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

RSA-7-OB for Kansas Department for Children and Families - H177B110016 report through September 30, 2011

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year289,959
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year444,757
Other federal grant carryover from previous year321,368
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2617,023
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)28,190
A4. Third party0
A5. In-kind0
A6. Total Matching Funds28,190
A7. Total All Funds Expended645,213
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs188,052
C. Total expenditures and encumbrances for direct program services457,161

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 0.3400 0.4000 0.7400
2. FTE Contractors 1.3100 6.1500 7.4600
3. Total FTE 1.6500 6.5500 8.2000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 10 1.2100
2. Employees with Blindness Age 55 and Older 5 1.2400
3. Employees who are Racial/Ethnic Minorities 3 0.9300
4. Employees who are Women 28 5.9700
5. Employees Age 55 and Older 5 0.6300

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 FY14
2. Number of individuals who began receiving services in the reported FY435
3. Total individuals served during the reported fiscal year (A1 + A2) 449

B. Age

1. 55-5941
2. 60-6441
3. 65-6937
4. 70-7440
5. 75-7954
6. 80-8480
7. 85-8991
8. 90-9449
9. 95-9915
10. 100 & over1
11. Total (must agree with A3)449

C. Gender

1. Female336
2. Male113
3. Total (must agree with A3)449

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race6
2. American Indian or Alaska Native5
3. Asian1
4. Black or African American22
5. Native Hawaiian or Other Pacific Islander1
6. White401
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)13
9. Total (must agree with A3)449

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)25
2. Legally Blind (excluding totally blind)162
3. Severe Visual Impairment262
4. Total (must agree with A3)449

F. Major Cause of Visual Impairment

1. Macular Degeneration248
2. Diabetic Retinopathy31
3. Glaucoma47
4. Cataracts10
5. Other113
6. Total (must agree with A3)449

G. Other Age-Related Impairments

1. Hearing Impairment87
2. Diabetes111
3. Cardiovascular Disease and Strokes134
4. Cancer34
5. Bone, Muscle, Skin, Joint, and Movement Disorders229
6. Alzheimer's Disease/Cognitive Impairment9
7. Depression/Mood Disorder53
8. Other Major Geriatric Concerns35

H. Type of Residence

1. Private residence (house or apartment)358
2. Senior Living/Retirement Community51
3. Assisted Living Facility32
4. Nursing Home/Long-term Care facility8
5. Homeless0
6. Total (must agree with A3)449

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)161
2. Physician/medical provider16
3. State VR agency9
4. Government or Social Service Agency22
5. Veterans Administration2
6. Senior Center43
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization1
10. Independent Living center33
11. Family member or friend40
12. Self-referral31
13. Other91
14. Total (must agree with A3)449

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 6,390
1b. Total Cost from other funds 420
2. Vision screening / vision examination / low vision evaluation 31
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 92,761
1b. Total Cost from other funds 6,096
2. Provision of assistive technology devices and aids 276
3. Provision of assistive technology services 174

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 124,300
1b. Total Cost from other funds 8,169
2. Orientation and Mobility training 29
3. Communication skills 20
4. Daily living skills 233
5. Supportive services (reader services, transportation, personal 35
6. Advocacy training and support networks 39
7. Counseling (peer, individual and group) 61
8. Information, referral and community integration 142
. Other IL services 44

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 205,519
1b. Total Cost from other funds 13,506
2. Information and Referral 110
3. Community Awareness: Events/Activities 38 887

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) 204,904 645,213 440,309
2. Number of Individuals Served 366 449 83
3. Number of Minority Individuals Served 33 48 15
4. Number of Community Awareness Activities 8 38 30
5. Number of Collaborating agencies and organizations 14 22 8
6. Number of Sub-grantees 3 3

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 174 100.00%
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) 126 72.41%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 35 20.11%
B1. Number of individuals who received orientation and mobility (O & M) services 29 100.00%
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) 18 62.07%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 7 24.14%
C1. Number of individuals who received communication skills training 20 100.00%
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) 19 95.00%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 1 5.00%
D1. Number of individuals who received daily living skills training 233 100.00%
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) 228 97.85%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 5 2.15%
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) 178 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) 30 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 4 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) 1 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.

During FFY 2011,Kansas Rehabilitation Services (KRS) provided services for the older blind independent living program through a community-based model of service delivery through contractors. Contracts with three entities were established in August of 2010 providing statewide coverage. The contractors are a consortium of independent living centers led by Prairie Independent Living Resource Center, Hutchison; Alphapointe Association for the Blind, Kansas City; and Envision Vision Rehabilitation Center, Wichita. These contractors are listed as Sub-grantees in Part V, sec. A6. Between the 3 contractors, 38 events or activities for community awareness and outreach were done across the state of Kansas with individualized follow-up and services provided as necessary. Media campaigns (including print and radio) were also done by all three contractors to increase knowledge and awareness to consumers, some specifically targeting underserved and unserved populations across the state.

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.

Elderly Kansans who are blind or visually impaired have had greater access to services to support their independent living goals as a result of the local/community contractors. (See Part A.) The service delivery model has been redesigned to be a contractor model, which has increased both capacity and coverage. Kansas increased the direct service staff FTE from 2 in the old KANSAIL model to 6.55 with the new contractor model. Contractors have direct service staff located in Kansas City, Wichita, Lawrence, Hutchinson, Dodge City, Hays, Osage City, Parsons and Pittsburg. Previously all state staff was based in Topeka. These changes have resulted in greater access to services through regional locations.

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.

The three contractors used various forms of evaluations and satisfaction surveys including mailing and emailing surveys and random face to face surveys. All three of the contractors noted limited return of evaluations or surveys. Results from the contractors include: “Consumers have demonstrated a general satisfaction rating of 92.3% of all question responses being positive. Additionally, consumer identified goals were successfully completed, by the consumer’s standards, at a rate of 93.9%” “Overall, consumers were very satisfied with the program services they received. Of the consumers who were interested in obtaining functional gains in their activities of daily living, they were successful and very satisfied with the OT, O&M and AT services that they received. There was a small percentage of consumers who preferred someone else provide their basic services. Consumers were very thrilled with the adaptive aids that were provided through the grant. Many commented on how much easier tasks are to complete since they have received the aids.”

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).

Independent living services for persons who are older blind have significant impact on independence and quality of life. Here are three examples which illustrate the impact of services: 1. A consumer struggled with correctly identifying medications, reading mail and paying her bills. This consumer was seen in her home by an Occupational Therapist and was given instruction in the use of lighting and a low-powered illuminated hand-held magnifier, which she could use to access her medications, mail and bills. This consumer was instructed in the use of a check writing guide, signature guide and 20/20 pens. The consumer was also given a talking clock and watch so she could independently tell time. The consumer was very satisfied to know she could set up her medications and pay her bills independently with the right tools and training. 2. Staff assisted a consumer in acquiring funding for and obtaining a computer with specialized Zoom Text software installed on it. The consumer was then able to complete an educational training course and has been able to publish her short stories. 3. A consumer was instructed by an Occupational Therapist on how to use adaptive equipment to independently administer insulin and check her blood glucose levels. This consumer is active in a senior legislative group and received instruction on how to use a hand held video magnifier so she can continue participation in the group. She also learned how to utilize adaptive writing aids and labeling methods to increase independence. The consumer reported that her life has changed since receiving these services.

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

None

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 byMichael Donnelly
TitleDirector of Rehabilitation Services
Telephone785-368-7471
Date signed12/29/2011