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

RSA-7-OB for New York Commission for the Blind and Visually Handicapped - H177B150032 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 year1,902,009
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 23,637,077
A2. Total other federal1,586,475
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement1,586,475
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)1,561,014
A4. Third party0
A5. In-kind0
A6. Total Matching Funds1,561,014
A7. Total All Funds Expended6,784,566
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services6,784,566

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 1.2500 0.0000 1.2500
2. FTE Contractors 36.7900 118.2200 155.0100
3. Total FTE 38.0400 118.2200 156.2600

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 19 9.6600
2. Employees with Blindness Age 55 and Older 3 0.0500
3. Employees who are Racial/Ethnic Minorities 30 21.7500
4. Employees who are Women 131 84.3300
5. Employees Age 55 and Older 61 35.5400

C. Volunteers

12.00

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 FY829
2. Number of individuals who began receiving services in the reported FY3,085
3. Total individuals served during the reported fiscal year (A1 + A2) 3,914

B. Age

1. 55-59230
2. 60-64313
3. 65-69336
4. 70-74328
5. 75-79422
6. 80-84595
7. 85-89845
8. 90-94594
9. 95-99220
10. 100 & over31
11. Total (must agree with A3)3,914

C. Gender

1. Female2,665
2. Male1,249
3. Total (must agree with A3)3,914

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race324
2. American Indian or Alaska Native10
3. Asian59
4. Black or African American569
5. Native Hawaiian or Other Pacific Islander3
6. White2,913
7. Two or more races36
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)3,914

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)243
2. Legally Blind (excluding totally blind)3,671
3. Severe Visual Impairment0
4. Total (must agree with A3)3,914

F. Major Cause of Visual Impairment

1. Macular Degeneration2,075
2. Diabetic Retinopathy316
3. Glaucoma717
4. Cataracts48
5. Other758
6. Total (must agree with A3)3,914

G. Other Age-Related Impairments

1. Hearing Impairment841
2. Diabetes876
3. Cardiovascular Disease and Strokes1,472
4. Cancer172
5. Bone, Muscle, Skin, Joint, and Movement Disorders1,235
6. Alzheimer's Disease/Cognitive Impairment155
7. Depression/Mood Disorder175
8. Other Major Geriatric Concerns301

H. Type of Residence

1. Private residence (house or apartment)3,416
2. Senior Living/Retirement Community297
3. Assisted Living Facility201
4. Nursing Home/Long-term Care facility0
5. Homeless0
6. Total (must agree with A3)3,914

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)1,822
2. Physician/medical provider99
3. State VR agency286
4. Government or Social Service Agency143
5. Veterans Administration6
6. Senior Center37
7. Assisted Living Facility29
8. Nursing Home/Long-term Care facility9
9. Faith-based organization55
10. Independent Living center32
11. Family member or friend384
12. Self-referral1,012
13. Other0
14. Total (must agree with A3)3,914

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 458,999
1b. Total Cost from other funds 132,373
2. Vision screening / vision examination / low vision evaluation 2,658
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 0

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 739,054
1b. Total Cost from other funds 21,229
2. Provision of assistive technology devices and aids 0
3. Provision of assistive technology services 3,228

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 2,439,023
1b. Total Cost from other funds 1,407,410
2. Orientation and Mobility training 1,425
3. Communication skills 3,242
4. Daily living skills 2,937
5. Supportive services (reader services, transportation, personal 0
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 434
8. Information, referral and community integration 1,125
. Other IL services 0

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 0
3. Community Awareness: Events/Activities 0 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) 4,856,711 3,637,077 -1,219,634
2. Number of Individuals Served 4,060 3,914 -146
3. Number of Minority Individuals Served 1,042 1,001 -41
4. Number of Community Awareness Activities 0 0 0
5. Number of Collaborating agencies and organizations 0 0 0
6. Number of Sub-grantees 16 15

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 3,228 100.00%
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) 2,655 82.25%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 505 15.64%
B1. Number of individuals who received orientation and mobility (O & M) services 1,425 100.00%
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) 1,425 100.00%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 248 17.40%
C1. Number of individuals who received communication skills training 3,242 100.00%
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) 2,571 79.30%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 613 18.91%
D1. Number of individuals who received daily living skills training 2,937 100.00%
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) 2,248 76.54%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 501 17.06%
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) 2,865 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) 28 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 22 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) 32 n/a

Part VII: Training and Technical Assistance Needs

One training need identified by the private agency contractors is for ongoing assistance with the NYSCB computer system. NYSCB is currently developing an upgrade which will make the case management system more efficient and training for users will be provided. NYSCB is expanding specialized Deaf Blind senior services through Helen Keller National Center in Long Island, New York. These services will be intensive and very specialized to benefit consumers who have specific needs for equipment and services to address all aspects of living with hearing and vision loss. Training on the new services and contract is already in place.

Part VIII: Narrative

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

The New York State Office of Children and Family Services Commission for the Blind contracts with 15 private agencies to provide direct services to legally blind individuals over the age of 55. The program is called the Adaptive Living Program (ALP). The goal of the program is to make a comprehensive package of rehabilitation services available to individuals who are legally blind, over the age of 55 and not seeking paid employment. The ALP program includes the evaluation (assessment) of an individual’s service needs within the framework of their personal goals, abilities and resources, and the provision of appropriate types and level of services to promote individual achievement of rehabilitation goals. The ALP program provides adjustment counseling (social casework), vision rehabilitation therapy, orientation and mobility instruction and low vision services. Individuals served may receive equipment such as talking clocks, watches, Braille paper and writing guides, task lighting and low vision devices. Many of the agencies that provide services in the ALP program are beginning to provide technological devices that assist consumers in daily living skills. One agency has begun to provide up to four hours of assistive technology instruction on such items as computers, and smart phones. Contract agencies receive payment based on the number of consumers who successfully complete a training program. Contract agencies conduct outreach activities but do not receive additional funding to do so, therefore it is not possible to calculate the amount of money spent on older-blind outreach activities. In addition, most outreach efforts are focused on providing services to all individuals who are legally blind; therefore it is also not possible to determine the number of elderly persons served as a result of these outreach activities. Outreach efforts include distributing information at health fairs, to doctors, eye care specialists and elder care agencies. A number of contractors have staff that participate in outside boards and organizations related to aging and vision loss. New this year, Lighthouse International and Jewish Guild Healthcare have now merged into one agency called Lighthouse Guild. The 15 contract agencies who provide direct service to consumers are: Association for the Blind and Visually Impaired - Goodwill Industries of Greater Rochester, Inc., Rochester Elizabeth Pierce Olmsted, M.D. Center for Sight, Buffalo Association for Vision Rehabilitation and Employment, Binghamton Archdiocesan Catholic Guild for the Blind, Inc., New York Central Association for the Blind and Visually Impaired, Utica Chautauqua Blind Association, Jamestown Glens Falls Association for the Blind, Glens Falls Helen Keller Services for the Blind, Brooklyn Lighthouse Guild for the Blind, New York Northeastern Association of the Blind, Albany North Country Association for the Visually Impaired, Plattsburgh Association for the Visually Impaired, Inc., Spring Valley Aurora of Central New York, Inc., Syracuse VISIONS Services for the Blind and Visually Impaired, New York Western New York Center for the Visually Impaired, Amherst

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

The New York State Commission for the Blind encourages its contract agencies to expand and improve service delivery. Most contract agencies have intensive Outreach Programs that involve vision screening and education events at community health fairs and Expos, and staff visit sites that have populations who are at high risk for vision loss such as senior citizen clubs and senior congregate housing sites. All agencies work closely with area ophthalmologists and optometrists who provide a steady stream of referrals. A unique approach to reaching new eye doctors is educating office managers regarding low vision services, the ALP program and eligibility criteria for the program. Most providers also have identified rehabilitation agencies and community centers within their catchment areas and these organizations are provided with handouts and informational material. The diversity of service delivery across New York focuses on a broad array of innovative ways to provide services. Many agencies downstate and in the greater New York City area have direct service staff who are bilingual, as well as outreach staff who target specific neighborhoods. An examples of an Outreach project: Lighthouse Guild for the Blind continues to participate in the NYC Coalition on Aging & Vision and benefited from the Coalition’s interpreter/patient navigation services to reach additional patients/clients who speak Spanish and Russian. Highlights of activities, areas and venues reached over the past year include: - Manhattan — Presentations and health fair participation continued throughout Manhattan neighborhoods, including Harlem, East Harlem, Washington Heights/Inwood, the upper east side and upper west side, and downtown. Venues included hospitals and other health facilities, senior centers in NYCHA and other senior housing sites and NORCs, such as New York Presbyterian Hospital, PSS and JASA Senior Centers and DOROT; - Bronx: The growing relationship with Montefiore Medical Center’s Ophthalmology Department has resulted in ongoing contact and referrals as well as 4 Lighthouse Guild presentations to staff and faculty during this time period. In addition, participation continued in community health fairs and programs such as those at Lincoln Hospital, JASA and PSS Senior Centers; - Brooklyn: senior centers, including those affiliated with Catholic Charities of Brooklyn and Queens, and doctors’ offices in locations across Brooklyn, including downtown Brooklyn, Bay Ridge, Bedford-Stuyvesant, Flatbush, Brownsville and East New York; - Queens: NYCHA, Catholic Charities and other sites serving older adults and doctors’ offices in neighborhoods across the borough, such as Long Island City, Astoria, Jamaica, Elmhurst; - Westchester County: presentation to Westchester Ophthalmic Society reached eye doctors from Westchester and the Bronx; continuation of Managing Diabetes to Save Sight outreach/education program conducted at sites in New Rochelle and Mount Vernon; also reached county-wide audiences through participation in Salute to Seniors, the Livable Communities Village Fair and other programs for older adults and caregivers conducted through the Westchester County Department of Senior Programs and Services 2) NCAVI collaborated with a local not-for-profit agency, The Strand Center for the Arts, to offer painting and pottery classes for the visually impaired. The classes filled quickly with consumers ages 18-90. The partnership is continued by offering more art classes and exploring different mediums. 3) AVI collaborates with the Office for the Aging in both Rockland and Orange County to get new referrals, and to inform our consumers of the services provided by the Office for the Aging. AVI has not expanded services this year due to budget constraints. 4) ABVI of Rochester provides outreach in the counties where they provide ALP services. One example is Project Eye Care. Project Eye Care is a program where we provide primary eye care to individuals who are uninsured or under-insured. If an individual is diagnosed as being legally blind (and over 55) during that exam, s/he is referred for state sponsored ALP services. In addition, close relationships are maintained with many eye care practices, as well as with retinal specialists across the service area. They attend numerous health fairs in many different parts of the counties served, in an attempt to reach out to individuals living with vision loss who live in outlying and very rural areas, as well as individuals who are part of under-served communities. They continue to work with Offices of the Aging in the counties within their NYSCB service area, and have conducted numerous outreach presentations at various senior nutrition sites and senior centers in Seneca, Yates, Steuben, Wayne, Monroe and Ontario counties. 5) CABVI of Utica states that the interests and personality characteristics of the older population are changing. The number of seniors interested in technology is increasing. It is becoming more commonplace to provide instruction and guidance in areas of cell phone usage, incorporating usage of a Closed Circuit Television (CCTV) in a lesson and/or instruction in computer programs, web browsing or email communication. They have also engaged seniors in Adaptive Sport and Recreation, including fitness programs. 6) In NYC, the Catholic Guild for the Blind provides services in NYC and the Mid-Hudson Valley counties of Dutchess, Ulster and Sullivan. The Catholic Guild coordinator in the Hudson Valley attends the Mid-Hudson Low Vision Network meetings comprised of professionals working primarily with seniors. Members of the HVLVN attend health fairs throughout the counties to inform seniors of available services. The coordinator made a presentation to providers of senior services in Northern Dutchess County to inform them of services available through the NYSCB. She also works closely with the local agency on aging and registers eligible seniors to receive services. In NYC, outreach included attending a health fair at a Mosque in Brooklyn. This outreach effort provided essential information on vision services to a minority community. 7) AVRE in Binghamton has exponentially increased the number of marketing and educational events they attend. AVRE is also currently offering a free Functional Vision Clinic in Delaware County, in addition to the one offered in Broome County at AVRE’s Center of Excellence on Court Street in Binghamton. AVRE hired a Master’s Level teacher as a Rehabilitation Assistant, and is funding his education through Salus University to become an Orientation & Mobility Instructor. Additionally, they are sponsoring one of their current CVRTs to attend this program as well. They are also providing Low Vision supervision hours for one of their VRTs to become a Certified Low Vision Therapist (CLVT), as the current CLVT may be retiring in the next few years. 8) Visions Services for the Blind of NYC states that during the past year, the community outreach staff continued to collaborate with several other departments of VISIONS to conduct outreach activities. The community outreach team coordinated with the VISIONS Center on Aging to recruit for the senior center, as well as the caregiver program and rehabilitation services under the Adaptive Living Program (ALP) when they conducted outreach at senior service providers. Outreach presentations are provided in multiple languages and in primarily low-income, minority and immigrant communities. 9) Aurora of Syracuse is developing a formal collaboration with St. Joseph’s Hospital and their Licensed and Certified Home Health Care agencies to provide training on Vision and Hearing Loss for their professional and home health care aides. In addition, Aurora is providing a comprehensive assessment of the emergency room and hospital to ensure that accommodations are in place for patients with vision/hearing loss. They are also developing formal collaborations with two large human service providers to train their professional staff in sensitivity to blindness and deafness, and continue to participate as a Core partner in Onondaga County’s Falls Prevention Coalition. 10) Olmsted of Buffalo recently re-established relationships with local Lions Clubs, the Ophthalmological Coalition and other civic organizations. They also created a distinguished speaker series in which the public is invited to attend to hear a prominent professional with vision loss speak on what his/her experiences have been in reaching their achievements. The series is presented annually thanks to a grant. Staff from other agencies were also invited to attend. Olmsted staff continues to attend health fairs, provide outreach in Senior Centers/Adult residences, increase relationships in minority communities, and increase relationships with other community agencies serving the 55 and older population in minority areas. They maintain outreach efforts with Ophthalmologists and primary care providers in all geographic/demographic areas. The Low Vision Clinic now has a second suburban location for those who will not travel into the city of Buffalo for services. It opened in the beginning of August and has been well received. They have heard comments from client’s and their families that they are glad they do not have to go downtown now. Olmsted is looking into the possibility of another suburban location in the “south-towns” to serve the population that will not travel into the city. Rehabilitation Teachers are incorporating additional computer instruction to those who are tech savvy in the ALP program as well as assisting with cell phones and smart phone apps. Orientation and Mobility instructors also suggest apps on smart phones for those who use them. All of Olmsted’s Eye Opener Tours, Distinguished Speakers Series and Vision Awareness Day Activities are designed to raise public awareness. Olmsted continues to distribute brochures in the community, including MD offices, Meals on Wheels, Children and Family Services, Senior Centers and Senior Apartments and Assisted Living Facilities. They have hosted multiple Dining in the Dark experiences for vision providers and civic organizations and continue relationship building with the United Way and other UW agencies. A major goal for NYSCB is to increase the number of individuals from ethnic and racial minority populations who receive services. The NYSCB Outreach Coordinator provides outreach presentations across New York State, focusing on schools, colleges, churches, community centers, advocacy groups, health fairs, healthcare providers, ethnic festivals and senior centers. In addition, NYSCB continues to participate in an agency-wide effort to identify those consumers for whom English is not their primary language. Staff frequently utilize “Language Line”, a telephone translation service, that provides interpreters for consumers who are non-English speaking.

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.

ILOB cases are reviewed once every two-three years when NYSCB conducts a program review for all services provided by the contract agencies. As part of the program review, consumers are contacted by telephone to determine satisfaction with services. The Adaptive Living Program consists of four components: ALP-1: Assessment, eligibility recommendation and service plan development ALP-2: Rehabilitation services provided to an older individual to assist him/her to achieve a greater level of safety and confidence in their living environment ALP2-E: Enhanced rehabilitation services provided to an older individual who requires services in excess of the typical ALP-2 program in order to achieve his/her goals ALP-3: Rehabilitation services provided to an older individual who has significant needs AND primary responsibility for managing the home The greater the need of services, the higher the payment is for each consumer served through the ALP program. Every consumer receives an ALP-1 assessment. One agency was reviewed this year: Catholic Guild for the Blind in New York, New York ALP 2 1. Quantitative data: Five cases were reviewed for ALP 2 services which represented 22.7% of the successful cases in the period. The average number of units of service provided was 8.4, with a range of 5.0 —14.0. On average, services were provided in 2.1 months with the actual range from 1.0 day to 3.8 months. 2. Qualitative data: Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that CGB exceeded standards for first contact with a consumer. This resulted in the assessment immediately following the first contact in many cases. The assessments were completed in a timely manner and addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports were detailed and established a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. Catholic Guild for the Blind provided the appropriate types and amount of services required for ISP goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. Alp 2E Cases 1. Quantitative data: Five ALP 2E cases were reviewed which represented 12.1% of the successful cases in the review period. The average number of units of service provided was 9.0, with service units ranging from 8.0 — 11.0. On average, services were provided in 1.9 months with the actual range from 1.1 to 3.7 months. 2. Qualitative data: Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case record and case note standards in this service area were all met. The case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer, and were submitted within appropriate timeframes. ALP 3 1. Quantitative data: Five ALP 3 cases were reviewed which represented 15.1% of the successful cases in the review period. The average units of service provided was 18.8, ranging from 5.0 — 17.0. On average, services were provided in 3.6 months with the actual range from 3.0 to 6.2 months. 2. Qualitative data: Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment and individualized case notes were of suitable quality. Review of final reports indicated that consumers received concurrent and comprehensive services.

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 services have enabled many older blind individuals to remain independent while maintaining a high quality of life. Three examples of individuals who have benefitted from services are: • Mr. B. was having a very difficult time adapting to his recent vision loss. He stated, “My quality of life diminished. I had trouble preparing my own meals, something that I had done all the time now is a very frustrating task to do. I did not know how to center a pot or regulate a flame without looking into the flame which is not safe for the sighted or those with a visual impairment. I stopped socializing with friends because I didn’t want anybody to have to take me around. I didn’t know how to travel as a visually impaired person.” Mr. B participated in our ALP Program, including our ADL group where he learned basic home management, meal preparation and communication skills. For example, he learned correct use of kitchen utensils, use of the stove, hot beverage making, cooking safely, tactile skills for counter tops and floor care, organizational skills for labeling medication and canned foods, currency identification bill folding, use of a timepiece, grooming and hygiene, etc. He also received adaptive equipment to increase independence. He received mobility instruction and received a cane. At the end of his participation in this program, he stated “Now I am very happy and my quality of life has changed for the better thanks to this training which has given me hope again.” • Our agency provided services to a 70 year old woman who had light perception only. She continues to live independently and until recently has cooked her own meals and takes pride in demonstrating her ability to adapt to challenging situations. Recently she enrolled in Meals on Wheels for the convenience it afforded her; however, she found she desperately missed her favorite comfort food—spaghetti! She was uncertain how she would be able to accomplish this task since she had stopped using the stovetop and carrying a heavy pot with boiling water across the kitchen could be very dangerous. With instruction and practice she learned to safely cook and drain a serving of pasta in the microwave. To make a meal out of it she was taught how to add an egg and various sliced vegetables (cutting them with a finger guard) to the hot pasta making a nutritious meal. She reported she was so happy to be able to once again make spaghetti for herself, safely and independently! • Mrs. GH, age 74 received homemaker services three years ago when she became legally blind and was able to maintain her residence. In the past year, she lost the remainder of her vision and is also the guardian of her teenage grandsons who live with her. Services were provided in all areas; VRT for record keeping, note taking, accessing financial information, meal preparation and other tasks, Orientation and Mobility for increasing her confidence after the additional vision loss and Social Casework for counseling needs. She successfully completed her program, remains an independent homemaker and is guardian of her grandchild.

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

Contractor agencies state that lack of funds for the older blind program continues to be a concern. The elderly population is growing older more, and often consumers have other medical and cognitive concerns to cope with in their daily lives. Technology is also in higher demand, with the use of smart phones and tablets to assist with daily activities. Typically high tech devices are not purchased in the ALP program, but agencies are finding more innovative ways to give consumers access to technology. Such assistance is provided through our equipment loan program, which offers low interest loans to consumers looking to purchase a high tech device. NYSCB continues to look at opportunities to recruit rehabilitation staff, as contractor agencies express that finding and retaining staff can be a concern.

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 byCraig A. Hedgecock
TitleVocational Rehabilitation Counselor
Telephone5184747669
Date signed12/22/2015