State AT Programs ----- A National Picture Emerges (wow, who knew?)

1. State AT Programs ----- A National Picture Emerges (wow, who knew?) CSUN 2010 San Diego, CA

2. NISAT • Initiative funded by the U.S. Department of Education to support data collection activities for AT Act grantees • Association of Assistive Technology Act Programs awarded contract to support national data collection in 2006 - Established NISAT • Convened separate workgroups (State AT Programs & Title III AFPs) to develop data collection instrument & guidance based on statutory/regulatory requirements • Data collection instrument & guidance • Approved by OMB • Time limited • Statewide AT Data Collection expires September 30, 2011 • AFP Data Collection expires June 30, 2011

3. AT Act Data Reporting • Data used for • Federal Accountability • Guide Policy Decisions • Program Improvement Initiatives

4. AT Act Data Reporting • FY 2008 • State AT Program data (1st full year of data) • Data elements prescribed by law • 56 grantees reporting • 50 states, DC & PR, 4 territories • FY 2009 • Data submitted end of December 2009 • 56 State AT Programs (2nd full year of data) • Data not yet final and published

5. What’s the Same/What’s Different • What’s Different from prior AT Act? • State Level Activity: Core • Directed Allocation of dollars 60/40; 70/30 • Discretionary under prior AT Act statutes • Date Collection- consistent definition • What’s Not Different • State Leadership Activities (I&A, Awareness, Coordination and collaboration) • All Disabilities; All Ages; All Environments (Education, Employment, Community Living, IT & Telecom) • Statewide • Other targeted individuals ….everyone

6. Information & Assistance - FY08 • 252,647 individuals received I&A services • Types Receiving I&A • 37% Individuals with disabilities • 20% Family members • 11% Representatives of education • 10% Representatives of community living • 9% Rep of health, allied health and rehabilitation • 8% Representatives of employment • Type of I&A Received • 61% received I&A on AT devices or services • 15% received I&A on AT funding • 24% received I&A on related disability topics

7. Public Awareness FY08 • 26,777,500 individuals (estimated) reached • 65% public service announcements (radio/TV) • 17% internet based information • 10% general print materials • 3% newsletters • 1% listservs • 1% exhibits and similar • 3% other

8. Training Activities - FY08 • Training Participants – 62,344 • Representatives of Education – 33% • Individuals with Disabilities – 22% • Representatives of Community Living – 12% • Rep of Health, Allied Health, Rehab – 11% • Family Members – 7% • Representatives of Employment – 6% • Geographic Distribution • Metropolitan – 68% • Non-Metropolitan – 23% • Unknown – 9%

9. Training and Technical Assistance - FY08 • Participants by Training Topic • AT Products/Services – 46% • AT Funding/Policy – 11% • IT/Telecommunications Access – 6% • Transition and AT – 13% • Combination - 23% • Technical Assistance • 28 States delivered TA on transition – community living • 30 States delivered TA on transition to post-secondary • 57 hours on average were spent on a TA activity

10. Device Demonstrations - FY08 55 Grantees provided • 31,947 demonstrations for 40,371 participants Device Demonstrations are for Decision-Making 16,252 referrals made as a result of a demo • 43% to Vendors • 25% to a Funding Source • 21% to a Service Provider • 3% to repair service • 8% to other

11. Major Types of AT & Participants - FY08 AT Demonstrated Hearing – 20% Vision – 12% Computers & Related – 14% Daily Living – 11% Speech Communication –13% Mobility/Seating – 10% Learning/Cognition - 12% Demonstration Participants Individuals with Disabilities – 46% Family Members – 21% Representatives of Education – 14% Rep of Health, Allied Health, Rehab – 8%

12. Device Loan Activities - FY08 54 Grantees • Provided 38,411 loans with 47,419 devices Purpose of Device Loans • Decision-making – 57% • Short-term accommodation – 33% • Loaner during repair/awaiting funding – 4% • Other (mostly for training) – 6% 42 days - average loan period established by policy 30 days – most frequently reported loan period per policy

13. Major Types of AT & Borrowers - FY08 AT Borrowed • Learning/Cognition/Developmental - 22% • Speech Communication – 20% • Computers and Related – 13% Borrowers • Individuals with Disabilities – 48% • Representatives of Education – 20% • Family Members – 13% • Rep of Health, Allied Health, Rehab – 12%

14. AT Reutilization Activities - FY08 All 56 Grantees provided one or more Reutilization Activity Device Exchange Programs (43 states) • “Want-add” type seller to buyer reassignment of devices Recycle, Repair, Refurbish (40 states) • Reassignment. Active grantee role Open-ended Loan (28 states) • Loaned as long as needed without ownership change

15. AT Reutilization - FY08 Exchange 1,163 recipients (5%) 1,312 exchanged devices $3,365,398 dollars saved Recycle/Repair/Refurbish 19,852 recipients (81%) 23,570 recycled devices $11,602,634 dollars saved Open-Ended Loan 3,603 recipients (15%) 6,017 loaned devices $2,410,757 dollars saved

16. Major Types of AT Reutilized - FY08 Exchange • Mobility/Seating - 36% devices, 30% of savings • Daily Living – 21% of devices, 6% of savings • Vehicle Mods – 9% of devices, 48% of savings Recycle/Refurbishment/Repair • Mobility/Seating - 60% devices, 71% of savings • Daily Living – 22% of devices, 11% of savings • Computers – 11% of devices, 13% of savings Open-Ended Loan • Mobility/Seating - 61% devices, 54% of savings

17. State Financing Activities - FY08 41 Grantees provided one or more State Financing Activity Financial Loan Programs (34 states) • Cash loan for borrower to purchase AT Other Activities that Provide AT (28 states) • State AT Program usually administers external funding Other Activities that Reduce Cost of AT (7 states)

18. Financial Loans - FY08 950 financial loans were made for $9,821,379 982 devices were purchased Average Income of Approved Applicants - $39,183 • 41% loans made to applicants with incomes of $35,001 or greater • 32% loans made to applicants with incomes of $35,000 to $15,001 • 27% loans made to applicants with incomes of $15,000 or less Average Interest Rate of Loans Made – 4.99% • Range of 0% to 11.49% 7.26% of active loans went into default (183) • Net dollar loss – 4.70% ($1,119,454)

19. Financial Loans - FY08 Major Types of AT Purchased Vehicle modification & transportation • 79% of all loan dollars - 45% loans • Average loan amount = $17,527 Hearing devices (hearing aids) • 10% of all loan dollars - 30% of all loans • Average loan amount = $3,269

20. Other State Financing – AT Provided FY08 Types of Programs • Telework • Administer External Funding (Last Resort, Telecommunications) Individuals Who Acquired AT – 1,883 Value of AT Provided - $2,468,273 Major Types of AT Acquired – 2,551 devices • Hearing (adaptive telephones) - 50% of devices, 12% of dollars • Environmental (home) adapts – 18% of devices, 45% of dollars • Vehicle modifications/transportation – 2% of devices, 12% of dollars

21. Other State Financing – AT Cost Reduced FY08 Types of programs • Cooperative Buying, Leasing/Rental, Design/Fabrication Individuals who acquired – 993 Savings Realized - $305,265 Major Types of AT with savings – 4847 devices • Vision - 5% of devices, 63% of savings • Speech Communication – 35% of devices, 11% of savings • Learning/cognition/developmental – 31% of devices, 9% of savings

22. Consumer Satisfaction - FY2008 Device Demonstration (61% response rate) 70% - Highly Satisfied 25% - Satisfied 3% - Satisfied Somewhat 2% - Not at all Satisfied Device Loan (66% response rate) 64% - Highly Satisfied 32% - Satisfied 3% - Satisfied Somewhat less than 1% - Not at all Satisfied Reutilization Activities (79% response rate) 80% - Highly Satisfied 19% - Satisfied 1% - Satisfied Somewhat less than 1% - Not at all Satisfied State Financing Activities (68% response rate) 75% - Highly Satisfied 24% - Satisfied 1% - Satisfied Somewhat less than 1% - Not at all Satisfied

23. Performance Measures - FY 2008 Acquisition Performance Measure • State Financing and Reutilization • 70% Education, 70% Employment, 87% Community Living • Could only afford AT through program • AT was only available through program • Other systems were too complex, wait time too long Access Performance Measure • Device Loan and Device Demonstration • 69% Education, 83% Employment, 78% Community Living 96% IT/Telecommunications • Made a decision that AT will or will not meet needs

24. FY 2008 Leveraged Funding • 35 States reported $10,241,870 in leveraged funding used to support data reported Device Loan - 24% Training – 11% State Financing – 21% Device Demo – 9% Reutilization – 16% Technical Assistance – 8% Public Awareness, I&A – 11% • Source of leveraged funding • 49% State/Public Funding (Special Ed, VR, Health) • 34% State Appropriations (direct to State AT Program) • 11% Federal Grants (direct to State AT Program) • 6% Private

25. CONTACT Deborah V. Buck Director National Information System for Assistive Technology (NISAT) 518.439.1263 or 202.295.7805 deborah.buck@ataporg.org http://www.nisat.info NISAT is a program of the national Association of Assistive Technology Act Programs (ATAP)

26. CONTACT Diane C. Golden Program Coordinator National Information System for Assistive Technology (NISAT) 202.302.3564 diane.golden@ataporg.org http://www.nisat.info NISAT is a program of the national Association of Assistive Technology Act Programs (ATAP)