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

RSA-7-OB for Florida Division of Blind Services - H177B130057 report through September 30, 2013

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year2,159,859
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 22,159,859
A2. Total other federal375,913
(a) Title VII-Chapter 1-Part B169,786
(b) SSA reimbursement206,127
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)2,167,972
A4. Third party1,465,315
A5. In-kind555,981
A6. Total Matching Funds4,189,268
A7. Total All Funds Expended6,725,040
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs715,086
C. Total expenditures and encumbrances for direct program services6,009,954

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 1.0000 0.0000 1.0000
2. FTE Contractors 52.2700 120.3600 172.6300
3. Total FTE 53.2700 120.3600 173.6300

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 58 38.8000
2. Employees with Blindness Age 55 and Older 25 13.2400
3. Employees who are Racial/Ethnic Minorities 74 57.7400
4. Employees who are Women 233 125.7700
5. Employees Age 55 and Older 99 62.3200

C. Volunteers

34.00

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 FY891
2. Number of individuals who began receiving services in the reported FY1,777
3. Total individuals served during the reported fiscal year (A1 + A2) 2,668

B. Age

1. 55-59202
2. 60-64262
3. 65-69239
4. 70-74282
5. 75-79300
6. 80-84461
7. 85-89500
8. 90-94322
9. 95-9985
10. 100 & over15
11. Total (must agree with A3)2,668

C. Gender

1. Female1,800
2. Male868
3. Total (must agree with A3)2,668

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race173
2. American Indian or Alaska Native10
3. Asian18
4. Black or African American372
5. Native Hawaiian or Other Pacific Islander2
6. White2,089
7. Two or more races4
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)2,668

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)150
2. Legally Blind (excluding totally blind)1,711
3. Severe Visual Impairment807
4. Total (must agree with A3)2,668

F. Major Cause of Visual Impairment

1. Macular Degeneration1,301
2. Diabetic Retinopathy226
3. Glaucoma505
4. Cataracts37
5. Other599
6. Total (must agree with A3)2,668

G. Other Age-Related Impairments

1. Hearing Impairment311
2. Diabetes11
3. Cardiovascular Disease and Strokes16
4. Cancer2
5. Bone, Muscle, Skin, Joint, and Movement Disorders6
6. Alzheimer's Disease/Cognitive Impairment1
7. Depression/Mood Disorder4
8. Other Major Geriatric Concerns15

H. Type of Residence

1. Private residence (house or apartment)2,186
2. Senior Living/Retirement Community280
3. Assisted Living Facility151
4. Nursing Home/Long-term Care facility51
5. Homeless0
6. Total (must agree with A3)2,668

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)438
2. Physician/medical provider69
3. State VR agency68
4. Government or Social Service Agency265
5. Veterans Administration28
6. Senior Center46
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization5
10. Independent Living center0
11. Family member or friend508
12. Self-referral879
13. Other362
14. Total (must agree with A3)2,668

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 95,034
1b. Total Cost from other funds 169,404
2. Vision screening / vision examination / low vision evaluation 446
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 343,418
1b. Total Cost from other funds 612,165
2. Provision of assistive technology devices and aids 783
3. Provision of assistive technology services 821

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 1,434,146
1b. Total Cost from other funds 2,556,463
2. Orientation and Mobility training 857
3. Communication skills 952
4. Daily living skills 1,530
5. Supportive services (reader services, transportation, personal 472
6. Advocacy training and support networks 351
7. Counseling (peer, individual and group) 784
8. Information, referral and community integration 1,296
. Other IL services 454

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 287,261
1b. Total Cost from other funds 512,063
2. Information and Referral 1,347
3. Community Awareness: Events/Activities 1,157 38,015

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) 5,451,983 6,725,040 1,273,057
2. Number of Individuals Served 3,112 2,668 -444
3. Number of Minority Individuals Served 722 579 -143
4. Number of Community Awareness Activities 719 1,157 438
5. Number of Collaborating agencies and organizations 470 82 -388
6. Number of Sub-grantees 18 18

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 821 100.00%
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) 531 64.68%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 256 31.18%
B1. Number of individuals who received orientation and mobility (O & M) services 857 100.00%
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) 618 72.11%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 244 28.47%
C1. Number of individuals who received communication skills training 952 100.00%
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) 697 73.21%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 192 20.17%
D1. Number of individuals who received daily living skills training 1,530 100.00%
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) 1,154 75.42%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 387 25.29%
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) 1,401 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) 13 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) 96 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 100 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) 25 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.

The Florida Division of Blind Services (FDBS) continues to function with the same business model, as in the 10 previous years. All OIB funds under the grant are matched and supplemented with State General Revenue and contracted statewide to local Community Rehabilitation Programs (CRP’s 18) for the provision of adjustment to blindness services. The strategy continues to be the collaboration of the 10 FDBS districts and CRP’s targeting the unserved/underserved individuals identified in these districts statewide. Implementation of the program takes place at designated facilities, as well as, on an itinerate basis in the community.

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.

The Division continues to utilize the current strategy of contracting out the IL services to 18 Community Rehabilitation Programs. Contractors continue to collaborate with FDBS districts with outreach efforts and with presentations to varied community groups. This year there were a few new programs which offered new mini ADL classes and due to increase demand, iPad and iPhone training for individuals and groups. Various contractors continue participating in numerous community education activities and establishment of new opportunities for support groups.

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.

All contractors self-report conducting their own Satisfaction Surveys and the feedback is positive by clients concerning the services and experiences they receive. Each contractor provides a questionnaire that solicits feedback on how well the classes and instruction is serving the client’s needs, or if they are dissatisfied with any aspect of the program.

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).

Surveys conducted by the contractor continue to indicate that clients are satisfied with the services being provided.

1) “I have always been an active guy, a daredevil of sorts, but that ended when my vision left. I found myself staying at home, avoiding social situations because I was always bumping into things, tripping over obstacles and anxious that I would get hurt. It was my orientation and mobility instructor from Lighthouse who made the difference. He gave me a long travel cane and several lessons on how to use it. I am so excited to walk outside of my home now and I get around much more confidently. I got my pep back, thanks to Lighthouse”.

2) A 77 year old man who lives alone and reports having only light perception admitted at the start of class that his vision loss makes him feel “fearful, saddened and alone.” After completion of his class, he stated: “I’m not alone anymore and feel hopeful, less fearful and more willing to do things. I feel better about myself.” 3) An 86 year old woman who lives alone stated, “I didn’t want to go to classes. My thought was, what can they possibly do to make me feel better? How wrong I was. I’m stronger now and better able to express myself. I’m using all the skills I’ve learned in class. I’m doing better and better every day. I tell everyone about my experience. I’m ready to repeat the classes...they were so good. Do I have to wait a year?”

4) Two ladies have regained their self-confidence and have begun to travel on vacation together. They have had ADL and LV training. Neither would speak to anyone when they first came to the center. They are also starting a dance team at the center.

5) A gentleman who has received O&M training can now frequent local shops and restaurants. He no longer eats microwave meals with the help of Home Management he cooks his own meals.

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

Again, as in previous reporting years the major challenge continues to be in the area of transportation. Transportation continues to be a challenge in rural areas of Florida. Transportation can be limited, and is costly for clients and contractors.

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 byMondi Azpeitia
TitleProgram Consultant
Telephone850-245-0324
Date signed12/23/2013