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 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 consumer information in this report is from October 1, 2022 through June 30, 2023 and will be reported in the NVSILCs annual report to the Administration for Community Living (ACL). The program operates and is funded on the states fiscal year that runs from July to June. Overview of the AT/IL Program: This 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 total funding resources for the program are show as they are funded on the state fiscal year from July to June of each year. The funding for both state fiscal years are described. Note that only the funding is reported on the state’s fiscal year. All the consumer service data will be aligned with the federal reporting year. The funding described for the 2023 state fiscal year is for the period of July 2022 through June 2023. Total budget was $1,628,643.94. Federal Part B NVSILC $205,000. This consisted of $63,850.48 from the 2021 NVSILC Part B funding; $100,000 of the 2022 Part B funding; and $41,149.52 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 $70,471.26. This consisted of $1,971.26 from the 2021 and $68,500 of the 2022 AT Act funding. Aging title 3-B Funding $14,962.68 State funding for the AT/IL Program $1,338,210 The funding described for the 2024 state fiscal year is for the period of July 2023 through June 2024. The total budget is currently $1,455,666.26. As compared to 2023 there is a $172,977.68 reduction at this point. Anticipating American Rescue Plan Act funding. Current 2024 funding sources are as follows: Federal Part B NVSILC $35,000 currently. Total amount planned will be a total of $105,000 for the year per Dawn's message that the NVSILC is reducing the total for 2024 by $35,000. Federal Assistive Technology $89,689.26. This consists of $39,689.26 from the 2022 and $50,000 of the 2023 AT Act funding. State funding for the AT/IL Program $1,330,977. A $7,233 reduction from the past biennium. The current Estimated Costs for the entire caseload is $1,747,098. Estimated costs are direct services or Assistive Technology that are the solutions to meet consumer goals for daily living. Estimated costs change as the solutions are identified and confirmed with the consumer. Quotes from vendors are obtained once funding is available to purchase them. Where solutions have not been determined an estimated cost cannot be established but we know that there will be a cost in the future. Currently there are 60 solutions areas without estimated cost, but will as the case evolves. Direct services funding at the current time is estimated at $982,059. CARE Chest of Sierra Nevada has secured an additional $300,000. Still pending ARPA funding to address the waitlist as well and the amount has not been confirmed within ADSD. Operational costs for the program: 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. Administrative costs are only applicable to the operational costs and cannot be taken on the direct services funding. The majority of the 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 49.3% 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 92% Very Good 6% Good 0% Fair 0% Poor 2% Did you have choice and control over the Goals you set and the types of services you received? A lot of control and choice 77% Quite a bit of control and choice 21% A little control and choice 0 Not enough control and choice 2% Rate your overall satisfaction with the program: Which of the following best reflects your level of satisfaction with the services you received? Very Satisfied 92% Mostly Satisfied 6% Somewhat Satisfied 0% Not Satisfied 2% Rate the services provided by the vendors, building contractors, or businesses that you worked with: Excellent 86% Very Good 11% Good 0% Fair 0% Poor 2% Have the services provided made a positive impact on your life? Yes 98% No 2% Did the services provided impact your life? My overall quality of life: Improved a lot 71% Improved quite a bit 23% Improved a little 4% Did not change 2% Not Applicable or No response 0% My overall Independence related to the goals established: Improved a lot 76% Improved quite a bit 20% Improved a little 0% Did not change 2% Not Applicable or No response 2% My chances of staying OUT of a nursing home: Improved a lot 70% Improved quite a bit 15% Improved a little 0% Did not change 5% Not Applicable or No response 10% How often are the devices or modifications used? Daily 92% Weekly 6% 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 41% Improved quite a bit 27% Improved a little 9% Did not change 8% Not Applicable or No response 15% Do you think the government should continue funding this program? Yes 98% No 2% Are you registered to vote or interested in being registered? Registered 68% Interested 7% Not Interested 17% Current Independent Living Consumers and Case Information: Total caseload for the year 282 consumers Consumer cases carried from the previous year 190 Consumers new during the fiscal year 92 There were 110 Active Consumer Cases as of 6/30/2023. Active Consumer Case is where resources are available to purchase the assistive technology services with state funding sources. There were 60 consumers on the Waitlist as of 6/30/2023. 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 6/30/2023 There are 14 cases drafted and/or pending Consumer signature. This section lists the Goals by type as well as the total number set and the total number met through this reports timeframe: Self-Care goals are primarily addressing barriers to essential daily living need such as bathing, toileting, personal hygiene, eating, cooking, or transferring. Self-Care goals are 49.2 % of all consumer goals. 422 Goals Set 149 Goals Met 228 Goals in progress 6 closed unable to contact 23 closed withdrawn 11 closed as passed away 4 closed as no solution available Mobility or Transportation goals. Mobility goals are personal mobility related and a mobility device is needed. Transportation goals are for personal transportation and primarily will be to address the consumers ability to access the vehicle with a mobility device, or to transport the mobility device, or to drive a vehicle. The majority of goals set are related to personal transportation. Mobility and Transportation goals are 21.4 % of all consumer goals. 184 Goals Set 47 Goals Met 107 Goals in progress 9 closed unable to contact 17 closed withdrawn 4 closed as passed away Community Based Living goals are primarily to address barriers to getting in, out, or within the home. Community Based Living goals are 20.9 % of all consumer goals. 179 Goals Set 101 Goals Met 60 Goals in progress 5 closed unable to contact 11 closed withdrawn 1 closed as passed away 1 closed as no solution available Communication goals are primarily to address barriers to hearing and speaking. Communication goals are 6.6 % of all consumer goals. 57 Goals Set 14 Goals Met 34 Goals in progress 2 closed unable to contact 4 closed withdrawn 3 closed as passed away Information and Access to Technology goals may address barriers related to vision loss or controlling ones environment within the home such as adjusting the thermostat or lighting. Information and Access to Technology goals are 1.7 % of all consumer goals. 15 Goals Set 3 Goals Met 13 Goals in progress 2 closed unable to contact 2 closed withdrawn Other goals areas are unique barriers that don't quite fit anywhere else. 1 Goals Set and currently in progress Goals Prioritized as Relocation 1 Goals Prioritized as Prevention 126 76 consumers had at least one prioritized Goal. Consumer Goals according to status for all cases open through the reporting period: Total Goals Set 858 Goals Met 314 at 36.6 % Goals In Progress 441 at 51.4 % Goals Withdrawn 57 at 6.6 % Goals Unable to Contact 22 at 2.6 % Goals Passed Away 19 at 2.6 % Goals Solution not available 5 at 0.6 % Closure Reason by total and percentage Total Closed Cases 113 Closed Goals Met 74 at 65.5 % Closed Withdrawn 25 at 22.1 % Closed Died 9 at 8 % Closed Moved 3 at 2.7 % Closed Other 2 at 1.8 % 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 June 2023. Statewide call information for program services: Total Calls 211 Calls from a Consumer 103 Calls from a Consumers Representative 79 Calls from non-representative or without authority 21 Calls from an Agency or Organization 7 Calls having mixed criteria 1 Program Applicant Information (PIP) provided to 139 people. These are potential consumers that have said that they want to develop Independent Living Goals and explore their options, resources, and solutions. Only verbal information was provided to 49 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 6 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 482 Technical Assistance Provided 48 Potential Goals 336 Calls Related to a Transition 1 Calls Related to a Prevention 2