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

RSA-7-OB for Kansas Department for Children and Families - H177B130016 report through September 30, 2013

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year271,690
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year295,892
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2249,028
A2. Total other federal33,342
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement33,342
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)31,353
A4. Third party0
A5. In-kind0
A6. Total Matching Funds31,353
A7. Total All Funds Expended313,723
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services313,723

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 0.1000 0.0000 0.1000
2. FTE Contractors 0.8500 4.5900 5.4400
3. Total FTE 0.9500 4.5900 5.5400

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 9 2.5700
2. Employees with Blindness Age 55 and Older 5 1.1800
3. Employees who are Racial/Ethnic Minorities 1 0.5000
4. Employees who are Women 18 3.9800
5. Employees Age 55 and Older 2 0.4000

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 FY168
2. Number of individuals who began receiving services in the reported FY498
3. Total individuals served during the reported fiscal year (A1 + A2) 666

B. Age

1. 55-5957
2. 60-6448
3. 65-6943
4. 70-7468
5. 75-7988
6. 80-84125
7. 85-89121
8. 90-9487
9. 95-9925
10. 100 & over4
11. Total (must agree with A3)666

C. Gender

1. Female468
2. Male198
3. Total (must agree with A3)666

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race13
2. American Indian or Alaska Native2
3. Asian4
4. Black or African American29
5. Native Hawaiian or Other Pacific Islander0
6. White617
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)1
9. Total (must agree with A3)666

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)27
2. Legally Blind (excluding totally blind)284
3. Severe Visual Impairment355
4. Total (must agree with A3)666

F. Major Cause of Visual Impairment

1. Macular Degeneration378
2. Diabetic Retinopathy63
3. Glaucoma58
4. Cataracts18
5. Other149
6. Total (must agree with A3)666

G. Other Age-Related Impairments

1. Hearing Impairment206
2. Diabetes167
3. Cardiovascular Disease and Strokes207
4. Cancer53
5. Bone, Muscle, Skin, Joint, and Movement Disorders240
6. Alzheimer's Disease/Cognitive Impairment36
7. Depression/Mood Disorder136
8. Other Major Geriatric Concerns25

H. Type of Residence

1. Private residence (house or apartment)473
2. Senior Living/Retirement Community146
3. Assisted Living Facility27
4. Nursing Home/Long-term Care facility20
5. Homeless0
6. Total (must agree with A3)666

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)262
2. Physician/medical provider30
3. State VR agency4
4. Government or Social Service Agency61
5. Veterans Administration4
6. Senior Center31
7. Assisted Living Facility11
8. Nursing Home/Long-term Care facility0
9. Faith-based organization1
10. Independent Living center49
11. Family member or friend90
12. Self-referral65
13. Other58
14. Total (must agree with A3)666

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 3,289
1b. Total Cost from other funds 1,292
2. Vision screening / vision examination / low vision evaluation 52
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 137,290
1b. Total Cost from other funds 29,138
2. Provision of assistive technology devices and aids 434
3. Provision of assistive technology services 298

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 95,149
1b. Total Cost from other funds 30,873
2. Orientation and Mobility training 34
3. Communication skills 30
4. Daily living skills 390
5. Supportive services (reader services, transportation, personal 81
6. Advocacy training and support networks 56
7. Counseling (peer, individual and group) 126
8. Information, referral and community integration 219
. Other IL services 40

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 13,300
1b. Total Cost from other funds 3,392
2. Information and Referral 39
3. Community Awareness: Events/Activities 135 2,172

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) 484,112 313,723 -170,389
2. Number of Individuals Served 497 666 169
3. Number of Minority Individuals Served 42 49 7
4. Number of Community Awareness Activities 168 135 -33
5. Number of Collaborating agencies and organizations 22 66 44
6. Number of Sub-grantees 3 5

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 298 100.00%
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) 201 67.45%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 130 43.62%
B1. Number of individuals who received orientation and mobility (O & M) services 34 100.00%
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) 18 52.94%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 16 47.06%
C1. Number of individuals who received communication skills training 30 100.00%
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) 5 16.67%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 25 83.33%
D1. Number of individuals who received daily living skills training 390 100.00%
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) 286 73.33%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 104 26.67%
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) 237 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) 1 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) 26 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 37 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) 5 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.

Independent Living Services for Older Individuals who are Blind are delivered through sub-grants to five community-based organizations. These organizations have regional offices throughout the state facilitating greater local access to services. A total of 666 older individuals who are blind received independent living services in Federal Fiscal Year (FFY) 2013, an increase of 82% compared to FFY 2010 when operation of the program was transitioned from a centralized state system to sub-grants to community-based organizations. Kansas Rehabilitation Services monitors the sub-grantees’ performance and expenditures on a monthly basis. The sub-grantees are: • Prairie Independent Living Resource Center, Hutchinson • Southeast Kansas Independent Living Center, Parsons and Hays • Resource Center for Independent Living, Osage City • Alphapointe Association for the Blind, Kansas City • Envision Rehabilitation Center, Wichita. Outreach is a priority for the five sub-grantees. They held a total of 135 events to build awareness about the availability of services through this program. A total of 2,172 individuals participated in these outreach events. Many of the events took place at senior centers, support groups, health fairs for seniors, targeting underserved and unserved populations. Following the outreach activities, individualized follow-up and services were provided as needed.

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.

Beginning in February 2013, new sub-grants were awarded updating the counties of coverage for the sub-grantees. These updates were done to achieve the maximum possible effective coverage in all areas of the state, including those rural and frontier communities with low population density. Sub-grantees focus on maintaining qualified staff, including certified orientation and mobility specialists, to enhance the quality and effectiveness of services delivered. Typical efforts to expand services include contacts and collaboration with Area Agencies on Aging, senior centers and library services for persons who are blind or low vision. The regional locations of the sub-grantees have allowed greater access to services in the communities where consumers live.

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.

Sub-grantees continue to report high levels of consumer satisfaction with the services provided through this program. For example:

One sub-grantee completed satisfaction surveys over the phone and had a 96% satisfaction rate.

Other sub-grantees recorded comments made by consumers, including the following highlights: "This program has been a great help to me." "She (the OIB staff person) has made life more liveable with my vision loss. She goes above and beyond." "It has given me freedom!" "It has helped me towards independence." The program has been "thorough and increased my confidence."

Outcomes related to functional gains, feelings of greater independence and satisfaction are reported in detail in Part VI of this report.

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. A consumer was referred to this program by a low vision ophthalmologist. The consumer was very frustrated by his vision loss. He was giving up everything he enjoyed doing plus letting his health decline. He was unaware of how to manage his diabetes and engage in meaningful activities with his vision loss. The occupational therapist was able to train him in using assistive devices so he could read his mail and sort/pay his bills. He was instructed in implementing general principles such as contrast and lighting when checking his blood glucose and managing his diabetes. Not only did the services improve his independent living, he was able to use the prescribed optical devices to continue to engage in his heating and cooling business with his brother. 2. A consumer with macular degeneration who was turning 100 living in assisted living came to the program for assistance. His birthday was coming up and he could not recognize faces or read his birthday cards. The staff were able to identify appropriate devices to accomplish both of these tasks. He was trained in the devices allowing him to read his own mail, magazines and look at family pictures. He was also connected to numerous community resources. 3. A consumer was referred to the program. He had macular degeneration and was left with only 2% of his vision. He stated he “quit living.” The consumer was shown many options to make everyday life easier and more efficient. He was given a talking watch, a signature guide to assist with signing him name, and a liquid level indicator to help him fill his glass without overflowing. He was so excited and appreciative of such simple solutions. We assisted him with acquiring Talking Books. He was provided a pair a glasses that allowed him to watch his beloved baseball games on television.

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

Given the rural and frontier nature of many parts of the state, building awareness of the services available through his program can be a challenge. Here are two examples of comments from the sub-grantees related to this issue: “We struggle at times to build awareness in all counties. We know there are people that would benefit from our services who likely are unaware the services are available.” “We know the people are out there and in need, but it is a matter of reaching them or the right person that will make the referral.”

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
Telephone785-368-8204
Date signed12/30/2013