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

RSA-7-OB for Nebraska Commission for the Blind and Visually Impaired - H177B160027 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 year225,000
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year223,501
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2235,806
A2. Total other federal14,964
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement14,964
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)153,040
A4. Third party0
A5. In-kind0
A6. Total Matching Funds153,040
A7. Total All Funds Expended403,810
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs71,458
C. Total expenditures and encumbrances for direct program services332,352

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.3300 3.0000 3.3300
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 0.3300 3.0000 3.3300

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 13 1.1300
2. Employees with Blindness Age 55 and Older 6 1.1200
3. Employees who are Racial/Ethnic Minorities 8 0.1200
4. Employees who are Women 26 2.1500
5. Employees Age 55 and Older 18 2.8100

C. Volunteers

0.00

Part III: Data on Individuals Served

Provide data in each of the categories below related to the number of individuals for whom one or more services were provided during the reported fiscal year.

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY147
2. Number of individuals who began receiving services in the reported FY296
3. Total individuals served during the reported fiscal year (A1 + A2) 443

B. Age

1. 55-5924
2. 60-6428
3. 65-6942
4. 70-7439
5. 75-7943
6. 80-8471
7. 85-8995
8. 90-9470
9. 95-9925
10. 100 & over6
11. Total (must agree with A3)443

C. Gender

1. Female339
2. Male104
3. Total (must agree with A3)443

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race8
2. American Indian or Alaska Native8
3. Asian2
4. Black or African American14
5. Native Hawaiian or Other Pacific Islander0
6. White409
7. Two or more races1
8. Race and ethnicity unknown (only if consumer refuses to identify)1
9. Total (must agree with A3)443

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)23
2. Legally Blind (excluding totally blind)243
3. Severe Visual Impairment177
4. Total (must agree with A3)443

F. Major Cause of Visual Impairment

1. Macular Degeneration265
2. Diabetic Retinopathy36
3. Glaucoma46
4. Cataracts13
5. Other83
6. Total (must agree with A3)443

G. Other Age-Related Impairments

1. Hearing Impairment132
2. Diabetes94
3. Cardiovascular Disease and Strokes111
4. Cancer39
5. Bone, Muscle, Skin, Joint, and Movement Disorders181
6. Alzheimer's Disease/Cognitive Impairment19
7. Depression/Mood Disorder28
8. Other Major Geriatric Concerns58

H. Type of Residence

1. Private residence (house or apartment)286
2. Senior Living/Retirement Community64
3. Assisted Living Facility73
4. Nursing Home/Long-term Care facility19
5. Homeless1
6. Total (must agree with A3)443

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)22
2. Physician/medical provider17
3. State VR agency1
4. Government or Social Service Agency29
5. Veterans Administration2
6. Senior Center1
7. Assisted Living Facility43
8. Nursing Home/Long-term Care facility6
9. Faith-based organization0
10. Independent Living center0
11. Family member or friend116
12. Self-referral180
13. Other26
14. Total (must agree with A3)443

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 5
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 1

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 422
3. Provision of assistive technology services 220

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Orientation and Mobility training 120
3. Communication skills 206
4. Daily living skills 244
5. Supportive services (reader services, transportation, personal 70
6. Advocacy training and support networks 8
7. Counseling (peer, individual and group) 213
8. Information, referral and community integration 238
. Other IL services 164

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Information and Referral 91
3. Community Awareness: Events/Activities 12 12

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) 377,215 403,810 26,595
2. Number of Individuals Served 473 443 -30
3. Number of Minority Individuals Served 24 34 10
4. Number of Community Awareness Activities 24 12 -12
5. Number of Collaborating agencies and organizations 12 20 8
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 220 100.00%
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) 88 40.00%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 113 51.36%
B1. Number of individuals who received orientation and mobility (O & M) services 120 100.00%
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) 32 26.67%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 64 53.33%
C1. Number of individuals who received communication skills training 206 100.00%
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) 93 45.15%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 97 47.09%
D1. Number of individuals who received daily living skills training 244 100.00%
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) 95 38.93%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 128 52.46%
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) 180 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) 1 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) 55 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 30 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) 5 n/a

Part VII: Training and Technical Assistance Needs

This year there was no OIB Project Coordinator's conference or an Annual Project Directors Conference with OIB breakout sessions. Meetings for the staff who manage these programs are very important to allow a conversation about successful programing, and help guide new program coordinators. The number of older Americans is increasing and so will the number of blind and visually impaired older Americans. We need to build and retain quality programing for our OIB clients. That happens more easily when we can come together to share and learn.

Part VIII: Narrative

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

Nebraska Commission for the Blind and Visually Impaired (NCBVI) implements the Title VII Chapter 2 program by providing direct services to individuals by counselors in our 6 field offices. NCBVI does not subcontract services through other vendors. Agency counselors network with other agencies and organizations who provide services to minority and underserved groups so that our services can be made available to all people, including those in un-served and underserved populations. During FY 2015-2016, NCBVI provided active Independent Living services to four hundred forty three (443) older individuals who are blind. Edibility determination is based on a visual impairment limiting the individual's ability to perform the activities of daily living and the availability of services offered by NCBVI to help the individual to be more independent in their home and community, without regard to race, color, national origin, gender, religion, or disabling condition. Services available include: daily living skills (i.e. cooking, telling time, identifying money, cleaning, mending, color identification, grooming. home maintenance, organizing medications); communication skills, (braille, keyboarding, handwriting, access to large print, recorded formats, audio books, telephone access to newspapers, use of readers, using telephones and cell phones); use of assistive technology and low vision services; family and peer counseling services; and support in self-advocacy so individuals can become or remain involved in their communities and organizations. Individuals are also helped to understand and access other available resource. Referrals are made to NDBVI by many other organizations and agencies. Once a referral comes in, a counselor meets with the new referral and explains NCBVI services and services available from other organizations and agencies (i.e. Talking Book and Braille Services (TBBS), radio reading services, NFB Newsline, low vision evaluations, transportation programs, telephone directory assistance waivers, Area Agency on Aging, programs to access religious material). New referrals are often given writing guides, a bold marker pen, a bold line tablet and other large print and low cost items. Staff can sign up the new referral for TBBS, Newsline, an audio Bible, free directory assistance and other free services. Dials and buttons on microwaves, stoves, thermostats, washers, dryers, etc, can be marked. If the new referral 55 years of age or older applies for independent living services they will be moved into an active status. If the individual also experiences hearing loss, they can be referred to the Nebraska Public Services Commission for a free phone that is accessible to people who experience vision and hearing loss. Those who choose not to pursue active independent living services are closed from evaluative services. Those individuals who are accepted for active independent living services may be referred to a low vision clinic for an assessment of what devices might work most effectively. In rural area, counselors will take a low vision kit to show people different types of magnification aids available. Many people will work with a counselor on blindness skills so they can remain independent in their homes. Some offices offer group teaching programs, giving clients an opportunity to network with others and learn alternative skills in blindness and use those skills in a setting away from home.

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

Across the state there are 2 group teaching programs for older blind clients. For Your Independence (FYI) occurs twice a year and will accommodate 10 people in each program for a 4 day program. Another day long group teaching program occurs several times a year in the eastern part of the state. Both older blind clients and VR clients are eligible to attend. During these programs counselors teach blindness skills, offer opportunities for people to talk about blindness issues, and help people make connections with other blind people. Additionally counselors sit on various boards. In the Kearney office one counselor facilitates the Kearney Area Aging Coalition. That staff person also is a member of the Brain Injury Advisory Board, the Partners in Aging, Aging Disability Resource Center (ADRC) Advisory Committee and the South Central Nebraska Area Agency on Aging (ADRC) Advisory Committee. In Omaha, one counselor sits on the Partners in Aging Committee and the Senior Companion/Foster Grandparent Advisory Board. The Enrichment Foundation, a private, not-for-profit organization serving people with disabilities, awarded NCBVI a grant in the amount of $10,000 in support of Promoting Independent Living for the Blind of Omaha (PILBO).The target population served by PILBO includes blind and visually impaired persons 21 years of age or older living in the greater Omaha metropolitan area with independent living rather than vocational goals. A large part of the group benefiting from this grant are people 55 and older. This partnership has continued for 10 years. These funds help buy assistive technology, IL devices, and some interpreters for deaf blind activities. NCBVI continues to work with Assistive Technology Partnership (ATP). ATP is the state program that provides information about assistive technology for people with disabilities and resources for acquiring technology. NCBVI participates in a web based inventory lending program coordinated by ATP. Through their web site www.at4all.com, people can find assistive technology for blind and visually impaired consumers and are encouraged to contact NCBVI for a demonstration or short term loan of the equipment. ATP also administers "I Can Connect", a deaf-blind equipment distribution program benefiting NCBVI clients with dual sensory loss, many of whom are 55 years of age and older. NCBVI clients who have some functional vision can be referred to the Low Vision Clinic, University of NE Medical Center, for a low vision evaluation to help identify devices and equipment that may help the person effectively use their remaining vision. Individuals in more rural areas of the state will be referred to local eye care professionals for a low vision exam. When equipment is identified that will help the client, NCBVI can provide low vision aides and devices. NCBVI counselors routinely refer consumers to services offered by other agencies including: Talking Book and Braille Services, NFB NEWSLINE, Radio Talking Book, subsidized taxi coupon programs (Share a Fare in Omaha and Give a Lift in Lincoln, both coordinated by the American Council of the Blind of Nebraska), Braille Bibles International, Aurora Ministries and so on. NCBVI also works with Area Agencies on Aging, the Nebraska Commission for the Deaf and Hard of Hearing, centers for independent living and other philanthropic organizations serving people with disabilities.

C. Briefly summarize results from any of the most recent evaluations or satisfaction surveys conducted for your program and attach a copy of applicable reports.

Four hundred forty three (443) active independent living clients were served by the Nebraska Older Blind Project in FY 2015. Two hundred fifty four (254) clients were closed from active services, two hundred thirty eight (238) successful and sixteen (16) unsuccessful. Two hundred forty eight (248) surveys were mailed to those closed from active services (minus those deceased or otherwise unavailable). Ninety four (94) surveys (38%) were returned. The data compiled from those surveys follows immediately. State of Nebraska Nebraska Commission for the Blind and Visually Impaired [Over 55] Program Participant Survey 2016 Number of Surveys Mailed: ¬¬¬¬ 248 Number of Completed Surveys Returned: 94 (38%) Number of Surveys Returned as Undeliverable: 26 (10%) Number of surveys not Received back: 128 (52%) 1. I feel more confident in my ability to perform activities I had given up because of my vision loss. 4 Strongly Agree 22 (26%) 3 Agree 45 (53%) 2 Disagree 12 (14%) 1 Strongly Disagree 2 ( 2%) 0 Not Applicable 4 ( 5%) Comments (if any): 1) I am filling this out for my mother. Incidentally her eyesight declined more and the magnifier does not assist her reading as it did. 2) I have macular degeneration. 3) Can’t drive. 4) I am improving every day and I expect to do much better-gradually. 5) Connie was so helpful. Great person!! 6) Deanna Jesse and I bonded so well and I learned so much from her. Also days in North Platte helped so much. 7) I am still unable to manage the computer and i-pad. 8) I am a painter (artist) and still working. 9) I have more trust in my ability for all my daily activities. 10) She enjoys her magni-sight explorer 11) I hope I can stay in my own home. I love to play cards. 12) My disability concerns mostly fine details like reading. 13) No rehab. 14) I never had a rehab program. 15) Only with audio player. 2. Overall, I am less dependent on others. 4 Strongly Agree 21 (25%) 3 Agree 38 (45%) 2 Disagree 21 (25%) 1 Strongly Disagree 2 ( 2%) 0 Not Applicable 3 ( 5%) Comments (if any): 1) I was visited by one of your representatives and received numerous helps with magnifying glasses which I use to take care of necessary business and a clock, calendar, a pen and check writing guide. 2) I depend of people to take me different places. 3) I’m independent-nothing changed. 4) I feel good about myself. 5) Wish there was something that could go over my glasses that would be ideal. Can’t see my own writing. 6) At first I felt more confident. But not since I moved to the country house residence. 7) Alarms. Put markers on my appliances which made all the difference. 8) I have no driver’s license. 9) I hadn’t reached the point of needing help except to read and the powerful magnifying glass took care of that. 3. I am better able to move confidently around my house, apartment, or yard. 4 Strongly Agree 18 (21%) 3 Agree 38 (45%) 2 Disagree 8 ( 9%) 1 Strongly Disagree 5 ( 6%) 0 Not Applicable 16 (19%) Comments (if any): 1) Continues to care for self in apt. 2) I am at the Assisted Living wing. 3) Mowing the lawn ad taking care of the yard. 4) More positive. 5) I face very great obstacles in my own home. 6) Just around the house with a walker. 4. I am better able to prepare meals for myself 4 Strongly Agree 15 (18%) 3 Agree 32 (38%) 2 Disagree 11 (13%) 1 Strongly Disagree 4 ( 5%) 0 Not Applicable 23 (27%) Comments (if any): 1) Was to receive an oven temperature dial but did not receive that, this would be helpful. 2) Still can’s see recipes or oven controls. Need help with these. 3) Husband cooks now. 4) In assisted living. 5) Do not prepare meals 6) About the same 7) Just wish I could play cards. 8) Help with oven and microwave. Also help with dish washer and labeling medicines. 9) Did not have that problem. 10) I reside in assisted living. 11) Can read my recipes. 5. I can better manage my house keeping tasks. 4 Strongly Agree 11 (13%) 3 Agree 38 (45%) 2 Disagree 9 (11%) 1 - Strongly Disagree 2 ( 2%) 0 - Not Applicable 25 (29%) Comments (if any): 1) I have a helper that comes and does household tasks. 2) Need assistance 3) I have help once a month for a good cleaning. 4) I have a cleaning lady come in. Just wish I could get help with that. 5) Did not have that problem. 6) Because of arthritis I have a cleaning lady. 6. I am better able to manage my paperwork (such as mail, correspondence, and writing checks). 4 Strongly Agree 20 (24%) 3 Agree 29 (34%) 2 Disagree 16 (19%) 1 Strongly Disagree 6 ( 7%) 0 Not Applicable 14 (16%) Comments (if any): 1) I can do checks and paperwork. 2) Need assistance. 3) Still need stronger magnification for paperwork. 4) I use magnified devices to help. 5) She doesn’t write much anymore. 6) Daughter and granddaughter do this for me. 7) I use the reader thing for recipes, mail otherwise I would not be able to read or write. Thank you. 8) Yes, thank you so much. 9) My son writes checks. 10) Not much help. 7. I am better able to enjoy reading materials such as books, newspapers, magazines (whether with magnifiers, large print, Braille, or on tape). 4 Strongly Agree 32 (38%) 3 Agree 32 (38%) 2 Disagree 11 (13%) 1 Strongly Disagree 2 ( 2%) 0 Not Applicable 8 ( 9%) Comments (if any): 1) Books on tape to listen. 2) I read only with my magnifiers. 3) Don’t read newspapers or books. I listen to books. 4) Love the on tape system! 5) The talking books are very helpful. 6) I love talking books. They are the best and so helpful. 7) Books on tape are wonderful. 8) I am in a rest home. 9) Can’t use. 10) I use magnified devices 11) Not able to do these things. 12) Recommended I get a Merlin, it is wonderful. 13) Need a hand held reader. 14) I really appreciate these. 15) I would be lost without my reader. 8. I am better able to participate in the life of my family, friends, or community. 4 Strongly Agree 17 (20%) 3 Agree 37 (43%) 2 Disagree 7 ( 8%) 1 Strongly Disagree 3 ( 4%) 0 Not Applicable 21 (25%) Comments (if any): 1) Continues to interact. 2) With help. 3) Nothing changes 4) I really am confidant 5) I can still socialize with family and friends. 6) Somewhat 9. I feel more in control in making decisions that are important in my life. 4 Strongly Agree 22 (26%) 3 Agree 32 (38%) 2 Disagree 11 (13%) 1 - Strongly Disagree 3 ( 4%) 0 - Not Applicable 17 (20%) Comments (if any): 1) 98 years old. 2) This is an extreme frustration. 3) Thank you 4) Need help from family. 10. What was the greatest difference this program made in your life? (Please comment in the space below or over.) 1) Magnifying glasses allow me to read bible and work word puzzles. 2) I can do business now. 3) Deanna Jesse tried very hard to present various ideas and devices. 4) I am still taking care of business, send greeting cards and write a few lines. I am 95 and this getting help from you is greatly appreciated. 5) Gave me tools to read, with help on cooking and work on my computer. 6) The watch, magnifier and check template has all helped me so much. However I have most enjoyed the books on tape. Thank you. 7) Not that much, still having lots of eye trouble. Did have a shot last week and can’t say it’s any better. Thanks for what you did do. 8) I am better able to read the time with the voice clock and my coffee with the fill sensor. 9) I really enjoy my watch!! I like my talking scale. I use my tablet and like my big number calendar. 10) I can read my own letters and bills without help. Helps me be more independent. Thank you. 11) The books on tape allow me to continue to read which I love. The magnifier has allowed me to read important papers. I like the calendar, check register and dark pens as well. 12) Since I am no longer able to read books (even large print) I love the books on tape. They keep me from climbing the walls. 13) I live in a care home where nearly everything is done for me. 14) Call for conversation. Thank you. 15) Lighted small magnifying glass and two black slatted slates to help me follow the lines. 16) The audio books. 17) I am not totally blind but your services have done much to make life easier. 18) We really don’t receive any services. 19) Very helpful. 20) Confidence. Ok to ask for help. 21) I feel more in control of my life and less dependent on others. 22) I am thankful for the equipment loaned to me through the program. Like the books on tape and the assistance given to me. 23) Awareness about physical dependence to perform everyday activities. Thanks 24) Can read listen to books and read some newspapers, can read and hear time watch better. The talking books are the greatest. 25) I love to read and the recorder and magnifying glass help me greatly do what I love-read. 26) The greatest difference is the audiotape of Readers Digest and books. Also I make use of the colored glasses and magnifier. I appreciate your services very much. 27) The stick tabs on the computer and microwave have helped the most. 28) Reading newspapers, books and journals. Reading computer screen. 29) I am doing better. 30) Enjoy the books I can no longer read. 31) Using the desk lamp/magnifier and the hand —held lighted magnifier I’m able to enjoy reading and writing — newspapers/mail letters, checks etc. 32) Talking books and large print. 33) More confidence. Also reassurance that I am not alone. 34) Talking watch and talking books on tape. 35) Confidence. Thanks again. 36) Fixed door lock to put key in. Big screen magnifier. 37) No major difference. Just reestablished myself as a client. 38) Only help was the magni-sight explorer which was only a slight help. 39) Much more independent. 40) I am living in assisted living facilities. I am not replying to your questions! 41) Paperwork, books, reading and writing. I am grateful for all that you do. 42) Gave me encouragement and desire. 43) The clocks that tell me the time and the talking scales. 44) I am still independent and hope to stay this way as long as I can. 45) Gave me confidence to take care of myself. The magnifiers helped some to read. 46) Made me aware that as I lose my eyesight that there are people and tools to help me. 47) How to appreciate things I have. 48) I like my calendar and clock. 49) I can read better. 50) I received some helpful things such as a talking watch, a clock, and a magnifier with a light. Maybe I did not understand this program as most questions did not apply nor did it make much of a difference in my life. But I thank you for what I was given. 51) Being able to read things better. 52) Books on tape. Orange dots. Encouragement. Magnifiers. Regular visits. 53) Very disappointed in the technical assistance I was able to get. More assisting technology training would be helpful. 54) I have learned how to prepare and cook meals. Use the talking books and I can no longer read a watch. 55) Using some appliances. 56) By helping me do things by myself using touch and memory. Thank you very much. 57) Having Deanna doing things to help me as much as she could. They made me a large print phone book. The team from Lincoln helped in a different way. 58) This survey does not apply to me. I did not attend any classes or instructional meetings. I only received a can and a hand held reader from the Lincoln office. 59) The computer helped me read better by making the print bigger. 60) The magnifier and large print check and address book help. 61) Audio books 62) Ability to get around. 63) I strongly agree with all the statements. The talking books I could not live without. They are a life saver. The magnifier keeps me up to date. Calling information on the phone numbers is great, especially with no charge. Thanks to all of you for helping make my life better. 64) Some of the products such as the talking clock and raised dots on phone to help me with numbers on the phone and remote control for tv. Thank you. 65) Talking clocks. 66) Lifted my spirits tremendously; however, eyesight worse this week, but hoping because have had a busy week and tired. Thank you. 67) I miss driving. I love my great neighbors that help me. 68) I thank you so much for all the help your agency has given me so I can still live independently. 69) The visual aid magnifier greatly helps in my daily living. It provides me with a means of connecting with the written word. 70) Improving sight. 71) It has made me more aware of my eyesight and to be up on the services and products available when I really need them. I do enjoy the books on tape. 72) Very soon I got injections in my eye that was successful to see. Keep getting injections often and am so thankful to see very well. 73) Being able to read. The two people that came to the house were very helpful and nice. 74) I have appreciated your help. 75) Able to enlarge all very small print such as all correspondence ect. 76) Able to spend time listening to the books on tape.

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).

Ms. J is a 64 year old female who has a rare genetic condition that causes chronic eye infections. She had one eye enucleated 6 years ago and her other eye enucleated 6 months ago. She called our agency when she found out that she would completely lose her vision. At the time of referral she was very unsure of her future and had a hard time believing that she could live an independent life without her vision. After her surgery she had many hopeless days, and relied on her sister for completing nearly all household tasks. She really enjoyed gardening so it was very difficult for her to not feel like she could complete this activity on her own. Ms. J started working with her counselor on cane travel and various TDLs. She was very quick to anger when she could not get something right away, but over the course of a few months she developed coping skills and really benefited from the structured discovery learning technique. Ms. J went from not being able to navigate her own home to traveling independently around the block of her home, cooking meals for her sister, and cleaning the house. Ms. J also attended a group teaching program where she stayed in a hotel room independently, and worked on many alternative skills of cooking, cane travel, and crocheting. Ms. J’s attitude has changed completely because of the services she has received, as now when she sees a challenge she wants to work towards conquering it right away instead of avoiding it all together. Ms. J has worked on gardening and watering her yard, which are tasks that she thought she could never do adequately without her vision. Ms. J has felt that she has a sense of independence again because of the services she received from the commission.

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

It is a continued worry that Federal support of the OIB programs will change. Counselors are spending more time with transition age consumers and have less time to spend with OIB consumers. The population of older Nebraskans continues to grow. Based on the 2010 census, it was projected that there would be 520,875 Nebraskans aged 55 and older by 2015 and by 2020 it is estimated that there will be 577,229 Nebraskans aged 55 and older. When applying the percentages of individuals with vision loss, captured during the 2010 to 2014 American Community Survey, Nebraska is projected to have 22,517 individuals 55 and older who will experience significant vision loss. Getting additional funding to address the needs of this many Nebraskans is very important.

Part IX: Signature

Please sign and print the name, title and telephone number of the IL-OIB Program Director below.

I certify that the data herein reported are statistically accurate to the best of my knowledge.

Signed byDr. Pearl Van Zandt
TitleExecutive Director
Telephone402-471-8100
Date signed12/21/2016