|Title VII-Chapter 2 Federal grant award for reported fiscal year||225,000|
|Other federal grant award for reported fiscal year||0|
|Title VII-Chapter 2 carryover from previous year||0|
|Other federal grant carryover from previous year||0|
|A. Funding Sources for Expenditures in Reported FY|
|A1. Title VII-Chapter 2||225,000|
|A2. Total other federal||2,865|
|(a) Title VII-Chapter 1-Part B||0|
|(b) SSA reimbursement||0|
|(c) Title XX - Social Security Act||0|
|(d) Older Americans Act||0|
|A3. State (excluding in-kind)||80,397|
|A4. Third party||40,310|
|A6. Total Matching Funds||125,348|
|A7. Total All Funds Expended||353,213|
|B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs||50,049|
|C. Total expenditures and encumbrances for direct program services||303,164|
FTE (full time equivalent) is based upon a 40-hour workweek or 2080 hours per year.
|Program Staff||a) Administrative and Support||b) Direct Service||c) Total|
|1. FTE State Agency||0.1000||0.0000||0.1000|
|2. FTE Contractors||0.4040||3.8910||4.2950|
|3. Total FTE||0.5040||3.8910||4.3950|
|a) Number employed||b) FTE|
|1. Employees with Disabilities||20||3.0930|
|2. Employees with Blindness Age 55 and Older||3||0.2215|
|3. Employees who are Racial/Ethnic Minorities||7||0.2630|
|4. Employees who are Women||26||4.1780|
|5. Employees Age 55 and Older||11||1.7410|
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.
|1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY||158|
|2. Number of individuals who began receiving services in the reported FY||211|
|3. Total individuals served during the reported fiscal year (A1 + A2)||369|
|10. 100 & over||2|
|11. Total (must agree with A3)||369|
|3. Total (must agree with A3)||369|
|1. Hispanic/Latino of any race||4|
|2. American Indian or Alaska Native||98|
|4. Black or African American||14|
|5. Native Hawaiian or Other Pacific Islander||5|
|7. Two or more races||0|
|8. Race and ethnicity unknown (only if consumer refuses to identify)||6|
|9. Total (must agree with A3)||369|
|1. Totally Blind (LP only or NLP)||17|
|2. Legally Blind (excluding totally blind)||80|
|3. Severe Visual Impairment||272|
|4. Total (must agree with A3)||369|
|1. Macular Degeneration||133|
|2. Diabetic Retinopathy||44|
|6. Total (must agree with A3)||369|
|1. Hearing Impairment||107|
|3. Cardiovascular Disease and Strokes||128|
|5. Bone, Muscle, Skin, Joint, and Movement Disorders||150|
|6. Alzheimer's Disease/Cognitive Impairment||18|
|7. Depression/Mood Disorder||30|
|8. Other Major Geriatric Concerns||117|
|1. Private residence (house or apartment)||306|
|2. Senior Living/Retirement Community||20|
|3. Assisted Living Facility||16|
|4. Nursing Home/Long-term Care facility||25|
|6. Total (must agree with A3)||369|
|1. Eye care provider (ophthalmologist, optometrist)||94|
|2. Physician/medical provider||41|
|3. State VR agency||21|
|4. Government or Social Service Agency||12|
|5. Veterans Administration||1|
|6. Senior Center||20|
|7. Assisted Living Facility||3|
|8. Nursing Home/Long-term Care facility||19|
|9. Faith-based organization||0|
|10. Independent Living center||29|
|11. Family member or friend||54|
|14. Total (must agree with A3)||369|
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.
|1a. Total Cost from VII-2 funds||26,252|
|1b. Total Cost from other funds||19,100|
|2. Vision screening / vision examination / low vision evaluation||202|
|3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions||0|
|1a. Total Cost from VII-2 funds||38,443|
|1b. Total Cost from other funds||12,869|
|2. Provision of assistive technology devices and aids||273|
|3. Provision of assistive technology services||300|
|1a. Total Cost from VII-2 funds||110,183|
|1b. Total Cost from other funds||36,286|
|2. Orientation and Mobility training||32|
|3. Communication skills||229|
|4. Daily living skills||315|
|5. Supportive services (reader services, transportation, personal||119|
|6. Advocacy training and support networks||74|
|7. Counseling (peer, individual and group)||102|
|8. Information, referral and community integration||190|
|. Other IL services||49|
|Cost||a. Events / Activities||b. Persons Served|
|1a. Total Cost from VII-2 funds||44,672|
|1b. Total Cost from other funds||27,885|
|2. Information and Referral||106|
|3. Community Awareness: Events/Activities||190||3,020|
|a) Prior Year||b) Reported FY||c) Change ( + / - )|
|1. Program Cost (all sources)||273,762||303,164||29,402|
|2. Number of Individuals Served||330||369||39|
|3. Number of Minority Individuals Served||107||131||24|
|4. Number of Community Awareness Activities||161||190||29|
|5. Number of Collaborating agencies and organizations||79||86||7|
|6. Number of Sub-grantees||4||4|
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||300||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)||123||41.00%|
|A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period.||76||25.33%|
|B1. Number of individuals who received orientation and mobility (O & M) services||32||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)||20||62.50%|
|B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period.||1||3.13%|
|C1. Number of individuals who received communication skills training||229||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)||99||43.23%|
|C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period.||68||29.69%|
|D1. Number of individuals who received daily living skills training||315||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)||132||41.90%|
|D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period.||51||16.19%|
|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)||129||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)||9||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)||4||n/a|
|E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only)||15||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)||3||n/a|
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 Alaska Division of Vocational Rehabilitation continues to administer Independent Living Services for Older Individuals who are Blind through four contracts with non-profit agencies. Contracting to agencies located throughout the state assists us in providing services for those who live in both rural, remote and urban areas. Services are provided in a variety of venues including individuals’ homes, senior centers, nursing homes, in-house at contractors’ agencies and out in communities. Of the four agencies we contract with, three are Centers for Independent Living, (CILs). Many of the Older Blind participants also receive other IL services that the CILs provide. The other contractor, the Alaska Center for the Blind and Visually Impaired, provides services specifically to individuals who are blind and visually impaired. Many Older Blind participants receive specialized services through this agency.
The four contractors are:
• The Alaska Center for the Blind and Visually Impaired, (South Central Alaska) • Access Alaska, (CIL), Fairbanks, (Interior and Northern Alaska) • Independent Living Center, Homer (Kenai Peninsula) • Southeast Alaska Independent Living, (Southeast Alaska)
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.
In such a large, expansive state it is important for all contractors to collaborate and work closely with other agencies and individuals such as Optometrists, Nursing Homes, Division of Vocational Rehabilitation, Senior Centers, Lions Clubs, Talking Book Libraries, Public Health Agencies, Tribal Vocational Rehabilitation Programs, and a multitude of other service providers.
Contractors continue to utilize technology to reach and identify eligible individuals in rural areas. One contractor has purchased webcams to better communicate with their staff and consumers in their satellite offices. One contractor became a member of a group of Senior Agency Providers who decided to conduct outreach to seniors who reside in Senior/Disabled Housing Complexes. They met in three complexes and shared much information with the seniors who reside there. The seniors in attendance appreciated this format as the provider had come to them with information, rather than the seniors having to seek out appropriate services and providers. Another contractor partnered with Tlingit and Haida tribes of Southeast Alaska, and worked with their Elders and Caregiver Services program. As a result, they identified many older individuals challenged with low vision issues and provided them with information/education on low vision aides, assistive technology that has enhanced the quality of their lives and increased their independence.
Presentations are made and brochures are distributed at a variety of health fairs and senior centers throughout the state.
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.
Each individual served through the Older Blind program is given an opportunity to express their satisfaction/dissatisfaction with the services they receive. This is conducted in a variety of ways including written surveys and 3rd party interviews. Contactors have stated that the best way to get feedback from this population is directly, through conversations with each individual. This approach allows for more detailed, personal responses. Written surveys are distributed, but the response rate is lower (23%) than getting feedback through personal interviews (90% +). Overall the feedback has been positive and respondents report being satisfied with the services. They report the program provides valuable resources and opportunities to actually try out a variety of devices and low vision aides. Our contractors in Alaska not only assess satisfaction, they listen to and make changes based upon the feedback received. Through the satisfaction assessment process it was discovered that a number of individuals wanted to learn more about nutrition and safety in the kitchen. A Nutritionist from Cooperative Extension was contacted and together with an older blind individual who was an experienced cook, they held workshops on nutrition and over the course of several months, taught a number of hands-on cooking classes. Participants enjoyed learning the finer details of cooking with a visual impairment, such as how to measure ingredients, how to cut safely with a knife and how to tell when meat was cooked.
Here is a sample of responses from older blind participants: “This program opened up my vanishing world through support and magnification devices.” “They treated me so good, I felt like Elvis Presley.” “The audio books are a real joy, and the magnifier has let me return to the bead and artwork I truly love. I feel productive again, much more fulfilled.” “I learned so much during this clinic and am excited about using the new equipment!” “Thanks for coming to my home. I now know a lot more about how to live with vision loss and still be independent.”
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).
A gentleman in his early 60’s with a rapidly deteriorating eye condition was provided with a functional low vision assessment. Following the assessment he indicated he wanted to be able to walk safely in the religious community of which he is a leader, and was provided O & M instruction. He was feeling confident until he learned recently that his vision was expected to diminish greatly in a very short period of time. As a result, he was given additional O & M instruction and instruction in activities of daily living. He reported that although he is not yet able to accept his current and projected vision loss, he is feeling more capable of living independently and safely because of the services he received.
Paulette is a fifty-six year old woman who has suffered severe domestic abuse that lead to a TBI, vision loss and depression. She also experiences other physical difficulties due to a previous work injury. Through the Older Blind program Paulette received a low vision assessment, low vision aides and assistance in purchasing glasses. She also received other wrap around services offered through the CIL, including assistance in getting Social Security, Adult Public Assistance, Senior Benefits and received specialized Medicare counseling from certified CIL staff. Paulette stated she was very interested in working again and was referred to the Division of Vocational Rehabilitation for assistance. She is currently receiving services from several organizations to gain the tools and learn the skills needed to live safely and independently.
An elder and his adult daughter came and participated for the first time in a peer support low vision group. The elder explained that one of his greatest passions in life is reading and he is no longer able to read books which interest him. He also added that the state library does not offer these books in the BARD system for audio playback. Through research the contractor found a Kindle application for his computer that downloads books for him to read in large print. The contractor also arranged for a volunteer who meets with him weekly to assist in locating and downloading books online which interest him.
E. Finally, note any problematic areas or concerns related to implementing the Title VII-Chapter 2 program in your state.
One of the largest obstacles to individuals with low vision is the lack of funding to obtain eye treatment, glasses and assistive technology they need to live independently. Many people who seek OB services cannot afford eye care or eye glasses. Consequently, many continue to live with blurry vision or even worse, with a treatable eye condition which they can’t afford to treat and results in complete loss of vision. Several contractors report how difficult it is to show people assistive technology that would greatly improve their lives, but have no way to assist them in purchasing it.
Travel within Alaska continues to be expensive and occasionally impossible. The majority of the state is predominantly rural with many communities not connected with a road system. Travel during the winter months, October through March, is often not possible due to inclement weather. Many of our contractors schedule travel and outreach activities in the spring and summer, and although individuals residing in these rural areas receive services, they are sporadic.
There are very few O & M specialists in Alaska, and virtually none in remote areas. The high cost of travel combined with contracted expenses, results in very limited availability of O & M and other specialized services.
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 by||Velja Elstad|
|Title||IL OIB Program Coordinator|