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

RSA-7-OB for Hawaii Division of Vocational Rehabilitation - H177B130011 report through September 30, 2013

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 year225,000
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2198,804
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)7,231
A4. Third party0
A5. In-kind0
A6. Total Matching Funds7,231
A7. Total All Funds Expended206,035
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs21,276
C. Total expenditures and encumbrances for direct program services184,759

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 FY98
2. Number of individuals who began receiving services in the reported FY152
3. Total individuals served during the reported fiscal year (A1 + A2) 250

B. Age

1. 55-5917
2. 60-6424
3. 65-6925
4. 70-7427
5. 75-7929
6. 80-8439
7. 85-8944
8. 90-9439
9. 95-996
10. 100 & over0
11. Total (must agree with A3)250

C. Gender

1. Female150
2. Male100
3. Total (must agree with A3)250

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race7
2. American Indian or Alaska Native1
3. Asian120
4. Black or African American4
5. Native Hawaiian or Other Pacific Islander13
6. White104
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)250

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)19
2. Legally Blind (excluding totally blind)130
3. Severe Visual Impairment101
4. Total (must agree with A3)250

F. Major Cause of Visual Impairment

1. Macular Degeneration99
2. Diabetic Retinopathy28
3. Glaucoma50
4. Cataracts11
5. Other62
6. Total (must agree with A3)250

G. Other Age-Related Impairments

1. Hearing Impairment74
2. Diabetes70
3. Cardiovascular Disease and Strokes93
4. Cancer23
5. Bone, Muscle, Skin, Joint, and Movement Disorders117
6. Alzheimer's Disease/Cognitive Impairment24
7. Depression/Mood Disorder24
8. Other Major Geriatric Concerns94

H. Type of Residence

1. Private residence (house or apartment)227
2. Senior Living/Retirement Community12
3. Assisted Living Facility4
4. Nursing Home/Long-term Care facility7
5. Homeless0
6. Total (must agree with A3)250

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)167
2. Physician/medical provider1
3. State VR agency8
4. Government or Social Service Agency10
5. Veterans Administration3
6. Senior Center1
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility2
9. Faith-based organization1
10. Independent Living center1
11. Family member or friend15
12. Self-referral41
13. Other0
14. Total (must agree with A3)250

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 21,144
1b. Total Cost from other funds 305
2. Vision screening / vision examination / low vision evaluation 188
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 156

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 15,782
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 108
3. Provision of assistive technology services 108

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 138,156
1b. Total Cost from other funds 5,677
2. Orientation and Mobility training 135
3. Communication skills 163
4. Daily living skills 187
5. Supportive services (reader services, transportation, personal 38
6. Advocacy training and support networks 58
7. Counseling (peer, individual and group) 103
8. Information, referral and community integration 192
. Other IL services 4

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 3,573
1b. Total Cost from other funds 122
2. Information and Referral 8
3. Community Awareness: Events/Activities 10 10

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) 140,927 206,035 65,108
2. Number of Individuals Served 243 250 7
3. Number of Minority Individuals Served 145 147 2
4. Number of Community Awareness Activities 3 10 7
5. Number of Collaborating agencies and organizations 0 1 1
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 108 100.00%
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) 108 100.00%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 5 4.63%
B1. Number of individuals who received orientation and mobility (O & M) services 135 100.00%
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) 118 87.41%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 5 3.70%
C1. Number of individuals who received communication skills training 163 100.00%
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) 146 89.57%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 10 6.13%
D1. Number of individuals who received daily living skills training 187 100.00%
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) 158 84.49%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 9 4.81%
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) 194 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) 27 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 4 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) 0 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 CILs, the medical community, the Area Office on Aging, consumer organizations, faith-based organizations, assisted living facilities 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 work with the State Senior Companion Program and other non-profit organizations in order to expand services to OIB consumers who need more help in their homes. OIB Program Manager meets twice per year or more often if needed with the major senior blind organization in the State, as well as with both the NFB and ACB local affilliates, to discuss services available, and to address questions, concerns, and suggestions. We attend numerous local fairs and have booths to do outreach, and demonstrate aids and devices. We operate a Low Vision Clinic weekly which provides exams, recommendations for aids and devices, and counseling to consumers and their families. We did a mass mailing to eye doctors to do outreach and generate referrals.

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.

An overview of the feedback received from OIB satisfaction surveys note very psoitive responses. In over 90% of surveys, coments were rated as "agree" or "strongly agree" with the level of satisfaction with services received. Positive words used to describe services included "immeasurable", "wonderful program", "great job", "couldn’t be more satisfied", "better outlook on life", "gave me the courage to keep going", etc. I have copies of all surveys but am not sure how to attach them here.

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).

1. Taught Braille to a Deaf-Blind woman with memory loss. Made her a perpetual calendar using large print raised labels. She loved it. She can now note all her and her husband’s appointmentss on her calendar, and doesnt have to rely on her failing memory. She is beter able to manage her household obligations.

2. We took a donated CCTV to someone on another island and hooked it up for him. He was so excited that he could read again, as he was just about to donate his huge collection of collectible books.

3. A consumer living in her own apartment did not want to have to move in with her daughter. Through OIB services and referrals we coordinated, she is now able to exercise, read her mail and the newspaper, perform self-care, accurately take her medication, use her phone, play cards, and travel more independently in the community.

4. A consumer living on her own is now able to go to the market twice per week. She gets exercise and is no longer socially isolated as she also attends our support group and has gained friends.

5. A man who comes here each year to visit his daughter had never learned to properly use a white cane. He is now able to ambulate safely in his duaughter’s condo and neighborhood. Because he also has a hearing impairment, our staff used an FM system to communicate effectively while teaching him to use the long cane.

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 being a minimally funded state, as well as cuts from sequestration. We are therefore unable to provide as many statewide visits (particularly to rural areas) as we would like to. We do not have staff on 2 of the larger populated neighbor islands. Visits are not frequent or comprehensive enough given the circumstances. Please consider raising our minimum allotment as Hawaii has a large and growing senior population in need of our services.

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
Telephone808-586-5275
Date signed12/30/2013