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

RSA-7-OB for Kentucky Office for the Blind - H177B150017 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 year431,718
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year271,331
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2371,174
A2. Total other federal43,347
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement43,347
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)54,291
A4. Third party0
A5. In-kind0
A6. Total Matching Funds54,291
A7. Total All Funds Expended468,812
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs406,808
C. Total expenditures and encumbrances for direct program services62,004

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 0.9710 2.7900 3.7610
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.9710 2.7900 3.7610

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 1 0.4058
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 0 0.0000
4. Employees who are Women 9 2.5130
5. Employees Age 55 and Older 4 1.6190

C. Volunteers

0.00

Part III: Data on Individuals Served

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

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY137
2. Number of individuals who began receiving services in the reported FY463
3. Total individuals served during the reported fiscal year (A1 + A2) 600

B. Age

1. 55-5944
2. 60-6463
3. 65-6956
4. 70-7472
5. 75-7973
6. 80-8498
7. 85-89106
8. 90-9472
9. 95-9913
10. 100 & over3
11. Total (must agree with A3)600

C. Gender

1. Female440
2. Male160
3. Total (must agree with A3)600

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race0
2. American Indian or Alaska Native0
3. Asian0
4. Black or African American50
5. Native Hawaiian or Other Pacific Islander0
6. White545
7. Two or more races5
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)600

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)46
2. Legally Blind (excluding totally blind)311
3. Severe Visual Impairment243
4. Total (must agree with A3)600

F. Major Cause of Visual Impairment

1. Macular Degeneration347
2. Diabetic Retinopathy58
3. Glaucoma67
4. Cataracts6
5. Other122
6. Total (must agree with A3)600

G. Other Age-Related Impairments

1. Hearing Impairment87
2. Diabetes146
3. Cardiovascular Disease and Strokes110
4. Cancer7
5. Bone, Muscle, Skin, Joint, and Movement Disorders118
6. Alzheimer's Disease/Cognitive Impairment15
7. Depression/Mood Disorder6
8. Other Major Geriatric Concerns47

H. Type of Residence

1. Private residence (house or apartment)527
2. Senior Living/Retirement Community36
3. Assisted Living Facility18
4. Nursing Home/Long-term Care facility19
5. Homeless0
6. Total (must agree with A3)600

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)109
2. Physician/medical provider38
3. State VR agency34
4. Government or Social Service Agency76
5. Veterans Administration2
6. Senior Center6
7. Assisted Living Facility1
8. Nursing Home/Long-term Care facility9
9. Faith-based organization1
10. Independent Living center0
11. Family member or friend154
12. Self-referral155
13. Other15
14. Total (must agree with A3)600

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 35,733
1b. Total Cost from other funds 16,885
2. Vision screening / vision examination / low vision evaluation 440
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 112,677
1b. Total Cost from other funds 53,245
2. Provision of assistive technology devices and aids 528
3. Provision of assistive technology services 493

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 31,863
1b. Total Cost from other funds 15,057
2. Orientation and Mobility training 138
3. Communication skills 449
4. Daily living skills 475
5. Supportive services (reader services, transportation, personal 18
6. Advocacy training and support networks 2
7. Counseling (peer, individual and group) 430
8. Information, referral and community integration 274
. Other IL services 186

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 30,887
1b. Total Cost from other funds 14,595
2. Information and Referral 0
3. Community Awareness: Events/Activities 136 4,461

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) 436,649 438,812 2,163
2. Number of Individuals Served 562 600 38
3. Number of Minority Individuals Served 45 55 10
4. Number of Community Awareness Activities 196 136 -60
5. Number of Collaborating agencies and organizations 3 0 -3
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 493 100.00%
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) 342 69.37%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 151 30.63%
B1. Number of individuals who received orientation and mobility (O & M) services 138 100.00%
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) 98 71.01%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 40 28.99%
C1. Number of individuals who received communication skills training 449 100.00%
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) 306 68.15%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 143 31.85%
D1. Number of individuals who received daily living skills training 475 100.00%
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) 324 68.21%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 151 31.79%
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) 427 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) 2 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) 20 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 7 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) 5 n/a

Part VII: Training and Technical Assistance Needs

Two areas of technical assistance may be (1) using reduced financial and personnel resources for a maximum benefit to consumers and (2) developing effective outreach programs/methods in geographic areas that are recognized as being underserved but have been historically difficult to reach.

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 OIB program of the Office for the Blind is an in-house program and services are made available in all 120 Kentucky counties. The agency currently has 8 staff members providing OIB services including the OIB program administrator who carries a caseload in addition to completing administrative duties. In order to cover the entire state, OIB counselors are assigned large geographic areas each covering several counties resulting in counselors traveling thousands of miles each year. Currently, the OIB staff members are located in the following OFB offices: Paducah, Bowling Green, Elizabethtown, Louisville, Somerset, Covington and Prestonsburg. OIB counselors are housed with other agency staff such as Vocational Rehabilitation Counselors. To create easy access to services, OiB counselors travel to their assigned counties to conduct home visits with newly referred individuals and consumers to complete assessments along with skills training and other services. If a person prefers for the counselor not to come to the home, arrangements are made to meet in community locations such as libraries, community centers, career centers, senior activity buildings, etc. Every attempt is made to provide services in environments conducive to learning. It is expected that OIB counselors will engage in regular outreach activities that promote services. To document outreach activities, counselors use the Office for the Blind's case management system. After each activity, counselors input data including the type of event/activity, the location (city/county), a description of the activity, and the number of people attending. The counselor's participation in outreach opportunities is important and recognized on the employee performance evaluations. As stated, counselors cover large territories and cannot physically spend large amounts of time in each county. For this reason, counselors network with local community members developing working relationships with people who are naturally more familiar with resources, etc. Counselors make contacts with community professionals who are likely to come into contact with older persons who may be experiencing vision loss. Although the OIB counselor is not able to always be in the county, these local professionals continue to promote OIB services and make referrals to the program. In some of the more difficult areas to do structured outreach, counselors report that the "word of mouth" referrals are the most effective way to reach local persons in need of services. Counselors are available to give informational/educational presentations to civic organizations, church groups, support groups, etc. Depending on the location, these may be large formal meetings or small and informal, and counselors have found both to be productive promoting services. Regardless of the activity or setting, counselors accept opportunities for promoting both independent living skills development including the use of assistive technology known to be helpful to perons with low-vision/blindness. Counselors have found events that allow persons to have "hands on" experience with assistive technology devices to be very popular. During 2015, counselors participated in such events as technology exhibits, health fairs, job fairs, veterans fairs, senior housing resource fairs, etc. Most were well attended and attendees indicated they liked learning about adaptive devices and having an opportunity to try them without obligation to buy them. It is commom for counselors to receive referrals after people have had this chance to learn about services and technology. One hundred nine Kentucky counties were served in FY2015. This is the same number of counties served as in FY2014 although the list of counties not served is not the same during the two years. Four of the eight OIB caseloads (Louisville, Paducah, Elizabethtown, Lexington areas) had over one hundred people each. In the Somerset office, the OIB counselor was employed eight months and served 65 persons who resided in 17 counties. Many of the referrals can be traced back to outreach activities completed by the counselors in these areas or came as word of mouth from someone who had received services in the past.

B. Briefly describe any activities designed to expand or improve services including collaborative activities or community awareness; and efforts to incorporate new methods and approaches developed by the program into the State Plan for Independent Living (SPIL) under Section 704.

The Office for the Blind's (OFB) OIB program administrator represents the agency on the Kentucky Statewide Independent Living Council as a non-voting member. This OFB staff member attends council meetings, and in FY2015, also participated on the SILC membership committee. The OIB program promotes the goals as outlined in the SPIL to enhance opportunities for independent living for persons with blindness and all disabilities. As a member of SILC, the program administrator takes part in discussions and activities relevant to the OIB program and has a good relationship with SILC members and the directors of the Centers for Independent Living. OIB counselors are encouraged to work cooperatively with the CILs in their geographic areas so that consumers have access to available services and/or resources. Currently, the OIB program administrator is participating on a work group charged with drafting the SPIL to become effective in 2016. OIB counselors are members of various provider groups including interagency groups, diabetes educational groups, local aging and mental health coalitions, etc. One OIB counselor holds membership on the State Aging and Mental Health Coalition, and the program administrator represents people who are blind/visually impaired on the Kentucky State Advisory Council on Libraries. These memberships afford opportunities for the OIB program staff to educate other professionals about services and blindness issues and to learn more themselves about related resources. The Office for the Blind offers training to promote professional growth and the development of skill sets necessary for providing high quality services to consumers. OIB counselors are permitted to attend trainings specifically suited to their individual needs and/or interests plus are involved in group trainings conducted by the program administrator or other OFB management. One OIB counselor obtained a CRC during FY2015, all counselors attended a OIB specific training in August, all attended agency trainings in December and August, and every OIB counselor has participated in other opportunities specific to their needs. The emphasis on continued staff training leads to staff being capable of implementing creative approaches when delivering individualized services to consumers.

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.

During FY2015, satisfaction surveys were completed with randomly selected OIB consumers whose cases were closed during the fiscal year. An OFB employee not directly responsibile for OIB services conducted telephone interviews to complete the surveys. Ninety one OIB consumers participated which is 15% of the 600 total number of consumers. Nine questions were asked including two open ended intended to give respondents the opportunity to add comments and/or suggestions concerning the program and the improvement of service delivery. Questions one, two, and three are statements that are answered with "strongly agree, agree, disagree, or strongly disagree:. The statements were: (1) The Services I received from OFB met my needs; (2) Because of services I received, I feel better able to do activities around my house independently or need less help from others (3) Overall I feel more confident in my ability to perform activities I had given up due to my vision loss. To each, 43% of the respondents answered "strongly agree" and 55% answered "agree" for a total of 98% of the total number interviewed. Ninety-nine percent (99%) said the OIB counselor taught them to use adaptive devices and that the counselor was knowledgeable about services and resources they needed. When asked to rate overall satisfaction with the program, 94% answered either "very satisfied" or "satisfied". The first open ended question asked what the respondents liked best about the program. Several of the responses centered around (1) the helpfulness of the assistive technology, and (2) the relationship established with the OIB counselor. Some people noted that the services were "convenient" because they were provided in the home setting. The last question was "Do you have any suggestions for improving this program?", and the majority of people simply answered "no". A few people did mention the program needs more money in order to provide additional services and/or hire more staff. Besides the satisfaction surveys, the program administrator conducted random case reviews in an effort to insure overall consistency of services and quality. Cases in both active and closed status were reviewed, and with each review, feedback was given to the counselor. If problems were noted, counselors were asked to make necessary corrections, and when needed, training was provided to the counselors. The program administrator is in regular contact with all counselors and encourages them to discuss any questions or concerns in an attempt to maintain a high quality level of direct services and case record documentation.

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).

Ms. A is 73 years old and lives alone in her south eastern Kentucky home. Although she received some independent living services in the past, her vision has decreased resulting in her needing additional services/training. She is still her own bookkeeper and she could no longer see to write checks, maintain her banking register, and sometimes had difficulty identifying paper money. While receiving OIB services, she has been taught to use assistive technology items such as writing guides, LP check registers, and a talking calculator so that she can independently pay bills and maintain records. In addition, application was made for a US Currency Reader, and this device eliminated any problem with paper money identification. Following an evaluation of various magnification devices, she was provided a magnifier that allows her to read short texts including food labels. This, along with learning to use tactile labeling on her cooking applicances and some safety devices, allows her to cook more easily. She was given a color identifier and this allows her to properly match her clothing increasing her confidence when going out for business or social reasons. Ms. A has been diabetic for many years and uses pre-filled syringes, but she could not read her glucose meter so was not checking her levels regularly. Through OIB services, she was given a talking meter so that she can track her levels independently helping her to take better care of herself. Finally, Ms. A is bothered by a high sensitivity to sunlight making going outside uncomfortable and an evaluation found she has a good benefit from sunshields which were provided. Ms. A's overall ability to live comfortably and safely in her home was increased by her participation in the OIB program. At the age of 58 years, Mr. B became legally blind due to a stroke. He and his family expressed interest in independent living skills training for him and asked that all training sessions be conducted in the local OFB office located in Western Kentucky. Mr. B presented as being very frustrated at not being able to do many normal daily tasks and agreed to participate in a variety of training areas. Several training sessions were conducted to improve his skills in areas including communications, personal care, time telling, personal money management, and use of magnification. He gained skill and confidence and began increasing his daily activities. Although the OIB program does not have funds to purchase new CCTVs, the counselor was able to help him obtain a donated unit. In addition, the counselor purchased mobility training and the certified mobility instructor worked with Mr. B at community locations teaching him to navigate through stores, along sidewalks, etc. Having access to a greater amount of print and learning to walk independently with the cane, significantly opened up the world again to Mr. B. At the end of all the training, both Mr. B and his wife expressed appreciation saying independent living training had helped both of them adjust to the significant lifestyle change brought about by his sudden loss of vision. Mrs. H is 63 years of age and lives with her husband. She is diabetic and has experienced some severe related health issues so that her physical activities have become limited. In the past, she has received OIB services, and when she experienced more vision loss, she contacted the OIB counselor in her area. She explained that reading is important to her because her health does not permit her to participate in many other activities, but her decreased vision was making it difficult to access print. Upon evaluation, she was provided a strong magnification device which allows her to read some larger size print and to do some spot reading such as can labels, etc. The Talking Book Library program had been discussed in the past and Mrs. H had refused prefering to try to read herself. When this resource was discussed again, Mrs. H decided it was time to use audio as a way of supplementing her ability to read. Now, Mrs. H uses the magnifier for some personal reading and the audio as recreational reading. Mrs. B lives in a rural area with her husband and has a good support family network. When the OIB counselor first spoke with her, Mrs. B said she was very depressed because she could no longer see to do simple things like setting her stove/oven controls. Several areas of skills training were identified as needed and the training was completed over a period of weeks. Mrs. B did well and practiced all the adaptive techniques as taught including being able to tactually regulate household appliances. She said using the raised locator dots on the controls is "wonderful" and now she can set the stove/oven without her husband's assistance. When all the training was completed, Mrs. B commented that the OIB skills training had given her life back to her. Besides the direct training, the OIB counselor located a donated CCTV unit and placed it with Mrs. B. With it, she can read most print and has gained even more independence doing her daily tasks.

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

During FY2015, the Office for the Blind had eight OIB program staff providng direct services to 120 Kentucky Counties. One staff member is the program administrator who carried a caseload in eleven counties and completed the administrator assigned tasks. One position was vacant from October 1, 2014 through January 31, 2015, and during this time, the administrator covered this area as well. After the new counselor was hired, the administrator provided training and on-going mentoring. The program has experienced a reduction of three positions over the last few years requiring the current staff to work larger geographic areas resulting in new referrals having a longer wait time for services. Even with the staffing reductions, the Office for the Blind attempts to provide high quality services to as many visually impaired Kentucky citizens as possibe. The agency continues to review current methods and service delivery practices in order to make the best use of available funds and personnel. Office for the Blind remains committed to the OIB program and there is an ongoing concern of how to provide the best services prossible with the anticipation of fewer funds and an increasing number of people requesting assistance.

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 byAllison Flanagan
TitleExecutive Director
Telephone502-564-4754
Date signed12/22/2015