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, 2022 through March 31, 2023. 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. Consumer satisfaction and life impact surveys. 3. Consumer services, goals and closures. 4. Calls into the program. 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 2022 through June 2023. Total budget was $1,628,643.94. 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 NVSILC $205,000. This consisted of $100,000 from the 2022 NVSILC Part B funding and $105,000 of the 2023 Part B funding. The NVSILC’s approved support of the program remains $140,000 per year. Both the 2022 and 2023 federal awards were funded late which resulted in portions of the funding to be carried over. Federal Assistive Technology $68,500 was budgeted. Aging title 3-B Funding $14,962.68 State funding for the AT/IL Program $1,338,210 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. 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 are typically 5 full time staff statewide. Satisfaction and Life Impact Survey Data for this reporting period has a 43% response rate from consumers. Our target is to have 50% or more returned. 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 consists of both satisfaction and life impact questions. Are you satisfied with our services? Rate the service provided by the staff at CARE Chest: Excellent 96% Very Good 4% Good 0% Fair 0% Poor 0% 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 27% A little control and choice 0 Not enough control and choice 0% Rate your overall satisfaction with the program: Which of the following best reflects your level of satisfaction with the services you received? Very Satisfied 100% Mostly Satisfied 0% Somewhat Satisfied 0% Not Satisfied 0% Rate the services provided by the vendors, building contractors, or businesses that you worked with: Excellent 90% Very Good 10% Good 0% Fair 0% Poor 0% 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 71% Improved quite a bit 23% Improved a little 6.3% Did not change 0% Not Applicable or No response 0% My overall Independence related to the goals established: Improved a lot 81% Improved quite a bit 15% Improved a little 0% Did not change 0% Not Applicable or No response 4.2% My chances of staying OUT of a nursing home: Improved a lot 69% Improved quite a bit 17% Improved a little 0% Did not change 0% Not Applicable or No response 15% How often are the devices or modifications used? Daily 96% Weekly 4.2% Monthly 0% At least every 3 months 0% Not Applicable or No response 0% My ability to volunteer, be involved in my community, or do leisure activities: Improved a lot 38% Improved quite a bit 27% Improved a little 6.3% Did not change 6.3% Not Applicable or No response 23% 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 71% Interested 8% Not Interested 21% Current Indpendent Living Consumers and Case Information: Consumer cases carried from the previous year 190 Consumers new during the fiscal year 58 Total caseload for the year 248 consumers. There were 90 Active Consumer Cases as of 3/31/2023. Active Consumer Case is where resources are available to purchase the assistive technology services with state funding sources. There were 82 consumers on the Waitlist as of 3/31/2023. 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 3/31/2023 There are 17 cases drafted and/or pending Consumer signature. This sections lists the Goals by type as well as the total number set and the total number met through this reports timeframe: Self-care 349 Goals Set 122 Goals Met 201 Goals in progress 25 closed unable to contact 8 closed withdrawn 6 closed as passed away 2 closed as no solution available Communication 51 Goals Set 12 Goals Met 32 Goals in progress 4 closed unable to contact or withdrawn 3 closed as passed away Mobility or Transportation 172 Goals Set 35 Goals Met 113 Goals in progress 20 closed unable to contact or withdrawn 4 closed as passed away 2 closed as no solution available Community Based Living (accessing the home) 168 Goals Set 74 Goals Met 80 Goals in progress 13 closed unable to contact or withdrawn 3 closed as passed away 1 closed as no solution available Information and Access to Technology 12 Goals Set 2 Goals Met 8 Goals in progress 2 closed unable to contact or withdrawn Other 1 Goals Set 0 Goal Met 1 Goal in progress Goals Prioritized as Relocation 1 Goals Prioritized as Prevention 109 67 consumers had at least one prioritized Goal. Consumer Goals according to status for all cases open through the reporting period: Total Goals Set 753 Goals Met 238 at 32% Goals In Progress 435 at 58% Goals Withdrawn or Unable to Contact 64 at 8% Goals Passed Away 13 at 2% Goals Solution not available 3 at 0% Closure Reason by total and percentage Total Closed Cases 76 Closed Goals Met 46 at 61% Closed Withdrawn 22 at 29% Closed Died 6 at 8% Closed Moved or Other 2 at 3% 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 2022 through March 2023. Statewide call information for program services: Total Calls 134 Calls from a potential Consumer 68 Calls from a Consumers Representative 52 Calls from non-representative or without authority 10 Calls from an Agency or Organization 4 Calls having mixed criteria 6 Program Applicant Information (PIP) provided to 96 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 28 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 8 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 399 Technical Assistance Provided 31 Calls Related to a Transition 0 Calls Related to a Prevention 6