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

RSA-7-OB for Mississippi Department of Rehabilitation Services - H177B160024 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 year280,937
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2280,937
A2. Total other federal96,598
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement96,598
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)31,215
A4. Third party0
A5. In-kind0
A6. Total Matching Funds31,215
A7. Total All Funds Expended408,750
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs16,843
C. Total expenditures and encumbrances for direct program services391,907

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 2.5000 6.0000 8.5000
2. FTE Contractors 0.4000 0.0000 0.4000
3. Total FTE 2.9000 6.0000 8.9000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 0 0.0000
2. Employees with Blindness Age 55 and Older 1 0.5000
3. Employees who are Racial/Ethnic Minorities 7 4.5000
4. Employees who are Women 14 8.9000
5. Employees Age 55 and Older 2 1.0000

C. Volunteers

0.02

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 FY368
2. Number of individuals who began receiving services in the reported FY301
3. Total individuals served during the reported fiscal year (A1 + A2) 669

B. Age

1. 55-5948
2. 60-6488
3. 65-6984
4. 70-7464
5. 75-7992
6. 80-8483
7. 85-89122
8. 90-9465
9. 95-9922
10. 100 & over1
11. Total (must agree with A3)669

C. Gender

1. Female468
2. Male201
3. Total (must agree with A3)669

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race3
2. American Indian or Alaska Native1
3. Asian0
4. Black or African American187
5. Native Hawaiian or Other Pacific Islander0
6. White477
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)669

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)62
2. Legally Blind (excluding totally blind)607
3. Severe Visual Impairment0
4. Total (must agree with A3)669

F. Major Cause of Visual Impairment

1. Macular Degeneration271
2. Diabetic Retinopathy68
3. Glaucoma139
4. Cataracts7
5. Other184
6. Total (must agree with A3)669

G. Other Age-Related Impairments

1. Hearing Impairment3
2. Diabetes12
3. Cardiovascular Disease and Strokes10
4. Cancer0
5. Bone, Muscle, Skin, Joint, and Movement Disorders4
6. Alzheimer's Disease/Cognitive Impairment0
7. Depression/Mood Disorder1
8. Other Major Geriatric Concerns8

H. Type of Residence

1. Private residence (house or apartment)625
2. Senior Living/Retirement Community13
3. Assisted Living Facility25
4. Nursing Home/Long-term Care facility5
5. Homeless1
6. Total (must agree with A3)669

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)99
2. Physician/medical provider78
3. State VR agency47
4. Government or Social Service Agency24
5. Veterans Administration18
6. Senior Center1
7. Assisted Living Facility3
8. Nursing Home/Long-term Care facility3
9. Faith-based organization1
10. Independent Living center2
11. Family member or friend114
12. Self-referral276
13. Other3
14. Total (must agree with A3)669

Part IV: Types of Services Provided and Resources Allocated

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

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 52
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 198,596
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 590
3. Provision of assistive technology services 10

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 64,788
1b. Total Cost from other funds 127,015
2. Orientation and Mobility training 45
3. Communication skills 87
4. Daily living skills 363
5. Supportive services (reader services, transportation, personal 8
6. Advocacy training and support networks 2
7. Counseling (peer, individual and group) 0
8. Information, referral and community integration 266
. Other IL services 374

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 710
1b. Total Cost from other funds 798
2. Information and Referral 268
3. Community Awareness: Events/Activities 81 2,274

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) 389,467 408,750 19,283
2. Number of Individuals Served 616 669 53
3. Number of Minority Individuals Served 187 192 5
4. Number of Community Awareness Activities 92 81 -11
5. Number of Collaborating agencies and organizations 25 25 0
6. Number of Sub-grantees 0 0

Part VI: Program Outcomes/Performance Measures

Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 10 100.00%
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) 4 40.00%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 6 60.00%
B1. Number of individuals who received orientation and mobility (O & M) services 45 100.00%
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) 13 28.89%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 32 71.11%
C1. Number of individuals who received communication skills training 87 100.00%
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) 29 33.33%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 58 66.67%
D1. Number of individuals who received daily living skills training 363 100.00%
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) 146 40.22%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 217 59.78%
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) 208 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 16 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 42 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) 4 n/a

Part VII: Training and Technical Assistance Needs

Training request: * Federal Regulations regarding funding and services for the Older Blind Program for Program Managers. * Promising Practices that are being used in other states to serve Older Blind Consumers for Program Managers and OB Instructors. * Annual training for Older Blind Instructors including: working with smart phone technology and apps for the blind; low vision aids; computer assistive technology devices/software; and working with consumers with dual disabilities.

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.

Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/ Independent Living Program (IL) has ten Instructors that provide direct services to Older Blind consumers throughout the state of Mississippi. With office locations within the ten MDRS district areas; all consumers have access to services regardless of location. Each year, great efforts are made to reach the underserved population of Mississippians 55 years of age and older who live in rural areas. Through participation in health fairs, visual acuity screenings, presentations to civic groups, and outreach contacts to service entities, thousands of Mississippians have received services and information regarding program services and referrals to other organizations. During the 2016 federal fiscal year, each Instructor made a minimum of one outreach contact each month. In February, two staff members attended The 2016 Building Partnerships...Working Together Conference; in April 2016, one staff member attended Lions of Mississippi 2016 State Convention; and in July, three staff members attended the 2016 Statewide Coordination Transportation Summit, these activities provided the staff an opportunity to network with other service entities and establish a referral base statewide. Visual acuity screenings were provided to underserved, rural areas of the state, including the Mississippi Delta. Screenings were coordinated with Mississippi Lions, home health agencies, senior centers, schools, community health fairs, and state agencies. A part of the screening procedure is to make referrals to the appropriate service providers for evaluation and needs assessment. Brochures on eye health and conditions are distributed all in an effort to increase the public's general knowledge and awareness of blindness and its causes. Over 550+ Mississippians were screened during the 2016 federal fiscal year. The IL staff also set-up information booths and displays that provided opportunities to obtain program information at the National Federation for the Blind Convention and the Mississippi Council of the Blind Convention in April 2016. Additional information regarding outreach activities may be found in Appendix A.

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.

In an effort to improve and expand community services and programs for older individuals who are blind, the Independent Living program continues to partner with local service entities through participation in health fairs, visual acuity screenings, in-service trainings, peer support groups, and other activities. Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) continues to partner with Social Security Administration to provide Work Incentives Planning and Assistance (WIPA) services to SSDI and SSI beneficiaries. The IL staff currently splits their time between IL and WIPA. This task of providing WIPA services has enabled the IL Program to allocate more of the Older Blind grant funds for client services because they are able to pay part of the staff salary with WIPA funds. Instructors are frequently asked to participate in different training activities and provide in-service programs to various civic entities with whom they can partner to expand the region's knowledge about aging and vision loss. During the 2016 federal fiscal year, IL staff members provided in-service programs to National Federal for the Blind (Greenville), National Association of Social Workers (Biloxi), Mississippi Occupational Therapy Association (Gulfport), Meet the Blind/National Federation for the Blind (Starkville), and the Office of Vocational Rehabilitation for the Blind (Quarterly Counselor Training in Jackson). Over 100 participants received information about the Older Blind Program. The Independent Living Program continues to work with the Veteran Administration VIST program. Eligible veterans are referred to the VA for services and IL works with the VA in coordinating services. One IL staff member continues to partner with the Armed Forces Retirement Home providing support for low vision and hard of hearing veterans through participation in the monthly peer support group. One IL staff member continues to partner with Mississippi Deaf-Blind Project to provide telecommunication equipment to eligible consumers through the I Can Connect Program (The National Deaf-Blind Equipment Distribution Program). During the 2016 federal fiscal year, 15 eligible consumers were able to receive computers, ipads, high resolution CCTVs, and smart phones at no cost to the Older Blind Program. The Instructor reported that the consumers who participated in the program are thrilled with the outcome and use the equipment for checking email, viewing pictures, and even using facetime with their grandchildren. This federal fiscal year, one staff member partnered with Starkey Hearing Aid Foundation Hear Now Program to provide 5 consumers with hearing aids at no cost to the Older Blind Program. This staff member also partnered with the National Federation for the Blind free white cane program to provide 12 consumers with free white canes. The Office of Vocational Rehabilitation for the Blind/Independent Living Program (OVRB/IL) is part of the statewide facilities committee that meets quarterly to discuss service provisions throughout the state. A representative from the Older Blind Program attends meetings and provides a quarterly report. Members of the committee are informed of consumer issues, funding, staff training, and other activities of the Independent Living Program. The Older Blind program continues to have a very active peer support group network. Groups meet statewide on a regular basis to discuss issues relating to vision loss, community awareness, advocacy, and social events. Each group plans their own activities with the instructor serving as a resource to provide information and guidance to group leaders as needed. This fiscal year, one Instructor began networking with the Lions of Gulfport, the ARC, and the Lighthouse LA to improve transportation for peer support group members in her area. The program manager attends all quarterly Statewide Independent Living Council (SILC) meetings and trainings designed to improve and expand services for Mississippians with disabilities. A quarterly report on the Older Blind Program is provided at all meetings. Involvement in the community is enhanced by the participation of Independent Living Staff in Lions of Mississippi, Mississippi Association for Education and Rehabilitation for the Blind and Visually Impaired (MAER), Mississippi Library Services/Friends of Handicapped Readers, Mississippi Radio Reading Services, Mississippi Council of the Blind, and Mississippi Industries for the Blind, and other local civic and service organizations. Staff members serve as officers and board members, work on fundraising events, participate in community health fairs, and assist with providing visual acuity screenings. This federal fiscal year, the IL staff assisted with over 9 vision screenings, increasing awareness and visibility to the community.

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.

MDRS Program Integrity Unit provides a bi-annual review of closed cases for the Independent Living Program. During the 2016 federal fiscal year, a total of one hundred and twenty-six closed cases were submitted for review. Client Satisfaction Survey Forms are given to each consumer at case closure and are included in the MDRS Program Evaluation Report (Appendix B). As stated in the Summary and Findings of the Program Evaluation Report, "The review of the case records indicates that the rehabilitation instructors are providing excellent services to this target population of Mississippians 55 years of age and older who live in rural areas and have visual impairments that inhibit their tasks of daily living. A review of case records from this program shows these instructors are striving to meet their mission of enabling these consumers to maximize their own skills, develop their own support systems and network with local resources in order to avoid or delay institutionalization and/or dependence on others." Based on seventy-two surveys that were returned, consumers indicated they were greatly pleased with the program, the services and the Instructors. They indicated their daily living skills were enhanced by the services provided by this program. One of the questions asked on the Consumer Satisfaction Survey that is completed by all eligible consumers at closure is "What was the greatest difference this program made in your life?" In the 2016 Program Evaluation Review Reports, responses range from: The video magnifier allowed me to read again; I find a lot of pleasure in the talking books; Being able to tell time; Able to do crossword puzzles again; I can read the newspaper and other printed material again; I feel a lot safer now that I use a cane to get around safely; Being able to do my own shopping; Being able to do things for myself; I can see my mail; Watching sports on TV and being able to enjoy the games; I am able to tell time now with my talking watch and clock; Love the magnifier. Wouldn't be able to see anything without it; I feel better not having to ask my wife for help all the time; AMC Training; I now can depend on myself again instead of my family for everything. For a complete list of consumer comments see Appendix B in the MDRS Program Evaluation Reports.

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).

(1) Mr. S. is a 79 year old gentleman that lives alone outside a very small town. He was tax assessor, same as his daddy, for more than 40 years. He also was the democratic candidate for governor of MS in 2011. To say he knows his way around the area, roads, etc... would be an understatement. He can tell you every road, back road, side road, unlabeled road, etc… and get you where you need to go after years of looking at maps and drawing most of them himself for tax purposes. He is the father of three children, two of which are deceased and one lives in Tennessee but he talks to her several times a week. He has an extreme love for the outdoors and I noticed he was on the cover of an outdoor magazine with his famous hunting dog some years back. He mentioned that his eye sight has made it where he is no longer able to hunt but that he still enjoys riding out across his land on his golf cart with his constant companion, a 13 year old beagle. Mr. S explained that he moved the Cadillac out to the yard since he isn’t able to drive it, and parks his golf cart under the carport. He would love to be able to spot the squirrels in the trees from his golf cart, even without being able to hunt them, so right away I noted that a distance binocular would most likely be beneficial. Mr. S. also had a liver transplant back in 2009 and loves to talk and share about this and how important organ donation is. He was in ICU for so long prior to his transplant, that the nurses and staff there quickly became his close family and he still stays in close touch with them even now after 7 years. Mr. S’s vision loss is caused by macular degeneration and can remember back when he was a small child, a grandparent having poor vision, but at the time were unsure of what had caused it. Mr. S and I discussed daily tasks that give him the most trouble and concluded that the biggest obstacle was — reading printed material. Living alone and not having close family to depend on, Mr. S is always trying to read something whether it be a piece of mail, bill, picture of family, medication bottle, etc... We tried a smartlux during our low vision evaluation and he cried. Happy tears of course! Mr. S explained that he thought he would never be able to read again. Being able to do with the smartlux was overwhelming. He loved how he could change the size of the print on the smartlux according to what he was reading, as well as change the background color to black so there would be so much less glare. There are a few other aids and appliances we determined he could use but reading was the biggest task. I returned a few weeks later to deliver Mr. S his own smartlux. He quickly got different things out to look at — mail, bills, etc... and I also showed him how it will sit at an angle so that you can write under it. He said that that would be so very helpful for writing out checks, signing paper work, etc... He was so pleased that he called my office later on that day just to let me know how much he appreciated our program and the ability to be able to read again. (J. Peacock, ILB Instructor) (2) My client is an 80 year old retired college history professor. His vision loss is due to macular degeneration. He was referred to the IL program by a friend who is a retired ophthalmologist very familiar with the ILS/OB program. Mr. Xs IL goals included being able to tell time, read books and magazines, manage his personal business, cook safely, move safely in familiar/unfamiliar settings, write letters to friends, family, and former students, etc. IL services provided to him included a functional LVA, center training, training in the home, appropriate assistive devices, referral to other agencies and services as needed or requested. During his functional LVA, it was determined he could easily use a CCTV to read his mail, write checks, directions on food boxes, and other visual tasks. He also was able to use a handheld 5x lighted pocket magnifier for short term visual needs and a pair of TV glasses for watching his TV programs. He was referred to Library Services to meet his reading needs, he is an avid reader and has thoroughly enjoyed this services. He is able to read his book club book and participate in the discussion. Mr. X inquired about training at the Addie McBryde Center. He stated he liked me coming to his home, but thought he would benefit from day to day training. A referral was completed on him to attend AMC and he was accepted. He also decided to be a dorm student even though he lives in the Jackson area. While at AMC, he excelled in all of classes and particularly enjoyed the company of the young adults attending training at the same time. He encouraged them to do their best and learn as much as they could so when they leave the center they will excel in their school work or on the job. In turn, the young adults encouraged him to do his best so he could continue to live independently. Mr. X is now more independent as a result of services received through the ILS program. He can now read books, magazines, manage his mail, travel safely in familiar/unfamiliar environments, manage his personal mail, cook safely, etc.. (N. Beal, ILB Instructor) (3) Ms K is a 69 year old lady who was referred for assistance after suffering from vision loss due to a brain tumor. She had gone to the doctor with headaches and vision loss. The doctors said that she had a brain tumor which was causing compression on her optic nerve. The tumor was removed but optic nerve damage left her legally blind. She said at first it was hard to accept her new circumstances and she felt hopeless and useless. Her daughter urged her to seek help for adapting to her vision loss. Ms K eventually agreed to visit Addie McBryde Rehabilitation Center for the Blind. She was impressed with what she observed and agreed to attend the center for assistance in adjusting to her low vision. Ms K says that attending the center was the inspiration she needed to put aside her self-pity and begin a new way of life. She said the staff gave her the knowledge and encouragement that she needed to begin to learn new ways to do things independently. She gained confidence from observing other students who were dealing with similar situations. Ms K has been provided with magnification devices to help her perform the things that she enjoys most in her life. She was provided with a CCTV and a hand held portable electronic magnification device. Ms K said that she feels more independent now and has resumed reading and enjoying her hobbies. She said that she does everything that she wants to again. She said that her vision loss was a life changing event that left her with a greater appreciation for things that she once took for granted. She said that she is very thankful for the help she received and will always be grateful for services received from Independent Living for the Blind. (P. Spring, ILB Instructor) (4) Mr. LS is a 56 year old male who is married and is also legally blind due to retinitis pigmentosa. Mr. LC is full of life and is very active. The only thing slowing him down is his vision loss. Mr. LS was once very active with activities involving his grandkids; he was once a police officer who was able to read his own mail, and was able to dress himself independently. When Mr. LS first became legally blind he lost his independence, but he did not lose all confidence that something was out there to help him. He had to depend on his wife to take him places, read his mail and handle his affairs. However, this soon became a problem when his wife started having heart problems which required her to get a lot more rest. Mr. LS was familiar with an independent living program in South Carolina where he is originally from. However, found out that Mississippi had an independent living program after speaking with someone about the program at a health fair. He was very excited to know that there was help in Mississippi as well to help him to live more independently in the home. Mr. LS received a number of low vision aids to help him live independently in the home. Mr. LS is now able to read mail using his Ruby. He is now able to pay his own bills as well as sign his name by using the signature guide, check guide, and envelope guide. He was also able to gain more independence in the kitchen by using the liquid level indicator. Finally, he is now able to play catch with his grandchildren by using the pro basketball with bells and beeper on it so that he’s able to hear when the ball is near him. More importantly, he gained his self-confidence back and is now able to enjoy the many things sighted people may take for granted. This was all provided to him at no cost and he was extremely pleased with the services that the state of Mississippi has provided him. (V. Young, ILB Instructor) (5) I’ve had the pleasure to work with Ms. Rouse for this grant year. Ms. Rouse was an 87 year old female who was legally blind and suffered from macular degeneration. Nevertheless, she didn’t let her legal blindness keep her down. Mrs. Rouse was a former consumer that moved back to New York with her daughter a couple of years ago. However, Mrs. Rouse found her way back to Hattiesburg, MS during the first part of 2015. Ms. Rouse lived at a nice retirement home and made lots of friends. Mrs. Rouse’s daughter purchased a CCTV for her. However, Mrs. Rouse told me that she needed a hand magnifier. She said that she would like to see the prices of the items when she went shopping. My answer to her was “Okay, Mrs. Rouse that will not be a problem.” I purchased a handheld LED magnifier for her along with bold line paper, pens, big print calendar, big button telephone, and sunshades. Mrs. Rouse was on the move! She showed me many items that she purchased while using the handheld magnifier. She used her sunshades while outside (she stayed outside longer) and was able to use the telephone more. For some individuals that do not understand the preciousness of eyesight will not understand the joy of having a simple magnifier or even a sheet of bold line paper. Mrs. Rouse was so grateful that these items were provided to her. (V. Barnes, ILB Instructor) (6) I first met this consumer last year, when she was referred to me after having suffered a brain aneurism and optic nerve damage. Along with her loss of vision, she was struggling with physical weakness and a loss of hearing. On our first visit we talked for quite awhile, she shed some tears and voiced her fears about not being able to do so many of the things she used to do before becoming a visually impaired person. We began working on the daily living activities right away. She had basic knowledge of a smart phone and knew about voiceover, she was interested in other methods to help to communicate by voice or internet. This was something she had been trying on her own unsuccessfully and she had a real desire to be able to use her computer again. She learned some skills for using her oven efficiently, we used bump dots, we included an oven stick and some long kitchen mitts to prevent burning. She was thrilled to be able to read recipes with the handheld video magnifier. She then decided to apply for the I Can Connect Program where she could get other technology equipment and training on how to use it. She is also planning to enroll in Hadley School for the Blind, and since she started making plans, her sister and mother have inquired about the courses as well! She has been issued a new cell phone with larger numbers and amplified sound and an I-Pad which she plans to use for taking courses and checking email. This consumer has come a long way since the first time we met and recently attended a peer support group as the guest speaker to talk about how these blind services made such a big difference in her life. She was an inspiration to other attendees with her positive outlook! She has decided to continue to volunteer for the low vision support group to inspire others in a similar situation and offer support in issues related to vision loss and how to cope. She wants to be an advocate to make sure they know about the resources that are available to them to allow them to regain a portion of what was lost. (S. Schiller, ILB Instructor) (7) When I first met this consumer in August of 2016, she was very timid. She would only answer questions when she was asked and she had trouble getting around her house. She was not able to clean her house, do the dishes, do the laundry, and she could not dispense her own medication. She had family and friends that supported her, but she needed training on how to be independent again. I suggested that she attend the Addie McBryde Center to gain some independence back in her life. Her mood instantly changed from timid to being excited at the chance to learn how to do every day activities again. The consumer started taking classes at the end of September and her excitement at learning became contagious. I saw her in the lobby during her first week and I asked her how the training was going. She was thrilled to tell me what she did when she got home from classes one day. She told her husband she was going to use her walking cane from the driveway to the house. She said it took me a while, but I got there. Her confidence began to build from there. She would come to AMC with more makeup on each time, her clothes were neater each time, and her hair was combed perfectly. She was excited about learning and her positivity wore off on the instructors. The instructors at Addie McBryde Center taught the consumer how to dispense her own medication. This was an important skill for her to learn, because her neighbor had been dispensing her medication on a daily basis. She learned how to use her walking cane, how to clean, how to use an iron, and how to use an oven. She told me that even though she was able to get someone to come to her house to help her cook and clean during the week, she still wanted to learn how to do both by herself. She learned how to count money including coins, and she was thrilled about receiving a talking watch. She loved that she did not have to ask anyone what time it was ever again. She told me she would miss exercising on the bicycle in Leisure Education class the most, but she wanted to try to walk in her neighborhood since she enjoyed it so much. She enjoyed the staff as much as they enjoyed her. During each staffing meeting, the instructors would brag on what she had learned during her training. Each instructor said she was so vibrant and they really enjoyed having her in their class. She asked me when her training was over when could she come back for more training and I told her you are always welcome at the Addie McBryde Center. (D. Vineyard, ILB Instructor) (8) Ms. AP is blind due to complications from diabetes. She lives in an apartment with her boyfriend, who helps her very much around the home. However, she struggles with getting around safely, she's unable to read her mail until her boyfriend comes home from work, and she is very limited in feeding herself. After meeting with Ms. P it was determined that she would be needing cane training in and around her home, a reading machine to read her mail, talking devices, such as a clock and watch, appliances to help her cook independently, and bump dots to help her safely navigate around those appliances. Ms. P was provided an eye pal that reads her mail aloud, a microwave and toaster oven to help her cook her meals independently, and a talking watch and clock to help her keep up with her appointments. Ms. P was provided cane training in her home from the Addie McBryde Center in Jackson, MS by Sandy Carter. Ms. P can now safely move around her home independently. Ms. P can now do some things in the home using aids and skills training provided. (F. Williams, ILB Supervisor)

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

Mississippi's Independent Living Program is pleased with the services that were provided this grant year. As indicated in Part V, the Independent Living Program has been able to increase the number of consumers served. However, with the increasing costs of providing quality services, Mississippi's Independent Living Program is concerned with how the current state of the economy will impact the Title VII-Chapter 2 Older Blind Program and the consumers we serve.

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 byLynda Hall
TitleProgram Manager
Telephone662-320-6656
Date signed12/05/2016