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

RSA-7-OB for Florida Division of Blind Services - H177B110057 report through September 30, 2011

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year2,279,880
Other federal grant award for reported fiscal year2,589,343
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year6,603
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 22,010,291
A2. Total other federal2,589,343
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other2,589,343
A3. State (excluding in-kind)1,526,737
A4. Third party792,083
A5. In-kind570,799
A6. Total Matching Funds2,889,619
A7. Total All Funds Expended7,489,253
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs754,915
C. Total expenditures and encumbrances for direct program services6,734,338

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 1.0000 0.0000 1.0000
2. FTE Contractors 34.7400 62.3200 97.0600
3. Total FTE 35.7400 62.3200 98.0600

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 41 24.7200
2. Employees with Blindness Age 55 and Older 24 10.8900
3. Employees who are Racial/Ethnic Minorities 71 53.5000
4. Employees who are Women 188 128.7200
5. Employees Age 55 and Older 77 52.5700

C. Volunteers

31.00

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 FY1,446
2. Number of individuals who began receiving services in the reported FY2,041
3. Total individuals served during the reported fiscal year (A1 + A2) 3,487

B. Age

1. 55-59284
2. 60-64300
3. 65-69310
4. 70-74340
5. 75-79427
6. 80-84591
7. 85-89678
8. 90-94427
9. 95-99116
10. 100 & over14
11. Total (must agree with A3)3,487

C. Gender

1. Female2,357
2. Male1,130
3. Total (must agree with A3)3,487

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race288
2. American Indian or Alaska Native10
3. Asian15
4. Black or African American470
5. Native Hawaiian or Other Pacific Islander2
6. White2,687
7. Two or more races15
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)3,487

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)274
2. Legally Blind (excluding totally blind)2,223
3. Severe Visual Impairment990
4. Total (must agree with A3)3,487

F. Major Cause of Visual Impairment

1. Macular Degeneration1,757
2. Diabetic Retinopathy287
3. Glaucoma627
4. Cataracts71
5. Other745
6. Total (must agree with A3)3,487

G. Other Age-Related Impairments

1. Hearing Impairment226
2. Diabetes312
3. Cardiovascular Disease and Strokes631
4. Cancer80
5. Bone, Muscle, Skin, Joint, and Movement Disorders219
6. Alzheimer's Disease/Cognitive Impairment34
7. Depression/Mood Disorder55
8. Other Major Geriatric Concerns602

H. Type of Residence

1. Private residence (house or apartment)3,090
2. Senior Living/Retirement Community0
3. Assisted Living Facility330
4. Nursing Home/Long-term Care facility52
5. Homeless15
6. Total (must agree with A3)3,487

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)699
2. Physician/medical provider124
3. State VR agency103
4. Government or Social Service Agency354
5. Veterans Administration60
6. Senior Center127
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization14
10. Independent Living center0
11. Family member or friend612
12. Self-referral891
13. Other503
14. Total (must agree with A3)3,487

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 328,636
1b. Total Cost from other funds 210,111
2. Vision screening / vision examination / low vision evaluation 1,436
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 86

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 410,795
1b. Total Cost from other funds 262,639
2. Provision of assistive technology devices and aids 402
3. Provision of assistive technology services 1,616

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 3,122,039
1b. Total Cost from other funds 1,996,058
2. Orientation and Mobility training 1,766
3. Communication skills 2,620
4. Daily living skills 2,984
5. Supportive services (reader services, transportation, personal 16
6. Advocacy training and support networks 1,283
7. Counseling (peer, individual and group) 1,855
8. Information, referral and community integration 1,985
. Other IL services 2,325

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 246,477
1b. Total Cost from other funds 157,583
2. Information and Referral 0
3. Community Awareness: Events/Activities 1,746 1,107

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) 7,440,169 7,489,253 49,084
2. Number of Individuals Served 3,634 3,487 -147
3. Number of Minority Individuals Served 417 785 368
4. Number of Community Awareness Activities 907 1,746 839
5. Number of Collaborating agencies and organizations 264 201 -63
6. Number of Sub-grantees 17 17

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 1,616 100.00%
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) 149 9.22%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 209 12.93%
B1. Number of individuals who received orientation and mobility (O & M) services 1,766 100.00%
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) 756 42.81%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 660 37.37%
C1. Number of individuals who received communication skills training 2,620 100.00%
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) 976 37.25%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 270 10.31%
D1. Number of individuals who received daily living skills training 2,984 100.00%
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) 1,435 48.09%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 1,176 39.41%
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) 1,524 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) 13 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) 340 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 365 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) 12 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.

The Florida Division of Blind services continues to function with the same business model as in previous years. All OIB funds under the grant are contracted statewide to local Community Rehabilitation Programs/CRP’s (17) for adjustment to blindness training. It is in collaboration with the DBS Districts (10), who target the unserved/unserved individuals in their districts that the IL services are provided to the eligible individuals.

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.

The 17 contract CRP’s continue to design and improve services utilizing numerous community awareness and collaborative activities. The contractors continue to report outreach efforts utilizing websites, Facebook and Twitter, in addition to the traditional newsletters and mailings. Staff certification, attendence at conferences in relevant to their areas of assignments, development of new marketing materials are continued strategies for expand and improve. They collaborate with varied community groups such as Diabetic Educators, Centers for the Deaf, Voter Services, churches, and local chapters of consumer groups.

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.

All the contractors self reported conducting their own Satisfaction Surveys and the feedback regarding the services received by clients was found to be postitive. Each provided a sample of their instrument and results. The Divisions Client Services Section conducted a Satisfaction Survey and the feedback regarding services recieved was found to be positive.

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).

Example A: "The Lighthouse has turned out to be the best decision I have made. I have learned that I am not alone in this somwhat dark world. This has been encouraging to know that there are others that are experiencing the same feelings and situations I am. Watch out world, I am on my way back out there!" ILS graduate Example B: Is a woman who moved to Florida because her adult children did not trust her ability to live safely on her own. She has since moved out on her won and now runs her own LV support group.

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

The issues that arise in implementing the IL program are often directly related to funding. Providing transportation or ability to reach those living in remote areas is again the most often identified problem area challenging those responsible for providing the service. As our population is becoming older and multiply disable it is often preferable that a per son attends center based programs. But when they are unable to do so itenerante services are provided and they are more expensive and takes more time to deliver. Therefore the need for more resources. One other provider indicates that the electronic case management system is a significant impediment to efficient delivery of services. It takes too much time away from service delivery. Another issues like outreach, in the future could target nursing homes, local CIL’s more aggressively , while looking for new clients. Florida continues with its current business process and the data collected for the 7OB is combination of self reported data from the contract partners and data from the DBS case management system. It is has always and continues to be a challenge to collect data that reflects the program because of the number of variables and contributors (17).

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 byMondi Azpeitia
TitleProgram Consultant
Telephone850 245-0324
Date signed12/16/2011