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

RSA-7-OB for Alabama Department of Rehabilitation Services - H177B160001 report through September 30, 2016

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 year479,980
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year343,443
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2560,925
A2. Total other federal0
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)53,331
A4. Third party0
A5. In-kind0
A6. Total Matching Funds53,331
A7. Total All Funds Expended614,256
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs192,410
C. Total expenditures and encumbrances for direct program services421,846

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 5.2100 7.6100 12.8200
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 5.2100 7.6100 12.8200

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 13 3.3000
2. Employees with Blindness Age 55 and Older 6 1.2000
3. Employees who are Racial/Ethnic Minorities 13 4.2000
4. Employees who are Women 44 10.9000
5. Employees Age 55 and Older 16 4.1200

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 FY355
2. Number of individuals who began receiving services in the reported FY669
3. Total individuals served during the reported fiscal year (A1 + A2) 1,024

B. Age

1. 55-5963
2. 60-64108
3. 65-6996
4. 70-7495
5. 75-79127
6. 80-84172
7. 85-89187
8. 90-94122
9. 95-9945
10. 100 & over9
11. Total (must agree with A3)1,024

C. Gender

1. Female723
2. Male301
3. Total (must agree with A3)1,024

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race0
2. American Indian or Alaska Native2
3. Asian1
4. Black or African American226
5. Native Hawaiian or Other Pacific Islander0
6. White795
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)1,024

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)58
2. Legally Blind (excluding totally blind)416
3. Severe Visual Impairment550
4. Total (must agree with A3)1,024

F. Major Cause of Visual Impairment

1. Macular Degeneration516
2. Diabetic Retinopathy93
3. Glaucoma180
4. Cataracts21
5. Other214
6. Total (must agree with A3)1,024

G. Other Age-Related Impairments

1. Hearing Impairment403
2. Diabetes347
3. Cardiovascular Disease and Strokes670
4. Cancer167
5. Bone, Muscle, Skin, Joint, and Movement Disorders565
6. Alzheimer's Disease/Cognitive Impairment100
7. Depression/Mood Disorder100
8. Other Major Geriatric Concerns435

H. Type of Residence

1. Private residence (house or apartment)916
2. Senior Living/Retirement Community54
3. Assisted Living Facility41
4. Nursing Home/Long-term Care facility13
5. Homeless0
6. Total (must agree with A3)1,024

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)256
2. Physician/medical provider17
3. State VR agency82
4. Government or Social Service Agency172
5. Veterans Administration1
6. Senior Center8
7. Assisted Living Facility5
8. Nursing Home/Long-term Care facility2
9. Faith-based organization2
10. Independent Living center4
11. Family member or friend217
12. Self-referral218
13. Other40
14. Total (must agree with A3)1,024

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 4,783
1b. Total Cost from other funds 531
2. Vision screening / vision examination / low vision evaluation 231
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 114,122
1b. Total Cost from other funds 12,680
2. Provision of assistive technology devices and aids 827
3. Provision of assistive technology services 868

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 260,577
1b. Total Cost from other funds 12,680
2. Orientation and Mobility training 201
3. Communication skills 586
4. Daily living skills 769
5. Supportive services (reader services, transportation, personal 4
6. Advocacy training and support networks 222
7. Counseling (peer, individual and group) 409
8. Information, referral and community integration 471
. Other IL services 554

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 180
1b. Total Cost from other funds 20
2. Information and Referral 0
3. Community Awareness: Events/Activities 613 6,889

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) 487,082 560,925 73,843
2. Number of Individuals Served 1,027 1,024 -3
3. Number of Minority Individuals Served 230 229 -1
4. Number of Community Awareness Activities 288 631 343
5. Number of Collaborating agencies and organizations 42 86 44
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 868 100.00%
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) 583 67.17%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 281 32.37%
B1. Number of individuals who received orientation and mobility (O & M) services 201 100.00%
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) 139 69.15%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 61 30.35%
C1. Number of individuals who received communication skills training 586 100.00%
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) 397 67.75%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 189 32.25%
D1. Number of individuals who received daily living skills training 769 100.00%
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) 541 70.35%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 228 29.65%
E1. Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 702 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 2 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 30 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 40 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) 1 n/a

Part VII: Training and Technical Assistance Needs

Continuing to provide funding for grants like the Independent Living Services for Older Individuals Who Are Blind (OIB) Training and Technical Assistance Program Grant that was awarded to Mississippi State University is needed. MSU has done a great job of bringing OIB programs together through training conferences, conference calls, and a listserv. More of these activities are needed so that programs can share information and best practice ideas with each other. Technical assistance in regard to recruiting and training qualified Vision Rehabilitation Therapists is always needed.

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 Alabama Department of Rehabilitation Services (ADRS) administers older blind services funded under Title VII Chapter 2 as the Older Alabamians System for Information and Services (OASIS) program. Services are provided in all 67 counties through a network of 20 Vision Rehabilitation Therapists (VRTs) and six Orientation and Mobility (O&M) Specialists positioned in 11 ADRS offices. Specifically, these O&M positons are based in Huntsville, Birmingham, Dothan, Montgomery, Mobile and Tuscaloosa to provide these services across the state. There are also a number of O&M Specialists on the state vendor list for purchased services as needed to provide services to all areas. Three VRT positions are employed at 1.0 FTE using Title VII-2 funds, devoting 100% of their time to the Program. Seventeen VRTs and the five O&M Specialists are employed with funds provided by ADRS and the Alabama Institute for the Deaf and Blind, devoting 25% of their time to the program. All staff are provided Title VII Chapter 2 funds to purchase needed aids for independent living instruction and assistive technology such as CCTVs, handheld electronic magnifiers, and OCR devices. In addition to in-home services, center-based services are available through a partnership with the Alabama Institute for Deaf and Blind Regional Centers in Huntsville, Birmingham, Muscle Shoals, Tuscaloosa, and Mobile.

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 Alabama Department of Rehabilitation Services seeks to incorporate the unique approach to the Title VII Chapter 2 Program into the State Plan for Independent Living under Section 704 of the Rehabilitation Act of 1973 as amended. Of note are several methods and approaches implemented and/or maintained in fiscal year 2016. OASIS maintains an Advisory Council that consists of over 20 agencies, organizations and consumers groups that serve seniors, persons with visual impairment, blindness, or both. The Council meets quarterly and forms the basis of many collaborative partnerships for the OASIS program and learning about available services. This year the Eyesight Foundation of Alabama joined the Advisory Council and shared information about a new initiative they have in partnership with Prevent Blindness called the Alabama Vision Coalition. The Alabama Vision Coalition’s mission is to improve vision related services for Alabamians and improve access to care. OASIS is represented by the Program Director on the Alabama Vision Coalition. One of our partners on the Council is the Middle Alabama Area Agency on Aging (M4A). We participate in their quarterly meetings, and in their Blooming Benefits Day in Jefferson, Shelby, Chilton, Blount, and Walker counties, which are great avenues to increase community awareness. This year the M4A Ombudsman hosted the Protecting Alabama’s Elders Conference which focused on elder abuse identification, protection, and prevention. Also, a representative of the M4A shared information with the Council on the Aging and Disability Resource Centers, Alabama’s “No Wrong Door” initiative funded by Medicaid. OASIS continues to collaborate with the Department of Veterans Affairs Southeastern Blind Rehabilitation Center, which is also represented on our Advisory Council. With a new Visual Impairment Services Team Coordinator on staff at the center, OASIS reached out to include them in the Advisory Council and speak to OASIS staff and vocational rehabilitation counselors at a unit meeting. Similarly, OASIS has a working relationship with the UAB Center for Low Vision Rehabilitation as they serve many seniors statewide who have vision loss. ADRS staff work closely with their UAB Connections support group, helping them prepare for the Dining in the Dark event. They are a good referral source and we value their partnership. UAB also provides our Camp SAVI participants low vision assessments through their contract with the Alabama Institute for the Deaf and Blind. OASIS continued its Camp SAVI (Seniors Adjusting to Visual Impairment) for the fourth year. This year’s event was held April 10th through the 15th, with 8 consumers and 5 support persons participating. Through a collaboration between OASIS, AIDB’s EH Gentry Facility, and the UAB Department of Optometry participants were given low vision, hearing, and technology assessments. In addition, independent living and adjustment to blindness training was provided by OASIS staff and AIDB staff. Support persons learned more about vision and hearing loss, the adjustment process, and how to better assist their family member. In addition to training in independent living skills, a visit to the Anniston Museum of Natural History allow them to explore and consider seeking accommodations to enjoy similar attractions in their home community. OASIS and the American Foundation for the Blind/ VisionAware have a working partnership maintaining 16 information kiosks on low vision and blindness located around the state, which are maintained by ADRS VRT’s. OASIS continues to maintain a license to access AFB’s online training on a variety of topics related to seniors with vision loss. Several current staff have completed the 20 training modules and new staff are expected to complete it. OASIS maintains affiliation with 30 support groups throughout the State of Alabama with the support of our VRT’s and O&M Specialists. A majority of these support groups are in rural areas and assist staff to locate resources for consumers as well as helping consumers with finding about OASIS services. This year the OASIS Coordinator held conference calls for support group leaders to learn of resources and strategies. Also, a statewide email list of over 100 names provides these groups with information and resources is maintained by our Coordinator of Rehabilitation Teachers and Orientation and Mobility Specialists. ADRS is a supporter of staff training for our VRT’s and O&M Specialists to augment their ability to serve consumers. One in-service meeting was held in FY16 and focused on areas of the functional assessment that needed remediation and additional training. Staff also participated in the Blind Services Retreat, State AER Chapter conference, consumer group conferences, a Medical Aspects of Disability conference, and local trainings. Having the 2016 Association of Vision Rehabilitation Therapist hosted in Birmingham, AL allowed our staff to here from experts in the field from around the country and network with staff from other areas. For out-of-state training, the program Director and Coordinator, along with the Coordinator of Vision Rehabilitation Therapists attended the AER International Conference on Veteran’s and Aging in Norfolk, VA and the AFB Leadership Conference in Arlington, VA which provided a track for older-blind programs. In addition, our agency was able to send five of our O&M Specialists to the 2016 Southeast O&M Association’s (SOMA) 50th anniversary conference in Chattanooga, TN. In FY 16 OASIS implemented changes in how staff recorded community activities to better reflect the standards of the current 7-OB report. In this year staff completed 613 community awareness activities, reaching an estimated 6,889 people and 86 local community agencies. Also, an OASIS Advisory Council member and former consumer was highlighted in the ADRS 2016 Annual Report which is provided to legislators and others to inform them on ADRS programs and services.

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.

A Consumer Satisfaction Survey was distributed to each OASIS consumer at program closure during federal fiscal year 2016. Consumers were told that their participation was voluntary and that their responses would be confidential. Findings from analyses of 268 returned surveys indicate that 99.2% of respondents agreed or strongly agreed that services were provided in a timely manner. Further, all respondents agreed or strongly agreed that teachers were attentive and interested in their well-being, and that their teachers were familiar with blindness-specific techniques and aids. Additionally, 98.5% were satisfied with the quality of services received. Consumers responded to questions regarding services related to their ability to travel safely and independently in their home and/or community; complete tasks in the home (i.e. use appliances, cook safely, clean and organize their home, etc.); use of a magnifier to complete tasks; their dependence on others in performing daily activities; their perceptions of control and confidence in maintaining living situations; and sufficient instruction of devices and equipment. For each of these questions, consumers were asked if they agreed or disagreed with each of the statements related to each service area. If they did not receive/request a specific service, they were also asked to provide this information. Note that percentages for each service may not total 100% due to rounding. • When asked about their confidence to travel in the home and community after receiving services, 68% of consumers agreed they were more confident, 16% somewhat agreed, and 4% disagreed. 15 consumers reported that they did not receive this service, of which eleven said they would have liked to receive this service. • When asked about completing tasks in the home 87% of consumers agreed they were better able to complete these tasks, 11% somewhat agreed, and 1% disagreed. 37 consumers reported that they did not request this service of which three would have liked to receive this service. • When asked about their ability to use a magnifier to complete tasks, 86% of consumers agreed they were better able to complete tasks, 11% somewhat agreed, and 1% (n = 1) disagreed. 27consumers reported they did not request this service, of which three would have liked to receive this service. • Of consumers receiving services, 78% agreed they were less dependent on others, 9% somewhat agreed, and 1% disagreed that they were less dependent on others. • When asked about functioning before services 81% indicated they now have greater control and confidence in their ability to maintain their current living situation, 20% somewhat agreed, and 3% disagreed feeling less control and confidence. • Among consumers receiving instruction on devices or equipment 88% agreed that their instruction was sufficient to ensure use of the device, and 9% somewhat agreed, 1% disagreed, and 3% would have liked more instruction. 90 consumers reported they did not request this service. (Note that the question asked about specific devices: CCTV, digital recorder, pen friend, or reading machine.) • When asked if they found peer support groups helpful 34% agreed, 3% somewhat agreed, 1% disagreed, 9% said they were not able to get a ride to attend, 12% said they were not given information about peer support groups, and 41% said they were not interested in attending a peer support group. In addition to demographic questions, the survey included questions regarding changes in vision and health over the previous year. Results indicated that 64% of consumers had experienced reduced vision, 3% had improved vision, and 33% had stable vision. With respect to overall health, 27% reported that their health had worsened, 8% reported improved health, and 65% reported stable health. Consumers were also asked if they had considered going into a nursing home before receiving services and if services had helped them remain in their homes: 23% of respondents reported they had sometimes or often considered a nursing home; 79% reported that OASIS services had helped them remain in their homes. Overall, these results demonstrate the high quality of services and the substantial benefits consumers received from participating in the OASIS program. A copy of the complete program evaluation report conducted by Mississippi State University’s National Research and Training Center will be available in early 2017.

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).

A total of 1,025 persons were served by the OASIS Program during FY 16. Of those, 681 completed their program with their VRT and/or O&M Specialist, receiving 2,666 total hours of instruction, an estimated $179,229 of equipment, and reported greater control in their ability to maintain their current living situation. The program also purchased 39 new and recycled 79 pieces of assistive technology to consumers for reading or accessing print. For consumers in underserved areas 60 hours of contract orientation and mobility instruction was provided to 16 consumers. Demographically 73% of the population was 70 years of age and older, and 27% were “Baby Boomers” (age 55-69). With consumers served reported being 79% white and 20% African American which is consistent with the 2010 Census data for people 55 and older, at 78% and 20% respectively. Macular degeneration, diabetic retinopathy and glaucoma continue to be the most common cause of vision loss experienced by consumers. The leading secondary conditions for consumers were cardiovascular disease, bone, muscle and joint disorders, hearing impairment, and diabetes. Each consumer has an Individualized Plan for Rehabilitation Teaching or an Individualized Plan for Orientation and Mobility. In FY 16 769 consumers were provided daily living skills training, 585 were provided communication skills training, 201 were provided orientation and mobility training, and 867 were provided assistive technology training. Below are examples of consumers who were served in FY 16. Consumer A is a female consumer who lives in DeKalb County. A retired special education teacher, a stroke caused her to leave her job. She was diagnosed later with macular degeneration which started out slow, but progressed quickly. She was initially taught to use a 3X magnifier, but within a few months she was needing 6X magnification. She had indoor and outdoor glare issues, and qualified for a CCTV because she was responsible for writing the checks, paying bills, and dispensing her husband’s medications as well as her own. She is involved with her church and Bible studies, so she wanted to continue to read. Her VRT also marked her kitchen and laundry appliances with Bump Dots. They also worked on kitchen safety and other areas of independent living. The consumer had already developed her own labeling strategies and ways of combating glare. For example, the consumer used car window shades for infants to block out glare while traveling. The consumer’s husband could not understanding why she couldn’t see or do the things she use to do. She asked the VRT to help her husband understand what she was experiencing. The VRT shared goggles that simulate macular degeneration with him and had him do different tasks and activities. This showed him what his wife goes through every day with her loss of vision and gave him a much clearer appreciation for the difficulty she was having as well as how he could work to make the home more accessible for his wife. Consumer B is an 84 year old Caucasian male who was married to his wife for over 30 years and they resided in Orange Beach, Alabama. He served his country with the Army and was a very dedicated service man. His vision loss is due to wet macular degeneration in the left eye and dry macular degeneration in the right eye. He was battling the loss of his vision while taking care of his wife who had with cancer and unfortunately passed away. Through Consumer B’s program with his VRT he learned to use adapted aids for time telling, managing medications, writing skills for making lists and other correspondence, and aides for budgeting and balancing his checkbook. Consumer B was able to read small print such as his household monthly bills, newspapers, and his Bible after being taught to use a magnifier. To block the glare and protect his vision he was taught to use light filtering glasses. He was also taught safety techniques in the kitchen. All of these services have allowed him to live independently in his home by himself with great confidence in his everyday life skills and adjust to life after vision loss and the loss of his wife. Consumer C is a 77-year-old woman who is blind with no light perception that lives alone in a private home. She was referred to the vision rehabilitation therapist at ADRS by the Alabama Institute for the Deaf and Blind. The consumer had been blind for over 15 years before meeting with the VRT this year and she was in need of training in many areas. Consumer C was receiving a large amount of mail each day regarding the management of her health and she was frustrated because she had to constantly ask others to read her mail for her. The consumer mentioned that she felt that some of her mail pertained to issues too personal to be seen by others. An EyePal Solo text-to-audio reading device was donated to the VRT by a person who had owned it for many years. The Eye Pal Solo had not been issued by a rehabilitation agency. The VRT determined that the consumer could benefit from the device especially for the purposes of reading mail. The consumer was introduced to the device and was trained to use it. Consumer C was extremely happy to receive the EyePal Solo from the generous person who donated it. In addition to adaptive reading the consumer also demonstrated great progress in the following living skills training areas: talking time pieces, talking glucose meters, money identification, talking calculators, adaptive telephone usage, use of digital recorders, meal preparation, care for clothing, using electric outlets safely, adaptive games and puzzles, and information on attending her local vision loss support group. These services helped the consumer to become more independent in her home. After her training, the consumer felt that she had greater control and had an improved attitude about maintaining her independence.

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

Of particular concern for our program is the difficulty in which we have to find qualified applicants for vacant positions as we anticipate potential retirements in the future. Another concern is the effect of the expected growth of Baby Boomers that will need our services, as they already make up 25% of FY 16 consumers. Difficulty reaching out to underserved populations such as the Hispanic community continues to be a concern for us as well.

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 byJane Elizabeth Burdeshaw
TitleCommissioner
Telephone334-293-7200
Date signed12/21/2016