378
Speech Communication	00	$0	$0	$0
Learning, Cognition and Developmental	00	$0	$0	$0
Mobility, Seating and Positioning	1,321	$267,513	$77,372	$190,141
Daily Living	426	$61,999	$15,387	$46,612
Environmental Adaptations	210	$28,340	$7,105	$21,235
Vehicle Modification & Transportation	00	$0	$0	$0
Computers and Related	02	$825	$0	$825
Recreation, Sports and Leisure	09	$2,564	$641	$1,923
Total	1,970	$361,619	$100,505	$261,114

D. Anecdote

ATinNH reassigned a chromebook to a home schooled student with Autism and Tourette's to be able to participate in remote learning classes on the VLACS- State Virtual Academy Charter School. The student is reported to be doing well in classes.

Impact Area Education Employment Community Living

E. Performance Measures

Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
1. Could only afford the AT through the AT program.	03	01	1,385	1,389
2. AT was only available through the AT program.	00	00	73	73
3. AT was available through other programs, but the system was too complex or the wait time too long.	00	00	07	07
4. Subtotal	03	01	1,465	1,469
5. None of the above	00	00	21	21
6. Subtotal	03	01	1,486	1,490
7. Nonrespondent	00	00	55	55
8. Total	03	01	1,541	1,545
9. Performance on this measure	100%	100%	95.07%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services	Number of Customers	Percent
Highly satisfied	1,412	91.39%
Satisfied	65	4.21%
Satisfied somewhat	02	0.13%
Not at all satisfied	00	0%
Nonrespondent	66	4.27%
Total Surveyed	1,545
Response rate %	95.73%

G. Notes:

WE have a new director with a heavier focus on the aging population - ATinNH added two area loaner closets for the aging population as partners this year. They together increased the amount of items that went out to individuals through short term loans. In addition we increased the training for the partners we had last year related to documentation. The partners we added are the Derry Loaner Closet and Grafton County Senior Center. In addition we engaged in a significant amount of public awareness to share the resources we have and that increased the engagement with our programs.

Device Loan

Did your approved State Plan for this reporting period included conducting Short-Term Device Loans?

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)	420
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	234
Conduct training, self-education or other professional development activity	13
Total	689

B. Short-Term Device Loan by Type of Borrower

LOANS BY TYPE OF BORROWER
Type of Individual or Entity	Number of Device Borrowers
Type of Individual or Entity	Desicion-making	All other Purposes	Total
Individuals with Disabilities	230	124	354
Family Members, Guardians, and Authorized Representatives	16	72	88
Representative of Education	95	71	166
Representative of Employment	03	00	03
Representatives of Health, Allied Health, and Rehabilitation	75	01	76
Representatives of Community Living	00	01	01
Representatives of Technology	01	00	01
Total	420	269	689

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
Type of AT Device	Desicion-making	All other Purposes	Total
Vision	06	01	07
Hearing	00	06	06
Speech Communication	111	20	131
Learning, Cognition and Developmental	36	01	37
Mobility, Seating and Positioning	00	278	278
Daily Living	10	72	82
Environmental Adaptations	11	01	12
Vehicle Modification and Transportation	00	00	00
Computers and Related	129	25	154
Recreation, Sports and Leisure	211	159	370
Total	514	563	1,077

E. Anecdote

I had such a great experience with ATinNH! The preschool team and family were so thankful to have access to the loaner device while we waited for funding approval. It made such a difference for this student -- she was able to actively participate in her classroom routines, communicate her wants and needs, and truly have a voice during her school day. We’re so grateful for the opportunity to support her communication growth through this loan. Thank you!

Impact Area Education Employment Community Living

F. Access Performance Measures

Access Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
Decided that AT device/service will meet needs	153	00	14	167
Decided that an AT device/ service will not meet needs	06	00	02	08
Subtotal	159	00	16	175
Have not made a decision	226	00	01	227
Subtotal	385	00	17	402
Nonrespondent	16	00	02	18
Total	401	00	19	420
Performance on this measure	41.3%	NaN%	94.12%

G. Acquisition Performance Measures

Acquisition Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
1. Could only afford the AT through the AT program.	45	00	185	230
2. AT was only available through the AT program.	06	00	24	30
3. AT was available through other programs, but the system was too complex or the wait time too long.	02	00	03	05
4. Subtotal	53	00	212	265
5. None of the above	00	00	02	02
6. Subtotal	53	00	214	267
7. Nonrespondent	02	00	00	02
8. Total	55	00	214	269
9. Performance on this measure	100%	NaN%	99.07%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services	Number of Customers	Percent
Highly satisfied	531	77.07%
Satisfied	135	19.59%
Satisfied somewhat	04	0.58%
Not at all satisfied	01	0.15%
Nonrespondent	18	2.61%
Total Surveyed	689
Response rate %	97.39%

I. Notes:

This year we have targeted related service providers in schools and so the number of people borrowing who are decision makers is lower as many borrowers are the allied health professionals working with clients. We are aware that employment settings are not borrowing from us and we are actively working to engage in more outreach to vocational rehabilitation and workforce development offices. We have brought in an additional staff member part time to focus on employment and she is running trainings with the regional vocational rehabilitation offices. I anticipate these numbers will increase for next year. The loan length was increased to 45 days as many SLPs are using the iPads with AAC apps and insurance requires a 30 day data trial, which needs to happen on school days and so we need to account for days not in school.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service	Number of Demonstrations of AT Devices / Services
Vision	615
Hearing	34
Speech Communication	75
Learning, Cognition and Developmental	21
Mobility, Seating and Positioning	14
Daily Living	03
Environmental Adaptations	00
Vehicle Modification and Transportation	00
Computers and Related	07
Recreation, Sports and Leisure	195
Total # of Device Demonstrations	964

B. Types of Participants

Type of Participant	Decision-Makers	Other Participants	Total
Individuals with Disabilities	847	120	967
Family Members, Guardians, and Authorized Representatives	37	50	87
Representatives of Education	55	163	218
Representatives of Employment	04	12	16
Health, Allied Health, Rehabilitation	18	64	82
Representative of Community Living	02	24	26
Representative of Technology	01	14	15
Total	964	447	1,411

C. Number of Referrals

Referrals
Type of Entity	Number of Referrals
Funding Source (non-AT program)	38
Service Provider	30
Vendor	53
Repair Service	12
Others	02
Total	135

D. Anecdote

ATinNH ran a demonstration for the Wolfeboro Hospital Parkinson's Support Group to a group of people living with Parkinson's Disease and their spouses. The items demonstrated included assistive technology devices for writing, art and food preparation. The resources for purchasing the items were shared at the end of the demonstration and a few members reached out to thank the demonstrator.

Impact Area Education Employment Community Living

E. Performance Measures

Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
Decided that AT device/service will meet needs	183	01	677	861
Decided that an AT device/ service will not meet needs	00	00	04	04
Subtotal	183	01	681	865
Have not made a decision	61	02	06	69
Subtotal	244	03	687	934
Nonrespondent	20	01	09	30
Total	264	04	696	964
Performance on this measure	69.32%	25%	97.84%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services	Number of Customers	Percent
Highly satisfied	1,179	83.56%
Satisfied	217	15.38%
Satisfied somewhat	13	0.92%
Not at all satisfied	00	0%
Nonrespondent	02	0.14%
Total	1,411
Response rate %	99.86%

G. Notes:

ATinNH has two new partners who are related service provider contract agencies servicing school children and school teams including families. In addition we reengaged with a partner who provides demonstrations in a facility in Londonderry for clients and families. Demonstrations have been offered across the state and remotely by the new director as well. This year the new ATinNH Director has been focussed on demonstrations for care providers and case managers for the aging population as well as for the birth to 3 and Pre-K to 12 educators and support staff. The goal has been to increase awareness to increase the use of the lending library.

Overall Performance Measures

Overall Acquisition Performance Measure

Acquisition Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
1. Could only afford the AT through the AT program.	259	01	2,241	2,501
2. AT was only available through the AT program.	22	00	97	119
3. AT was available through other programs, but the system was too complex or the wait time too long.	02	00	10	12
4. Subtotal	283	01	2,348	2,632
5. None of the above	00	00	23	23
6. Subtotal	283	01	2,371	2,655
7. Nonrespondent	02	00	55	57
8. Total	285	01	2,426	2,712
9. Performance on this measure	99.29%	100%	96.37%	96.68%
ACL Performance Measure				85%
Met/Not Met				Met

Overall Access Performance Measure

Access Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
Decided that AT device/service will meet needs	336	01	691	1,028
Decided that an AT device/ service will not meet needs	06	00	06	12
Subtotal	342	01	697	1,040
Have not made a decision	287	02	07	296
Subtotal	629	03	704	1,336
Nonrespondent	36	01	11	48
Total	665	04	715	1,384
Performance on this measure	52.7%	25%	97.76%	76.13%
ACL Performance Measure				90%
Met/Not Met				Not Met

Overall Satisfaction Rating

Customer Rating of Services	Percent	ACL Target	Met/Not Met
Highly satisfied and satisfied	99.51%	95%	Met
Response Rate	98.11%	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	459
Family Members, Guardians and Authorized Representatives	516
Representatives of Education	247
Representatives of Employment	120
Rep Health, Allied Health, and Rehabilitation	78
Representatives of Community Living	38
Representatives of Technology	05
Unable to Categorize	00
TOTAL	1,463

Geographic Distribution of Participants
Metro	Non Metro	Unknown	TOTAL
772	599	92	1,463

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities	Participants
AT Products/Services	1,322
AT Funding/Policy/ Practice	02
Combination of any/all of the above	105
Information Technology/Telecommunication Access	29
Transition	05
Total	1,463

C. Description of Educational/Training Activities

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

UNH OT students enrolled in the Assistive Technology Professionals Programs used ATinNH equipment to educate seniors at Portsmouth Senior Center on AT/AE for falls prevention as part of the UNH OT Senior Wellness Groups. THis is a requirement of the students enrolled in the OT 871 class at UNH. The students come to ATinNH's loan closet, select the equipment to demonstrate and under the supervision of faculty run a demonstration for the senior center.

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

ATinNH Director worked with the Department of Education to plan and run the statewide AT Expo that was focussed on transition. This happens at the DOE and invites over 30 different vendors to share their transition related AT. In addition state and national presenters share resources, processes and tools for supporting the use of AT in the transition process. During this event ATinNH shared information from the Quality Indicators for Assistive Technology related to transition planning for transitions between classes, grades, schools, and to post secondary life, training, employment and education.

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

ATinNH co facilitated 2 trainings with the Department of Education on the Intersectionality of Accessible Educational Materials and Assistive Technology for educators. In this training information was shared related to policy, procedures, AT for accessing AEM and resources for training school staff. ATinNH also participates in monthly Accessibility Committee work related to accessible digital materials at UNH and has been working with a team from NH and NCADEMI on the Quality Indicators for Accessible Educational MAterials that were just published. In addition the DIrector has been participating in the Statewide Accessible Digital Materials calls to share information with state office staff related to accessibility.

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	05
Training or Technical Assistance will be developed or implemented	16
No known outcome at this time	08
Nonrespondent	00
Total	29
Performance Measure Percentage	72.4%
ACL Target Percentage	70%
Met/Not Met	Met

E. Notes:

ATinNH has spent the year reaching out and offering short trainings and partnering with the DOE, Area Agencies on Aging and Disability, the birth to 3 case managers, Kinship Navigators, Vocational Rehabilitation Offices, Senior Centers, individual schools and related services organizations to offer trainings in order to boost the use of AT across the State of New Hampshire. The new Director is not a fabricator, and is a SLP with years of work as a professional development provider who has been developing trainings for different demographics.

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education	35%
Employment	02%
Health, Allied Health, Rehabilitation	50%
Community Living	10%
Technology (IT, Telecom, AT)	03%
Total	100%

B. Description of Technical Assistance

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

The Program Coordinator at ATinNh supports educators and related service providers in the process of trialing assistive technology devices through our loan program weekly. She has made sure that the lending library has links to how to guides for almost all of the items in the lending library tomake this easy for borrowers. In addition she is able to support individual community members in deciding what to borrow to meet specific needs. Many of these requests are in the form of emails.

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

ATinNH Director has created an assistive technology slide deck with links to forms and resources for schools and parents. This has been shared with many educators, case managers, vocational rehabilitation pre-employment counselors and with the Disability Rights Center for use in IEP and transition meetings.

C. Notes:

We are working on more efficient data collection related to emails answered as we are sure we missed many in this count. We are updating our website and will have a form for people to use to request technical assistance which will allow for more efficient data tracking.

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. ATinNh has created a new trifold pamphlet and has been able to distribute over 500 of them this year at different events that we have tabled at. One such event was the Dover Transition Fair that was focussed on students with disabilities transitioning out of high school. This event doubled to help us to connect with other service agencies from across the state to share our resources. From that event we were asked to mail pamphlets to the New Hampshire Area Agencies on Developmental Disabilities and the Aging and Disability Resouce Centers across the State.

2. The ATinNH Director was interviewed on the Podcast,"That's Inclusive" that is put on by the State Developmental Disabilities Council. In addition she was interviewed and an article was written for the New Hampshire Alliance on Health Aging about AT and the aging population. Both of these publications were shared across the state and highlighted the services that ATinNH offers.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients	AT Device/ Service	AT Funding	Total
Individuals with Disabilities	115	09	124
Family Members, Guardians and Authorized Representatives	35	15	50
Representative of Education	04	25	29
Representative of Employment	00	02	02
Representative of Health, Allied Health, and Rehabilitation	17	20	37
Representative of Community Living	32	35	67
Representative of Technology	04	00	04
Unable to Categorize	00	00	00
Total	207	106	313

Referral Types:

We engaged in a rebranding process that involved reaching out to and offering 1 hour overview presentations to Area Agencies on Developmental Disabilities, Aging and Disability Agencies, Vocational Rehabilitation Offices, community based independent living organizations, schools, State Councils on Aging, Autism, Disability, etc. These overviews resulted in an increase in awareness of our services and an increase in referrals to our lending library.

Referral Sources:

The majority of the referrals we get come from the 10 Area Agencies on Developmental Disabilities (~30%) and 10 The Aging and Disability Resource Centers (~50%) The partnerships we have with related service contractors wo service over 80 school districts in the state also results in a number of families contacting us to borrow items for their children (~10%)

Notes:

We have been working hard on rebranding from a being primarily known as an OT and fabrication program to a more robust demo and loan service who also provides training and resources. We anticipate that over the next year this work will be seen more as perception shifts and we are able to reach more people.

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Outreach was conducted with the State Education Agency *

Yes

Was collaboration implemented? *

Yes

1. As concisely as possible, describe the partnership initiative. What activities/services were provided? Who are the major collaborating organizations and what is their role? Who is served/benefited? What funding was used to implement the initiative?

Collaborated with the DOE to hold an AT expo with a focus on transition and AT. Co-Ran two trainings on AT and AEM with DOE staff for educators. Educators and school administration attended. Aso worked with the DOE and NCADEMI on the National AEM Quality Indicators.

2. As concisely as possible, describe the measurable results of the initiative and any lessons learned. How did access to AT change as a result of the coordination/collaboration/partnership? How did awareness of AT change as a result of the partnership? How did the reach of the state AT program change as a result of the partnership? What made the partnership successful? What would you change or wish you had done differently? Provided funding/resources are available, will the initiative continue or is this a one-time event? What advice would you give for replication of the initiative?

Educators trained on AT and AEM, Quality Indicators for AEM released and available nationwide, Educators across the state aware of ATinNH services. The DOE has had staffing cuts and changes and the future of the collaboration is dependent on the new DOE commissioner. We are open and continue to reach out to the DOE to try to set up a meeting to discuss. ATinNH funded staffing to offer training.

2.a Please include URL for initiative if available

https://nextsteps-nh.org/wp-content/uploads/2025/03/2025-AT-Expo-Flyer.pdf

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

Education, Transition (school to work or congregate care to community),

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

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

Outreach was conducted with the Vocational Rehabilitation Agency *

Yes

Was collaboration implemented? *

Yes

Ran a two hour training for the VR All Staff Meeting on AT in the workplace and transition plans. Every State Voc Rehab Case Manager and Counselor was present. ATinNH funded the staffing to present.

Increased awareness. VR counselors requesting training resulted in the addition of an ATinNH part time trainer to focus on VR office trainings as well as work place trainings. ATinNH is funding the staff person. Working on setting a meeting with VR to discuss a formal technical assistance plan but VR has staffing shifts and has asked to hold off on meeting.

2.a Please include URL for initiative if available

https://www.education.nh.gov/who-we-are/deputy-commissioner/bureau-vocational-rehabilitation/program

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

Education, Employment, Transition (school to work or congregate care to community),

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

Device Loan, Demo, Reuse, Training, Information & Assistance, Public Awareness, Technical Assistance,

Outreach was conducted with the Aging Agency *

Yes

Was collaboration implemented? *

Yes

ATinNH worked with DHHS office of Health Equity to offer trainings for all Bureau of Aging Services and Aging and Disability Regional Center staff as well as the New Hampshire Agency on Healthing Aging. Related to ATinNH and our services. This benefited all case managers across the state who attended. DHHS Office of Health Equity created fliers and invited all staff. ATinNH grant funds supported the training. In addition we have a partnership with the Granite State Independent Living Organization and fund their Refurbished Equipment Market Place.

Increased awareness of ATinNH services, AT for ADL and independent living, use of Medicaid waivers for AT and items in our lending library. This led to an increase in demos and trainings requested by this population. We have hired an additional part time ATP to provide targeted AT training for case managers and care providers across the state. Funding from AT Act Grant only.

2.a Please include URL for initiative if available

https://shoprem.com/

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

Community Participation and Integration, Aging, Aging and Disability Network/No Wrong Door, Veterans,

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

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

Outreach was conducted with the Medicaid Agency *

Why was outreach not conducted? *

We have reached out through email and gotten no response repeatedly. We will continue to try to collaborate.

Additional Coordination/Collaboration activities

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?

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.

Created a statewide collaboration with Makerspaces and NH Cooperative Extension 4H groups to 3D print AT items for people in NH living with disabilities that are available at no cost to individuals, schools, independent living facilities and nursing homes. 35 different ADL based AT items are being 3D printed and given to individuals.

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.)

We have created a Discord space for makers that has all of the files for 3D printing AT devices, a space on the ATinNH website for people to request items and kits of 3D printed items that related services people and case managers can borrow to have clients try out before requesting the items. We have a process for requesting, forms for tracking items sent to individuals. You can email Sara.valli@unh.edu for additional information and check out the ATinNH website under the MakerAbility Hub section. https://iod.unh.edu/ATinNH We have applied for a grant to increase the reach of this project.

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

Community Living

Additional And Leveraged Funds

A. Leveraged Funding for State Plan Activities

Fund Source	Amount	Use of Funds	Data Reported

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.

B. Public Health Workforce Grant Award

All Section 4 AT Act grantees were awarded $80,000.00 in supplemental Public Health Workforce grant funding to increase the number of positions within the disability and aging network for public health professionals. Please document below the cumulative status of these funds, FY22 through FY25, as a final closeout report.

The status of these funds at the end of the FY25 (September 30, 2025) is as follows: (Check one) We did not utilize this funding. (Do not complete this section.)
We expended all or some of this funding (Complete the section below)

Please report the total amount expended (drawn down and liquidated) from FY22 through FY25:

$78,481.00

Please check all position types that were supported with these funds over the period of FY22-25. This can be a direct employee or contractual position.

Please describe the activities of the above FTE and how such activities advance public health.

Funds used to cover the new Director of ATinNH,who is an SLP and who provides statewide training, demonstrations and technical assistance; makes decisions about items in the AT lending library and supports fabrication of AT devices for NH residents living with disabilities. Trainings for case managers, direct service providers, family members an individuals with disabilities support public health through increasing access to independence across living, working, learning and playing. The new director has also worked with the DOE related to AT and AEM training for educators.

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).

There was an intentional overlap for training of the retiring director and the incoming director in order to support a smooth transition.