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

RSA-7-OB for Colorado Division of Vocational Rehabilitation - H177B120006 report through September 30, 2012

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year470,520
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year176,616
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2647,136
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)71,904
A4. Third party0
A5. In-kind0
A6. Total Matching Funds71,904
A7. Total All Funds Expended719,040
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services719,040

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 1.0000 0.0000 1.0000
2. FTE Contractors 1.1200 9.9400 11.0600
3. Total FTE 2.1200 9.9400 12.0600

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 12 7.7400
2. Employees with Blindness Age 55 and Older 1 0.6600
3. Employees who are Racial/Ethnic Minorities 0 0.0000
4. Employees who are Women 21 11.2450
5. Employees Age 55 and Older 11 6.7200

C. Volunteers

2.00

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 FY1,011
2. Number of individuals who began receiving services in the reported FY515
3. Total individuals served during the reported fiscal year (A1 + A2) 1,526

B. Age

1. 55-59126
2. 60-64115
3. 65-69151
4. 70-74187
5. 75-79170
6. 80-84219
7. 85-89365
8. 90-94146
9. 95-9942
10. 100 & over5
11. Total (must agree with A3)1,526

C. Gender

1. Female1,067
2. Male459
3. Total (must agree with A3)1,526

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race163
2. American Indian or Alaska Native5
3. Asian11
4. Black or African American10
5. Native Hawaiian or Other Pacific Islander2
6. White1,330
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)4
9. Total (must agree with A3)1,526

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)68
2. Legally Blind (excluding totally blind)665
3. Severe Visual Impairment793
4. Total (must agree with A3)1,526

F. Major Cause of Visual Impairment

1. Macular Degeneration932
2. Diabetic Retinopathy81
3. Glaucoma121
4. Cataracts167
5. Other225
6. Total (must agree with A3)1,526

G. Other Age-Related Impairments

1. Hearing Impairment673
2. Diabetes127
3. Cardiovascular Disease and Strokes214
4. Cancer78
5. Bone, Muscle, Skin, Joint, and Movement Disorders525
6. Alzheimer's Disease/Cognitive Impairment67
7. Depression/Mood Disorder63
8. Other Major Geriatric Concerns335

H. Type of Residence

1. Private residence (house or apartment)729
2. Senior Living/Retirement Community616
3. Assisted Living Facility145
4. Nursing Home/Long-term Care facility29
5. Homeless7
6. Total (must agree with A3)1,526

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)79
2. Physician/medical provider63
3. State VR agency28
4. Government or Social Service Agency47
5. Veterans Administration6
6. Senior Center335
7. Assisted Living Facility81
8. Nursing Home/Long-term Care facility24
9. Faith-based organization35
10. Independent Living center64
11. Family member or friend328
12. Self-referral346
13. Other90
14. Total (must agree with A3)1,526

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 1,405
1b. Total Cost from other funds 144
2. Vision screening / vision examination / low vision evaluation 25
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 15,890
1b. Total Cost from other funds 1,726
2. Provision of assistive technology devices and aids 753
3. Provision of assistive technology services 472

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 605,690
1b. Total Cost from other funds 67,302
2. Orientation and Mobility training 269
3. Communication skills 624
4. Daily living skills 892
5. Supportive services (reader services, transportation, personal 318
6. Advocacy training and support networks 385
7. Counseling (peer, individual and group) 726
8. Information, referral and community integration 1,162
. Other IL services 413

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 24,151
1b. Total Cost from other funds 2,732
2. Information and Referral 1,195
3. Community Awareness: Events/Activities 491 4,383

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) 741,759 719,040 -22,719
2. Number of Individuals Served 1,143 1,526 383
3. Number of Minority Individuals Served 155 196 41
4. Number of Community Awareness Activities 215 491 276
5. Number of Collaborating agencies and organizations 37 683 646
6. Number of Sub-grantees 7 2

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 472 100.00%
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) 138 29.24%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 85 18.01%
B1. Number of individuals who received orientation and mobility (O & M) services 269 100.00%
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) 90 33.46%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 174 64.68%
C1. Number of individuals who received communication skills training 624 100.00%
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) 169 27.08%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 278 44.55%
D1. Number of individuals who received daily living skills training 892 100.00%
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) 276 30.94%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 421 47.20%
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) 50 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) 45 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 87 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) 54 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.

Colorado uses a competitive RFP process to award OIB contracts. Currently, there are seven contracts which have been awarded to seven independent living centers. Each contractor covers a multi-county area. Colorado’s OIB program has a large number of peer support groups; many are consumer-facilitated. All contractors provide some level of home visits to assist with removing barriers, marking appliances, and consulting about lighting. All OIB staff continue to have access to the on-line training modules of the American Federation of the Blind. Collaboration continues to be the key for the OIB contractors, particularly with their outreach efforts. Contractors in less rural-more urban areas of the state report that their most successful outreach efforts have involved collaborating with other organizations to present information at health fairs and vendor fairs. Contractors in rural and remote parts of the state report that their most successful outreach efforts continue to be word-of-mouth and support groups.

Current contractors include: Center for Disabilities; Connections for IL; Center for People with Disabilities, Disabled Resource Services; The Independence Center; The Northwest Colorado Center for Independence (formerly the Independent Life Center); and the Southwest Center for Independence.

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.

There was a hiatus of the OIB vendor information-sharing network during the reporting year due to the lag time between previous and new IL Program Coordinators at the DSA. However, the group now meets via conference call every other month. The DSA has also been facilitating dialog between OIB program staff and staff from DVR’s “Homemaker Program”, particularly in rural parts of the state where resources tend to be more limited. Contractors report collaborating with the following organizations and in the following ways: the American Council for the Blind; the National Federation of the Blind; the Colorado Commission for the Blind and Visually Impaired; the CO Division of Vocational Rehabilitation’s Homemaker Program; referrals to the regional ADA Center for consumers who feared losing their job; eye doctors; local Councils on Aging; local weatherization programs; local housing authorities; county fairs; Senior Connection fairs; Senior Centers and Assisted Living facilities; local service clubs; advertising in local papers; developing new and bi-lingual brochures and other materials; email newsletters; large print calendars and address books. Expansion of the program will tend more towards expanding staff skills and knowledge base. The amount of traveling necessary to get to the most underserved OIB consumers means that the program is operating at capacity until more funding becomes available.

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.

There are mixed results for satisfaction surveys, as the contractors struggled with defining the best ways to gather data from this consumer base, more prone to write thank you notes or make phone calls than to complete standard surveys. Generally, input seems to be very positive, with reminders that big training events cause access issues for people who cannot see across large meeting tables or hear speakers without assistance. The DSA and the CO Department of Human Services will begin discussions this next reporting year to develop an evaluation process for the OIB Program; the DSA has asked for assistance from RSA on this issue.

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).

From Center for Disabilities: The program provided loaner CCTVs to two consumers who had previously been unable to read their mail or write letters and cards. Their degree of independence, as well as quality of life is enhanced by this one piece of assistive technology; one of these consumers is in her 90s and lives in one of our most remote towns where the nearest services are 2 — 3 hours away.

From CPWD: An 80 year old consumer with AMD had received several invitations from a neighbor to attend a low vision group; however each time she felt not ready and avoided the conversation. This all changed after a a shopping trip in which she struggled for more than 10 minutes to unlock the door of her apartment. Once opened, the very frustrated consumer took the gallon of milk in her hand and bowled it down the hallway. After this experience she called her neighbor and asked when the next meeting would be occurring. Since attending the program, this client feels she has her life back. Through home visits and explorations of equipment, she now uses a hand-held video magnifier to help her read phone numbers to make calls for our program to remind others of upcoming meetings and encourages others to attend.

From DRS: A retired military nurse learned she could be entitled to VA health care services following OIB support group meetings, printed handouts and articles in monthly OIB newsletters on VA benefits/services. She applied for and now has partial benefits that will cover a complete knee replacement surgery and recently had a comprehensive diabetic eye exam with follow-up services. She expressed her thanks by stating, “I had no idea that I could ever qualify for any of these services as a woman who served in Viet Nam as a nurse”.

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

Colorado’s diverse geography and rural, even pioneer counties limit the extent to which consumers, particularly those with no access to transportation, can participate in services. Services are also impacted by the time and expense associated with staff traveling to consumers. OIB contractors have tried many different ways to gather input from consumers for the 70B’s outcomes and performance measures, with limited success. This reporting year saw significant staff changes in Colorado’s OIB Program—a new IL Program Coordinator came on board part-way through the year and the program was transferred to another unit, with a resulting change in management. Both staff have requested in-depth training on the OIB Program.

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 byNancy Smith
TitleDirector, Division of Vocational Rehabilitation
Telephone303-866-4886
Date signed12/28/2012