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

RSA-7-OB for Oklahoma Department of Rehabilitation Services - H177B140036 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 year374,739
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year38,939
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2413,678
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)599,556
A4. Third party0
A5. In-kind0
A6. Total Matching Funds599,556
A7. Total All Funds Expended1,013,234
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs139,013
C. Total expenditures and encumbrances for direct program services874,221

Part II: Staffing

FTE (full time equivalent) is based upon a 40-hour workweek or 2080 hours per year.

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.5000 8.3300 8.8300
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.5000 8.3300 8.8300

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 1 5.5000
2. Employees with Blindness Age 55 and Older 1 2.5000
3. Employees who are Racial/Ethnic Minorities 0 2.0000
4. Employees who are Women 1 7.7500
5. Employees Age 55 and Older 1 4.0000

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 FY180
2. Number of individuals who began receiving services in the reported FY188
3. Total individuals served during the reported fiscal year (A1 + A2) 368

B. Age

1. 55-5923
2. 60-6432
3. 65-6930
4. 70-7442
5. 75-7947
6. 80-8462
7. 85-8961
8. 90-9452
9. 95-9916
10. 100 & over3
11. Total (must agree with A3)368

C. Gender

1. Female264
2. Male104
3. Total (must agree with A3)368

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race5
2. American Indian or Alaska Native16
3. Asian1
4. Black or African American26
5. Native Hawaiian or Other Pacific Islander1
6. White308
7. Two or more races11
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)368

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)10
2. Legally Blind (excluding totally blind)339
3. Severe Visual Impairment19
4. Total (must agree with A3)368

F. Major Cause of Visual Impairment

1. Macular Degeneration202
2. Diabetic Retinopathy42
3. Glaucoma35
4. Cataracts2
5. Other87
6. Total (must agree with A3)368

G. Other Age-Related Impairments

1. Hearing Impairment182
2. Diabetes94
3. Cardiovascular Disease and Strokes185
4. Cancer26
5. Bone, Muscle, Skin, Joint, and Movement Disorders138
6. Alzheimer's Disease/Cognitive Impairment44
7. Depression/Mood Disorder0
8. Other Major Geriatric Concerns113

H. Type of Residence

1. Private residence (house or apartment)325
2. Senior Living/Retirement Community1
3. Assisted Living Facility31
4. Nursing Home/Long-term Care facility10
5. Homeless1
6. Total (must agree with A3)368

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)37
2. Physician/medical provider49
3. State VR agency11
4. Government or Social Service Agency52
5. Veterans Administration1
6. Senior Center12
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization0
10. Independent Living center2
11. Family member or friend94
12. Self-referral67
13. Other43
14. Total (must agree with A3)368

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 19,596
1b. Total Cost from other funds 28,400
2. Vision screening / vision examination / low vision evaluation 97
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 26

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 162,887
1b. Total Cost from other funds 236,076
2. Provision of assistive technology devices and aids 340
3. Provision of assistive technology services 310

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 141,975
1b. Total Cost from other funds 205,768
2. Orientation and Mobility training 199
3. Communication skills 348
4. Daily living skills 324
5. Supportive services (reader services, transportation, personal 17
6. Advocacy training and support networks 86
7. Counseling (peer, individual and group) 366
8. Information, referral and community integration 240
. Other IL services 18

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 32,466
1b. Total Cost from other funds 47,054
2. Information and Referral 0
3. Community Awareness: Events/Activities 252 2,500

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) 817,123 1,013,234 196,111
2. Number of Individuals Served 288 368 80
3. Number of Minority Individuals Served 42 60 18
4. Number of Community Awareness Activities 217 252 35
5. Number of Collaborating agencies and organizations 0 0 0
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 310 100.00%
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) 118 38.06%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 195 62.90%
B1. Number of individuals who received orientation and mobility (O & M) services 199 100.00%
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) 74 37.19%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 132 66.33%
C1. Number of individuals who received communication skills training 348 100.00%
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) 125 35.92%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 225 64.66%
D1. Number of individuals who received daily living skills training 324 100.00%
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) 115 35.49%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 210 64.81%
E1. Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 125 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) 3 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) 6 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 60 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) 18 n/a

Part VII: Training and Technical Assistance Needs

Continual updates on funding and training on accurate reporting.

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 Department of Rehabilitation Services, Division of visual Services, continues to provide services to older blind Oklahomans through its in-house itinerant Rehabilitation Teacher program financed on a 50/50 time ratio and does not use any sub-grantees/contractors in its service delivery system.

Field Rehabilitation of the Blind Specialists continue to contact agencies, such as Native American VR, Tribal Headquarters and service areas, and urban cultural centers, serving minorities and underserved individuals periodically to apprise them of our services and to generate referrals of potential clients.

For those consumers whose primary language is not English, appropriate interpreter/translator services is secured to insure effective communication regarding services. Additionally print information will be provided in the consumer’s preferred reading format including large print, braille or Spanish.

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.

Public education activities and awareness trainings are essential for marketing the services through the Older Blind Program. The Rehabilitation of the Blind Specialists engaged in 252 awareness activities including community events to promote services for older blind consumers such as the DRS Expo, White Cane Safety Day activities, Health Fairs, Disability Awareness Day at the State Capitol, support group sessions, community committees dealing with concerns for people with disabilities, participating in consumer and professional organizations, and the provision of blindness awareness trainings. One priority of the Older Blind Program is providing blindness awareness training to community service providers, physicians, schools of nursing, educational facilities, senior centers, and other interested groups that work with consumers who are blind to assist in building confidence in working with their consumers as well as providing resource information regarding potential rehabilitation services available to consumers experiencing vision loss. Participants in trainings were provided resource information regarding services and techniques for working with consumers with vision loss.

The Visual Services staff promotes the Adult Blind Living Evaluation (ABLE) program which offers one-week sessions of orientation to blindness training for consumers 21 years of age and over. A video providing program description is available to potential participants and their family members to provide them with an overview of the program. Two residential ABLE sessions were conducted during the summer of 2014 for program consumers of which 4 consumers receiving services through the Older Blind program participated. Similar day-programs were conducted in the Oklahoma City Metro area and the Tulsa Metro area for consumers. A total of five day sessions were conducted with sixteen Older Blind consumers participating.

Rehabilitation of the Blind Specialists assisted in facilitating 25 support group sessions throughout the state. Staff continues to make referrals of program consumers to both local support groups as well as information regarding consumer organizations they might choose to participate in.

The Department of Rehabilitation Services maintains a web site for the general public to discover and learn of services available through the agency including the Older Blind Program. Consumers can download an application for services if they so desire. Links to the Oklahoma Older Blind Program appear on other agency, professional organizations, and consumer websites to direct interested individuals to services and appropriate contacts. Such links have proven to be a successful outreach of potential program consumers.

The Department of Rehabilitation Services continues to conduct public hearings to provide consumers opportunity to have input into the programs provided through the Department.

The Oklahoma Rehabilitation Council also provides opportunity for consumers to provide input into the services provided throughout the department.

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.

Introduction and Methodology In October and November 2014 a client survey was conducted of older blind individuals who had received independent living services from the Visual Services Division of the Department of Rehabilitation Services. The survey was designed to measure the perception of personal outcomes of past program participants. For purposes of this report, the fiscal year 2014 findings will not be trended against previous years. Between 2012 and 2013 the methodology changed from a 5-point Likert scale to a 3-point Likert scale, in order to simplify the response options. In 2014, most of the questions were rephrased to allow simple yes/no responses, with the option of ‘No change’ or ‘Not Applicable’ where reasonable. This was done in order to make it easier for the target population to understand and respond to the questions. The 2014 report includes 139 cases, with 117 cases closed as ‘Goals Met’ and 22 closed as ‘Goals Not Met’. Clients classified as ‘Goals Not Met’ include individuals who: - Did not want further services; - Moved; - Were non-compliant; - Were unable to participate; - Could not be located; - Had cases closed for ‘Other’ reasons. The target population for the study was designated as all cases closed in FY2014, less clients who were reported deceased at the time of case closure and those who were found to have no qualifying impairment. Due to the small size of the target population, random sampling techniques were not applied, resulting in attempted contact with all 139 clients. Surveys were administered via telephone. Of the 139 clients, 81 completed at least part of the survey and were designated as the respondent population. This level of response results in an effective response rate of 58.3%, an increase from last year’s response rate (50.3%). Total population sizes, number of staff working with the population, and average caseload size are reported in Table 1 below. For FY2012, FY2013, and FY2014 caseload size was calculated by dividing the total number of cases (open and closed) by the number of teachers. In FY2010 and FY 2011, only the closed cases were used to calculate this average. Including both open and closed cases provides a more accurate reflection of caseload size.

Table 1 — Population and Caseload Size FY2010 FY2011 FY2012 FY2013 FY2014 Total Closed pop. 152 151 204 177 139 Total pop. * * 355 447 456 Teachers 19 14 18 17 17 Caseload Size 8 21 20 26 27

Response percentages based on the target population (139) are listed in Table 2. It should be noted that Table 2 percentages for FY2013 are based on the full closed case population. Table 2 — Responses FY2010 FY2011 FY2012 FY2013 FY2014 Answered 55.3% 55.0% 44.1% 45.7% 58.3% Disconnected 11.2% 15.2% 20.1% 18.0% 8.6% No Answer 7.2% 14.6% 16.2% 13.0% 13.0% Deceased since Case Closure 9.2% 4.6% 3.4% 5.5% 4.3% No Interest 9.2% 9.3% 13.7% 13.5% 10.1% No Phone 3.3% 1.3% 0.0% 0.0% - Incorrect Number - - 2.5% 1.0% 5.7% Excluded - - - 3.3% -

Survey Question Results The first four items on the survey are simple yes/no questions, with the option of ‘No change’ or ‘Not Applicable’ as reasonable. ‘Not Applicable’ responses and missing data were excluded in calculating percentages. Table 3 displays the percent who responded yes to each question. To allow comparison, responses were split by the ‘Goals Met’ and ‘Goals Not Met’ groupings in the last two columns.

Table 3 — Percent ‘Yes’ by Question Question 2014 Total ‘Goals Met’ ‘Goals Not Met’

1 Do you feel more confident in your ability to maintain your current living situation as a result of the services you received? 91.1% 93.0% 75.0%

2 Have you experienced reduced independence for reasons unrelated to your vision loss? (For example, relocating from your own private residence or needing to employ a caregiver for events or health reasons not related to your vision loss.)

45.5%

42.7%

66.7%

3 Do you feel that you have been able to resume activities you had given up as a result of your vision loss through the use of assistive technology devices, such as canes, CCTVs, magnifiers, adaptive cooking items, large button telephones, clocks, etc.?

81.7%

84.6%

50.0%

4 Do you feel you are better able to move safely around your residence and community as a result of the services provided? 80.3% 83.6% 40.0%

The next two items on the survey are about client use of the Oklahoma Library for the Blind and Physically Handicapped (OLBPH) and Newsline. The questions are phrased to elicit a yes/no response; if the client responded no, a sub-question was asked regarding whether they were informed about the availability of the service. Percentages are calculated by excluding missing data. Table 4 displays the percentages. Table 4 — Percentages for Use of and Information about OLBPH and Newsline Question Yes No 5 Have you used the free library services through the Oklahoma Library for the Blind and Physically Handicapped? 60.2% 39.8% 5a (If no) Were you informed about the availability of services through the library? 64.5% 35.5%

6 Have you used Newsline, a no cost service which allows you to use a telephone to select and read newspapers in Oklahoma and around the nation? 2.7% 97.3% 6a (If no) Did you know about the availability of Newsline? 22.2% 77.8%

The next item on the survey asks what equipment the client was provided with by the teacher. Rather than listing all the responses, the equipment was divided into 9 categories and the percentage of clients who had at least one piece of equipment in each category was calculated. Four clients reported receiving no equipment. The percentages are shown in Table 5. Table 5 — Percentage of Clients with Equipment in each Category Magnifiers Medical Computer/TV Time/Date Household/Cooking 53.3% 16.9% 18.2% 42.9% 26.0% Mobility Communication Readers/Tape players Glasses None 26.0% 18.2% 22.1% 31.2% 5.2%

As a follow-up to the previous question, clients were asked if they still use the equipment they were given by their teacher. Percentages were calculated using only those clients who reported receiving equipment, and are displayed in Table 6. Table 6 — Equipment Use Do you still use the equipment? Percent Yes 74.0% Some, but not all 24.7% No 1.3%

The next set of questions asks about whether clients had an opportunity to meet other blind or visually impaired persons during their training, and whether it was or would be helpful. It should be noted that a significant number of clients who responded ‘no’ to Question 9 had met other blind or visually impaired persons, but not through the training. Percentages are calculated excluding missing data, and are shown in Table 7. Table 7 — Other Blind or Visually Impaired Question Yes No 9 During your training, did you meet other blind or visually impaired persons? 35.1% 64.9% 9a (If yes) Was this helpful? 92.3% 7.7% 9b (If no) If you did not meet other blind or visually impaired persons, would you find it helpful to do so? 34.0% 66.0%

Demographics Other than living situation, demographics are reported for the whole target population, rather than the respondent population. Most clients were female (67.6%). Regarding the age of clients, most were 82 to 88 (26.6%). The majority of the clients reported macular degeneration as an eye problem (55.4%). The largest group of clients reported a date of onset before services of ten years or more (21.3%), of those who reported date of onset. Other significant health problems experienced by clients included Cardiac and Other Circulatory (51.8%); Musculoskeletal (34.5%); Diabetes Mellitus (22.3%); and Hearing Impairment (20.9%). The largest number of respondents reported living with their spouse (36.4%). Information regarding the gender, age, eye problem, date of onset, and other significant physical problems of clients in the target population was obtained from the case management software program and is reported below in: Table 8 — Gender, Table 9 — Age, Table 10 — Eye Problem, Table 11 — Date of Onset, and Table 12 — Other Significant Problems. Information regarding living situation was asked of respondent population during the phone survey and is reported in Table 13 — Living Situation (respondent population only). Table 8 — Gender of Clients Frequency Percentage Female 94 67.6% Male 45 32.4% 139 100%

Table 9 — Age of Clients FY2010 FY2011 FY2012 FY2013 FY2014 50 to 54 0.0% 0.0% 0.0% 0.0% 0.0% 55 to 65 6.0% 7.9% 8.8% 6.2% 15.1% 66 to 73 11.9% 12.6% 8.8% 10.2% 13.7% 74 to 81 31.0% 20.5% 16.2% 20.9% 22.3% 82 to 88 31.0% 27.2% 32.4% 29.9% 26.6% 89 and up 20.2% 31.8% 33.8% 32.8% 22.3%

Table 10 — Eye Problem FY2010 FY2011 FY2012 FY2013 FY2014 Macular Degeneration 65.1% 63.6% 66.7% 68.4% 55.4% Glaucoma 6.6% 13.2% 13.2% 9.0% 13.0% Diabetic Retinopathy 16.4% 7.9% 7.4% 7.3% 8.0% Cataracts 2.0% 1.3% 2.9% 1.7% 0.0% Other 12.5% 13.9% 14.2% 12.4% 17.2% Not Recorded 1.3% 0.7% 2.0% 1.1% 6.4%

Table 11 — Date of Onset before Services FY2010 FY2011 FY2012 FY2013 FY2014 <1 year 3.3% 3.3% 2.9% 2.8% 2.8% 1 — 3 years 16.4% 16.6% 19.6% 13.6% 9.2% 4 — 6 years 15.1% 15.2% 8.8% 7.9% 2.8% 7 — 9 years 5.3% 5.3% 5.4% 2.3% 2.8% 10 + years 14.5% 14.6% 17.7% 20.3% 21.3% Not Recorded 45.4% 45.0% 45.6% 53.1% 61.1%

Table 12 — Other Significant Problems (The percentage of respondents who reported significant physical problems in addition to vision loss.) FY2010 FY2011 FY2012 FY2013 FY2014 Hearing Impairment 20.4% 16.6% 16.2% 9.0% 20.9% Mental Impairment 4.6% 6.0% 4.4% 2.3% 4.3% Cancer 9.2% 7.9% 7.8% 7.9% 10.1% Cardiac and other 44.7% 36.4% 47.5% 39.0% 51.8% Diabetes Mellitus 23.7% 23.8% 23.5% 20.9% 22.3% End Stage Renal Disease 6.6% 9.3% 6.4% 2.8% 7.9% Musculoskeletal 34.2% 29.8% 35.3% 30.0% 34.5% Neurological Impairments 12.5% 7.9% 6.4% 7.9% 14.4% Respiratory or Lung 14.5% 9.9% 9.8% 7.9% 12.2% Other 12.5% 14.6% 17.6% 19.8% 25.9% Data Not Recorded 3.9% 1.3% 2.0% 1.1% 0.0%

Table 13 — Living Situation — Respondent Population Only FY2010 FY2011 FY2012 FY2013 FY2014 Alone 35.1% 30.5% 34.9% 35.8% 27.3% Spouse 29.9% 35.4% 37.2% 29.6% 36.4% Other Relative(s) 13.0% 14.6% 19.8% 24.7% 16.9% Non-relative 22.1% 19.5% 8.1% 9.9% 19.4%

Conclusions In October and November, 2014, a survey was conducted of older blind individuals who had received independent living services from the Visual Services Division of the Department of Rehabilitation Services. The survey was designed to measure the perception of personal outcomes of past program participants. The target population for the study was designated as all cases closed in FY2014, less those reported deceased at the time of case closure and those found to have no qualifying impairment, for a total target population of 139. The survey was administered by telephone, with attempted contact with the entire target population. At least part of the survey was completed by 81 clients, for a response rate of 58.3%. In the first set of questions, 1-4, the question to which the highest number of clients responded ‘yes’ was 1: “Do you feel more confident in your ability to maintain your current living situation?” (91.1%). The question with the smallest number of clients who responded yes was 2: “Have you experienced reduced independence for reasons unrelated to vision loss?” (45.5%). When comparing the ‘Goals Met’ and ‘Goals Not Met’ groups, the ‘Goals Met’ group had higher levels of ‘yes’ responses for questions 1,3, and 4, while the ‘Goals Not Met’ group had a higher level for question 2. A majority of the respondents had used the services of The Oklahoma Library for the Blind and Physically Handicapped (60.2), and of those who hadn’t used the services, a majority (64.5%) had heard about the services. On the other hand, 2.7% of respondents had used Newsline, and of those who hadn’t used it, most had never heard of it (77.8%). The categories of equipment most commonly received were magnifiers (53.3%), time/date (42.9%), and glasses (31.2%). Most respondents (74.0%) reported that they still used all the equipment they were given. When asked whether they had met other blind or visually impaired persons during training, 64.9% said they had not, and only 34.0% of those thought it would be helpful. However, of the 35.1% who had, 92.3% said they thought it was helpful.

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).

Consumer 1 is 84 years old and is legally blind as a result of macular degeneration. He lives with his wife and has been retired for several years.

Prior to losing his vision, he enjoyed working daily in his wood working shop where he made many decorative pieces displayed in his home. Following the loss of vision, he was unable to continue this hoppy as he could not independently use his power tools After becoming legally blind, he lost his confidence in using the power tools in his shop and was no longer able to see the diagrams or patterns of the various pieces he wanted to make

However, through the use of special non-glare lighting, special low vision aids, and instructional services provided by the OB Program, he is now once again able to work safely in his shop. He can now see the diagrams and patterns of the pieces he wants to make and now has the confidence to independently use the power tools within his shop to succeed in pursuing this hobby.

This has restored his since of self worth, integrity, and a much better outlook on life.

He is also able to successfully perform his reading and writing tasks.

He is even able to tell time with the 18 inch low vision clock that now hangs in his shop.

He states that none of this would have been possible without the assistance of Visual Services, and the Older Blind Program as these services have certainly improved his quality of life.

Consumer 2 is an 89 year old female who is legally blind as a result of macular degeneration. She resides just outside a small community in the southeastern part of the state. She has the help of her family however she has always been very independent. Her lack of vision had left her feeling like she was just a burden to her family. She was depressed. During the life of this case, she was provided with adjustment counseling which helped her accept and cope with the limitations of her blindness. She was also given instruction in communication and personal management techniques and devices. She is now able to identify currency, both coins and bills, for herself. She utilizes a talking clock to tell time. Her recreational activities have been enhanced through services from the Library for the Blind where she is now able to enjoy books and her bible. She is able to watch television using the TV glasses which also helps her recreational time. She is now aware of how to mark household appliances and can correctly operate appliances. Other kitchen aids have made meal preparation attempts more efficient and safe. Her vision outdoors has been maximized through the use of sunwear. She is able to read her mail, the newspaper, and other print documents with her Ruby. She can now take care of her bills and other business documents. The Ruby is portable so she is able to take it with her when she visits her children. Certainly her quality of life has been improved and this is evident in her improved attitude and overall outlook on life.

Consumer 3 is an 89 year old retired priest who served as a priest for 45 active years. He is losing his vision to Macular degeneration. He currently resides in a Catholic assistive living facility in the metropolitan area. His main concern was to be able to conduct chapels at the living center. He was depressed because he was so used to serving others and now he is the one in need. He could not read his devotions that priest read each day. He uses an iPad but was having difficulty using it. He was also having problems reading clocks and watches. Through the Older Blind program, he was provided a desktop CCTV and Ruby. He reads his lesson under the desktop and uses the Ruby to conduct Mass. This is helping him be independent and he is much happier as he has regained skills which have allowed him to regain his role as servant to the residents of this facility.

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

With the growing population, additional funding is needed to meet the needs of program consumers.

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 byJoe Cordova
TitleDirector, Oklahoma Dept. of Rehabilitation Service
Telephone405-951-3400
Date signed12/17/2014