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

RSA-7-OB for Kansas Department for Children and Families - H177B120016 report through September 30, 2012

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year290,105
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year309,181
Other federal grant carryover from previous year177,170
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2440,739
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)43,373
A4. Third party0
A5. In-kind0
A6. Total Matching Funds43,373
A7. Total All Funds Expended484,112
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services484,112

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 0.3300 0.0000 0.3300
2. FTE Contractors 2.3800 8.2100 10.5900
3. Total FTE 2.7100 8.2100 10.9200

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 11 1.5400
2. Employees with Blindness Age 55 and Older 5 1.8100
3. Employees who are Racial/Ethnic Minorities 2 0.4600
4. Employees who are Women 23 7.7700
5. Employees Age 55 and Older 6 1.4300

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 FY77
2. Number of individuals who began receiving services in the reported FY420
3. Total individuals served during the reported fiscal year (A1 + A2) 497

B. Age

1. 55-5953
2. 60-6440
3. 65-6930
4. 70-7445
5. 75-7971
6. 80-8481
7. 85-8998
8. 90-9465
9. 95-9912
10. 100 & over2
11. Total (must agree with A3)497

C. Gender

1. Female382
2. Male115
3. Total (must agree with A3)497

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race8
2. American Indian or Alaska Native2
3. Asian5
4. Black or African American26
5. Native Hawaiian or Other Pacific Islander0
6. White455
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)1
9. Total (must agree with A3)497

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)35
2. Legally Blind (excluding totally blind)203
3. Severe Visual Impairment259
4. Total (must agree with A3)497

F. Major Cause of Visual Impairment

1. Macular Degeneration299
2. Diabetic Retinopathy26
3. Glaucoma36
4. Cataracts14
5. Other122
6. Total (must agree with A3)497

G. Other Age-Related Impairments

1. Hearing Impairment132
2. Diabetes133
3. Cardiovascular Disease and Strokes161
4. Cancer44
5. Bone, Muscle, Skin, Joint, and Movement Disorders224
6. Alzheimer's Disease/Cognitive Impairment17
7. Depression/Mood Disorder76
8. Other Major Geriatric Concerns26

H. Type of Residence

1. Private residence (house or apartment)389
2. Senior Living/Retirement Community62
3. Assisted Living Facility35
4. Nursing Home/Long-term Care facility11
5. Homeless0
6. Total (must agree with A3)497

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)210
2. Physician/medical provider24
3. State VR agency2
4. Government or Social Service Agency51
5. Veterans Administration2
6. Senior Center19
7. Assisted Living Facility6
8. Nursing Home/Long-term Care facility2
9. Faith-based organization5
10. Independent Living center29
11. Family member or friend64
12. Self-referral43
13. Other40
14. Total (must agree with A3)497

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 10,201
1b. Total Cost from other funds 1,003
2. Vision screening / vision examination / low vision evaluation 53
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 239,635
1b. Total Cost from other funds 23,582
2. Provision of assistive technology devices and aids 370
3. Provision of assistive technology services 238

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 139,058
1b. Total Cost from other funds 13,684
2. Orientation and Mobility training 42
3. Communication skills 48
4. Daily living skills 351
5. Supportive services (reader services, transportation, personal 105
6. Advocacy training and support networks 91
7. Counseling (peer, individual and group) 97
8. Information, referral and community integration 239
. Other IL services 51

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 51,843
1b. Total Cost from other funds 5,101
2. Information and Referral 99
3. Community Awareness: Events/Activities 168 3,518

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) 645,213 484,112 -161,101
2. Number of Individuals Served 449 497 48
3. Number of Minority Individuals Served 48 42 -6
4. Number of Community Awareness Activities 38 168 130
5. Number of Collaborating agencies and organizations 22 22 0
6. Number of Sub-grantees 3 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 238 100.00%
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) 119 50.00%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 119 50.00%
B1. Number of individuals who received orientation and mobility (O & M) services 42 100.00%
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) 24 57.14%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 18 42.86%
C1. Number of individuals who received communication skills training 48 100.00%
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) 3 6.25%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 41 85.42%
D1. Number of individuals who received daily living skills training 351 100.00%
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) 241 68.66%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 110 31.34%
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) 210 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) 25 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 21 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) 7 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.

During FFY 2012, Kansas Rehabilitation Services (KRS) provided services for the older blind independent living program through a community-based model of service delivery through contractors. Contracts with three entities were established in August of 2010 providing statewide coverage. The contractors are a consortium of independent living centers led by Prairie Independent Living Resource Center, Hutchison; Alphapointe Association for the Blind, Kansas City; and Envision Vision Rehabilitation Center, Wichita. These contractors are listed as Sub-grantees in Part V, sec. A6. Among the 3 contractors, 168 events or activities for community awareness and outreach were done across the state of Kansas with individualized follow-up and services provided as necessary. Media campaigns (including print and radio) were also done by all three contractors to increase knowledge and awareness to consumers, some specifically targeting underserved and unserved populations across the state.

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.

Elderly Kansans who are blind or visually impaired have had greater access to services to support their independent living goals as a result of the local/community contractors. (See Part A.) The service delivery model was redesigned to be a contractor model in the previous year, which has continued to increase both capacity and coverage. Kansas increased the direct service staff FTE from 2 in the old state operated model to 8.21 with the current contractor model. Contractors have direct service staff located in Kansas City, Wichita, Lawrence, Hutchinson, Dodge City, Hays, Topeka, Parsons and Pittsburg. Previously all state staff was based in Topeka. These changes have continued to result in greater access to services through regional locations.

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 three contractors used various forms of evaluations and satisfaction surveys including mailing and emailing surveys and random face to face surveys. All three of the contractors noted limited return of evaluations or surveys. Results from the contractors include: Consumer results indicate 100% of our consumers’ surveyed fall into the “mostly satisfied” or the “very satisfied” categories. At the initial assessment for the service to be provided, the consumer and the provider set goal expectations and upon the goal being met, it is documented in the consumer’s file. At completion of services the list of goals is documented as well as the date the goal was met. The consumers are often asked if their frustration level has decreased and asked to explain how. To summarize the data, 90% of the consumers served met his/her goals.

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).

Independent living services for persons who are older blind have significant impact on independence and quality of life. Here are three examples which illustrate the impact of services: 1. Due to macular degeneration, a consumer was unable to read mail, pay bills, identify medications or enjoy sewing as she had previously. An Occupational Therapist instructed the consumer in the use of a CCTV and the consumer is now using it to read her bills and write checks. The consumer can also identify medication and read labels with CCTV. This consumer no longer has to rely on family to stop by and read her mail for her. This consumer was also instructed in how to use a self-threading needle and is now able to enjoy sewing again. 2. A consumer came to our location because she was having trouble reading her mail, the newspaper, using the computer and managing her diabetes. The doctor was able to increase her distance and reading prescription to allow her to see smaller print. The Occupational Therapist worked with her on implementing task lighting in her home and using the contrast to assist with activities of daily living including diabetes management. She was instructed in the use of a talking glucometer and techniques to get an accurate reading. Her appliances were labeled for independent access. Magnification setting and yellow filters allowed her to use her computer with no difficulty. 3. A consumer who used to enjoy cooking for himself was no longer able to read product labels and stopped cooking due to mixing ingredients together incorrectly. An ID Mate was purchased through OIB funds for him. This equipment has enabled him to read labels, mark measuring equipment and start cooking for himself again. He has also been able to mark other items in his home making him more independent in general.

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

None

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 byMichael Donnelly
TitleDirector of Rehabilitation Services
Telephone785-368-7471
Date signed12/28/2012