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

RSA-7-OB for Nebraska Commission for the Blind and Visually Impaired - H177B150027 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 year225,000
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year225,000
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2248,911
A2. Total other federal65,255
(a) Title VII-Chapter 1-Part B65,255
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)128,304
A4. Third party0
A5. In-kind0
A6. Total Matching Funds128,304
A7. Total All Funds Expended442,470
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs73,676
C. Total expenditures and encumbrances for direct program services368,794

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.3300 2.7500 3.0800
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.3300 2.7500 3.0800

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 14 0.8400
2. Employees with Blindness Age 55 and Older 5 0.6800
3. Employees who are Racial/Ethnic Minorities 7 0.0900
4. Employees who are Women 25 2.2000
5. Employees Age 55 and Older 18 2.5800

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 FY183
2. Number of individuals who began receiving services in the reported FY290
3. Total individuals served during the reported fiscal year (A1 + A2) 473

B. Age

1. 55-5929
2. 60-6428
3. 65-6930
4. 70-7441
5. 75-7958
6. 80-8488
7. 85-8986
8. 90-9483
9. 95-9927
10. 100 & over3
11. Total (must agree with A3)473

C. Gender

1. Female355
2. Male118
3. Total (must agree with A3)473

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race7
2. American Indian or Alaska Native2
3. Asian0
4. Black or African American15
5. Native Hawaiian or Other Pacific Islander0
6. White448
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)1
9. Total (must agree with A3)473

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)18
2. Legally Blind (excluding totally blind)266
3. Severe Visual Impairment189
4. Total (must agree with A3)473

F. Major Cause of Visual Impairment

1. Macular Degeneration315
2. Diabetic Retinopathy33
3. Glaucoma33
4. Cataracts8
5. Other84
6. Total (must agree with A3)473

G. Other Age-Related Impairments

1. Hearing Impairment139
2. Diabetes91
3. Cardiovascular Disease and Strokes118
4. Cancer31
5. Bone, Muscle, Skin, Joint, and Movement Disorders195
6. Alzheimer's Disease/Cognitive Impairment13
7. Depression/Mood Disorder31
8. Other Major Geriatric Concerns55

H. Type of Residence

1. Private residence (house or apartment)288
2. Senior Living/Retirement Community83
3. Assisted Living Facility81
4. Nursing Home/Long-term Care facility20
5. Homeless1
6. Total (must agree with A3)473

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)19
2. Physician/medical provider18
3. State VR agency4
4. Government or Social Service Agency29
5. Veterans Administration6
6. Senior Center2
7. Assisted Living Facility47
8. Nursing Home/Long-term Care facility8
9. Faith-based organization0
10. Independent Living center1
11. Family member or friend102
12. Self-referral218
13. Other19
14. Total (must agree with A3)473

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 0
2. Vision screening / vision examination / low vision evaluation 1
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 38,204
1b. Total Cost from other funds 14,263
2. Provision of assistive technology devices and aids 437
3. Provision of assistive technology services 157

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 3,023
1b. Total Cost from other funds 1,115
2. Orientation and Mobility training 95
3. Communication skills 171
4. Daily living skills 198
5. Supportive services (reader services, transportation, personal 35
6. Advocacy training and support networks 5
7. Counseling (peer, individual and group) 181
8. Information, referral and community integration 244
. Other IL services 85

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 63
3. Community Awareness: Events/Activities 24 0

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) 352,199 377,215 25,016
2. Number of Individuals Served 418 473 55
3. Number of Minority Individuals Served 25 24 -1
4. Number of Community Awareness Activities 22 24 2
5. Number of Collaborating agencies and organizations 0 12 12
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 157 100.00%
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) 68 43.31%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 69 43.95%
B1. Number of individuals who received orientation and mobility (O & M) services 95 100.00%
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) 95 100.00%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 37 38.95%
C1. Number of individuals who received communication skills training 171 100.00%
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) 85 49.71%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 68 39.77%
D1. Number of individuals who received daily living skills training 198 100.00%
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) 97 48.99%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 78 39.39%
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) 218 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) 3 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) 75 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 43 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) 14 n/a

Part VII: Training and Technical Assistance Needs

During FFY 2015, NE-B transferred the OIB Project Coordinator role to a different staff member. This individual has been able to attend several of the Annual OIB Project Directors’ Meetings and the more recent Annual Project Directors Conference with the ILOB Project Officer Breakout sessions. While the inclusion of OIB Project Coordinators in the Project Directors Conference has been worthwhile, we encourage the reinstitution of the Annual OIB Project Directors’ Meeting. This gives full focus to the programs and technical procedures in OIB programs. New and existing OIB Project Coordinators need time to share their successes and struggles.

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.

Nebraska Commission for the Blind and Visually Impaired (NCBVI) implements the Title VII Chapter 2 program by providing direct services to individuals by counselors in our 6 field offices. NCBVI does not subcontract services through other vendors. NCBVI counselors contact agencies and organizations who provide services to minority and underserved groups so that our services can be made available to all people including those in unserved and underserved populations. During FY 2014-2015, NCBVI provided active Independent Living services to four hundred seventy three (473) older individuals who are blind. Determination of eligibility for services is determined on the basis of a visual impairment limiting the individual’s ability to perform the activities of daily living and the availability of services offered by NCBVI to reduce or eliminate limitations due to blindness without regard to race, color, national origin, gender, religion, or disabling condition. Services available include daily living skills (i.e., cooking, telling time, identifying money, cleaning, mending, identifying colors, personal grooming, maintaining a home, organizing medications); communication skills (braille, keyboarding, handwriting, access to large print, recorded formats, audio books, telephone access to newspapers, use of readers, using telephones and cell phones); use of assistive technology and low vision services, family and peer counseling services; and support in self-advocacy so individuals can become or remain involved in their communities and organizations. Individuals are also helped to understand and access the other available resources. Referrals are made to NCBVI by many different groups and organizations. After the initial referral, a counselor contacts the new referral and explains NCBVI services, in addition to explaining services available from other organizations and agencies (i.e., Talking Book and Braille Services (TBBS), radio reading services, NFB Newsline, low vision evaluations, transportation programs, telephone directory assistance waivers, Area Agency on Aging, programs to access religious material). New referrals are often given handwriting guides, bold line tablets, 20/20 pens, large print products or other low cost items. NCBVI counselors will sign the person up for TBBS, free directory assistance, free audio Bible, or other free programs. Dials and buttons on microwaves, stoves, washer, dryers and other appliances may be marked. If new referrals 55 years of age or older apply for independent living services rather than vocational rehabilitation services, they are moved into an active status. If an individual has both hearing and vision loss, they can be referred to the Nebraska Public Service Commission for a free phone that is accessible to people who experience vision and hearing impairment. Those who choose not to pursue active independent living services are closed from evaluative services. Those individuals who are accepted for active independent living services may be referred to a low vision clinic for an assessment of what devices might work most effectively. In rural areas, counselors will take a low vision kit to show people different types of magnification aids available. Many people will work with a counselor on blindness skills so that they can remain in their homes. Training is usually provided in the person’s home on a one to one basis. Group teaching programs are also available, giving clients the opportunity to network with others learning the alternative skills of blindness and use their skills in a setting away from home.

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.

Each of the three districts operated by NCBVI offer group independent living skills training: Senior Adventures in Independent Living (SAIL) in the Omaha district, Group Alternative Techniques Experiences (GATE) in the Lincoln district, and For Your Independence (FYI in the North Platte district). Training in the alternative skills of blindness provided by these multi-day programs make it possible for six to ten clients to achieve greater independence in the home and fuller participation in their home communities. This past year the 3 districts jointly organized a state-wide group teaching program, Home Teaching Plus (HT+). Additionally counselors organized a state-wide yarn workshop. Blind teachers were brought in to teach several yarn crafts (knitting, crocheting, arm knitting, finger crocheting, locker hooking, loom weaving). One counselor in the North Platte district facilitates an area Aging Coalition. In the Omaha district one counselor is on the Partners in Aging Committee and another counselor serves on the Senior Companion/Foster Grandparent Advisory Board. The Enrichment Foundation, a private, not-for-profit organization serving people with disabilities, recently awarded NCBVI a grant in the amount of $10,000 in support of Promoting Independent Living for the Blind of Omaha (PILBO),. The target population served by PILBO includes blind and visually impaired persons 21 years of age or older living in the greater Omaha metropolitan area with independent living rather than vocational goals. A significant number of people benefiting from this program are 55 years of age and older. The partnership between NCBVI and the Enrichment Foundation just finished its ninth year of operation. In calendar year 2015, funds were used for assistive technology, IL devices, and some were used to provide interpreters for deaf blind activities promoting greater independence for people in the target population. NCBVI and the Enrichment Foundation are committed to continuing this partnership indefinitely. Assistive Technology Partnership (ATP) is the state program which provides information about assistive technology for people with disabilities and resources for acquiring technology. NCBVI participates in a web based inventory lending program coordinated by ATP. Browsers of the www.at4all.com web site interested in assistive technology for blind and visually impaired consumers are encouraged to contact NCBVI for a demonstration or short term loan of the equipment. ATP also administers “I Can Connect,” a deaf-blind equipment distribution program benefiting NCBVI clients with dual sensory loss, many of whom are 55 years of age and older. Many individuals who work with NCBVI have some functional vision. They are referred to the Low Vision Clinic, University of Nebraska Medical center, for a low vision evaluation to help identify devices and equipment that may help the person effectively use their remaining vision. Individuals in more rural parts of the state will be referred to local eye care professionals for a low vision exam. Based on the results of these evaluations, NCBVI can provide low vision aids and devices. NCBVI counselors routinely refer consumers to services offered by other agencies including Talking Book and Braille Services, NFB NEWSLINE®, Radio Talking Book, subsidized taxi coupon programs (Share a Fare in Omaha and Give A Lift in Lincoln, both coordinated by the American Council of the Blind of Nebraska), Aurora Ministries, and so on. NCBVI also works with Area Agencies on Aging, the Nebraska Commission for the Deaf and Hard-of-Hearing, centers for independent living, and other philanthropic organizations serving people with disabilities.

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.

Four hundred seventy three (473) active independent living clients were served by the Nebraska Older Blind Project in FY 2015. Three hundred twenty seven (327) clients were closed from active services, two hundred ninety eight (298) successful and twenty nine (29) unsuccessful. Three hundred fifteen (315) surveys were mailed to those closed from active services (minus those deceased or otherwise unavailable). One hundred thirty two (132) surveys (42%) were returned. The data compiled from those surveys follows immediately. State of Nebraska Nebraska Commission for the Blind and Visually Impaired [Over 55] Program Participant Survey Number of Surveys Mailed: ¬¬¬¬__315____ Number of Completed Surveys Returned: _132_____ Number of Surveys Returned as Undeliverable: 7 Number of surveys not filled out: 5 1... I feel more confident in my ability to perform activities I had given up because of my vision loss. 4 Strongly Agree 37 3 Agree 72 2 Disagree 6 1 Strongly Disagree 2 0 Not Applicable 20 Comments (if any): 1) So far I need it to fill in time. Appreciate it emmensally. 2) Appreciated the address book enlarged. 3) I am very satisfied with all of the help. 4) I never gave up doing anything. 5) My lack of vision is not my only pain, however disability limits most every activity for me. I have recently undergone spine surgery and I may be relieved of a lot of my pain. 6) I’m in the early stages of Macular Degeneration in both eyes. I have needed help with reading small print. I can still see to drive but I no longer drive on highways as I can’t see the signs well enough. 7) Talking-reading books-very helpful. 8) I feel somewhat more confident. 9) Mom continued to be able to cook. 10) Can’t see to read or pay bills. 11) Appreciate enlarging letters on computer screen. 12) My hearing and vision is very poor. 13) I am still able to dress myself and take care of my general appearance. 14) I can do credit card bill, do own ledger, read store ads, some articles. 15) I was able to do most everything. I did find out I need a lot of light. 16) I only have a hand held magnifying glass & so far I am getting along fine. I am 88 years old. 17) Only some activities. Still cannot see distance. 18) Phone helps, really likes books on tape, newspaper reader ok, wrist watch- hours not set with signals, clock gives hours but don’t match the hands. 19) Very disappointed on help I received. Never folled through. 20) Spouse drives me where I need to go. We also have transportation from Elk Ridge. 21) She can use her answering machine now that it is marked. 22) Need help & vision is still impaired. 2... Overall, I am less dependent on others. 4 Strongly Agree 19 3 Agree 71 2 Disagree 18 1 Strongly Disagree 3 0 Not Applicable 16 Comments (if any): 1) Felt like was starting to get some help and then services stopped. 2) I have a care giver who comes twice a week. 3) He is more dependent now, but no because of your services. 4) So far I have vision to care for myself. 5) Did need the one on living with Mac. Degeneration. 76495 6) I know that I have to have help, but I do what I can. 7) I couldn’t fill this survey. The only service I was offered were the tapes. 8) I have never depended on other for help except driving. 9) I am, however, very dependent on my husband. 10) Little beads on stoves, microwave, phone, washing machine; dryer, very helpful. 23) I am somewhat less independent of others. 24) I think things helped her to feel more confident. 25) Can’t drive. 26) I need help often. I need assistance with reading. 27) Able to continue insulin and learned how to fill the correct amount. 28) I still need help with many things, but I am still independent with getting around in my surroundings. 29) I taught me to be less dependent on my family & friends. And I thank them for that and the items to work with. 30) Thanks for letting me know what is available if need be. 31) Good job. 32) Cognitive 33) I can use my cane-when I need it. 3... I am better able to move confidently around my house, apartment, or yard. 4 Strongly Agree 25 3 Agree 39 2 Disagree 13 1 Strongly Disagree 1 0 Not Applicable 47 Comments (if any): 1) Hard to take care of my yard. 2) I water it and that is hard to do anymore. 3) Lives in a Assisted Living. 4) With the help of my aide. 5) Has walker and scooter to help get around. (Age 88 now) I will be 89 in August. 6) Pain hinders my ability to walk and get around. 7) She uses a walker. 8) I have a walker. 9) I use a motorized wheel chair and walker. 10) Can’t see to cook very good. 11) I could always move around my apartment. 12) I clean and cook with the aid of my glass. 13) I was able to do those things. I couldn’t see to read though. 14) I live in a nursing home. 15) just received the clock 16) Outside the home with help. 17) I don’t feel that has changed. 4... I am better able to prepare meals for myself 4 Strongly Agree 17 3 Agree 36 2 Disagree 18 1 Strongly Disagree 2 0 Not Applicable 54 Comments (if any): 1) The buttons put on the MV & W/D were helpful. 2) Meals on wheels comes 5 days a week. 3) I make all my other meals. 4) Lives in Assisted Living Home 5) Live at Assisted Living 6) I live in assisted living — no meals to prepare. 7) Now have dots for oven temp. 8) I am in assisted living. 9) With the help of my aide. 10) Can’t see to cook very good. 11) I buy foods that doesn’t need much preparation. I have done this for a while now, even before the NE Commission for the Blind started helping me. 12) My husband now does the cooking. 13) In a nursing home. 14) I am in Independent Living & have our meals prepared for us. 15) Very seldom do I cook. 16) Use microwave. 17) We do not prepare meals they are prepared for us. 18) I live in a facility with independent living accomodations. I eat 3 meals a day in the dining room & they do the cleaning. 19) Irv never did much of the cooking. That was my job, I guess. (replied by Wife) 20) 3 meals are prepared at facility I live at. 21) It is helpful to have the microwave marked. 22) I’m in assisted living. 23) I love my large print cookbooks. They are easy to read and easy to fix. 24) Have to be careful at nite. 25) Somewhat agree. 5... I can better manage my house keeping tasks. 4 Strongly Agree 11 3 Agree 48 2 Disagree 14 1 - Strongly Disagree 3 0 - Not Applicable 55 Comments (if any): 1) I can’t run the sweeper 2) I can’t make my bed 3) I don’t clean the bathroom 4) Housekeeping is done for me. 5) No housekeeping. 6) About the same. 7) With the help of my aide. 8) I still have in-home help with West Central Agency on Aging. I have had to have had help with housekeeping for a while now, because of my back. 9) I do very little housekeeping. 10) In a nursing home. 11) They also clean our apartment. In independent living fac. 12) Just somewhat. 13) Mom continued to do housework, but eventually had a lady come in every other week to help her. 14) But not perfect in cleaning. 15) I have a caregiver who helps me with the tasks. 16) With some help. 17) We have housekeeping. 18) My eyes still hurt and cause migraines — so a little at a time is best. 19) Housekeeping provided at facility. 20) My disability is not just sight but also my legs & body weakness. 21) I’m in assisted living 22) Need help. 23) But need help and I have a housekeeper. 6... I am better able to manage my paperwork (such as mail, correspondence, and writing checks). 4 Strongly Agree 31 3 Agree 43 2 Disagree 20 1 Strongly Disagree 12 0 Not Applicable 22 Comments (if any): 1) The large magnifier was/is helpful. 2) I take care of my banking 3) Write letters and my checks 4) Pay my bills when they are due. 5) I manage most of my needs in this area, but have help here is I need it. 6) My daughter takes care of correspondence & checks. 7) I have a magnifying light now. Very helpful. 8) With my aide. 9) I have to have in-home help, but I still do what I can myself. 10) I use my tools I received to read & write. 11) I have my granddaughter do my checking. I use the magnifier for my mail. 12) With the use of lighted magnification. (sorry about the spelling). 13) In nursing home, someone reads mail to her. 14) Not sure which to mark. I still need a strong light to see to write a check or anything like that. 15) Toward the end, lady did come in to help her bills etc. 16) Keeping track of money-identify different amounts. 17) I have a caregiver to assist me. 18) With some help. 19) Jan, from the Kearney office installed zoom text on my computer which help me. 20) I am still unable to do things like this. I may have Lewy body dementia, which may also contribute to my disabilities. 21) Someone else takes care of my paperwork due to increase in vision loss. 22) The magnifying lens w/light helps. 23) I use my lighted magnifier and it helps so much. 24) Use magnifying glass 25) New magnifiers and glasses are helpful. 26) My brain still works ok (thank God) 27) The light and magnified glass is making it manageable. 28) Cognitive due to stroke. 29) Does not read. 7... I am better able to enjoy reading materials such as books, newspapers, magazines (whether with magnifiers, large print, Braille, or on tape). 4 Strongly Agree 39 3 Agree 58 2 Disagree 14 1 Strongly Disagree 4 0 Not Applicable 9 Comments (if any): 1) I love your tapes 2) Got a reader and is better 3) Can’t read the newspaper 4) I use a magnifier glass or some things. 5) Books on tape only 6) No common items, can’t read my Bible or printed items. 7) Has not been able to read for several years. 8) They loaned me a magnifier and it works well. 9) Really like the large dark print as in this questionnaire. 10) Books on tape. 11) With large print and tapes. 12) I enjoy listening to the tapes very much. I can’t see good enough to read. 13) The books digital are a God send and a real comfort to me. 14) I’m starting to get large print Reader’s Digest. 15) I do not know Braille yet. Working on it. 16) Book on tape — great 17) Wasn’t able to really get Braille. 18) Talking tapes; uses a magnifier. 19) I enjoy the audio books you send. 20) Mom continues to enjoy audio books. 21) Gives me a headache if I read too much. 22) There are wonderful. Really appreciate them. 23) I have difficulty reading even with a magnifier. 24) Braille and digital books. 25) Zoom text helped read some materials. 26) I am able to access info on tape. I’m no longer able to read even with magnifiers. 27) On tape 28) With the use of tapes and of large print I am more able to read. Although even reading lg print can bring on migraines if I do it for long periods. 29) I am enjoying the talking books, but am not able to read a lot. 30) Truly enjoy the talking books (tapes). 31) Irv really appreciated the magnifier he was given to use. 32) Somewhat better able. After while print gets blurry while using the the magnifying glass. 33) I enjoy the reader. 34) Talking books & Da Unica reader are very helpful. 35) She really enjoys the books on tape. She uses that service a lot. 36) I could not get along without my magnifier. I use them in everything I do daily. 37) Can’t read it. 38) Talking books 39) Only able to listen to books on tape. 8... I am better able to participate in the life of my family, friends, or community. 4 Strongly Agree 18 3 Agree 59 2 Disagree 14 1 Strongly Disagree 3 0 Not Applicable 34 Comments (if any): 1) I go out to eat with friends. 2) I do things with the family. 3) Not a part of the rehab program. 4) Not sure. To many health issues at present. 5) When my aide takes me. 6) I can still visit on the phone. Or go visit with people with help from in-home agency. 7) I never didn’t participate. 8) Only see my family once a year. 9) Mom continued to enjoy hosting bridge etc. she continued to be very active. 10) I always have. They just have to pick me up. 11) Large number watch, heavy marking pencils. Magnifying glasses, telephone with large ’s etc. 12) I have difficulty traveling to see friends or family. 13) No longer as fearful to get out. 14) Neutral 15) Gettings out more except at nite. 16) I can’t drive and I can’t see people’s faces so I prefer to stay home a lot. My friends & family come here. 9... I feel more in control in making decisions that are important in my life. 4 Strongly Agree 21 3 Agree 63 2 Disagree 12 1 - Strongly Disagree 0 0 - Not Applicable 30 Comments (if any): 1) I make my own decisions so far. 2) To know that if I need help, you are there. Thank you. 3) Never had problems before. 4) I live in an Assisted Living Facility. 5) I have help. Thank you for this wonderful service. 6) With my aide’s help. 7) Unable to do any paperwork. Still can’t read. 8) I never gave up control. 9) I have my granddaughter help me. 10) I am scared of many things but I am working to on these things. 11) Unknown by me (Peggy) 12) I always have been in control. 13) At this point I am able to make my own decision. 14) I feel confident with the support I have available. 15) I could always make decisions better when using magnifiers. 16) I have a husband and we make decisions together. 10. What was the greatest difference this program made in your life? (Please comment in the space below or over.) 1) Being able to listen to tapes. 2) The lamp that magnify the reading material 3) The Zoom Text 10 on the computer, very helpful. 4) The Eschenbach lite magnifier. 5) Thank you for years of help and “Tips”. Keep up the great program 6) Gave me a reader, and Larry did give real good advice. Thank you. 7) Less frustration with vision loss. 8) Share a fare tickets. Magnifying glasses (lighted) 9) Jamie from the Commission of the Blind, here in North Platte, NE 10) She has helped me out a lot. Thank you. 11) Having Books on Cassette. 12) The comp was enjoyable. The help using a cane & the buttons on the appliance were the most useful. 13) Tape’s have been wonderful. 14) Having books read to me fills a lot of hours that I needed filled. D.S. 15) Not sure how to answer this. 16) I use my magnifier so much. I enjoy the talking books. When my talking watch wears out, they will get me one. 17) This is beyond words. The reader has given me my life back. My Independence. I am eternally grateful. 18) I can live in my own home and am in control of my life. Most tasks I’m able to do myself. 19) Listening to books on tape consoles me. Being able to read my mail now is nice. 20) I feel better about life. 21) Having someone come out to talk, let me know there are options for different aspects of life. Thank you. 22) Use of magnifying glasses and the reader. I do enjoy the talking books. 23) Providing reading lights and magnifiers. Thank you. 24) I appreciate the Magnifier so I can read what I have to read. Thanks. 25) Large print for addresses and telephone numbers. Talking watch and Clock. Large calendar. 26) I am able to enjoy books on tape. 27) Watch is extremely helpful & clock. 28) Being entertained and getting past the solitude. 29) Knowing that I can listen to tapes, since I can’t see to read. I have gotten bigger check blanks, paper, & pens. I like to have the catalog sent to me, so I can order the writing tablets and the writing pens. I also enjoy my clock. 30) My depression is so much better. 31) Confidence since very aware of helpful resources available to me. Glen Irvin thanks. L.B. 32) I was taught to use my stick so I can still enjoy walking outside, and can still enjoy reading & the library tapes are wonderful. 33) Many of suggestions have helped. Also magnifier (hand) that I was ables to have. Also recorder. 34) Showed the options available. 35) Providing info on adaptive aids (zoom text, magnifiers, TBBS) 36) Knowing that there is an organization that is there to help me. 37) Her watch & clock have been very helpful. 38) The button on the oven knob to let me know the right temperature. 39) Being able to read with my monitor. 40) At this stage the lighted magnified lights help greatly. Deanna also helped with threading a needle. The books read to me helps also. 41) Am enjoying the books on tape. Appreciate button on heater & Microwave. 42) The use of magnifiers. 43) I am an avid reader so this has helped fill that void. Thanks so much. 44) Listening to books on tapes; miss reading. 45) New Keystoke info. for my computer. 46) In reading and doing my Avon. 47) Being able to read bills & write checks. 48) Reading my mail. Is so much easier and not frustrating. 49) I can read and enjoy the paper, letters and cards. 50) Ability to use the cane properly. The program also helped because it made her feel less alone. She really appreciated the dots on the microwave. (filled out by her daughter). 51) Prolonged independence. 52) The light at the dinner table helps out. 53) Having books on tape and a strong magnifier works wonders. 54) Enjoy the books on tape. 55) Enjoy talking books. 56) The audio books and the arrange knobs he put on my telephone & appliances. 57) Thank you for the service and the helpful gifts I have received. 58) The group is the best thing to me. 59) Reading on my own again! 60) With the use of magnifying instruments, I am able to see print better. 61) I am answering for my mom Charlotte H. Jamie was very helpful for mom. She worked tirelessly to come up with things to help mom with reading, cooking, dealing with signing checks. I think mom felt she could depend on Jaime to come with things to help her. Even after she had her stroke & now living in the nursing home. Jaime tried to help with a time piece and something to help her make phone calls. We, as Mom’s family, are very grateful for everything Jamie has done to help mom. Peggy S. 62) After going blind-had stroke & is in wheel chair- so many thins needs Help- but can do computer, listen to tapes, (reorder), answer phone. Training thru Blind school helped to do these thing on own. Thanks. 63) I can see the dials on washer & thermostat. Love the books. 64) Able to listen to books on tape. Very enjoyable! 65) Magnifiers, needle threader. I know there was more done, but it has been too long. I don’t remember. You waited too long. 66) It help me on days I am down. I get depressed. It’s nice to see a friendly face. 67) Reader, audio books. 68) I feel I need the assistance of this program. 69) Mobility, cane travel, skill at home, Money management, using microwave, laundry skills, communications skills, banking with help from family/friends. 70) Zoom text. 71) Being able to read labels. 72) Helped to see how it was to go without seeing with one eye & feeling Blind in the other. 73) I am still able to do many things for myself in spite of continued vision loss. 74) To use the magnifier has helped a lot. 75) Doing book work, lists, reading ads, and some articles. This magnifier is God send and would be lost without it. 76) The magnifying lens and the darkening eye wear have helped quite a bit. 77) I now have more confidence in walking to the store and church. I am able to shop mostly without help. I especially liked our time at Mahoney Park. 78) Made devices available, such as clock, click ruler, talking book machine. Glen Ervin is very well qualified. He has been a tremendous help. 79) I tripped over my own foot and fell on my left side and was bruised and very sore, but did not fracture or break anything. Have to use a walker till I heal up. Have had to fight w/A family member to stay in my home. so I’m doing just fine. Got rid of rugs, etc. Doctor said I’m fine. I know family wants what’s best for me, so do I, so I wish to stay in my home. I could write a book on this but I’m sure you have “read that book before” (Smilely face). 80) Enjoying books without use of magnifier. Thank you so much. 81) I am very grateful for the products that has been provided to me. In addition I appreciated all the help and suggestions John made to take care of my needs. 82) The helpful thing they brought. 83) To read. 84) My ability to read small print. 85) I enjoy all talking books, special markers on stove, microwave & Kindle Tablet. I enjoy the audio books the Library is great in helping find book I like. The magnifier for reading instructions on boxes etc., plus use it to set my thermostat. 86) I haven’t fallen into complete helplessness. 87) The independest it gave me. 88) He was given hope and encouragement to “do it another way” Priceless! I thank you so much. (wife responded for deceased husband). 89) I am able to know what time of the day it is, without asking others. Thank you. 90) Being able to use a magnifying glass for paperwork and reading. 91) Magnifying glass made reading somewhat easier. 92) Over the years, they have made a huge difference. They taught me new skills- cook, clean, communicate and to not fear my disability. They taught me how to feel good about myself & be proud. Angie is very helpful and anticipates what I’ll need. She is familiar with my vision loss and the tools to help me. She has made my life easier. She is very patient and I’m very grateful for her service. 93) Just very happy to find out great help is there & available if ever really needed. 94) My CCTV has been the greatest Blessing of my life. 95) I no longer receive these services. I no longer live alone. I live in a retirement center. Thanks, Lillian (survey was not filled out) 96) I appreciate the mailing of the brochure but my eye improved greatly and see my eye specialist at 6 month appointments. Thank you Clara. (did not fill out survey) 97) The wonderful lighted magnifying glass you gave me, enables me to see small print so much better. We take for granted the ability to read until we no longer can paying our bills, reading recipes even setting the temp on the oven. Also I have enjoyed the audio books. Thank you. 98) Life is so difficult, hearing & vision! 99) Gave part of my life back. 100) I was able to read mail, letters, bills and receipts better. 101) The books on tape fill a lot of my empty hours. The clock tells me the time. 102) Thank you. 103) The reality that I need more help, especially with meal preparation. 104) Helpful devices & magazines with devices at reasonable prices. Any time we call the office they are very helpful. 105) It has made it easier to use her microwave and answering machine. That is quite a help for her. 106) I have only had1 visit by the department. I have a magnifier & recorder. I called for help to set up recorder & was told they didn’t have anyone to come out. I haven’t heard anymore from them. My vision has gone down a lot in the last year. Please have someone contact me as I need some Help. I was not told about any program. N. C. Omaha 107) Books on tape for entertainment. Received limited services but really like the books, the talking clock & the magnifying glasss. 108) Completed by wife- Ron has vision impaired somewhat by stroke in addition to cognitive issues. 109) I know that I am able to live with my continuing eye loss. I know that I Always have help. I can always call and get help. I did not want to go to the week in North Platte but I would not trade that experience. I now know I can get along blind. You made me use my blindfold and I had to learn how to get along without my sight. I now know I will be fine as I gradually lose my sight. Thanks Mary Ann. 110) Made it easier. 111) I can read on my own. 112) Giving me tools to see!! 113) That someone care’s to help me when my sister can’t and I can do things on my own. 114) Better able to read small print with brightly lit magnifier. 115) Thank you for this wonderful program, but at this time it doesn’t work For me, but hope that I can ask for help later if I need it. Sincerely, Shirley W. (did not fill out survey) 116) The lights & magnifiers & tools I received have helped me greatly. I appreciate everything you were able to do for me 117) Being able to listen to books. 118) Being able to view things on the machine and actual seeing them.

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).

J is an 82 year old female who is legally blind due to Macular Degeneration and Glaucoma. She has always been very active in her home and community but since her vision begun to deteriorate, she has given up many of the activities, committees and homemaking tasks she had always prided herself in. J made application for NCBVI services and has received training in home making, independent living, cane travel and technology. She attended the Home Teaching Plus program where she practiced the new skills she had started to work on in the home and learned many more. She felt that having the opportunity to mingle and learn with others experiencing the same obstacles as she, was priceless. Back at home, J has now taken back most all of the cooking and home management duties that she had previously turned over to her husband. She enjoys technology and has become proficient in the use of her computer (using a screen reader) and in using her iphone. She has once again become involved in some of the community organizations that she used to so enjoy. She even hosted a large gathering for one of the groups in her home recently and prepared all the food. J has learned to use a “Pen Friend” and refers to it as “her friend”. She has embraced her training and skills she has learned which has greatly improved her quality of life and helped return her to the active and motivated individual that she always has been.

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

Federal support for the Nebraska OIB Project continues to be a concern. Support has not been increased since 2000. As the number of older Americans increases, so will the number of older persons experiencing vision loss. This age group has also had technology as part of their lives and so addressing assistive technology for these individuals will have a higher price tag. Getting additional funding to address these needs is very important.

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 byDr. Pearl Van Zandt, Ph.D.
TitleExecutive Director
Telephone402-471-8100
Date signed12/16/2015