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

RSA-7-OB for Hawaii Division of Vocational Rehabilitation - H177B120011 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 year121,148
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 298,329
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)42,598
A4. Third party0
A5. In-kind0
A6. Total Matching Funds42,598
A7. Total All Funds Expended140,927
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs13,612
C. Total expenditures and encumbrances for direct program services127,315

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 0.2000 2.5000 2.7000
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.2000 2.5000 2.7000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 1 0.5000
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 3 2.5000
4. Employees who are Women 2 1.5000
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 FY78
2. Number of individuals who began receiving services in the reported FY165
3. Total individuals served during the reported fiscal year (A1 + A2) 243

B. Age

1. 55-5917
2. 60-6419
3. 65-6922
4. 70-7422
5. 75-7926
6. 80-8444
7. 85-8946
8. 90-9439
9. 95-996
10. 100 & over2
11. Total (must agree with A3)243

C. Gender

1. Female156
2. Male87
3. Total (must agree with A3)243

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race8
2. American Indian or Alaska Native0
3. Asian111
4. Black or African American3
5. Native Hawaiian or Other Pacific Islander15
6. White98
7. Two or more races8
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)243

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)24
2. Legally Blind (excluding totally blind)109
3. Severe Visual Impairment110
4. Total (must agree with A3)243

F. Major Cause of Visual Impairment

1. Macular Degeneration102
2. Diabetic Retinopathy39
3. Glaucoma50
4. Cataracts3
5. Other49
6. Total (must agree with A3)243

G. Other Age-Related Impairments

1. Hearing Impairment55
2. Diabetes58
3. Cardiovascular Disease and Strokes90
4. Cancer29
5. Bone, Muscle, Skin, Joint, and Movement Disorders96
6. Alzheimer's Disease/Cognitive Impairment18
7. Depression/Mood Disorder19
8. Other Major Geriatric Concerns75

H. Type of Residence

1. Private residence (house or apartment)218
2. Senior Living/Retirement Community14
3. Assisted Living Facility5
4. Nursing Home/Long-term Care facility6
5. Homeless0
6. Total (must agree with A3)243

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)193
2. Physician/medical provider2
3. State VR agency6
4. Government or Social Service Agency2
5. Veterans Administration1
6. Senior Center0
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility3
9. Faith-based organization0
10. Independent Living center2
11. Family member or friend17
12. Self-referral16
13. Other1
14. Total (must agree with A3)243

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 4,344
1b. Total Cost from other funds 2,022
2. Vision screening / vision examination / low vision evaluation 120
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 100

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 3,622
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 129
3. Provision of assistive technology services 132

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 77,171
1b. Total Cost from other funds 37,610
2. Orientation and Mobility training 144
3. Communication skills 123
4. Daily living skills 172
5. Supportive services (reader services, transportation, personal 29
6. Advocacy training and support networks 11
7. Counseling (peer, individual and group) 172
8. Information, referral and community integration 118
. Other IL services 20

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 1,737
1b. Total Cost from other funds 809
2. Information and Referral 42
3. Community Awareness: Events/Activities 3 206

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) 142,438 140,927 -1,511
2. Number of Individuals Served 227 243 16
3. Number of Minority Individuals Served 120 145 25
4. Number of Community Awareness Activities 15 3 -12
5. Number of Collaborating agencies and organizations 0 0 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 132 100.00%
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) 127 96.21%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 2 1.52%
B1. Number of individuals who received orientation and mobility (O & M) services 144 100.00%
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) 133 92.36%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 2 1.39%
C1. Number of individuals who received communication skills training 123 100.00%
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) 115 93.50%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 2 1.63%
D1. Number of individuals who received daily living skills training 172 100.00%
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) 93 54.07%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 3 1.74%
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) 123 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) 21 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 10 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) 1 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.

IL-OIB services are provided via in-house staff. Outreach is made to rural areas on all islands, and to groups via monthly support groups on various islands. We collaborate with the CIL, the medical community, VR, the Area Office on Aging, and Senior Centers on all islands.

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.

We are working with the State of Hawaii’s Senior Companion Program in order to expand services to IL-OIB consumers who need more help in their homes. IL-OIB Program Manager meets twice per year with the major senior blind consumer organization in the state, as well as with both national consumer organizations of the blind nationally and locally to discuss the services available, and problem solve concerns that come up.

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.

The vast majority of satisfaction surveys returned to us indicate the consumers "strongly agree" (highest rating) that they are satisfied with the quality of services received. Copies available upon request.

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).

Through the provisions of AT devices and training, as well as other types of training, Ms. K. is now able to leave her home, become more active in the community, and maintain her household.

Because of OIB support groups, Mr. R and his wife have improved their relationship. Mr. R is less reliant on her and both are more free to express their feelings and engage in activities to enhance the quality of their lives.

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

We are severely understaffed (50%) due to minimum funding and are therefore unable to provide as many visits statewide as we would like. We do not have staff on 2 of the major populated islands and therefore staff spend much time having to fly to other islands. Visits are not often enough or comprehensive enough given the circumstances. PLEASE consider raising our minimum allotment as our senior population continues to grow and we have so many more people we need to reach.

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 byLea Grupen
TitleServices for the Blind Branch Administrator
Telephone(808)586-5275
Date signed12/21/2012