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

RSA-7-OB for Mississippi Department of Rehabilitation Services - H177B140024 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 year288,754
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 2288,754
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)32,084
A4. Third party0
A5. In-kind0
A6. Total Matching Funds32,084
A7. Total All Funds Expended320,838
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs13,449
C. Total expenditures and encumbrances for direct program services307,389

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 1.5000 5.5000 7.0000
2. FTE Contractors 0.4000 0.0000 0.4000
3. Total FTE 1.9000 5.5000 7.4000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 0 0.0000
2. Employees with Blindness Age 55 and Older 1 0.5000
3. Employees who are Racial/Ethnic Minorities 6 3.5000
4. Employees who are Women 12 7.4000
5. Employees Age 55 and Older 1 0.5000

C. Volunteers

1.67

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 FY370
2. Number of individuals who began receiving services in the reported FY186
3. Total individuals served during the reported fiscal year (A1 + A2) 556

B. Age

1. 55-5934
2. 60-6467
3. 65-6955
4. 70-7456
5. 75-7968
6. 80-8482
7. 85-8995
8. 90-9477
9. 95-9918
10. 100 & over4
11. Total (must agree with A3)556

C. Gender

1. Female405
2. Male151
3. Total (must agree with A3)556

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race2
2. American Indian or Alaska Native0
3. Asian0
4. Black or African American148
5. Native Hawaiian or Other Pacific Islander0
6. White406
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)556

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)48
2. Legally Blind (excluding totally blind)508
3. Severe Visual Impairment0
4. Total (must agree with A3)556

F. Major Cause of Visual Impairment

1. Macular Degeneration254
2. Diabetic Retinopathy43
3. Glaucoma100
4. Cataracts2
5. Other157
6. Total (must agree with A3)556

G. Other Age-Related Impairments

1. Hearing Impairment3
2. Diabetes13
3. Cardiovascular Disease and Strokes12
4. Cancer2
5. Bone, Muscle, Skin, Joint, and Movement Disorders6
6. Alzheimer's Disease/Cognitive Impairment0
7. Depression/Mood Disorder0
8. Other Major Geriatric Concerns9

H. Type of Residence

1. Private residence (house or apartment)518
2. Senior Living/Retirement Community21
3. Assisted Living Facility11
4. Nursing Home/Long-term Care facility5
5. Homeless1
6. Total (must agree with A3)556

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)62
2. Physician/medical provider109
3. State VR agency30
4. Government or Social Service Agency13
5. Veterans Administration3
6. Senior Center1
7. Assisted Living Facility3
8. Nursing Home/Long-term Care facility2
9. Faith-based organization2
10. Independent Living center3
11. Family member or friend145
12. Self-referral180
13. Other3
14. Total (must agree with A3)556

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 2,006
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 19
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 1

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 140,313
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 418
3. Provision of assistive technology services 75

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 163,378
1b. Total Cost from other funds 0
2. Orientation and Mobility training 79
3. Communication skills 110
4. Daily living skills 459
5. Supportive services (reader services, transportation, personal 2
6. Advocacy training and support networks 4
7. Counseling (peer, individual and group) 154
8. Information, referral and community integration 180
. Other IL services 114

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 1,692
1b. Total Cost from other funds 0
2. Information and Referral 1,291
3. Community Awareness: Events/Activities 99 2,826

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) 310,051 320,838 10,787
2. Number of Individuals Served 567 556 -11
3. Number of Minority Individuals Served 153 150 -3
4. Number of Community Awareness Activities 167 99 -68
5. Number of Collaborating agencies and organizations 48 30 -18
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 75 100.00%
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) 40 53.33%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 35 46.67%
B1. Number of individuals who received orientation and mobility (O & M) services 79 100.00%
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) 43 54.43%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 36 45.57%
C1. Number of individuals who received communication skills training 110 100.00%
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) 49 44.55%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 61 55.45%
D1. Number of individuals who received daily living skills training 459 100.00%
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) 207 45.10%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 252 54.90%
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) 215 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) 30 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 44 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) 8 n/a

Part VII: Training and Technical Assistance Needs

Training request:

* Federal Regulations regarding funding and services for the Older Blind Program for Program Managers.

* Promising Practices that are being used in other states to serve Older Blind Consumers for Program Managers and OB Instructors.

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.

Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) has eight Instructors that provide direct services to Older Blind consumers throughout the state of Mississippi. With office locations within the ten MDRS district areas; all consumers have access to services regardless of location. Each year, great efforts are made to increase awareness of and access to Independent Living Services statewide. During the 2014 federal fiscal year, the IL staff made a total of 428 outreach contacts to optometrists, ophthalmologist, home health agencies, retirement centers, libraries, churches, schools, civic groups, area agencies on aging, and other civic entities that have direct contact with this underserved population of Mississippians 55 years of age and older who live in rural areas. Independent Living Fact sheets explaining the Title VII, Chapter II Older Blind Program, eligibility requirements, available services, and who to contact in each county for referral purposes were distributed statewide.

During the 2014 federal fiscal year, each Instructor made a minimum of three outreach contacts each month. In March 2014, two of the Independent Living staff attended the Low Vision Veteran Services Seminar in Memphis, TN providing an opportunity to network with other service providers and establish resources. The Independent Living staff continues to participate in local health fairs, attend peer support group meetings, and provide in-service trainings and presentations to different home health agencies and civic groups. During the 2014 federal fiscal year, the staff participated in over 89 activities resulting in over 2700+ Mississippians throughout the state to receive services, program information, and referrals to other organizations. The IL staff also set-up information booths and displays that provided opportunities to obtain program information at the National Federation of the Blind Convention in March and the Mississippi Council of the Blind Convention in April.

The Independent Living staff continues to work closely with Lions of Mississippi in providing visual acuity screenings statewide. These screenings are held at senior centers, assisted living centers, schools, hospitals, community health fairs, local businesses, churches, civic organizations and state agencies. A part of the screening procedure is to make referrals to the appropriate service provider for evaluation and needs assessment. Educational brochures on different visual impairments and literature to help partners and family members understand the causes of vision loss are distributed all in an effort to increase the public’s general knowledge and awareness of blindness and its causes. Over a thousand consumers were screened during the 2014 federal fiscal year.

Additional information regarding outreach activities may be found in Appendix A.

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.

In an effort to improve and expand community services and programs for older individuals who are blind, the Independent Living program continues to partner with local service entities through participation in health fairs, visual acuity screenings, in-service trainings, peer support groups, and other activities.

Instructors are frequently asked to participate in different training activities and provide in-service programs to various civic entities with whom they can partner to expand the region’s knowledge about aging and vision loss. In October 2013, two IL staff members provided IL program information and low vision demonstrations to fifty-four staff members at Central Mississippi Planning and Development District Area Agency on Aging.

During the 2014 federal fiscal year, Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) partnered with Social Security Administration to provide Work Incentives Planning and Assistance (WIPA) services to SSI and SSDI beneficiaries. The IL staff currently splits their time between IL and WIPA. This task of providing WIPA services has enabled the IL Program to allocate more of the Older Blind grant funds for client services because they are able to pay part of the staff salary with WIPA funds.

The Independent Living Program continues to work with the Veteran Administration VIST program. Eligible veterans are referred to the VA for services and IL works with the VA in coordinating services. This federal fiscal year, one IL staff partnered with the Armed Forces Retirement Home to establish a peer support group for low vision and hard of hearing veterans.

During the 2014 federal fiscal year, one IL staff partnered with Mississippi Deaf-Blind Project to provide telecommunication equipment to eligible consumers through the I Can Connect Program (The National Deaf-Blind Equipment Distribution Program). Nine eligible consumers were able to receive telecommunication equipment (CCTVs, telephones, electronic magnifiers, etc...) at no cost to the Older Blind Program.

The Office of Vocational Rehabilitation for the Blind/Independent Living Program (OVRB/IL) is part of the statewide facilities committee that meets quarterly to discuss service provisions throughout the state. A representative from the Older Blind Program attends meetings and provides a quarterly report. Members of the committee are informed of consumer issues, funding, staff training, and other activities of the Independent Living Program.

The Older Blind program continues to have a very active peer support group network. Groups meet statewide on a regular basis to discuss issues relating to vision loss, community awareness, advocacy, and social events. This federal fiscal year, two IL staff members partnered with two assisted living centers to start peer support groups in Lauderdale county and Harrison county. The assisted living centers provide a meeting location for Older Blind consumers and the IL staff assists with activities and provide guidance.

The program manager attends all quarterly Statewide Independent Living Council (SILC) meetings and trainings designed to improve and expand services for Mississippians with disabilities. A quarterly report on the Older Blind Program is provided at all meetings.

Involvement in the community is enhanced by the participation of Independent Living Staff in Lions of Mississippi, Mississippi Association for Education and Rehabilitation for the Blind and Visually Impaired (MAER), Mississippi Library Services/Friends of Handicapped Readers, Mississippi Radio Reading Services, Mississippi Council of the Blind, and Mississippi Industries for the Blind, and other local civic and service organizations. Staff members serve as officers and board members, work on fundraising events, participate in community health fairs, and assist with providing visual acuity screenings. This fiscal year, the IL staff assisted with over 13 vision screenings, increasing awareness and visibility to the community.

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.

MDRS Program Integrity Unit provides a bi-annual review of closed cases for the Independent Living Program. During the 2014 federal fiscal year, a total of one hundred and sixty-four closed cases were submitted for review. Client Satisfaction Survey Forms are given to each consumer at case closure and are included in the MDRS Program Evaluation Report (Appendix B).

As stated in the Summary and Findings of the Program Evaluation Report, "The review of the case records indicates that the rehabilitation instructors are providing excellent services to this targeted population of Mississippians 55 years of age and older who live in rural areas and have visual impairments that inhibit their tasks of daily living. A review of case records from this program shows these instructors are striving to meet their mission of enabling these consumers to maximize their own skills, develop their own support systems and network with local resources in order to avoid or delay institutionalization and/or dependence on others."

Based on the surveys that were returned, consumers indicated they were greatly pleased with the program, the services and the Instructors. They indicated their daily living skills were enhanced by the services provided by this program. One of the questions asked on the Consumer Satisfaction Survey that is completed by all eligible consumers at closure is "What was the greatest difference this program made in your life?" In the 2014 Program Evaluation Review Reports, responses range from: I can finally communicate with my family and friends again. I have a phone I can operate; This program gave me hope to be able to live independently in my home with legal blindness; Being able to take care of my personal needs again; I can see how to write checks and handle my personal business again independently and read my mail. I can read my mail and other material now thanks to my magnifier you provided me; Being able to knit again; Being able to tell time again; Reading recipes and cooking again; I don’t have to ask someone else what time it is, to read me my mail-I can do it myself; Love the books on tape; This program helped make me more independent in my home; Going to meetings and seeing other people; Using the marks board and 20/20 pens to write in my journal; and Aids for my kitchen-made it where I can bake again-it’s one of my favorite things to do. For a complete list of consumer comments see Appendix B in the MDRS Program Evaluation Reports.

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).

In Appendix C, you will find first hand comments and case narratives of consumers served this past year.

(1) Ms. D is a 57 year old female with a visual diagnosis of Lebers and secondary diagnosis of diabetes mellitus. This client has been legally blind for several years and has previously been served through the office of vocational rehabilitation for the blind. Because of some personal and health issues, she chose to retire early.

Feeling the need to remain active, she pursued services through the ILS Older Blind program. She attended training at the Addie McBryde Rehabilitation Center where she updated her blindness skills. In the personal management area, she learned the importance of eating healthy meals to manage her diabetes. She also learned how to make healthy food choices on a limited budget and prepare healthy meals. She worked with the nurse to learn how to test her blood sugar with a talking glucometer and to properly draw her insulin and inject herself.

In the communications class she learned how to manage her money, set her talking watch, sign her name and learn basic Braille so she could read door signs and elevator signs. In Orientation and Mobility class she updated her independent travel skills and feels comfortable using public transportation as well as moving safely in familiar/unfamiliar environments. In the techniques of daily living she learned how to perform clothing care, personal hygiene, and how to properly clean her home.

While at Addie McBryde, this client was an inspiration to other clients of all ages. She inspired them to keep trying until they “got it” and not to give up. She would often help them and offer advice on ways she found that helped her to do things for herself. Upon completion of her training she did not want to just go home and sit, so she inquired about volunteering at the McBryde center a couple of days a week. After completing the volunteer application and interviewing with the director, assistant director of Addie McBryde and her ILS instructor, it was decided she would come two days a week and help with some light office work, such as paper shredding, taking mail to different offices, taking items the Lions club that meets at Addie McBryde collects over to the local children’s hospital (with assistance) and helping in the personal management or techniques of daily living classrooms as needed. Also, during special events at the McBryde center she assists by greeting guests, handing out programs, and doing whatever else she can to help the event run smoothly.

Also, during her time as a client of the ILS program, she decided to quit smoking. With the assistance of her Instructor, they found a free smoking cessation program through the University of Mississippi Medical Center. She is making progress in her efforts to cease this habit.

Ms. D is more independent as a result of services she has received through the ILS program. With what she has learned through the program, she has turned around and given back of her time and talents to others so they may live a fuller and richer life and know they too can do anything they want to do even though they are blind or visually impaired.

(2) Mr. R is a 61 year old gentleman who is legally blind due to Glaucoma. Mr. R has been struggling with hardships from his eye condition since being diagnosed in 2003. Mr. R stated that he has had other health issues with diabetes and kidney problems, but feels that his vision loss has caused more stress than he could have ever imagined.

Mr. R worked in the oil industry and served as supervisor for many years. He said that he was accustomed to being in charge and handling a great deal of responsibility. He said that this could be part of the reason for the stress of dealing with his vision loss. He also said having to rely on others has been a hard thing for him to learn to do. Mr. R had been provided with various adaptive devices to help him regain some sense of independence. He received talking devices for daily activities, assistive devices for computer accessibility and magnification devices for reading.

As time progressed Mr. R’s vision gradually decreased until he could no longer benefit from any type of magnification device. He was then evaluated for a scanner/ reader and it was determined that he could definitely benefit from this device.

Mr. R recently received his new scanner/ reader and reports that he is really enjoying being able to read again. He said he has been really busy using it to catch up on all the things that he missed reading.

Mr. R said that now he feels a revived feeling of optimism about his life. He said that his outlook on life is different but rewarding. Mr. R has wholeheartedly expressed his gratitude for all the IL services that he has received and says that he definitely feels a greater sense of renewed independence.

(3) Mr. CD is a 72 year old man who is legally blind due to open macular degeneration. He lives with his wife who is battling cancer.

Mr. CD use to be a very active person. He drove to different games to see his grandkids play ball; He handled his own business, read his own mail, and was able to make calls independently.

When Mr. CD first became legally blind he lost his independence and his self- confidence. He had to depend on his wife to take him places, read his mail and handle his affairs. He also had to depend on his wife to make calls for him. But she was diagnosed with cancer and was unable to do many things she had done in the past for him.

Mr. CD was referred to the Independent Living Program by an eye doctor. He was very excited to know that there were aids to help him live more independently in the home. Mr. CD received a number of low vision aids to help him live independently in the home. Mr. CD was able to watch TV, read his mail, and handle his own bills with Max TV glasses and an Eye pal. He needed the eye pal because his vision was so far gone that regular devices, such as magnifiers and CCTV’s, were no longer viable for him. He can tell time using his talking clock and watch that he received and does not have to go through various tasks just to obtain the time. He presses a button and he is good to go. More importantly, he was provided a talking telephone that helps him make calls independently. This was all provided to him at no cost and he was very pleased.

(4) I began working with this particular consumer a little more than a year after her husband of 51 years passed away. To say that it was a difficult time for her, would be an understatement understandably. She has recently been diagnosed with macular degeneration and has undergone several injections in her left eye lately. She has a great support system of family, that is, when she allows them to help her. She is very determined to do things on her own and as she has, “doesn’t want to burden her family.” Of course, her family explained that they do not at all consider her a burden and are upset that she thinks of herself that way. My first meeting with her, her family was also there as well and all of this was discussed. I think everyone felt better to get all of that out in the open and addressed. She understood that they only wanted to help her and did not consider her a burden. She and I discussed that she had just recently started paying the bills but was now unable to do so since she was unable to see to read printed material. She also was unable to see the dials on her appliances for setting her stove, washer, or dryer. She and I discussed several different things that would assist her with completing these tasks. She had never tried any type of magnifier to read printed material such as her bills, prescription bottles, etc... These were at the top of her list of things that she wanted to be able to do. She and I did a functional low vision assessment and to her great surprise, she was able to read standard size print easily with a 3x magnification head on an LED battery handle. She cried and cried. She was so happy that there was something available to assist her with reading printed material. She and I also marked all of her appliances. She was so very pleased with this. She said that it had been more than a year since she had been able to set the stove or washer on her own. The Older Blind program provided this consumer with her own magnifiers as well as other needed aids such as a talking clock, talking watch, support cane, large button telephone, etc... She was so very pleased and commented that she never thought that she would be able to live so independently again. She was overjoyed that in such a small period of time and with a few aids and appliances, she was able to reach her goals associated with every day, independent living.

(5) Mr. E was referred by his physician as his eye condition has worsened. He requested new magnifiers and other vision aids and training in their use. He lives with his spouse in Gulfport and tries to be as independent as possible.

I met with Mr. E in his home and discussed changes he needed for his plan. He asked about a talking watch to tell time with, and tried a pair of Max Event and Max TV Glasses that he hoped to be able to watch the game with on TV. He put them on and was amazed that he could actually see the ball while watching the football game. He found that the Max TV glasses worked the best for him and was pleased with the way they worked.

He tried a video magnifier but preferred the traditional illuminated desktop magnifier and we found the strength that was right for him to read mail with.

We also talked about glare and how his magnifier would work better if he reduced overhead lighting. We discussed filters which he agreed improved his sight and made a difference.

He returned a Verilux Light that he hoped to have replaced but we found that it had a light bulb that needed to be tightened. After the repair, it worked fine. He was happy to have the light back so quickly and thanked me for fixing it for him.

Mr. E has been a client in the past and is happy to know he can turn to us to help him with his independent living needs. He likes to do things on his own as much as possible.

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

Mississippi’s Independent Living Program continues with efforts to make a positive difference in the lives of Older Blind consumers. 556 Older Blind consumers received direct services this grant year. Another 4000+ Mississippians were provided indirect services (information at health fairs, vision screenings, peer support groups, in-service trainings, referrals to other programs/agencies, etc...). The small decrease in number of consumers receiving direct services can be attributed to one Instructor retiring in January 2014 and the position not being filled until March 2014, one Instructor being out on medical leave for three months, and 35 ineligible referrals due to not meeting the age or visual requirements for the Older Blind Program.

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 byLynda Hall
TitleIL Program Manager
Telephone662-320-6656
Date signed12/23/2014