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

RSA-7-OB for Colorado Department of Labor and Employment - H177B160059 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 year100,000
Other federal grant award for reported fiscal year364,593
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 2454,259
A2. Total other federal13,762
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act12,105
(e) Other1,657
A3. State (excluding in-kind)11,092
A4. Third party49,898
A5. In-kind56,387
A6. Total Matching Funds117,377
A7. Total All Funds Expended585,398
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs151,441
C. Total expenditures and encumbrances for direct program services433,957

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.4000 0.0000 0.4000
2. FTE Contractors 4.1465 11.8923 16.0388
3. Total FTE 4.5465 11.8923 16.4388

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 61 45.9533
2. Employees with Blindness Age 55 and Older 8 6.7346
3. Employees who are Racial/Ethnic Minorities 30 26.4990
4. Employees who are Women 89 67.0081
5. Employees Age 55 and Older 34 22.9433

C. Volunteers

3.35

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 FY764
2. Number of individuals who began receiving services in the reported FY514
3. Total individuals served during the reported fiscal year (A1 + A2) 1,278

B. Age

1. 55-5970
2. 60-6492
3. 65-69133
4. 70-74131
5. 75-79123
6. 80-84228
7. 85-89213
8. 90-94200
9. 95-9965
10. 100 & over23
11. Total (must agree with A3)1,278

C. Gender

1. Female981
2. Male297
3. Total (must agree with A3)1,278

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race88
2. American Indian or Alaska Native12
3. Asian10
4. Black or African American17
5. Native Hawaiian or Other Pacific Islander2
6. White1,077
7. Two or more races3
8. Race and ethnicity unknown (only if consumer refuses to identify)69
9. Total (must agree with A3)1,278

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)109
2. Legally Blind (excluding totally blind)656
3. Severe Visual Impairment513
4. Total (must agree with A3)1,278

F. Major Cause of Visual Impairment

1. Macular Degeneration782
2. Diabetic Retinopathy59
3. Glaucoma103
4. Cataracts67
5. Other267
6. Total (must agree with A3)1,278

G. Other Age-Related Impairments

1. Hearing Impairment204
2. Diabetes118
3. Cardiovascular Disease and Strokes134
4. Cancer29
5. Bone, Muscle, Skin, Joint, and Movement Disorders220
6. Alzheimer's Disease/Cognitive Impairment69
7. Depression/Mood Disorder70
8. Other Major Geriatric Concerns130

H. Type of Residence

1. Private residence (house or apartment)802
2. Senior Living/Retirement Community264
3. Assisted Living Facility149
4. Nursing Home/Long-term Care facility60
5. Homeless3
6. Total (must agree with A3)1,278

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)94
2. Physician/medical provider24
3. State VR agency12
4. Government or Social Service Agency78
5. Veterans Administration41
6. Senior Center66
7. Assisted Living Facility57
8. Nursing Home/Long-term Care facility38
9. Faith-based organization51
10. Independent Living center274
11. Family member or friend201
12. Self-referral202
13. Other140
14. Total (must agree with A3)1,278

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 244
1b. Total Cost from other funds 2,305
2. Vision screening / vision examination / low vision evaluation 33
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 51,051
1b. Total Cost from other funds 44,684
2. Provision of assistive technology devices and aids 609
3. Provision of assistive technology services 671

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 248,272
1b. Total Cost from other funds 34,088
2. Orientation and Mobility training 234
3. Communication skills 268
4. Daily living skills 780
5. Supportive services (reader services, transportation, personal 364
6. Advocacy training and support networks 349
7. Counseling (peer, individual and group) 645
8. Information, referral and community integration 644
. Other IL services 277

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 45,284
1b. Total Cost from other funds 8,029
2. Information and Referral 1,440
3. Community Awareness: Events/Activities 952 3,026

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) 520,473 549,851 29,378
2. Number of Individuals Served 2,150 1,278 -872
3. Number of Minority Individuals Served 163 167 4
4. Number of Community Awareness Activities 259 255 -4
5. Number of Collaborating agencies and organizations 648 484 -164
6. Number of Sub-grantees 8 8

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 671 100.00%
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) 304 45.31%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 336 50.07%
B1. Number of individuals who received orientation and mobility (O & M) services 234 100.00%
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) 57 24.36%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 135 57.69%
C1. Number of individuals who received communication skills training 268 100.00%
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) 68 25.37%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 135 50.37%
D1. Number of individuals who received daily living skills training 780 100.00%
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) 248 31.79%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 446 57.18%
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) 151 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) 5 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 58 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) 17 n/a

Part VII: Training and Technical Assistance Needs

Our contractors have stated that they could use additional training and technical assistance in two specific areas: record keeping and assistive technology devices. With regard to record keeping, our contractors brought up the challenge of gathering the correct data during the year to be able to accurately report information in the 7-OB report. Sub-contractors are seeking training with updating their data-bases to be more efficient or the creation of an OIB specific database. Additionally multiple contractors stated the needs for ongoing training on new assistive technology devices, specifically devices designed for seniors. The technology changes so quickly and it can be challenging for program staff to know the best available devices and to have the knowledge to train seniors on those devices.

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 Colorado Division of Vocational Rehabilitation uses sub-contractors for the implementation of the Title VII-Chapter 2 program. Below is a list of our sub-contractors and the services they provide. Information provided by contractors has also been summarized in the following Narrative sections B,C,D and E. The Southwest Center for Independent Living (SWCIL): • Support Groups that include presentation and training throughout Southwest Colorado. These groups allow SWCIL to outreach to areas that are very rural, giving them the opportunity to meet OIB consumers in their communities. • Provided material aid including: 100 large print wall calendars, bump dots, 20/20 pens, other low tech visual aids and loaner magnifiers and CCTVs. • Individual services including: peer mentoring, skills training, advocacy, information and referral/ options counseling, AT assessments and recommendations, and home organization. • Low Vision fairs that bring providers and consumers together in an effort to provide a “one stop” conference for all things vision related. Colorado Center for the Blind (CCB) • Provide programs for seniors both at the Center and within the community. • Programs at the Center help senior who are blind to better develop confidence in their abilities. Consumers encounter many other blind seniors and learn that using white canes and Braille are normal skills that they can learn. • Programs within the community are designed to reach seniors with transportation or health issues who are not able to attend programs at the Center. • Community based programs include: group classes in advocacy, counseling regarding developing positive attitudes about blindness and home teaching services. Center for Disabilities (CFD) • Individual services including: home visits, needs assessments, providing free/low cost assistive technology devices, marking appliances and daily living skills training. • Provision of a Resource Directory, Maxi-Aids catalogs and a free Large Print calendar to each consumer. • Monthly Low-Vision Support groups in 6 counties. • Community Outreach and Education including: inviting local agencies and organizations to monthly activities and events; and a Mobile Assistive Technology Expo in which OIB staff took assistive tech equipment to 8 counties to provide hands-on demonstrations. • Outreach efforts were expanded to OIB Staff visits to each of the 17 counties around CFD; 10 of these counties were previously un-served. Part of this effort included distributing Information and resources for the OIB program to 192 agencies in these 17 counties. Center for Independence (CFI) • Biweekly Low-Vision Support groups at 3 office locations (Montrose, Grand Junction and Glenwood Springs). Groups provide a combination of social interaction and education and once a month the Grand Junction Office hosts a potluck lunch were group members and various social service providers come together for demonstrations of equipment or services. • Home visits throughout the region to reach seniors who are unable to attend support groups or are seeking additional services • Expanded Outreach including: hosting the monthly National Federation for the Blind Chapter meeting at our office, hosting demonstrations at Mesa View Assisted Living Center and Nellie Bechtel Senior Apartments to show AT equipment and presenting to the Western Chapter of the Hearing Loss Association of America monthly meeting. Center for People with Disabilities (CPWD) • Monthly Low Vision Peer Support groups in multiple counties that cover new topics each month to ensure consumers are informed about local services, low vision and new technology • One-on-one in-home independent living skills training in the areas of assistive technology, orientation and mobility, communication and daily living skills. • Services for under-served and un-served populations specifically in rural, mountain communities. Efforts to serve these individuals and have focused on building relationships with other service organizations that are within those communities in order to build trust and demonstrate our commitment to those who reside there. Colorado Springs Independence Center (CSIC) • Support groups are held at The Independence Center, and in community facilities. New this year are a Braille class, Diabetic Heart Healthy cooking, and a social support group at a community center where integrated activities happen. • Individual Services to reach consumers who are not comfortable accessing community support groups as they age and their vision worsens. • Outreach efforts include collaboration and partnership with other agencies that work with the un/and under served seniors including: the National Federation for the Blind, the Area Agency on Aging, New Vision Services, Local assisted Living and Medicaid funded Nursing Homes, Silver Key, Technology vendors, and many others. Additionally we have made great strides in our rural communities and have consistent and active consumer participants in the support groups not just in Colorado Springs, but in Calhan and Cripple Creek. Disabled Resource Services (DRS) • Individualized consumer assistance including a partnership with the Larimer County Office on Aging to help provide seniors with assistive technology • Support groups throughout Larimer County • Educational events and social outings • Outreach to under-served and un-served areas by building relationships with other service organizations in the region

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.

Methods used by the Southwest Center for Independent Living to expand and improve services included: radio and newspaper coverage in rural areas about low vision services, sending newsletters to consumers, hosting Low-Vision expos, giving presentations to local organizations, participating at Health fairs and Caregiver Conferences, participating on senior advisory councils and adult protective teams, hosting vendor tables at Senior fairs and building internal capacity by updating in-house AT equipment. Methods used by the Colorado Center for the Blind to expand and improve services included: offering group meetings in senior centers, retirement communities and assisted living facilities; collaborating with other independent living centers to provide technology and mobility training to blind consumers; attending senior fairs to raise community awareness for OIB programs; and reaching out to the under-served population of Latino blind and low vision individuals by providing a monthly support group in Spanish. Methods used by the Center for Disabilities to expand and improve services included: provision of Assistive Technology (AT) devices to 25 consumers through Area Agency on Aging funds; monthly personal visits to DVR, Social Services, Work Force Centers, AAA, Senior Services Centers and Eye Care services in the region to share about services and seek referrals; and changing the Annual AT Expo format from one big event to multiple little events reducing the transportation needs so more seniors could participate. Methods used by the Center for Independence to expand and improve services included: demonstrations of Assistive Technology during the intake process with seniors to better assess their needs; purchasing talking kitchen equipment for teaching and demonstration such as a talking microwave and talking scales; presentations to other professionals on common AT devices and low tech solutions such as bump dots; and increasing community partnerships to include: EnSight Skills, Senior Bluebook CHAMPS Meeting, CCDHH/TEDP project, UC Assistive Technology Partners, Colorado Talking books, Beyond Sight, DVR O&M Instructor and Homemaker coordinator, and the ADRC. Methods used by Connections for Independent Living to expand and improve services included: hosting three Magnified Living seminars in conjunction with the Weld County Senior Center and extensive outreach to the Fort Lupton and Carbon Valley district area (rural under-served areas) where Connections opened a satellite center in December of 2015. Methods used by the Center for People with Disabilities to expand and improve services included: continued outreach in rural and mountain areas, participation in community events (such as service fairs) and in-person meetings with service organization. Methods used by the Colorado Springs Independent Living Center to expand and improve services included: collaboration with RAC, CTS committees, Inter-agency Transition Teams, Brown Bag Lunches, Ethics Committee, TPAC, National Federation for the Blind, and Care collaboration project in Cheyenne Wells with Memorial Hospital; creation of a Spanish brochure and a Hispanic support group; participation in vendor fairs; hosted vendors at the center for product demonstrations and the provision of Assistive Technology devices to consumers through Area Agency on Aging funds. Stated in the Colorado State Plan for Independent Living is the goal of increasing services to the un-served and under-served. All of the efforts put forth by the eight sub-contractors additionally worked to meet this goal. Methods used by Disabled Resource Services to expand and improve services included: collaborating with other local service agencies for health fairs and educational events; distributing monthly newsletters in audio, braille and large print formats; distributing informational material and large print calendars to ophthalmologists, optometrists, home health agencies and senior living facilities; and maintaining an up to date website with new and ongoing events.

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.

Southwest Center for Independent Living Through verbal feedback, most OIB program participants have indicated that they have been happy with the services and supports provided by SWCIL. One participant did leave services because of a disagreement with staff yet he remains part of other programs at SWCIL. Capturing satisfaction through a traditional survey remains a challenge as many participants are not able to/choose not to fill out a written survey. SWCIL is currently tracking satisfaction of services with a tool provided by the local Area Agency on Aging. Colorado Center for the Blind In a recent survey, we asked participants if services they received from us helped them to maintain or improve their independence. 91% stated that yes, services they received helped them to maintain or improve their independence, 3% stated no, and 6% did not know. Center for Disabilities This year we received survey responses from 42 OIB consumers. Of those responding, 5 reported no change in their life due to services received and 37 reported positive improvements. Through verbal feedback, many of CFD consumers have expressed gratitude for programs and services provided, both individually and in group/community activities. Additionally, CFD received overwhelming positive responses for the social activities/community awareness events such as the Hayride and the Annual OIB Holiday Dinner. Center for Independence Consumers constantly provide verbal feedback about their experience with services. CFI has received positive feedback for the Low Vision Peer Support Groups. In particular the mix of social and educational information has helped seniors combat the fear they have when they are first diagnosed with a progressive eye condition. Connections for Independent Living While consumers self-report a high level of satisfaction with services, Database records did not record this information accurately from the OIB satisfaction surveys. This is most probably due to a need for additional staff training on the data base. Center for People with Disabilities This past fiscal year 56 surveys were returned and 77% of respondents indicated the services they have received help them acquire new skills; 94% indicated they have learned about low vision resources; 72% indicated that they have improved independence and 60% indicated they feel more connected with the community. Colorado Springs Independence Center Phone surveys were completed in June 2016 for OIB/ Material Aids grant in conjunction with the AAA, and paper surveys in September 2016 with active consumers of The Independent Center. Our consumers reported having complete satisfaction with the program, and liked the grant opportunities for Material Aids products. Receiving AT devises has improved their quality of life. Some of the consumers noted frustrations with the timeliness of product delivery and the need for training on products ordered. Disabled Resource Services Recent survey results showed 100% of the consumers served through the OIB program stated they had greater control of their lives after receiving services and staff support. Qualitative information show that they learned low-vision coping skills, accessed community and regional resources, engaged in social, recreational/educational events, benefited from peer mentoring/counselling and participated in monthly support groups. For consumers that had changes in lifestyle or relocated to another type of living environment, less than 5% showed no change in their independence.

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).

What follows are three individual cases as shared with us by our contractors. The impact of these funds is immeasurable in many ways and life changing to the consumers served. 1) Greg was 72 when he started to attend the senior support groups at the Colorado Center for the Blind. He had macular degeneration and was beginning to lose his sight. At the time, he lived in a mountain community with his wife. Greg attended the week long, residential Seniors in Charge Program at CCB to receive intensive training in orientation & mobility, Braille, technology and cooking. He and his wife divorced last year and she placed him in an assisted living facility due to his low vision. Greg was unhappy in the assisted living facility and wished to live more independently. He received encouragement from the support group to move to a more independent setting. CCB staff helped him find resources to assist with a move to independent living and taught him skills that he would need to live in the less restrictive environment. At 75, Greg now lives independently in a senior community and has a full and active life. 2) In August 2016 Alice initiated a new goal "To learn more cooking and kitchen skills in order be more independent and have more choice/healthier food when home alone ( she lives with her daughter but her daughter is sometimes away for periods of time).” Alice has been attending Low Vision Peer Support groups at the Center for Independence since 2015 and even attend a week long training program at the Colorado Center for the Blind. In 2016 the peer support group meetings have had an emphasis on kitchen skills and cooking as more seniors with low vision identify this as an area where they need additional training. Due to the needs seen among support group members, CFI created a Low Vision Kitchen Skills and Cooking class. Alice attended the pilot program in late August. She was eager to buy adaptive aids to help in her quest to do more cooking for herself and increase her skills. The Low Vision Kitchen Skills and Cooking class gave Alice the skills and confidence she needed to meet her goal. Alice continues to become more independent due to her involvement with the Peer Support Group and programs at The Center for Independence. Because of the many skills she has learned she is using adaptive technology, traveling out of state to visit family, and now cooking for herself when her daughter travels. 3) A homeless person who is legally blind and has other disabling conditions, was about to lose his space at a temporary shelter. Comprehensive IL and OIB services/resource referrals were provided after he contacted Disabled Resource Services. Within 6 months, this consumer was in affordable housing with a housing voucher; received services from DVR that included O&M training; and was successfully using a CCTV from the DRS OIB Loan Closet to manage personal correspondences, SSA information and medical appointments. Additionally, he acquired several adaptive aids (atomic talking watch, talking compass, etc.) to manage daily activities; attended local vision support groups where he’s a peer mentor and speaker; participated in OIB sponsored social/recreational activities; and is learning Braille at-home via Hadley School for the Blind. Moreover, he’s using public transportation to access and fully participate in the community. His future plans include seeking employment after becoming more adept using assistive technology, receiving training from DVR and stabilizing his other medical conditions.

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

As a Designated State Agency one of our biggest challenges is ensuring accurate and consistent data for the 7-OB report. Many of the sub-contractors had significant changes in staff that led to inconsistencies in collection methods and reporting. We are excited that the Technical Assistance and training component through Mississippi State University is looking to address these issues. What follows below is a list of challenges as shared with us by our sub-contractors. 1) Uncertainty of funds due to the lack of an approved federal budget for the full fiscal year is a consistence annual challenge. This makes it hard for sub-contractors to budget for the full year and delays the distribution of funds to sub-contractors. 2) Changes in funding levels over time is another ongoing challenge. This has lead sub-contractors to have to let go of staff when there is a cut back to funding. From this state level this has happened when we have increased the number of sub-contractors to try and provide state-wide coverage of services with limited funding. 3) The 7-OB report does not provide space to reflect the progress of individuals still receiving services. All the sub-contractors noted that they have participants who use services for multiple years and their data is not reflected in Part VI of the 7-OB. A more accurate picture of the success of our OIB program would include data on those who are living independently but are still receiving services. 4) Transportation is a big challenge for our sub-contractors in more rural areas. Proving transportation for consumers creates a dependency that goes against much of the IL philosophy yet is often the only way for participants to get to group meetings. Additionally providing transportation for participants is almost very expensive. Many parts of Colorado do not have adequate public transportation for program participants. 5) The cost of Low Vision Assistive Technology is often far too high for people on a fixed income to be able to afford. Due to specially designated grants through the Colorado Area Agencies on Aging, many sub-contractors were able to help individuals purchase assistive technology but there still remains a big gap between the number of people needing such technology and available funds to purchase this technology. Additionally finding and hiring qualified staff to train individuals on this technology is a challenge. 6) All sub-contractors shared concerns about the elimination of the Homemaker goal and how that will affect OIB consumers. Many OIB consumers receive services from OIB sub-contractors and DVR. This has previously provided additional options for consumer choice and access to greater resources. There is much concern about how seniors will be impacted by this change from WIOA. 7) The final challenge noted is also the largest, the growing senior population and stagnant funding levels. The senior population is growing at a fast rate and now there is a distinct difference between young seniors who are comfortable with computers and technology and older seniors who are not. This divide indicates a need for more varied services which is challenging for sub-contractors when there has been stagnant funding for OIB. Sub-contractors are concerned about how they will meet the needs in their communities without a large increase in funding.

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 byLisa Nelson
TitleServices Coordinator, Blind & Low Vision Services
Telephone303-866-2209
Date signed12/29/2016