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

RSA-7-OB for Illinois Division of Rehabilitation Services - H177B120013 report through September 30, 2012

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year1,264,168
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year315,864
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 21,220,619
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)140,464
A4. Third party0
A5. In-kind0
A6. Total Matching Funds140,464
A7. Total All Funds Expended1,361,083
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services1,361,083

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 2.5000 5.9500 8.4500
2. FTE Contractors 4.0000 16.5000 20.5000
3. Total FTE 6.5000 22.4500 28.9500

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 7 15.0000
2. Employees with Blindness Age 55 and Older 17 4.0000
3. Employees who are Racial/Ethnic Minorities 4 3.0000
4. Employees who are Women 11 9.0000
5. Employees Age 55 and Older 8 5.0000

C. Volunteers

10.00

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 FY819
2. Number of individuals who began receiving services in the reported FY2,107
3. Total individuals served during the reported fiscal year (A1 + A2) 2,926

B. Age

1. 55-59242
2. 60-64280
3. 65-69246
4. 70-74285
5. 75-79334
6. 80-84535
7. 85-89504
8. 90-94377
9. 95-99109
10. 100 & over14
11. Total (must agree with A3)2,926

C. Gender

1. Female2,040
2. Male886
3. Total (must agree with A3)2,926

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race69
2. American Indian or Alaska Native5
3. Asian26
4. Black or African American507
5. Native Hawaiian or Other Pacific Islander112
6. White2,200
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)6
9. Total (must agree with A3)2,926

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)218
2. Legally Blind (excluding totally blind)1,112
3. Severe Visual Impairment1,596
4. Total (must agree with A3)2,926

F. Major Cause of Visual Impairment

1. Macular Degeneration1,565
2. Diabetic Retinopathy337
3. Glaucoma408
4. Cataracts144
5. Other472
6. Total (must agree with A3)2,926

G. Other Age-Related Impairments

1. Hearing Impairment791
2. Diabetes555
3. Cardiovascular Disease and Strokes603
4. Cancer126
5. Bone, Muscle, Skin, Joint, and Movement Disorders741
6. Alzheimer's Disease/Cognitive Impairment88
7. Depression/Mood Disorder243
8. Other Major Geriatric Concerns525

H. Type of Residence

1. Private residence (house or apartment)2,308
2. Senior Living/Retirement Community333
3. Assisted Living Facility206
4. Nursing Home/Long-term Care facility73
5. Homeless6
6. Total (must agree with A3)2,926

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)1,010
2. Physician/medical provider114
3. State VR agency165
4. Government or Social Service Agency170
5. Veterans Administration17
6. Senior Center87
7. Assisted Living Facility68
8. Nursing Home/Long-term Care facility24
9. Faith-based organization26
10. Independent Living center70
11. Family member or friend319
12. Self-referral671
13. Other185
14. Total (must agree with A3)2,926

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 219,180
1b. Total Cost from other funds 31,847
2. Vision screening / vision examination / low vision evaluation 849
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 289,821
1b. Total Cost from other funds 19,742
2. Provision of assistive technology devices and aids 2,068
3. Provision of assistive technology services 1,749

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 304,783
1b. Total Cost from other funds 92,482
2. Orientation and Mobility training 312
3. Communication skills 1,376
4. Daily living skills 1,696
5. Supportive services (reader services, transportation, personal 785
6. Advocacy training and support networks 984
7. Counseling (peer, individual and group) 1,657
8. Information, referral and community integration 2,026
. Other IL services 959

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 38,602
1b. Total Cost from other funds 18,939
2. Information and Referral 2,926
3. Community Awareness: Events/Activities 377 25,028

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) 2,277,356 1,361,083 -916,273
2. Number of Individuals Served 2,930 2,926 -4
3. Number of Minority Individuals Served 615 720 105
4. Number of Community Awareness Activities 341 377 36
5. Number of Collaborating agencies and organizations 17 17 0
6. Number of Sub-grantees 17 17

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 1,749 100.00%
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) 1,796 102.69%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 401 22.93%
B1. Number of individuals who received orientation and mobility (O & M) services 312 100.00%
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) 231 74.04%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 172 55.13%
C1. Number of individuals who received communication skills training 1,376 100.00%
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) 1,027 74.64%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 214 15.55%
D1. Number of individuals who received daily living skills training 1,696 100.00%
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) 1,120 66.04%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 259 15.27%
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) 1,383 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) 59 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) 54 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 149 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) 37 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.

Center for Sight & Hearing Chicago Lighthouse for the Blind and Visually Impaired (2) Coleman Tri-County Services, Inc Spectrios Institute for Low Vision Delta Center, Inc - through May 20, 2012 IL/IA Center for Independent Living IMPACT, Inc (2) Lake County Center For Independent Living LIFE-CIL Jacksonville CIL Options PACE, Inc Southern IL Center for Independent Living SAIL TCRC, Inc

Rehab Teacher

ICRE-Wood provides a Senior Day Program for seniors 55 and older who are Blind or visually impaired. The program meets two days a week for ten weeks. A pilot program was conducted for the Hispanic population which meest one day a week. We’ve been working with the community leaders to continue the program

Rehab Teacher

The DuPage Center for Independent Living, DONKA, Spectrios, Chicago Lighthouse, as well as, several independent support groups in the community have worked in tangent with BBS to ensure that all of the community, regardless of ethnic background, be served. This has been accomplished through a team effort of open communication and mutual referrals flowing between the agencies.

IL/IA Center for Independent Living

We outreach to unserved and underserved populations in our service area who represent African Americans, Latinos, Native Americans and rural geographic areas. We participate in events hosted by sponsors of ethnics groups and on occasin co-sponsor activites with them. We are members of human service and other groups in ethnic and rural communities.

Options

Rural outreach was conducted when Ms. Hansen traveled to Options CIL’s Iroquois County branch office in Watseka. Appointments were scheduled in advance for these visits so the Iroquois County consumers could have personal meetings. Our two full-time indpendent living specialists in Iroquois County also conducted outreach services when they participated in community special events. The program served 5 minority consumers this past year. Minority outreach was conducted through participation of Ms Hansen, our independent living speciaists, and our community outreach specialist in community special events and minority-targeted events and committees, such as senior fairs and Bridge the GAP Senior Conferences.

TCRC, Inc

The EBG program participated in multiple health fairs and community presentations geared towards all types of individuals with visual impairments — including those with low-income, minority populations, and cognitive impairments. Additionally, the Rehabilitation Counselor visited various optometric offices and spoke with DHS representatives to determine the needs of the communities in which the program is present

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.

Rehab Teacher

BBS has information meetings with BFS staff, local ophthalmologists and optometrist’s office staff, CILs and living facilities

BBS staff have presented information at area senior and health fairs, to staff of assisted living facilities and PA providers, Senior Citizens Centers as well as a radio and local radio information service — Mind’s Eye.

Rehab Teacher

Presentations have been presented to eye clinics, nursing homes, retirement homes and senior program about services offered by the Bureau of Blind sesrvices to blind and visually impaired seniors.

Lake County Center for Independent Living

LCCIL staff continues to regularly attend low vision support group meetings throughout the County. In addition, we continue to collaborate with several senior and blind services related agencies tghorught the area.

LIFE, Inc

LIFE Center continues to collaborate with The Sight Center and Tazewell County Resource Center (TCRC) to provide Low Vision Clinics in our service region. This practice not only informs community members about the service, but provides a very valuable service to seniors with severe vision loss, that would not feel that they could participate due to being unable to find a driver or make long automobile rides.

The Vision Access Advocate has also developed a good working relationship with the Visually Impaired Service Team (VIST) Coordinator from the Veteran’s Administration. This relationship has fostered the acquisition of assistive technology devices for veterans with low vision or blindness residing in our service region

Coleman Tri-County Services, Inc

During the past year we developed a new and more concise initial assessment. This tool provides a more meaningful functional screening and assessment. It provides a snapshot in the areas of the home, family, health, and barriers to living independently. This tool allows us to provide our clients better service.

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.

Rehab Teacher

A customer who was living in an apartment with a lot of support, however she needed the assistance from our program to remain in her living quarters. This program has helped her with independence in her home and the community. She had issues with communication that we were able to solve with adaptive and mobility aides.

Rehab Teacher

Several individuals have taken on a new venture in the area of using home computer systems and access programs, screen readers and magnification programs. Surfing the internet, use of search engines, sending, receiving, creating emails. The newly acquired skills that the clients have gained opened a wide range of opportunities for them to communicate with friends, family members, pay personal bills online, that eliminates having assistance from others. Accessing billing statements online also have eliminated the need for the clients to depend on others. Three of the successful clients that have completed the training even took their computer access to the next level, which is to engage in social networking sites, like face book, linkedin, tweeting, blogging with others. The client success in learning to use the computer and along with adaptive software skills was a significant challenge for them. The most recent comments made by the clients were, “wow, it’s amazing what technology have done.” Most of the clients often spoke about their younger days and growing up with only a hand set on telephones and to connect with the operator to connect with others via phone and the rotary phones came into play. Some clients have stated, “times have changed tremendously.” The clients expressed appreciation for the services and the new found skills and independence to the agency, BBS for providing services.

Chicago Lighthouse f/t Blind

The Rehabilitation Services under the Elderly Blind Grant does not necessarily conduct a satifcation survey specific to the Elderly Blind Grant. Although the Vision Rehabilitation services conducts on-going satisfaction surveys through the call center for overall services provided. These satisfaction surveys over the last year have produced only positive feedback for the Low Vision Rehabilitation services overall.

IMPACT

we have sent out over 200 surveys to individuals served throughout theyear. The surveys were very positive regarding the nehancement of independents to served individuals. Several positive comments were made concerning the success of the support groups and peer counseling sessions.

PACE

A survey was distributed in June, 2011. 73 surveys were returned. Services reported received included 42 support groups, 62 low vision aids, 19 skill instruction, 15 equipment loan, and 44 information and referral. The majority of surveys indicated that in general people were satisfied with services. The vast majority of respondents would use services again or refer others to VIN 55. Suggestions included having more vision groups about legal blindness, focus less on independent living skills at group, provide information on the cusumer appeals process, and continue to obtain funding for the vision program. The next programmatic survey will be conducted in May, 2013.

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).

Rehab Teacher

In numerous cases these funds have greatlly increased people’s independence and dignity. The provision of low vision optical devices has allowed the users to read once again and cross streets safely. The provision of adjustment counseling has allowed people to live life with more acceptance and reduced stress. One customer can now use her computer to order groceries, check medications, and correspond with friends. Another customer can now walk for exercise now and socialize since she has obtained a walker and can walk without risk of injury

Rehab Teacher

Customer like to cook. She needed burners and oven configured with braille locators dots, so she could set the temperature control on the oven and adjust the flames on the burners. Customer also needed to learn how to label her seaonings and utilize measuring spoons and cups for basic recipes.

Chicago Lighthouse f/t Blind

One client was so unfamiliar with the computer that staff had to put his hands onto each key and show him where they were. He struggled with Talking Typer, a software program to help those who are visually impaired to learn where all the keys are on a keyboard. Our staff was not sure if he would be able to learn much of anything, but they kept encouraging him and he kept showing up. He never missed a day he was scheduled to attend And always came in with an immense amount of patience for himself. As the other clients and staff got to know him, he consistently exhibited an intensely positive attitude. Within nine months of time, this client was not only able to learn the keyboard, but also how to use Microsoft Word, Gmail, and the internet. Now, he can even download books from the National Library Service website. He has lifted the spirits of fellow classmates and has become a fixture of the Seniors Program

SAIL

Two consumers are good examples of maintaining independence. Both of the consumers are low vision but needed to continue to drive, one because she is employed and the other because she lives in a rural area with limited transportation options. Both were referred by the SAIL Visual Services Advocate to a Low Vision Specialist who checked their vision and evaluated their ability to use the various devices that might enable them to drive. In both cases, the doctor and consumer working together were able to find a device that worked. The 2 consumers were able to obtain their drivers licenses and maintain their independent lifestyles.

Spectrios Institute for Low Vision

The female customer expressed her appreciation to Spectrios Institute for much needed help and information to help her cope with her vision loss.. She obtained prescription reading glasses, a magnifier and other non-optical devices which have enabled her to keep reading, writing and performing other daily tasks. This had made her life much easier, more comfortable and enabled her to keep her independence

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

We have lost a couple of staff from facilities this year, one facility’s contact was terminated mid-contract and once again we have a shortage of Rehab Teachers due to medical leaves and retirements. Even with all this we have served customer by being creative and still almost meeting last year’s numbers.

Teachers and facilities have indicated that as funding has stayed the same for the past several years and costs have been raising it is more difficult to provider services. However, they are all looking for other sources of funding and are doing a great job of finding additional funding.

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 byJanet Sherburne
TitleAssistant Bureau Chief
Telephone312-485-1920
Date signed12/30/2012