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

RSA-7-OB for Vermont Division for the Blind and Visually Impaired - H177B160045 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 year245,000
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 2225,000
A2. Total other federal245,000
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other245,000
A3. State (excluding in-kind)75,000
A4. Third party242,626
A5. In-kind0
A6. Total Matching Funds317,626
A7. Total All Funds Expended787,626
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services787,626

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 0.0000 0.0000 0.0000
2. FTE Contractors 4.8100 6.6800 11.4900
3. Total FTE 4.8100 6.6800 11.4900

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 7 3.4700
2. Employees with Blindness Age 55 and Older 5 2.5000
3. Employees who are Racial/Ethnic Minorities 1 0.8000
4. Employees who are Women 19 6.8900
5. Employees Age 55 and Older 14 5.3600

C. Volunteers

0.60

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 FY347
2. Number of individuals who began receiving services in the reported FY451
3. Total individuals served during the reported fiscal year (A1 + A2) 798

B. Age

1. 55-5918
2. 60-6445
3. 65-6955
4. 70-7454
5. 75-7978
6. 80-84146
7. 85-89190
8. 90-94147
9. 95-9954
10. 100 & over11
11. Total (must agree with A3)798

C. Gender

1. Female586
2. Male212
3. Total (must agree with A3)798

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race0
2. American Indian or Alaska Native1
3. Asian1
4. Black or African American2
5. Native Hawaiian or Other Pacific Islander3
6. White771
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)20
9. Total (must agree with A3)798

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)19
2. Legally Blind (excluding totally blind)231
3. Severe Visual Impairment548
4. Total (must agree with A3)798

F. Major Cause of Visual Impairment

1. Macular Degeneration461
2. Diabetic Retinopathy50
3. Glaucoma82
4. Cataracts14
5. Other191
6. Total (must agree with A3)798

G. Other Age-Related Impairments

1. Hearing Impairment133
2. Diabetes224
3. Cardiovascular Disease and Strokes830
4. Cancer450
5. Bone, Muscle, Skin, Joint, and Movement Disorders179
6. Alzheimer's Disease/Cognitive Impairment49
7. Depression/Mood Disorder59
8. Other Major Geriatric Concerns166

H. Type of Residence

1. Private residence (house or apartment)605
2. Senior Living/Retirement Community113
3. Assisted Living Facility50
4. Nursing Home/Long-term Care facility30
5. Homeless0
6. Total (must agree with A3)798

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)218
2. Physician/medical provider5
3. State VR agency103
4. Government or Social Service Agency10
5. Veterans Administration17
6. Senior Center30
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility13
9. Faith-based organization0
10. Independent Living center87
11. Family member or friend125
12. Self-referral182
13. Other8
14. Total (must agree with A3)798

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 53,323
1b. Total Cost from other funds 133,122
2. Vision screening / vision examination / low vision evaluation 571
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 46,307
1b. Total Cost from other funds 116,578
2. Provision of assistive technology devices and aids 485
3. Provision of assistive technology services 642

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 114,198
1b. Total Cost from other funds 285,096
2. Orientation and Mobility training 115
3. Communication skills 658
4. Daily living skills 291
5. Supportive services (reader services, transportation, personal 172
6. Advocacy training and support networks 163
7. Counseling (peer, individual and group) 724
8. Information, referral and community integration 724
. Other IL services 379

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 11,172
1b. Total Cost from other funds 27,890
2. Information and Referral 134
3. Community Awareness: Events/Activities 208 798

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) 722,313 787,626 65,313
2. Number of Individuals Served 816 798 -18
3. Number of Minority Individuals Served 17 7 -10
4. Number of Community Awareness Activities 153 143 -10
5. Number of Collaborating agencies and organizations 17 18 1
6. Number of Sub-grantees 1 1

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 642 100.00%
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) 439 68.38%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 203 31.62%
B1. Number of individuals who received orientation and mobility (O & M) services 115 100.00%
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) 101 87.83%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 14 12.17%
C1. Number of individuals who received communication skills training 658 100.00%
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) 502 76.29%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 156 23.71%
D1. Number of individuals who received daily living skills training 291 100.00%
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) 183 62.89%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 108 37.11%
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) 429 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 2 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 118 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 97 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) 10 n/a

Part VII: Training and Technical Assistance Needs

The staff of the Vermont Association for the Blind and Visually Impaired recognizes that the aging population of Vermont is increasingly savvy with modern technology. The baby boomer population, which is aging into visual impairments, uses technology in their work and daily telecommunications. Their children and grandchildren encourage them to keep abreast of modern trends in technology. As a result, there is an ever increasing demand to provide instruction in accessibility features and software on smart phones, tablets and desktop computers of all platforms. The trends in technology innovations provides the visually impaired population with opportunities to participate in mainstream society more fully than in any previous generation. As clients have specific needs related to the kinds of technology they have access to, VABVI staff are required to become well versed in software programs and operating systems for both PC and Apple devices. On the PC, VABVI staff must improve and develop competency with programs like Zoomtext, JAWS, Window Eyes and Guide. Because Apple has taken such a prominent place in society over the past several years the staff must also become versed in the accessibility features of Zoom and VoiceOver, both on the Mac Desktops as well as iOS devices. There are numerous applications which run on tablets and smartphones that assist the visually impaired to access texts, emails, calendaring systems, personal finances, literature, currency identification, color identification, electronic magnification and much more at very affordable prices. To this end, VABVI Staff must receive group instruction on all the above listed programs and platforms and utilize the software and devices to maintain their skills. While clients are more familiar with using technology, they require direct one on one instruction to learn how to use the accessibility features and software to make their technology accessible. As a result, VABVI staff will need to develop a set of lessons to instruct each of the identified software applications and accessibility features. Likewise, the staffing, time and funding necessary for this instruction must be identified and secured.

Part VIII: Narrative

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

The State Division for the Blind and Visually Impaired implements the Title VII — Chapter 2 program through a sub-grantee/contractor. All the funds are granted to: Vermont Association for the Blind and Visually Impaired 60 Kimball Avenue South Burlington, VT 05403 Their outreach activities are VABVI has no set policy in regards to expanding into underserved or unserved populations. We reach out to everyone who requires our services and cover the entire State. One of our concerns is that many potential consumers might not be aware of our services. We therefore do as many outreach activities as we can, depending on the number of the number of requests and the availability of the staff. Towards that end, we have trained a number of our clients as volunteers who do some of the activities for us; informing them about visual impairments and telling them about the services offered by VABVI. VABVI conducts a variety of activities to create awareness among individuals with visual impairments and the general public regarding our services; and to create positive attitudes about disabilities. During FY16, VABVI staff participated in 263 community activities. Training workshops accounted for 39.8% and Community Advocacy represented 41.5% of the total hours allocated to community efforts. The attached Appendixes (I and II) illustrates these findings. COMMUNITY EFFORTS BY TYPE OF ACTIVITY FISCAL YEAR 2016 of Activities Hours %of Total -------------- -------- -------- Public Information/Outreach 68 245.75 21.8 Attendance at Workshops and Conferences 37 202.75 31.1 Community Involvement & Community Advocacy 75 222.00 19.7 Radio/TV Appearances 0 0 0 In-Service Training 18 97.50 8.7 Meeting of Professional Organizations/Public Officials 59 195.00 17.3 Other Community Activities 6 15.75 1.4 --------- -------- ------ TOTALS 263 1126.00 100% ---------------------------------------------------------------- Number ------------ Newsletters (VOICE) 28,424 I.L. Brochures 724 Service Descriptions 202 Press Release/Interviews 28 Other Mailings 19,265 APPENDIX I Community Activity Community Advocacy — Bowling in the Dark Meeting w/C&S & Cabot Creamery — Brattleboro, VT Community Advocacy - Bowling in the Dark Meeting w/C&S & Cabot Creamery —Brattleboro, VT Collaborative Meeting w/Professionals/Officials- Advising Montshire Museum Collaborative-Norwich, VT Meeting w/Professionals/Officials- NEAER Board Meeting-Brattleboro, VT Acquiring Professional Development-Teleconference w/Aging Div. of AER- Brattleboro, VT Collaborative Meeting w/Professionals/Officials- AFB Teleconference RE: Aging & Vision-Brattleboro, VT Acquiring Professional Development-Parkinson's disease Q&A- Lebanon, NH Resources/Materials Development-Sr. Solutions Website Links-Lyndonville, VT Promote Awareness of VI & VABVI Services-Technology Fair-Lyndonville, VT Collaborative Meeting w/Professionals/Officials-Testing for Bowling in the Dark — Brattleboro, VT Acquiring Professional Development-Focus on VI & Blindness-Norwood, MA Promote Awareness of VI & VABVI Services-Chamber of Commerce Mixer-Brattleboro, VT Promote Awareness of VI & VABVI Services-Creating a Video-Springfield, VT Promote Awareness of VI & VABVI Services-Window Display- Brattleboro, VT Promote Awareness of VI & VABVI Services-90th Birthday Party- Brattleboro, VT Acquiring Professional Development-NE AER Conference- Falmouth, MA Collaborative Meeting w/Professionals/Officials-Senior Solutions Annual Meeting- Springfield, VT Acquiring Professional Development-UEB Training-South Burlington, VT Promote Awareness of VI & VABVI Services-White Cane Awareness Day- Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Optemetric Conference-Woodstock, VT Resources/Materials Development-Nutritional Support for Eyes-Lebanon, NH Community Advocacy-Bowling in the Dark Meeting w/C&S & Cabot Creamery- Brattleboro, VT Promote Awareness of VI & VABVI Services-Bowling in the Dark- Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Disabilities Etiquette Training- Brattleboro, VT Collaborative Meeting w/Professionals/Officials-AER Div. on Aging Teleconference- Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Living w/LV Meeting- Lebanon, NH Professional Training by Staff-LV lnservice- Brattleboro, VT Collaborative Meeting w/Professionals/Officials-AER Div. on Aging Teletalk- Brattleboro, VT Community Advocacy-Bowling in the Dark Prep- Brattleboro, VT Promote Awareness of VI & VABVI Services-Individual Outreach- Springfield, VT Promote Awareness of VI & VABVI Services-Berlin Open House-Berlin, VT Collaborative Meeting w/Professionals/Officials-meeting with GMTA-Montpelier, VT Promote Awareness of VI & VABVI Services-Tech Fair - Lyndonville, VT Acquiring Professional Development-NE AER conference-Falmouth, MA Professional Training by Staff-UEB Training-South Burlington, VT Promote Awareness of VI & VABVI Services-WCAD — Montpelier, VT Resources/Materials Development-Equipment demo at VA-White River Junction, VT Acquiring Professional Development-workshop for Mac with VoiceOver-South Burlington, VT Acquiring Professional Development-OrCam training-Berlin, VT Acquiring Professional Development-NEAER board meeting - Brattleboro, VT Promote Awareness of VI & VABVI Services — Tech Fair - Lyndonville, VT Acquiring Professional Development-NEAER Conference — Falmouth, MA Professional Training by Staff — UEB Training — South Burlington, VT Professional Training by Staff-NFB Newsline app wih iOS devices at VA-White River Junction, VT Acquiring Professional Development-AER Division on Aging Teletalk- Brattleboro, VT Community Advocacy-Lions Vision Screening- Wallingford, VT Community Advocacy-Vision Screening- Rutland, VT Community Advocacy-Vision Screening-Mettawee, VT Community Advocacy-50+ EXPO- Rutland, VT Promote Awareness of VI & VABVI Services-Technology Fair- Lyndonville, VT Community Advocacy-Vermont Lions District 45 Cabinet Meeting-Middlebury, VT Community Advocacy-Meeting with Burl. Dept of Public Works-Burlington, VT Professional Training by Staff-inservice at the Loretta Home-Rutland, VT Community Advocacy-Meeting-Burlington, VT Acquiring Professional Development-NEAER Meeting — Falmouth, MA Professional Training by Staff-VSA VT volunteer training-Burlington, VT Promote Awareness of VI & VABVI Services-VT Optometric Association conference-Stowe, VT Community Advocacy-Panel discussion on disabilities for the Boys-Brandon, VT Professional Training by Staff-Living Better With Vision Loss- Lebanon, NH Community Advocacy-Newport PALS-Newport, VT Community Advocacy-Rutland PALS Group-Rutland, VT Acquiring Professional Development-NE AER conference-Falmouth, MA Professional Training by Staff-Rutland Free Library-Rutland, VT Promote Awareness of VI & VABVI Services-VT Optometric Association Conference-Stowe, VT Community Advocacy-Woodstock PALS-Woodstock, VT Collaborative Meeting w/Professionals/Officials- LAC Meeting-Berlin, VT Acquiring Professional Development-Orcam Training-Berlin, VT Promote Awareness of VI & VABVI Services-Springfield PALS- Springfield, VT Community Advocacy-St. Alban's PALS-St. Albans, VT Community Advocacy-Newport PALS-Newport, VT Professional Training by Staff-Rutland Free Library-Rutland, VT Promote Awareness of VI & VABVI Services-Lamoille Coordinated Care Meeting -Morrisville, VT Professional Training by Staff-DBVI Training Best Practice- Montpelier, VT Promote Awareness of VI & VABVI Services-Young at Heart Senior Center-Poultney, VT Professional Training by Staff-intro to Braille, Pillsbury Manor North-South Burlington, VT Collaborative Meeting w/Professionals/Officials-Division of Aging TeleTalk- Brattleboro, VT Promote Awareness of VI & VABVI Services-lnservice Presentation-South Burlington, VT Promote Awareness of VI & VABVI Services-50+ Boomer Fest- South Burlington, VT Acquiring Professional Development-NE/AER Conference-Cape Cod, MA Community Advocacy-white cane awareness-Burlington, VT Acquiring Professional Development-UEB Training-South Burlington, VT Promote Awareness of VI & VABVI Services-Library Conference-Stowe, VT Professional Training by Staff-UVM Disability Day-South Burlington, VT Community Advocacy-Central VT PALS- Montpelier, VT Collaborative Meeting w/Professionals/Officials-Library Advisory Council Meeting-Berlin, VT Promote Awareness of VI & VABVI Services-UVM Interview- South Burlington, VT Acquiring Professional Development-UEB Training- South Burlington, VT Community Advocacy-White Cane Day — Montpelier, VT Community Advocacy-Newport PALS-Newport, VT Community Advocacy-Bennington PALS-Bennington, VT Promote Awareness of VI & VABVI Services-Lion's Vision Screening-Barre Town, VT Promote Awareness of VI & VABVI Services-Rutland PALS-Rutland, VT Acquiring Professional Development-NEAER-Cape Cod, MA Community Advocacy-Brattleboro PALS- Brattleboro, VT Collaborative Meeting w/Professionals/Officials- LAC Meeting-Berlin, VT Promote Awareness of VI & VABVI Services-Burlington PALS- South Burlington, VT Promote Awareness of VI & VABVI Services-Barre Lions-Barre, VT Promote Awareness of VI & VABVI Services-Springfield PALS- Springfield, VT Promote Awareness of VI & VABVI Services-Vision Screening-Barre, VT Promote Awareness of VI & VABVI Services-Tech Fair 2016- Lyndonville, VT Collaborative Meeting w/Professionals/Officials- International Meeting of Vision Professional-Burlington, VT Collaborative Meeting w/Professionals/Officials-UEB Committee-Montpelier, VT Promote Awareness of VI & VABVI Services-Lions Vision Screening-Barre, VT Collaborative Meeting w/Professionals/Officials- DB State Report for Services- Montpelier, VT Community Advocacy-Rutland PALS-Rutland, VT Professional Training by Staff-Great Expectations-Montpelier, VT Community Advocacy-Central VT PALS-Montpelier, VT Community Advocacy-Brattleboro PALS-Brattleboro, VT Professional Training by Staff-Care Provider Presentation-Berlin, VT Community Advocacy-PALS-Springfield, VT Community Advocacy-PALS-South Burlington, VT Collaborative w/Professionals/Officials- LAC-Berlin, VT Community Advocacy-VCDR Meeting - South Burlington, VT Community Advocacy-Testify — Legislature - Montpelier, VT Community Advocacy-VCDR Meeting - Montpelier, VT Promote Awareness of VI & VABVI Services-SRC Committee - South Burlington, VT Community Advocacy-SILC Executive- South Burlington, VT Collaborative Meeting w/Professionals/Officials- APS Committee-Waterbury, VT Awareness of VI & VABVI Services-Chamber Legislative- South Burlington, VT Community Advocacy-SILC Quarterly — Burlington, VT Promote Awareness of VI & VABVI Services-Champlain Connections- Burlington, VT Promote Awareness of VI & VABVI Services-Berlin Office - Open House-Berlin, VT Promote Awareness of VI & VABVI Services-VABVI Annual Dinner - Burlington, VT Community Advocacy-SILC Executive Committee- South Burlington, VT Resources/Materials Development-Turrell Fund- Burlington, VT Collaborative Meeting w/Professionals/Officials-VisionServe meeting- South Burlington, VT Community Advocacy-DAIL Advisory Committee-Waterbury, VT Collaborative Meeting w/Professionals/Officials-VisionServe meeting- South Burlington, VT Collaborative Meeting w/Professionals/Officials- APS Subcommittee-Waterbury, VT Community Advocacy-CCTA Advisory Committee- South Burlington, VT Community Advocacy-SILC Quarterly Meeting- South Burlington, VT Resources/Materials Development-St. Albans PALS-St. Albans, VT Community Advocacy-SRC Meeting- South Burlington, VT Community Advocacy-SILC Executive Committee- South Burlington, VT Collaborative Meeting w/Professionals/Officials-DAIL Newsline - South Burlington, VT Collaborative Meeting w/Professionals/Officials- DBVI Independent Living Services - Montpelier, VT Community Advocacy-SILC Executive Committee- South Burlington, VT Community Advocacy-VCDR committee-Montpelier, VT Collaborative Meeting w/Professionals/Officials-DBVI-South Burlington, VT Community Advocacy-VCDR Board of Governors-Randolph, VT Promote Awareness of VI & VABVI Services-Volunteer luncheon-Springfield, VT Promote Awareness of VI & VABVI Services-SBBA Meeting-South Burlington, VT Community Advocacy-Disability Awareness Day-Montpelier, VT Promote Awareness of VI & VABVI Services-VT Council- World Affairs- Burlington, VT Promote Awareness of VI & VABVI Services-VABVI Tech Fair-Lyndonville, VT Community Advocacy-SILC Executive-South Burlington, VT Community Advocacy-CAC Meeting-Berlin, VT Promote Awareness of VI & VABVI Services-VABVI News Event-South Burlington, VT Collaborative Meeting w/Professionals/Officials-APS Public Hearing-Waterbury, VT Acquiring Professional Development-VisionServe Conference- Colorado Springs, CO Collaborative Meeting w/Professionals/Officials-AOT White Cane-Montpelier, VT Community Advocacy-SILC Executive Meeting-South Burlington, VT Promote Awareness of VI & VABVI Services-Volunteer Luncheon-South Burlington, VT Community Advocacy-DAIL Advisory Committee-Waterbury, VT Collaborative Meeting w/Professionals/Officials-APS Subcommittee-Waterbury, VT Community Advocacy-VCDR Executive Committee-South Burlington, VT Community Advocacy-SPIL Meeting-South Burlington, VT Promote Awareness of VI & VABVI Services-SBBA Event-South Burlington, VT Community Advocacy-VCDR Meeting-Montpelier, VT Collaborative Meeting w/Professionals/Officials-DAIL Advisory-Waterbury, VT Collaborative Meeting w/Professionals/Officials-DAIL Advisory Board- Berlin, VT Collaborative Meeting w/Professionals/Officials-APS Advisory meeting-Berlin, VT Collaborative Meeting w/Professionals/Officials-APS Subcommittee- Berlin, VT Promote Awareness of VI & VABVI Services-SBBA meeting- South Burlington, VT Community Advocacy-VCDR meeting-South Burlington, VT Acquiring Professional Development-VisionServe Conference-San Diego, CA Collaborative Meeting w/Professionals/Officials-SRC Council-Montpelier, VT Community Advocacy-SILC Transportation-South Burlington, VT Community Advocacy-VCDR meeting-Montpelier, VT Collaborative Meeting w/Professionals/Officials-DAIL Advisory meeting-Berlin, VT Community Advocacy-SILC Executive-South Burlington, VT Community Advocacy-SILC Executive Committee-South Burlington, VT Community Advocacy-SILC Transportation-South Burlington, VT Promote Awareness of VI & VABVI Services-Chamber Legislature-South Burlington, VT Promote Awareness of VI & VABVI Services-Chamber Mixer-Essex, VT Promote Awareness of VI & VABVI Services-Chamber Legislative-South Burlington, VT Community Advocacy-VCDR Meeting-Montpelier, VT Community Advocacy-VCDR Meeting-Montpelier, VT Promote Awareness of VI & VABVI Services-Brattleboro Gardens-Brattleboro, VT Community Advocacy-SILC Transportation- South Burlington, VT Promote Awareness of VI & VABVI Services-SBBA Meeting- South Burlington, VT Community Advocacy-SILC Legislative Breakfast-Montpelier, VT Collaborative Meeting w/Professionals/Officials-DAIL Advisory-Berlin, VT Community Advocacy-SILC Executive Committee- South Burlington, VT Community Advocacy-SRC Quarterly- South Burlington, VT Community Advocacy-SILC Quarterly meeting- Montpelier, VT Collaborative Meeting w/Professionals/Officials- DAIL meeting- Montpelier, VT Community Advocacy-DAIL Board of Governors- South Burlington, VT Collaborative Meeting w/Professionals/Officials- DAIL Advisory-Berlin, VT Community Advocacy-CAC Committee-Williston, VT Community Advocacy-CCTA Advisory committee- South Burlington, VT Acquiring Professional Development-VSCPA workshop- Montpelier, VT Community Advocacy-VCDR meeting- Montpelier, VT Collaborative Meeting w/Professionals/Officials-DAIL Advisory- Montpelier, VT Collaborative Meeting w/Professionals/Officials APS Committee- Berlin, VT Community Advocacy-DAIL Advisory Committee- Montpelier, VT Promote Awareness of VI & VABVI Services-Symquest event-Waterbury, VT Promote Awareness of VI & VABVI Services-Chamber Mixer-Burlington, VT Community Advocacy-SILC Quarterly Meeting-Waterbury, VT Community Advocacy-VCDR meeting- South Burlington, VT Promote Awareness of VI & VABVI Services-Presentation f/High Schoolers — Springfield, VT Collaborative Meeting w/Professionals/Officials-VTAOE State Consultants Mtg- Montpelier, VT Acquiring Professional Development-Emotional Intelligence- South Burlington, VT Acquiring Professional Development-AFB Family Connect-Rutland, VT Promote Awareness of VI & VABVI Services-Non-Profit Stroll-Brattleboro, VT Promote Awareness of VI & VABVI Services-Window Display-Brattleboro, VT Promote Awareness of VI & VABVI Services-90th Birthday Party-Brattleboro, VT Community Advocacy-Radio Interview-Brattleboro, VT Community Advocacy-Joined Brattleboro ADA Committee-Brattleboro, VT Promote Awareness of VI & VABVI Services-Distributing Bowling in the Dark sponsorship-Brattleboro, VT Promote Awareness of VI & VABVI Services-Brattleboro Area Chamber Mixer-Brattleboro, VT Collaborative Meeting w/Professionals/Officials- Bowling in the Dark-Brattleboro, VT Promote Awareness of VI & VABVI Services-Distributing Bowling in the Dark sponsorship-Brattleboro, VT Promote Awareness of VI & VABVI Services-Distributing Bowling in the Dark sponsorship-Brattleboro, VT Promote Awareness of VI & VABVI Services-Distributing Bowling in the Dark sponsorship-Brattleboro, VT Collaborative Meeting w/Professionals/Officials- Bowling in the Dark-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Bowling in the Dark-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Bowling in the Dark-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Bowling in the Dark-Brattleboro, VT Promote Awareness of VI & VABVI Services-VABVI Tech Fair- Lyndonville, VT Community Advocacy — White Cane Awareness Day-Manchester, VT Community Advocacy-Early Connection-Watertown, MA Professional Training by Staff-UEB Training - South Burlington, VT Promote Awareness of VI & VABVI Services- Educating Students with VI in VT- South Burlington, VT Collaborative Meeting w/Professionals/Officials-UEB Training - South Burlington, VT Acquiring Professional Development-Motivating Employees- South Burlington, VT Acquiring Professional Development-Conflict Negotiation- South Burlington, VT Collaborative Meeting w/Professionals/Officials- advisory meeting with SBAC online testing-Washington, DC Collaborative Meeting w/Professionals/Officials- NE/AER Board of Directors Meeting-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-LEAP Program-Burlington, VT Acquiring Professional Development-NEAER-Falmouth, MA Acquiring Professional Development-UEB Training- South Burlington, VT Acquiring Professional Development-NEAER-Falmouth, MA Acquiring Professional Development-Adapted Strong: Adapted Education-Rutland, VT Acquiring Professional Development-Presentation Infant/Toddler CCV Class-Rutland, VT Acquiring Professional Development — UEB Training- South Burlington, VT Acquiring Professional Development-Trekker Breeze, GPS training-Burlington, VT Acquiring Professional Development — UEB Training- South Burlington, VT Acquiring Professional Development —GPS Training-Burlington, VT Resources/Materials Development — Meeting Project Search-Burlington, VT Acquiring Professional Development-Perkins NE Training on CVI-Watertown, MA Community Advocacy-Lake Monsters Game — Burlington, VT Acquiring Professional Development-Webinar for DeafBlindness-Rutland, VT Collaborative Meeting w/Professionals/Officials-UMass Liaison Meeting-Boston, MA Collaborative Meeting w/Professionals/Officials-APH Educational Committee-Louisville, KY Acquiring Professional Development- AER Conference-Cape Cod, MA Acquiring Professional Development- GPS training — Burlington, VT Acquiring Professional Development-UEB Training- South Burlington, VT Collaborative Meeting w/Professionals/Officials Bowling in the Dark Promote Awareness of VI & VABVI Services Bowling in the Dark Collaborative Meeting w/Professionals/Officials Bowling in the Dark Community Advocacy-Bowling in the Dark-Brattleboro, VT Community Advocacy-Bowling in the Dark-Brattleboro, VT Promote Awareness of VI & VABVI Services-Bowling in the Dark-Brattleboro, VT Promote Awareness of VI & VABVI Services-Bowling in the Dark-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Bowling in the Dark-Brattleboro, VT Community Advocacy-Bowling in the Dark-Brattleboro, VT Community Advocacy-Bowling in the Dark-Brattleboro, VT Promote Awareness of VI & VABVI Services-Bowling in the Dark-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Bowling in the Dark-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Disabilities Etiquette Training-Brattleboro, VT Promote Awareness of VI & VABVI Services-Bowling in the Dark-Brattleboro, VT Collaborative Meeting w/Professionals/Officials-Practice Bowl-Brattleboro, VT Collaborative Meeting w/Professionals/Officials- Bowling in the Dark-Brattleboro, VT Professional Training by Staff-UEB Training-South Burlington, VT Promote Awareness of VI & VABVI Services-Non-Profit Stroll-Brattleboro, VT APPENDIX II

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.

VABVI plays an active role in Vermont to promote the interests of persons with disabilities. This role includes the involvement of staff with community groups and participation on task forces and committees. Through these efforts, VABVI has sought to develop a network of collaborative relationships with other agencies that enhances its abilities to deliver services and to improve community options for visually impaired persons. VABVI also works with DBVI in promoting white cane awareness events each year. This is done to promote and advocate safety, equality and inclusion of people who are visually impaired. Typically, it also leads to additional client referrals. VABVI does offer many opportunities for older blind and visually impaired persons to volunteer and help others. We also provide the necessary support such as transportation and materials to facilitate these efforts. We have many clients benefiting from this program either as givers or recipients of these volunteer activities. Seeing their peers in these events encourages other visually impaired people to see out our services.

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

We do not tabulate any statistics of our evaluations/satisfaction surveys. Clients who are closed out after services are completed are asked questions by a volunteer as to how happy they were with the services — see Appendix V. We telephone them; but many choose not to respond or we are unable to reach them after several tries. For those who do respond; the results are reviewed by the adult service supervisor. The vast majority are very pleased with the services. For those who are not; we follow up by reviewing our procedures to see what we can do to improve in those areas. Where applicable; we provide additional training to those who request it. Vermont Association for the Blind and Visually Impaired Review of Services “cc’s” to: Name: Date services completed: Phone: Date of follow-up: Client funding: Instructor / Office: 1. Are you using all the devices you received and are they still working well for you? Yes 2. If no, do you wish to donate them to VABVI? N/A 3. Overall, do you feel you are less dependent on others? Yes What was the greatest difference VABVI services made in your life? 4. As a result of the service you received from VABVI, do you feel you can remain in your current living situation? Yes 5. If no, is it for reasons other than your vision? N/A 6. Are you aware of the Volunteer Program and if you are eligible or not? Yes 7. If no, would you like someone to contact you about the Volunteer Program? N/A Comments, suggestions or other ways we may serve you: 8. If you have any complaints or suggestions that you would prefer to share with the Supervisor of Adult Services you can call, Dan Norris toll-free at: 1-877-350-8838. Did the client want Dan’s contact information? No Action taken: Exit Completed Re-referred Deceased Does this client plan to continue to participate in PALS ? Not Applicable 9. Prepared by: Date: Supervisor: Date:

D. Briefly describe the impact of the Title VII-Chapter 2 program, citing examples from individual cases (without identifying information) in which services contributed significantly to increasing independence and quality of life for the individual(s).

A Certified Vision Rehabilitation Therapist (CVRT) visited with a couple in Brattleboro. The husband (a Chapter 2 client) has developed Age Related Macular Degeneration. By trade he was a claims adjuster and was formerly in the army. He and his wife had been very independent and active in the community. When he lost his vision, he became very depressed and withdrawn. As his wife tells the story, “The day VABVI came, he thought nothing would help him. By the time she left he was chipper and excited and knew life was not over.” The gentlemen and his wife quickly learned the power of contrast. Together, they marked his tablet, kitchen and even gave the dog an orange sweater so he wouldn’t sit on him by accident in his chair. The two in question now actively attend the PALS group and are eager to learn all they can and help others develop the skills they need to adjust to vision loss.

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

The main objective of this project is to help blind and visually impaired people to achieve and maintain their independence. We achieve this through a variety of methods that allows us to be as effective as possible in delivering these services to as many people as possible with the funding that is available. Please refer to Appendix III for program highlights and statistical information. Our main concern is that of limited funding. We have received the same amount of Chapter II funds for over 20 years. The number of people who could use our services is expected to increase dramatically over the next 20 years. How many additional people we will be able to serve will be limited by the amount of funding we receive. As part of this projects objectives, VABVI has developed specific programs that have helped meet the needs of our Chapter II population group. 1. Because of the nature of our rural state, and the lack of public transportation, we have recruited volunteers to provide rides to this population. These volunteers drove about 80,000 miles last year. Because of this service, our clients were able to be integrated into their communities; providing them with shopping and other social opportunities resulting in a healthier mental and physical condition. 172 Chapter II clients used this service throughout the year. 2. Another activity has been to meet with our Chapter II clients in Groups. There they are provided with peer counseling, rehabilitation services, and recreational activities such as crafts and outings. This feature allows our Rehabilitation Teachers to meet with several clients at once in order to see a larger number of people on a more frequent basis, (twice per month) and to provide them with more opportunities for peer interaction and community involvement. We have up to ten different groups operating throughout the State. The locations of these groups are as follows: 1. Burlington 6. White River Junction 2. Montpelier 7. Springfield 3. St. Albans 8. Rutland 4. St. Johnsbury/Newport 9. Brattleboro 5. Middlebury 10. Bennington The groups follow a basic 12-week curriculum that covers Independent Living Skills; and can be modified to meet the needs of a particular group. The curriculum is: 1. Low Vision 2. Vision Rehab. Services 3. Home Safety 4. Labeling 5. Communications 6. Money Identification 7. Personal Grooming 8. Food 9. Getting Around(O & M) 10. Feelings about being Visually Impaired 11. Leisure 12. Community Support Systems We had 135 Chapter II clients attend the groups during the last year. In FY01, we began scheduling low-vision evaluations whenever possible in our offices so that our Teachers could see more clients as well as having various demo equipment available for our clients to view while they were there. This has been quite successful and we will continue to offer this service in this way. As needed, we run a group for clients with diabetic retinopathy. Most of which are Chapter II clients. The group runs for ten sessions. The goal of the group is to allow people with the same eye disease to meet each other with the purpose of sharing their experiences, obtain a greater degree of knowledge about diabetes, and to offer each other emotional support. Guest speakers include an M.D. specializing in diabetes, a diabetic educator, a rehabilitation teacher for the visually impaired and an exercise specialist. The feedback from the participants from previous groups was that this experience helped them to better understand their eye disease, obtain a more positive emotional attitude, to learn about adaptive aids to help them with their visual impairment, and to develop a greater knowledge base about their disease. Comparison to Statistics FY15 FY16 Consumers Served 816 798 New Referrals 481 449 Carry-Overs 335 321 Low Vision Exams 36 34 Community Activities — Number 153 263 Hours 573 1126 Number of Goals Set 5279 4280 Number of Goals Achieved 3499 2568 Number of Goals in Progress 1384 1148 APPENDIX III

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 byFred Jones
TitleDirector-Division for the Blind
Telephone802-241-0326
Date signed12/07/2016