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

RSA-7-OB for Hawaii Division of Vocational Rehabilitation - H177B110011 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 year93,292
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2103,852
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)38,586
A4. Third party0
A5. In-kind0
A6. Total Matching Funds38,586
A7. Total All Funds Expended142,438
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs749
C. Total expenditures and encumbrances for direct program services141,689

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 0.2000 2.5000 2.7000
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.2000 2.5000 2.7000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 1 0.5000
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 3 2.5000
4. Employees who are Women 2 1.5000
5. Employees Age 55 and Older 1 1.0000

C. Volunteers

0.00

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 FY72
2. Number of individuals who began receiving services in the reported FY155
3. Total individuals served during the reported fiscal year (A1 + A2) 227

B. Age

1. 55-5918
2. 60-6424
3. 65-6923
4. 70-7418
5. 75-7932
6. 80-8443
7. 85-8943
8. 90-9422
9. 95-994
10. 100 & over0
11. Total (must agree with A3)227

C. Gender

1. Female152
2. Male75
3. Total (must agree with A3)227

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race6
2. American Indian or Alaska Native1
3. Asian91
4. Black or African American2
5. Native Hawaiian or Other Pacific Islander18
6. White107
7. Two or more races2
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)227

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)13
2. Legally Blind (excluding totally blind)125
3. Severe Visual Impairment89
4. Total (must agree with A3)227

F. Major Cause of Visual Impairment

1. Macular Degeneration99
2. Diabetic Retinopathy29
3. Glaucoma37
4. Cataracts4
5. Other58
6. Total (must agree with A3)227

G. Other Age-Related Impairments

1. Hearing Impairment49
2. Diabetes51
3. Cardiovascular Disease and Strokes89
4. Cancer33
5. Bone, Muscle, Skin, Joint, and Movement Disorders94
6. Alzheimer's Disease/Cognitive Impairment15
7. Depression/Mood Disorder14
8. Other Major Geriatric Concerns70

H. Type of Residence

1. Private residence (house or apartment)192
2. Senior Living/Retirement Community24
3. Assisted Living Facility5
4. Nursing Home/Long-term Care facility5
5. Homeless1
6. Total (must agree with A3)227

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)150
2. Physician/medical provider2
3. State VR agency6
4. Government or Social Service Agency6
5. Veterans Administration0
6. Senior Center3
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization1
10. Independent Living center0
11. Family member or friend20
12. Self-referral37
13. Other2
14. Total (must agree with A3)227

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 5,165
1b. Total Cost from other funds 1,919
2. Vision screening / vision examination / low vision evaluation 119
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 77

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 2,234
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 95
3. Provision of assistive technology services 105

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 96,523
1b. Total Cost from other funds 35,699
2. Orientation and Mobility training 107
3. Communication skills 107
4. Daily living skills 130
5. Supportive services (reader services, transportation, personal 76
6. Advocacy training and support networks 54
7. Counseling (peer, individual and group) 105
8. Information, referral and community integration 64
. Other IL services 35

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 2,068
1b. Total Cost from other funds 765
2. Information and Referral 61
3. Community Awareness: Events/Activities 15 102

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) 177,980 142,438 -35,542
2. Number of Individuals Served 257 227 -30
3. Number of Minority Individuals Served 134 0 -134
4. Number of Community Awareness Activities 16 15 -1
5. Number of Collaborating agencies and organizations 18 0 -18
6. Number of Sub-grantees 0 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 105 100.00%
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) 57 54.29%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 13 12.38%
B1. Number of individuals who received orientation and mobility (O & M) services 107 100.00%
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) 77 71.96%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 30 28.04%
C1. Number of individuals who received communication skills training 107 100.00%
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) 78 72.90%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 29 27.10%
D1. Number of individuals who received daily living skills training 130 100.00%
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) 69 53.08%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 61 46.92%
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) 122 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) 7 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 34 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.

IL-OIB services are provided via in-house staff. Outreach is made to rural areas on neighboring islands, and to groups via monthy support groups on different islands. We collaborate with the CIL, The Medical Community, VR, The Area Office on Aging, and Senior Centers on all islands.

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.

We are working with the State of Hawaii’s Senior Companion Program in order to expand services to IL-OIB consumers.

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.

90@ of all surveys returned to us indicate the consumers "strongly agree" (highest rating) that they are satisfied with the quality of services received. Copies available upon request.

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).

1) From a letter written to an OIB teacher; "...I wish you to know that your visit brought such light into my life! Your help has been so important to me! I so appreciate not only your expertise, but such kindness as well..I have enjoyed the clock so much and the address book...(also) the talking machine and earphones and catalogs from the library. Thank you again for your help and God Bless."

2) Mr. T. is a 63-year-old Man who lost his vision 3 years ago. He is a pastor at a local church and struggled to read the Bible and hi sermon. He relied on his wife for managing the finances. He could not read or write legibly. He could not walk safely and independently. After receiving OIB services (training, AT and other devices), he is now able to do all of these things independently

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

Our staff has been reduced by 50% statewide due to insufficient funding, state reductions in force, and retirements. We desperately need our funding level to be raised above the minimum $225,000 so we can reach more underserved/unserved populations.

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 byLea Grupen
TitleBranch Administrator, Ho'opono Serv. for the Blind
Telephone808-586-5257
Date signed01/03/2012