The Assistive Technology for Independent Living Program (AT/IL). The following report is from the AT/IL Program. Services are provided statewide through CARE Chest of Sierra Nevada. The program information is from October 1, 2020 through September 30, 2021. This is not the final report for the federal year. A final validation of data will be completed before a final reporting is provided to the NVSILC for its annual federal report (APR). The additional time allows submitting of consumer survey responses and ensuring the reported data is accurate within the consumer service records. The AT/IL Program is a statewide program that supports an individual’s choice to live in their community with the use of Assistive Technology (AT). The programs focus is on removing daily living barriers. The program can help individuals define their Independent Living goals and determine the appropriate Assistive Technology (AT) needed to care for themselves, or receive care, in their homes and their community. The program has resources to provide a variety of AT when no other resources are possible. Individuals that are currently in a care facility, or at high risk of placement in a facility, can be prioritized (if funding is available) for the services that are necessary for them to live independently in the community. It is our intent to make sure each consumer is well informed. We want you to know how the program works and what you can expect. A major goal of ours is to promote the Independent Living Philosophy emphasizing consumer control where people with disabilities are the best experts on their own needs and how to live, work, and take part in their communities. Particularly about services that powerfully affect their day-to-day lives and access to independence. The report highlights 4 areas. 1. Funding sources and uses. 2. Calls into the program. 3. Consumer services, goals and closures. 4. Consumer satisfaction and life impact surveys. The total funding resources for the program cross over into two federal reporting years. There are 3 streams of funding the service model is one of Independent Living, Assistive Technology, and Purchasing of end AT services. The funding described is on the state fiscal year July 2020 through June 2021 and as funded to the community partner. Total budget was $1,484,456.68. Note that only the funding is reported on the states fiscal year. All of the service data will be aligned with the federal reporting year. Federal Part B SILC $143,789.68 from the NVSILC was budgeted. This consisted of $38,789.68 from the 2020 NVSILC Part B funding and $105,000 of the 2021 NV SILC Part B funding. At the end of the state year there was $61,289.89 of funding that was moved to the programs 2022 budget. The NVSILC’s approved support of the program remains $140,000 per year. Federal Assistive Technology $137,650 was budgeted and expended. State funding specifically for the AT/IL Program $1,203,017 The funding sources and amounts for the program partners are as follows. These funds are for operational costs such as personnel, fringe, office space, mileage and can include a maximum of 10% for administrative costs. The majority of the state funding is used for direct services which are issued by an authorization to vendors and paid upon completion of the service which the consumer must sign off for them to be paid. 23% constitutes the operational costs and 77% for purchase of assistive technology services. Staff provide direct services to the consumers assisting them to identify their Independent Living Goals, barriers, solutions, options, resources, and the coordination of services with vendors or other parties involved. There were 5 full time staff statewide. The following shows the budgeted amounts. The following information is collected from the calls coming into the program. This information can reflect if we are reaching consumers and if the services needed are appropriate to the people we are reaching. Reported information is on the federal year from October 2020 through September 2021. Statewide call information for program services: Calls from a potential Consumer 244 Calls from a Consumers Representative 153 Calls from non-representative or without authority 50 Calls from an Agency or Organization 19 Calls having mixed criteria 6 Total Calls 472 Program Applicant Information (PIP) provided to 242 people. These are potential consumers that have identified that they want to develop Independent Living Goals and explore options, resources, and solutions. Only verbal information was provided to 123 of these callers. If the caller did not want to be provided with program information for review and decision making, they would be counted here. General Information Provided to 96 callers. General program information is provided to either pass onto a potential consumer or for a potential consumer that has not decided to participate yet. Referrals to Other Resources 1509 Technical Assistance Provided 80 Calls Related to a Transition 10 Calls Related to a Prevention 14 The following is caseload information regarding the consumers either having at least one Independent Living Goal carried over from a previous year or have established at least one Independent Living Goal during the federal reporting year. Consumer cases carried from the previous year 194 Consumers new during the fiscal year 159 Total caseload for the year 353 consumers. There were 115 Active Consumer Cases as of 9/30/2021. Active Consumer Case is where resources are available to purchase the assistive technology services with state funding sources. There were 101 consumers on the Waitlist as of 9/30/2020. The Waitlist consists of any consumer case that does not have resources available to purchase assistive technology services at this time. These cases are active with the consumer and the Independent Living Specialist working to find appropriate solutions and make sure all barriers are being addressed and the steps in this plan are being laid out. As of 9/30/2020 There are 8 cases drafted and/or pending Consumer signature. During the year there were 24 cases with goals initiated but consumers decided to not move forward and return a signed plan of service. This sections lists the Goals by type as well as the total number set and the total number met through this reports timeframe: Communication 81 Goals Set 30 Goals Met 39 Goals in progress 9 closed unable to contact or withdrawn 3 closed as passed away Mobility or Transportation 147 Goals Set 34 Goals Met 92 Goals in progress 15 closed unable to contact or withdrawn 4 closed as passed away 2 closed as no solution available Community Based Living 220 Goals Set 94 Goals Met 100 Goals in progress 23 closed unable to contact or withdrawn 3 closed as passed away 0 closed as no solution available Self-care 394 Goals Set 143 Goals Met 204 Goals in progress 36 closed unable to contact or withdrawn 9 closed as passed away 2 closed as no solution available Information and Access to Technology 10 Goals Set 1 Goals Met 7 Goals in progress 2 closed unable to contact or withdrawn Other 2 Goals Set 1 Goal Met 1 Goal in progress Goals Prioritized as Relocation 29 Goals Prioritized as Prevention 68 60 consumers had at least one prioritized Goal during the year. Consumer Goals according to status for all cases open through the reporting period: Goals Met 303 at 35% Goals In Progress 442 at 52% Goals Withdrawn or Unable to Contact 86 at 10% Goals Passed Away 19 at 2% Goals Solution not available 4 at 0% Total Goals Set 854 Closure Reason by total and percentage Closed Goals Met 92 at 68% Closed Withdrawn 30 at 22% Closed Died 7 at 5% Closed Moved or Other 7 at 5% Total Closed Cases 136 Satisfaction and Life Impact Survey Data for this reporting period has a 42% response rate from consumers. The survey is voluntary and mailed to the consumer with a prepaid envelope returned directly to ADSD. The consumer is made aware that they do not have to identify themselves. The survey consist of both satisfaction and life impact questions. Are you satisfied with our services? Rate the service provided by the staff at CARE Chest or Easterseals: Excellent 78% Very Good 17% Good 0% Fair 0% Poor 6% Did you have choice and control over the Goals you set and the types of services you received? A lot of control and choice 73% Quite a bit of control and choice 14% A little control and choice 2% Not enough control and choice 12% Rate your overall satisfaction with the program: Which of the following best reflects your level of satisfaction with the services you received? Very Satisfied 88% Mostly Satisfied 6% Somewhat Satisfied 4% Not Satisfied 2% Rate the services provided by the vendors, building contractors, or businesses that you worked with: Excellent 67% Very Good 14% Good 11% Fair 6% Poor 4% Have the services provided made a positive impact on your life? Yes 100% No 0% Did the services provided impact your life? My overall quality of life: Improved a lot 65% Improved quite a bit 29% Improved a little 7% Did not change 0% Not Applicable or No response 0% My overall Independence related to the goals established: Improved a lot 56% Improved quite a bit 16% Improved a little 0% Did not change 2% Not Applicable or No response 11% My chances of staying OUT of a nursing home: Improved a lot 56% Improved quite a bit 16% Improved a little 0% Did not change 2% Not Applicable or No response 26% How often are the devices or modifications used? Daily 95% Weekly 4% Monthly 0% At least every 3 months 0% Not Applicable or No response 2% My ability to volunteer, be involved in my community, or do leisure activities: Improved a lot 45% Improved quite a bit 9% Improved a little 2% Did not change 13% Not Applicable or No response 33% Do you think the government should continue funding this program? Yes 100% No 0% Are you registered to vote or interested in being registered? Registered 43% Interested 0% Not Interested 16%