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

RSA-7-OB for Michigan Commission for the Blind - H177B110022 report through September 30, 2011

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year1,080,428
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year165,595
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 21,076,500
A2. Total other federal243,856
(a) Title VII-Chapter 1-Part B195,000
(b) SSA reimbursement48,856
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)141,285
A4. Third party0
A5. In-kind0
A6. Total Matching Funds141,285
A7. Total All Funds Expended1,461,641
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services1,461,641

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 1.5000 8.2500 9.7500
2. FTE Contractors 1.0000 4.0000 5.0000
3. Total FTE 2.5000 12.2500 14.7500

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 9 6.5000
2. Employees with Blindness Age 55 and Older 7 6.2500
3. Employees who are Racial/Ethnic Minorities 6 4.2500
4. Employees who are Women 20 12.5000
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 FY107
2. Number of individuals who began receiving services in the reported FY894
3. Total individuals served during the reported fiscal year (A1 + A2) 1,001

B. Age

1. 55-5991
2. 60-64102
3. 65-6995
4. 70-74101
5. 75-79142
6. 80-84160
7. 85-89179
8. 90-9499
9. 95-9930
10. 100 & over2
11. Total (must agree with A3)1,001

C. Gender

1. Female701
2. Male300
3. Total (must agree with A3)1,001

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race14
2. American Indian or Alaska Native3
3. Asian0
4. Black or African American138
5. Native Hawaiian or Other Pacific Islander0
6. White766
7. Two or more races42
8. Race and ethnicity unknown (only if consumer refuses to identify)38
9. Total (must agree with A3)1,001

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)55
2. Legally Blind (excluding totally blind)902
3. Severe Visual Impairment44
4. Total (must agree with A3)1,001

F. Major Cause of Visual Impairment

1. Macular Degeneration573
2. Diabetic Retinopathy133
3. Glaucoma115
4. Cataracts11
5. Other169
6. Total (must agree with A3)1,001

G. Other Age-Related Impairments

1. Hearing Impairment77
2. Diabetes74
3. Cardiovascular Disease and Strokes138
4. Cancer31
5. Bone, Muscle, Skin, Joint, and Movement Disorders164
6. Alzheimer's Disease/Cognitive Impairment12
7. Depression/Mood Disorder32
8. Other Major Geriatric Concerns126

H. Type of Residence

1. Private residence (house or apartment)699
2. Senior Living/Retirement Community193
3. Assisted Living Facility36
4. Nursing Home/Long-term Care facility73
5. Homeless0
6. Total (must agree with A3)1,001

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)176
2. Physician/medical provider65
3. State VR agency22
4. Government or Social Service Agency41
5. Veterans Administration27
6. Senior Center55
7. Assisted Living Facility14
8. Nursing Home/Long-term Care facility13
9. Faith-based organization14
10. Independent Living center14
11. Family member or friend231
12. Self-referral298
13. Other31
14. Total (must agree with A3)1,001

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 17,522
1b. Total Cost from other funds 651
2. Vision screening / vision examination / low vision evaluation 510
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 46

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 6,187
1b. Total Cost from other funds 2,820
2. Provision of assistive technology devices and aids 521
3. Provision of assistive technology services 570

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 137,220
1b. Total Cost from other funds 57,497
2. Orientation and Mobility training 659
3. Communication skills 540
4. Daily living skills 586
5. Supportive services (reader services, transportation, personal 233
6. Advocacy training and support networks 270
7. Counseling (peer, individual and group) 481
8. Information, referral and community integration 496
. Other IL services 536

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 250
1b. Total Cost from other funds 0
2. Information and Referral 568
3. Community Awareness: Events/Activities 14 703

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) 1,569,632 1,461,641 -107,991
2. Number of Individuals Served 1,178 1,001 -177
3. Number of Minority Individuals Served 219 197 -22
4. Number of Community Awareness Activities 602 14 -588
5. Number of Collaborating agencies and organizations 12 12 0
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 570 100.00%
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) 54 9.47%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 424 74.39%
B1. Number of individuals who received orientation and mobility (O & M) services 659 100.00%
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) 24 3.64%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 515 78.15%
C1. Number of individuals who received communication skills training 540 100.00%
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. 395 73.15%
D1. Number of individuals who received daily living skills training 586 100.00%
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) 0 0.00%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 438 74.74%
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) 82 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) 1 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) 9 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.

The Michigan Commission for the Blind during the past service year explored a variety of ways to provide services to unserved and underserved population through its collaboration with various community agencies. The agency continues to focus on a number of minority populations throughout the state. The Native American Health Center provided the agency with an opportunity to share with the urban health centers within the major cities in Michigan. These centers provide a variety of services to Native Americans; therefore, MCB was able to discuss independent living services as well as to demonstrate various technical devices that would enable individuals to be able to manage their lives more effectively within their home and home environment. As a result of these activities, MCB has increased services to Native Americans who are blind and visually impaired. The unserved and underserved populations continue to be a priority of the agency as it assesses its service delivery to Hispanics/Latinos and African Americans.

One of MCB’s highlights during the past service year where the agency reached out to a large audience of individuals with vision impairments as well as other disabilities was at the Escanaba State Fair which provided an opportunity to showcase MCB’s services to attendees who are blind and visually impaired seniors, as well as minority groups. The agency displayed independent living devices, visual aids, and information regarding its services. A number of referrals resulted from MCB’s presence at the week long fair.

MCB initiated an outreach project for senior centers throughout the state. The project provided MCB an opportunity to work collaboratively with senior centers to increase awareness of MCB services to persons who are blind and visually impaired. Further, the agency provided the centers with technology equipment and software, as well as instructions to assist visually impaired participants the opportunity to gain skills in the utilization of computers. These centers will provide MCB with updated information regarding the usage of the equipment thereby affording the agency the opportunity to increase independent living services to participants. The initial projection was to provide the services to fifteen sites although the demand was great and the agency was able to provide the equipment and the instructions for eighteen sites with the assistants of the American Recovery and Reinvention Act (ARRA). MCB will continue to work with the area agencies on aging to increase awareness of MCB’s services and to provide expanded opportunities to increase technology awareness to seniors who are blind and visually impaired.

Several of the independent living staff continues to develop effective relationships with faith based organizations that provides senior services. These agencies allow MCB’s staff to discuss its services and to demonstrate basic technical equipment that is used in one’s daily living activities.

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.

As a result of the agencies outreach activities, more individuals who are blind and are not able to utilize English as their primary language, has afforded MCB the opportunity to develop collaborative relationships with various agenices that can assist with translating services regarding MCB’s independent living services A number of these individuals has expressed an interest in Braille as a means of communications. The staff continues to explore ways to assist with providing Braille and other communication devices as well as technology to these individuals.

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.

MCB conducted a survey this year. However the results were not yet available by the time of this report.

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).

An IL consumer was referred for services through the Independent Living Program after he and his wife had toured the MCB Training center. They had “stumbled” upon the Center as a resource as a result of word of mouth. He was very interested in attending MCBTC, but he did not yet know all the wondrous possibilities which are available to him and other people who have experienced vision loss. After we had talked for a few minutes during our first face-to-face meeting, he sighed and said he now realized he “wouldn’t have to go into a nursing home if his wife died first”.

This consumer was interested in whatever rehabilitation opportunities were available as soon as he could get involved in them. He essentially responded “yes!” to any and all options that I described to him and was ready to go to whichever he could get to first. We started with paperwork for MCBTC. He readily signed up for a mini adjustment program which he attended within 3 months.

He stated from the beginning he might be interested in returning to some sort of employment, and we began to focus on independent skills then possible employment. He attended MCBTC within several months of the mini and said he really learned a lot. At this point, he decided he was not ready to resume employment, and his IL case was closed with the knowledge that he could always pick up should he decide he would like to consider returning to employment.

During the ensuing year, he contacted me several times to obtain materials to share with others about services from MCB and to report on people he had met with whom he had shared contact information for MCB and me. He encouraged numerous people to “make the call” to get involved in their own rehabilitation, and several told me they contacted MCB because of their contact with the consumer even though they sometimes didn’t remember his name. When I spoke with the consumer today, he said his latest activity is with a Low Vision Support Group which is sponsored by the local Lions club and is “busy handing out MCB business cards”.

About a year later, he again contacted me because he had worn out his Bulldog(TM) rolling cane tip and wanted to know how to get a new one. He was also interested in some kind of part-time employment. He is now involved with the Vocation Rehabilitation Counselor and is pursuing employment through MCB’s VR program. He has a new cane tip and has resumed his wanderings around spreading the word to everyone he meets about services and assistance available to individuals who are blind or have low vision from the Michigan Commission for the Blind.

This consumer had contacted the Michigan Commission for the Blind because he wanted to remain independent in his own home (not go to a nursing home). He has one last goal before he dies, and that is to finish a book about his wife who died of cancer at age 50. He was in the process of writing the book before he lost his vision.

He first contact was with the Saginaw office of the Commission for the Blind in August 2010. The main services provided were Communications, Low Vision and Activities of Daily Living. The focus of services was to aid the client in his ability to finish writing his book about his family.

The client was provided bold lined paper, 20/20 black felt tip pen, a donated/returned Panasonic Portable cassette recorder/player, 3X/7.6D LED stand magnifier, MaxDetail glasses, a donated/returned MaxTV glasses, 2 food bumpers and a liquid level indicator.

At the time of follow-up in February 2011, he was doing well and busy writing his family story because at 90 years old he wants to get it all written down to leave behind. He uses the bold lined paper and reported that this allows him to write 30-40 pages at a time. He has someone else type from his handwritten pages. He then uses the provided lighted magnifier to read the last pages to know where he left off in the story. The magnifiers are also a big help for reading the headlines in the paper and he can read an article if he has to. He uses the magnifier for reading his medicine bottles and directions for meal preparation. He also uses the MaxTV glasses for watching TV such as football. This consumer states that he “loves” the large print check register and thought it was “dandy”. He was an accountant and it is important to him to keep track of his finances. His daughter pays the bills, but he keeps track of checks, deposits, etc.

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

The Michigan Commission for the Blind continues to develop working relationships with its community partners to minimize any possible interruptions in service delivery. The agency continues to work internally with its client tracking system to improve data collections.

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 byLeamon Jones
TitleConsumers Services Director
Telephone517-373-0579
Date signed01/31/2012