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

RSA-7-OB for Indiana Bureau of Rehabilitation Services - H177B150014 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 year624,212
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year20,192
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2644,404
A2. Total other federal123,720
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement123,720
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)87,079
A4. Third party216,104
A5. In-kind0
A6. Total Matching Funds303,183
A7. Total All Funds Expended1,071,307
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs183,160
C. Total expenditures and encumbrances for direct program services888,147

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 1.0000 0.0000 1.0000
2. FTE Contractors 6.2099 16.3360 22.5459
3. Total FTE 7.2099 16.3360 23.5459

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 24 9.1930
2. Employees with Blindness Age 55 and Older 5 3.2760
3. Employees who are Racial/Ethnic Minorities 13 5.5750
4. Employees who are Women 32 15.3180
5. Employees Age 55 and Older 19 5.6890

C. Volunteers

1.00

Part III: Data on Individuals Served

Provide data in each of the categories below related to the number of individuals for whom one or more services were provided during the reported fiscal year.

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY579
2. Number of individuals who began receiving services in the reported FY918
3. Total individuals served during the reported fiscal year (A1 + A2) 1,497

B. Age

1. 55-59108
2. 60-64152
3. 65-69173
4. 70-74163
5. 75-79179
6. 80-84212
7. 85-89255
8. 90-94195
9. 95-9953
10. 100 & over7
11. Total (must agree with A3)1,497

C. Gender

1. Female1,091
2. Male406
3. Total (must agree with A3)1,497

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race18
2. American Indian or Alaska Native5
3. Asian2
4. Black or African American183
5. Native Hawaiian or Other Pacific Islander0
6. White1,277
7. Two or more races5
8. Race and ethnicity unknown (only if consumer refuses to identify)7
9. Total (must agree with A3)1,497

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)268
2. Legally Blind (excluding totally blind)398
3. Severe Visual Impairment831
4. Total (must agree with A3)1,497

F. Major Cause of Visual Impairment

1. Macular Degeneration695
2. Diabetic Retinopathy139
3. Glaucoma158
4. Cataracts158
5. Other347
6. Total (must agree with A3)1,497

G. Other Age-Related Impairments

1. Hearing Impairment407
2. Diabetes328
3. Cardiovascular Disease and Strokes340
4. Cancer62
5. Bone, Muscle, Skin, Joint, and Movement Disorders454
6. Alzheimer's Disease/Cognitive Impairment85
7. Depression/Mood Disorder144
8. Other Major Geriatric Concerns739

H. Type of Residence

1. Private residence (house or apartment)1,214
2. Senior Living/Retirement Community113
3. Assisted Living Facility141
4. Nursing Home/Long-term Care facility29
5. Homeless0
6. Total (must agree with A3)1,497

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)109
2. Physician/medical provider74
3. State VR agency34
4. Government or Social Service Agency97
5. Veterans Administration5
6. Senior Center95
7. Assisted Living Facility54
8. Nursing Home/Long-term Care facility16
9. Faith-based organization29
10. Independent Living center129
11. Family member or friend325
12. Self-referral287
13. Other243
14. Total (must agree with A3)1,497

Part IV: Types of Services Provided and Resources Allocated

Provide data related to the number of older individuals who are blind receiving each type of service and resources committed to each type of service.

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 19,711
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 211
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 7

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 224,422
1b. Total Cost from other funds 21,430
2. Provision of assistive technology devices and aids 1,107
3. Provision of assistive technology services 1,201

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 376,180
1b. Total Cost from other funds 60,478
2. Orientation and Mobility training 32
3. Communication skills 557
4. Daily living skills 1,025
5. Supportive services (reader services, transportation, personal 216
6. Advocacy training and support networks 269
7. Counseling (peer, individual and group) 588
8. Information, referral and community integration 1,043
. Other IL services 383

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 162,076
1b. Total Cost from other funds 0
2. Information and Referral 10,742
3. Community Awareness: Events/Activities 311 40,663

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) 933,201 1,047,457 114,256
2. Number of Individuals Served 1,364 1,497 133
3. Number of Minority Individuals Served 163 213 50
4. Number of Community Awareness Activities 386 311 -75
5. Number of Collaborating agencies and organizations 287 195 -92
6. Number of Sub-grantees 11 10

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 1,201 100.00%
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) 455 37.89%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 653 54.37%
B1. Number of individuals who received orientation and mobility (O & M) services 32 100.00%
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) 8 25.00%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 24 75.00%
C1. Number of individuals who received communication skills training 557 100.00%
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) 161 28.90%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 463 83.12%
D1. Number of individuals who received daily living skills training 1,025 100.00%
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) 259 25.27%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 712 69.46%
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) 352 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) 12 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) 50 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 151 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) 23 n/a

Part VII: Training and Technical Assistance Needs

Technical assistance for Indiana OIB functions from a contract management standpoint, guidance on best practices and tips for successful implementation of new programs. Guidance on completing the 7OB and collecting data as a small non profit, building support groups, an outline of support group activities and timelines, guidance on 'mini rehab' sessions that have started being discussed where the same group meets regularly in the community for a condensed version of low vision rehab. Guidance/information on funding for cataract removal surgeries.

Part VIII: Narrative

A. Briefly describe the agency's method of implementation for the Title VII-Chapter 2 program (i.e. in-house, through sub-grantees/contractors, or a combination) incorporating outreach efforts to reach underserved and/or unserved populations. Please list all sub-grantees/contractors.

The Chapter II Older Independent Blind Program, administered by Indiana Blind and Visually Impaired Services (BVIS) utilizes one staff person employed directly through Family and Social Services Administration (FSSA) the Division of Disability and Rehabilitation Services (DDRS) as well as seven (7) contracted local agencies to provide community itinerant services. Five (5) of these contractors provided older blind services in specific catchment areas of Indiana, one (1) provided itinerant services statewide, and one (1) provided specialty iPad training to qualified OIB consumers across Indiana. Through this network of contractors a total of twenty five (25) staff work directly to provide services statewide to our elderly blind clients. These seven (7) sub-contractors are independent 501(c)(3) non-profit organizations who applied for, and were awarded funding through a competitive bidding process. Those contracted agencies are as follows: - accessABILITY - Bosma Enterprises - Easter Seals Crossroads - Future Choices Inc. - Independent Living Center of Eastern Indiana - The League, and - The Wabash Independent Living and Learning Center Direct service staff have an ever increasing job assignment, their activities include but are not limited to meeting with consumers, providing independent living skills training, assessing a consumers need for particular assistive technology devices, providing orientation and mobility training, organizing support and peer group meetings, coordinating assistive technology demonstrations, and participating in community and health fair events to grow and enhance the program and services. Chapter II sub-contractors are allotted the flexibility necessary to ensure services are consumer driven, staff are able to meet the consumer where they are both physically and emotionally. Staff regularly work directly in the home of the consumer for the initial intake, and utilize center based or portable demonstration kits for various technology demonstrations. Reaching customers in their home or in their hometown is very important to the success of the OIB program and one of the most influential services provided for this need are ongoing peer support groups. For fiscal year 2014-2015 Indiana had twenty seven (27) active support groups in 30 different counties with an estimated annual attendance of 547 people. Sometimes these group meetings are kept more informal and called ‘Meet and Greets’ to allow for new consumers to join without feeling some of the social anxiety of joining an existing group. Peer/support group facilitators always engage discussion among the group and encourage attendees to not only speak candidly about their struggles and experiences with a visual impairment, but also to appreciate how sharing those experiences can build a powerful learning environment that also promotes a culture of self-advocacy. These platforms allow for additional group programs/speakers including health and safety education, assistive technology training, and accessible social and cultural events. Marketing for these groups has had varied levels of success with family members typically appreciating online listings while consumers and senior living facility staff seem to respond better to large print reminder cards.

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.

Indiana OIB programs are always focusing on maintaining a core value of services while expanding and improving services available through each sub-contractor. FY 2015 was no change there and quite a few exciting things began or were expanded: One organization took the initiative to restructure rural services and developed a mini-rehab training curriculum that was implemented at local community centers or senior living facilities. These small groups committed to participate in 10 sessions typically over 5 weeks for about two hours at a time. The participants in these groups learned a variety of daily living skills, participated in educational presentations, received adjustment counseling, thoroughly discussed what to expect from a low vision doctor, were taught orientation and mobility basics, and received assistive technology demonstrations and training. This mini-rehab structure allowed low vision teachers to plan out a full curriculum with a group of interested participants that typically wouldn’t be successful or financially feasible in a one-on-one session. Another sub-contractor began a new innovative service to facilitate the connection between independent living skills, mental health awareness, and consumer fitness. Staff worked in conjunction with an Occupational Therapist from a local university to follow fourteen (14) participates as they received low vision or voice adapted fitness monitoring equipment and instruction on low impact exercises that could be done independently in the home without vision loss as a barrier. There was pre and post test data as well as verbal surveying collected that evaluated physical and mental health of participating consumers. This was offered only to consumers who had established basic independent living goals. Many organizations have developed or strengthened partnerships with local optometrists and low vision doctors for referrals and discounted services for qualifying consumers. One sub-contractor developed a new partnership this fiscal year in order to fill a service gap and is providing consumers financial assistance to receive vision screenings and transportation assistance for cataract removal surgeries. Through this partnership fifty three (53) individuals received eye health education, an update on the status of their eye health, specialist referrals, or transportation assistance for qualifying appointments. Partnerships at annual National Night Out events have also provided nearly (90) vision screenings annually. Due to limited federal and state funding sub-contractors have had an increasing fiscal burden to finding creative and innovative solutions in order to increase community funding for programs while also providing quality services. Many of the sub-contractors have established equipment loan libraries that are available on long term loan for as long as a consumer may need the piece of equipment, and FY 2015 saw an increase of third party funding that assists in providing this needed equipment. Indiana has continued to see success through the iPad training program. This technology is providing a user friendly platform for consumers experiencing significant vision loss and has been able to take the place of multiple other previously administered aids saving consumers physical space, training time and agencies on their overall equipment costs. During this reporting period, eighty two (82) individuals received iPads with appropriate assistive technology and instruction in their use. Feedback from participants continues to be overwhelmingly positive; the iPad has opened up a whole new world to many consumers. Although a good number of the consumers struggled as they practiced at the early stage of their learning, many expressed that the iPad project had sparked their interest in learning new things and felt that they were gradually losing their fear of using new technology. Among the most popular activities conducted by participants were using the iPad for communication with friends and loved ones; looking up information; taking photos; listening to music and reading books. Many have found the SIRI (voice activated digital assistant) particularly useful. As more programs across the nation look at higher tech solutions, including the iPad devices and accompanying training, it is important to share best practices that have been developed. We’ve found that having an open line of communication for simple troubleshooting assistance as well as regular and accessible reminders contribute best to the success of the program. This is the last year that Indiana will contract for a separate iPad Project; rather it has been determined time to transition to a train the trainer role for direct service staff providing on-going technology support across Indiana. Indiana has also continued to see the need for a low cost way to involve and engage participants in rural areas. The Connections Program provides daily telephone sessions that participants can call in for, including trivia, crossword puzzles, book clubs, and informational sessions. This program allows seniors to have social interaction with peers without leaving their home and they can participate as much as they desire and for as long as they would like to. The average weekly attendance for this Fiscal Year was 35 consumers, and the current setup offers this program to an indefinite number of participants without increasing the cost of the program to the State. Benefits expressed by participating seniors have included decreased feelings of anxiety and depression, increased mental activities and sharpness, and enjoyable activities that consumers are looking forward to weekly.

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.

Approximately 725 consumers were closed in FY 2015 across Indiana, and 505 participated in the customer satisfaction survey, or 70% return ratio. This fiscal year small corrections were made to the satisfaction survey to clarify language, shorten it, and allow for the selection of ‘service was not an issue prior’ or ‘consumer did not receive service’. Sub-contractors reported greater ease in completing the survey with the language adjustments and noted that they felt the data collected had a higher value add with the additional selection categories so misinformation was not provided. Best practices state that these should be completed within two (2) working weeks from closure and no later than thirty (30) days, it is also preferred if these surveys are completed by a 3rd party staff person so as to minimize response bias. Every sub-contractor has also set up protocol which filters negative responses, consumer inquiries for additional services, or positive narrative feedback directly to the program manager for follow up. Some specific results of the survey data are highlighted below: • 87% of those surveyed felt that as a result of services they were better able to take care of their personal needs and engage in customary daily life activities such as grooming, cooking, laundry, and medication control. • 88% of those surveyed felt that as a result of training/services they received they were less dependent on others, and/or were better able to participate with family, friends and community life. • 92% of those surveyed feel confident in their ability to live independently in their own home/community. • 97% of those surveyed would recommend this program to others

D. Briefly describe the impact of the Title VII-Chapter 2 program, citing examples from individual cases (without identifying information) in which services contributed significantly to increasing independence and quality of life for the individual(s).

A 55 year old female contacted the center requesting services after she and her family moved back to Indiana to help support her parents while they age. She has lived her entire life with Congenital Glaucoma and received the first of many eye surgeries when she was just 6 months old. Early in her adult life she completed Orientation and Mobility training as well as Computer Training through a vision rehabilitation provider and had been able to successfully teach others with visual impairments how to use computers. Though this was nearly 20 years ago, and her impairment has worsened over time, she hasn't lost any of her resilience. She began services after acknowledging that relocating was overwhelming her ability to feel independent. Working directly with an advocate for many months they were able to provide her with several AT devices to make her kitchen accessible and safe to use, including the provision of bump dots, a Penfriend labeling device, and numerous independent Living Skills sessions on how to use her state of the art kitchen appliances. Together, side by side the advocate and the consumer were also able to get her signed up for para transit which she now uses it on a regular basis and has successfully been able to get to all her Dr. appointments, the grocery story, social events etc. Through the OIB Program this consumer was also connected with Orientation and Mobility training and in 2 months she has excelled in navigating her home and community. With all of these services and supports in place the consumer has expressed on several occasions to her advocate that since having the support and assistance through the services she received through the OIB program her confidence in her abilities has substantially increased and she is now considering going back to work, which is something she previously thought impossible due to her worsening visual impairment. Losing his sight from Macular Degeneration came as a complete shock. Chuck, a retiree from Wellpoint Insurance and a U.S. Army veteran, was enjoying his retirement and all it had to offer. He loved traveling, cooking, reading and being independent. Chuck believed losing his sight meant the loss of his ability to do the things he had done all of his life. It was one of the hardest things about losing his vision. “You are so used to being independent and doing things you enjoy like driving, hunting, fishing and going out to ballgames. The fun is no longer there when you can’t see things like the scoreboard.” Beginning to adjust, Chuck heard about Older Blind Services, “I thought, they may or may not have something for me. I thought it was only for people who were totally blind. But how wrong I was,” he said. Through the program Chuck was able to relearn skills in his home to accommodate his new situation. One of the areas that made the largest impact in his life was receiving an aid to help him read. Before, reading with a magnifying glass took an extended period of time, sometimes even taking two hours to read 8-10 paragraphs. The OIB program was able to provide him with tools to help him read more efficiently. Chuck was also able to reclaim another one of his passions—cooking. Prior to his vision loss he would prepare meals 3-4 times a week, but he could no longer do that. It was too tedious and not safe. Staff worked with him to develop several techniques to assist him in the kitchen, and show him how to label his utensils, stove and microwave so he could work effectively and safely. “I felt like my blindness was robbing [me] of the things I loved in life, but the training provided made me feel like I got my life back,” he said. “It opened up a whole new world to me.”

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

One concern with implementing the Title VII-Chapter 2 Independent Living for Older Blind program is the sustainability of needed funding levels. The state is making efforts to serve consumers in all 92 counties through five regional providers with established county service areas, one specialty training provider, and one vendor providing services across all 92 counties with a focus on the 38 counties not served by any other agency. All of the sub-contractors are facing financial strain and thus have implemented various temporary solutions as their needed consumer base continues to grow. Some of these temporary solutions include the implementation of a wait list for the highest demand areas, limitation in the provision of orientation and mobility services, limited outreach publications, limited staff training opportunities, a reduction of adaptive equipment and low vision aids. This strain on service provision is likely to be compounded with the changes to Vocational Rehabilitation priorities through the implementation of the Workforce Innovation Opportunity Act (WIOA).

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 byLocket Phillips
TitleManager of Blind Services
Telephone317-232-1441
Date signed12/28/2015