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

RSA-7-OB for Rehabilitation Services Administration, DC Dept. on Disability Services - H177B120051 report through September 30, 2012

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year225,000
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year207,985
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2184,304
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)25,000
A4. Third party0
A5. In-kind0
A6. Total Matching Funds25,000
A7. Total All Funds Expended209,304
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs52,619
C. Total expenditures and encumbrances for direct program services156,685

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 0.1200 1.1600 1.2800
2. FTE Contractors 0.0000 0.8200 0.8200
3. Total FTE 0.1200 1.9800 2.1000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 5 0.5400
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 3 1.4400
4. Employees who are Women 3 0.7800
5. Employees Age 55 and Older 3 0.3700

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 FY12
2. Number of individuals who began receiving services in the reported FY121
3. Total individuals served during the reported fiscal year (A1 + A2) 133

B. Age

1. 55-5918
2. 60-6428
3. 65-6924
4. 70-7420
5. 75-7915
6. 80-8415
7. 85-8910
8. 90-942
9. 95-991
10. 100 & over0
11. Total (must agree with A3)133

C. Gender

1. Female96
2. Male37
3. Total (must agree with A3)133

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race9
2. American Indian or Alaska Native0
3. Asian10
4. Black or African American100
5. Native Hawaiian or Other Pacific Islander0
6. White14
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)133

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)23
2. Legally Blind (excluding totally blind)110
3. Severe Visual Impairment0
4. Total (must agree with A3)133

F. Major Cause of Visual Impairment

1. Macular Degeneration26
2. Diabetic Retinopathy41
3. Glaucoma26
4. Cataracts26
5. Other14
6. Total (must agree with A3)133

G. Other Age-Related Impairments

1. Hearing Impairment11
2. Diabetes47
3. Cardiovascular Disease and Strokes65
4. Cancer30
5. Bone, Muscle, Skin, Joint, and Movement Disorders67
6. Alzheimer's Disease/Cognitive Impairment15
7. Depression/Mood Disorder31
8. Other Major Geriatric Concerns35

H. Type of Residence

1. Private residence (house or apartment)88
2. Senior Living/Retirement Community20
3. Assisted Living Facility20
4. Nursing Home/Long-term Care facility5
5. Homeless0
6. Total (must agree with A3)133

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)10
2. Physician/medical provider5
3. State VR agency15
4. Government or Social Service Agency10
5. Veterans Administration0
6. Senior Center45
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization5
10. Independent Living center0
11. Family member or friend36
12. Self-referral7
13. Other0
14. Total (must agree with A3)133

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 0
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 0
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 0
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 125
3. Provision of assistive technology services 125

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 30,000
1b. Total Cost from other funds 0
2. Orientation and Mobility training 80
3. Communication skills 125
4. Daily living skills 125
5. Supportive services (reader services, transportation, personal 125
6. Advocacy training and support networks 125
7. Counseling (peer, individual and group) 125
8. Information, referral and community integration 125
. Other IL services 15

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Information and Referral 175
3. Community Awareness: Events/Activities 0 175

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) 124,851 209,304 84,453
2. Number of Individuals Served 65 133 68
3. Number of Minority Individuals Served 63 119 56
4. Number of Community Awareness Activities 0 30 30
5. Number of Collaborating agencies and organizations 0 20 20
6. Number of Sub-grantees 1 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 125 100.00%
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) 95 76.00%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 30 24.00%
B1. Number of individuals who received orientation and mobility (O & M) services 80 100.00%
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) 65 81.25%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
C1. Number of individuals who received communication skills training 125 100.00%
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. 0 0.00%
D1. Number of individuals who received daily living skills training 125 100.00%
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) 85 68.00%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 30 24.00%
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) 90 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) 0 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 85 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.

As stated in the FY 2011 report while the IL older blind consumers who are able to fully access and participate in the DC CIL program, the agency is taking steps to diversify the service providers affiliated with the program through the development of an Independent Living Services Human Care Agreement. This IL Human Care Agreement will enable the agency to select from a catalog of IL services that will include specialized services and certified specialist in the field of blind rehabilitation, Orientation and Mobility, adaptive technology, and Vision Therapy A VR counselor has now been assigned to the visual impairment unit to focus on coordinating all IL services, including the IL Older Blind program. This addition to the visual impairment unit will enhance the agency’s capacity to better serve IL OB consumers with multiple disabilities, including those who are deaf blind. The primary HCA providers are Columbia Lighthouse for the Blind, the DC CIL, and the Metropolitan Washington EAR. Outreach activities are constant and a very important activity for the population served. The DCCIL, Inc. Columbia Lighthouse for the Blind and RSA’s Visual Impairment Unit work within the community to reach the underserved and/or unserved populations by reaching out to such community resources as the church, community leaders, local doctor’s offices, and hospitals. In addition to the above mentioned activities, RSA is in collaboration with the Martin Luther King Jr. Library and the National Federation of the Blind to utilize its News Line to reach the rich and diverse population residing in the Washington, DC metropolitan area

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.

During FY 2012, Seabury Resources for Aging Center for the Blind (SRACB) in partnership with the Columbia Lighthouse for the Blind (CLB), hereinafter referred to as the Grantee and the Department on Disability Services/Rehabilitation Services Administration, hereinafter referred to as DDS/RSA, mutually agreed to the follow in support of the OIB program A.In collaboration with the DC Office on Aging provide a nutritious lunch, independent living skills training, Braille and other communication skills training, music therapy, arts & crafts, recreational trips, and counseling, case management and transportation to and from the Center five days a week to a minimum of 10 older blind consumers daily. B.In collaboration with the DC RSA Division Services for the Blind Program Administrator support the coordination of existing services among agencies and organizations within the District of Columbia providing recreational, IL and aging related services to the target population. . C.Assist 25 individuals in the target population to remain in their present living arrangements through independent living skills training by September 30, 2012 Independent Living Services in the home (this includes cooking, cleaning, dressing, organizational skills, taking medications, etc.)

Additionally an MOU with the DC office on Aging is slated to be finalized in FY 13 in an effort to maintain this partnership and enhance the agency’s capacity serve older blind consumers in all quadrants of the District.

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.

No activities occurred during fY 12. Satisfaction surveys and community feedback sessions are being planned for FY 13 following the finalization of the MOU between DDS and DC Ofice on Aging.

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. Consumer in his 70s attending the DCCIL/OIB Training Center who has Glaucoma received extensive O&M training in preparation for dog guide school. This included intersection and traffic cycle analysis with and without a blindfold and the use of the long cane. Working on sensory cues, hearing openings, and overheads were some of the techniques covered. He also learned about auditory cues he could use to cue his dog. These lessons gave him the appropriate skills to attend the dog guide school with confidence and the proper orientation and mobility skills required.

B. Another OIB consumer story as told by her daughter:

Her family knows Ms. J. as someone who loved to swing dance at any chance, lived through World War II with grace, always spoke well of others, and loved unconditionally. As her sight began to fail, myself and her family began to hear her say things like, "Why should I get out of bed today?" "Who would want to spend time with me?" "What good am I without my sight like I once had?" We needed help and in our search found the DCCIL/OIB services for the Blind.

Their first step in helping us was DCCIL/OIB Rehabilitation Teacher’s visit to Ms. J’s home to do a personal and home assessment. Consequently, twice week the center’s transportation would arrive on time and escort her onto the bus with her purse in one hand and her cane in the other.

Once a week at dinner my mom would share about the new skills she learned, friends she made food she helped prepare and how she learned to express her thoughts and feelings. I learned from the Center how to support my mom better understand her point of view in her changing world. There was one vital skill my mom learned from the DCCIL/OIB training facility that won’t be found in a program schedule or a class list. It was the skill to not lose that quality that keeps you going in spite of your circumstances. My mom found hope again.

Today her family is ecstatic when we hear mom say things like: "I must get up because the day waits." "I am loved, gifted and creative and just have a vision challenge." Thank you for helping my mom find her independence and love of life.

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

The Independent Living Services Program has been going through major transition throughout the fiscal year, which significantly impacted the administering and management of services relative to the ILOB program. In fiscal year 2012, the data base system, System 7, apparently had not yet been customized to capture a lot of the service categories, forms and letters did not include IL language, along with other glitches that impacted timely delivery of services. The IL Services program was included an a reorganization assignment under the Division Services for the Blind which resulted in staff changes that did not include appropriate level of office support to the only IL Counselor . IL policies and procedures have not yet been clearly defined by the agency’s senior management team, which also affected the service delivery process. One of the recommendations sited within the FY 2012 independent contractual review of the organizational structure of the Division Services for the Blind, was that the general IL Services program not be operated under the Division Services for the Blind, only IL services relative to the blind be administered under this specialized Division . Plans are underway to take corrective action to address these issues in FY 13.

Despite these barriers, the IL Counselor was able to provide specialized services along with support from the HCA providers to over 75 ILOB consumers

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 byEdna E Johnson
TitleProgram Administrator, Division Services f/t Blind
Telephone202-442-8419
Date signed04/05/2012