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

RSA-7-OB for Illinois Division of Rehabilitation Services - H177B110013 report through September 30, 2011

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year1,275,707
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year410,441
Other federal grant carryover from previous year733,660
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 21,370,284
A2. Total other federal733,660
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other733,660
A3. State (excluding in-kind)173,412
A4. Third party0
A5. In-kind0
A6. Total Matching Funds173,412
A7. Total All Funds Expended2,277,356
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services2,277,356

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 2.5000 5.9500 8.4500
2. FTE Contractors 3.0000 17.0000 20.0000
3. Total FTE 5.5000 22.9500 28.4500

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 17 15.0000
2. Employees with Blindness Age 55 and Older 7 4.0000
3. Employees who are Racial/Ethnic Minorities 2 1.0000
4. Employees who are Women 11 9.0000
5. Employees Age 55 and Older 8 5.0000

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 FY801
2. Number of individuals who began receiving services in the reported FY2,129
3. Total individuals served during the reported fiscal year (A1 + A2) 2,930

B. Age

1. 55-59229
2. 60-64295
3. 65-69256
4. 70-74282
5. 75-79338
6. 80-84485
7. 85-89533
8. 90-94380
9. 95-99114
10. 100 & over18
11. Total (must agree with A3)2,930

C. Gender

1. Female1,983
2. Male947
3. Total (must agree with A3)2,930

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race95
2. American Indian or Alaska Native2
3. Asian18
4. Black or African American498
5. Native Hawaiian or Other Pacific Islander1
6. White2,308
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)7
9. Total (must agree with A3)2,930

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)184
2. Legally Blind (excluding totally blind)1,157
3. Severe Visual Impairment1,589
4. Total (must agree with A3)2,930

F. Major Cause of Visual Impairment

1. Macular Degeneration1,538
2. Diabetic Retinopathy348
3. Glaucoma376
4. Cataracts168
5. Other500
6. Total (must agree with A3)2,930

G. Other Age-Related Impairments

1. Hearing Impairment868
2. Diabetes624
3. Cardiovascular Disease and Strokes742
4. Cancer198
5. Bone, Muscle, Skin, Joint, and Movement Disorders825
6. Alzheimer's Disease/Cognitive Impairment110
7. Depression/Mood Disorder222
8. Other Major Geriatric Concerns273

H. Type of Residence

1. Private residence (house or apartment)2,266
2. Senior Living/Retirement Community364
3. Assisted Living Facility193
4. Nursing Home/Long-term Care facility107
5. Homeless0
6. Total (must agree with A3)2,930

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)970
2. Physician/medical provider102
3. State VR agency95
4. Government or Social Service Agency189
5. Veterans Administration8
6. Senior Center151
7. Assisted Living Facility31
8. Nursing Home/Long-term Care facility49
9. Faith-based organization42
10. Independent Living center126
11. Family member or friend356
12. Self-referral693
13. Other118
14. Total (must agree with A3)2,930

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 150,781
1b. Total Cost from other funds 41,960
2. Vision screening / vision examination / low vision evaluation 1,410
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 813

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 250,128
1b. Total Cost from other funds 175,628
2. Provision of assistive technology devices and aids 2,111
3. Provision of assistive technology services 1,678

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 340,341
1b. Total Cost from other funds 243,928
2. Orientation and Mobility training 537
3. Communication skills 1,248
4. Daily living skills 1,994
5. Supportive services (reader services, transportation, personal 1,004
6. Advocacy training and support networks 1,117
7. Counseling (peer, individual and group) 1,365
8. Information, referral and community integration 2,008
. Other IL services 792

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 46,359
1b. Total Cost from other funds 18,232
2. Information and Referral 2,153
3. Community Awareness: Events/Activities 341 38,639

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) 1,458,155 2,277,356 819,201
2. Number of Individuals Served 2,649 2,930 281
3. Number of Minority Individuals Served 373 615 242
4. Number of Community Awareness Activities 403 341 -62
5. Number of Collaborating agencies and organizations 17 17 0
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 1,678 100.00%
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) 709 42.25%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 323 19.25%
B1. Number of individuals who received orientation and mobility (O & M) services 537 100.00%
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) 311 57.91%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 44 8.19%
C1. Number of individuals who received communication skills training 1,248 100.00%
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) 1,318 105.61%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 204 16.35%
D1. Number of individuals who received daily living skills training 1,994 100.00%
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) 1,118 56.07%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 195 9.78%
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) 1,928 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) 48 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) 146 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 210 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) 24 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.

Center for Sight & Hearing Chicago Lighthouse for the Bind and Visually Impaired (2) Coleman Tri-County Services, Inc. Spectrios Institute for Low Vision Delta Center, Inc IL/IA Center for Independent Living IMPACT, Inc (2) Lake Cty Center for Independent Living LIFE-CIL Jacksonville CIL Options PACE, Inc Southern IL Ctr for Indpendent Living SAIL TCRC

Rehab Teacher

This year information brochures were mailed to all low vision clinics and vision doctors to increase awareness of the program. Trips were also made to eye doctor clinics, assistive living facilities, schools and senior centers to inform them about the services available. A demonstration of products is always provided in order for customers to see the benefits of services and helps to reduce the questios of the need for services.

Chicago Lighthouse for the Blind and Visually Impaired

The Seniors Program servides for Elderly are guided by an Edlderly Blind Grant, which is sponsored by the Bureau of Blind Services. Clients are recruited through the Low Vision Clinic, the Illinois Center for Rehabiliation and Education, and other agencies serving the visually impaired. Clients are offered computer class instruction with adaptive technology four days out of the week. Additionaly programming, including education, skills building, entertainment, and socialization opportunites are offered two to three times per month.

IMPACT

For the past 14 years Impact has offered in-house ADL, skills training, with on site tools and equipment available to all consumers. We maintain an inventory of assistive devices and technology for all consumers served under the OBG contract in addition these devices are available during business hours to anyone interested in in coming in to test the equipment for themselves. We teach proper use of tools to enhance indpendence and residual vision along with large print instructions and contact information before the consumer leaves our facility.

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.

Rehab Teacher

Presentations to local private center for independent living centers and staff member participating in support groups presentation of services, hands on demonstration of various adaptive aides from vision devices to computer access related devices and independent living aides. Question and answer sessions are also provided. Group training sessions to cover wide range of population in a single session. Home visits are done on a regular basis to accommodate those clients who have difficulties with transportation to and from participating in group sessions at the center for independent living.

Rehab Teacher

Recently the Senior Program began offering Spanish Speaking Senior Program to individuals who do not speak English

Center for Sight and Hearing

The Center for Sight and Hearing employees have a long history of participating in many community events to raise awareness about vision loss and available services. Employees working through this contract have alwasys surpassed contract objectives for community awareness and case findsing activities. During this reporting time, Center staff reached over 5,000 individuals through community awareness activities.

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.

Rehab Teachers

When asked satisfacation questions during the closure process, BBS customers report a positive experience in working with BBS. They say they feel the services and aids/devices provided to them have made them more independent, safe and confident performing needed tasks in their home and community.

Delta Center

The ILSS is developing a new format for the relatively Independent Older Blind consumers in that the questions will be more comprehensive and relate almost exclusively to individual services related to low vision and blindness

Lake County CIL

Throughout the fiscal year, Center staff surveyed Older Blind consumers via mail and telephone. Most of the survey results were obtained via surveys conducted by phone. Responses were received from sixty-six (66) of the ninety-one (91) consumers served during FY’11. Results indicate that 88% (52 out of 66) consumers feel more independent and in control of their lives, 75% (50 out of 66) consumers report that they have gained self confidence as a result of OBSP services and 75% (28 out of 37) of consumers surveyed reported that they had achieved the goals they set for themselves. Not all of the consumers surveyed have completed their goals and therefore, this number is expected to increase with time. In addition to these results, consumers also indicated that receiving services made them more independent and happier. Several consumers indicated that receiving assistive technology such as magnifiers and talking watches enabled them to more easily read and independently tell time. Several consumers expressed surprise at what was available for them and gratitude at learning about specific services and assistive technology options

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).

Rehab Teacher

An 81-year old woman has macular degeneration and lives with her husband who has some dementia. She is responsible for keeping track of their appointments and medications along with other homemaking taks. With training and adaptive aids provided by 70B funds, she is now able to perform the duties she needs in order to continue living in a private residence with her husband.

JACIL

Mr. B is a 67 year old male who lives in a very rural area here in Morgan County. He is blind and had been for several years. During the assessment process we learned that his main issue was identifying his medication. His wife had been in the hospital for a few days and with little family support he could not tell what medicine he was taking and how often he was to take it. Fortunately, this was an easy fix for Mr. B. We explained the ScripTalk device to him and he was very excited about this program. The ScripTalk reading device is free and he was already getting his medication at a local pharmacy that provides the ScripTalk services. So he received his medicine talking device and contacted the pharmacy and asked them to put the microchip on his medicine containers and he can independently manage his medication now. He was so thankful for learning about ScripTalk, if his wife has to be away from home for whatever reason he will have the adaptive device and will know what and when he needs to take his medicine. It just made such a difference in this man’s life to become independent in managing his own medications. The BBS Staff worked with Mr. B on some other issues and gave him some other adaptive devices as well.

LIFE-CIL

Another consumer that is totally blind called and shared with the Vision Access Advocate that she would be going into the hospital for breast cancer surgery. This individual has had a stroke and is unable to use one of her arms and inquired about receiving a small talking clock that she could put on her hospital table as she would not be able to wear her talking watch. The Vision Access Advocate provided her with a small talking clock that would not take up a lot of room on her table. Several weeks later she contacted the Vision Access Advocate and explained how much she appreciated having the clock while she was in the hospital. She indicated that being able to access the time when she needed to was so important while she was hospitalized. She indicated that it helped her to stay grounded. This example helps to demonstrate the value of this program to individual needing technology due to their vision loss.

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

In this fiscal year we served more customer than in the previous fiscal year. We had several new hires in the previous year and they were just learning the program and this fiscal year the new staff are able to function more independently.

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 byJanet Sherburne
TitleAssistant Bureau Chief
Telephone312-485-1920
Date signed12/29/2011