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

RSA-7-OB for Arizona Rehabilitation Services Administration - H177B150003 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 year643,759
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year634,798
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2869,652
A2. Total other federal402,060
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement40,856
(c) Title XX - Social Security Act361,204
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)121,204
A4. Third party0
A5. In-kind0
A6. Total Matching Funds121,204
A7. Total All Funds Expended1,392,916
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs402,060
C. Total expenditures and encumbrances for direct program services990,856

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 206.0000 4,025.0000 4,231.0000
2. FTE Contractors 1,073.0000 9.4600 1,082.4600
3. Total FTE 1,279.0000 4,034.4600 5,313.4600

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 17 5.4000
2. Employees with Blindness Age 55 and Older 5 1.8500
3. Employees who are Racial/Ethnic Minorities 12 2.5800
4. Employees who are Women 42 13.6200
5. Employees Age 55 and Older 19 6.2500

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 FY268
2. Number of individuals who began receiving services in the reported FY437
3. Total individuals served during the reported fiscal year (A1 + A2) 705

B. Age

1. 55-5946
2. 60-6459
3. 65-6966
4. 70-7477
5. 75-7997
6. 80-84145
7. 85-89128
8. 90-9466
9. 95-9920
10. 100 & over1
11. Total (must agree with A3)705

C. Gender

1. Female501
2. Male204
3. Total (must agree with A3)705

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race56
2. American Indian or Alaska Native10
3. Asian4
4. Black or African American36
5. Native Hawaiian or Other Pacific Islander1
6. White593
7. Two or more races3
8. Race and ethnicity unknown (only if consumer refuses to identify)2
9. Total (must agree with A3)705

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)48
2. Legally Blind (excluding totally blind)379
3. Severe Visual Impairment278
4. Total (must agree with A3)705

F. Major Cause of Visual Impairment

1. Macular Degeneration387
2. Diabetic Retinopathy44
3. Glaucoma122
4. Cataracts10
5. Other142
6. Total (must agree with A3)705

G. Other Age-Related Impairments

1. Hearing Impairment141
2. Diabetes142
3. Cardiovascular Disease and Strokes217
4. Cancer44
5. Bone, Muscle, Skin, Joint, and Movement Disorders245
6. Alzheimer's Disease/Cognitive Impairment35
7. Depression/Mood Disorder40
8. Other Major Geriatric Concerns162

H. Type of Residence

1. Private residence (house or apartment)508
2. Senior Living/Retirement Community122
3. Assisted Living Facility45
4. Nursing Home/Long-term Care facility30
5. Homeless0
6. Total (must agree with A3)705

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)21
2. Physician/medical provider14
3. State VR agency9
4. Government or Social Service Agency31
5. Veterans Administration2
6. Senior Center40
7. Assisted Living Facility6
8. Nursing Home/Long-term Care facility14
9. Faith-based organization4
10. Independent Living center17
11. Family member or friend65
12. Self-referral462
13. Other20
14. Total (must agree with A3)705

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 286
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 66,663
1b. Total Cost from other funds 59,434
2. Provision of assistive technology devices and aids 473
3. Provision of assistive technology services 473

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 91,453
1b. Total Cost from other funds 103,327
2. Orientation and Mobility training 311
3. Communication skills 540
4. Daily living skills 508
5. Supportive services (reader services, transportation, personal 0
6. Advocacy training and support networks 177
7. Counseling (peer, individual and group) 122
8. Information, referral and community integration 439
. Other IL services 0

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 439
3. Community Awareness: Events/Activities 25 1,843

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) 946,182 1,392,915 446,733
2. Number of Individuals Served 741 705 -36
3. Number of Minority Individuals Served 113 110 -3
4. Number of Community Awareness Activities 33 25 -8
5. Number of Collaborating agencies and organizations 64 70 6
6. Number of Sub-grantees 12 11

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 473 100.00%
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) 195 41.23%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 228 48.20%
B1. Number of individuals who received orientation and mobility (O & M) services 311 100.00%
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) 58 18.65%
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 540 100.00%
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) 215 39.81%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 275 50.93%
D1. Number of individuals who received daily living skills training 508 100.00%
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) 211 41.54%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 246 48.43%
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) 292 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) 25 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) 0 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 9 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) 11 n/a

Part VII: Training and Technical Assistance Needs

The following is a list of training and technical assistance needs that would benefit our program: 1. Guidelines on new requirements with WIOA program standards including strategies on how to manage and administer the program effectively and efficiently with the goal of expanding services. 2. Strategies for how to provide best services with limited, reduced resources including both funding and personnel. This could include strategies for developing more financial and personnel resources. 3. Best practices for working with older individuals who are blind and have hearing loss. 4. Understanding various models of service delivery and how to best structure the program for older individuals who are blind.

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 Arizona Rehabilitation Services Administration (AZRSA) Independent Living Blind Program (ILB) employs staff directly with the state agency; Arizona Independent Living Blind (ILB) Program, as well as individuals and agencies who contract to provide local and itinerant services, to administer the Title VII, Chapter II Independent Living Older Blind Program. During this reporting period, the Arizona ILB Program had sixteen internal staff, eleven contractors, and two agencies with thirty eight direct and indirect service employees, for a total of sixty eight individuals who provided services statewide to our elderly blind clients. The services provided helped our clients to live as safely and independently as possible in their homes or communities. AZRSA continues to provide services to older individuals who reside in rural Arizona. Vision Rehabilitation Therapists provide community outreach through in-service presentations to local health fairs, senior centers, nursing homes, retirement communities, medical facilities, hospitals, and Veterans Special Needs events. The focus of these outreach efforts is to educate interested individuals about the needs of seniors who are blind or visually impaired, including providing information on accessing RSA and community blindness related services. One of the main collaborative efforts conducted by the Arizona ILB program is the Introduction to Blindness Services workshops. This year, eighty individuals attended the workshops and learned preliminary orientation and mobility techniques, attending informational sessions with the Arizona Business Enterprise Program and the contracted comprehensive programs as well as participating in a tour of the Arizona Industries for the Blind. As a result of the efforts of the AZRSA ILB staff who conducted twenty five in-service presentations throughout Arizona, one thousand eight hundred and forty three clients, friends, family members, and service providers were given information about vision-related services. In addition, AZRSA continues to update the Arizona Directory of Services for Persons Who Are Blind and Visually Impaired which includes information for people who are deaf, hard of hearing or deaf-blind. This directory is available in alternative formats to address individual needs and is updated on a quarterly basis to keep the most current information available. AZRSA continues to maintain a website, which provides information and links to additional resources and services. Staff at the ILB program began working with the Arizona Talking Book Library to develop a searchable database for the Directory. AGENCY/ORGANIZATION PROVIDERS: AZRSA Independent Living Blind providers consist of sixteen state agency employees and eleven providers as follows: State Agency Employees: 1. Garcia, Vasant (Certified Vision Rehabilitation Therapist) 2. Gunn, Suzi (Certified Orientation and Mobility Specialist and Certified Teacher for the Visually Impaired) 3. Lindley, Pam (Certified Vision Rehabilitation Therapist) 4. Miller, Anna (Certified Vision Rehabilitation Therapist/Certified Rehabilitation Counselor) 5. Olson, Susan K. (Certified Vision Rehabilitation Therapist) 6. Steen, Todd (Certified Vision Rehabilitation Therapist and Certified Orientation and Mobility Specialist) 7. Davis, Chris (Assistive Technology Specialist) 8. Crist, Lanelle (Non Certified Vision Rehabilitation Therapist) 9. Shapiro, Beatrice (Assistive Technology Specialist) Seven Administrative Support Staff Provider Agencies: 1. Arizona Center for the Blind and Visually Impaired (ACBVI) 2. Southern Arizona Association for the Visually Impaired (SAAVI) Individual Providers: 1. Arnold, Patty (Certified Vision Rehabilitation Therapist/Certified Low Vision Specialist) 2. Bishop-Amavillah, Tamara (Certified Orientation and Mobility Specialist) 3. Hanna, Georgeanne (Certified Vision Rehabilitation Therapist and Certified Low Vision Specialist) 4. Harris, Ellen (Certified Vision Rehabilitation Therapist and Certified Teacher for the Visually Impaired) 5. Klenner, Shelly (Certified Vision Rehabilitation Therapist and Certified Teacher for the Visually Impaired) 6. Thurber, Jeffrey (Certified Orientation and Mobility Specialist and Certified Low Vision Specialist) 7. Weaver, Sandra (Non-Certified Vision Rehabilitation Therapist) 8. Rutkoff, Ethan (Non-Certified Vision Rehabilitation Therapist) 9. Vangueety, Venu (Non-Certified Vision Rehabilitation Therapist)

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.

There were two major events that drew approximately one thousand and forty five attendees during this reporting period. The Sun City Health Expo held on October 11, 2014 in Sun City, Arizona, which drew approximately four hundred, and the 18th Annual Vision Rehabilitation and Technology Expo (VRATE) held on November 7, 2014 in Phoenix, with more than six hundred attendees. As a result of the efforts of the AZRSA Independent Living Blind (ILB) staff who conducted twenty five in-service presentations throughout Arizona, one thousand eight hundred and forty three clients, friends, family members, and service providers were given information about vision-related services. AZRSA Services for the Blind, Visually Impaired and Deaf (SBVID) has increased community awareness by presenting or attending twenty five (25) events or activities and by collaborating with different organizations to better serve our older individuals who are blind, to update knowledge in the area of technology and teaching techniques, and the availability of new programs that could benefit clients by addressing their multiple needs. Some of the presentations and collaborations during FFY 2015 include, but are not limited to the following: 1. American Foundation for the Blind (AFB) 2. Area Agency on Aging 3. Arizona Bridge to Independent Living (ABIL) 4. Arizona Community Foundation 5. Arizona Council of the Blind (ACB) 6. Arizona Low Vision 7. Arizona State University Hearing Program 8. Arizona Technology Assistance Program 9. Arizona Telecommunications Equipment Distribution Program 10. Association for Education and Rehabilitation of the Blind and Visually 11. Impaired (AER) 11. Atria Bell court Garden assisted living 12. Braille and Talking Book Library 13. Brookdale Prescott (Senior & Assisted Living Residence) 14. Cascades of Tucson Assisted Living 15. Center for Disability Law 16. Chinle Blind and Visually Impaired Support Group 17. Dependable Health Staff Conference 18. Desert Low Vision Center 19. Desert Palms Presbyterian, Low Vision Support Group 20. Digital Apex 21. DUET — Parish Nurse Training 22. East Valley Dial a Ride 23. Eschenbach 24. Faith Presbyterian Church, Low Vision Support Group 25. Former DES Director, Clarence Carter and team 26. Foundation for Blind Children —Low Vision Optometrist and social worker 27. Governor’s Council on Blindness and Visual Impairment 28. Guide Dogs for the Blind 29. Hadley School for the Blind 30. Independent Living Aids, Assistive Technology 31. Introduction to Blindness Services and Resources (ILB IBSR) 32. Lions Club Low Vision Day 33. Low Vision Macular Degeneration Seminar/La Canoa Lions 34. Low Vision Plus 35. LS & S Low Vision Products 36. Maricopa County Public Library (large Print materials) 37. Midwestern University Low Vision Center 38. Mississippi State University Rehabilitation Research Training Center 39. National Federation of the Blind 40. Navajo Area Indian Health Services 41. Next Level, Assistive Technology 42. Olive Branch Sr. Senior Program 43. O&M In-Service in Tucson 44. Parish Nurses East 45. Parish Nurses West 46. Phoenix Dial a Ride 47. Pima Council on Aging: 48. Pioneers' Home in Prescott, 49. Shepherd of the Hills Community Health Event 50. SBVID Blind Core Training; 51. SBVID SUN VAN Training 52. Spofit Disability Sport Fitness Center 53. Sun City Grand, Low vision support group 54. Sun City Health Fair 55. Sun City West Low Vision Group 56. Sun Sounds of Arizona 57. The Bureau of Engraving and Printing 58. Tucson Society for the Blind (TSB) 59. Tucson Sun Van Transit 60. University of Mass Boston 61. University of Arizona, Introduction to Braille class 62. Valley Metro Dial a Ride 63. Verde Valley Manor 64. Verde Valley Medical Center/OT-PT Dept. 65. Veterans Affairs 66. ViewFinder Low Vision 67. Vision Rehabilitation and Assistive Technology Expo (VRATE) 68. Western Michigan University 69. White Cane Day 70. Woodmark Retirement Community These activities, combined with the smaller gatherings that occurred during this Federal fiscal year, provided outreach to one thousand eight hundred and forty three participants, and enriched the Independent Living Blind provider’s knowledge and resources to better serve ILB clients. In addition, the ILB program conducted introduction to blindness services workshops, with eighty participants who learned about the local and national blindness advocacy groups, resources for individuals with vision loss and toured a Arizona Business Enterprise Program facility, the Arizona Industries for the Blind site as well as the various comprehensive blindness instructional programs.

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.

2015 Client Satisfaction Survey 10/1/14-9/30/15 MONTH/YEAR of this Survey (Upper Right Corner) Answer Options Response Percent Response Count 10/14 14.3% 7 11/14 10.2% 5 12/14 20.4% 10 1/15 10.2% 5 2/15 6.1% 3 3/15 2.0% 1 4/15 22.4% 11 5/15 0.0% 0 6/15 0.0% 0 7/15 6.1% 3 8/15 0.0% 0 9/15 8.2% 4 answered question 49 skipped question 0 STAFF MEMBER NAME/TEACHER: Response Count 49 Response Text Georgeanne Hanna Lenetta Lefko Lenetta Lefko Lenetta Lefko Suzi Gunn Suzi Gunn Pamela Lindley Pamela Lindley Sandra Weaver Susan Olson Lenetta Lefko Georgeann Hanna Pamela Lindley Susan Olson Pamela Lindley Pamela Lindley Pamela Lindley Georgeanne Hanna Georgeanne Hanna Georgeanne Hanna Lenetta Lefko Lenetta Lefko Lenetta Lefko Vasant Garcia Anna Miller Vasant Garcia Lenetta Lefko Georgeanne Hanna Deborah Macilroy Georgeanne Hanna Susan Olson Georgeanne Hanna Shelly Klennert Shelly Klennert Ellen Harris Ellen Harris Shelly Klennert Pamela Lindley Pamela Lindley Anna Miller Vasant Garcia Vasant Garcia Manny Areguellin Todd Steen Sandra Weaver Shelly Klennert Sandra Weaver Lanelle Crist Vasant Garcia Services were provided in a timely manner. Answer Options Response Percent Response Count Strongly Agree 49.0% 24 Agree 36.7% 18 Disagree 4.1% 2 Strongly Disagree 0.0% 0 No Response 10.2% 5 Comments: 5 answered question 49 skipped question 0 Comments: When I called about TAP program Very dependable Client cannot remember any contact. Severe Dementia Which provider are you referring to? Is it Southern Arizona Association for the Visually Impaired or some other entity? After the intial waiting period, timely is the description I would use. After the initial wait list which was about one year. The appointments and response time was very good. The instructor was attentive and interested in my well-being. Answer Options Response Percent Response Count Strongly Agree 63.3% 31 Agree 24.5% 12 Disagree 2.0% 1 Strongly Disagree 0.0% 0 No Response 10.2% 5 Comments: 7 answered question 49 skipped question 0 Comments: When I called about getting my phone application recertification in mail when would I get it Susan is amazingly knowledgeable and helpful! She was most attentive to my questions ? Which instructor? Very easy to talk to Pam, Laura, Dr. Noon, the Institute for the Blind were all extremely attentive they all went to great exceptions to help me. The instructor was familiar with techniques and aids used by blind and visually impaired individuals. Answer Options Response Percent Response Count Strongly Agree 59.2% 29 Agree 26.5% 13 Disagree 2.0% 1 Strongly Disagree 0.0% 0 No Response 12.2% 6 Comments: 5 answered question 49 skipped question 0 Comments: Didn't talk with anyone about this Susan went so far as to learn how to use my I Pad, so she was able to teach me to use it in conjunction with tools provided to me. ? Very The information concerning Dial a Ride and Ride Choice helped so much in getting me to my doctors -not having to rely on everyone else. I was satisfied with the quality of services provided by the program. Answer Options Response Percent Response Count Strongly Agree 59.2% 29 Agree 30.6% 15 Disagree 0.0% 0 Strongly Disagree 2.0% 1 No Response 8.2% 4 Comments: 5 answered question 49 skipped question 0 Comments: eyes Absolutely! ? Ellen was here only 2x I was unable to reach her. Services helped me step out of the box with my disabilities. After receiving services, Answer Options Response Percent Response Count I am now better able to travel safely and independently in my home and/or community. 45.8% 22 There has been no change in my ability to travel safely and independently. 20.8% 10 I am now less able to travel safely and independently (please explain below). 6.3% 3 I did not receive services that would help me travel safely and independently in my home and/or community. 18.8% 9 I was not aware or offered these services. 0.0% 0 No Response 8.3% 4 Explantation/Comments: 16 answered question 48 skipped question 1 Explantation/Comments: I was not aware or offered these services. Sometimes people still just don't respect my cane in stores. I am once again able to use the items provided to cook, keep my own finances and use the hand objective to read menus, mail, and sale prices on clothing among many other things. We need more access to services in our country. Many people are struggling to remain safely in their homes. My loss of more vision + Pam has been excellent in this transition I received yellow over the glasses sunglasses which make the road area clearer. Thank you so much, My need was not attended to travel Have lost more vision. Totally Blind I was more concerned about being able to read & write. Require another car or bus and another person THE STAFF HAS DONE NOTHING TO HELP Before I had to ask friends to help with transportation, they were not always able to accommodate me. At times I would have to cancel Doctor Apts. and try to Reschedule between the doctors availability and my friends. I have back issues and walking was rarely possible, even very short distances. Ride Choice and Dial a Ride were great solutions -they made me independent. I was able to travel o.k. The encouragement made my living more enjoyable! I did not receive services that would help me travel safely and independently in my home/or community. I was not aware or offered these services. Thanks at of phoenix your help is great thank you. Thanks city of Phoenix now route in a back to and from the Senior Center. City of Phoenix pays the cab ride; thanks City of Phoenix. I get other services from the city of Phoenix. Thanks for all your help. After receiving services, Answer Options Response Percent Response Count I am now better able to prepare meals for myself. 30.6% 15 There has been no change in my ability to prepare meals. 30.6% 15 I am now less able to prepare meals independently (please explain below). 4.1% 2 I did not request services that would help me prepare meals. 18.4% 9 I was not aware or offered these services. 6.1% 3 No Response 10.2% 5 Explanation/Comments: 9 answered question 49 skipped question 0 Explanation/Comments: Since I suffered from short-term memory and disabled vision (visual loss) . I try to remain away from heating-burner/flame (oven)/unite kitchen area. Tools provided along with Susan's instructions and demonstrations help greatly. I did not request services that would help me prepare meals. I am now less able to prepare meals. I did not request services that would help me prepare meals. Have lost all of my sight. Slightly I am now better to prepare meals for myself. It has been 2 years since training & I have lost more sight. This was not a problem. With the training and the items I received help me feel more comfortable. I now don't cut or burn myself. Waiting for cooking classes for years! I have always prepared my meals. Lanelle gave me several items that make it easier to prepare my meals. After receiving services, Answer Options Response Percent Response Count I am better able to manage housekeeping tasks, such as cleaning floors/surfaces and organizing. 23.4% 11 There has been no change in my ability to manage housekeeping tasks. 31.9% 15 I am less able to manage housekeeping tasks (please explain below). 4.3% 2 I did not request services to help me manage housekeeping tasks. 27.7% 13 I was not aware or offered these services. 2.1% 1 No Response 10.6% 5 Explanation/Comments: 8 answered question 47 skipped question 2 Explanation/Comments: Some positive. Dusting, folding of my small garments/do (dusting) Magnifiers help find dust and dirt. I did not request services to help me manage housekeeping tasks. Just a little slower- I was not aware or offered these services. I now have the cross cleaning method which helps me clean with the glasses I was provided with, I see more that needs cleaning. We discussed many ways to organize. I have a better idea of how to manage. I did not need help cleaning I wish they could furnish us with the Hurricane mop that you can step on the pedal and it spins the mope for you it would be much easier to use After receiving services, Answer Options Response Percent Response Count I am better able to manage paperwork, such as mail, correspondence, and paying bills. 51.0% 25 There has been no change in my ability to manage paperwork. 26.5% 13 I am less able to manage paperwork (please explain below). 6.1% 3 I did not request services to help me manage paperwork. 2.0% 1 I was not aware or offered these services. 2.0% 1 No Response 12.2% 6 Explanation/Comments: 10 answered question 49 skipped question 0 Explanation/Comments: Only sign my own name when needed. She doesn’t need to manage paperwork however -when she is managing papers (to read & write) -she does efforts & achieve doing better than before. Calculator and magnifier with Susan's help in organizing paperwork helped so much There has been no change in my ability to manage paperwork. Other than slower =my magnifier has helped a great deal. I have a magnifier, so did not need her services Have become Totally Blind! With the glasses I was provided and magnifying device, I now am able to read all the mail that comes to me, not just pick out the end result. Talking Large compatu Sun Glasses The best thing she gave me is the pad of wide-dark lined paper. A man where I live has the same problem I do & has an eye pal that reads bills & fine print. I was told I had to be completely blind to get it. I am less able to manage paperwork. I was not aware or offered these services. After receiving services, Answer Options Response Percent Response Count I am now better able to access reading materials, such as books, newspapers, and magazines (whether with magnifiers, large print, Braille, or on tape). 53.1% 26 There has been no change in my ability to access reading materials. 20.4% 10 I am now less able to access reading materials (please explain below). 4.1% 2 I did not request services to help me access reading materials. 6.1% 3 I was not aware or offered these services. 0.0% 0 No Response 16.3% 8 Explanation/Comments: 10 answered question 49 skipped question 0 Explanation/Comments: I myself get books from AZ Book Library for the Blind No vision since 2005 Books on tape are wonderful!! I'd be become totally blind I used to shun reading reg. print, and never read small print until I was provided visual aids. 6 Magnifier I feel I need better magnification material Love BARD! I have the talking book & a new handheld magnifier, but I can't hold it far enough from the paper to see to sign under it. Filling out paper for them getting a town word done soon, not yet Compared with my functioning before services, Answer Options Response Percent Response Count I am now less dependent upon others in performing my customary day-to-day activities, such as getting around, cooking, cleaning, reading, laundry, etc. 38.3% 18 There has been no change in my ability to perform my customary life activities. 38.3% 18 I am now more dependent upon others in performing my customary life activities (please explain below). 6.4% 3 No Response 17.0% 8 Explanation/Comments: 6 answered question 47 skipped question 2 Explanation/Comments: Susan put "bubble markers" on my appliances. This is a tremendous help. SAME Before my life was limited, and now with all the resources, visual aids, Dial-a-Ride, and Ride Choice. I feel very self-sufficient. I hope I still qualify for services. I live in assisted living. Haven't had anyone else to depend upon! For reading only. Can do all these other activities. Tell us the greatest difference this program has made in your life. Answer Options Response Percent Response Count No Response 100.0% 13 The greatest difference is: 37 answered question 13 skipped question 36 The greatest difference is: Letting me paint my walker white & red. Now people watch out for me instead me trying to watch out for them Honestly I am confused with this question the only services I have applied for was the TAP program with has helped me out. I am using taper & large print. I have a cane and can walk better. My independence has improved significantly. If feel more secure to go outside my residence. And walk around. Thanks. Sun glasses have been very helpful when going to Dr. etc. Money counter will be helpful if I get it. The provider (Pamela Lindley) was an asset to us. She implied confidence in us and drive our spirits in a positive note. With her sincere efforts, we have been now driving our lives in a better way than before we met her. She provided some gadgets to improve the mobility and lifestyle of (kk) with her efforts, she is able to fill her glass of water/juice/ or any other liquid, independently & also wash/clean her crekeny in the sink. The company of Pamela made her a sympathic & none so of relative. Her timely involvement also shows the other providers to get better assistance. Such evolvement in other programs. Your s is a program that improves the life of disabled persons a great program indeed! I can do laundry, use oven, take care of my finances, listen to books, see the tv much better and so many other things. I am able to shop and handle money now! I am less depressed! Explaining "help" when I need it =it is avoidable My life depends on my legited magnifier especially when reading. My "Talking Book" machine is a life saver as I was an avid reader. Marked appliances for touch, took me to age dr., provided magnifiers which have been helpful I’m using the reader so no longer having to go to the library. Its comment to mail & read books. The larger calendar & clock were both appreciated. I think Pam wanted to see that I could remain active and encouraged me to do so. She was a great help. That I'm able to live alone and remain independent due to all their help... I, Nancy Boyce, am completing this for Eleanor who cannot read or remember and is in a memory care unit at Sherwood Villlage. I am not aware of any services provided by Lenetta Lefko, but most likely any services would not be remembered unless reinforced many times daily. I am not sure who you're talking about Hello -I am a friend of MR D'Souza. Since he is blind, he asked me to hand this survey. Neither he nor I have any idea who Lenetta Lefko (provider) is. We ha ve no idea what services you have provided for him. I filled cut the second part of the survey but not the first part for the reasons stated above. please take the time to call him to discuss his options with your organization. Thank you. My alulete to read and study -Thanks you so much! To be more independent and not to depend on people Happy to know there is a resource for the blind. The devices provided are helpful. The client received services however; the survey was returned stating the client never received any services from the program. More independent know where to get help if we need it. 1. Since training I have lost more slight, but all training I received has helped greatly, so tasks are very difficult. Equipment & training helped me to function to a certain degree. Very useful: Camera Reading Machine, Pen Paltor for Medications, Clothing, Tape Recorder, Rubber Dots The reading machine is a great help. The hand held magnifiers are a real help, both at home and away from home. Susan was able to get me a low vision reading aide. For Christmas my family got me study books that I had sold. I'm a retired minister and this has been a wonderful encouragement. With closed circuit TV (Magni sight) I can read and write. It helps with minor cooking, sorting So many ways The button that stick (sometime on somethings on the microwave dryer clock that talks lamd. I did not receive any services other than the above. I need some help with devices for instructions training on how to use my eyes. I am able to read and write easier. I gained confidence enough to try doing more things for myself. The visual aids have helped me read more material that I have (Whatower Publications, and the Scriptures, I now full competent now in participating in my goals. My congregation, Belief, and service are all important life line to me. Dial-Ride and Ride Choice allow me to go places, Doctors, Grocery, functions, that I never had before, my life is more functional and I don’t have to rely on friends to take out of their day. I would never have been able to learn about these services without the beginning of initial services with Pam. Pam I am so grateful for all your help- you were always there for me, put me in touch with others who were there for me and really cared about me as a person, as well as my situation, health, physical and emotional. You help me become more self-assured in venturing out independently. Your really know your job, also give a little piece of yourself. I will never forget. Gave me ideas about how to manage, clothing, finances and communication with others. Have started on my plan to remain independent. Anna Miller was very encouraging, and helpful. This wonderful service has given me so much. I made a new friend in Vasant. She was very inspiring. I still get very frustrated. Thank you very much for your help! Floor lamp, clock & magnifier, calendar, tablet & banking info. All these have been extremely helpful. Thank you! Laura 480-442-8720 who came to my assistance after Shelly Klenner-RT was here was very helpful in introducing me to services available to me. she is highly recommended. The special glasses help me a lot I can watch tv now. The light is great. Sandy is very patient and helpful. Getting the item that reads the labels on the pantry items the George Forman Grill is wonderful I use it a lot. I am disappointed in the hand held magnifier on a chain to keep around my neck. The eyepal would make a lot easier to read bills & documents even newspapers. It is really hard to read with a magnifier held in your hands & it makes my eyes hurt. I have no services done yet then filling out paper. a note a on legally blind. Look forward to getting help one day a week. Thank you, Hope we get it all together soon. Age: Response Count 45 answered question 45 skipped question 4 Response Text 82 69 63 86 77 58 85 80 85 77 63 89 1/2 78 70 77 84 91 almost 92 96 96 92 85 81 89 39 85 87 Senior 83 71 84 81 83 84 84 81 56 78 82 70 90 91 81 96 82 84 Gender: Answer Options Response Percent Response Count Male 23.9% 11 Female 76.1% 35 answered question 46 skipped question 3 Living Situation: Answer Options Response Percent Response Count Live alone 49.0% 24 Live with others (includes spouse, family, roommate, nursing home or retirement facility) 44.9% 22 No Response 6.1% 3 answered question 49 skipped question 0 Ethnicity: Answer Options Response Percent Response Count White (includes all countries) 77.6% 38 Black or African American 2.0% 1 American Indian or Alaska Native 2.0% 1 Native Hawaiian or Other Pacific Islander 0.0% 0 Hispanic or Latino of any race 6.1% 3 Asian 2.0% 1 No Response 10.2% 5 answered question 49 skipped question 0 Reason for visual loss (check all that apply) Answer Options Response Percent Response Count Macular Degeneration 64.6% 31 Glaucoma 25.0% 12 Diabetic Retinopathy 10.4% 5 Cataracts 14.6% 7 Other, list below: 22.9% 11 No Response 10.4% 5 Other (please specify) 15 answered question 48 skipped question 1 Other (please specify) Optical Glioma Brain Tumors behind both Also injury to eye at birth had to be removed. all above Brain Stroke in the right temporal, parietal frontal and occipital lole in 2013. Which caused HOMONYMOUS HEMESNOPSIA with hemispatial neglect. Deficient in visual fields/tunnel vision with no peripheral vision. Optic Atrophy Stroke in right eye =90% lose of vision in it. I have peripheral vision Detached Retina Severe Optic Nerve Damage Cornea -Fuch's Distrophy, very dry eyes geograhic atrophy Stroke I was diagnoised with Fuchs Dystrophy when I was 13. My corneas continue to change. RP Type II Albinism/Nystagmus Fuchs' Dystrophy Stroke Would you rate your vision? Answer Options Response Percent Response Count Poor (I can read some regular or large print with glasses or magnification) 71.4% 35 Completely Blind (I cannot read print at all, even with glasses or magnification) 20.4% 10 No Response 8.2% 4 answered question 49 skipped question 0 My ability to see has: Answer Options Response Percent Response Count Worsened during the past year 55.1% 27 Improved during the past year 2.0% 1 Remained the same and can see some 28.6% 14 Remained the same and cannot see at all 8.2% 4 No Response 6.1% 3 answered question 49 skipped question 0 Do you have a hearing loss? Answer Options Response Percent Response Count Yes 35.4% 17 No 56.3% 27 No Response 8.3% 4 answered question 48 skipped question 1 Do you have any significant health condition(s) other than vision loss? Answer Options Response Percent Response Count No 26.5% 13 Yes 65.3% 32 No Response 8.2% 4 If yes please list: 29 answered question 49 skipped question 0 If yes please list: Deaf 100% in Rt ear & 45% loss in Left ear. Anxiety Disease Neurofibromatosis Thyroid heart & diabetes Imbalance of body movement. A big navigational problem/cannot retain anything in the short term memory loss. Cannot find bathroom & other place in the home. Needs all time HELP. Type II Diabetes 2 Rx to keep heart doing right. Heart related to a micro valve repair Parkinson's Disease Amputee, Diabetes, Heart failure, Blind Elevated B/P Sleep all the time congestive heart failure, kidney problems dementia, vision loss from macular degeneration Fell several times last summer early autumn. At recommendation of podiatrist enrolled in balance therapy at physical therapy center. Have had no falls since. Prone to have deep vein thromboses. Am on medications and am monitored by the VA In a wheel chair diabetes afeb, diabetes, high blood pre. Heart Leukemia Early Age Intortron Tremors Atrial Fib -advanced Osteoartisis -Osteoporosis, torn rotary cuffs knee- bone on bone memory loss, stability deficit Back Issues -See pain specialists had stomach removed, bleeding ulcer, still don't have staining to walk great, for a long period of time. Skin Cancer, Arthritis Diabetes Diabetes-CAD-COPD Hearing Loss Congestive heart failure Rods in my back. Hiatal Hernia, Explosive Bowel problems you ask to many question my eye sight. I’m totally Blind. My overall health has: Answer Options Response Percent Response Count Worsened during the past year 28.6% 14 Improved during the past year 6.1% 3 Remained about the same 57.1% 28 No Response 8.2% 4 answered question 49 skipped question 0 Have you had any event, such as death of a spouse or family member, change in residence, etc. that resulted in a major lifestyle change this last year? Answer Options Response Percent Response Count Yes 14.3% 7 No 77.6% 38 No Response 8.2% 4 answered question 49 skipped question 0 On a scale of 1 to 5 (1 indicating no difficulty and 5 indicating significant difficulty), rate how much difficulty your health and your vision currently (right now) causes your ability to function independently. Answer Options 1 2 3 4 5 No Response Response Count Health 11 7 13 5 8 4 48 Vision 3 1 14 11 16 4 49 answered question 49 skipped question 0 On a scale of 1 to 5 (1 indicating no difficulty and 5 indicating significant difficulty), rate how much difficulty your health and your vision caused before receiving our services in your ability to function independently. Answer Options 1 2 3 4 5 No Response Response Count Health 7 7 11 9 5 10 49 Vision 1 3 7 14 12 12 49 answered question 112 skipped question 1 Before you received services, did you consider going into a nursing home or other long-term care facility? Answer Options Response Percent Response Count Never 61.2% 30 Sometimes 24.5% 12 Often 2.0% 1 Already in a Nursing Home or Facility 4.1% 2 No Response 8.2% 4 answered question 49 skipped question 0 Did the services you received help you remain in your home or private residence? Answer Options Response Percent Response Count Yes 58.3% 28 No 16.7% 8 Not Sure 16.7% 8 No Response 8.3% 4 answered question 48 skipped question 1 Date: Answer Options Response Count Date: 43 answered question 43 skipped question 6 Date: 9212015 91815 9182015 73115 70315 7062015 70715 70315 62915 63015 62615 62015 41915 41415 41315 32815 30915 22515 21615 21214 20415 12815 12914 11315 10315 122914 122714 122614 122014 12142014 121014 12012014 121114 120414 112514 111814 103014 102214 102514 10282014 101614 10282014 101714

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).

1 Susan K. Olson, CVRT Ms. C, a seventy six year old female, was diagnosed with Macular Degeneration. At the time of her referral to the Independent Living Blind program Ms. C reported she was “barely able to see two fingers from two feet away”, however, following vision therapy and a clinical low vision examination it was determined that she had more residual vision than originally reported. Ms. C lives in a senior retirement community with her male partner in a single family home. She is a retired educator and involved in a variety of community social activities. Although she purchased a table top video magnifier for herself several years prior to receiving Independent Living Blind services, Ms. C was concerned about her personal care and wanted to decrease the dependency she was developing with her male partner. In addition to adaptive aids and devices, Ms. C received adjustment counseling, low vision therapy, communication instruction, home management and personal management skills training. After several months of vision rehabilitation training, she agreed that Orientation and Mobility training would be extremely helpful to her. Through this training, an audible signal was installed at the street crossing to her local recreation center; she now walks independently to the facility to participate in various activities. Ms. C was also provided and trained on a portable video magnifier. This item allowed her to access materials when shopping, attending religious services and other community activities as well as when she and her partner traveled. One of her first community experiences was her weekly outings with girlfriends to experience a new restaurant. For the first time in over five years, she was able to read the menu and make her selections independently. The provision of a small voice recorder proved to be extremely helpful for her in recording shopping lists, notations and appointments. Ms. C’s positive adjustment to having a vision loss and embracing compensatory skill development was highlighted by her accepting a mentoring role with one of the struggling low vision support groups in her area. 2 Anna Miller, CVRT, CRC Mrs. M is an eighty five year old woman who lives alone in a town house development in an urban area. Six years ago, she was diagnosed with age related macular degeneration. She expressed that her vision had changed gradually over the years, even with medical treatments to slow the progression of the disease. During the first meeting, Mrs. M said she was having difficulty completing numerous activities of daily living. These difficulties included handwriting, tracking phone numbers and appointments, and dialing the phone. She also stated she was having trouble with achieving her desired settings on home appliances and completing sewing tasks and other crafting activities. Lastly, Mrs. M was having difficulty reading mail, distinguishing between clothing colors and identifying both coin and paper money. Mrs. M was first instructed in adaptive techniques and devices for completing handwriting tasks. The devices included special pens, writing guides and bold line paper. To help her write more legibly she practiced printing instead of cursive. To increase her ability to track phone numbers and appointments, she was trained in the use of a large print address book and large print calendar. She also learned to use a digital voice recorder to assist with these tasks. She was instructed in alternative methods and materials that can be used for labeling household appliances and home products. Additionally, in the area of sewing, Mrs. M was instructed in adaptive methods for threading needles, organizing sewing and crafting materials, and how to use online resources to obtain specific information about projects she wanted to complete. Mrs. M received training in the use of a talking color identifier and other adaptive techniques for managing her clothing. She also learned methods to tactually identify and organize her coin and paper money. She was provided with, and trained to use, task lighting and a stand magnifier to address her difficulty with reading and other daily living activities. As a result of the instruction she received, Mrs. M shared that she felt she had increased confidence, and began reaching out to other social service agencies and finding online resources to supplement what she had accomplished during vision rehabilitation training. After being told about the Hadley School for the Blind classes and webinar series, Mrs. M registered for a webinar about macular degeneration. Furthermore, once she received and learned how to use magnification software on her computer, she also located several informational resources for individuals with low vision who are interested in quilting, a long time hobby for her. Additionally, she discovered how the task lighting assisted her to complete many daily activities with greater ease which she had not been able to do such as food preparation, threading her sewing machine and completing holiday craft projects. She is thrilled with her new abilities. 3 Pamela Lindley, CVRT Mrs. K developed homonymous hemianopsia as a result of a stroke. A secondary effect of the stroke was short term memory loss. Mrs. K was completely dependent on her husband, who never left her alone. Although there was limited instruction that would benefit Mrs. K due to her memory loss, referrals for occupational therapy, physical therapy and speech therapy were pursued. Mrs. K showed considerable improvement with these services. In addition, after a low vision eye exam, she obtained a free pair of glasses through Medicare. These glasses, along with prisms attached to them, allowed Mrs. K to start reading and writing again. Mrs. K was very depressed because her husband took on all the household chores after her stroke. Mrs. K often stayed in bed or sat on the couch while her husband maintained the home. With instruction to both Mrs. K and her husband, she was able to start participating in tasks such as washing dishes, cleaning the counter, doing laundry and helping with meal preparation and pouring drinks. Her husband needed to provide reminders as she performed tasks, but she was happy to be busy and performing tasks again. Prior to closing this case, Mrs. K’s husband shared that they would have to move from their apartment. Their son was paying their rent and could no longer afford this cost. The Area Agency on Aging was contacted to pursue elderly housing. In addition to housing, the social worker at the Area Agency on Aging provided a volunteer to assist with some errands and transportation to activities. She also completed paperwork for Mrs. K to be placed on Arizona Long Term Care System and she was approved for caregiving services. Her husband was provided training and completed an exam to become her paid caregiver. This income was sufficient to cover their rent enabling them to remain in their apartment. Awareness of community services and networking with other agencies is another way of assisting older individuals who are blind to maintain their independence. Successful outcomes often require the assistance of other resources, as well as educating them to advocate for their needs and pursue other resources to maintain independence. Mrs. K and her husband are very grateful for the services they have received which have allowed both of them to be more content and satisfied with. 4 Todd Steen, CVRT, COMS One of the most important things that a certified Vision Rehabilitation Therapist and an Orientation and Mobility Specialist can assist with, other than safety, is assisting an individual to regain the ability to do the things they enjoyed before their vision loss. Spirituality doesn’t go away with vision loss but the active role of participation in one’s studies, church activities, newsletters, and personal contact with fellow worshipers can be affected. Ms. C, age seventy eight, has a great passion for her religion but found it difficult to actively participate within her church community once her vision loss worsened. Her vision was affected by Age Related Macular Degeneration. She could no longer read the Bible, hymns, newsletters or communicate by email. This became a source of unrest for her as religion and the associated activities were a major and crucial part of her life. Ms. C was instructed in Communication, Home Management, Personal Management, Low Vision devices, and Pre-Cane Skills. Her daily life activity of religion and its associated community aspects were the first things addressed. Through the provision and training of magnification devices, both electronic and handheld, Ms. C was able to see printed material including the Bible. She was extremely pleased with this as she could actively participate at church and her home. Ms. C was also provided and trained on using a screen magnification program for her computer along with a large print keyboard. Having this skill allowed her to keep in contact with friends, family, and the activities of her church. Registering her with the talking book library also allowed her an additional means of exploring her faith and personal interests. She enjoyed listening to the books as she did other activities within her home. She was provided a red and white support cane and received training in proper use. The cane not only assisted with her personal safety, but it allowed her to be recognized as a person with vision loss which greatly helped her socially within and outside the church. Through the assistance of the Independent Living Blind program Ms. C is now a very active and independent woman within her home and community. 5 Suzi Gunn, COMS, TVI Mr. B was diagnosed with diabetic retinopathy and a heart condition. He is seventy seven years old and lives with and cares for his sister who is terminally ill. Their relationship was mutually supportive. She would provide him support in reading materials, managing finances and cooking. He would bolster her emotionally and attend all her doctor appointments. Due to his sister’s illness, Mr. B was afraid of losing his sister’s support and was very depressed about his continually advancing vision loss. He feared he would no longer be able to manage his life, let alone manage life alone if he lost his sister. He was well known in his small, rural community for his excellent work and patient care drawing blood at the local hospital. He had been very social and now found himself confined to his home unless a friend came by to take him out to lunch. He no longer went anywhere independently. He was always waiting for others to show up or call. Mr. B no longer left his home alone. He was unaware of support services for adapting to vision impairment or the potential to function as a person with vision impairment. Through the course of several instructional sessions on adaptive living skills he was educated about the many possible services available. As he realized his possibilities, his spirits lifted. Since he could no longer read print for long periods of time, a membership to the talking book library was arranged. He subsequently found having his own personal librarian to assist him in finding audible books by his favorite authors or genre was a real delight. It put a spark of enthusiasm in his conversation. Mr. B loved to cook so he was instructed on how to use an electric table top grill. He was also trained in adaptive cutting techniques, along with a high contrast cutting board and adaptive pouring and measuring skills. He learned to read recipes again first by using a tape recorder. He advanced to using a portable reader magnifier device. He learned how to scan documents into the reader including books not yet available from the talking book library. This greatly brightened his life overall and he began telling jokes again. He took joy in being able to learn a new technological device and at succeeding at goals he devised. Mr. B also received Orientation and Mobility training. He learned that he could safely explore outside his home. He began inside the house, learning to hand trail to get to the bathroom and kitchen along furniture and walls. He was instructed in using protective hand techniques to prevent toppling a floor lamp. Next he was ready to practice cane skills in his carport, tentatively trailing the walls. He learned basic cane techniques. As his skills developed he learned the route to the mailbox at the curb in front of his house. He could now resume the chore of getting and posting the mail each day. Gradually, over time, Mr. B reclaimed his life. Once he learned the route to the mailbox, he began walking the block in front of his house. He learned tactile differences to discover landmarks of different surface areas that let him know where he was on the block. He learned to maintain his orientation which ensured he could find his way back home. He not only learned the skills to find his sidewalk to his home but also how to safely traverse the gravel and grass area to the carport to enter the side door. He increased his attention to listen so he could detect the large tree in his front yard by the sound shadows it created. He was gleeful, stating he didn’t know this was possible. As his travel skills advanced eventually Mr. B was able to cross residential streets, walk two blocks to a light retail area to his bank. He was oriented to the interior of the bank. Now he could take care of his financial affairs in person and help himself to a glass of water or a cup of coffee. He was able to act as he did prior to his vision loss. He began to consider the possibility that he could again be in the community and see his old friends, anytime he wanted. The instructional time spent with Mr. B and his personal courage to try new things provided him the confidence, that even if his sister was not always there he would be able to take care of himself. It gave him peace of mind, increased his independence, improving his personal relationships and self-esteem while assisting him in his care taking activities. As a result, he is much happier today. 6 Vasant Garcia, CVRT Mrs. M is a seventy one year old woman who has experienced progressive vision loss in both eyes due to multiple strokes. When Mrs. M began receiving services from the Independent Living Blind program, she was completely dependent on her husband for all her independent living needs including reading, cooking and organizing her medications. Prior to receiving services, Mrs. M purchased a handheld video magnifier. She was originally not interested in any kind of reading aids, but as rehabilitation teaching lessons progressed, her vision decreased significantly. She discovered she was more successful using nonvisual techniques for accomplishing daily living tasks. Cooking had been a very important activity for Mrs. M, so her appliances were labeled using tactile markers. She received instruction in cooking with an electric skillet along with a double spatula and other adaptive cooking techniques. She was trained in the use of a bar code reader. With the bar code reader she was able to identify her spices, packaged foods and listen to cooking directions. She even learned to record some of her favorite recipes. Mrs. M received an Optical Character Recognition reader. With this reader she was able to identify her mail, and read recipes that had been cut out of a magazine. Mrs. M was an extremely motivated client who would practice between lessons. Often she would already know the skills that had been planned for that next lesson. Mrs. M is very happy with all the instruction and devices she received. She is quite proud of her new independence and that she can do so much without the help of her husband. Success Stories submitted by agency providers who contract with the state agency 7 Frank Vance, Director of Rehabilitation Services, Arizona Center for the Blind and Visually Impaired. Mrs. B was sixty four when she began services at Arizona Center for the Blind and Visually Impaired. She lost all her vision from an unusually rare blood disorder. She lives with her husband and her elderly mother. Mrs. B had been an active administrative assistant for many years. She took an early retirement because of her unexpected blindness. She was unaware that adjustment services can make it possible for her to resume an active and meaningful life. She was scared and depressed as she anticipated only loneliness and dependence for the remainder of her years. Mrs. B joined a support group and participated in some one-on-one orientation and adjustment to disability sessions. She learned valuable coping skills and was introduced to many resources that made it possible for her to do things more independently. She has incorporated many of these resources into her daily life. In addition to Orientation and Adjustment to Disability services, Mrs. B learned adaptive daily living skills. She has been able to learn how to adapt her activities of daily living and gained confidence in her abilities to take care of herself, her home and her family. She learned to travel more effectively through the process of orientation and mobility training. By learning to use para-transportation she can now travel unaccompanied. Mrs. B stated she feels significantly more self-confident. Her outlook has improved markedly. Prior to blind rehabilitation services she stated she would cry almost daily. These weepy times have significantly reduced. Now she is enjoying the company of her husband and her grandchildren and is anticipating many positive years in her personal and family life. 8 Georgeanne Hanna, CVRT, CLVT Ms. G is a seventy two year old woman living in rural Arizona. She is legally blind due to wet macular degeneration, which continues to worsen. Her husband recently passed away. Her daughter lives nearby but works and is unable to assist her during the day. Ms. G reported difficulty reading, writing, telling time and dates, identifying medications and using her kitchen appliances. Ms. G was provided with and instructed in the use of the following devices: writing guides, bold lined paper and bold marker for writing, a talking watch and large print calendar for managing her time independently, and a pill organizer along with tactile markings for organizing and identifying her medications. For spot reading Ms. G was provided and trained in the use of a 7X LED hand magnifier. For longer reading and writing tasks such as managing her finances, she was provided and trained in the use of a desktop video magnifier. Ms. G stated the Independent Living Blind program has changed her life. She reported she is now able to write her own grocery list and read her daily devotionals and medication labels under the desktop video magnifier. She calls it her "miracle". She has been able to continue living on her own and said the new desktop video magnifier has made it possible for her to do the paperwork necessary to do her community work in facilitating a local low vision support group which meets two times monthly. 9 Tamara Bishop, COMS Ms. D is an older woman living in a senior retirement community. She has oculocutaneous albinism. She has had low vision all her life, but she has never had real Orientation and Mobility instruction. She was given a cane many years ago, which she kept in a closet, only using it on trips to Mexico for identification. Some of the difficulties she was having in the community included jay-walking and ascertaining the correct time to cross at lighted intersections. She could not see the pedestrian signal and did not have good sunglasses. Having the proper color sunglasses is critical for a person with albinism; additionally, an appropriate powered monocular to help her see the pedestrian signal. She was encouraged to have a low vision evaluation to determine the correct power of monocular she needed and the best color of sunglasses. She was provided with both the 10X monocular she needed and the sunglasses through the Independent Living Blind program. During orientation and mobility training she learned how to use her cane. She recognized the benefits of drivers recognizing her cane, as she felt safer at intersections. She learned to cross at multiple lighted intersections. With the monocular she could see the pedestrian signal most of the time. This allowed her to cross safely at lighted intersections that don’t have much traffic. She no longer crosses outside the crosswalk, and uses her cane at intersections. She stated she feels much safer now and is not afraid to walk around the community. 10 Venu Vangueety, Assistive Technology Instructor Mr. W is an older man who is totally blind. He bought a new computer, but did not touch it for three months because he could not see the monitor. He was trained to use the Dolphin Guide software which is an easy to use program with both screen reading and magnification capabilities. Mr. W learned all aspects of using email and how to browse on the internet. He also learned to burn compact discs for family pictures and Music. With the confidence gained from learning these new skills, he wanted to learn his Android Tablet and Phone. He had these devices for a while but had not used them. He was trained to use the synthesized voice and voice commands. Now he is able to make phone calls and create contacts. He has synchronized his devices with his computer. He can even electronically open his gate to let guests in. Mr. W is amazed at what he has been able to learn and do with his devices. It has opened a whole new world for him. The possibilities are endless. He is no longer timid with electronic devices because he knows he can master them.

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

During this reporting period, AZRSA had several staff vacancies. Arizona continues to struggle to fill vacancies due to our state salary range. In order to provide services, RSA utilized private contractors throughout the state. Rural areas continue to be underserved.

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 byKarin Grandon
TitleDeputy Administrator
Telephone602-542-6289
Date signed12/29/2015