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

RSA-7-OB for Alabama Department of Rehabilitation Services - H177B150001 report through September 30, 2015

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 year479,980
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year291,388
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2433,751
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)53,331
A4. Third party0
A5. In-kind0
A6. Total Matching Funds53,331
A7. Total All Funds Expended487,082
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs168,296
C. Total expenditures and encumbrances for direct program services318,786

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 5.3300 7.7900 13.1200
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 5.3300 7.7900 13.1200

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 13 3.8000
2. Employees with Blindness Age 55 and Older 5 1.5000
3. Employees who are Racial/Ethnic Minorities 12 3.7400
4. Employees who are Women 49 12.2200
5. Employees Age 55 and Older 22 5.5500

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 FY331
2. Number of individuals who began receiving services in the reported FY696
3. Total individuals served during the reported fiscal year (A1 + A2) 1,027

B. Age

1. 55-5962
2. 60-64116
3. 65-6987
4. 70-74101
5. 75-79117
6. 80-84174
7. 85-89190
8. 90-94138
9. 95-9933
10. 100 & over9
11. Total (must agree with A3)1,027

C. Gender

1. Female712
2. Male315
3. Total (must agree with A3)1,027

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race0
2. American Indian or Alaska Native2
3. Asian1
4. Black or African American225
5. Native Hawaiian or Other Pacific Islander2
6. White797
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)1,027

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)76
2. Legally Blind (excluding totally blind)414
3. Severe Visual Impairment537
4. Total (must agree with A3)1,027

F. Major Cause of Visual Impairment

1. Macular Degeneration508
2. Diabetic Retinopathy106
3. Glaucoma173
4. Cataracts23
5. Other217
6. Total (must agree with A3)1,027

G. Other Age-Related Impairments

1. Hearing Impairment404
2. Diabetes322
3. Cardiovascular Disease and Strokes670
4. Cancer138
5. Bone, Muscle, Skin, Joint, and Movement Disorders568
6. Alzheimer's Disease/Cognitive Impairment80
7. Depression/Mood Disorder80
8. Other Major Geriatric Concerns413

H. Type of Residence

1. Private residence (house or apartment)915
2. Senior Living/Retirement Community40
3. Assisted Living Facility54
4. Nursing Home/Long-term Care facility18
5. Homeless0
6. Total (must agree with A3)1,027

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)228
2. Physician/medical provider26
3. State VR agency73
4. Government or Social Service Agency196
5. Veterans Administration1
6. Senior Center10
7. Assisted Living Facility1
8. Nursing Home/Long-term Care facility0
9. Faith-based organization0
10. Independent Living center2
11. Family member or friend206
12. Self-referral239
13. Other45
14. Total (must agree with A3)1,027

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 8,716
1b. Total Cost from other funds 968
2. Vision screening / vision examination / low vision evaluation 211
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 0

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 125,893
1b. Total Cost from other funds 13,988
2. Provision of assistive technology devices and aids 845
3. Provision of assistive technology services 887

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 152,118
1b. Total Cost from other funds 16,902
2. Orientation and Mobility training 189
3. Communication skills 577
4. Daily living skills 789
5. Supportive services (reader services, transportation, personal 6
6. Advocacy training and support networks 199
7. Counseling (peer, individual and group) 408
8. Information, referral and community integration 462
. Other IL services 547

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 180
1b. Total Cost from other funds 20
2. Information and Referral 0
3. Community Awareness: Events/Activities 288 12,563

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) 422,821 487,082 64,261
2. Number of Individuals Served 1,033 1,027 -6
3. Number of Minority Individuals Served 229 230 1
4. Number of Community Awareness Activities 276 288 12
5. Number of Collaborating agencies and organizations 34 42 8
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 887 100.00%
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) 541 60.99%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 346 39.01%
B1. Number of individuals who received orientation and mobility (O & M) services 189 100.00%
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) 116 61.38%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 73 38.62%
C1. Number of individuals who received communication skills training 577 100.00%
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) 356 61.70%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 221 38.30%
D1. Number of individuals who received daily living skills training 789 100.00%
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) 507 64.26%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 282 35.74%
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) 624 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) 45 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 34 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) 4 n/a

Part VII: Training and Technical Assistance Needs

Regional and/or National Conferences that address the specific issues that Older Blind Programs encouter would be beneficial to our state's Older Blind Program's leadership. Specifically, it would be helpful if the subject of how different states access additional funding for their programs were addressed. Also, more guidance related to improving data collection and data reporting, emerging practices, service provision, and service definitions would be useful.

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 Alabama Department of Rehabilitation Services (ADRS) administers older blind services funded under Title VII Chapter 2 as the Older Alabamians System for Information and Services (OASIS) program. Services are provided in all 67 counties through a network of 20 Vision Rehabilitation Teachers (VRTs) and five Orientation and Mobility (O&M) Specialists positioned in 11 ADRS offices. Specifically, these O&M positons are based in Huntsville, Birmingham, Dothan, Mobile and Tuscaloosa to provide these services across the state. An O&M vacancy soon to be filled in Montgomery will provide improved services in south central Alabama. There are also a number of O&M Specialists on the state vendor list for purchased services as needed to provide services to all areas. Three VRT positions are employed at 1.0 FTE using Title VII-2 funds, devoting 100% of their time to the Program. Seventeen VRTs and the five O&M Specialists are employed with funds provided by ADRS and the Alabama Institute for the Deaf and Blind, devoting 25% of their time to the program. All staff are provided Title VII-2 funds to purchase needed aides for independent living instruction and assistive technology such as CCTVs, handheld electronic magnifiers, and OCR devices. In addition to in-home services, center-based services are available through a partnership with the Alabama Institute for Deaf and Blind Regional Centers in Huntsville, Birmingham, Muscle Shoals, Tuscaloosa and Mobile, and with Wiregrass Rehabilitation Center in Dothan.

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.

The Alabama Department of Rehabilitation Services seeks to incorporate the unique approach to Title VII Chapter 2 Program into the State Plan for Independent Living under Section 704 of the Rehabilitation Act of 1973 as amended. Of note are several methods and approaches implemented and/or maintained in fiscal year 2015. OASIS maintains an Advisory Council that consists of over 42 agencies, organizations and consumers groups that serve seniors, persons with visual impairment or blindness, or both. The council meets quarterly with time spent providing program updates and at least one speaker from the community providing information about programs/services that could benefit the older blind population. One such agency that presented to our council in FY 2015 was the Hispanic Interest Coalition of Alabama, and who shared about the issues facing the Hispanic community. In addition, they provided ideas for reaching out to this population. One of our partners on the Council is the Middle Alabama Area Agency on Aging. We participate in their quarterly meetings, and in their Blooming Benefits Day in Jefferson, Shelby, Chilton, Blount, and Walker counties, which are great avenues to increase community awareness. OASIS continues to collaborate with the Department of Veterans Affairs Southeastern Blind Rehabilitation Center, which is also represented on our Advisory Council. This fiscal year the SBRC had a vacancy in their BROS position, so we leveraged our partnership to provide quality services to our veterans in the interim. We were able to collaborate to ensure that they obtained the services and equipment needed for improved independent living. Similarly, we have a working relationship with the UAB Center for Low Vision Rehabilitation, as they serve many seniors statewide who have vision loss. ADRS staff work closely with their Connections support group, helping them prepare for the Dining in the Dark events. The UAB Center for Low Vision Rehabilitation is a great referral source and we value their partnership. OASIS continued its Camp SAVI (Seniors Adjusting to Visual Impairment) camp for the fourth year. This year’s event was held May 17th - 22nd, with 8 consumers and 5 support persons participating. This project is a collaborative effort between the OASIS program, AIDB’s EH Gentry Facility, and the UAB Department of Optometry. Participants were provided low vision, hearing, and technology assessments. In addition they were provided comprehensive independent living and adjustment to blindness training. Support persons learned more about vision and hearing loss, the adjustment process, and how to assist their family member. OASIS and the American Foundation for the Blind’s VisionAware program have a working partnership maintaining 16 information kiosks on low vision and blindness located around the state, which are maintained by ADRS VRTs. OASIS also purchased licenses to access AFB’s online training on a variety of topics related to seniors with vision loss. Several current staff have completed the 20 training modules and new staff are expected to complete this training as well. OASIS maintains affiliation with 32 support groups throughout the state of Alabama through the support of our VRT and O&M Specialists. A majority of these support groups are in rural areas, helping staff locate resources for consumers and assisting consumers in finding out about our services. This year the OASIS Coordinator held conference calls for support group leaders to learn of resources and strategies. We discussed leadership, group public relations, resources and aides. Guest speakers included Dan Roberts of mdsupport.org and audiologist Nancy Mascia. Also, a statewide email list of over 100 names provides these groups with information and resources is maintained by Lenore Dillon, Coordinator of Rehabilitation Teachers and Orientation and Mobility Specialists. ADRS is a supporter of staff training for its VRTs and O&M Specialists to enhance their ability to serve consumers. Finally, we were honored that the Macon County Support Group was highlighted on the AFB VisionAware website. One in-service meeting was held in FY15, focusing on our case management process and details. Staff also participated in the Blind Services Retreat, local AER chapter conference, consumer group conferences such as ACB and NFB, and local specialized training. The OASIS Coordinator, an OASIS VRT, and the OASIS Administrative Assistant participated in the Alabama Gerontological Society Conference representing the program. The OASIS Director and Coordinator also participated in the UAB Geriatric Conference in January. OASIS participated in the 2nd Annual White Cane Day Walk which was held on Saturday, October 19, 2014 in Talladega, AL which is home of the Alabama Institute for Deaf and Blind. 300 people were in attendance and OASIS had an information table at the event.

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.

A Consumer Satisfaction Survey was distributed to each OASIS consumer at program closure during federal fiscal year 2015. Consumers were told that their participation was voluntary and that their responses would be confidential. Findings from analyses of 228 returned surveys indicate that 99.6% of respondents agreed or strongly agreed that services were provided in a timely manner. Further, all respondents agreed or strongly agreed that teachers were attentive and interested in their well-being and that their teachers were familiar with blindness-specific techniques and aids. Additionally, 99.1% were satisfied with the quality of services received. Consumers responded to questions regarding services related to their ability to travel safely and independently in their home and/or community, prepare meals, manage housekeeping tasks, manage paperwork, access reading material, their dependence on others in performing daily activities, their perceptions of control and confidence in maintaining 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 felt they experienced an improvement, no change, or a decrease in their level of functioning after receiving services. If they did not receive/request a specific service, they were also asked to provide this information. Note that percentages for each service may not total 100% due to rounding. • When asked about their ability to travel in the home and community, 67% of consumers reported they were better able to travel in their home and/or community, 32% reported no change, and 2% reported less able. Fifty-five consumers reported that they did not receive this service. • When asked about meal preparation, 67% of consumers reported better able to prepare meals, 30% reported no change, and 3% reported less able. Eighty-two consumers reported that they did not request this service. • When asked about their ability to manage housekeeping tasks, such as cleaning floors/surfaces and organizing, 59% of consumers reported better able to manage housekeeping tasks, 40% reported no change, and 1% reported less able. One hundred and six consumers reported they did not request this service. • When asked about their ability to access reading materials, 80% of consumers reported being better able to access reading materials, 16% reported no change, and 4% reported less able. Twenty-four consumers reported they did not request this service. • Of consumers receiving services, 43% indicated being less dependent on others, 49% reported no change, and 9% reported being more dependent on others. • When asked about functioning before services, 78% indicated they now have greater control and confidence in their ability to maintain their current living situation, 19% reported no change, and 3% indicated feeling less control and confidence. • Among consumers receiving devices or equipment, 69% indicated that devices had improved their ability to engage in customary life activities, and 30% reported devices had helped them maintain their ability. Two percent reported not using any of the devices or equipment provided by the program. If consumers participated in a peer support group or the OASIS Peer Support Network, they were asked how helpful it was. One hundred and twenty-six consumers (55%) reported they had participated in a peer support group. Of those reporting peer support group participation, 28 found it very helpful, 10 found it helpful, 88 found it somewhat helpful, and no respondents found it not very helpful. Fifty-two consumers reported that they were not provided information about peer support groups. In addition to demographic questions, the survey included questions regarding changes in vision and health over the previous year. Results indicated that 63% of consumers had experienced reduced vision, 4% had improved vision, and 33% had stable vision. With respect to overall health, 29% reported that their health had worsened, 4% reported improved health, and 67% reported stable health. Consumers were also asked if they had considered going into a nursing home before services and if services had helped them remain in their homes: 25% of respondents reported they had sometimes or often considered a nursing home; 81% reported that OASIS services had helped them remain in their homes. Overall, these results demonstrate the high quality of services and the substantial benefits consumers received from participating in the OASIS program. A copy of the complete program evaluation report conducted by Mississippi State University’s National Research and Training Center will be available in early 2016.

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).

A total of 1,027 persons were served by OASIS Program during FY 15. Of those, 634 completed their program with their VRT and/or O&M Specialist, receiving 2,378 total hours of instruction, an estimated $142,192 in equipment, and 624 individuals reported greater control in their ability to maintain their current living situation. Demographically 53% of the population served was 80 years of age or older. With consumers served reported being 77% white and 22% African American, which is congruent with the 2010 Census data for people 55 and older, at 78% and 20% respectively. Macular degeneration, diabetic retinopathy and glaucoma continue to be the most common cause of vision loss. The leading secondary conditions for consumers, respectively, were: cardiovascular disease; bone, muscle and joint disorders; hearing impairment; and diabetes. Each consumer has an Individualized Plan for Rehabilitation Teaching or an Individualized Plan for Orientation and Mobility. In FY 15, 789 were provided daily living skills training, 577 were provided communication skills training, 189 were provided orientation and mobility training, and 887 were provided assistive technology training. Below are examples of consumers who were served in FY 15. Consumer A is a 57 year old gentlemen who initially lived in a homeless shelter in Anniston. A social worker referred him to OASIS and assisted in finding him housing. Three years ago the consumer lost all of his vision due to diabetic retinopathy. Consumer A’s plan for rehabilitation teaching services included personal management, money management, meal preparation and orientation and mobility. His VRT taught him to use a medicine organizer to manage his medications properly. He was also taught money folding techniques, and how to use his iBill reader to identify the bills to prepare his wallet for shopping. His VRT provided orientation skills instruction in his new home, and contract O&M services were provided to assist him in accessing public transportation. He was taught how to operate his microwave and oven using tactile markings to cook simple meals. He was also taught to pour coffee using a liquid level indicator, and provided instruction in using a talking clock. The consumer also worked with his VRT on using his cell phone to contact doctors, friends, and family. These services have allowed him to continue to live independently in his home, with assistance from his social worker for some needs. The consumer feels that these services allow him to care for himself and will allow him to avoid the difficulties he experienced when he was homeless. Consumer B is an 88 year old gentleman, diagnosed with age related macular degeneration. A former missionary and pastor, he continued to enjoy his activities at church and in the community. When he began working with an OASIS VRT he was recently remarried and depended on his wife for many things. An Army veteran, Consumer B had not yet accessed services through the VA at the time of referral but was referred by his VRT in addition to the services provided by OASIS. In addition to training in his home the consumer participated in Camp SAVI. During this camp the consumer learned various skills in the areas of home management, cooking preparation, personal care, survival braille, labeling, technology, and low vision accommodation. The program also provided adjustment to blindness training and training for his wife as well. Great friendships were made and he left Camp SAVI inspired about his program. His VRT helped him apply these things he learned at Camp to his home environment. He learned to use a check writing guides for making out checks, use of a large print calendar to manage his appointments, and how to use a stand magnifier. The consumer was introduced to the National Library Services talking books program and the Alabama Radio Reading Service. The consumer received O&M instruction from an ADRS Orientation and Mobility instructor to navigate the local grocery store and get his mail. The VRT referred him to the Birmingham Veterans Affairs Blind Center for a CCTV and hearing aids, and provided him with instruction in the CCTV. Consumer B expresses his appreciation the services provided by his VRT and O&M through OASIS. Consumer C is a 64 year old women diagnosed with diabetic macular edema. She requested her doctor for a referral to OASIS on the recommendation of a friend that is a member of a support group in Jasper. The areas that challenged her most in her daily life were sensitivity to glare, significantly reduced contrast sensitivity, and inability to read and cook. Her acuity of 20/400 OU makes details like print and facial features blurry, and reduced contrast sensitivity. Her vision loss caused her to lose her job about the time her husband retired and their home was demolished in the April 2010 tornado, which also took the life of her daughter. Consumer C began dealing with depression as a result of these events and she feeling of being unable to do anything significant for other people. Her VRT began addressing these issues by teaching her independent living skills, starting with how to use a handheld LED magnifier for reading her thermostat, mail, phone numbers, and identifying the color of her clothing more accurately. She progressed to learning adaptive techniques for lighting her kitchen counters, pouring and food transfer strategies, and food preparation. To help her with managing her diabetes a large print cookbook with diabetic exchanges at the end of each recipe was supplied. She was also glad to find out about diabetic shoes and socks being available. Her VRT was able to redistribute an Acrobat CCTV to her, and OASIS was able to purchase her a Smartlux handheld magnifier, giving her more options for reading. She was also referred and instructed in using the National Library Service to access audio books. The Lutheran Braille Worker Society provided a large print Bible she can take notes in. Her VRT also addressed lighting deficits in the great room where she spends most of her time in by using warm compact fluorescent bulbs in her chandelier, placing a floor lamp by her reading chair, and adding a halogen bulb to a lamp. Solar Shield sunglasses helped her cope with glare outdoors. Adaptive games provided her new ways to interact with grandchildren on rainy days and MAX Detail glasses enable her to watch television again. She can now read books to the children, cook for her family, prepare for church functions, and lead a full life again as a result of receiving OASIS services. Her VRT reports that with these coping skills regarding her vision have given her a new attitude and positive outlook on life.

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

We have an increasingly difficult time finding qualified staff to fill our Vision Rehabilitation Therapist positions. This results in a delay in filling job vacancies, which requires existing staff to cover vacant caseloads. This can potentially make it difficult to always provide services in the most efficient and timely manner.

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 byCary F. Boswell
TitleCommissioner
Telephone334-293-7500
Date signed12/21/2015