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

RSA-7-OB for Illinois Division of Rehabilitation Services - H177B130013 report through September 30, 2013

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year1,184,749
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year360,214
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 21,189,324
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)127,979
A4. Third party0
A5. In-kind0
A6. Total Matching Funds127,979
A7. Total All Funds Expended1,317,303
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services1,317,303

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 2.8463 8.5216 11.3679
2. FTE Contractors 1.7000 5.9023 7.6023
3. Total FTE 4.5463 14.4239 18.9702

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 57 0.0000
2. Employees with Blindness Age 55 and Older 11 0.0000
3. Employees who are Racial/Ethnic Minorities 9 0.0000
4. Employees who are Women 30 0.0000
5. Employees Age 55 and Older 43 0.0000

C. Volunteers

14.00

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 FY751
2. Number of individuals who began receiving services in the reported FY2,133
3. Total individuals served during the reported fiscal year (A1 + A2) 2,884

B. Age

1. 55-59206
2. 60-64257
3. 65-69242
4. 70-74251
5. 75-79332
6. 80-84489
7. 85-89579
8. 90-94414
9. 95-99105
10. 100 & over9
11. Total (must agree with A3)2,884

C. Gender

1. Female1,981
2. Male903
3. Total (must agree with A3)2,884

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race112
2. American Indian or Alaska Native6
3. Asian42
4. Black or African American461
5. Native Hawaiian or Other Pacific Islander161
6. White2,075
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)26
9. Total (must agree with A3)2,884

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)180
2. Legally Blind (excluding totally blind)1,192
3. Severe Visual Impairment1,512
4. Total (must agree with A3)2,884

F. Major Cause of Visual Impairment

1. Macular Degeneration1,559
2. Diabetic Retinopathy328
3. Glaucoma401
4. Cataracts94
5. Other502
6. Total (must agree with A3)2,884

G. Other Age-Related Impairments

1. Hearing Impairment782
2. Diabetes560
3. Cardiovascular Disease and Strokes701
4. Cancer174
5. Bone, Muscle, Skin, Joint, and Movement Disorders734
6. Alzheimer's Disease/Cognitive Impairment72
7. Depression/Mood Disorder127
8. Other Major Geriatric Concerns603

H. Type of Residence

1. Private residence (house or apartment)2,342
2. Senior Living/Retirement Community287
3. Assisted Living Facility182
4. Nursing Home/Long-term Care facility70
5. Homeless3
6. Total (must agree with A3)2,884

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)1,163
2. Physician/medical provider153
3. State VR agency47
4. Government or Social Service Agency77
5. Veterans Administration21
6. Senior Center85
7. Assisted Living Facility42
8. Nursing Home/Long-term Care facility11
9. Faith-based organization24
10. Independent Living center52
11. Family member or friend367
12. Self-referral616
13. Other226
14. Total (must agree with A3)2,884

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 244,320
1b. Total Cost from other funds 4,065
2. Vision screening / vision examination / low vision evaluation 1,412
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 18

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 334,996
1b. Total Cost from other funds 4,309
2. Provision of assistive technology devices and aids 1,971
3. Provision of assistive technology services 1,868

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 564,654
1b. Total Cost from other funds 151,398
2. Orientation and Mobility training 391
3. Communication skills 1,363
4. Daily living skills 1,849
5. Supportive services (reader services, transportation, personal 695
6. Advocacy training and support networks 2,652
7. Counseling (peer, individual and group) 2,504
8. Information, referral and community integration 1,577
. Other IL services 723

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 94,591
1b. Total Cost from other funds 17,706
2. Information and Referral 3,888
3. Community Awareness: Events/Activities 408 12,997

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) 1,361,083 1,317,303 -43,780
2. Number of Individuals Served 2,926 2,884 -42
3. Number of Minority Individuals Served 720 0 -720
4. Number of Community Awareness Activities 377 0 -377
5. Number of Collaborating agencies and organizations 17 16 -1
6. Number of Sub-grantees 17 16

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 1,868 100.00%
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) 1,897 101.55%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 285 15.26%
B1. Number of individuals who received orientation and mobility (O & M) services 391 100.00%
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) 378 96.68%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 119 30.43%
C1. Number of individuals who received communication skills training 1,363 100.00%
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) 1,097 80.48%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 121 8.88%
D1. Number of individuals who received daily living skills training 1,849 100.00%
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) 1,482 80.15%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 220 11.90%
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) 1,431 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) 43 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) 127 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 154 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) 36 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.

We have reduced agencies from 17 to 16.

Remaining agencies are: Center for Sight and Hearing Chicago Lighthouse times 2 Illinois/Iowa IMPACT times 2 Jacksonville CIL Lake County CIL LIFE-CIL Options PACE SAIL SICIL Spectrios Tri County TCRC

Teacher - The program is designed to assist older blind individuals with vision loss to remain independent in their home.

Contractor - Vendor maintains an inventory of assistive devices and technology for customers. Customers may obtain training in the use of items available. In home skills training is provided and peer counseling is available.

Contractor - LCCIL continues to conduct extensive outreach to locate potential consumers. Center staff regularly attends low vision support group meetings, participate in tabling events such as health fairs and have increased efforts to conduct outreach to facilities serving seniors such as senior centers, senior housing buildings and assisted living facilities. LCCIL staff meets individually with every perspective OBSP consumer to explain services, answer questions and, if the person wishes, complete intake paperwork. Meetings are at the Center’s offices or, if the consumer wishes, at their residence or another convenient place of their choosing. Center staff works with each consumer individually to identify their goals and what, if any, assistive technology would be beneficial. In making that determination, LCCIL staff provides opportunities for consumers to try various kinds of assistive technology. If desired, staff will recommend assistive technology but are always careful to let consumers decide for themselves what exactly they feel would benefit them the most. Upon provision of assistive technology items, staff takes time to be sure each consumer is comfortable independently using and maintaining any items procured for them. If desired, LCCIL staff can also provide instruction in Braille and also in the use of a computer with adaptive software such as JAWS.

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.

Teacher- Upon completion of the 10 week Senior Program, the class members were given an opportunity to discuss verbally how beneficial the program gave them the courage to get out of their homes and encouraged them to put forth a greater effort to function more independently. The program provided them with skills taught that enabled them to function more independently.

Contractor - The Center has expanded its locations into other communities in an effort to provide low vision in 10 counties of northern Illinois. Most counties in this geographical area are rural and many individual sin need of these service are not able to travel to Rockford due to vision loss.

Contractor - Sponsored a low vision and senior expo at the I-wireless center. The event continues to increase. Have had various independent living devices available for customers to view and receive hands on training. Many community services providers and vendor have booth with information about program and services and other events that promote healthily lifestyles.

Contractor - Transportation advocacy efforts at SAIL has shifted from obtaining transportation services for consumers to helping them learn the services available and how to use them.

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.

Teachers - Consumers 55 and older greatly benefit from the Independent Living Services for Older individuals who are blind. The provision of low vision examinations and services is overwhelmingly useful and life changing for the majority of our customers.

Contractor - Surveys have been sent out to individuals served through out the year. The surveys were very positive regarding enhancement of independence to service individuals.

Contractor - Vendor mails a consumer Evaluation survey to all its consumers which include EBG consumers. Some of the EBG consumers commented on their pleasure with the assistive technology given to them and their ability to function better on a daily basis, their increased trust in the public transportation system.

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).

Teacher - Customer who wasn’t able to cook a meal without a PA, but now is independent and cooking meals for himself.

Teacher - Customer was in complete denial of her vision loss. She expected her daughter to stay with her so she cold keep her current residence. After only a few meetings, the customer had received low vision and adaptive aids that enabled her to perform household tasks independently. She had been counseled on her eye condition and realized their was life after vision loss.

Contractor - A case example from the Elderly Blind Grant that exemplifies a significant improvement of quality of life and independence involves a 58 year-old- woman. She lives with Stargardt’s Disease and came to the Chicago Lighthouse when many of her daily activities became more difficult as a result of her vision. For example, she began to have a difficult time with performing reading tasks including reading books, mail, bills and labels on cans or medicine bottles. Through the grant she was able to receive both a hand held magnifier and high power reading glasses, which have helped her to perform spot reading tasks as well as read through longer pieces of material such as mail or short articles. The handheld magnifier has allowed her to see products, packaging and pricing when in the store due to its portable and lighted design. Also, she received a monocular telescope and training with the device to help with reading distance signs. She reported the telescope significantly helped her to navigate the airport and the signage for terminals, gates and TV monitors.

Contractor - Able to serve a lady who is legally blind and deaf. Se recently moved into an assistive care center but had many issues there. She was provided assistance to make her environment accessible by marking the appliance in the kitchen. Assistance was also provided by out Deaf Specialist with regards to her hearing concerns. She was provided flashing door bell ringer, accessible phone from ITAC, vibrating alarm clock for the bedroom and both hand and stand magnifiers. She and her family felt that she was much safer after receiving these aids and training in the use of them.

Contractor - Mrs. M. experienced vision loss over many years; during assessment, her chief frustration was that she couldn’t keep her AC/Heat regulated in her home independently. She felt her power bills were too high and she had no control over them. The program purchased her a talking thermostat, which was installed a couple of months ago Mrs. M is very satisfied with her ability to regulate the temperature herself.

Contractor - Mr. G is a 57 year old man who has always had low vision. Most recently, his doctor has indicated that he is likely to lose the remainder of his vision with time. He contacted the Vision Access Advocate and inquired about services. He wanted to know how he would be able to continue to work and do things around the house. After discussing his options he determined that he wanted to begin to read braille. After about four lessons, he was hospitalized for an emergency procedure. He contacted the Vision Access Advocate after he had been at the hospital for several days. He called and thanked her for teaching him some of the braille alphabet, as he was actually able to read the braille on the call button for the nurse. He indicated that if he had not begun to learn, he would not have been able to know which button to push. He is now recovered and is continuing his braille lessons.

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

Numbers are down a bit from last year, however we are in the process of redistributing responsibilities. I believe in the coming year figures will be back up. However as funds have been decreased somewhat, hopefully we can increase customers served. Maybe in the near future additional funding might be available.

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
TitleAssistance Bureau Chief
Telephone312-485-1920
Date signed12/31/2013