Annual Report - Independent Living Services For Older Individuals Who Are Blind

RSA-7-OB for Rehabilitation Services Administration, DC Dept. on Disability Services - H177B110051 report through September 30, 2011

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year225,000
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2124,816
A2. Total other federal0
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)35,000
A4. Third party0
A5. In-kind0
A6. Total Matching Funds35,000
A7. Total All Funds Expended159,816
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs95,328
C. Total expenditures and encumbrances for direct program services64,488

Part II: Staffing

FTE (full time equivalent) is based upon a 40-hour workweek or 2080 hours per year.

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.0000 0.0000 0.0000
2. FTE Contractors 0.0000 8.6000 8.6000
3. Total FTE 0.0000 8.6000 8.6000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 1 8.6000
2. Employees with Blindness Age 55 and Older 5 8.6000
3. Employees who are Racial/Ethnic Minorities 8 8.6000
4. Employees who are Women 6 2.5700
5. Employees Age 55 and Older 4 1.3800

C. Volunteers

4.00

Part III: Data on Individuals Served

Provide data in each of the categories below related to the number of individuals for whom one or more services were provided during the reported fiscal year.

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY0
2. Number of individuals who began receiving services in the reported FY65
3. Total individuals served during the reported fiscal year (A1 + A2) 65

B. Age

1. 55-5918
2. 60-6419
3. 65-6910
4. 70-744
5. 75-794
6. 80-845
7. 85-893
8. 90-942
9. 95-990
10. 100 & over0
11. Total (must agree with A3)65

C. Gender

1. Female40
2. Male25
3. Total (must agree with A3)65

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race0
2. American Indian or Alaska Native0
3. Asian1
4. Black or African American62
5. Native Hawaiian or Other Pacific Islander0
6. White2
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)65

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)3
2. Legally Blind (excluding totally blind)62
3. Severe Visual Impairment0
4. Total (must agree with A3)65

F. Major Cause of Visual Impairment

1. Macular Degeneration5
2. Diabetic Retinopathy30
3. Glaucoma20
4. Cataracts5
5. Other5
6. Total (must agree with A3)65

G. Other Age-Related Impairments

1. Hearing Impairment5
2. Diabetes30
3. Cardiovascular Disease and Strokes40
4. Cancer20
5. Bone, Muscle, Skin, Joint, and Movement Disorders40
6. Alzheimer's Disease/Cognitive Impairment5
7. Depression/Mood Disorder20
8. Other Major Geriatric Concerns20

H. Type of Residence

1. Private residence (house or apartment)45
2. Senior Living/Retirement Community0
3. Assisted Living Facility19
4. Nursing Home/Long-term Care facility1
5. Homeless0
6. Total (must agree with A3)65

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)3
2. Physician/medical provider3
3. State VR agency2
4. Government or Social Service Agency0
5. Veterans Administration0
6. Senior Center10
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization0
10. Independent Living center0
11. Family member or friend35
12. Self-referral12
13. Other0
14. Total (must agree with A3)65

Part IV: Types of Services Provided and Resources Allocated

Provide data related to the number of older individuals who are blind receiving each type of service and resources committed to each type of service.

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 0
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 0

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 65
3. Provision of assistive technology services 65

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Orientation and Mobility training 20
3. Communication skills 65
4. Daily living skills 65
5. Supportive services (reader services, transportation, personal 65
6. Advocacy training and support networks 65
7. Counseling (peer, individual and group) 65
8. Information, referral and community integration 65
. Other IL services 5

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Information and Referral 65
3. Community Awareness: Events/Activities 0 65

Part V: Comparison of Prior Year Activities to Current Reported Year

A. Activity

a) Prior Year b) Reported FY c) Change ( + / - )
1. Program Cost (all sources) 270,051 124,851 -145,200
2. Number of Individuals Served 175 65 -110
3. Number of Minority Individuals Served 132 63 -69
4. Number of Community Awareness Activities 44 0 -44
5. Number of Collaborating agencies and organizations 44 0 -44
6. Number of Sub-grantees 1 0

Part VI: Program Outcomes/Performance Measures

Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 65 100.00%
A2. Number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss. (closed/inactive cases only) 60 92.31%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 4 6.15%
B1. Number of individuals who received orientation and mobility (O & M) services 20 100.00%
B2. Of those receiving orientation and mobility (O & M) services, the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services. (closed/inactive cases only) 16 80.00%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 4 20.00%
C1. Number of individuals who received communication skills training 65 100.00%
C2. Of those receiving communication skills training, the number of individuals who gained or maintained their functional abilities as a result of services they received. (Closed/inactive cases only) 0 0.00%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
D1. Number of individuals who received daily living skills training 65 100.00%
D2. Number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills. (closed/inactive cases only) 55 84.62%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
E1. Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 60 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 0 n/a
E5. Number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only) 0 n/a

Part VII: Narrative

A. Briefly describe the agency's method of implementation for the Title VII-Chapter 2 program (i.e. in-house, through sub-grantees/contractors, or a combination) incorporating outreach efforts to reach underserved and/or unserved populations. Please list all sub-grantees/contractors.

he method of implementation of the Title VII-Chapter II program is through the Sub Grantee DC CIL, Inc. DCCIL Inc. employs a mixed model of service delivery. Older Individuals who are Blind (OIB) employs a mixed model of service delivery it offers to the consumers. OIB consumers receive training and services in the in the home and in the community. Outreach activities are constant and a very important activity for the population served. The DCCIL, Inc. Columbia Lighthouse for the Blind and RSA’s Visual Impairment Unit work within the community to reach the underserved and/or unserved populations by reaching out to such community resources as the church, community leaders, local doctor’s offices, and hospitals. In addition to the above mentioned activities, RSA is in collaboration with the Martin Luther King Jr. Library and the National Federation of the Blind to utilize its News Line to reach the rich and diverse population residing in the Washington, DC metropolitan area. Many older blind seniors and their families are unaware of the IL Older Blind program and the services offered who are in need of independence, training, and/or assistive technology for daily living.

B. Briefly describe any activities designed to expand or improve services including collaborative activities or community awareness; and efforts to incorporate new methods and approaches developed by the program into the State Plan for Independent Living (SPIL) under Section 704.

While the IL older blind consumers who are able to fully access and participate in the DC CIL program, the agency is taking steps to diversify the service providers affiliated with the program through the development of an Independent Living Services Human Care Agreement. This IL Human Care Agreement will enable the agency to select from a catalog of IL services that will include specialized services and certified specialist in the field of blind rehabilitation, Orientation and Mobility, adaptive technology, and Vision Therapy

A VR counselor has now been assigned to the visual impairment unit to focus on coordinating all IL services, including the IL Older Blind program. This addition to the visual impairment unit will enhance the agency’s capacity to better serve IL OIB consumers with multiple disabilities, including those consumers who are deaf blind. An increase in the provision of low vision assessments for ILOB partially sighted consumers is also planned. For FY 2012, a new urban senior center for the OIB program has been identified for IL core services training.

C. Briefly summarize results from any of the most recent evaluations or satisfaction surveys conducted for your program and attach a copy of applicable reports.

No customer satisfaction surveys were conducted this year by the DC RSA Quality Assurance Team due to the unit staff organizational reassignment priorities to manage, monitor and review VR case management program compliance related issues.

D. Briefly describe the impact of the Title VII-Chapter 2 program, citing examples from individual cases (without identifying information) in which services contributed significantly to increasing independence and quality of life for the individual(s).

Peer Counseling and Low Vision Services significantly increased the independence of Mr. R., who has low vision, was having problems accepting his vision loss. His self-esteem was very low and often appeared low in spirits or sad. During peer counseling sessions, he learned how using assistive technology could help him regain and maintain his independence. He requested and received training using the Close Circuit Television (CCTV) to access his personal correspondence. After several lessons, he was able to read his email as well as write checks using the CCTV. This ability has increased his self esteem and independence.

Peer counseling and Orientation and Mobility Training significantly increased the independence of the following participant. Mr. P., who has low vision, was having problems accepting his vision loss and his self-esteem was very low. During peer counseling sessions, he learned how using assistive technology and receiving Orientation and Mobility Training can help him regain and maintain his independence. He requested and received training using the computer with the Jaws screen reading software. As a result, he was able to resume corresponding with others independently. In addition, he is able to access needed information available on CD-Rom or on the Internet. By applying the O/M lessons learned, Mr. P. has resumed participating in community activities and traveling safely and independently.

E. Finally, note any problematic areas or concerns related to implementing the Title VII-Chapter 2 program in your state.

During FY 2011, marginal gains were made in the number of consumers who were served as a result of the agency’s procurement transition from soul source funding to the dc CIL to a catalog of services that may be authorized through a Human Care Agreement. The HCA’s will allow the agency to utilized more service providers across the DC metro area that provide specialized services to aging, blind and low vision consumers. More than 90 per cent of consumers served by the OIB program continue to be African Americans. Continued efforts are being employed to reach Washington, DC’s diverse population. Through partnering with agencies that serve diverse clients, the OIB program will increase the numbers of persons served in other ethnic groups, including non ethnic minorities. During October FY 2011, the District government a hiring freeze across all government agencies was lifted and DC RSA recruited and hired and filled 3 vacant positions designated for O&M and blind rehabilitation specialists. With these vacancies now filled, the agency is now prepared to serve ILOB consumers who are on waiting lists.

Part VIII: Signature

As the authorized signatory, I will sign, date and retain in the state agency's files a copy of this 7-OB Report and the separate Certification of Lobbying form ED-80-0013 (available in MS Word and PDF formats.

Signed byEdna E Johnson
TitleDSB Program Administrator
Telephone202-442-8419
Date signed12/23/2011