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

RSA-7-OB for Utah State Office of Rehabilitation - H177B140044 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 year225,000
Other federal grant award for reported fiscal year225,000
Title VII-Chapter 2 carryover from previous year22,105
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2195,347
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)25,000
A4. Third party0
A5. In-kind0
A6. Total Matching Funds25,000
A7. Total All Funds Expended220,347
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs16,050
C. Total expenditures and encumbrances for direct program services204,297

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 0.2500 0.0000 0.2500
2. FTE Contractors 0.5100 3.0000 3.5100
3. Total FTE 0.7600 3.0000 3.7600

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 8 5.3800
2. Employees with Blindness Age 55 and Older 5 4.8300
3. Employees who are Racial/Ethnic Minorities 0 0.0000
4. Employees who are Women 8 4.5300
5. Employees Age 55 and Older 4 3.5800

C. Volunteers

3.50

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 FY167
2. Number of individuals who began receiving services in the reported FY677
3. Total individuals served during the reported fiscal year (A1 + A2) 844

B. Age

1. 55-5937
2. 60-6455
3. 65-6952
4. 70-7471
5. 75-79128
6. 80-84132
7. 85-89195
8. 90-94132
9. 95-9938
10. 100 & over4
11. Total (must agree with A3)844

C. Gender

1. Female586
2. Male258
3. Total (must agree with A3)844

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race11
2. American Indian or Alaska Native3
3. Asian1
4. Black or African American2
5. Native Hawaiian or Other Pacific Islander1
6. White275
7. Two or more races15
8. Race and ethnicity unknown (only if consumer refuses to identify)536
9. Total (must agree with A3)844

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)35
2. Legally Blind (excluding totally blind)277
3. Severe Visual Impairment532
4. Total (must agree with A3)844

F. Major Cause of Visual Impairment

1. Macular Degeneration599
2. Diabetic Retinopathy35
3. Glaucoma45
4. Cataracts7
5. Other158
6. Total (must agree with A3)844

G. Other Age-Related Impairments

1. Hearing Impairment13
2. Diabetes8
3. Cardiovascular Disease and Strokes11
4. Cancer3
5. Bone, Muscle, Skin, Joint, and Movement Disorders18
6. Alzheimer's Disease/Cognitive Impairment0
7. Depression/Mood Disorder1
8. Other Major Geriatric Concerns8

H. Type of Residence

1. Private residence (house or apartment)808
2. Senior Living/Retirement Community15
3. Assisted Living Facility19
4. Nursing Home/Long-term Care facility2
5. Homeless0
6. Total (must agree with A3)844

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)572
2. Physician/medical provider10
3. State VR agency2
4. Government or Social Service Agency3
5. Veterans Administration2
6. Senior Center0
7. Assisted Living Facility2
8. Nursing Home/Long-term Care facility0
9. Faith-based organization1
10. Independent Living center4
11. Family member or friend19
12. Self-referral13
13. Other216
14. Total (must agree with A3)844

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 0
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 524
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 4

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 467
3. Provision of assistive technology services 147

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Orientation and Mobility training 8
3. Communication skills 4
4. Daily living skills 29
5. Supportive services (reader services, transportation, personal 7
6. Advocacy training and support networks 7
7. Counseling (peer, individual and group) 70
8. Information, referral and community integration 555
. Other IL services 7

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Information and Referral 0
3. Community Awareness: Events/Activities 65 110

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) 250,000 250,000 0
2. Number of Individuals Served 1,031 844 -187
3. Number of Minority Individuals Served 276 33 -243
4. Number of Community Awareness Activities 302 65 -237
5. Number of Collaborating agencies and organizations 150 52 -98
6. Number of Sub-grantees 3 3

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 147 100.00%
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) 2 1.36%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 1 0.68%
B1. Number of individuals who received orientation and mobility (O & M) services 8 100.00%
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) 0 0.00%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
C1. Number of individuals who received communication skills training 4 100.00%
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) 0 0.00%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
D1. Number of individuals who received daily living skills training 29 100.00%
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) 2 6.90%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 7 24.14%
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) 25 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) 4 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 10 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) 12 n/a

Part VII: Training and Technical Assistance Needs

Additional training for staff at our division and personnel working for contractors would be very useful. This training must address new and useful techniques in teaching. This should address all management skills, cane travel skills, technology training for seniors, wood working and home repair skills and advocacy skills. This must be provided by older blind trainers or specialists who have been providing this type of training for their clients with great success. Another area which would be useful to those working directly with the older blind would be how to most appropriately work with stroke victims, those with brain damage and other secondary disabilities. A third area would be to provide training in working with the deaf/blind. Although there are a few post-secondary programs offering some training, these are very limited. The number of seniors who are blind and also having a hearing loss continues to increase.

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.

Contractor Coordinator, Nicole Crow and Older Blind Specialist, Royella Smith have incorporated various outreach efforts to reach underserved and/or un-served populations in the contractor service area which includes Rich, Cache, and Box Elder counties. Personal visits are made in the Rich County area as transportation from Rich County is prohibitive. Contractor has three employees who are willing to translate for coordinators who serve the Hispanic/Spanish speaking population. Networking with community resources and services, it is possible to reach underserved and/or un-served populations. Presentations have been made at all five Senior Centers, Home Health/Hospice Agencies, Assisted Living Facilities, Nursing Homes, Community Parades, Professionals for Seniors (networking resources and expertise) in both Logan and Brigham City, National Alliance for Mentally Ill (NAMI), Interdisciplinary Disability Awareness and Service Learning (IDASL), and Northern Utah Choices Out of Violence (NUCOV). These are some of the ways the Title VII-Chapter 2 program is being implemented. Education is provided to doctor’s offices where brochures are left. Thirteen doctors were contacted and educated to the benefits of working with the Low Vision Services provided in this area. Word of mouth from satisfied consumers expands the opportunity for others with vision loss to know where to turn for assistance. Contractor also relies on the Utah Council for the Blind, National Federation of the Blind, Division of Services for the Blind and Visually Impaired to share their knowledge, expertise, and skills to see the quality of life for the blind or visually impaired individual is improved and their needs are met. Contractor also draws on the resources provided by Utah State University. Continuing Education is provided by the contractor so the Older Blind Specialist can stay current with the new assistive technology that is flooding the market including IPad, IPhone, Advanced Digital Players, etc. This training is passed on to consumers with visual impairment.

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.

Contractor collaborates with the National Federation of the Blind (NFB), Utah Council for the Blind (UCB), and the Division of Services for the Blind and Visually Impaired (DSBVI). Each of these entities provides skill development to sustain individuals in their quest for independent living. Home training and educational development is provided based on individual needs. A client required orientation and mobility skill development to maintain her level of independence. Jerry Nealey, field services teacher from DSBVI, provided that individual with training that has enabled her to navigate through the facility where she currently resides. Another client has been moved from one facility to another. She requires 24/7 nursing home skilled care. Her anxiety escalated due to lack of skills to assist her to being oriented in each new facility. Support was provided by contractor with the assistance of an instructor who was called in to assist with skill development and validation from someone who is totally blind and who is living a successful, independent life. The client’s personal empowerment was greatly increased with training, validation, and support through the OB Program. Special presentations have included: Vicki Hathaway, teacher in the Training Program at DSBVI, spent a day educating with a "hands-on" format to better accommodate skill development when vision is impaired. Various assistive technologies were presented to educate and to provide opportunities to learn about old as well as new technology available. Many new devices are on the market that assists with visual acuity, e.g. finger reader, E-bot, and more. Educational and research based support has been provided through the Macular Degeneration Support Foundation. A Quilters Support Group has been organized to assist with socialization needs and to provide an opportunity for individuals to overcome the belief that they can no longer do a skill because of vision loss. Learning a "different" way to accomplish a hobby, craft, or desire is important and empowering. On average, ten quilters attend per month. Quilters also have the opportunity to give back to their community. All quilts are donated to charity. A total of 33 quilts were completed in the 2013-2014 fiscal year.

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.

Background: Utah Division of Services for the Blind and Visually Impaired (DSBVI) contracts with The National Research and Training Center (NRTC) on Blindness and Low Vision at Mississippi State University to provide a program evaluation of its Older Blind Independent Living program. As part of the evaluation, consumers receiving services are surveyed via telephone about their experiences with the program. Consumers are told that their participation is voluntary and that their responses are confidential. The NRTC then prepares a program evaluation report that includes consumers’ feedback regarding satisfaction with services and how services have impacted their ability to live independently. The following provides demographic and outcome data from the telephone interviews conducted in the federal fiscal year 2014.

Demographic and Survey Data from Interviews

Most respondents (42%) were 85 years old and older. Seventy-three percent were female. Almost all participants (97%) reported living in a private residence; with two respondents living in an assistive living facility. Causes of vision loss included macular degeneration (75%), diabetic retinopathy (6%), glaucoma (3%), cataracts (18%), and other causes (15%). Consumer satisfaction levels among those participating in the survey were high. In responding to satisfaction questions regarding delivery of services, i.e., manner of service delivery, types of services provided, and perceived outcomes of services---almost all of the participants expressed satisfaction. Participants were most satisfied with the familiarity of staff with techniques and aids used by blind and visually impaired individuals (96%), timeliness of services (94%), attentiveness and interest of staff (94%), followed by overall quality of services (90%).

Consumers responded to questions about IL services related to their ability to travel safely and independently in their home and/or community, communication skills, daily living skills, and their perceptions of control and confidence in maintaining their living situations, and how devices and equipment had impacted their ability to engage in life activities. For each of these questions, consumers were asked if they experienced an improvement, no change, or a decrease in their level of functioning because of receiving services. If they did not receive a service, they indicated so on the respective question. Note that percentages may not total 100% due to rounding. • Among consumers receiving devices or equipment, 93% indicated that devices had helped them regain or improve their ability to engage in customary life activities, and 7% reported no improvement in their ability. • Among consumers receiving services to help them travel more safely in the home and/or community, 82% reported they had gained or maintained their ability to travel in their home and/or community, and 18% reported no improvement. • Among consumers receiving services to help them engage in communication activities such as using the telephone, telling time, reading or writing braille, using reader services, etc., 100% reported either gaining or maintaining their ability to engage in these types of activities. • Among consumers receiving services to help them engage in daily living skills activities such as food preparation, doing household chores, medical management, shopping, etc., 100% of consumers reported either gaining or maintain their ability to engage in these type of activities.

Consumers were also asked questions regarding their current living situations and recent changes in lifestyle. • Eighty-five percent of consumers reported feelings of greater control in their ability to maintain their current living situation as a result of receiving services, 13% reported no change, and 2% reported less control. • When asked about any changes in lifestyle unrelated to vision loss during the time services were received, 12% of consumers experienced changes (e.g., death of a spouse, decline in health).

A copy of the complete program evaluation report conducted by the NRTC will be available after its completion in early 2015.

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).

Touching people’s lives through the OB Program has brought much joy to consumers and non-consumers. It is gratifying to see people who thought there was no life after their vision loss find new hope. Learning a different way to accomplish their goals and maintain their independence makes serving these individuals very satisfying. One client lives in an assisted living facility and spends long hours sitting in her room alone. The basic digital player from the Library for the Blind was not adequate for what she wanted to accomplish with the Library for the Blind and her religious affiliation. Training on the Advanced Digital Player made it possible for her to navigate quicker through her preferred reading. Days are not so lonely as a result of this training. Another client has multiple medical diagnoses as well as severe vision loss. At one point in the last year, medical professionals advised her to seek nursing home care. She was adamant that she did not want nursing home care. I & R was provided to her. Time was spent helping her to express her feelings, frustrations and future hopes of living independently. Contractor provided items to assist her to stay independent in her home, included a toilet riser, walker, I & R, etc. Independent living skills have been taught to assist her with adjusting to her vision loss and be as independent as possible. Emotional support was provided to complement her desire to remain independent in her home. Late last year, a client’s mother-in-law came into Active Re-Entry Center for Independent Living (ARECIL) for one of the multitude of programs, the Caregiver Support group. She asked the group leader what other services ARECIL provided and when the Older Blind Program was mentioned, the daughter-in-law became excited and stated that her mother-in-law was in great need of that particular program. The daughter-in-law coordinated a time to bring the client out to the office to meet with the Older Blind Coordinator. The client is 94 years old, has macular degeneration and lives alone in her own home in Price. The Coordinator scheduled a time for the client at the upcoming Low Vision Clinic and all of the necessary paperwork was completed and obtained. The client remained unsure about coming to the clinic, thinking that there was nothing that was going to help her out. But between the Coordinator and her daughter-in-law she kept her appointment with DSBVI’s low vision specialist. The client stated she had never been as happy to have kept an appointment in her life. She did not realize there were so many items that could assist her in continuing to see and keep doing the things she always loved to do. The Coordinator delivered the magnifiers and lighting suggested at the LVC, and the client asked her to bump dot her stove, and her washer and dryer so she could keep on doing those daily living tasks. After first stating she didn’t want to partake in any type of support activities, this client ultimately joined in on a peer support activity of how to identify money and also found that she enjoyed the interaction. A needs assessment and an Independent Living Plan were developed for the client, outlining goals for the coming year.

In addition to the items received at the low vision clinic, the client has received 20/20 pens and a large print calendar from ARECIL, which she loves so she can independently keep her own appointments and schedule. The Coordinator also assisted the client in obtaining a Lifeline phone through the cell phone company, which makes both the consumer and daughter-in-law feel much safer in having the client remain living alone in her own home. Recently, the Coordinator took a CCTV from Active Re-Entry’s Loan Bank to the client and she is ecstatic that she is able to read again and be able to keep her own finances. After the low vision clinic the daughter-in-law wrote this letter to the editor in the local paper: “I want to state publicly how pleased our family is with a wonderful entity we have in our community, Active Re-Entry. We have a family member who was diagnosed with macular degeneration this spring and she is under the care of a retinal specialist in Salt Lake City. As she has struggled to continue the simple things she has enjoyed such as needlework, working crossword puzzles and reading, she has become increasingly discouraged and subdued. She enrolled in Active Re-Entry’s low vision program and met with a low vision specialist today for the first time. She was evaluated for vision difficulties and then shown a myriad of low vision aids available to her. As she was shown these various lights and magnifiers, her voice again filled with hope as she realized she might reclaim some of her activities she has loved for so many years. She has made an appointment for a staff member at Active Re-Entry to visit her in her own home and bring more ideas to enable independence. How fortunate we are as a community to have such skilled and dedicated professionals in our midst. I offer much praise, respect and gratitude to the dedicated staff at Active Re-Entry.” Another consumer has a visual impairment. He is 99 years old and tries to stay very independent. This consumer was having difficulty with reading and writing. An evaluation was made and this consumer was loaned the base of a CCTV for his task of reading and writing. He has a big screen TV that we connected it to and it works great for his needs. He is very thankful for it. The consumer did well with the CCTV. The Older Blind specialist has gone over to help train him on it several times. He already had Zoom text on his computer which talks out loud and requested instruction for that. This has been provided. The consumer is now using them in his daily living to stay independent with reading and writing. This consumer states that connecting his TV to the CCTV base has been such a great help. This equipment enables him to stay active with his reading and writing and continue to be independent at home. Another client was informed of the Older Blind Program through a phone call made to her. She was ready to give up with her severe vision loss. The Coordinator talked with her and told her about the older blind program. At the time, she seemed in a hurry and not very interested. She was mailed a packet anyway. One day the Coordinator called her to let her know when a Low Vision Clinic from DSBVI was scheduled. The Coordinator got her to make an appointment. The client came in early and sat in the office and talked to the Coordinator. She was told about the program and how it could help her. She was very grateful and appreciative for the information. She became very active in the program.

This client wanted some mobility training, and was to the field services teacher at DSBVI. The field services teacher did come to the St. George area and work with this consumer, who stated that her training was great and helped her realize she could still get around at home and in the community with the mobility cane and training she was given. The Older Blind Specialist has loaned this consumer a CCTV (reading machine). She has also been seen at our low vision clinic and is now receiving the talking books from the State Library. This consumer states that the services have given her a new outlook on life. She really did not know there could be so much help out there for her.

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

DSBVI provides an excellent program to assist individuals to live more independently. Getting individuals to participate and willingly attend is a problematic situation.

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 byRussell Thelin
TitleAuthorized Certifying Official
TelephoneOn file
Date signed12/29/2014