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

RSA-7-OB for North Carolina Division of Services for the Blind - H177B150033 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 year946,121
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 2935,508
A2. Total other federal0
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)439,229
A4. Third party0
A5. In-kind0
A6. Total Matching Funds439,229
A7. Total All Funds Expended1,374,737
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs56,857
C. Total expenditures and encumbrances for direct program services1,317,880

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 7.4450 19.7000 27.1450
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 7.4450 19.7000 27.1450

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 24 0.4600
2. Employees with Blindness Age 55 and Older 7 0.1350
3. Employees who are Racial/Ethnic Minorities 96 1.8460
4. Employees who are Women 226 4.3500
5. Employees Age 55 and Older 114 2.1900

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 FY306
2. Number of individuals who began receiving services in the reported FY330
3. Total individuals served during the reported fiscal year (A1 + A2) 636

B. Age

1. 55-5993
2. 60-6493
3. 65-6978
4. 70-7477
5. 75-7991
6. 80-8491
7. 85-8969
8. 90-9434
9. 95-9910
10. 100 & over0
11. Total (must agree with A3)636

C. Gender

1. Female463
2. Male173
3. Total (must agree with A3)636

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race15
2. American Indian or Alaska Native3
3. Asian2
4. Black or African American172
5. Native Hawaiian or Other Pacific Islander0
6. White432
7. Two or more races5
8. Race and ethnicity unknown (only if consumer refuses to identify)7
9. Total (must agree with A3)636

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)56
2. Legally Blind (excluding totally blind)310
3. Severe Visual Impairment270
4. Total (must agree with A3)636

F. Major Cause of Visual Impairment

1. Macular Degeneration248
2. Diabetic Retinopathy83
3. Glaucoma108
4. Cataracts8
5. Other189
6. Total (must agree with A3)636

G. Other Age-Related Impairments

1. Hearing Impairment163
2. Diabetes198
3. Cardiovascular Disease and Strokes213
4. Cancer51
5. Bone, Muscle, Skin, Joint, and Movement Disorders243
6. Alzheimer's Disease/Cognitive Impairment17
7. Depression/Mood Disorder68
8. Other Major Geriatric Concerns143

H. Type of Residence

1. Private residence (house or apartment)576
2. Senior Living/Retirement Community48
3. Assisted Living Facility4
4. Nursing Home/Long-term Care facility6
5. Homeless2
6. Total (must agree with A3)636

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)10
2. Physician/medical provider12
3. State VR agency95
4. Government or Social Service Agency298
5. Veterans Administration1
6. Senior Center4
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization2
10. Independent Living center0
11. Family member or friend28
12. Self-referral171
13. Other15
14. Total (must agree with A3)636

Part IV: Types of Services Provided and Resources Allocated

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

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 105
2. Vision screening / vision examination / low vision evaluation 103
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 0
1b. Total Cost from other funds 183,518
2. Provision of assistive technology devices and aids 506
3. Provision of assistive technology services 279

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 108,188
2. Orientation and Mobility training 138
3. Communication skills 261
4. Daily living skills 451
5. Supportive services (reader services, transportation, personal 207
6. Advocacy training and support networks 108
7. Counseling (peer, individual and group) 301
8. Information, referral and community integration 209
. Other IL services 173

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Information and Referral 3
3. Community Awareness: Events/Activities 0 31

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) 1,092,686 1,374,737 282,051
2. Number of Individuals Served 723 636 -87
3. Number of Minority Individuals Served 238 197 -41
4. Number of Community Awareness Activities 73 111 38
5. Number of Collaborating agencies and organizations 0 0 0
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 279 100.00%
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) 58 20.79%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 185 66.31%
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) 39 28.26%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 88 63.77%
C1. Number of individuals who received communication skills training 261 100.00%
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) 104 39.85%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 151 57.85%
D1. Number of individuals who received daily living skills training 451 100.00%
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) 170 37.69%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 269 59.65%
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) 203 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) 16 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 6 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) 13 n/a

Part VII: Training and Technical Assistance Needs

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.

NC Division of Services for the Blind (DSB) provides direct services by in-house full-time agency staff and does not utilize sub-grantees. Direct services are provided by 14 Independent Living Rehabilitation Counselors (ILRC’s) who serve as case managers and also provide hands-on instruction. ILRC’s serve all 100 of North Carolina’s counties. Services are provided in consumer homes and at Mini Centers which are community-based group trainings. As case managers, ILRC’s refer and coordinate other needed services including referrals to in-house Orientation & Mobility Specialists, Nursing Eye Care Consultants who provide low vision evaluations, Deaf-Blind Specialists, Assistive Technology Consultants and Assistive Technology Instructors. ILRC’s also refer to other DSB case managers including Vocational Rehabilitation Counselors and Social Workers for the Blind. In-home services may include instruction in kitchen safety and adaptive cooking techniques, safe travel techniques, communication skills, labeling and home management, adjustment counseling and hands-on instruction with a variety of low and high tech devices. Mini Centers provide instruction in the same areas as in-home training but also provide peer support and may forge lasting connections with other local individuals who are blind or visually impaired. As community-based trainings, Mini Centers also increase the confidence of participants by allowing older individuals who are blind or visually impaired to realize they are capable of participating in novel activities outside the home. Mini Centers typically provide at least 36 hours of instruction. Some specialized Mini Centers may also be provided. Specialized Mini Centers may include cooking-only Mini Centers, iPad/idevice Mini Centers, Braille Mini Centers and Self-Advocacy Mini Centers. Many community partners and resources are utilized for Mini Centers to maximize available funding as well as to educate consumers on community resources. A few of DSB’s many partners include local transportation providers, Lions Clubs and other civic groups, churches, fire departments, local law enforcement, senior centers, pharmacies and local health departments. EDTAP or other transportation funding sources are utilized wherever possible. Through engaging in community awareness activities, DSB ILRC’s participated in activities to increase community awareness throughout the state this year. Presentations were given at senior centers, a Lions Club regional meeting, a Cooperative Extension, at assistive living facilities, churches, health fairs, and at an assistive technology conference. Informal means of spreading the word to unserved and underserved groups were also conducting by providing contact information and brochures to local vendors such as at barbershops, dentist’s offices, doctor’s offices and to ministers. ILRC’s reached out to Veterans in need of services by speaking at a VA support group meeting and developing working relationships with VIST coordinators.

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.

Surveys provide ongoing methods for evaluating the need to expand or improve services. Mini Center participants complete post program surveys requesting suggestions for improvement. ILRC’s review this information and incorporate suggestions wherever possible. Quarterly services are sent to all consumers whose cases were closed requesting feedback on quality of services. Management reviews these surveys and follows up with applicable staff as needed. This year iPads were acquired for all ILRC’s which can be used for demonstration and training with consumers. ILRC’s were provided with two days of hands-on iPad training which covered technical aspects; use of gestures, Siri, Voiceover and Zoom. This training equipped counselors to in turn provide training to consumers in the home and in Mini Centers to enable them to meet their independent living goals. Two ILRC’s participated with an ADA anniversary event where they visited a local shopping area and went into stores to educate individuals about the ADA, DSB services and how to interact with an individual with a disability. Counselors regularly participate in community awareness activities and research additional services to utilize or with whom to collaborate. This year one counselor located a new transportation option for consumers. The service cost was, unfortunately, prohibitive for some consumers. Through peer interactions during a Mini Center, participants discussed options and discovered ways to share rides in order to make the service viable. ILRC’s also participate with transportation committees and have educated consumers on ways to advocate for transportation funding.

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.

NC Division of Services for the Blind’s ILOB Satisfaction Survey consists of 11 questions which address customer service, consumer choice in program planning, outcomes and performance measures as well as participant’s overall satisfaction with services. Surveys are mailed to all consumers closed each quarter. Ninety surveys for successfully closed cases and two for unsuccessfully closed cases were returned this FFY. Surveys are anonymous for consumers although a coding system is used to link identifying information for the Independent Living Rehabilitation Counselor who provided services. Contact information is provided to the consumer for a staff member in case any questions arise about the survey or if assistance is needed. Ninety-nine percent of respondents reported being satisfied with instruction received in the home and of those, Eighty-eight% reported being very satisfied. 100% of respondents reported being satisfied with instruction received in Mini Centers and of those, 87% reported being very satisfied. Full annual satisfaction survey results are listed below. NCDSB IL Older Blind Program Status 26 Satisfaction Survey Results FFY 2014-2015 * % of applicable responses = not including n/a or no response Question 1 - Were staff of the Division of Services for the Blind office polite to you? FFY Total % % applicable responses* All the time 83 92% 95% Most of the time 3 3% 3% Some of the time 1 1% 1% None of the time 0 0% 0% Hardly ever 0 0% 0% No Response 3 3% n/a Question 2 - Were your phone calls to the Divison of Services for the Blind office returned to you in a timely manner? FY Total % % of applicable responses* All the time 68 76% 82% Most of the time 13 14% 16% Some of the time 1 1% 1% None of the time 1 1% 1% Hardly ever 0 0% 0% No Response 7 8% n/a Question 3 - Did your Independent Living Rehabilitation Counselor schedule appointments as soon as you thought he/she should? FY Total % % of applicable responses* All the time 69 77% 86% Most of the time 5 6% 6% Some of the time 4 4% 5% None of the time 1 1% 1% Hardly ever 1 1% 1% No Response 10 11% n/a Question 4 - Who made decisions about your rehabilitation goals? FY Total % % of applicable responses* You and counselor together 73 81% 88% You, alone 4 4% 5% Counselor, alone 3 3% 4% I don't know 3 3% 4% No Response 7 8% n/a Question 5 - Who made decisions about which services you received from the Division of Services for the Blind? FY Total % % of applicable responses* You and counselor together 66 73% 76% You, alone 3 3% 3% Counselor, alone 11 12% 12% I don't know 7 8% 8% No Response 3 3% n/a Question 6 - Was a description of the Independent Living Rehabilitation Program and an explanation of your rights as a consumer discussed with you? FY Total % % of applicable responses* Yes 73 81% 85% No 4 4% 5% Not sure 9 10% 10% No Response 4 4% n/a Question 7 - How satisfied are you with the instruction that your received in your home? FY Total % % of applicable responses* Very satisfied 75 83% 88% Somewhat satisfied 9 10% 11% Very dissatisfied 1 1% 1% Somewhat dissatisfied 0 0% 0% Did not receive 2 2% n/a No Response 3 3% n/a Question 8 - How satisfied are you with instruction that your received in the Mini Center? FY Total % % of applicable responses* Very satisfied 54 60% 87% Somewhat satisfied 8 9% 13% Very dissatisfied 0 0% 0% Somewhat dissatisfied 0 0% 0% Did not receive 27 30% n/a No Response 1 1% n/a Question 9 - How beneficial was the Independent Living Rehabilitation Program in helping you improve your ability to perform the following activities of daily living? A) Move confidently around your home, yard and community FY Total % % of applicable responses* Very helpful 56 62% 69% Moderately helpful 14 16% 17% Somewhat helpful 3 3% 4% Neutral 6 7% 7% Not helpful 2 2% 2% No Response 9 10% n/a B) Prepare simple meals for yourself FY Total % % of applicable responses* Very helpful 49 54% 64% Moderately helpful 5 6% 7% Somewhat helpful 7 8% 9% Neutral 10 11% 13% Not helpful 5 6% 7% No Response 14 16% n/a C) Read materials whether with magnifiers, large print, recorded on tape or Braille FY Total % % of applicable responses* Very helpful 60 67% 73% Moderately helpful 4 4% 5% Somewhat helpful 9 10% 11% Neutral 4 4% 5% Not helpful 5 6% 6% No Response 8 9% n/a D) Manage your mail, correspondence and check writing FY Total % % of applicable responses* Very helpful 39 43% 51% Moderately helpful 9 10% 12% Somewhat helpful 10 11% 13% Neutral 12 13% 16% Not helpful 7 8% 9% No Response 13 14% n/a Question 10 - Overall, would you say your experience with the Division of Services for the Blind was good? FY Total % % of applicable responses* All the time 68 76% 79% Most of the time 12 13% 14% Some of the time 4 4% 5% None of the time 1 1% 1% Hardly ever 1 1% 1% No Response 4 4% n/a Question 11 - Based on your experiences, would you recommend services from the Division of Services for the Blind to others? FY Total % % of applicable responses* Definitely would 74 82% 85% Probably would 10 11% 11% Maybe would 3 3% 3% Definitely would not 0 0% 1% Probably would not 0 0% 1% Maybe would not 0 0% 0% No response 3 3% n/a NCDSB IL Older Blind Program Status 26 Satisfaction Survey Results FFY 2014-2015 * % of applicable responses = not including n/a or no response Question 1 - Were staff of the Division of Services for the Blind office polite to you? FY Total % % of applicable responses* All the time 2 100% 100% Most of the time 0 0% 0% Some of the time 0 0% 0% None of the time 0 0% 0% Hardly ever 0 0% 0% No Response 0 0% n/a Question 2 - Were your phone calls to the Divison of Services for the Blind office returned to you in a timely manner? FY Total % % of applicable responses* All the time 1 50% 50% Most of the time 1 50% 50% Some of the time 0 0% 0% None of the time 0 0% 0% Hardly ever 0 0% 0% No Response 0 0% n/a Question 3 - Did your Independent Living Rehabilitation Counselor schedule appointments as soon as you thought he/she should? FY Total % % of applicable responses* All the time 1 50% 50% Most of the time 1 50% 50% Some of the time 0 0% 0% None of the time 0 0% 0% Hardly ever 0 0% 0% No Response 0 0% n/a Question 4 - Who made decisions about your rehabilitation goals? FY Total % % of applicable responses* You and counselor together 2 100% 100% You, alone 0 0% 0% Counselor, alone 0 0% 0% I don't know 0 0% 0% No Response 0 0% n/a Question 5 - Who made decisions about which services you received from the Division of Services for the Blind? FY Total % % of applicable responses* You and counselor together 1 50% 50% You, alone 0 0% 0% Counselor, alone 0 0% 0% I don't know 1 50% 50% No Response 0 0% n/a Question 6 - Was a description of the Independent Living Rehabilitation Program and an explanation of your rights as a consumer discussed with you? FY Total % % of applicable responses* Yes 1 50% 50% No 0 0% 0% Not sure 1 50% 50% No Response 0 0% n/a Question 7 - How satisfied are you with the instruction that your received in your home? FY Total % % of applicable responses* Very satisfied 1 50% 50% Somewhat satisfied 1 50% 50% Very dissatisfied 0 0% 0% Somewhat dissatisfied 0 0% 0% Did not receive 0 0% n/a Question 8 - How satisfied are you with instruction that your received in the Mini Center? FY Total % % of applicable responses* Very satisfied 0 0% n/a Somewhat satisfied 0 0% n/a Very dissatisfied 0 0% n/a Somewhat dissatisfied 0 0% n/a Did not receive 2 100% n/a Question 9 - How beneficial was the Independent Living Rehabilitation Program in helping you improve your ability to perform the following activities of daily living? A) Move confidently around your home, yard and community FY Total % % of applicable responses* Very helpful 0 0% 0% Moderately helpful 0 0% 0% Somewhat helpful 0 0% 0% Neutral 2 100% 100% Not helpful 0 0% 0% No Response 0 0% n/a B) Prepare simple meals for yourself FY Total % % of applicable responses* Very helpful 0 0% 0% Moderately helpful 0 0% 0% Somewhat helpful 0 0% 0% Neutral 1 50% 100% Not helpful 0 0% 0% No Response 1 50% n/a C) Read materials whether with magnifiers, large print, recorded on tape or Braille FY Total % % of applicable responses* Very helpful 0 0% 0% Moderately helpful 0 0% 0% Somewhat helpful 0 0% 0% Neutral 2 100% 100% Not helpful 0 0% 0% No Response 0 0% n/a D) Manage your mail, correspondence and check writing FY Total % % of applicable responses* Very helpful 0 0% 0% Moderately helpful 0 0% 0% Somewhat helpful 0 0% 0% Neutral 2 100% 100% Not helpful 0 0% 0% No Response 0 0% n/a Question 10 - Overall, would you say your experience with the Division of Services for the Blind was good? FY Total % % of applicable responses* All the time 0 0% 0% Most of the time 2 100% 100% Some of the time 0 0% 0% None of the time 0 0% 0% Hardly ever 0 0% 0% No Response 0 0% n/a Question 11 - Based on your experiences, would you recommend services from the Division of Services for the Blind to others? FY Total % % of applicable responses* Definitely would 1 50% 50% Probably would 1 50% 50% Maybe would 0 0% 0% Definitely would not 0 0% 0% Probably would not 0 0% 0% No response 0 0% n/a

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).

The Title VII-Chapter 2 program makes a very significant impact on the lives on older blind and visually impaired individuals in the State of NC. Below are just a few of the many success stories from DSB’s ILOB program this year. Case 1: L.L. Ms. L. is visually impaired due to Retinitis Pigmentosa and, after also battling breast cancer, her vision further declined. To battle her breast cancer, she had a double mastectomy and reconstructive surgery. While her physical health stabilized, when Ms. L. first met her Independent Living Rehabilitation Counselor she was depressed, frustrated and scared about her vision loss. These feelings were in direct opposition to her previous lifestyle of full-time employment, strong interest in physical activity, and confidence with parenting and entertaining. She was at the stage where she could not walk safely, could not read regular print, could not use her computer to manage family finances, no longer had a job, and struggled to prepare meals for her husband and two teenaged sons as she had previous done. Ms. L recognized that her supportive husband, stable income and restored health were factors working in her favor. She was already working with the Social Worker for the Blind who made a referral to the Orientation and Mobility Specialist. Ms. L, who previously worked in sales and marketing of technology, was familiar with computers and committed to regaining access to this form of communication. She had an iPhone, but had limited fluency. She had a computer with the screen reading software NVDA loaded onto it, but she was not comfortable using it. DSB’s Independent Living Rehabilitation program provided services for her from August 2013 to June 2015. During her first meeting with her Independent Living Rehabilitation Counselor (ILRC), Ms. L. made it clear that she wanted to learn Braille. ILRC introduced her to the Hadley School for the Blind. He also introduced the consumer to DSB’s now retired previous Assistant Director, Mary Flanagan, who tutored Ms. L. in Braille. The ILRC described available Mini Center services to the consumer, and she expressed her strong interest in attending. During the classes, Ms. L. identified self-esteem, kitchen safety, and organization and labeling as primary goals. While Ms. L. appeared to be capable in performing many of the tasks introduced, she was surprised with her new found skills and she was often emotional. At the end of each class, a support group was held to process the events of the day and the experiences of the previous week. It was not uncommon for Ms. L. to explain how the lessons helped her confidence and how she planned to make use of the information. As the classes progressed, she ended up baking brownies and assorted snacks, as a weekly routine, for the class. Ms. L. maintained perfect attendance throughout the twelve sessions. As the class ended, Ms. L. continued to make positive strides. She ended up taking several Braille classes and buying a labeling gun to label her spices. She learned to not only read basic/uncontracted Braille but also learned to read and write the more advanced contracted Braille. Ms. L. attended Camp Dogwood for the Blind for two summers and was confident enough to go to Busch Gardens with her family. On a recent vacation, she rode on a bicycle built for two with her husband. In addition to knowing many apps on her iPhone, she has a Macbook Pro which she is now able to use to manage her banking using Quicken. Presently, Ms. L has continued to be involved with Mini Centers. She no longer attends as a participant who needs services but volunteers to teach and encourage others by assisting with some of the most challenging cooking lessons involving measuring and cutting. Ms. L. has also presented to Mini Center classes during Mental Health Day where she shares how she managed to get through stages of grief to achieve a sense of self-actualization. Case 2: S.R. Imagine that you have colorectal cancer, COPD, kidney and liver failure, brittle diabetes, osteoarthritis, schizoaffective disorder, continue to recover from a car accident injuries including a jaw that was broken in three places and a traumatic brain injury. In addition to this host of general health concerns, you also have diabetic retinopathy, macular edema, advanced glaucoma, macular puckering, and toxic maculopathy. You live alone in the country in a single wide trailer. You’ve been married twice, and are currently divorced with no children or other family support. How would you feel? A NCDSB ILR Counselor provided services to just such an individual this year. S.R. is 57-year-old lady who looks much older than her stated age. S.R. identified that she has a CAP worker but is determined to be as independent at possible. She went to a technical college and became an LPN, and also worked in law enforcement but has not worked since 2001 because of failing health. S.R. is active in her church and creates knitting items for them to give to poor people. When S.R. contacted the IL Rehabilitation Counselor she had also written out her needs/goals in advance of their meeting, a rarity. S.R. received services and skills and augmented with adaptive equipment. She is now more effective in her skills with organizing, labeling, filing her records and bookkeeping with bold markers and a filing system. Her stove, microwave and washer have been marked with raised marks so that she may continue to perform these tasks independently. S.R. has received assistive technology equipment and training which allows her to research information, email, check her medical portals; and look up crafts ideas. She was provided community resources to assist with building a ramp. S.R. has also received adaptive kitchen skills, communications skills including using a talking label wand to assist with organizing and education about her health concerns was also provided. All of these services are allowing S.R. to maintain the highest level of independence possible and to avoid nursing home placement. Case 3: G.J. When DSB’s Independent Living Rehabilitation Counselor (ILRC) met G.J., she learned that the consumer was a veteran. The ILRC strongly encouraged the client to work with the VA hospital with Blind Rehabilitation. At their second meeting, the counselor provided training on the iPad and demonstrated how the device can help someone with vision loss. The client was very interested in the device, but didn’t know if they would be able to purchase the device independently. The client asked if the VA might be able to help. The counselor stated it was a good idea and called the Social Worker at the VA in Fayetteville, NC to inquire about services. The ILRC explained that DSB was putting together an iPad class that would provide 40 hours of training on the device and that the client was very interested in attending the class. The counselor wrote an assessment and recommendations for purchase/training to send to the VA. The counselor also helped the client schedule a time for them to meet with the VA Social Worker. The VA was able to meet the client and open up a case for blind services. The client informed the counselor that they are so appreciative of their help and getting them in touch with the VA. Not only have they provided an iPad, they gave her a list of other services available to her. She isn’t using all those services yet, but she is now aware of them. She felt her meeting with the VA was “very successful and uplifting”. She is going to get a hearing test through them as well. She stated “I have nothing but good things to say about them!” The client’s biggest benefit from meeting with the VA is that she no longer has co-pays for her insulin. She went from a $180 co-pay to no co-pay, which is a huge relief to her. The client has attended three classes on the iPad and has been an active participant in each class. She has kept up with the homework assignments and has been doing well with the training. She stated “The program you have put together is just wonderful. I enjoy the pace and that we are learning a little at a time.” Case 4: K.C. K.C. is a 72 year old woman who lives alone in a senior apartment who requested ILOB services. She is legally blind and her vision had diminished rapidly. She could no longer use her computer and this had negatively impacted her quality of life. She was unable to see appointment dates, medications and read. The ILRC referred her to our Assistive Technology Consultant who recommended software for her computer. The ILRC was able to provide her with the recommended software and she was able to communicate with others, utilize the internet and use her computer as she did prior to her vision loss. I also provided her with a digital recorder so that she could record appointments, grocery lists and other items of interest. Other services provided included low vision services so that she could read using a magnifier, adaptive kitchen techniques training and provision of large print games. Upon closure this consumer’s quality of life had vastly improved as she was able to perform tasks and enjoy her life as she did prior to loss of vision.

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

This year NC Division of Services for the Blind (NCDSB) experienced some challenges in implementing the Title VII-Chapter 2 program. One of the fifteen Independent Living Rehabilitation Counselor (ILRC) positions was eliminated. Three new ILRC’s were hired this year and are learning their jobs. Two of these three new counselors filled positions which had long-term vacancies. The IL Program Specialist who oversaw this program retired at the end of July and the responsibilities for this position have been covered by the supervisor for the position since that retirement. Also this year, the State of NC required all State employees to move to a State Fiscal Year work plan cycle. NCDSB had been operating under a Federal Fiscal Year work plan cycle. The timing for the implementation of the new cycle was altered on several occasions and the current work plan is now operating on a one-time 21 month cycle which began October 2014. The evolving and changing nature of the work cycle appears to have created some confusion for some of our ILR Counselors in their case management process in terms of closure deadlines. In July 2014, DSB went live with a new case management system (System 7 with Libera) which NC calls BEAM. Some staff struggled to get up to speed with this new way of operating as DSB had previously only had a database rather than a case management system and completed all consumer case documentation on paper. Staff have made considerable strides in learning this system. Unfortunately, DSB learned in November this year that Libera will no longer be supporting this product and NC, along with many other states, must develop a new case management system in the coming year(s).

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 byPatricia Sikes
TitleChief, Rehabilitation Programs & Facilities
Telephone919-527-6715
Date signed12/22/2015