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

RSA-7-OB for Wisconsin Division of Vocational Rehabilitation - H177B160049 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 year580,534
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2580,534
A2. Total other federal0
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)64,504
A4. Third party0
A5. In-kind0
A6. Total Matching Funds64,504
A7. Total All Funds Expended645,038
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs187,804
C. Total expenditures and encumbrances for direct program services457,234

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 0.8000 12.3000 13.1000
2. FTE Contractors 0.0000 2.8000 2.8000
3. Total FTE 0.8000 15.1000 15.9000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 5 4.0000
2. Employees with Blindness Age 55 and Older 3 2.0000
3. Employees who are Racial/Ethnic Minorities 2 2.0000
4. Employees who are Women 9 7.0000
5. Employees Age 55 and Older 4 3.5000

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 FY335
2. Number of individuals who began receiving services in the reported FY773
3. Total individuals served during the reported fiscal year (A1 + A2) 1,108

B. Age

1. 55-5966
2. 60-6469
3. 65-6972
4. 70-7494
5. 75-79105
6. 80-84177
7. 85-89227
8. 90-94209
9. 95-9976
10. 100 & over13
11. Total (must agree with A3)1,108

C. Gender

1. Female804
2. Male304
3. Total (must agree with A3)1,108

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race8
2. American Indian or Alaska Native15
3. Asian1
4. Black or African American27
5. Native Hawaiian or Other Pacific Islander0
6. White1,054
7. Two or more races3
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)1,108

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)76
2. Legally Blind (excluding totally blind)396
3. Severe Visual Impairment636
4. Total (must agree with A3)1,108

F. Major Cause of Visual Impairment

1. Macular Degeneration648
2. Diabetic Retinopathy67
3. Glaucoma122
4. Cataracts27
5. Other244
6. Total (must agree with A3)1,108

G. Other Age-Related Impairments

1. Hearing Impairment170
2. Diabetes154
3. Cardiovascular Disease and Strokes269
4. Cancer44
5. Bone, Muscle, Skin, Joint, and Movement Disorders289
6. Alzheimer's Disease/Cognitive Impairment67
7. Depression/Mood Disorder44
8. Other Major Geriatric Concerns218

H. Type of Residence

1. Private residence (house or apartment)848
2. Senior Living/Retirement Community82
3. Assisted Living Facility113
4. Nursing Home/Long-term Care facility61
5. Homeless4
6. Total (must agree with A3)1,108

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)190
2. Physician/medical provider45
3. State VR agency10
4. Government or Social Service Agency166
5. Veterans Administration7
6. Senior Center37
7. Assisted Living Facility10
8. Nursing Home/Long-term Care facility7
9. Faith-based organization8
10. Independent Living center15
11. Family member or friend234
12. Self-referral135
13. Other244
14. Total (must agree with A3)1,108

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 35,552
1b. Total Cost from other funds 4,515
2. Vision screening / vision examination / low vision evaluation 367
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 130,192
1b. Total Cost from other funds 15,481
2. Provision of assistive technology devices and aids 1,108
3. Provision of assistive technology services 930

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 275,431
1b. Total Cost from other funds 38,057
2. Orientation and Mobility training 235
3. Communication skills 1,108
4. Daily living skills 1,108
5. Supportive services (reader services, transportation, personal 47
6. Advocacy training and support networks 721
7. Counseling (peer, individual and group) 85
8. Information, referral and community integration 1,108
. Other IL services 207

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 24,382
1b. Total Cost from other funds 3,225
2. Information and Referral 2,336
3. Community Awareness: Events/Activities 0 399

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) 645,038 580,534 -64,504
2. Number of Individuals Served 1,123 1,108 -15
3. Number of Minority Individuals Served 22 54 32
4. Number of Community Awareness Activities 411 399 -12
5. Number of Collaborating agencies and organizations 7 3 -4
6. Number of Sub-grantees 8 8

Part VI: Program Outcomes/Performance Measures

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

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 930 100.00%
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) 642 69.03%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 265 28.49%
B1. Number of individuals who received orientation and mobility (O & M) services 235 100.00%
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) 151 64.26%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 59 25.11%
C1. Number of individuals who received communication skills training 1,108 100.00%
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) 581 52.44%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 460 41.52%
D1. Number of individuals who received daily living skills training 1,108 100.00%
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) 704 63.54%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 437 39.44%
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) 662 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) 36 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 660 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) 0 n/a

Part VII: Training and Technical Assistance Needs

With the frequent changes in technology, the Rehabilitation Specialists in Wisconsin can benefit from a program or training series that will allow them to remain current with the different platforms such as IOS and Android.

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.

Group Teaching: The Office for the Blind and Visually Impaired (OBVI) continues to find ways to be as efficient as possible and serve as many people as possible within available resources by implementing group teaching when practical throughout the state. In FFY 2016, the OBVI had a total of eight group teachings. There were a total of 86 participants. Some were students attending a local university or consumers with low vision. The topics included learning about the accessibility features on the iPhone or as in the case of the Occupational Students at Concordia they were exposed to the many aspects of assistive and adaptive technology used to train people with low vision. The Office for the Blind and Visually Impaired continues to collaborate with the Aging and Disability Resource Center (ADRC) of Fond du Lac and this year added Jefferson County to expand on its efforts to reach more people. Meeting at the ADRC offers a neutral gathering place for its county residents that may have questions about their eye conditions or are seeking ways to remain independent in their home. On the fourth Friday of every month, citizens of Fond du Lac County are offered a two-hour group teaching program. With the addition of Jefferson County, the residents there can meet with the Rehabilitation Specialist every third Friday of each month. They can also participate in on-site drop-in hours for individualized direct services. The teaching curriculum allows participants to share experiences about living with low vision, learn about the common eye conditions, and explore adaptations for activities of daily living. Services such as Talking Books, Hadley School for the Blind and the private not-for-profit agencies that are located within the state were discussed. Low vision aids, red and white canes and other assistive products were on display as well. The ADRC promoted this program in its newsletter as well as its online calendar. The OBVI has contracted with Vision Forward to implement a five week educational course in the form of group teaching to reach consumers in urban communities. Direct Service Staff: During the FFY 2016, the OBVI used 15.1 FTE direct service staff, plus two service agreements, two organizations and private contractors for specific skills training such as Orientation and Mobility, Assistive Technology and Braille Instruction. The Office for the Blind & Visually Impaired has 11 Rehabilitation Specialists positioned throughout the state providing direct skills training, which covers all 72 counties. Our Field Supervisor based in Brown County and her Limited Time Employee (LTE) both retired. We lost their contribution to meeting the need of the county they served until Brown County was assigned to another Rehabilitation Specialist. She now does the work of what once was covered by two staff. Additionally, three half-time LTE staff assists the Rehabilitation Specialists with specific skills training and outreach activities. The caseloads of the Rehabilitation Specialists are comprised mainly of individuals who are eligible for the Independent Living Services for Older Individuals grant. Of the 1,108 consumers seen, 1,042 over the age of sixty. Additionally, the staff have made a concerted effort to reach out to the underserved and/or unserved populations in their assigned counties. This FFY 2016, 54 minorities over the age of 55 received services. This FFY 2016, the OBVI exceeded their goal in the number of outreach events to minority groups. There were a total of 16 events held throughout the state reaching a total of 716 in their perspective communities. Last year, the staff continued to respond to the needs of their consumers by taking information about OBVI services into Wisconsin communities. As a trend, the unserved/underserved populations were not seeking resources to help their family member or friend with vision loss because of cultural or religious reasons. The OBVI staff met with the Hmong community leaders on three occasions to start the dialogue amongst the leaders so they will better understand what we do and how we can help. Also, staff attended the Oneida Health Expo and the Oneida Nation Diabetes event. The OBVI continues to be creative in reaching out to the unserved/underserved populations. OBVI continues to staff two Rehabilitation Specialists who are certified in Orientation and Mobility through the Academy for Certification of Vision Rehabilitation & Education Professionals (ACVREP). They are providing direct training to consumers in their assigned territories reducing the cost of private contracting. This continues to be an efficient use of the OBVI’s direct service staff. Service Agreements: Service agreements were established with the Wisconsin Council of the Blind and Visually Impaired (WCBVI), to provide services in Southwestern Wisconsin; and the Vision Forward Association in the Southeastern Wisconsin areas. During FFY 2016, with the assistance of these service providers an additional 65 consumers received services, an addition of ten more consumers than last year. The Vision Forward Association continues to provide the support group training series called “New Perspectives.” In the group, participants share information about their personal feelings and experiences with significant vision loss. The group discusses their frustration and sadness over the change in their life style and choices. The group also looks for alternative ways to confront issues of vision loss and how to move forward. Some specific areas addressed include: how to explain vision loss and its affects, asking for and refusing help, modifying home environments to increase independence, getting around safely in the community and how to develop a support system. Fall Prevention and Stepping On Collaboration: The OBVI continues its collaboration with the statewide Aging and Disability Resource Centers (ADRC) in presenting at their Fall Prevention, Stepping On programs, which is an evidence-based educational program to prevent falls in older adults. The program is the work of Dr. Lindy Clemson and was published in the September 2004 issue of the Journal of the American Geriatrics Society. The Stepping On program is held in local community venues and is run for seven, two-hour weekly sessions, with a follow-up home visit and a three-month booster session. The OBVI rehabilitation staff presents at Session Five, the Vision and Falls component of the program. The rehabilitation staff shares information on the four major eye diseases and how vision problems can effect maintaining good balance, seeing obstacles in your line of travel, and navigating stairs. In FFY 2016, the OBVI staff presented as the Vision Specialist at 80 programs an increase of 41 more programs since last fiscal year. Each presentation typically reaches ten to fifteen program participants and two service providers. Staff Outreach: In FFY 2016, the OBVI staff accomplished 399 Outreach and Information events on vision loss related issues. Community presentations continue to be an efficient method to reach the community-at-large. During FFY 2016, the OBVI reached out to family members living with a person with a vision loss, service providers, the community-at-large, adults with low vision, medical personnel and eye care professionals. The OBVI reached more than 9,000 people and/or professionals through outreach. The OBVI’s staff presented information to 874 service providers, 217 eye care professionals, 100 medical professionals, 505 staff from the ADRCs, and 1022 adults with low vision. There was a percentage increase in all areas of outreach with the exception of the aging staff. The methodology to disseminate information continues with the use of brochures, at health fairs, support groups, speaking at senior housing complexes and meal sites.

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.

Summer Camp Training and Collaboration with Lions Camp: The Wisconsin Lions Camp, located in Rosholt, in Central Wisconsin provides a summer recreational camp for visually impaired adults. The Office for the Blind and Visually Impaired Workshops at the Wisconsin Lions Camp — June 2016. The Office for the Blind and Visually Impaired staff offered workshops during the Wisconsin Lions Camp adult summer program for people who are blind or visually impaired June 14-16, 2016. The workshops included: 1) Cold Soup for One, 2) Chair Yoga/Stretching, 3) Adjustment to Vision Loss, 4) Shine a Light On Lighting (Lighting and Sunglasses), 5) Odds and Ends Adaptive Equipment, and, 6) iPhones and iPads: What’s New, as well as a panel presentation on using dog guides and an agency vendor fair. There were 80 participants for one or more of the workshops offered. “Adventures in Vision Loss 2016: Learning To Do Things Differently”: The Office for the Blind and Visually Impaired provided training for 18 people who were newly blind or visually impaired at the Wisconsin Lions Camp in Rosholt from Sunday, September 25, to Thursday, September 29, 2016. This training event introduced the participants to living with blindness or vision loss, with emphasis in the areas of cooking, technology, including computers, smart phones and tablets; communications and braille; orientation and mobility; daily living skills, and resources and discussion about vision loss. Participants took these six classes daily for three full days. This was an opportunity for people to meet and get to know others from throughout Wisconsin who share many of the same challenges of living with blindness or vision loss. One of the comments received after the training - “Thank you. It was so much fun last week. I had the time of my life. I can't express how much I appreciate all that I learned and all that you guys have done for me.” Wisconsin Institute for Healthy Aging Collaboration: One of our OBVI staff collaborated with other Department of Health Services (DHS) staff, as well as the non-profit agencies, Access to Independence and the Wisconsin Council of the Blind and Visually Impaired to create a tool-kit that will help Stepping on Coordinators and Trainers accommodate the needs of the participants who have low vision, are blind or hard of hearing. Since the prevalence of low vision and hearing problems are very high amongst the program’s target population, older adults and participants’ ability to see and hear are critical factors in being able to fully participate in and benefit from the Stepping On program. The Wisconsin Association for Home and Community Education Collaboration: One of our OBVI staff presented at the Wisconsin Association for Home and Community Education (HCE) program. It is a non-profit educational organization comprised of member associations in 59 counties in Wisconsin. The organization is unique in that members extend the information they receive from the University faculty and other reliable sources like OBVI to the membership and community. Program planning and leadership training are provided by a collaborative effort of WAHCE, Inc. and the UW-Extension Family Living Program. Education programs are developed after careful study of statewide concerns. Staff Training: ILOB and other funds were used to provide training to the OBVI staff during two semi-annual staff training meetings. On April 19 and 20, 2016, training was held in Stevens Point one topics was “Update on Assistive Technology,”. The presenters were Douglas Martens, Scott Gilbertson, James Unger, CVRT, and Jason Songs, who are all Rehabilitation Specialists with the Office for the Blind and Visually Impaired. The second topic was “Cognitive Screening”, presented by Kristen Felten, MSW, APSW. On October 11-12, 2016, training was held in Milwaukee. The staff of OBVI decided they needed to be trained and refreshed on the basics of the IOS and Android devices. The OBVI collaborated with the Vision Forward and invited Cory Ballard to teach some of the breakout sessions. The topics ranged from iPhone-Voice Over and Zoom basics, NVDA and Windows key commands, Braille Note Touch and Victor Stream and Android-Speech and Large Print Adaptations. All training sessions were approved and staff earned Academy for Certification of Vision Rehabilitation and Education Professionals (ACVREP) continuing education units. Staff Outreach to Unserved or Underserved Populations-Minority Events: During FFY 2016, the OBVI participated in 16 minority outreach activities to reach unserved or underserved populations. A total of 716 people learned of the OBVI and the services they provide. The OBVI continues to reach out to the Native American, Hmong, African American, and Hispanic communities. In addition, this year, the outreach initiatives included individuals with cognitive and physical disabilities with vision loss, the mental health community and the deaf and hard of hearing who are also unserved or underserved populations. Statutory Council on Blindness (SCOB): The OBVI has a strong working relationship with the Statutory Council on Blindness (SCOB). The Statutory Council on Blindness meets on a quarterly basis to advise and make recommendations to state agencies regarding issues that affect people who are blind and visually impaired in Wisconsin. The SCOB has developed a website that shares information about their mission at: http://www.blindnesscouncil.wisconsin.gov/. During FFY 2016, the SCOB has focused on reaching out to find qualified members to serve on their board. They have worked very closely with the Director of the Office for the Blind and Visually Impaired to ensure they can work cohesively. One of SCOB’s goals is to provide recommendations to the Division of Vocational Rehabilitation (DVR) on the Business Enterprise Program with the hope they will achieve more transparency and clarity to the program and help convert it into a program of growth. Additional efforts have been encouraged by OBVI to clarify the role of the SCOB within the State system, and assist the SCOB to identify issues related to Family Care changes and how these proposed changes might impact individuals within Wisconsin who are experiencing visual impairments.

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.

Since FFY 2009, the OBVI has incorporated a consumer survey upon completion of services. Survey results are incorportated into the Manage Information for Blind and Visual Impairment Services (MiBVI) data tracking program based on the Federal 7-OB outcome and performance measures. The consumer satisfaction survey provides a yearly evaluation of the OBVI’s outcomes. In FFY 2016, a total of 1,108 surveys were completed for individuals 55 and older. Seven hundred and nine consumers reported on functional gains and the results showed that 662 individuals (93%) reported feeling 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. This is an increase of seventeen percent from last fiscal year. Two individuals reported feeling they have less control and confidence in their ability to maintain their current living situation. Thirty-six individuals (5%) reported no change in their feeling of control and confidence. Additionally, 660 individuals reported changes in lifestyle for reasons unrelated to vision loss an increase of fifty-seven people.

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).

Consumer Case 1: JG was referred to the Office for the Blind and Visually Impaired by his wife, who called saying her husband, has lost almost all of his vision from RP. RP is “retinitis pigmentosa”, a degenerative retinal condition that starts with a patient losing peripheral vision, and the vision narrows to “tunnel vision” almost always results in total vision loss. His wife said they were newlyweds, and just moved into a new home and somehow he suddenly changed from an active person who enjoyed his life to one whose routine now consisted of staying in their home all the time. She found it frustrating that he didn’t want to talk too much to her or anyone else about his vision loss, and she didn’t know why, and she wondered if he was also depressed. OBVI staff worked with JG to uncover the specific challenge JG was most concerned about. Not surprisingly, he reported he was scared of injury or getting lost, especially because he did try to take the couple’s dog on “daily walks”. JG said he relied upon the dog to keep him on sidewalks and not wander onto lawns. The problem was the dog didn’t know where he was going or how to get back home and neither did JG. So they only walked up and down the block, and as they left home, JG threw a dog treat on the edge of the driveway, hoping the dog would smell it and know he was in the correct driveway. JG also reported he had been “found” in their new next-door neighbor’s backyard and the neighbor yelled at him and now the new neighbor won’t speak to the couple, because she thinks he is strange. The couple had heard about a “talking GPS” from a catalog and wanted to learn about it, thinking it would solve the problem of how to walk the dog. OBVI staff suggested the consumer obtain orientation ad mobility training (O&M) so that although the machine could help him know where he was, he still needed to safely navigate obstacles. Also, with “O&M training”, there wouldn’t be unrealistic expectations placed upon the family pet. At first, JG embraced the idea but he didn’t want any other neighbors to see him with a red and white cane. He found the trainer helped him get comfortable because of the trainer’s gentle personality. After a few weeks, JG was able to take a public bus, alone, to a neighboring city to visit his father. Eventually he did receive the talking GPS but remarked that after his training, he understood why cane skills were first and foremost and the device only enhanced the skills he needed to learn with the cane. In addition to this device, he got a “talking pen” which he used with his stepson to “label cooking directions by voice” so he could at least prep items such as cutting vegetables and make noodles before his wife came home from work. When JG agreed to attend a week-long training for newly-blind individuals, he was terrified but knew it would probably be what he needed to get a sense of better meal preparation, use of electronic reading devices for the blind, and other daily living skills he thought he could no longer do. JG reported afterwards that attending the OBVI training camp was the best experience of his life, not only for the skills he learned but also the camaraderie of sharing solutions and frustrations with others “in the same boat”. Soon after camp, he told his new bride and OBVI staff that he felt his sudden vision loss made him an unsuitable husband and that his wife would think he was “not what she signed up for” which is why he seemed depressed. It didn’t take much for her to reassure him that not only was this never the case, but that she was quite proud of him. They plan to someday start a support group for other couples to help them learn to communicate as they go through similar challenges. Consumer Case 2: DD is a 65 year old amiable male who has dealt with vision loss his entire life. Currently, he has one prosthetic eye and can see 20/80 with correction in his other eye. DD is a homeowner in an urban community. DD is diabetic and has a history of infection or trauma to his retina. He relies on hand-held magnification to help him read his mail and especially his correspondence relative to his home-ownership and many health issues. He was referred to OBVI by a dear friend. DD collects electronics, old board-games, toys, VHS movies and DVDs. He prefers to use the term "collector" rather than "hoarder" although it was noted he has at least eight separate boom-boxes and a vinyl and cd collection. DD is bothered by glare in indoor and outdoor conditions. He is diabetic and wears an ostomy bag. DD was interested in attending OBVI Lions camp in the fall of 2016. He maintains his home, gets out with a three-wheeled trike and has a very motivated attitude about attending camp. DD demonstrated that he does all his own cooking in his small kitchen. The Rehabilitation Specialist marked his stove top with tactile bright orange dots (noted fire hazard of keeping pot holders on the stovetop surface) The OBVI was able to provide improved magnification and lighting to help DD complete his reading and writing tasks. He was also provided with fit-over glare shield glasses to help with glare when he is out in the community on his trike. The OBVI staff was able to connect with the local Lions volunteers who drove DD to and from the September training at the Lions Camp in northern Wisconsin. There, DD was able to meet other people with visual impairments and took classes in mobility, communication, assistive technology, cooking, Braille, and talking about blindness. The counseling class was most useful to DD who has always felt like an outsider. Discussion and counseling provided regarding adjustment to blindness and vision loss included acceptance, understanding blindness/vision loss for the family/friends, participating in leisure activities, learning to compensate with other senses and learning how to use laughter and humor in facing his daily challenges. At the end of camp, DD was quoted as saying: “I feel more enlightened in my personal life from talking with the other students and staff; felt treated like an equal person.” Post camp, DD has regular phone conversations with other visually impaired people and has attended the local low vision support group sponsored by the Noon Lions Group. He also reports that he is paying better attention to his diabetic management and does not feel so alone. With the assistive devices provided to DD he is better able to live independently in his own home. Consumer Case 3: A Physician referred a woman who went from fully sighted to fully blind overnight. She could not walk around by herself or even navigate to her bedroom or bathroom alone. She could not pour herself something to drink, tell time, dial her phone, pick out clothing, or know any items in her cabinets and drawers. She would spend all day, every day, sitting in one chair waiting for her children and husband to come home, so they could do these tasks for her. Time weighed very heavily on her hands, and she was very sad for the life she left behind. She was a productive woman, and very independent. After her vision loss, she became dependent on everyone around her for every task, great and small. When she began working with the OBVI staff, her world opened up once again. She received Orientation & Mobility training, and can now not only navigate in her home independently, but also take a walk around her block and even navigate in her local mall. She has learned note taking, she can identify all her items in her kitchen and bathroom cabinets, and all her clothing. She can make phones calls, identify her medications, and tell time. She is able to make meals for herself. While it is true that her life now is very different than what it once was, she and her family are surprised and delighted that she has regained her independence and confidence; something her family and the consumer thought couldn’t be done after losing her sight. Most importantly, she has begun smiling and laughing again, and does not need to sit in one chair everyday waiting for her family members to come home to assist her. Consumer Case 4: Consumer S is 66 years old. She is totally blind due to diabetic retinopathy. She lives in her own apartment with her cat and receives support services through Family Care. The OBVI has worked with her on a number of independent living goals including independent diabetes management, phone use, record keeping on a voice recorder and orientation and mobility training. The one goal that has impacted S on an emotional level has been to decrease her isolation by teaching her how to use a computer with speech output. S’s daughter and granddaughter live out of the country and the best way to communicate with them is by email and Facebook. OBVI staff told S about a program that provides a refurbished computer with speech to people with vision loss for a low cost. OBVI staff provided training to S on how to use the computer by collaborating and paying for additional computer training through Vision Forward. S is now able to communicate with her daughter, granddaughter, and son-in-law by email and Facebook. She has been able to connect with other family and friends this way as well. Consumer Case 5: FB is an 84 year old male living with his wife of sixty years. FB is totally blind and has light perception only. He has glaucoma, diabetic retinopathy and iritis. Since his vision loss FB spends most of his day in his Lazy Boy chair unable to navigate independently in the condo he shares with his wife. His wife called OBVI and shared she had heard someone would come out and teach FB how to get around. The OBVI staff conducted an assessment and issued FB his first cane. The Rehabilitation Specialist and FB worked together on getting around his condo. Each lesson expanded his training until he was walking down his hallways, and was able to walk outside up and down his sidewalks for the first time. His wife couldn’t believe it. She commented, “This is the first time he has been outside alone since he lost his vision.” She was so excited she shared her husband’s success with their children; they too were amazed and indicated someone should have taken a picture. Using a smart phone, the Rehabilitation Specialist took a picture of their dad ambulating outside his home using a long cane as proof that at 84 new skills can be learned. With FB’s new accomplishment of learning mobility, FB was ready to take on more adventures; he signed up for the talking book program and enjoys listening to sports and westerns. FB learned how to use the keypad so he can make a phone call, before he would only answer the telephone when it rang.

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

It is becoming increasingly more difficult to manage the limited amount of funding to provide services to the 55 and older population. This is especially true with the enormous amount of technology available to benefit our consumers and to increase their independence, such as, portable video magnifier, pen friend, Zoomtext, and other electronic aids. The cost of hand held magnifiers are on the rise, which traditionally has been a low cost item. The population we serve is changing dramatically, the children of our consumers are reporting to their parents the latest technology and there is an expectation that, the Office for the Blind and Visually Impaired should provide either the item or, training on how to use a device that was ordered online. We are now working with a population that is increasingly more social and active and desire to maintain their independence in their homes. This requires a need for more services for orientation and mobility and technology training. Also, during the FFY 2016, several of the vendors we contract with proposed increasing their hourly rate and we had to decline because it meant serving fewer consumers. The Vision Forward’s contract ended within the second quarter because they ran out of funding. There is no possible way to add more funding to the contractual amount because it would create a shortfall in other areas. In summation, the reduction of Federal funding has and continues to cause a trickledown effect on services. It specifically reduces the number of consumers the OBVI can see per year; the impact of the ability to purchase equipment for consumers to facilitate staying in their homes independently; reduces the printing of publications and handout materials aimed at increasing awareness of services available; the cost to pay for health fairs to have a presence at Senior events and puts at risk future adult training collaborations.

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 byDelora Newton
TitleAdministrator-Division of Voc. Rehab.
Telephone608-261-4576
Date signed12/20/2016