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

RSA-7-OB for Mississippi Department of Rehabilitation Services - H177B150024 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 year280,937
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2280,937
A2. Total other federal77,315
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement77,315
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)31,215
A4. Third party0
A5. In-kind0
A6. Total Matching Funds31,215
A7. Total All Funds Expended389,467
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs14,027
C. Total expenditures and encumbrances for direct program services375,440

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 1.5000 4.0000 5.5000
2. FTE Contractors 0.4000 0.0000 0.4000
3. Total FTE 1.9000 4.0000 5.9000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 0 0.0000
2. Employees with Blindness Age 55 and Older 1 0.5000
3. Employees who are Racial/Ethnic Minorities 6 3.5000
4. Employees who are Women 11 5.9000
5. Employees Age 55 and Older 1 0.5000

C. Volunteers

0.02

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 FY309
2. Number of individuals who began receiving services in the reported FY307
3. Total individuals served during the reported fiscal year (A1 + A2) 616

B. Age

1. 55-5946
2. 60-6465
3. 65-6976
4. 70-7468
5. 75-7984
6. 80-8480
7. 85-8999
8. 90-9471
9. 95-9925
10. 100 & over2
11. Total (must agree with A3)616

C. Gender

1. Female431
2. Male185
3. Total (must agree with A3)616

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race2
2. American Indian or Alaska Native1
3. Asian0
4. Black or African American183
5. Native Hawaiian or Other Pacific Islander0
6. White428
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)1
9. Total (must agree with A3)616

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)54
2. Legally Blind (excluding totally blind)562
3. Severe Visual Impairment0
4. Total (must agree with A3)616

F. Major Cause of Visual Impairment

1. Macular Degeneration254
2. Diabetic Retinopathy47
3. Glaucoma123
4. Cataracts4
5. Other188
6. Total (must agree with A3)616

G. Other Age-Related Impairments

1. Hearing Impairment2
2. Diabetes17
3. Cardiovascular Disease and Strokes15
4. Cancer1
5. Bone, Muscle, Skin, Joint, and Movement Disorders6
6. Alzheimer's Disease/Cognitive Impairment0
7. Depression/Mood Disorder0
8. Other Major Geriatric Concerns10

H. Type of Residence

1. Private residence (house or apartment)571
2. Senior Living/Retirement Community19
3. Assisted Living Facility19
4. Nursing Home/Long-term Care facility6
5. Homeless1
6. Total (must agree with A3)616

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)65
2. Physician/medical provider93
3. State VR agency38
4. Government or Social Service Agency13
5. Veterans Administration11
6. Senior Center1
7. Assisted Living Facility3
8. Nursing Home/Long-term Care facility2
9. Faith-based organization2
10. Independent Living center2
11. Family member or friend135
12. Self-referral248
13. Other3
14. Total (must agree with A3)616

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 1,174
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 28
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 1

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 157,642
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 541
3. Provision of assistive technology services 36

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 106,837
1b. Total Cost from other funds 107,736
2. Orientation and Mobility training 65
3. Communication skills 94
4. Daily living skills 425
5. Supportive services (reader services, transportation, personal 5
6. Advocacy training and support networks 4
7. Counseling (peer, individual and group) 5
8. Information, referral and community integration 240
. Other IL services 290

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 1,257
1b. Total Cost from other funds 794
2. Information and Referral 296
3. Community Awareness: Events/Activities 92 1,802

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) 320,838 389,467 68,629
2. Number of Individuals Served 556 616 60
3. Number of Minority Individuals Served 150 187 37
4. Number of Community Awareness Activities 99 92 -7
5. Number of Collaborating agencies and organizations 30 25 -5
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 36 100.00%
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) 23 63.89%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 13 36.11%
B1. Number of individuals who received orientation and mobility (O & M) services 65 100.00%
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) 25 38.46%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 40 61.54%
C1. Number of individuals who received communication skills training 94 100.00%
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) 39 41.49%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 55 58.51%
D1. Number of individuals who received daily living skills training 425 100.00%
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) 200 47.06%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 225 52.94%
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) 230 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 18 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 46 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) 6 n/a

Part VII: Training and Technical Assistance Needs

Training request: * Federal Regulations regarding funding and services for the Older Blind Program for Program Managers. * Promising Practices that are being used in other states to serve Older Blind Consumers for Program Managers and OB Instructors. * Annual training for Older Blind Instructors.

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.

Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) has eight Instructors that provide direct services to Older Blind consumers throughout the state of Mississippi. With office locations within the ten MDRS district areas; all consumers have access to services regardless of location. Each year, great efforts are made to reach the underserved population of Mississippians 55 years of age and older who live in rural areas. Through participation in health fairs, visual acuity screenings, presentations to civic groups, and outreach contacts to service entities, thousands of Mississippians have received services and information regarding program services and referrals to other organizations. During the 2015 fiscal year, each Instructor made a minimum of three outreach contacts each month. In February 2015, one staff member attended the Lions of Mississippi Mid-Winter Convention and in May 2015, two staff members attended the Lions of Mississippi State Convention, these conventions provided the staff an opportunity to network with Lion members and establish a referral base statewide. Visual acuity screenings were provided to underserved, rural areas of the state, including the Mississippi Delta. Screenings were coordinated with Mississippi Lions, home health agencies, senior centers, schools, community health fairs, and state agencies. A part of the screening procedure is to make referrals to the appropriate service provider for evaluation and needs assessment. Brochures on eye health and conditions are distributed all in an effort to increase the public's general knowledge and awareness of blindness and its causes. Over 500+ Mississippians were screened during the 2015 federal fiscal year. The IL staff also set-up information booths and displays that provided opportunities to obtain program information at the National Federation of the Blind Convention in March and the Mississippi Council of the Blind Convention in April. Additional information regarding outreach activities may be found in Appendix A.

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.

In an effort to improve and expand community services and programs for older individuals who are blind, the Independent Living program continues to partner with local service entities through participation in health fairs, visual acuity screenings, in-service trainings, peer support groups, and other activities. Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) continues to partner with Social Security Administration to provide Work Incentives Planning and Assistance (WIPA) services to SSDI and SSI beneficiaries. The IL staff currently splits their time between IL and WIPA. This task of providing WIPA services has enabled the IL Program to allocate more of the Older Blind grant funds for client services because they are able to pay part of the staff salary with WIPA funds. Instructors are frequently asked to participate in different training activities and provide in-service programs to various civic entities with whom they can partner to expand the region's knowledge about aging and vision loss. During the 2015 federal fiscal year, IL staff members provided in-service programs to Central Mississippi Library System (Flowood Branch), MDRS District Staff (Hattiesburg), Columbus East Lions Club, and the Addie McBryde Center (Jackson). Two staff members also partnered with Mississippi Lions to provide low vision demonstrations at the Sea and Sun Camp in Biloxi. Over 40 participants received information during this event. The Independent Living Program continues to work with the Veteran Administration VIST program. Eligible veterans are referred to the VA for services and IL works with the VA in coordinating services. This federal fiscal year, two IL staff members toured the Blind Rehabilitation Center in Biloxi establishing a referral network. One IL staff member continues to partner with the Armed Forces Retirement Home providing support for low vision and hard of hearing veterans through participation in the monthly peer support group. One IL staff member continues to partner with Mississippi Deaf-Blind Project to provide telecommunication equipment to eligible consumers through the I Can Connect Program (The National Deaf-Blind Equipment Distribution Program). During the 2015 FFY, nine eligible consumers were able to receive telecommunication equipment (CCTVs, telephones, electronic magnifiers, etc...) at no cost to the Older Blind Program. The Office of Vocational Rehabilitation for the Blind/Independent Living Program (OVRB/IL) is part of the statewide facilities committee that meets quarterly to discuss service provisions throughout the state. A representative from the Older Blind Program attends meetings and provides a quarterly report. Members of the committee are informed of consumer issues, funding, staff training, and other activities of the Independent Living Program. The Older Blind program continues to have a very active peer support group network. Groups meet statewide on a regular basis to discuss issues relating to vision loss, community awareness, advocacy, and social events. Each group plans their own activities with the instructor serving as a resource to provide information and guidance to group leaders as needed. The program manager attends all quarterly Statewide Independent Living Council (SILC) meetings and trainings designed to improve and expand services for Mississippians with disabilities. A quarterly report on the Older Blind Program is provided at all meetings. Involvement in the community is enhanced by the participation of Independent Living Staff in Lions of Mississippi, Mississippi Association for Education and Rehabilitation for the Blind and Visually Impaired (MAER), Mississippi Library Services/Friends of Handicapped Readers, Mississippi Radio Reading Services, Mississippi Council of the Blind, and Mississippi Industries for the Blind, and other local civic and service organizations. Staff members serve as officers and board members, work on fundraising events, participate in community health fairs, and assist with providing visual acuity screenings. This fiscal year, the IL staff assisted with over 11 vision screenings, increasing awareness and visibility to the community.

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.

MDRS Program Integrity Unit provides a bi-annual review of closed cases for the Independent Living Program. During the 2015 federal fiscal year, a total of one hundred and sixty-one closed cases were submitted for review. Client Satisfaction Survey Forms are given to each consumer at case closure and are included in the MDRS Program Evaluation Report (Appendix B). As stated in the Summary and Findings of the Program Evaluation Report, "The review of the case records indicates that the rehabilitation instructors are providing excellent services to this targeted population of Mississippians 55 years of age and older who live in rural areas and have visual impairments that inhibit their tasks of daily living. A review of case records form this program shows these instructors are striving to meet their mission of enabling these consumers to maximize their own skills, develop their own support systems and network with local resources in order to avoid or delay institutionalization and/or dependence on others." Based on the one hundred and seven surveys that were returned, consumers indicated they were greatly pleased with the program, the services and the instructors. They indicated their daily living skills were enhanced by the services provided by this program. One of the questions asked on the Consumer Satisfaction Survey that is completed by all eligible consumers at closure is "What was the greatest difference this program made in your life?" In the 2015 Program Evaluation Review Reports, responses range from: You have provided encouragement to me; Gave me courage to keep trying; Helped me to be able to do more for myself; I have greater independence in my home now thanks to your program; Being able to read again; I can cook safely; I can tell time and use the phone again; I am able to read my mail and manage my own business; Using electronic magnifier to read my mail and Sunday school lesson has meant the world to me. For a complete list of consumer comments see Appendix B in the MDRS Program Evaluation Reports.

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

(1) Mr. W (CWIC) and I first met when I was invited by his vocational rehabilitation counselor to be involved in the application process for the I Can Connect Program. In attendance at the meeting were his counselors, his interpreter, and the equipment demonstrator, a representative for ICC and myself. We met at Ability Works where Mr. W had been training for employment. I watched Mr. W familiarize himself with the equipment that was able to magnify with incredible clarity to allow him to see things he had not been able to see before. He could tell us in a very excited voice that he was able to read the sample document. I won’t forget the look on his face when he acknowledged this unit was a way for him to communicate without an interpreter. His work goal was to use the equipment to further his dream of working in a restaurant. While reviewing his work incentive benefits, we discovered that Mr. W. had several items that could be used as impairment related work expenses which would lower his countable earnings. We made a chart to show Mr. W how he could plan for what would happen with his benefits if he worked 20, 32 or 40 hours at $8.00 an hour or $12.00 an hour. We also provided a chart to help him track exactly when his trial work periods, extended period of eligibility, and expedited reinstatement would happen. We then verified other benefits and found that Mr. W could qualify for full ride Medicare Part B, the Medicare Savings Program and could request the Low Income Subsidy (LIS) for Part D. Although the consumer continues to seek employment, he will be able to plan for his future better once he finds it. Even without finding employment he was provided with a way to increase his income by qualifying for assistance with health insurance. (S. Schiller, ILB Instructor) (2) When I first arrived to meet Mrs. S for our initial home visit, I of course, was unsure of what to expect. I was greeted at the door by an extremely pleasant smile and a hug that made me think that perhaps we had met before. I was invited in to a most pleasant home that you could tell had been painstakingly loved over the years. The hard wood floors were shiny and neat and lots of different counted cross stitch and other hand work were framed and adorned the walls. I assumed they were done by Mrs. S over the years. She asked if I cared to have a seat near the window, which she quickly explained is her favorite spot in the house. I obliged and was quick to notice that the rocking chair I was sitting in was the most comfortable seat I had ever sat in. I commented this to Mrs. S and she quickly explained that it had been passed down to her through generations of her family. I also could easily tell why this was her favorite spot in the house. The chair she was in was a rocking recliner but was also up to a large square table in the corner that I could tell was set up like a desk. The large window beside her was so clean and clear you could hardly tell that there was glass in it. Outside birds were everywhere and all around the window eating from their strategically placed bird feeders. Mrs. S commented that watching them is a favorite pass time of hers and that she also watched her husband tend to yard work out the window but that she hasn’t been able to do this as much or as easily since her vision decreased. She went on to explain that all of her everyday activities seemed to center around this one corner in her home where she would watch out the window as the world zoomed by with its activities and also where she would come to use the daylight to read with a hand held magnifier that she used. She also had lots of pictures in this particular corner of her five children. She and I discussed that reading and seeing distance (birds, across the yard, etc...) were the two tasks that were currently the most difficult for her to perform. After a functional low vision evaluation it was determined that a stronger illuminated magnifier made it so much easier and quicker for her to read her printed material such as mail, personal finances etc… It was also determined that a pair of distant (TV) glasses made it possible for her to see the birds and other things easily and clearly out her window. These items were ordered and delivered to her. She was so very pleased and excited that she was once again able to return to the quality of life that she had grown accustomed to. (J. Peacock, ILB Instructor) (3) Mr. Dailey was a hardworking man. He worked on the Railroad for over 40 years. After retirement, Mr. Dailey’s health began to fail, and he was diagnosed as being legally blind. He was unable to read his prescription, tell time to take medications correctly, and dial the telephone to call in case of an emergency. Instructor made a home visit and provided him with a talking clock and watch, a Ruby (electronic magnifier), and a big button phone. After providing the aids, he expressed gratitude for being able to stay at home and not go to an assisted living facility. (J. Ivy, ILB Instructor) (4) Mr. T is a 75 year old gentleman who was diagnosed in 2012 with Macular Degeneration. He had all treatments to help with stopping the progression of the condition, which he feels has helped. It did leave him with the inability to see as well and this left him with the challenge of dealing with legal blindness in both eyes. He said at first it was hard to accept his new circumstances and he felt helpless for a while. His local ophthalmologist referred him for services and he said that it would be helpful to try to regain some semblance of independence. Before he developed Macular Degeneration, he was a very active man and worked part time with his family in their real estate agency. He soon was unable to drive and could no longer read any printed material. Mr. T has been provided with magnification devices to help him perform the things that he enjoys the most in his life. He was provided with magnification software for his computer, CCTV, a hand held portable electronic magnification device, talking time piece and a monocular for outdoor viewing. M.T said that he feels more independent now and has resumed helping his family with their real estate agency. He said that he does everything that he wants to again, except drive his car. He said that his vision loss was a life changer for him, but he knows now that he can function independently again. He said that he was very thankful for the help he received and will always be grateful for services received from Independent living for the Blind. (P. Spring, ILB Instructor) (5) Mrs. C is a 68 year old AAF with a visual diagnosis of ARMD with PCV. Once her vision started decreasing she began seeking out services which would assist her to remain independent in her home for as long as possible. She called my office one day and said she needed help and what did the OB program provide? I explained the eligibility criteria to her and asked her to send me her eye report. Once I received her eye report and age verification I determined her eligible for IL services. After working with her on some IL skills in her home, she decided she wanted to receive personal adjustment training at the Addie McBryde Center for the Blind(AMC). During the time she received her home based training, training at AMC, and follow-up training in her home she has become even more independent as a result of the services she has received! She is now able to move safely in familiar and unfamiliar settings using her O&M skills; she is able to plan and prepare healthy, nutritious meals; she is able to manage her personal business using the writing guides and low vision aids; she does not hesitate to ask a friend for a ride or use the para-transit system to go to doctors’ appointments, shopping, church, etc. She told me she feels like she is able to take care of all her tasks associated with her daily living needs. Mrs. C is definitely more independent as a result of the IL services she received and her participation in the ILS program. (N. Beal, ILB Instructor) (6) Mrs. TC is a 94 year old lady who is married and is also legally blind due to open macular degeneration. Mrs. TC is full of life and is very active. The only thing slowing her down is her vision loss. Mrs. TC was once very active with activities involving her grandkids; she once handled her own business, read her own mail, and was able to dress fashionably independently. When Mrs. TC first became legally blind she lost her independence, but she did not lose all confidence that something was out there to help her. She had to depend on her husband to take her places, read her mail and handle her affairs. However, this soon became problematic as well, as he began to have back problems and was unable to assist her as before. Mrs. TC conducted research on her own and came across the Independent Living Program by an eye doctor. She was very excited to know that there was help out there to help her live more independently in the home. Mrs. TC received a number of low vision aids to help her live independently in the home. Mrs. TC was able to read her mail using a CCTV, and see better over-all using a tall daylight lamp. She can tell time using her talking clock and watch that she received and does not have to go through various tasks just to obtain the time. More importantly, she gained her self-confidence back and was able to enjoy the many thing sighted people may take for granted. This was all provided to her at no cost and she was very please. (F. Williams, ILB Instructor) (7) Miss Brenda Hamrick is a 71 year old female who is legally blind. Miss Hamrick lives alone. She is a widower and has children who often help her. Miss Hamrick is a very determined individual who does not let her blindness put a damper on her spirit. Miss Hamrick was very active before she lost her vision. Miss Hamrick has not been able to be as active as she was before losing he vision but she is adamant in being as independent as she can. Miss Hamrick was referred to Independent for the Blind by her son. I bought Miss Hamrick several different low vision aids to help her regain independence in her home. Miss Hamrick was provided with a big button telephone, talking watch, talking clock, oven guards, and a cane. Miss Hamrick is now able to tell time, use her oven more, and ambulate safely within her home and in her community as well. In addition, she is able to use her telephone more with the phone provided. She is very pleased with the services provided by Independent Living for the Blind. (V. Barnes, ILB Instructor) (8) I started working with Older Blind consumer Ms. Anderson in May of 2014. When I first met Ms. Anderson she expressed to me that she was having difficulties reading her mail/correspondence, telling time, organizing her daily medicines, and identifying the settings on her appliances. After completing Ms. Anderson’s application for an open Older Blind case and her Low Vision Assessment, I provided Ms. Anderson with a Ruby Video Magnifier, which she loves because she is now able to read her newspaper article, read the menu when out eating, and read labels when shopping, etc. I also provided Ms. Anderson with a talking watch and alarm clock to help her tell time, bump dots to help her identify the settings on her appliances, grab bars to help her maintain her safety when getting in and out of her tub, and a big letter Mediplanner to help her organize her daily medicines she takes. In addition to these items, I also provided Ms. Anderson with a Topaz CCTV to help her read her larger items such as her mail/correspondence, books (bible, etc.), medicine bottles, etc. Ms. Anderson stated that all of the items that I have provided her with are a big help and she is now able to do things around the house for herself, such as read her own mail, prepare her daily medicines, read the menu when out eating and read the labels when out shopping, etc. With all of the aids and appliances provided to Ms. Anderson she is now able to handle her daily living tasks and even recreational tasks, such as cleaning, cooking, washing clothes, reading printed material, tell time, etc. Ms. Anderson thanked me and the Older Blind program for the services that we have provided to her and for helping her gain a sense of independence back. (V. Clark, ILB Instructor)

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

Mississippi's Independent Living Program is pleased with the services that were provided this grant year. As indicated in Part V, the Independent Living Program has been able to increase the number of consumers served.

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 byLynda Hall
TitleProgram Manager
Telephone662-320-6656
Date signed12/07/2015