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

RSA-7-OB for Iowa Department for the Blind - H177B140015 report through September 30, 2014

Instructions

Introduction

The revised ED RSA-7-OB form incorporates revisions to the four established performance measures for the Independent Living Services for Older Individuals who are Blind (IL-OIB) program. Added in 2007, these measures aim to better reflect the program’s impact on individual consumers and the community.

Added to capture information that may be required to meet GPRA guidelines, the performance measures can be found under Part VI: Program Outcomes/Performance Measures as follows:

Measure 1.1

Of individuals who received AT (assistive technology) services and training, the percentage who regained or improved functional abilities previously lost as a result of vision loss.

Measure 1.2

Of individuals who received orientation and mobility (O & M) services, the percentage who experienced functional gains or maintained their ability to travel safely and independently in their home and/or community environment.

Measure 1.3

Of individuals who received services or training in alternative non-visual or low vision techniques, the percentage that experienced functional gains or were able to successfully restore and maintain their functional ability to engage in their customary life activities within their home environment and community.

Measure 1.4

Of the total individuals served, the percentage that reported that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services.

Revisions to these established program performance measures consists of the following additional five items:

E1. Enter the 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)

E2. Enter the 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)

E3. Enter the 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)

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only)

E5. Enter the 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)

Submittal Instructions

OIB grantees are expected to complete and submit the 7-OB Report online through RSA’s website (https://rsa.ed.gov), unless RSA is notified of pertinent circumstances that may impede the online submission.

To register with RSA’s MIS, please go to https://rsa.ed.gov and click on Info for new users. The link provides instructions for obtaining an agency-specific username and password. Further instructions for completing and submitting the 7-OB Report online will be provided upon completion of the registration process.

OIB grantees submitting the 7-OB Report online are not required to mail signed copies of the 7-OB Report to RSA, but they must certify in the MIS that the signed and dated 7-OB Report and lobbying certification forms are retained on file.

The Report submittal deadline is no later than December 31 of the reporting year.

Part I: Funding Sources for Expenditures And Encumbrances — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I (C) must equal the total funds spent on service in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

A. Funding SourceS for Expenditures and encumbrances in reported fy

A1. Enter the total amount of Title VII-Chapter 2 funds expended or encumbered during the reported FY. Include expenditures or encumbrances made from both carryover funds from the previous FY and from the reported FY grant funds.

A2. Enter the total of any other federal funds expended or encumbered in the Title VII-Chapter 2 program during the reported FY. Designate the funding sources and amounts in (a) through (e).

A3. Enter the total amount of state funds expended or encumbered in the Title VII - Chapter 2 program. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A4. Enter the total amount of third party contributions including local and community funding, non-profit or for-profit agency funding, etc. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A5. Enter the total amount of in-kind contributions from non-federal sources. Include value of property or services that benefit the Title VII-Chapter 2 program (e.g. the fairly evaluated documented value of services, materials, equipment, buildings or office space or land).

A6. Enter the total matching funds (A3 + A4 + A5). Reminder: The required non-federal match for the Title VII-Chapter 2 program is not less than $1 for each $9 of federal funds provided in the Title VII-Chapter 2 grant. Funds derived from or provided by the federal government, or services assisted or subsidized to any significant extent by the federal government, may not be included in determining the amount of non-federal contributions.

A7. Enter the total amount of all funds expended and encumbered (A1 + A2 + A6) during the reported fiscal year.

B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs

Enter the total amount of expenditures and encumbrances allocated to administrative, support staff, and general overhead costs. Do not include costs for direct services provided by agency staff or the costs of contract or sub-grantee staff that provide direct services under contracts or sub-grants. If an administrator spends a portion of his or her time providing administrative services and the remainder providing direct services, include only the expenditures for administrative services.

C. Total expenditures and encumbrances for direct program services

Enter the total amount of expenditures and encumbrances for direct program services by subtracting line B from line A7.

Part II: Staffing — Instructions

Base all FTE calculations upon a full-time 40-hour workweek or 2080 hours per year. Record all FTE assigned to the Title VII-Chapter 2 program irrespective of whether salary is paid with Title VII-Chapter 2 funds.

A. Full-time Equivalent (FTE) Program Staff

A1. Under the “Administrative & Support” column (A1a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from the State agency. (For example, if 20% or 8 hours per week of a staff person’s time were spent on administrative and support functions related to this program, the FTE for that staff person would be .2). Under the “Direct Services” column (A1b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, drivers for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from the State agency. If administrative or support staff of the State agency also provide direct services, report the FTE devoted to direct services in the “Direct Services” column (A1b). (For example, if 80% of a staff person’s time were spent in providing direct services, the FTE for that person would be 8). Finally, add across the “Administrative & Support” FTE (A1a) and “Direct Service” FTE (A1b) to enter the total State agency FTE in the TOTAL (A1c) column.

A2. Under the “Administrative & Support” column (A2a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from contractors or sub-grantees. Under the “Direct Services” column (A2b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, driver for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from contractors and sub-grantees. If administrative staff of the contractors or sub-grantees also provides direct services, report the FTE devoted to direct services in the “Direct Services” column (A2b). Finally, add across the “Administrative & Support” FTE (A2a) and “Direct Service” FTE (A2b) to enter the total contractor or sub-grantee FTE in the TOTAL (A2c) column.

A3. Add each column for A1 and A2 and record totals on line A3.

B. Employed or advanced in employment

B1. Enter the total number of employees (agency and contractor/sub-grantee staff) with disabilities (include blind and visually impaired not 55 or older), including blindness or visual impairment, in B1a. Enter the FTE of employees with disabilities in B1b. (To calculate B1b, add the total number of hours worked by all employees with disabilities and divide by 2080 to arrive at the FTE)

B2. Enter the total number of employees (agency and contractor/sub-grantee staff) who are blind or visually impaired and age 55 and older in B2a. Enter the FTE of employees who are blind or visually impaired and age 55 or older in B2b. (To calculate B2b, add the total number of hours worked by employees who are blind or visually impaired and age 55 and older and divide by 2080 to arrive at the FTE)

B3. Enter the total number of employees (agency and contractor/sub-grantee staff) who are members of racial/ethnic minorities in B3a. Enter the FTE of employees who are members of racial/ethnic minorities in B3b. (To calculate B3b, add the total number of hours worked by employees who are members of racial/ethnic minorities and divide by 2080 to arrive at the FTE)

B4. Enter the total number of employees (agency and contractor/sub-grantee staff) who are women in B4a. Enter the FTE of employees who are women in B4b. (To calculate B4b, add the total number of hours worked by women and divide by 2080 to arrive at the FTE)

B5. Enter the total number of employees (agency and contractor/sub-grantee staff) who are ages 55 and older, but not blind or visually impaired, in B5a. Enter the FTE of employees who are ages 55 and older, but not blind or visually impaired, in B5b. (To calculate B5b, add the total number of hours worked by employees who are ages 55 and older, but not blind or visually impaired, and divide by 2080 to arrive at the FTE)

C. Volunteers

C1. Enter the FTE of program volunteers in C1. (To calculate C1, add the total number of hours worked by all program volunteers and divide by 2080 to arrive at the FTE).

Part III: Data on Individuals Served — Instructions

Provide data in all categories on program participants who received one or more services during the fiscal year being reported.

A. Individuals Served

A1. Enter the number of program participants carried over from the previous federal fiscal year who received services in this reported FY (e.g. someone received services in September (or any other month) of the previous FY and continued to receive additional services in the reported FY).

A2. Enter the number of program participants who began receiving services during the reported fiscal year irrespective of whether they have completed all services.

A3. Enter the total number served during the reported fiscal year (A1 + A2).

B. Age

B1-B10. Enter the total number of program participants served in each respective age category.

B11. Enter the sum of B1 through B10. This must agree with A3.

C. Gender

C1. Enter the total number of females receiving services.

C2. Enter the total number of males receiving services.

C3. Enter the sum of C1 and C2. This must agree with A3.

D. Race/Ethnicity

Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D1. Enter the number of individuals served who are Hispanic/Latino of any race or Hispanic/Latino only. Hispanic/Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D2. Enter the number of individuals served who are American Indian or Alaska Native. American Indian or Alaska Native means a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

D3. Enter the number of individuals served who are Asian. Asian means a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

D4. Enter the number of individuals served who are Black or African American. Black or African American means a person having origins in any of the black racial groups of Africa. Terms such as “Haitian” may be used.

D5. Enter the number of individuals served who are Native Hawaiian or Other Pacific Islander. Native Hawaiian or Other Pacific Islander means a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

D6. Enter the number of individuals served who are White or Caucasian. White means a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

D7. Enter the number of individuals served who report two or more races but who are not Hispanic/Latino of any race.

D8. Enter “race and ethnicity unknown” only if the consumer refuses to identify race and ethnicity.

D9. Enter the total of D1 through D8. This number must agree with A3.

E. Degree of Visual Impairment

E1. Enter the number of individuals served who are totally blind (e.g. have light perception only or no light perception).

E2. Enter the number of individuals served who are legally blind (excluding those recorded in E1).

E3. Enter the number of individuals served who have severe visual impairment.

E4. Add E1 + E2 + E3 and enter the total. This number must agree with A3.

F. Major Cause of Visual Impairment

(Please note that the primary site for the definitions of diseases is http://www.nia.nih.gov/AboutNIA/StrategicPlan/ResearchGoalA/Subgoal1.htm.)

Enter only one major cause of visual impairment for each individual served.

F1. Enter the number of individuals served who have macular degeneration as the major cause of visual impairment. Age-related macular degeneration (AMD) is a progressive disease of the retina wherein the light-sensing cells in the central area of vision (the macula) stop working and eventually die. The cause of the disease is thought to be a combination of genetic and environmental factors, and

It is most common in people who are age 60 and over. AMD is the leading cause of legal blindness in senior citizens.

F2. Enter the number of individuals served who have diabetic retinopathy as the major cause of visual impairment. Diabetic retinopathy is the leading cause of new cases of legal blindness among working-age Americans and is caused by damage to the small blood vessels in the retina. It is believed that poorly controlled blood sugar levels are related to its progression. Most persons with diabetes have non-insulin-dependent diabetes mellitus (NIDDM) or what is commonly called “adult-onset” or Type II diabetes, and control their blood sugar with oral medications or diet alone. Others have insulin-dependent diabetes mellitus (IDDM), also called "younger or juvenile-onset" or Type I diabetes, and must use insulin injections daily to regulate their blood sugar levels.

F3. Enter the number of individuals served who have glaucoma as the major cause of visual impairment. Glaucoma is a group of eye diseases causing optic nerve damage that involves mechanical compression or decreased blood flow. It is permanent and is a leading cause of blindness in the world, especially in older people.

F4. Enter the number of individuals served who have cataracts as the major cause of visual impairment. A cataract is a clouding of the natural lens of the eye resulting in blurred vision, sensitivity to light and glare, distortion, and dimming of colors. Cataracts are usually a natural aging process in the eye (although they may be congenital) and may be caused or accelerated by other diseases such as glaucoma and diabetes.

F5. Enter the number of individuals served who have any other major cause of visual impairment.

F6. Enter the sum of F1 through F5. This number must agree with A3.

G. Other Age-Related Impairments

Enter the total number of individuals served in each category. Individuals may report one or more non-visual impairments/conditions. The National Institute on Aging (NIA) Strategic Plan identifies age-related diseases, disorders, and disability including the following categories.

G1. Hearing Impairment: Presbycusis is the gradual hearing loss that occurs with aging. An estimated one-third of Americans over 60 and one-half of those over 85 have some degree of hearing loss. Hearing impairment occurs when there is a problem with or damage to one or more parts of the ear, and may be a conductive hearing loss (outer or middle ear) or a sensorineural hearing loss (inner ear) or a combination. The degree of hearing impairment can vary widely from person to person. Some people have partial hearing loss, meaning that the

Ear can pick up some sounds; others have complete hearing loss, meaning that the ear cannot hear at all. One or both ears may be affected, and the impairment may be worse in one ear than in the other.

G2. Diabetes: Diabetes is a disease in which the body does not produce or properly use insulin, a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Type 2 diabetes, which results from insulin resistance and abnormal insulin action, is most prevalent in the older population. Diabetes complications, such as heart disease and loss of sight, increase dramatically when blood sugar is poorly controlled and often develop before diabetes is diagnosed.

G3. Cardiovascular Disease and Strokes: Diseases of the heart and blood vessels are the leading cause of hospitalization and death in older Americans. Congestive heart failure is the most common diagnosis in hospitalized patients aged 65 and older.

G4. Cancer: The second leading cause of death among the elderly is cancer, with individuals age 65 and over accounting for 70 percent of cancer mortality in the United States. Breast, prostate, and colon cancers, are common in older people.

G5. Bone, Muscle, Skin, Joint, and Movement Disorders: Osteoporosis (loss of mass and quality of bones), osteoarthritis (inflammation and deterioration of joints), and sarcopenia (age-related loss of skeletal muscle mass and strength) contribute to frailty and injury in millions of older people. Also contributing to loss of mobility and independence are changes in the central nervous system that control movement. Cells may die or become dysfunctional with age, as in Parkinson's disease. Therefore, older people may have difficulty with gross motor behavior, such as moving around in the environment, or with fine motor skills, such as writing.

G6. Alzheimer’s Disease/Cognitive Impairment: Alzheimer’s disease is the most common type of dementia (a brain disorder that significantly affects an individual’s ability to carry out daily life activities) in older people. It and other cognitive impairments impact parts of the brain that control thought, memory, and language.

G7. Depression is widespread, often undiagnosed, and often under-treated in the elderly. It is believed to affect more than 6.5 million of the 35 million Americans who are 65 or older. Depression is closely associated with dependency and disability. Symptoms may include: loss of interest in normally pleasurable activities, persistent, vague or unexplained somatic complaints, memory complaints, change in weight, sleeping disorder, irritability or demanding behavior, lack of attention to personal care, difficulty with concentration, social withdrawal, change in appetite, confusion, delusions or hallucinations, feeling of worthlessness or hopelessness, and thought about suicide.

G8. Other Major Geriatric Concerns: Several conditions can compromise independence and quality of life in older persons including weakness and falls, urinary incontinence, benign prostatic hyperplasia, and co morbidity (co morbidity describes the effect of all other diseases an individual might have on the primary disease).

H. Type of Residence

H1. Enter the number of individuals served who live in private residence (house or apartment unrelated to senior living).

H2. Enter the number of Individuals served who live in senior living/retirement community (e.g. housing designed for those age 55 and older).

H3. Enter the number of individuals served who live in assisted living facility (e.g. housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry).

H4. Enter the number of individuals served who live in nursing homes/long-term care facility (e.g. any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis).

H5. Enter the number of individuals served who are homeless

H6. Enter the sum of H1, H2, H3, H4 and H5. This number must agree with A3.

I. Source of Referral

I1. Enter the number of individuals served referred by an ophthalmologist or optometrist.

I2. Enter the number of individuals served referred by a medical provider other than an ophthalmologist or optometrist.

I3. Enter the number of individuals served referred by a state vocational rehabilitation agency.

I4. Enter the number of individuals served referred by a government or social services agency defined as a public or private agency which provides assistance to consumers related to eligibility and securing entitlements and benefits, counseling, elder law services, assistance with housing, etc.

I5. Enter the number of individuals served referred by the Veterans Administration

I6. Enter the number of individuals served referred by a senior program defined as a community-based educational, recreational, or socialization program operated by a senior center, nutrition site, or senior club.

I7. Enter the number of individuals served referred by an assisted living facility defined as housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry.

I8. Enter the number of individuals served referred by a nursing home/long-term care facility defined as any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis.

I9. Enter the number of individuals served referred by a faith-based (religious affiliated) organization.

I10. Enter the number of individuals served referred by an independent living center (ILC) defined as a consumer-controlled, community-based, cross-disability, nonresidential private nonprofit agency that is designed and operated within a local community by individuals with disabilities, and provides an array of independent living services.

I11. Enter the number of individuals referred by a family member or friend.

I12. Enter the number of individuals who were self-referred.

I13. Enter the number of individuals referred from all other sources aside from those listed above.

I14. Enter the sum of I1, I2, I3, I4, I5, I6, I7, I8, I9, I10, I11, I12, and I13. This number must agree with A3

Part IV: Types of Services Provided and Resources Allocated — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I C must equal the total funds spent on services in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

In addition, salary or costs associated with direct service staff or contractors providing

direct services should be included in the cost of services provided in A, B, C, and D.

A. Clinical / Functional Vision Assessments and Services

A1. Enter the total cost from Title VII-Chapter 2 federal grant funds (A1a) and the total cost from all other sources of program funding (A1b) for clinical and/or functional vision assessments and services, whether purchased or provided directly.

A2. Enter the total number of program participants who received clinical vision screening or vision examinations from qualified or certified professionals such as ophthalmologists or optometrists, and who received functional vision assessments or low vision evaluations to identify strategies for enhancing visual performance both without and with optical and low vision devices and equipment. Assessment areas may include functional visual acuity and fields, efficiency of vision in the performance of everyday tasks, and evaluation for low vision aids or equipment. These assessments are typically provided by skilled professionals or those who are certified or have a master’s degree in low vision rehabilitation. Do not include evaluations for orientation and mobility. These should be included in C3.

A3. Enter the total number of program participants who received surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions; and, hospitalizations related to such services. Include prescription optics in this service category. Nonprescription optics should be reported in B2.

B. Assistive Technology Devices, Aids, Services and Training

B1. Enter the total cost from Title VII-Chapter 2 federal grant funds (B1a) and the total cost from all other sources of program funding (B1b) for the provision of assistive technology devices, aids, services and training.

B2. Enter the total number of program participants who received one or more assistive technology devices and aids. As defined in Section 3(4) of the Assistive Technology Act of 2004 (Pub. L. 108-364), “assistive technology device means any item, piece of equipment, or product system whether acquired commercially, modified, or customized that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” Assistive technology devices may include such items as canes, slates, insulin gauges, CCTVs, computers, adaptive software, magnifiers, adaptive cooking items, adaptive recreational items, handwriting guides, Braillers, large button telephones, etc.

B3. Enter the total number of program participants who received one or more assistive technology services and training. As defined in Section 3(5) of the Assistive Technology Act of 2004 (PL 108-364), “assistive technology service means any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.” Services may include the evaluation of assistive technology needs of an individual, services related to acquisition of technology, costs of loan programs, maintenance and repair of assistive technology, training or technical assistance for the individual or professionals related to the use of assistive technology, programs to expand the availability of assistive technology, low vision therapy services related to the use of optical aids and devices, and other services related to the selection, acquisition, or use of an assistive technology device.

C. Independent Living and Adjustment Training and Services

C1. Enter the total cost from Title VII-Chapter 2 federal grant funds (C1a) and the total cost from all other sources of program funding (C1b) for the provision of services and adjustment training leading to independent living. Evaluation and assessment services (excluding those included in A2 or B3) leading to the planning and implementation of services and training should be included in these costs.

C2. Enter the total number of individuals who received orientation and mobility (O & M) services or travel training (i.e. learning to access public or private transportation and to travel safely and as independently as possible in the home and community with or without the use of mobility aids and devices).

C3. Enter the total number of individuals who received communication skills training (e.g. reading and writing Braille, keyboarding and computer literacy, computer skills training, using the telephone, handwriting guides, telling time, using readers, use of audio and tactile technologies for home, recreational or educational use; etc.). Training in the use of newspaper reading services and radio services should be included.

C4. Enter the total number of individuals who received personal management and daily living skills training (e.g. training in the use of adaptive aids and assistive technology devices for personal management and daily living, blindness and low vision alternative techniques for food preparation, grooming and dress, household chores, medical management, shopping, recreational activities, etc.)

C5. Enter the total number of individuals who received supportive services (e.g. reader services, transportation, personal attendant services, support service providers, interpreters, etc.) while actively participating in the program or attaining independent living goals.

C6. Enter the total number of program participants who participated in advocacy training or support network activities such as consumer organization meetings, peer support groups, etc.

C7. Enter the total number of individuals who received counseling (peer, individual or group) to assist them in adjusting to visual impairment and blindness.

C8. Enter the total number of program participants that received information and referral to other service providers, programs, and agencies (e.g. senior programs, public and private social service programs, faith-based organizations, consumer groups, etc.) to enhance adjustment, independent living, and integration into the community. Do not include individuals who received only information and referral and for whom no other services were provided.

C9. Enter the total number of individuals served who were provided any other service not listed above.

D. Community Awareness Activities / Information and Referral

D1. Enter the total cost from Title VII-Chapter 2 federal grant funds (D1a) and the total cost from all other sources of program funding (D1b) for providing information and referral services and community awareness activities/events to individuals for whom this was the only service provided (i.e. training for other professionals, telephone inquiries, general inquiries, etc.).

D2. Enter the number of individuals receiving information and referral services for whom this is the only service provided. (optional)

D3. Enter the number of community awareness events/activities in which the Chapter 2 program participated during the reported year (D3a) and the number or estimated number of individuals who benefited from these activities (D3b).

Part V: Comparison of Prior Year Activities to Current Reported Year — Instructions

A1. Program Expenditures and Encumbrances (all sources) Enter the total cost of the program for the prior fiscal year (A1a), and the fiscal year being reported (A1b). The total cost of the program can be found in Part I A7. Calculate the change (plus or minus) from the prior year to the reported year (A1c).

A2. Number of Individuals Served Enter the total number of eligible individuals served in the prior year (A2a), and in the current reported year (A2b). The total number of individuals served can be found in Part III A3. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A2c).

A3. Number of Minority Individuals Served Enter the total number of minority individuals served in the prior year (A3a), and in the fiscal year currently being reported (A3b). The total number of minority individuals served is the total of Part III D1+D2+D3+D4+D5 +D7. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A3c).

A4. Number of Community Awareness Activities Enter the number of community awareness activities or events in which the Chapter 2 program participated during the prior year (A4a), and in the fiscal year currently being reported (A4b). The number of community awareness activities is found in Part IV D3a. Calculate the change (plus or minus) in the number of events from the prior year to the year being reported (A4c).

A5. Number of Collaborating Agencies and Organizations Enter the number of collaborating organizations or agencies (formal agreements or informal activity) other than Chapter 2 paid sub-grantees or contractors in the prior year (A5a), and in the fiscal year currently being reported (A5b). Calculate the change (plus or minus) from the prior year to the year being reported (A5c).

A6. Number of Sub-grantees/Contractors If you provide services through sub-grantee agencies or contract, enter the number of sub-grantees or contracts in the prior year (A6a), and in the fiscal year currently being reported (A6b). Calculate the change (plus or minus) from the prior year to the year being reported (A6c). If you do not use sub-grantees, enter 0 in A6a, A6b, and A6c.

Part VI: Program Outcomes/Performance Measures — Instructions

A. Enter the number from Part IV B3 in A1. From available program data and evaluations, enter the 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 in A2. (closed/inactive cases only).

In A3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

B. Enter the number from Part IV C2 in B1. From available program data and evaluations, of those receiving orientation and mobility (O & M) services, enter 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 in B2 (closed/inactive cases only).

In B3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

C. Enter the number from Part IV C3 in C1. From available program data and evaluations, of those receiving communication skills training, enter the number of individuals who gained or maintained their functional abilities as a result of services they received in C2 (Closed/inactive cases only).

In C3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

D. Enter the number from Part IV C4 in D1. From available program data and evaluations, of those receiving daily living skills training, enter the 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 In D2 (Closed/inactive cases only).

In D3, enter the Number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

E1. Enter the 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).

E2. Enter the 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).

E3. Enter the 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).

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss (Closed/inactive cases only). “Change in lifestyle” is defined as any non-vision related event that results in the consumer’s reduced independence, such as moving from a private residence (house or apartment) to another type of residence e.g. living with family, senior living community, assisted living facility, nursing home/long-term facility, etc. Reduced independence could also result in employing a caregiver to enable the consumer continue to live in his/her home. Examples of events that could result in reduced independence of the consumer include loss of spouse and onset or worsening of other health conditions such as diabetes, cancer, heart disease, etc.

E5. Enter the 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).

Part VII: Training and Technical Assistance — Instructions

On July 22, 2014, Public Law 113-128, the Workforce Innovation and Opportunity Act (WIOA) was enacted and included a new requirement under Section 751A that the RSA Commissioner shall conduct a survey of designated State agencies that receive grants under section 752 regarding training and technical assistance needs in order to determine funding priorities for such training and technical assistance. Please enter a brief description of training and technical assistance needs that you may have to assist in the implementation and improvement of the performance of your Independent Living Services for Older Individuals Who Are Blind grant (for example, financial management, reporting requirements on the 7-OB, program management, data analysis and program performance, law and applicable regulations, provision of services and service delivery, promising practices, resources and information, outreach, etc.).

Part VIII: Narrative — Instructions

Self-explanatory.

Part IX: Signature Instructions

Please sign and print the name, title and telephone number of the IL-OIB Program Director.

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year325,101
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 2325,101
A2. Total other federal136,955
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement136,955
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)215,444
A4. Third party0
A5. In-kind0
A6. Total Matching Funds215,444
A7. Total All Funds Expended677,500
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs161,360
C. Total expenditures and encumbrances for direct program services516,140

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 1.2250 5.2160 6.4410
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 1.2250 5.2160 6.4410

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 2 0.0000
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 0 0.0000
4. Employees who are Women 10 0.0000
5. Employees Age 55 and Older 3 0.0000

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 FY392
2. Number of individuals who began receiving services in the reported FY544
3. Total individuals served during the reported fiscal year (A1 + A2) 936

B. Age

1. 55-5941
2. 60-6437
3. 65-6944
4. 70-7472
5. 75-79114
6. 80-84162
7. 85-89219
8. 90-94180
9. 95-9947
10. 100 & over20
11. Total (must agree with A3)936

C. Gender

1. Female716
2. Male220
3. Total (must agree with A3)936

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race2
2. American Indian or Alaska Native2
3. Asian5
4. Black or African American20
5. Native Hawaiian or Other Pacific Islander1
6. White900
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)6
9. Total (must agree with A3)936

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)565
2. Legally Blind (excluding totally blind)46
3. Severe Visual Impairment325
4. Total (must agree with A3)936

F. Major Cause of Visual Impairment

1. Macular Degeneration509
2. Diabetic Retinopathy52
3. Glaucoma35
4. Cataracts11
5. Other329
6. Total (must agree with A3)936

G. Other Age-Related Impairments

1. Hearing Impairment0
2. Diabetes92
3. Cardiovascular Disease and Strokes347
4. Cancer45
5. Bone, Muscle, Skin, Joint, and Movement Disorders158
6. Alzheimer's Disease/Cognitive Impairment76
7. Depression/Mood Disorder0
8. Other Major Geriatric Concerns218

H. Type of Residence

1. Private residence (house or apartment)581
2. Senior Living/Retirement Community182
3. Assisted Living Facility97
4. Nursing Home/Long-term Care facility76
5. Homeless0
6. Total (must agree with A3)936

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)70
2. Physician/medical provider39
3. State VR agency13
4. Government or Social Service Agency240
5. Veterans Administration5
6. Senior Center32
7. Assisted Living Facility33
8. Nursing Home/Long-term Care facility39
9. Faith-based organization4
10. Independent Living center1
11. Family member or friend169
12. Self-referral245
13. Other46
14. Total (must agree with A3)936

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 1,581
1b. Total Cost from other funds 1,706
2. Vision screening / vision examination / low vision evaluation 152
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 0
1b. Total Cost from other funds 7,843
2. Provision of assistive technology devices and aids 261
3. Provision of assistive technology services 388

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 213,260
1b. Total Cost from other funds 230,135
2. Orientation and Mobility training 127
3. Communication skills 349
4. Daily living skills 388
5. Supportive services (reader services, transportation, personal 58
6. Advocacy training and support networks 138
7. Counseling (peer, individual and group) 485
8. Information, referral and community integration 113
. Other IL services 1,162

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 3,166
1b. Total Cost from other funds 3,417
2. Information and Referral 85
3. Community Awareness: Events/Activities 127 3,100

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) 723,320 677,500 -45,820
2. Number of Individuals Served 969 936 -33
3. Number of Minority Individuals Served 33 30 -3
4. Number of Community Awareness Activities 126 127 1
5. Number of Collaborating agencies and organizations 5 6 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 388 100.00%
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) 286 73.71%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 102 26.29%
B1. Number of individuals who received orientation and mobility (O & M) services 127 100.00%
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) 86 67.72%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 41 32.28%
C1. Number of individuals who received communication skills training 349 100.00%
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) 241 69.05%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 108 30.95%
D1. Number of individuals who received daily living skills training 388 100.00%
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 73.71%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 102 26.29%
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) 311 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) 26 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) 90 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 51 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) 19 n/a

Part VII: Training and Technical Assistance Needs

The training and technical assistance that would be most useful include:

• Reporting requirements on the 7-OB • Program management consultation • Data analysis and program performance • Laws and regulations applicable to the program, and • Promising practices

Part VIII: 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 Iowa Department for the Blind’s independent living program performs IL services in-house to all 99 Iowa counties. IL staff consists of one full-time statewide program manager, one statewide project specialist, seven IL rehabilitation teachers, one IL rehabilitation technology specialist and one support staff. The statewide project specialist, along with direction from the program manager, plans and directs community-based and senior orientation trainings as well as conducts outreach efforts. IL teachers provide direct services to underserved and unserved older blind clients. This report period, the IL program did not sub-contract service since we were fully staffed.

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.

During this report period, the ILOB program planned for six VLRFs and hosted five. The sixth fair had to be moved to another location (i.e. city) due to logistical issues with the original planned location. That VRLF was rescheduled for the 2015 reporting year. Marketing efforts were well planned and executed and as a result these fairs were highly attended by those with vision loss and the community, not to mention the partners. VLRFs were held across the state to include Iowa City, Fort Dodge, Burlington, Muscatine, and Fairfield, Iowa. The ILOB program partnered with multiple community programs and resources from each area, including but not limited to, transportation agencies, rural housing, Chamber of Commerce, community action programs, case management, Veteran’s Administration, the Iowa Department for the Blind Library, Aids & Devices, Vocational Rehabilitation Services, Newsline, Iowa Radio Reading Information Service (IRIS), technology vendors, as well as others. Information was provided by every vendor, including but was not limited to, information about housing assistance, free newspaper reading programs, how to receive audio books and magazines in the mail, and tips on how to complete everyday tasks independently and with ease using various adaptive aids and devices.

In addition to these efforts we participated in the annual White Cane Safety Day event held in Des Moines Iowa as well as a Veteran’s Administration Health Fair held in Iowa City. Both were well attended. As a result of attending the Veteran’s Administration event, their VIST representative approached our agency to partner to serve blind Veterans. Last reported, there are approximately 8000 older blind veterans on the eastern side of Iowa, and the VIST coordinator fully intends to refer to our ILOB program.

Finally, in all we executed 127 statewide activities to expand and improve our services. These events were well attended yielding 3100+ participants. We took advantage of inviting community partners not only to help supply useful information to event participants, but to also learn more about our ILOB program and general agency services. We firmly believe that partnerships create opportunities and will result in building a strong program.

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.

This year, we again used Survey Monkey to collect and analyze survey results. Our survey was sent to individual IL participants following case closure. The response rate was 48.3%. We were pleased to learn from those individuals who responded that the IL OB program performed highly during this report period. Each survey question and rating has been incorporated below for review.

Finally, sometimes we tend to quickly forget that these statistical in this case represent real people. These people carry with them a very powerful message, one that speaks to how essential and valued the IL OB program is to blind Iowans. Through their own words, as you will see from a sampling below, IL OB program services has helped to transform lives one person at a time. The message is clear as you will see below.

• “My caseworker was very friendly and helpful. She continually offers new solutions to everyday problems.” • “I feel my teacher has been very helpful. She has helped me with the computer, crochet, and cane travel tips. Given me many suggestions, ideas, and many helps about daily living. Taught me to shop in stores. Showed me how to organize greeting cards. Keeps me informed on about all the new technology.” • “I especially appreciate the magnifying lamps. I can still read my Bible and my newspaper. Also the marks on my thermostats so that I can adjust the heat as needed. Thank you so much.” • “I am very grateful for all the help that I received. It’s very important to maintain and it would be nice to continue this with others — i.e. Support Groups or another visit to the Dept. of the Blind. To know that the service will be there when vision changes — puts me at peace, as I continue to deal with loss of vision.” • “I am so thankful for discovering the Iowa Department for the Blind. Thanks especially to Vivian (IL rehabilitation teacher). Her guidance, information, and kindness gave me help in accepting my blindness. It was only her stressing the importance of attending the (Senior Orientation Training) week at the Iowa Department for the Blind. Every day I use things that I learned. Being positive, confident, knowing I can continue doing the important things in my life. Thanks to all the good people at the Iowa Department for the Blind. All of your kindness — so great —“

Independent Living Rehabilitation Services - Feedback Q1 Did your teacher adequately explain the Independent Living Services available to you through the Iowa Department for the Blind and all that it has to offer? Answered: 40 Yes 40 (100.00%) Skipped 2 No 0 Q2 Were the services you received timely? Answered: 42 Yes 42 (100.00%) Skipped 0 No 0

Q3 Did your teacher listen to your ideas and involve you in the planning of your services? Answered: Yes 42 (100.00%) Skipped: 0 No 0

Q4 Did you receive the kind of training you desired and did it meet your needs? Answered: Yes 41 (100.00%) Skipped: 1 No 0

Q5 Where you provide with adequate information on services and resources available through other agencies? Answered: Yes 35 (87.50%) Skipped: 1 No 5 (12.50%)

Q6 Do you feel better about yourself and who you are after participating in Independent Living services? Answered: Yes 42 (100.00%) Skipped: 0 No 0

Q7 Do you feel better about your future after participating in Independent Living services? Answered: Yes 42 (100.00%) Skipped: 0 No 0

Q8 Have you maintained or gained independence as a result of your participation in Independent Living services? Answered: Yes 36 (92.31%) Skipped: 3 No 3 (7.69%)

Q9 What do you feel is the most valuable service you received through the Independent Living services? Answer Choices — Responses —

Developing a more positive attitude about yourself and your blindness. 58.97% 23

The training you received. 69.23% 27

The information you were provided about the services and resources available through other agencies (i.e. exemption from directory assistance charges, newspaper reading services, local support groups). 56.41% 22

Total Respondents: 39

Q9 NOTE: Participants who responded to this question answered each choice offered verses choosing only one of the three choices. This has had an impact on how the results were measured for this element.

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).

Success story 1: A 61 year old female who was diagnosed with macular degeneration and gradually losing her vision called our agency to inquire about our title VII-chapter 2 program. The independent living (IL) rehabilitation teacher met with this individual and learned that her son, who assisted her with all of her daily living, unexpectedly and very suddenly passed away. She initially shared that she wasn’t certain whether she would be able to remain in her home if she became blind. She applied for the Library of Congress recorded book program, admitting that recreational reading was one activity which she “dearly missed.” At the IL teacher’s second scheduled visit, this individual decided to apply for services. She told the IL teacher, “I really don’t want to go to a nursing home” and without our help that was the direction she was heading.

After applying the teacher determined and certified her eligible. With counseling and guidance as well as the support of the IL rehabilitation teacher, this individual was able to self-direct her IL plan through setting her own goals and objectives. She identified that she needed training to learn how to prepare meals for herself as well as for her sons who frequently dined with her. She needed training on how to read phone numbers to make phone calls independently so this was another set objective. She also set an objective to complete a large scrapbooking project, creating a scrapbook of family pictures for each of her children. One area near and dear to this client’s heart was crocheting. At the planning stage, she commented that she greatly missed crocheting and initially reported “but I know there’s no way I can do that now that I’ve got this stuff" (i.e., macular degeneration).

With assessment, counseling, guidance, planning, and training, this individual successfully and independently prepared several meals using alternative techniques. With family and friends’ phone numbers being enlarged using appropriate font size, she could once again read the numbers and make phone calls independently. She also successfully completed a scrapbook of family pictures for her children and was very proud of her accomplishment. As for crocheting, she had several patterns to choose from. She learned the alternative techniques to crocheting, including becoming accustomed to feeling what she was crocheting and by using large hooks and dense yarn. Once she demonstrated proficiency with these techniques, the IL rehabilitation teacher suggested that she begin crocheting an afghan. Although admitting some anxiety regarding this task, she readily agreed to crochet a baby afghan for one of her great-grandsons and expressed surprised pleasure with the finished project; “It’s just beautiful,” she exclaimed, “even if I do say so myself!” She also crocheted several other afghans during the time she and her IL rehabilitation teacher worked together.

The IL rehabilitation teacher expressed how delighted she was to observe this client’s transformation and the change in attitude about her blindness. From the beginning, this individual initially seemed convinced that she needed to move to a nursing home and toward the end of the IL rehabilitation teaching services she appeared most positive about her blindness, even as her acuity continued to decrease; this is positive progress. At least once during their training sessions, this individual stated, “You know, there are a lot worse things than becoming blind.” Today, she continues to live at home independently due to the timely and needed independent living services she received.

Success Story 2:

An 87 year old female who has been diagnosed with macular degeneration had been asked by her friend to contact the Department to ask about out title VII chapter 2 program. When she applied, she shared that her adult daughter who was living with her for several years moved to another residence. This individual decided that given the reduction in her acuity, she felt she would benefit from receiving training and counseling. The teacher immediately helped to determine her eligibility and proceeded to conduct a skills assessment for the planning process.

Following the assessment, the IL teacher shared some areas that could be considered by the client for goal setting. The client was able to identify service training needs, much of what was in alignment with what the teacher assessed. The client agreed to receive training in the areas of food preparation, accessing phone numbers/addresses, reading medicine bottles, plugging in appliances, and locating items in closets and cupboards. In addition, this individual shared she had always been an avid reader prior to losing her vision so she and her IL teacher discussed the Library of Congress recorded book program. The IL teacher assisted her to apply for library services that very day which made her very happy to know she could once again read.

The client and IL teacher discussed another service offered by the IL program: senior orientation. This is a week-long training session where other seniors from other areas of the state to receive intensive group training. This training also gives the group a chance to discuss issues related to their blindness experiences, as well as to exchange valuable information. Many talk about how important it is to stay in their own home versus moving to an assisted living facility or nursing home. This client agreed to try the senior orientation training. During this training, she was introduced to using a white cane. Although initially resistant to using a cane, she ultimately recognized the benefit of the cane. Following the training, she proudly used her cane to go outside and independently retrieve her mail. Before this training, her neighbors were collecting and delivering her mail.

The IL teacher reported that when they initially began working together, she would occasionally say “ blindness is one of the worst things that can happen to somebody.” As this client received comprehensive IL skills training, coupled with regular practice, she was able to demonstrated proficiency in using the alternative techniques of blindness as well as gained confidence in her ability to successfully complete tasks. At the end of her training, she no longer expressed this attitude and in fact, she later considered her blindness more of an occasional nuisance than a life-changing catastrophe.

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

The need for IL service continues to grow in our state as our population is aging and losing their vision due to various diseases or simply through the natural aging process. Most IL rehabilitation teachers currently serve 16 to 19 counties, traveling approximately 40 to 45 hours per month (i.e., equal to one full week per month on the road to deliver service). We continue our outreach efforts so have seen interest in our IL program increase as do IL teachers. All IL teacher caseloads continue to grow, thus allowing teachers to support client service visits approximately once every five weeks. In between scheduled client visits, clients are given assignments and encouraged by their IL teacher to practice what was learned from their lesson until their next visit. Ideally, if additional funding were to be available, an additional IL teacher could be hired, allowing for territory reconfiguration with the idea that client training would occur more frequently than once every five weeks. This would be ideal for clients as more frequent visits would help to reinforce the lesson learned and could potentially expedite the rehabilitation process with positive results. The other merging issue in Iowa is the fact that all IL teachers — who are directly employed by the State of Iowa - are now union contract covered. The union negotiates with the State to determine certain conditions of employment including pay and benefits. If IL teachers need to work more than 40 hours per week now to ensure the work gets done then overtime pay will apply. Overtime payments - if not managed prudently - could and likely would have a direct impact on the ILOB program’s budget. If the trend for interest in service continues to increase caseload size will also increase. This is a good problem; however, higher IL teacher caseloads could potentially result in service visits extending beyond every five weeks which in turn would affect timely service delivery. Finally, this year one rehabilitation technology specialist was hired to assist with training and support for the IL program’s clients and teachers. Recently, we have experienced a surge of older blind clients in our state who are requesting technology goals. This is an exciting and positive change as these clients are learning the value of how certain technologies can help them manage their activities of daily living, not to mention a means to stay in touch with friends, family, and in general what is going on in the world. We currently have about 47 ILOB clients who have expressed interest in receiving technology training. We are exploring best practices and efficiencies to effectively deliver technology training services to several IL OB clients across our state. It is anticipated that our technology training service requests will only increase as more ILOB clients are exposed to the positive value of technology and need to learn the alternative techniques for using such technology. While this is a good problem, we do need to be mindful regarding the capacity of one IL rehabilitation specialist who must cover all 99 counties in Iowa with clientele requesting such service also growing.

Part IX: Signature

Please sign and print the name, title and telephone number of the IL-OIB Program Director below.

I certify that the data herein reported are statistically accurate to the best of my knowledge.

Signed byRichard Sorey
TitleAuthorized Certifying Official
TelephoneOn file
Date signed12/30/2014