Missouri Assistive Technology

Annual Report 2003 – 2004

A Decade of Success

 

The Mission of the Missouri Assistive Technology Advisory Council is to increase access to assistive technology for Missourians with disabilities.

 

In this year’s annual report, Missouri Assistive Technology (MoAT) wishes to not only share with each of you our accomplishments for this year, but also reflect on the successes achieved in the decade since the Council was established by the Missouri legislature.

            When we began, it all seemed so nebulous.  MoAT was charged with the mission of increasing access to assistive technology for all Missourians with disabilities.  It seemed a daunting task with nearly a million Missourians with disabilities and few existing assistive technology programs and services.  How could we serve them effectively? 

            We can proudly report we have made great progress in answering this question.  In the decade past, MoAT has established eight programs that increase the ability of Missourians to obtain assistive technology, has been actively involved in many legislative initiatives that have increased funding and access to assistive technology, has hosted eight Power-Up conferences and has attended to dozens of other activities all centered around increasing access to assistive technology for all Missourians with disabilities.  We also take great pride in the fact that Missouri is home to some programs and accomplishments no other state has achieved (noted on blue in the timeline). 

            We hope as you read this report, you will agree that not only has the past year, but also the past decade been one of tremendous success.

by Rita Lynch, Chairperson

 

Timeline along left side and bottom of page:

1992, Federal grant begins Missouri’s “assistive technology program”

1993, AT Council established in state law (blue highlight)

1994, Six outreach and demonstration centers and AgrAbility established

1995, AT Lemon Law passed

1996, TAP for Telephone established in state law

1997, Disabled Access Tax Credit passed

1997, First Power Up Conference held

1998, Sales Tax Exemption for AT passed

1999, State IT Access requirement passed, AT Council to establish access standards

1999, Medicaid began covering AAC for adults

1999, Equipment exchange, Swap N Shop, established,

2000, TAP for Internet established in state law (blue highlight)

2000, Kids Assistive Technology Program began (blue highlight)

2000, Legislative Listserv began (blue highlight)

2001, Newborn hearing screening mandate passed, required insurance coverage of initial amplification

2001, Show Me Loans for AT established

2002, Special Education AT Reimbursement Program established (blue highlight)

2003, Show Me Loans for telework established  

 

Council Members during 2003 – 2004

Consumer Representatives:

Rita Lynch, Chairperson

Teddi Brace, Past Chair

Chris Craig

Marnie Gustafson

Shari LaRoussa

Deana O’Brien

Karin Sack

James Summers

Rhonda Triller

Marjorie Yates

 

Agency Representatives

Karen Allen - Special Education (Interim Rep.)

Jim Brinkmann - RSB, & Chairperson-Elect

Aurita Prince Caldwell - Health & Sr. Services

Jim Casey  - Dept. of Insurance

Dolores Hampton - DD Planning Council

Neil Harms - Vocational Rehabilitation

Angie James - IL Center

Ed Kniest - Medical Services

Nancy Nickolaus- Mental Health

 

Legislative Representatives

Senator Kenneth Jacob                                                       

Representative Kevin Threlkeld

 

picture of council members and staff

 

Policy Advocacy and Technical Assistance

picture of Diane Golden, Director, giving Deana O’Brien her award at Power Up 2004 Conference and Expo

 

Accessible Formats for State Library Repository

            A bill was passed this year which gives responsibility to each state agency to submit publications electronically to the State Library. The Secretary of State will provide a secure electronic repository of state publications with multiple access methods and will establish rules for the electronic formats acceptable for publications in the repository. The bill references existing Missouri state statute requiring information technology accessibility (RSMo 191.863). The  State Library has committed to work with MoAT to adopt access standards for submission of electronic text to be placed in the repository. 

 

Special Education Funding for Assistive Technology

            The Blindness Task Force in the Division of Special Education allocated a little over $60,000 in funding to the MoAT short term equipment loan program (ETC) this year to increase the availability of vision related adaptive devices in the loan pool.  Also this year, the Division of Special Education provided funding to MoAT to reimburse school districts on an application basis for assistive technology required in student IEP’s.  The minimum cost per student supported was $1,000 and the maximum was $5,000.  More information about this year’s AT reimbursement program and ETC, can be found in later sections of the annual report. 

 

Information Technology Accessibility Standards

            Missouri implemented new procurement procedures this year associated with the information technology (IT) access standards that were adopted in January 2003.  Missouri was the first state to undertake comprehensive IT accessibility standards development and adoption to specifically address unique state needs and resources.   The procedures are still evolving and include a review procedure for evaluating conformance to the IT accessibility technical standards. 

 

Disabled Parking Laws

            Legislation passed this year which clarifies provisions in the state’s disabled

parking laws.  The bill increases the penalty for fraudulent use of a disabled parking license plate or placard from a class C to a class B misdemeanor.  The bill also expands the types of medical practitioners who can certify disabling conditions for persons to obtain a plate/placard to include physicians, chiropractors, podiatrists, and optometrists within their scope of practice.  The bill also increases the penalty from a class C to a class B misdemeanor for any medical practitioner who fraudulently issues or signs a statement for a disabled plate/placard.

 

Accessible Housing

            Missourians with disabilities often have difficulty finding accessible housing or being able to afford making their current homes accessible.  Bills were introduced this year to help ease the expense of making homes accessible.  One bill would have provided a tax credit for individuals who incurred expenses for a variety of home access improvements and another was designed to increase the state’s stock of accessible housing by providing a grant for individuals who built homes with certain accessibility features.  Neither bill passed during the 2004 session, but efforts to increase accessible housing will be made again in future sessions.

 

Hearing Aid Insurance Coverage for Children

            Again in 2004, a bi-partisan effort was made in the General Assembly to require health insurance coverage of hearing aids for children.  The bill would have required coverage up to $1,250 per ear for children up to age 20.  Hearings on the legislation were held in both the House and Senate, but the bill did not pass during the session.  It is anticipated that similar legislation is likely to be pursued in the future.

 

Telecommunication Access Program Expansion

            Missouri expanded the Telecommunication Access Program for Telephone this year by adding equipment needed for video relay interpreting and for captioned telephone voice-carry-over.  Both of these are new relay services and MoAT, through TAP for Telephone, provides the adaptive equipment needed to utilize the new relay services.

 

picture of John D. Kemp, Power Up keynote speaker, lawyer, and legislative advocate

 

Training and Individual Assistance

close-up picture of Juli Burney, Luncheon speaker at Power Up 2004

 

Individual Assistance

Persons with disabilities and service providers contact Missouri Assistive Technology (MoAT) seeking assistance in obtaining assistive technology, securing device funding, accessing MoAT programs, and gaining disability policy knowledge.  During this fiscal year, MoAT staff handled 16,931 inquiries and requests for assistance by telephone and e-mail.

 

People Success

In late 2003, a 47-year old Stoddard County resident contacted Missouri Assistive Technology about exploring possibilities to help her improve her standard of living and concerns about not having full-time medical assistance coverage.  Her disability

payments totaled $754 per month and of that amount she was required to “spend down” $145 in medical expenses in order to keep her Medicaid eligibility. She did not feel comfortable knowing she could have breaks in her medical coverage to meet the needs of her disability.

            MoAT staff talked with her about Missouri’s Medical Assistance for Workers with Disabilities Program (MA-WD), a Medicaid program for employed persons with disabilities that enables them to continue being eligible for Medicaid while simultaneously working. She had never been told about the program by any caseworkers. Armed with this new information, she quickly found a part-time job at a business close to her, got signed up for the MA-WD program and saved $145 a month since she no longer had to spend down to be Medicaid eligible. She now feels much more secure knowing that she has the medical coverage she needs.

 

Graph of Major Contact Topics

Programs

TAP-Internet, 4081

TAP-Telephone, 2996

ETC, 1581

Show Me Loans, 936

Swap N Shop, 447

AT Reimbursement, 229

KAT, 220

Services

Power Up, 1891

National/Federal AT, 764

Legislative/Policy, 729

IT Access, 431

Funding, 276

 

Power Up 2004 Conference and Expo

Comments

“The Power Up Conference was fabulous!”

“Thank you for all the new resources!”

“Accessible textbook strand was excellent!”

“I loved the sessions and keynotes!”

 

picture of David Baker with an augmentative communication device presenting during his session at Power Up.

 

Assistive Technology has advanced and progressed over the past decade.  The annual Power Up Conference and Expo is just the place to keep up to date on all the latest and greatest technology, policies, and most cost effective best practices.  Power Up provides a venue for novice and advanced training in general disability assistive technology as well as very specialized areas such as the hot topic of accessible textbooks this year.  Over 500 Power Up participants were able to choose from 37 sessions.  Forty product vendors and service providers from around the world showcased everything from accessible vehicles to compact CCTV's to the new stair-climbing wheelchair.  They shared a wealth of resources with attendees in demonstrations and hands-on exhibits.  Learning outcomes achieved included new AT resources to utilize and share, new techniques to facilitate independent living, and new educational and therapeutic activities to implement in the home, classroom, and workplace.

            Congratulations to the individuals receiving special awards for their efforts in improving access to assistive technology in Missouri:  Linda Green, Candace Hawkins,

Jim Jordan, Deana O'Brien, Jackie O'Dell, and Ilene Rauzi!

 

Other Training

In addition to the 506 participants involved in Power Up, 1,115 Missourians received training on assistitve technology by MoAT staff at 23 other training events.

 

picture of large group of people at Power Up luncheon

 

Equipment Technology Consortium (ETC)

Program Success

            Five years after it started, the ETC Program continues to experience yearly growth in the number of devices it loans and in the number of school districts and agencies who borrow from its inventory of over 1,000 assistive devices. For FY ‘04, ETC loaned 1,354 devices throughout the state and saw the number of entities signed up for the program top the 400 mark. Augmentative communication devices were again the devices most often borrowed, but a fairly substantial increase in borrowing of devices for low vision and blindness is of note this past year. Strong consumer satisfaction continues to be a hallmark of the ETC Program with 98% of borrowers giving the program and its level of service strong marks.

            There are three primary reasons that people borrow from the ETC Program. The first, and most common, is to provide the chance to borrow multiple items in order to compare them prior to purchase. The second reason is to enable individuals to borrow a loaner device when their personal device is being repaired. A third, and increasingly important role is borrowing by schools, colleges, universities and organizations in their efforts to increase staff and student knowledge. 

As more students with disabilities attend regular schools, today's educators need to know about the various devices they may encounter in their classrooms. A solid understanding of assistive technology is also a necessary skill for tomorrow's teachers, occupational, speech and physical therapists. By tapping into ETC's inventory, local schools can conduct in-services with an array of devices present for staff to see, try and learn about.  And higher education faculty can include devices in their classes helping students to understand assistive technology and its specific applications for various types of disabilities.  What is learned today will be applied tomorrow, exponentially increasing Missouri’s assistive technology knowledge.

 

Graph of Devices Loaned by Category

Augmentative Communication -33%, 447

Computer Access -20%, 273

Vision -19%, 250

Switches -9%, 125

Learning -7%, 98

Hearing -4%, 59

Home Modifications -3%, 32

Environmental Controls -2%, 27

Telecommunications -2%, 24

Activity Centers -1%, 19

 

People Success

In order to take full advantage of all that school has to offer, Zachary, who attends school in Mexico, Missouri, benefits from using assistive technology. Due to a combination of physical and visual disabilities, accessing the computer is particularly difficult. Throughout the past year, the Mexico schools received advice and borrowed devices from the ETC Program in order to determine which assistive technologies would be most effective for Zach. Intellikeys, an adapted keyboard, and an EasyBall trackball conform to Zach's physical and visual needs and greatly improve his ability to interact with the computer.

 

Graph of ETC # of Loans by Agency

Education - 64%, 865

Health - 4%, 54

Developmental Disabilities - 5%, 68

Vocational Service Providers - 8%, 114

Organizations - 19%, 253

 

picture of ETC student recipient using computer with adapted mouse and keyboard

 

People Success

For much of her time in school, Hannah struggled with reading and writing print due to her vision impairment. After exploring several types of electronic enlargers through the ETC Program, Hannah and staff from the Republic school district decided that the Jordy was best suited to her needs. Upon submitting an application for consideration under the AT Reimbursement Program and having it approved, the Jordy was purchased for Hannah. Since the Jordy can function both as a portable and a desktop electronic enlarger, Hannah is able to utilize the goggles for reading or looking at the chalkboard and when writing is necessary she can place the goggles in a special stand connected to a computer monitor where she can see her written work appear on the screen. With the acquisition of the Jordy, Hannah is able to easily access print and it has been reported that she "is so very happy to be using it."

 

picture of Hannah wearing the Jordy

 

Graph of ETC Devices Loaned

Partial Year 1999, 21

1999-2000, 534

2000-2001, 946

2001-2002, 1143

2002-2003, 1265

2003-2004, 1354

 

ETC and AT Reimbursement Map

Presence and Distribution by County

AT Reimbursement map numbers:

Adair, 2

Audrain, 1

Barry, 3

Barton, 1

Bollinger, 1

Boone, 6

Buchanan, 3

Callaway, 3

Camden, 2

Cass, 1

Clay, 1

Clinton, 1

Greene, 4

Henry, 1

Howard, 1

Howell, 3

Jackson, 9

Jasper, 4

Jefferson, 1

Laclede, 2

Macon, 2

New Madrid, 1

Phelps, 1

Platte, 2

Ripley, 1

St. Charles, 30

St. Louis, 20

Stoddard, 1

Stone, 1

Texas, 3

Webster, 1

ETC map numbers:

Adair, 6

Atchinson, 3

Audrain, 4

Barry, 2

Bates, 1

Bollinger, 1

Boone, 125

Buchanan, 17

Butler, 1

Callaway, 3

Camden, 1

Cape Girardeau, 10

Cass, 6

Cedar, 1

Chariton, 6

Christian, 25

Clay, 29

Clinton, 7

Cole, 13

Cooper, 3

Crawford, 1

Dade, 6

Dunklin, 2

Franklin, 3

Gasconade, 11

Gentry, 6

Greene, 164

Harrison, 1

Henry, 1

Howell, 8

Jackson, 351

Jasper, 82

Jefferson, 4

Johnson, 13

Laclede, 2

Lafayette, 1

Lawrence, 42

Madison, 3

Maries, 2

McDonald, 8

Miller, 15

Mississippi, 1

Monroe, 1

New Madrid, 1

Newton, 8

Nodaway, 4

Osage, 6

Perry, 7

Pettis, 10

Phelps, 7

Platte, 27

Polk, 5

Pulaski, 2

Randolph, 4

Ray, 1

Saline, 6

Scott, 8

St. Charles, 99

St. Francois, 9

St. Louis, 45

St. Louis City, 60

Stoddard, 5

Stone, 15

Sullivan, 4

Taney, 7

Texas, 1

Webster, 21

 

Assistive Technology Reimbursement Program

Program Success

For the second year, MoAT has been pleased to operate the AT Reimbursement Program. Funded by the Department of Elementary and Secondary Education, Division of Special Education, the AT Reimbursement Program helps school districts offset the cost of purchasing assistive technology for students with assistive technology needs written into their Individualized Education Plan (IEP). This year, the program received 167 applications from 53 school districts throughout the state. MoAT was able to fund 113 applications, an increase over the previous year, divided among 48 different districts, also an increase. The program aims to fund those forms of assistive technology between $1,000 and $5,000, items such as braille embossers, augmentative communication devices, computer access systems and electronic enlarging.

            Missouri's school districts have taken favorably to the program. Many districts have indicated how pleased they are that this funding source is available and what an impact it has had on the students for whom they have applied. Follow-up surveying of students funded through the program showed that nearly all students assisted achieved better academic performance, increased classroom participation, attained more IEP goals and objectives and decreased demand on school personnel to perform tasks that are now accomplished by either the student or the use of the assistive technology.

 

Graph of Applications by Disability Type

Vision - 46%, 52

Hearing  - 26%, 29

Physical - 10%, 11

Learning/Cognitive - 7%, 8

Speech/Language - 11%, 13

 

Graph of Dollars by Device Type

Augmentative Communication, $18,795

Braille Embossers, $62,388

Computer Access: Learning, $11,371

Computer Access: Writing, $11,870

Computer Access: Vision, $19,943

Electronic Enlarging, $34,800

Electronic Notetakers, $20,185

Other, $2,800

Personal FM Systems, $34,136

Soundfield FM Systems, $20,448

Tactile Graphics Embossers, $3,168

 

picture of Hannah viewing a book on the computer via the Jordy on a stand 

 

Telecommunication Access Program (TAP)

 

Graph of TAP Number of Devices Provided

by year of operation

Telephone then Internet,

1998-99, 1,703

1999-2000, 2,847

2000-01, 6,070, 224

2001-02, 8,114, 687

2002-03, 7,637, 1008

2003-04, 7,307, 1168

 

 

 

Program Success

Using the telephone and internet to communicate, make purchases, apply for services and even search for jobs has become commonplace for Missourians with disabilities, thanks to the Telecommunications Access Program (TAP).  TAP provides adaptive telephone and computer equipment needed for basic access to telephone and internet telecommunication for Missourians with hearing, vision, mobility and other disabilities.  MoAT assumed operation of TAP for Telephone and initiated TAP for Internet in 2000-01.

            The number of TAP for Internet devices provided increased this year while the number of devices provided by TAP for Telephone was comparable to last year.  A critical component of TAP is the delivery of consumer support to help individuals with disabilities select the most appropriate adaptive equipment and to assist them with installation and use of the equipment.  Administration costs for TAP continue to be very low at 6%.

 

Graph of TAP Yearly Expenditures

1999-2000

Admininstrative Costs, $196,878                                                              

Consumer Support Costs, $0                                                                    

Adaptive Equipment Costs, $451,810                                                                        

Total Expenditures, $648,688                                                                   

2000-01

Admininstrative Costs, $60,822

Consumer Support Costs, $89,276

Adaptive Equipment Costs, $620,008

Total Expenditures, $770,106

2001-02

Admininstrative Costs, $57,892

Consumer Support Costs, $187,722

Adaptive Equipment Costs, $1,083,692

Total Expenditures, $1,329,306

2002-03

Admininstrative Costs, $88,230

Consumer Support Costs, $257,999

Adaptive Equipment Costs, $991,902

Total Expenditures, $1,338,131

2003-04

Admininstrative Costs, $92,370

Consumer Support Costs, $297,815

Adaptive Equipment Costs, $1,127,675

Total Expenditures, $1,517,860

 

Missouri map of TAP Equipment Distributed by Senatorial District

Senate District number followed by number of TAP Equipment

1, 214

2, 183

3, 367

4, 121

5, 72

6, 239

7, 188

8, 397

9, 227

10, 261

11, 360

12, 385

13, 143

14, 105

15, 135

16, 240

17, 222

18, 336

19, 300

20, 350

21, 297

22, 184

23, 150

24, 186

25, 268

26, 153

27, 295

28, 284

29, 261

30, 273

31, 412

32, 284

33, 286

34, 297

 

TAP for Telephone

 

picture of Cody in wheelchair with medical equipment, using remote phone

 

People Success

Cody, age 16

            “I would like to express my sincere appreciation to the Telecommunications Access Program for my telephone system.  Being able to spend time on the phone has brought more of the outside world to me.  Also, the phone system has provided me with a more secure frame of mind.

            I have really enjoyed the privilege of having the phone system.  The phone system has allowed me to communicate with many interesting

people.  Also, now having a remote and a speaker phone has made my life so much easier.

            Providing me with the phone system has been great!  Thank you very much for this enjoyable, and worthwhile activity.”

 

Graph of TAP for Telephone Equipment

Amplified Phones - 59%, 4347

Signalers - 29%, 2107

Hands Free Phones & Accessories - 6%, 461

TTY's - 4%, 290

Voice Carry Over Phones - 1%, 88

Other, 15

 

 

Graph of TAP for Telephone Disability of Recipients

Hearing - 64%, 2811

Vision - 14%, 599

Hearing and Vision - 9%, 401

Multiple and Other - 9%, 402

Mobility - 4%, 194

Speech, 14

 

Graph of TAP for Telephone Age of Recipients

21 and under, 2%

22-40 yrs., 4%

41-60 yrs., 16%

61-75 yrs., 26%

76-90 yrs., 45%

91 yrs. and over, 7%

 

Program Success

This year, 7,307 adaptive telephone devices were provided by TAP for Telephone. 

A network of Independent Living Centers provides consumer support ensuring appropriate matching of equipment through the use of demonstration devices.  Forty percent of equipment recipients had not been able to use the phone for 6 years or more.  Follow-up data from program beneficiaries indicates an overall satisfaction rating of 98%, with over half reporting they used the equipment to make emergency calls and live independently.

 

People Success

Ericka has used a traditional TTY for many years.  She had never used voice carry over services which would allow her to utilize her voice in talking to others while reading text of the other party.  Ericka tried the new CapTel phone with captioned telephone voice-carry-over relay services with success.  She is now able to talk directly to her husband and friends on the phone.

 

picture close-up of Ericka using the CapTel phone

 

TAP for Internet

 

”My son can now work the computer almost on his own. It has been a god send to him!   Thank you so much!"

 

People Success

As most young men his age, Joey has an interest in all sports, bowling, T-ball, and tennis, but his favorite is golf. As a ninth-grader, Joey already plans to attend college and is interested in becoming a radio sports announcer. Whatever career he chooses the adaptive computer equipment he received will help him along the way.

            Due to a physical disability and a vision loss, Joey uses the REACH onscreen keyboard with a jelly bean switch and a large monitor to access his computer.  Joey can independently and successfully search the internet, keep in touch with friends, (Joey is home-schooled so this is particularly important) and advance academic skills like practicing spelling words and taking his science and American history tests on the computer.       

 

picture of Joey

 

Graph of TAP for Internet Disability of Recipients

Vision , 52%

Mobility, 25%

Reading & Decoding, 17%

Other with Vision, 3%

Other, 3%

 

Graph of TAP for Internet Age of Recipients

Age 21 and under , 31%

22 - 40 yrs., 16%

41 - 60 yrs., 33%

61 - 75 yrs., 10%

76 - 90 yrs., 10%

 

Program Success

Missouri continues to be the only state in the nation whose telecommunications equipment distribution program includes the adaptive devices needed for Internet access.  Consumers range in age from two to 90 years of age and include a wide range of disabilities.   

            This year, TAP for Internet provided 1168 adaptive computer devices representing over 160 different individual items including alternative keyboards and pointing devices, software adaptations, speech and braille output and enlargement software.

            A majority of applicants (73%) received assistance with selecting their equipment and (46%) received training on their equipment. Consumers report that they use email to keep in touch with friends and family (53%), use the equipment to make contacts with business (34%) and do business with the government (33%).

 

Graph of TAP for Internet Equipment

Alternative Keyboard & Adaptations - 35%, 409

Enlargement Software - 25%, 285

Speech Output & Braille Display - 24%, 281

Alternative Pointing Devices - 9%, 107

AT Accessories - 7%, 86

 

People Success

Almost 2 years ago, Kyla complained of a severe migraine and starry vision to the school nurse. Her father came and took her to the hospital where it was discovered that an optic nerve tumor was bleeding, swelling and putting pressure on her brain. Kyla underwent surgery knowing there could be serious complications.  After surgery, Kyla retained her memory, her personality and her life, however she did lose her vision.  

            Kyla quickly adapted and learned the skills she needed to complete high school.  She continues to learn additional skills that will allow her to pursue life-long interests in writing and working with children. Skills she has acquired include the use of a computer with JAWS, a screen reader program, which Kyla received through TAP for Internet.

 

picture of Kyla using computer

 

Show Me Loans

 

Program Success

In only its second full year of operation, Show-Me Loans provided $92,703 in very low interest loans for Missourians with disabilities.  Nationally, the interest rates were among the lowest of any similar program, averaging only 3.25%.   Show-Me Loans provides loans for all types of assistive technology devices or equipment, or for making access improvements to homes or vehicles. The average amount borrowed was $3,197 with loans ranging from $614 to $7,717.  Terms ranged from 12 to 60 months with an average re- payment term of 37 months.  The average time needed to process and review applications decreased to 20 days, down from 23 days last year.

            Show-Me Loans approved 73% of  applications received in 2003-04, even though most applicants were of low and moderate income.  Almost one-third of approved applicants had incomes below $15,000 annually, while 73% of persons who received loans had annual incomes below $30,000.  Applications were received from every region of Missouri.

            During the year, borrowers repaid a total of $43,299 in principal and interest.   The program has had no loan defaults.

 

Graph of AT by Dollars Loaned

Vehicle Access (8), $34,040

Hearing Devices (13), $30,333

Home Access (3), $14,000

Health & Safety Equip. (3), $12,503

Vision Devices (1), $1,213

Computers (1), $614

 

picture of multi-rail lift

 

People Success

Erayna lives in Kansas City with her 27 year-old son Phillip, who uses a wheelchair.  Phillip is not able to help transfer or lift himself.  It was very difficult for Erayna to lift or carry her son from his bed to his chair, or to help him with baths or other activities.  She was very concerned about his safety and health as well as her own.   Erayna’s goal is for her son to always live at home and not be institutionalized.  She was approved for a Show-Me Loan to obtain an overhead portable lifting system costing about $6,000 (pictured).  The low interest rate of 4% with a 48-month term allowed her to purchase the lift making it possible for Phillip to remain in his home.  Erayna says,

“The lift was a life saver for me and without Show-Me Loans, I wouldn’t have been able to get it!”

 

Graph of Annual Income of Approved Borrowers

Under $15,000 (8), 28

$15,001 to $30,000 (13), 45

$30,001 to $60,000 (6), 21

Over $60,000 (2), 7

 

People Success

Robert and Rila live in Jasper County in Southwest Missouri.  Rila's ability to walk had been limited by her health conditions.  The couple wanted to purchase a wheelchair for Rila and also a lift so they could transport the chair in their truck.  The cost to buy both was just not affordable, so they applied and were approved for a low-interest Show-Me Loan.  Rila now gets around her house much better and gets out and enjoys life more often.  She says her wheelchair and lift allow her to do things like go out to eat, visit her sister in Neosho, and go with Bob to auction.  Rila says she is much more independent and doesn't know what she would do without her new wheelchair and lift.

 

picture of Robert and Rila with her wheelchair and their truck and lift

 

Swap ‘N Shop

 

picture of girl on adapted bike

 

picture of a wheelchair

 

Program Success

The Swap n’ Shop program is an equipment exchange program that allows people with disabilities to buy, sell or trade devices that they no longer use with other individuals who can put this used equipment to good use.  The Swap n’ Shop program saved consumers $331,615 while transferring 95 items this year.  In addition, the program had 206 new pieces of equipment listed.  The types of assistive technologies that were transferred include everything from full size accessible vans and CCTVs, to power wheelchairs and augmentative communication devices.

 

People Success

“We are tickled about the response to the program and are grateful for the advertisement,” said one person who had listed 7 items in the program, selling six within 5 months of listing, while saving buyers more than $25,000 over purchasing new. 

            Another transfer occurred between a person in St. Louis and a person who lived near Branson.  They met halfway so that the consumer could look over a scooter.  As the seller put it, “The woman wanted it on the spot.  It looked good for her and was cheap.”  The seller was very happy to sell her scooter to this woman who needed it.

 

Graph of Transferred Equipment by Category

Wheelchairs Etc.-26%, 25

Accessible Vehicles-20%, 19

Personal Management-16%, 15

Communication Access-12%, 11

Environmental Controls-11%, 10

Therapeutic Aids-4%, 4

Vehicle Modifications-3%, 3

Architectural Access-2%, 2

Hearing/Vision Technology-2%, 2

Other-4%, 4

 

Missouri Disability Legislative Listserv

There were a number of issues during Missouri’s 2004 legislative session that were pivotal for Missourians with disabilities.  Budget issues again held center stage as funding for Medicaid, independent living, and other critical services were the focus of attention.  MoAT’s Disability Legislative Listserv kept persons with disabilities and advocates informed with up-to-date information on the status of important bills and appropriations.  Over 360 organizations and Missourians subscribed to the free Listserv, and passed the postings on to hundreds of other persons with disabilities and their families.

 

Comments about the Missouri Disability Legislative Listserv:

“Without your Listserv, it would be just impossible for our Center to follow so many important issues and contact legislators when needed on an issue.  We can’t tell you how much we appreciate this service.” by Staff of a center for independent living.

 

“I like that the information from your Listserve is to the point.  It gives me the main points of a bill in an easy-to-understand format so I don’t have to stumble my way through confusing bill language trying to figure out what it means.” by Parent of a child with a disability.

 

For more information on Missouri Assistive Technology, please contact any of the following staff:

Diane Golden, Ph.D., Director

Roselie Backer-Thompson, TAP for Internet Coordinator

David Baker, Program Coordinator

Marty Exline, Policy Coordinator

Gay Jones, TAP for Telephone Coordinator

Tracy LaFollette, Administrative Assistant

Mike Parker, Operations Manager

Brenda Whitlock, Training Coordinator

4731 S. Cochise, Suite 114, Independence, MO  64055

(816) 373-5193 - voice    

(816) 373-9315 - TTY   

(816) 373-9314 – fax

matpmo@swbell.net

www.at.mo.gov              

Alternative format available on request.

 

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