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

RSA-7-OB for Delaware Division for the Visually Impaired - DHHS Campus - H177B120008 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 year33,218
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2216,532
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)193,197
A4. Third party1,850
A5. In-kind12,210
A6. Total Matching Funds207,257
A7. Total All Funds Expended423,789
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs113,662
C. Total expenditures and encumbrances for direct program services310,127

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 0.8000 2.4000 3.2000
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.8000 2.4000 3.2000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 2 0.8000
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 4 1.5000
4. Employees who are Women 7 2.8000
5. Employees Age 55 and Older 3 3.0000

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 FY142
2. Number of individuals who began receiving services in the reported FY196
3. Total individuals served during the reported fiscal year (A1 + A2) 338

B. Age

1. 55-5926
2. 60-6426
3. 65-6934
4. 70-7433
5. 75-7935
6. 80-8455
7. 85-8961
8. 90-9448
9. 95-9918
10. 100 & over2
11. Total (must agree with A3)338

C. Gender

1. Female237
2. Male101
3. Total (must agree with A3)338

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race6
2. American Indian or Alaska Native0
3. Asian2
4. Black or African American73
5. Native Hawaiian or Other Pacific Islander0
6. White248
7. Two or more races9
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)338

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)9
2. Legally Blind (excluding totally blind)235
3. Severe Visual Impairment94
4. Total (must agree with A3)338

F. Major Cause of Visual Impairment

1. Macular Degeneration180
2. Diabetic Retinopathy35
3. Glaucoma44
4. Cataracts2
5. Other77
6. Total (must agree with A3)338

G. Other Age-Related Impairments

1. Hearing Impairment29
2. Diabetes72
3. Cardiovascular Disease and Strokes71
4. Cancer8
5. Bone, Muscle, Skin, Joint, and Movement Disorders39
6. Alzheimer's Disease/Cognitive Impairment12
7. Depression/Mood Disorder5
8. Other Major Geriatric Concerns43

H. Type of Residence

1. Private residence (house or apartment)303
2. Senior Living/Retirement Community8
3. Assisted Living Facility12
4. Nursing Home/Long-term Care facility15
5. Homeless0
6. Total (must agree with A3)338

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)104
2. Physician/medical provider4
3. State VR agency25
4. Government or Social Service Agency4
5. Veterans Administration3
6. Senior Center0
7. Assisted Living Facility5
8. Nursing Home/Long-term Care facility2
9. Faith-based organization1
10. Independent Living center0
11. Family member or friend46
12. Self-referral112
13. Other32
14. Total (must agree with A3)338

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 6,937
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 287
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 2

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 5,873
1b. Total Cost from other funds 9,924
2. Provision of assistive technology devices and aids 175
3. Provision of assistive technology services 255

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 121,029
1b. Total Cost from other funds 163,090
2. Orientation and Mobility training 83
3. Communication skills 218
4. Daily living skills 126
5. Supportive services (reader services, transportation, personal 4
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 20
8. Information, referral and community integration 170
. Other IL services 4

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 3,274
1b. Total Cost from other funds 0
2. Information and Referral 232
3. Community Awareness: Events/Activities 27 825

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) 343,001 310,127 -32,874
2. Number of Individuals Served 413 338 -75
3. Number of Minority Individuals Served 98 90 -8
4. Number of Community Awareness Activities 47 49 2
5. Number of Collaborating agencies and organizations 25 27 2
6. Number of Sub-grantees 6 6

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 255 100.00%
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) 234 91.76%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 21 8.24%
B1. Number of individuals who received orientation and mobility (O & M) services 83 100.00%
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) 78 93.98%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 5 6.02%
C1. Number of individuals who received communication skills training 218 100.00%
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) 201 92.20%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 14 6.42%
D1. Number of individuals who received daily living skills training 126 100.00%
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) 99 78.57%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 2 1.59%
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) 197 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) 32 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 1 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

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.

Delaware Division for the Visually Impaired provides services directly to the consumers in the state. Five Senior Rehabilitation Instructors provide independent living skills training in areas such as activities of daily living, self-advocacy, low vision and communication. Information and referrals are made to other agency direct service providers such as Orientation and Mobility Specialists, Technology Trainers, Vocational Rehabilitation Counselors and community service personnel. The Division contracts with six providers for provision of Low Vision services and Peer Support. Peer support is provided by Delaware Association of the Blind. Delaware Association for the Blind employs a visually impaired coordinator that oversees the peer support volunteer pool and administrative specialist. The service is provided via telephone to newly visually impaired consumers. The contract is monitored monthly with the submission of reports. Communication with DAB personnel occurs during case assignment, goal setting meetings, and closure meetings. In addition, the Executive Director, Program Coordinator, Peer Support Representatives and the Program Manager meet quarterly to discuss the previous quarter’s performance, trends, comparisons, and issues that arise. There are five Low Vision Specialists that DVI contracts with for Low Vision evaluations and follow-up services. The Low Vision Specialists are: 1) Eye 2 Eye Optometry 2) Simon Eye Associates, 3) Low Vision Specialists, Inc., 4) Vision Plus of DE, and 5) Kaplan and Epstein. These providers examine the consumers’ ocular health, prescribe aides, and consult with DVI personnel and the patient’s medical professional. The contracts are monitored throughout the year via reports, communication, correspondence, invoices, and consumer feedback.

The program continued the tradition this year of strategic planning for DVI’s IL program. The team brainstormed strengths, challenges, opportunities, and threats. In addition, the team discussed new initiatives and our vision for the program. This document is reviewed at our monthly meetings and adhoc committees have been formed for accomplishing the tasks.

During FY’12 efforts continued to identify and provide services to populations that might be underserved and/or unserved. A Money-Mailer direct mail two-sided advertisement was sent to 230,000 Delaware households with information on DVI programs and services. Also DVI advertisements were posted at the Dover and Christiana Malls for an 8 week period. DVI Winter Alert Newsletter was mailed to 3,000 households with information on the Town Hall Meeting in Dover and upcoming ILS Workshops. In addition, copies were mailed to Optometrists and Ophthalmologists and to Council members. Copies were sent to all state service centers for posting. Electronic versions were sent to: the Medical Society of Delaware for distribution to Ophthalmologists, the Optometric Association, the leadership of District 22D of the Lions Club, Senior Centers statewide, Delaware Association of the Blind and the Communication Coordinators for all Divisions in DHSS. The U of D Center for Disabilities Studies, Brain Injury Association and the Delaware Chapter of the MS Society agreed to send electronic versions to their consumers. Radio stations were asked to do public service announcements. A press release was distributed and advertisements purchased for the News Journal paper. The News Journal ran “Get Involved” supplement which contained a DVI advertisement. Agreement was signed with WJBR-FM for an 8 week radio campaign which began airing on April 2 2012. Contracts with WDSD-FM in Dover and WGMD-FM in Georgetown were completed for a similar 8 week run. Spring 2012 DVI Newsletter was distributed to 3,000 constituents in electronic, paper and Braille versions and distributed at all outreach activities. Director Robert Doyle taped an interview on WJBR Community Affairs show “Focus on Delaware”. WDEL/WSTW taped an interview with DVI Director Robert Doyle on September 19th for their Lifestyles public affairs show. DVI also sponsored two Open House events during this period. The purpose of the event was to display services and showcase consumer abilities to the general public. DVI reached close to one hundred people. DVI continues to establish a mailing list to continue to outreach to the community. DVI participated in numerous health fairs, wellness programs and presentations throughout the state such as: • Design Charlette • Women’s Lifestyle Expo 2012 • Bayada Nurses • Milton Elementary School • 55+ Expo • Statewide Title 1 Conference • Senior Information Day • Ingleside Senior Apts • Greenwood Senior Center • Trap Pond Health Fair Delaware Park Annual Benefits and Health Fair • EEO of State HR Directors • DIB Open House • Annual India Fest • Mid-County Human Services Fair Governor’s Committee on Employment of People with Disabilities • City of Wilmington’s "Pink and Black Ball" to celebrate Cancer Survivors & Cancer Caregivers Partners In Justice: Bridging the Gap Conference • Delaware Diabetes Wellness EXPO • North Dover Elementary Career Day • LIFE Conference • Adaptive Gardening • Chamber of Commerce Business Mixer • Delaware State Fair

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.

Visual Impairment Sensitivity Training - DVI Senior Rehabilitation Instructors (SRIs) provide training on the specific aspects of working with the visually impaired population in order to familiarize new or existing DVI employees, family members, and local organizations who are interested in establishing and/or maintaining opportunities for this population. There are two Training Centers in the state, one located in Sussex County and the other in New Castle County, that are fully equipped with the necessary adaptive devices. We discovered that our external customers find it beneficial to learn additional skills in sighted guide technique, white cane use, as well as the wide variety of assistive technology; we invited colleagues from other programs to assist with this endeavor. During FFY’12, 24 individuals were trained in sensitivity awareness for the visually impaired population. All of the training evaluations have been positive. The Sensitivity Training Centers at both sites include many appliances and items for daily living. Diabetes - The Division for the Visually Impaired continued collaborating with the Diabetes Prevention and Control Program. The Center for Disease Control reports that every 24 hours nearly 50 adults go blind due to diabetes complications. Statistics show that one in twenty Delawareans have been diagnosed with diabetes. Diabetes is a costly disease associated with serious complications and premature death. The DSU Liaison is an active member of the Diabetes Coalition. This team is comprised of representatives from health insurance companies, physicians, pharmacists, diabetes educators, and other public and private agencies. The Coalition meets quarterly to discuss issues such as education, strategic plans, and health care issues. The DVI and the Diabetes Prevention and Control Program provide information to Delawareans about their respective programs to ensure awareness at various levels. The DVI and the Diabetes Prevention and Control Program also inform members of each organization about outreach opportunities, diabetes information, and access to community services. DVI also assisted in the planning of all of the Diabetes Wellness Expos. This collaboration will continue to be enhanced as we strive to reduce the prevalence of diabetes and support effective management. A coalition of DVI programs including Education, Independent Living, and Vocational Rehabilitation worked with students at DVI Teen Week at the University of Delaware dorms. Throughout the week, the students received training and experiences on various topics such as budgeting and shopping, meal etiquette, activities of daily living, informational job interviewing experience, transportation and travel training, college planning, tour of the university library and of the UD Assistive Technology Center, career awareness inventories administered and results discussed, socialization skills, experience with skills needed to obtain meals in self-serve dining hall and learning to ask for orientation and meal selection assistance. Additionally, recognizing Career Development as a critical component for our transition students, the Transition Service Delivery Model has been revamped to allow more time to be spent providing career exposure to students in grades 8 through 10.

For fiscal year 2012, DVI’s VR Team assisted 45 individuals to achieve their employment objectives. 42 of the 45 placements were competitive placements within integrated settings. Although the placement rate for Fiscal Year 2012 decreased 15% over Fiscal year 2011 the overall average hourly wage for those individuals achieving a positive employment outcome increased 7%. In total, 234 individuals were served by the VR program. Of that 234, 31% received ILS services. Our VR consumers selected and attained occupations in HealthCare, Education, Vocational Rehabilitation, Retail Sales, Financial Services, Building Trades, and Food Service Management. Developing Business Partnerships to facilitate positions leading to upward mobility continues to be a primary focus for our VR Team. During Fiscal Year 2012 partnerships were established with M&T Bank, and Sallie Mae. The Independent Living Advisory Committee is comprised of consumers appointed by the Director of DVI. Their primary function is to provide feedback to the independent living program. The committee frequently discussed their difficulty with transportation. As a result, DVI’s liaison to the Elderly Disabled Transportation Advisory Committee reports at the meetings and works with key representatives from Delaware’s Transportation Authority (DART) to address concerns. Both the Division for the Visually Impaired and the Division of Substance Abuse and Mental Health (DSAMH) are divisions within Delaware’s Department of Health of Social Services. DVI is a member of the DSAMH’s stakeholder group. The group is comprised of mental health professionals, substance abuse professionals, faith based organizations, community activists, and state and local government agencies. Information is shared at the meetings about services for Delawareans with substance abuse and mental health problems. This period, we met with the administration of our state’s Division of Aging and Adult’s with Physical Disabilities. We are brainstorming ways to collaborate in our state for persons with disabilities. Cross-training for both agencies is being finalized. DVI is working with Delaware Assistive Technology Initiative for the Iconnect partnering. DVI will provide the assessments for the deaf-blind population for this program. As indicated in our SPIL, we continued group training sessions this fiscal year. Our agency supported our Skills Center with additional adaptive equipment and high end Assistive Technology to complement our program. Our team developed a schedule for the workshops according to the evaluations. The curriculum included an overview of our services, community resources, Sensory Gardening, Apple Products, Labeling and Organizing, AT Options, Low Vision Day, Holiday Crafts, Downloading Books, Fitness and You, Knitting, and Looms. DVI worked with several consumers in these areas and the workshops were co-facilitated. The consumers talked openly during breaks and meals and commented on the value of the program. Consumers were contacted to evaluate the effectiveness of the workshops. All responses were positive. The feedback will be used to schedule additional workshops and follow-up with those who are in need of additional services. The DVI sensory gardening project proposes to provide agency consumers, employees and visitors the opportunity to experience the many benefits of gardening in a manner through which all can enjoy, regardless of their abilities. One of the focal points of the garden area is a raised bed planting table, primarily used for edible vegetation and planting demonstrations. The table incorporates barrier free design in a way that recognizes the needs of all potential users. It is located in a high profile area that is aesthetically pleasing and accessible. Surrounding the concrete pad is a planting bed that incorporates a variety of colorful, fragrant, textured and edible plant selections. A melodic wind chime and 3-D decorative wind spinner add visual and auditory interest. A water feature is a prime attraction in the garden for all visitors. It contains a solar powered water fountain and a variety of plant selections. The garden provides DVI with an additional programmatic location through which consumers can learn to garden, fostering another aspect of independence and self-sufficiency. They have the opportunity to reap the benefits of gardening, including: • Recreation and Socialization • Stress Relief • Horticultural Therapy • Exercise • Sensory Stimulation DVI consumers met monthly as the Sensory Garden Club. Activities included: touring a farmer’s market, explored the changes in the garden each month, a summer tasting party, planting, garden maintenance, harvesting, and using the fruits, vegetables, and seasonings to make seasonal recipes. DVI continues expansion of consumers’ access to Assistive Technology. The Division for the Visually Impaired procured assistive technology for consumers in the community throughout the state. The locations report the equipment is beneficial and positive feedback. DVI and the Division of Libraries continue to work on our initiative to have screen reading and screen magnification software. DVI provided screen reading and screen magnification software to the Freedom Center for Independent Living to allow visually impaired consumers access to AT in this area of the state. Feedback has been positive. Training Examples of trainings and conferences that DVI has participated are: Apple for Business, Twitter, Slate And Stylus, Policy Summit Meeting, Diabetes Strategic Planning and Advocacy, Low Vision Patient History, Facebook for IPhone, Clinical Case Studies with Central Field Loss, Advantages and Benefits of Magnifiers and Spectacles and Readers, Life Conference, AER Regional and International Conferences. During this reporting period DVI also conducted agency-wide quarterly training. This initiative provides multiple program training and team-building opportunities. Topics covered were Hospice, Generational Differences, Independent Living Skills, Psycho-Social Impact of Visual Impairments, Health and Exercise, Assistive Technology, Sensitivity Training, Advances in Eye Care/Diseases and Interpersonal Interactions. DVI uses the employee evaluations and training needs assessments to determine the agenda for upcoming Quarterly Trainings. One of our CVRTs has an on-going Braille Group. There are a variety of concepts taught including: a) the alphabet, b) numbers, c) labeling, d) greeting cards, e)games and d) reading recipes. This group continues to progress well and enjoys the peer support aspect of this class.

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.

Summary of IL Consumer Satisfaction Survey FY ‘12 Consumers Called/Surveys Mailed: 332 Surveys Completed: 112 Percent Returned:34 % More confident in their abilities: 77% Independence Increased as a result of services: 85% Better manage tasks: 73% Better enjoy reading material: 66% More in control of decision making: 75% Ease of Accessing Services: 77% Rating of DVI IL Services: Excellent:56 % Good:38 % Average: 4% Poor: 2% Comments: Magnified reader was helpful Enjoys the books on tape and listen to them every day Glad I was shown how to identify my money when I am out shopping and feel I won’t be cheated because of my vision loss Gives me something to do; help me recognize TV and people and the books are helpful Helped me stay active Helped me with daily living like cooking and things like that Mainly equipment is wonderful Enjoy the books I get to hear Helped set up an e-mail account and allowed them to be more accessible Being able to use the microwave with the bump dots Enable me to function independently The glasses the doctor prescribed for me made all the difference in the world Seeing television was the greatest joy Gaining a better sense of independence Great to communicate with people our age A big difference- showed me how to use equipment It got me out of the house; it made me realize that I did not have to be stuck in a chair and pushed into a corner Enjoy books and Zoom Text. Sunglasses and cassettes are very enjoyable Everything was very helpful Making up my mind that I could do it The books on tape are a wonderful thing because I live alone and they are company for me Made it easy for me to be able to do things that my deceased wife would do for me Made life a little better Magnifiers and cane helped; large phonebook was great Every little thing helped and was an improvement Learned how to use a cane. I really liked the man that taught her to use her cane I could get the items I needed to see television and read Ms. Williams cleaned her magnifier which made me able to see again when I try to use it Learn to walk with "blind stick" Lifted my spirits, I can get on with this life Using the cane helped to be mobile outside of the house; makes others aware of my disability and more understanding Able to see what I can- headphones helped Read better and the things DVI has to offer Get around better Some confidence and new techniques to do things I can handle; provided me with tools to help me. The devices provided to me by the agency made things much better Learning Braille Being aware there is a program makes me feel good It made me aware of possibilities and what is available The reading ability and audio books, see TV, take transit, and independence To talk to other people with the same issues and looking for employment The ability to see better and read because I am hard of hearing and need an interpreter Knowing there was someone to call Being able to use the microwave independently and being able to do homework better Independence Braille Bingo cards was the best since I love to play Put letters on keyboard- was able to use the computer which made a huge difference Able to read books without straining to read The bump dots are the best inventions Access to information Being able to see my favorite TV show more clearly The markings on his microwave greatly helped and the lip plate helps me keep the house clean Braille practice made a difference Just being able to see what I write Assisting with purchasing items to enhance vision (making products available) More independent- still gets around I am able to microwave my food by myself. Helped me and others identify that I was visually impaired; others became aware of my disability and gave me more confidence Helps write checks, the lamp and materials I can now read the books on my own without any help Everything helped and made a difference It made me accept my impairment Realized a lot of things I didn’t know before and made a difference Various things I didn’t know about being visually impaired and transportation I can now use my washer and microwave Reading material was helpful

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).

Mrs. P is an eighty-one year old widow who lives alone. Her etiology is macular degeneration. She is also a diabetic, has COPD, and arthritis. She takes a lot of medication and did not have a set procedure for identifying her medications. Mrs. P. is ambulatory but uses a cane and a walker. She also uses oxygen. She received injections in her eyes but there was not any improvement. Her eye doctor told her there was nothing more that could be done.

Upon intake, she reported she did limited cooking because she continued to burn herself and could not see the dials. She used her microwave to heat up items and cook. She only knew where one setting was and if the meal required something else, she threw it out. She stated that some days her vision is better than others and using lighting seems to improve her ability to see. Reading, especially her mail and directions for cooking, was a priority for her. She had a variety of magnifiers that she has picked up at drug stores etc. They were not prescribed for her.

She could use the phone but had some difficulty with buttons/numbers and techniques for dialing. She also established goals in communication and money management. She noted her trouble keeping track of personal affairs/calendar, and addresses.

With training and aides, Mrs. P. accomplished her goals. She is now able to sign her name,use the telephone write lists, address envelopes, identify money, and manage her finances. She was also trained in kitchen safety and pouring liquids. Her appliances were marked to assist with her safely being able to cook in the kitchen. She accomplished her table technique goal as she was instructed in cutting her food, slicing food and spreading. Mrs. P. was also shown how to manage and identify her medications. She accomplished her home maintenance goal as she was instructed in electrical safety. She accomplished her time management goal as she was instructed and provided with a talking clock. She accomplished her transportation goal as she was referred to DART Paratransit. We also referred her to Delaware Library Access for Books on tape. Notably, she was able to read her mail with a low vision examination and the provision of a LED stand magnifier.

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

There are not any problematic areas or concerns related to implementing the program in Delaware.

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 byElisha Jenkins
TitleProgram Manager
Telephone3022559813
Date signed12/20/2012