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

RSA-7-OB for Colorado Division of Vocational Rehabilitation - H177B150006 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 year464,593
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year36,636
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2501,229
A2. Total other federal20,961
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act15,479
(e) Other5,482
A3. State (excluding in-kind)32,949
A4. Third party124,124
A5. In-kind69,717
A6. Total Matching Funds226,790
A7. Total All Funds Expended748,980
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs271,729
C. Total expenditures and encumbrances for direct program services477,251

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.5000 0.0000 0.5000
2. FTE Contractors 1.8100 10.9200 12.7300
3. Total FTE 2.3100 10.9200 13.2300

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 38 28.7600
2. Employees with Blindness Age 55 and Older 9 5.2700
3. Employees who are Racial/Ethnic Minorities 23 18.3000
4. Employees who are Women 69 48.6120
5. Employees Age 55 and Older 13 6.9300

C. Volunteers

8.26

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 FY871
2. Number of individuals who began receiving services in the reported FY532
3. Total individuals served during the reported fiscal year (A1 + A2) 1,403

B. Age

1. 55-5965
2. 60-64115
3. 65-69129
4. 70-74158
5. 75-79144
6. 80-84228
7. 85-89251
8. 90-94220
9. 95-9987
10. 100 & over6
11. Total (must agree with A3)1,403

C. Gender

1. Female1,039
2. Male364
3. Total (must agree with A3)1,403

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race109
2. American Indian or Alaska Native8
3. Asian6
4. Black or African American15
5. Native Hawaiian or Other Pacific Islander2
6. White1,255
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)8
9. Total (must agree with A3)1,403

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)80
2. Legally Blind (excluding totally blind)613
3. Severe Visual Impairment710
4. Total (must agree with A3)1,403

F. Major Cause of Visual Impairment

1. Macular Degeneration871
2. Diabetic Retinopathy88
3. Glaucoma113
4. Cataracts96
5. Other235
6. Total (must agree with A3)1,403

G. Other Age-Related Impairments

1. Hearing Impairment170
2. Diabetes115
3. Cardiovascular Disease and Strokes90
4. Cancer46
5. Bone, Muscle, Skin, Joint, and Movement Disorders305
6. Alzheimer's Disease/Cognitive Impairment39
7. Depression/Mood Disorder48
8. Other Major Geriatric Concerns252

H. Type of Residence

1. Private residence (house or apartment)780
2. Senior Living/Retirement Community316
3. Assisted Living Facility197
4. Nursing Home/Long-term Care facility105
5. Homeless5
6. Total (must agree with A3)1,403

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)50
2. Physician/medical provider54
3. State VR agency14
4. Government or Social Service Agency57
5. Veterans Administration43
6. Senior Center91
7. Assisted Living Facility163
8. Nursing Home/Long-term Care facility73
9. Faith-based organization70
10. Independent Living center78
11. Family member or friend226
12. Self-referral318
13. Other166
14. Total (must agree with A3)1,403

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 4,096
1b. Total Cost from other funds 249
2. Vision screening / vision examination / low vision evaluation 16
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 40,178
1b. Total Cost from other funds 55,483
2. Provision of assistive technology devices and aids 535
3. Provision of assistive technology services 890

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 263,674
1b. Total Cost from other funds 61,306
2. Orientation and Mobility training 188
3. Communication skills 485
4. Daily living skills 1,180
5. Supportive services (reader services, transportation, personal 336
6. Advocacy training and support networks 449
7. Counseling (peer, individual and group) 908
8. Information, referral and community integration 904
. Other IL services 670

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 51,541
1b. Total Cost from other funds 5,124
2. Information and Referral 39,247
3. Community Awareness: Events/Activities 37,640 4,897

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) 813,183 520,473 -292,710
2. Number of Individuals Served 9,547 2,150 -7,397
3. Number of Minority Individuals Served 1,474 163 -1,311
4. Number of Community Awareness Activities 692 259 -433
5. Number of Collaborating agencies and organizations 2,342 648 -1,694
6. Number of Sub-grantees 0 0

Part VI: Program Outcomes/Performance Measures

Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 890 100.00%
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) 376 42.25%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 135 15.17%
B1. Number of individuals who received orientation and mobility (O & M) services 188 100.00%
B2. Of those receiving orientation and mobility (O & M) services, the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services. (closed/inactive cases only) 74 39.36%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 65 34.57%
C1. Number of individuals who received communication skills training 485 100.00%
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) 118 24.33%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 242 49.90%
D1. Number of individuals who received daily living skills training 1,180 100.00%
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) 154 13.05%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 323 27.37%
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) 190 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) 0 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) 39 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 91 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) 110 n/a

Part VII: Training and Technical Assistance Needs

Sub-grantees have unanimously stated that assistance is needed in outreach to un and underserved individuals in rural and frontier areas of the State. The sub-grantees have also stated that assistance is requested in increasing enrollment and participation of eligible individuals. Transportation continues to be an area of concern that impacts the sub-grantees ability to serve individuals either in their home or assisting individuals to come to the facility for services.

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.

Colorado Division of Vocational Rehabilitation (DVR) sub-grants all services to individuals who are over 55 with low vision or blindness. There is an Request For Proposals (RFP) process held every three years with contracts provided to the sub-grantees annually. The 8 vendors in this cycle are Colorado Center for the Blind, Denver, CO; Connections for Independent Living, Greeley, CO; Center For Independence, Grand Junction, CO; Colorado Springs Independence Center dba The Independence Center, Colorado Springs, CO; Center for People With Disabilities, Boulder, CO; Center For Disabilities, Pueblo, CO; Disabled Resource Services, Fort Collins, CO; South West Center for Independence, Durango, CO. Included are the sub-grantees responses: Disabled Resource Services Disabled Resource Services’ (DRS) “Vision Matters After 55” (VMA55) program has three part-time staff. The OIB Coordinator, who is over 55 and blind; the OIB Program Support Specialist/Activities Facilitator is over 55 with a TBI disability; and OIB Community Advocate is a youthful 23 year old of minority status. The three positions complement the program’s services and each other’s strengths. The team has extended outreach activities and program services to unserved and underserved consumers this year. The FY2014/15’s primary focus was directed to increase outreach in rural/frontier communities with community involvement and to establish reciprocal referrals with local home health agencies and other supportive health care providers. VMA55 strengthened its financial base as a grant recipient of Alpine Area Office on Aging and Larimer County Office on Aging (LCOA) this year. Grant funding for material aids allowed staff to purchase and distribute assistive devices to consumers as well as collect financial donations from them that continue extending help to seniors with vision loss and low incomes. The distribution of material aids via these grants and through our program’s loan closet of assistive living aids have also established collaborative referrals and cross-training with home health providers, care facilities and other agencies. Individuals who have seen residents attending in-house group meetings have made requests to VMA55 staff later to obtain help to enhance their own vision-related ADL skills. The LCOA grant is for material aids and not only includes white canes, lighted magnifiers and computer software but also Orientation and Mobility (O&M) training. VMA55 staff worked with Ensight Skills Center, another LCOA grant recipient, with funding for training and education. Historically, few consumers have ever expressed interest in O&M devices or mobility training until now. The LCOA grant provided equipment accompanied with training and follow-up by VMA55 staff to 39 consumers. Promotion of the material aids grant on our website, via handouts at meetings and announced at trainings solicited on-going interest and applications. More than 10 consumers now use white canes of various types and have become peer mentors, train with family and friends for sighted-guide techniques and have increased safe mobility travel without feeling labelled as “blind”. “Hometown” events promoted VMA55 and achieved immediate program identification in Walden (Jackson County/frontier) and Wellington (Larimer County/rural) but had marginal results in increasing consumers in these rural/frontier areas. Because these events were held late in the fiscal year, staff has not yet studied their long-term effect as an outreach tool. Ongoing follow-up with local service providers and the Hometown event sites (senior centers) will remind them of VMA55’s presence and these actions will continue the program’s visibility. The distribution of 2016 Large Print calendars that include VMA55 contact information and the Amsler Grid will also remain a visible reminder to consumers with AMD (macular degeneration). A total of 337 consumers were served this year. This is actually a decrease over last year’s 384. In fiscal year 14/15 there was fewer Title VII Chapter II funding awarded, making it impossible to fully implement the program as intended in the original proposal. Nevertheless, success this year is credited to grant funding from new sources directly benefiting consumers, outreach activities and increased referral sources, despite this year having the highest number of consumers moving to skilled care facilities or who died (dominant age 85-104). (We found in skilled care facilities when consumers moved there, family members requested discontinuing VMA55 services due to consumers making minimal gains.) Center for People With Disabilities During the past year the Beyond Vision Program at the Center for People with Disabilities has experience exciting growth due to additional state funds. We have added staff and expanded our services to a 10-county radius. Our program is composed of four main parts: Low Vision Support and Education Groups, In-Home Services, Caregiver Trainings, and Outreach. These four parts come together to provide a network of services to our consumers. We currently have 42 monthly Low Vision Support and Education Groups. These groups provide an opportunity for older adults to gather together to learn about low vision topics and share their personal stories and experiences. This peer engagement informs and educates our consumers, teaches new skills, reduces isolation, and increase independence. Our in-home services are one-on-one trainings provided to consumers interested in focusing on a specific skill, or requiring more direct training that what is offered in our support groups. One-on-one services assist consumers in the areas of assistive technology, orientation and mobility, daily living skills, communication, and information and referral. One-on-one services and trainings include identifying and setting goals, as well as monitoring progress towards goals. Typically 3 to 5 trainings are required to accomplish a goal. This year we started offering caregiver trainings. These provide an opportunity to ensure that caregivers have the resources and skills they need to best help older adults who have low vision. We offered two caregiver trainings this past year and plan to offer more next year. These trainings were very successful. Caregivers have reported that new skills they learned helped them improve their level of care for older adults with low vision. Currently we are working with senior living community where we host low-vision support and education groups to offer caregiver trainings to staff. Our outreach efforts have taken many forms this past year as we have actively worked to grow our program and ensure that individuals with low vision and the community at large know about the services we offer. Our outreach efforts have included phone calls, mailings, community events and in-person meetings. We have continued to focus our community events to larger audiences, and where we can best reach older adults or their caregivers. Center For Disabilities Three levels of service were provided by CFD’s OIB program this year through individual, group, and community activities. 2506 individual services were provided to 88 OIB consumers during the past year. These included home visits, needs assessments, and providing free/low cost assistive technology devices, marking appliances and daily living skills training. Our OIB program connects consumers with resources by maintaining a Resource Directory for each of the 17 counties we serve. Additionally, we provide Maxi-Aids catalogs and a free Large Print calendar to each consumer. Individual consumers participated directly in the planning of their IL goals as well as group activities and events. There were 120 individual goals set and met by OIB consumers this grant year. Group services included the monthly meetings of 7 OIB Vision support groups in 6 counties. Every consumer receives Large Print announcement and a personal reminder call for these meetings. Group topics included: Mobile Assistive Technology Expo, Fire Safety & FEMA Emergency Preparedness, Free or Low Cost Assistive Technology devices, Community Cultural History, eye heal and new treatments for age related eye diseases, as well as community outings for lunches, a hayride/weenie roast and our annual Holiday Dinner/Concert. Consumer participated directly in the planning and implementation of their group activities. On the community Level, 184 agencies and organization received monthly invitation to OIB activities and events. This included our Mobile Assistive Technology Expo, in which OIB staff took 45 pieces of assistive tech equipment to 6 counties, providing demonstrations and hand-on experience to participants. This was coordinated with helping them apply for AT programs through AAA and The Quick Foundation. Pueblo area agencies were also invited to our Annual Holiday Dinner and Concert. CFD’s OIB outreach efforts were greatly expanded this year. We implemented a program providing personal visits for OIB staff to each of the 17 counties in our catchment area; 10 of these counties were previously unserved. 169 agencies were visited. Information and resource for the OIB program was distributed to each. An expanded Outreach Directory was created and made available in Large Print. An electronic version is maintained in our database. Colorado Springs Independence Center dba The Independence Center Services continued to be provided using OIB staff, without the use of subcontractors. Outreach efforts include collaboration and partnership with other agencies that work with the un/and underserved seniors. Some of the agencies include National Federation for the Blind, the Area Agency on Aging, New Vision Services, Local assisted living, and Medicaid funded Nursing Homes, Silver Key, Technology vendors, and many others. We have made great strides in our rural communities and have consistent and active consumer participants in the support groups in Calhan and Cripple Creek. We work to educate IL staff here at the center about the OIB program so that appropriate internal referrals are made and consumer outreach happens to create opportunities for independence. The OIB continues to facilitate Support groups here at The Independence Center, and in facilities. The total OIB facilitated support groups currently is ten. The new support groups that were added this year was Arts and crafts, Audio book club, and games. The diabetic focused groups still meetings with speakers that educated about healthier living. The IC also has across disability support group that OIB consumers have attended (several have even bowled and participate in potlucks) with this group. The program has had an increase of 1:1 home visits due to the OIB consumer demographic population aging. Connections Connections for Independent Living implements our program in-house, although we do have community partners including Area Agency on Aging and the Curtis Strong Center. Our staff has the training and expertise necessary to provide OIB services directly, including assistive technology. We do not provide orientation and mobility training directly; instead, we assist our consumers in obtaining this type of training. Additionally, we have collaborative arrangements with providers of this service and provide advocacy to consumers in need of services that we do not provide directly. We work diligently to conduct outreach presentations to underserved and / or unserved populations. Center For Independence CFI hires skilled staff to implement the OIB program in-house. We also have at least one SCSEP intern assigned to the OIB program during the program year. For a portion of the year, we had a Mesa County AmeriCorps member assigned to the OIB group in Mesa County. This program ended in August 2015. We have 2 long-term volunteers who assist with the low-vision support group called the Western Visionaries. We use a contract bookkeeper, PDQ Bookkeeping, to track grant expenditures for direct and indirect costs. We use CilSuite as a purchased data tracking tool. A portion of the OIB grant is allocated to the Montrose Satellite Office and the Carbondale Satellite Office. To effectively use this satellite staff, demonstration equipment is located in these offices as well as a commitment to training staff on low-vision and blind services. The use of the satellite office has increased our outreach in underserved areas. This year we increased our numbers by 24 consumers over last year. The largest group is in Mesa County with 65, Delta County with 7, Montrose County with 14, Garfield County with 7, Eagle County with 1, Moffat County with 1, Gunnison County with 3, and Pitkin County with 2. The counties with permanent operations demonstrated the most gain in consumers. This model of reaching out from a central location is our chosen method to reach the under and unserved OIB consumers in our catchment area. Over the course of the next year, we hope to add one more satellite operation. South West Center for Independence All reported services and supports occur in house with so subcontracts. Basic services available through our OIB program include: • Support Groups that include presentation and training in Archuleta County (Pagosa Springs, Delores County (Cahone), La Plata County (Durango, Bayfield, Ignacio, Southern Ute Reservation, Allison), Montezuma County (Cortez, Delores, Mancos) and San Juan County (Silverton) These groups allow us to outreach to areas that are very rural, giving us the opportunity to meet our OIB consumers on their own terms. • Email Newsletters • Provided 100 large print wall calendars, color dots, 20/20/pens and other low tech visual aids. • Home visits to provide individual services such as peer mentorship, skills training, advocacy, information and referral/ options counseling, AT assessments and recommendations, setting up your home, teaching your partner,etc. • Lunch activity groups that meet at local restaurants as well as potlucks in other community meeting places. • Loaning of magnifiers and CCTVs from AT dealers and from our donation room. • Low Vision fairs that bring Providers, consumers together in an effort to provide a “one stop” conference for all things vision. • Consult with Home health nurses and professional eye doctors about assistive devices.

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.

Disabled Resource Services Helping low-income consumers access low vision material aids for little or no cost was noteworthy this year. Promoting the availability of material aids included posting on our program’s website the application, collaborating with other agencies and sharing information consumer-to-consumer via word of mouth. Moreover, collecting contributions from consumers who received material aids expanded our ability to serve more consumers using these donations which totaled $425. Additionally, acquiring used equipment for our VMA55 loan closet expanded the availability of equipment for others. For example: Quarterly contact with the point person at the Colorado Talking Book Library resulted in donated CCTV’s, Braille talking clocks, etc. that had been passed to the library for reissue. The items retrieved by VMA55 staff were distributed to our low-income, low vision consumers as permanent loans from our loan closet. The items proved especially useful as interim training devices, a help to consumers with multiple disabling conditions and as a means to learn how to adapt to new technology. Consumers posted on our website and elsewhere requests to do small Brailling projects that resulted in several jobs for them. The City of Loveland and Rocky Mountain National Park, for example, increased their accessible-formatting of materials and literature for low-vision and blind people by developing audio, large-print and Braille options. In doing so, they are more inclusive of residents and visitors with vision loss. Professional networking took place at community educational forums. Topics included public transportation, senior housing and senior abuse. Senior expos provided interactive discussions among service providers and consumers. VMA55’s participation resulted in increased consumer referrals and requests to provide reasonable accommodations and improved access in housing and transportation. There was also increased public visibility and recognition of VMA55 staff and promotion of the program locally and statewide (via National Federation of the Blind activities). “Hometown” events in Walden and Wellington were conducted late in the fiscal year. More in-person contacts were made to educate and increase people’s knowledge on vision-related services through VMA55 and Disabled Resource Services as a Center for Independent Living that provides comprehensive resources and services, i.e. housing, employment, SSA advocacy, hearing loss services, etc. The team-approach used is individualized to each person and their needs when both vision loss services and regular agency services are requested/needed. Our annual “Vision Matters after 55” seminar was not held this year in lieu of “piggybacking” as vendors/participants at senior-focused events with other service providers. Staff conducted outreach, introduced more potential consumers and service providers to VMA55 and minimized program expenses. As outreach continues staff is seeing more ongoing service delivery and referral growth. Enhanced by the material aid grants we received, there were 39 consumers who received low vison devices. Their home health care providers also benefited from knowing about this service thereby expanding the investment of our staff time at home visits. Participation in more than 5 in-house and community events greatly increased people’s knowledge of vision loss services and resources not just consumers but service providers as well. Moreover, invitations to participate in, collaborate with and design new low-vision educational presentations are emerging. For example, working with two local optometrists (a low-vision specialist and another doing home care) to develop ongoing educational sessions for newly diagnosed seniors with low-vision eye disease are in process. By piggybacking on other’s websites and including them on VMA55’s website we are exposing and marketing our program at minimal cost to increase referrals and provide reciprocal services/resources to health care providers and other service providers. Transportation and affordable/accessible housing are the two primary concerns impacting independence especially for seniors with low vision/blindness and those multiple disabilities. Larimer County is experiencing a 2% vacancy rate where low-income/no income consumers are finding greater difficulty relocating because they need affordable housing close to accessible transit. Active participation and attendance at community forums have enhanced staff’s knowledge and has developed greater awareness of the trends and applications being developed in these arenas. Interactive case management is increasing for VMA55 consumers where they are developing IL plans with DRS staff to acquire comprehensive and individualized solutions to meet their housing and transportation needs without becoming homeless. To date, social outings six times a year and five monthly vision group meetings provide consumers with interactive ways to receive ongoing education, have peer socialization/mentoring, practice in public vision loss ADL skills, develop transportation skills and reduce isolation. They have been received well by consumers and these activities help sustain their integration into society. Center for People With Disabilities As briefly mentioned above, outreach has been a huge part of our success this past year. In addition to the phone calls, mailings, community events meetings, we have continued successful collaborations with Audio Information Network, Colorado Talking Book Library, Colorado Center for the Blind and Ensight Skills Center. Through the Colorado Coalition for Blind and Low Vision, we collaborate with these organizations to discuss the needs of individuals that are blind, services available, outreach strategies and new trends in funding, research and practices. These collaborations have enabled us to reach new individuals and expand our services without duplicating efforts. Connections Our MagnifEYED Living seminars are extremely successful. We have increased the frequency of them and have been offering them throughout our 7 county service area. Colorado Springs Independence Center dba The Independence Center Close collaboration is done through IC participation in committees that include RAC, CTS committees, Interagency Transition Teams, Brown Bag lunches, Ethics Committee, National Federation for the Blind local chapter. Staff has had the pppo0riunity to participate in vendor shows locally, and at other conventions out of state to say current on available and accessible technology. We have been able to bring produces to consumers’ homes and brought in vendors to the center for product demonstrations. We have also been able to provide these services to our rural under/unserved communities. We have also taken part in a Material Aids grant from the local Area Agency on Aging, and this grant has allowed several OIB seniors to purchase products that can enhance their lives and independence, and introduced the services of The Independence Center to hopefully increase consumer participation. Our outreach efforts continue to align with our SPIL goals. Center For Disabilities CFD’s collaborative efforts this year working with AAA and The Quick Foundation provided funds for Assistive Technology (AT) devices free or on a payment plan with very affordable monthly payments to OIB consumers. AT devices were p0rovided to 17 consumers; 10 in Pueblo County and 7 in outreach areas. These included video magnifiers, scanner/readers, talking watches and magnifiers. CFD’S OIB staff collaborate with and make monthly personal visits to DVR, Social Services, Work Force Centers, AAA, Senior Services Centers, and Eye Care services in each of the 6 counties where we host a support group. OIB program’s current event/activities schedule and brochures are dispensed. The personal visits our staff made to previously unvisited counties has greatly extended the reach of OIB in Southeastern Colorado. Beginning Jan 1, 2016, CFD OIB program will be creating and distributing quarterly newsletter of information pertinent to needs of the OIB population in all 17 of our counties. Our new approach to the Annual AT Expo proved very effective. This even was previously hosted in Pueblo and though outlying counties were invited, they rarely participated. This year OIB Staff took the event “on the road” in our first annual Mobile AT Expo. We expanded our reach from 1 county to 6 counties. Community agencies were invited and consumer participation was increased by 6 times. Our outreach efforts result in AT presentation to staff of Fresenius Dialysis clinic staff and in Rio Grande County as well. Center For Independence CFI provides door to door transportation for the Western Visionaries in Mesa County. The Satellite offices rely on public transportation, volunteers, and family to hold their support meeting. The face to face support groups are the truly retired and usually 65+ in age. Their needs are more for more social and emotional issues. They have a variety of speakers on topics as specific as using voice commands on a Smart phone to the general issues of aging; caregiver supports, health care, poverty, grief and loss of family and friends, and long term care. While this is not an independently functioning group because of the set-up and transportation, it is a necessary group for the emotional health of an aging and isolated population. CFI was able to secure funding for assistive technology for several consumers through the ADRC, the Lion's Club, and the Housing Authority. Consumers have portable HD Desktop magnifiers, handheld video magnifiers, Pen-friend Electronic labeler, IPads, and eye glasses. Many more consumers are interested in this equipment and increasingly comfortable with its use and utility. CFI sent 2 vocational staff to the Colorado School of the Blind for 2 days in May to learn about assistive technology and best practices for low-vision and blind workers. One of our vocational staff has a significant vision loss so this had immediate and practical application for her. CFI can now offer an array of program opportunities for the younger and employable low-vision members. CFI sponsors the local chapter of the National Federation for the Blind in their monthly meeting and annual White Care Awareness Day (October 15th). Each year we hold a public forum for low-vision members and the general public to promote understanding of the advances in technology and public perception. We have vendors demonstrating the latest assistive devices and possible grant sources. CFI reports our activities to the SILC through the ACCIL and our representative on the SILC. We work locally with the Orientation and Mobility Specialist with DVR and the ADRC in Regions 10, 11, and 12. We have strong working relationships with En-sight, Radio Reading Service and Talking Books, Area on Aging, and the National Federation of the Blind. We sponsor the local chapter of the NFB monthly and annually join with them to sponsor White Cane Awareness Day. CFI has added to the store of demonstration equipment for our lab and is working to place donated equipment in libraries and senior living facilities for public use. We have loaner equipment for individual use. South West Center for Independence • Radio and newspaper coverage in rural areas about low vision services • Circuit Rider Office hours in outlaying regional Senior Centers and other organizations. • Low vision Expos in Cortez and Durango • Presentations to local services clubs, senior centers and other organizations. • Participation at Health fairs and Caregiver Conferences • Participation on senior advisory councils and adult protective teams • Lunch activity clubs in Cortez and Durango, encourage individuals with low vision to get out to different activities and restaurants. These types of activities help to combat the loneliness and isolation that is common with vision loss. • SWCI has set up many information booths at Senior fairs, Heath fairs, Senior housing complexes and any other place we feel we may be able to reach individuals 55 and over with visual impairment. • Open Houses in Durango and Cortez office • Increasing our AT lab to include more low vision technology including specialized computers

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.

Center for People With Disabilities Our last Satisfaction Survey was conducted in February 2014. In general, we had very positive feedback from more than 30 individuals who responded to the survey. The knowledge of our staff was rated at a 4.5 on a scale of 1 to 5, and the information presented at groups was rated around a 4. Results found that more than 50 percent of respondents were interested in in-home trainings, and the most helpful training and education topics were technology and current vision research. This survey helped us focus our growth efforts and align our services with the needs of our consumers. Attached is the raw data and graphs of survey results. Disabled Resource Services There were 200 large-print surveys mailed this year of which 15 (8%) were completed and returned. Of those returned, 100% wanted to continue receiving monthly OIB newsletters without alteration. Suggestions included having more vision group meetings and having more educational meetings that include structured learning. Monthly vision groups average 45 attendees in total. Verbal surveys conducted with them indicated they want a a range of topics, hands-on demonstrations of material aids applicable to their living situations, socialization and introduction of healthy snacks including using adaptive techniques for their preparation. To a lesser degree they encouraged co-facilitation by consumers to increase attendance and new attendees; provide meeting reminders to facilities’activity coordinators and publish meetings via in-house memos. With increasing numbers of Deaf/Blind attendees (having both hearing loss and low vision) it was suggested to have Pocket Talkers at meetings. In fact, four consumers purchased their own for other venues, i.e. to hear dining room conversations, hear church services and become more actively engaged in social conversations. Our annual survey was available in Braille, Large-Print, audio and screen reader. “Paper” surveys had a low return rate with most consumers wishing to express their thoughts in person or by phone. Connections We utilized seminar evaluations and in-house "report cards" this year. There was high satisfaction with each of the seminars. Unfortunately, not many program participants completed the report cards here at Connections. We do note that we continue to see an increase in the number of partipants in our Vision After 55! program as well as their participation in services such as our gentle Yoga and other activities. Center For Disabilities This FY we received survey responses form 32 OIB consumers. Of those responding, 1 reported no change in their life due to services received; all other reported positive gains. Many or our consumers have expressed their gratitude for the programs and services we have provided, both individually and in group/community activities. They have particularly appreciated the receipt of free/low cost AT and the “talk of your town” activities that featured the cultural history of each of their communities. They enjoyed the guest speakers and the handouts prepared by OIB staff that featured highlights and d photos from the history of their towns and counties. We also have overwhelming positive responses for the Hayride/weenie roast and the Annual OIB Holiday Dinner and Concert during the Christmas/Hanukkah holiday season. They always look forward to receiving the free Large Print Calendars which we also distribute as OIB promotional items to areas agencies and organizations Colorado Springs Independence Center dba The Independence Center We were able to complete phone survey in July/August 2015 for OIB. Our consumers reported satisfaction with the program, and liked the grant opportunities for Material Aids products. Some of the consumers noted timeliness of produce delivery and the need for training on products ordered. The grievance procedures and CAP brochures/information are given to all consumers at intake. This information includes direct line phone numbers to supervisors. Participants are always welcome to call with questions and concerns. If a complaint is made it is logged. There has been no complaints this year logged. Center For Independence CFI ran a on-line survey (Survey Monkey) for the month of September 2015 to assess the community's needs, knowledge, understanding of CFI and our services and any hidden issues we were not aware of. We published the link on our website, Facebook page, in the local paper, and at all of our community meetings. We offered it to each of our support groups as a paper and pencil report and had staff and volunteers recorded their answers. These were entered into the on-line survey. We had 79 responses which ranged from complaints to praise. The most requested service was information and referral followed by assistive technology. The most sited barrier was employment. Most people knew about the Center and the greatest number of responses came from Mesa County. The largest bracket came from the 55-64 years old (33%). Most of the disability onset age was 17 or younger (31%). Ninety six percent of the respondents were white. Education level was highest in the "some college but no degree" group (38%). Most respondents were female (67%). Our additional comments were overwhelmingly positive with a few exceptions. South West Center for Independence It is difficult to compel the individuals who are served through our OIB program to complete satisfaction surveys. We absolutely need to get better at capturing the work we do with individuals with visual impairment and how what we do changes an individual’s access to services, Personal life satisfaction and other positive outcomes. Our program continues to get lots of positive feedback from those we serve, this is particularly true with regard to the low vision expos.

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).

Center for People With Disabilities Through the Beyond Vision program we have worked with 473 people in the last year and helped reduce isolation and increase independent living skills. By participating in our program, consumers are more engaged in their community, better informed about low vision, and able to meet more of their daily needs independently. One woman who received our services last year is her 60s and experienced sudden vision loss due to diabetic retinopathy. She had been living alone and was faced with moving to a nursing facility following the loss of her sight. The Beyond Vision team taught her how to safely cook meals, do laundry, and get around her house on her own. We connected her to the Colorado Talking Book Library so she could continue to “read” books, as well as with Arapahoe County Chores Service Program for volunteers to clean her house periodically. Because of the training and volunteer service support, she is able to stay in her own home, which is near her extended family, maintain her quality of life and independence, and able to have her grandson visit regularly. Disabled Resource Services 1. A retired nurse who is a veteran informed VMA55 staff that she did not believe she would be eligible for VA benefits. Information and referrals were provided leading her to apply and receive benefits. Since acquiring vison-related benefits, she advocated for an increased disability status due to being diabetic and as a cancer survivor for which she was successful and the added benefits have increased her fixed-income. She has completed an application with our staff for paratransit and now embraces all services available to her such as mobility aids, reading tools, and no-tech/high tech material aids to “make life a little easier”. A regular attendee at monthly vision group meetings, she shares with attendees her nursing experiences, adaptive aid catalogs and does “show and tell” with various adaptive tools she has, rating them according to cost and usability. She remains independent, living on her own in her apartment, which is enhanced by using assistive aids and applying ADL skills learned from the VMA55 program. 2. A relatively new consumer, referred by her medical provider and the Larimer County Office on Aging, has a brighter outlook on life: “So many doors have opened that I don’t know how I did all of this before without knowing about all of these services”. With advanced liver failure and multiple sclerosis and related vison loss, she struggled to have any measure of independence at home. Living with an over-protective, “caregiver” spouse who does not let her do anything (her words), including use the bathroom by herself, because he doesn’t feel she is safe to do so without usable vision. Acquiring materials aids and receiving training from VMA55 staff, she was excited to demonstrate her newfound skills using solar shields, audio reading, task lighting and magnification. Learning how contrasting colors can “improve” vision helped her significantly. Additionally, she was helped with applying for SSDI/SSI and Medicaid so she could be placed on a liver transplant list. She was placed on the list in late September with her SSA application still in the appeals stage. She has engaged her spouse in understanding she needs to do ADL functions independently for as long as she is physically able. He has been amenable to performing sighted-guide techniques, has participated in IL low vision skills training and they plan to participate in a balance class in January that focuses on balance with low vision/blindness. 3. A Hispanic male, living in his own home, expressed feelings of isolation following a prolonged health crisis in which he lost most of the vison in his remaining eye. He told VMA55 staff, “I am so overwhelmed with paperwork that I can’t do anymore”. By finding a volunteer through DRS’s Volunteer Coordinator had him sorting and organizing legal paperwork, bills, etc. He is applying his low vision IL skills that include using colored file folders, labelling techniques, the program’s loan closet CCTV, portable magnification and task lighting plus accessible technology with his computer to increase his independence. A referral to DVR for O&M training and a white cane provided through VMA55’s Special Needs Fund (a fund generated from consumer donations with 100% of it for consumers) is now giving him mobility training near his home with access to paratransit services. He used his newfound mobility skills and transit training to attend one of the VMA55 social outings and actively participated as a sighted-guide for other consumers by sharing his O&M skills. He also demonstrated his adaptive material aids at a local restaurant by reading his menu and identifying his food in this public venue. He stated, “I’m so excited to feel like I am getting back to being me”. As a divorced man with a debilitating illness, a kidney transplant survivor and a person with vision loss, he is looking ahead to what he can apply his previous electrical engineering experience to via DVR retraining. He is profoundly moved when speaking about being able to live alone and function again with low vision skills and material aids to maintain his independence and be self-reliant again. Connections Travel training and orientation and mobility are two services that have really increased the independence of participants. They have much more freedom and independence than when depending on paratransit transportation and the volunteer driver program. Colorado Springs Independence Center dba The Independence Center We continue the practice of accepting and donating technology which we have looked at by a technology specialist before it is given out to consumers. This has allowed consumers access to technology they may otherwise not means to secure. We were also able to utilize the material Aids grant and the IC Home Modification program for funding when consumers qualify. The CCTVs that were given out allowed individuals to continue reading, pay their own bills, and read their own mail. We have been able to hand out large print calendars for the 2015 year. 20/20 pens were also given out to show the benefits of contrast writing. These tools making independence possible in the home and to organize appointment. Metro bus passes were also purchased if transportation was needed to attend a group on occasion. Center For Disabilities The quality of Independent Life has been greatly impacted for many of our OIB consumers this year. The receipt of free AT has enabled them to do things they hadn’t been able to do for years due to their vision loss. Three of our consumers who are totally blind received scanner/readers. One lady was moved to tears and told us numerous times how wonderful it is to be able to “read” her mail favorite books, the poetry her sisters writes and new recipes to try. Another of our ladies cried when she received a new talking watch. Her old one had stopped working and she was unable to afford a new one. We have two consumers who had been unable to watch TV. Once of them had been using two pairs of reading glasses taped together so he could watch TV. They both tried for years to find a means to watch their favorite shows. During our Mobile AT Expo they tried several pairs of Task Vision and Binocular glasses. Each found a pair that worked for them and received them free of charge. We have another consumer who came to use feeling very desperate. She had been diagnosed with Age related Macular Degeneration and was experiencing great anxiety and depression. We scheduled an appointment for her and acquainted her with the current AT for vision loss. We found several pieces that worked for her. We also helped her sign up for Colorado Talking Books and provider her with Low Vision papers, 20/20 markers, signature cards and tactile marking supplies. She was amazed at all these things that are available and feels much more hopeful about making the adjustment to vision loss. Sever consumers have told us that they look forward to our monthly group meetings and that these are the only times they get out to enjoy the community; they have thanked us for these opportunities. Center For Independence We have two low-vision volunteers who attend the Western Visionaries program two times a week. They started out as consumers and through their commitment to learning and investment in the group; are now leaders and helpers with the program and the low-vision lab. One of the individuals started as a transportation advocacy issue because she lived two blocks outside of the range of the para-transit system. CFI was able to help advocate with her to change the route so she and her service animal could ride the bus independently. She started coming into the center and we learned about her background as a professional counselor. She acts as a resource for 1:1 peer mentoring when someone needs help in the lab, or needs to express their concerns. We are looking for a greater role for her as a low-vision advocate. The lesson here is that we did not create this smart, empowered woman; we cleared her blocked path. She was essentially hidden from view by a bus route. Once she could establish access to the community, she used it. She also found a renewed purpose in her week. She could apply herself by helping others and in turn, help herself. I think that the impact of the OIB program is enhanced by its flexibility. The serious business of overcoming fear, barriers, prejudice, poverty, isolation, and ignorance is lightened by the ability to share stories, make friends, laugh and have a happy heart, trust the system designed to hear from you, and find an ally in pushing for change and accommodation. Especially for people with blindness and low-vision who acquired this disability late in life. They can get caught up in the unfairness and tragedy of their situation and lose sight of what they still have; their education, their community, their intellect, and their problem solving ability. The OIB program is an avenue to making people feel empowered by taking risks; first within the program and then out of the program. South West Center for Independence • Several Audio information Receivers where distributed to individuals • Assist individuals to develop natural supports with individuals who are not paid to care for them. • Encourage OIB consumers to volunteer and become involved in community activities. • Assisting OIB consumers to access Home and Community Based Services and thereby avoid nursing home placement. • Assist individuals to access talking books, white canes, CCTVs and computers for the blind, WOW computers, and magnifiers. Readers/scanners, Meals on Wheels, At catalogs. • Teaching individuals to use tools to access information and recreation • Assisting Elders to access OAP, Food Stamps, Medicaid and other available supports and services. • Providing IL training to help people continue to live at home after blindness occurs or spouse passes.

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

Center for People With Disabilities The change in funding level to individual programs over the past few years has contributed to challenges in implementing the Title VII-Chapter 2 program. The funding issue also presents a challenge in retaining high-quality staff. Keeping high quality staff is a constant focus and concern. Last year our Beyond Vision Program Manager transitioned to another organization. Even so, our program continues to do well and in fact grew last year.. Additionally, we see an increased need for funds to purchase assistive technology. Many of the consumers we work with would benefit from additional assistive technology devices. The challenge is that many of these devices cost more than $2,000. There are very few programs that assist with the purchase of these larger, more expensive devices. We developed a re-distribution program to help meet this need in which we accept donations of CCTVs and magnifiers and then re-distribute them to individuals in need. Specific programs or funds for assistive technology would be helpful to ensure that older adults who are blind or visually impaired can have access to the tools and technology that will help them remain independent as long as possible. Disabled Resource Services As a person with blindness who is over 55, the VMA55 Coordinator for our program is seeing many of the same challenges that her consumers face. Keeping up with the demand for services especially with consumers in rural areas is an investment in time and travel to provide individualized services that may also need to be supplemented with local resources and referrals. Her support staff is imperative to successfully implementing VMA55 from attending meetings, distributing accessible technology, providing transportation and more. Staff time and energy were taxed implementing the material aids grants that have become so valuable in changing consumers’ lives. There is additional time spent assessing consumers’ needs, purchasing equipment and devices, completing paperwork, tracking data, preparing reports and applying for the grant funding. Something so badly needed by consumers takes many additional hours of work to successfully integrate it into our services without losing the integrity of the VMA55 program. Integrating working with consumers along with their care providers in attendance has increased the time it takes to provide services and follow-up training with aged consumers. It also includes helping home health caregivers learn vision-related IL skills so they can provide assistance maximizing their consumers’ independence. Many home health OTs we worked with this year inquired about additional vision related skills, resources and accessibility aids. The lack of accessible transit and affordable housing seriously impact consumers’ independence. Also, we are increasingly serving more seniors who are living below the poverty level who do not know about resources or how to access them. It is an arduous undertaking, overwhelming and daunting with massive amounts of new things for them to process, understand and learn. As we have seen, the Baby-Boomers or “Baby Bloomers” are beginning to come on board. There are many still working well into their 70s. Implementing the OIB grant to help them continue working and living independently are as essential as accessing services and resources. They are seeking resources immediately following vision loss diagnosis. More internet learning about eye diseases will certainly emerge as this techy generation continues to age. For most consumers over 80, they were a generation who did not know what AMD or glaucoma was until after they had significant vison loss. We hope that the OIB grant continues to be available, encouraging collaborations without duplicating services; serving the most in need; reaching out to unserved and underserved populations which are still the hardest to reach out to given their isolation. Our focus on outreach in the previous two years has opened many doors to consumers for increased services, despite decreased funding. The many unpaid, “gifted” hours given by the VMA555 Coordinator, resulted in FY2014/2015 as very successful in meeting the needs of our consumers and in providing a variety of material aids to help seniors with vision loss live well in their homes and communities. Connections As always, the large geographic area of our Center presents challenges. Colorado Springs Independence Center dba The Independence Center We are pleased to be part of the OIB program, and the outreach it allows with seniors with low vision. Both of our PT staff do not drive. This has presented some challenges with home visits and support groups in the local community, and the rural communities when public transportation is not an option. We have been able to hire a driver to meet staff and consumer needs. The time commitment to serve parties interested in the Grant has proven to be a time challenge. Center For Disabilities Transportation remains a challenge, though options have improved over the past year. With additional resources made available through AAA, Council of Government, VA and finding some independent drivers transportation is more available even in our outlying areas. The most significant obstacle for OIB program currently is that of locating qualified consumers and motivating current consumers to participate in services, activities, and events. Their frequent reluctance and fear of coming out of their homes to engage with the community and their peers can be daunting. We are hopeful that our concerted efforts in extended outreach will bring more services to these unserved and underserved individuals. CFD’s OIB staff continue to focus on effective activities, events and inducements to encourage interest and participate in the services we offer. Center For Independence Funding changes year to year are hard on the development of staff and resources. Since we started in 2013, we have cut almost a full FTE from the program all the while it was growing. We have supplemented the program needs with interns and volunteers but that is a huge investment in staff development that walks out the door every year. We have been able to retain staff by allocating other funds to make full time positions. The down side of that approach is that actual work has to be delivered to meet the contract obligations of the other funding which takes away for the OIB program. We are committed to low-vision services with or without the OIB grant. Growth beyond what we have cobbled together now does depend on these funds being consistently available year after year. South West Center for Independence • The billing process with DVR has become less cumbersome. • Our longtime OIB coordinator retired after 16 years and the center was most fortunate in being able to hire an individual with an extensive background in working with individuals who are blind or have other levels of sight impairment. The center is doing more extensive outreach to those who are visually impaired. This is especially true in out very rural areas. • Our program is beginning to see a bit of an uptick in the number of individuals served from the oldest old category (90-100) age range. As the age of individuals increases it appears that those with Macular degeneration and diabetic retinopathy are seeking services through the OIB program. • A collaboration with the AAA which was to provide funding for assistive technology and transportation vouchers was rather frustrating because the AAA operated with the notion that all trips should cost $10 regardless of whether the trip was to the corner grocery store or to Denver almost 500 miles away. Overall we have found the AAA very difficult to work with. This is unfortunate because it is collaboration that is key to comprehensive service provision. This is particularly true in rural areas where options and resources are scarce. • It is absolutely critical that budget amounts are changed as little as possible. It goes without saying that it is not sound business practice to keep switching budget amounts. It makes it very difficult to run a program when you never know what your financial resources are. We hired a full time person and made a commitment to her based on the original amount of the contract, which ended up being cut close to $10,000 or 16%.

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 bySteve Anton
TitleInterim Director, Division of Vocational Rehab
Telephone303-866-4889
Date signed12/29/2016