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

RSA-7-OB for Colorado Department of Labor and Employment - H177B170059 report through September 30, 2017

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 year474,456
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year35,119
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2439,337
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)0
A4. Third party0
A5. In-kind93,782
A6. Total Matching Funds93,782
A7. Total All Funds Expended533,119
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs274,283
C. Total expenditures and encumbrances for direct program services258,836

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 0.4000 0.0000 0.4000
2. FTE Contractors 2.9060 7.3390 10.2450
3. Total FTE 3.3060 7.3390 10.6450

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 53 40.4375
2. Employees with Blindness Age 55 and Older 8 7.0000
3. Employees who are Racial/Ethnic Minorities 22 16.9450
4. Employees who are Women 78 44.3350
5. Employees Age 55 and Older 29 9.2575

C. Volunteers

4.02

Part III: Data on Individuals Served

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

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY408
2. Number of individuals who began receiving services in the reported FY357
3. Total individuals served during the reported fiscal year (A1 + A2) 765

B. Age

1. 55-5945
2. 60-6461
3. 65-6987
4. 70-7479
5. 75-7981
6. 80-8496
7. 85-89145
8. 90-94133
9. 95-9931
10. 100 & over7
11. Total (must agree with A3)765

C. Gender

1. Female542
2. Male223
3. Total (must agree with A3)765

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race55
2. American Indian or Alaska Native7
3. Asian3
4. Black or African American15
5. Native Hawaiian or Other Pacific Islander2
6. White654
7. Two or more races6
8. Race and ethnicity unknown (only if consumer refuses to identify)23
9. Total (must agree with A3)765

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)76
2. Legally Blind (excluding totally blind)383
3. Severe Visual Impairment306
4. Total (must agree with A3)765

F. Major Cause of Visual Impairment

1. Macular Degeneration456
2. Diabetic Retinopathy50
3. Glaucoma71
4. Cataracts24
5. Other164
6. Total (must agree with A3)765

G. Other Age-Related Impairments

1. Hearing Impairment92
2. Diabetes76
3. Cardiovascular Disease and Strokes81
4. Cancer17
5. Bone, Muscle, Skin, Joint, and Movement Disorders98
6. Alzheimer's Disease/Cognitive Impairment26
7. Depression/Mood Disorder46
8. Other Major Geriatric Concerns202

H. Type of Residence

1. Private residence (house or apartment)516
2. Senior Living/Retirement Community143
3. Assisted Living Facility84
4. Nursing Home/Long-term Care facility20
5. Homeless2
6. Total (must agree with A3)765

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)99
2. Physician/medical provider26
3. State VR agency7
4. Government or Social Service Agency57
5. Veterans Administration33
6. Senior Center72
7. Assisted Living Facility13
8. Nursing Home/Long-term Care facility25
9. Faith-based organization16
10. Independent Living center106
11. Family member or friend187
12. Self-referral102
13. Other22
14. Total (must agree with A3)765

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 6,549
1b. Total Cost from other funds 18,856
2. Vision screening / vision examination / low vision evaluation 89
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 25,037
1b. Total Cost from other funds 14,034
2. Provision of assistive technology devices and aids 234
3. Provision of assistive technology services 263

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 123,830
1b. Total Cost from other funds 58,146
2. Orientation and Mobility training 266
3. Communication skills 156
4. Daily living skills 269
5. Supportive services (reader services, transportation, personal 177
6. Advocacy training and support networks 376
7. Counseling (peer, individual and group) 315
8. Information, referral and community integration 304
. Other IL services 142

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 32,726
1b. Total Cost from other funds 9,083
2. Information and Referral 899
3. Community Awareness: Events/Activities 40 713

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) 149,333 250,896 101,563
2. Number of Individuals Served 451 550 99
3. Number of Minority Individuals Served 57 80 23
4. Number of Community Awareness Activities 116 215 99
5. Number of Collaborating agencies and organizations 287 449 162
6. Number of Sub-grantees 0 7

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 263 100.00%
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) 133 50.57%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 204 77.57%
B1. Number of individuals who received orientation and mobility (O & M) services 266 100.00%
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) 38 14.29%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 73 27.44%
C1. Number of individuals who received communication skills training 156 100.00%
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) 31 19.87%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 117 75.00%
D1. Number of individuals who received daily living skills training 269 100.00%
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) 120 44.61%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 365 135.69%
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) 109 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) 3 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) 8 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 28 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

Our contractors have stated that they could use additional training and technical assistance in several specific areas: record keeping, satisfaction surveys, low vision and assistive technology devices. With regard to record keeping, our contractors brought up the challenge of gathering the correct data during the year to be able to accurately report information in the 7-OB report. Sub-contractors are seeking training with updating their data-bases to be more efficient or the creation of an OIB specific database. Several contractors are finding it difficult to conduct the customer satisfaction surveys both in making time to get it done as well as strategies for how to solicit feedback from participants. Additionally multiple contractors stated the need for ongoing training on better understanding of low vision and assistive technology devices, specifically devices designed for seniors. The technology changes so quickly and it can be challenging for program staff to know the best available devices and to have the knowledge to train seniors on those devices.

Part VIII: Narrative

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

The Colorado Division of Vocational Rehabilitation uses sub-contractors for the implementation of the Title VII-Chapter 2 program. Below is a list of our sub-contractors and the services they provide. Information provided by contractors has also been summarized in the following Narrative sections B, C, D and E. The Southwest Center for Independent Living (SWCIL): Basic services available through our OIB program include: Support Groups that include presentation and training in all 5 counties we serve. This represents 6551 square miles of rural southwest Colorado. Provided 100 large print wall calendars. Home visits to provide individual services such as peer mentorship, independent living skills training, advocacy, information and referral/ options counseling. Assistive Technology (AT) assessments, recommendations and implementation in the home. Training and technical assistance to caregivers. Low Vision AT loner bank to individuals and senior centers, Low Vision Expos that connect vision providers and consumers. Consultation with vision providers and home health on assistive technology options for their clients. Colorado Center for the Blind (CCB): Provides programs for seniors at the Center and within the community. Programs at the Center help seniors who are blind to develop confidence in their abilities. Consumers encounter many other blind adults and learn that using white canes and Braille are normal skills that they can learn. The Outreach Specialist leads groups throughout the greater Denver metro area as well as Douglas County and some of the mountain areas, providing home teaching to seniors in their homes and outreach to locate blind and low vision seniors in underserved areas. The CCB works with senior living communities to provide support groups and group training that lead to senior’s ability to live independently. Center for Disabilities (CFD): Individual services including: home visits, needs assessments, providing free/low cost assistive technology devices, marking appliances and daily living skills training. The program connects consumers with resources (through information and referral) by maintaining a Resource Directory for each of the 17 counties we serve. Additionally, we provide Maxi-Aids and Independent Living Aid catalogs and a free Large Print calendar to each consumer. Group services include the monthly meetings of 7 OIB Vision Support groups in 6 counties. Every consumer receives Large Print announcement and a personal reminder call for these meetings. Group topics included: Safety and Security in the Home, Assistive Technology Expo, and Fire Safety & FEMA Emergency Preparedness. OIB outreach efforts were greatly expanded this year. On the community level, 189 agencies and organizations received monthly invitations to OIB activities and events. In addition our program workers made personal contacts with each of the department of social service agencies in the 17 counties in our catchment area. Our particular focus this past summer was to develop a strong relationship with the adult protective service agency in Alamosa County with a goal of implementing a support group in that county. Center for Independence (CFI): CFI has full-time staff operating out of the Mesa County main office who work with designated staff in two satellite offices in Montrose and Garfield Counties, providing activities in Assistive Technology, Independent Living Skills, Peer mentoring, and Advocacy. Advocacy topics include Accessing free telephone assistance, Providing information and resources to professionals involved with seniors for system change advocacy, requesting large print menus at local restaurants and participation at Senior networking events. Provided Low Vision Assistive Technology presentations & instruction and promoted clubs that enable seniors with low vision to become comfortable using mainstream technology such as Smart Devices. CFI has a low-vision demonstration lab for hands on manipulation of the equipment to pick the best personal use of technology. CFI created and sponsors the Western Slope Visionaries (WSV) Low Vision Peer support group and provides support free meeting space for locally based blind organizations. Activities at CFI include meetings, potlucks, outings, and clubs, including a music club. Being able to attend less formal event than a Support Group Meeting allows them to access to peers in way that is more comfortable. Colorado Springs Independence Center (CSIC): Services continued to be provided using the expertise of in-house staff. Outreach efforts include collaboration and partnership with other agencies that work with the unserved/and underserved seniors. Some of the agencies include National Federation for the Blind, the Area Agency on Aging, DVR Services, local assisted living and nursing homes, Silver Key and public transportation agencies, technology vendors, eye care professionals and many others. We have made great strides in our rural communities and have consistent and active consumer participants in the support groups, not just in Colorado Springs but in Calhan and Cripple Creek as well. We work to educate IL staff at the center about the OIB Program so that appropriate internal referrals are made for consumer outreach. The OIB program continues to facilitate support groups at The Independence Center(IC), and in community facilities. The new support groups that were added this year are Health and Wellness, which currently is being consumer/participant led, and a social support group at a community center where integrated activities happen. Some of the activities include enjoying lunch, movies, adapted games, women’s group, and chair exercises with peers. The program has had an increase of requested 1:1 home visits due to the OIB consumer demographic and support group participants' population aging. Ensight Skills Center: Implementation includes clinical assessments done at one of our centers and satellite clinics throughout Colorado. Services are also implemented in consumer’s residences, work places when applicable, or volunteer sites. All services are in-house with Ensight Skills Center employees. We do contract with our Low Vision Optometrists and Orientation and Mobility Specialists. Outreach is completed by Ensight’s Development Director, Outreach Manager, Occupational therapy staff, and CEO. Outreach includes Ensight hosted educational seminars and assistive technology demonstrations. Ensight also partners with collaborating agencies and independent living services to present at their educational events and support groups. Ensight works closely with area agencies to present at senior centers, independent and assisted living communities, community centers, and eye clinics. Ensight’s outreach staff is working hard to better target and reach minorities and rural mountain areas. All sub-grantees/contractors: Dr. Dave Kisling Dr. Corey Bernhardt Dr. Carolyn Smith Ellie Carlson, Certified Orientation and Mobility Specialist Stephanie Smithgall, Certified Orientation and Mobility Specialist Danielle Burden, Certified Orientation and Mobility Specialist

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.

Colorado Center for the Blind: We are constantly striving to improve our services to this population. We provide weekly support groups at our Center in Littleton and monthly groups out in the communities. We have groups in Broomfield, Castle Rock, Denver, and Aurora. We provide a number of educational programs to help seniors stay healthy and fit, including inviting guest speakers on topics of nutrition, diabetes awareness, brain health and more. We offer tactile art and yoga classes to our seniors. We partner with We Fit Wellness, an organization dedicated to promoting the fitness of people with disabilities of all ages. We also work closely with Colorado Talking Book Library, News line, Audio Information Network and the National Federation of the Blind. Center for Disabilities: CFD's collaborative efforts this year concluded our collaborative effort with the Pueblo County AAA in distributing a number of Assistive Technology devices including video magnifiers, talking watches/alarm clocks, scanner/readers and T.V glasses. These devices were provided to 22 clients within our catchment area (14 in Pueblo county and 8 in other counties in our catchment area); CFD's 018 staff continues to collaborate with and make monthly personal visits to DVR, Social Services, Work Force Centers, AAA, Senior Services Centers and Eye Care services in each of the 6 counties where we host a support group. 018 program's current event/activities schedules and brochures are dispensed to these agencies on a regular basis. We have participated in joint outreach areas in 12 of the 17 counties in our catchment area. These have included events such as Occupies annual expo in Rocky Ford, the Pueblo Library ADA expo, the Huerfano County Senior Expo, the Prowers County Senior Fair, the Fremont County Senior Fair and most recently a collaborative meeting in Trinidad focusing on the needs and services for senior citizens in Las Animas County. Center for Independence: Research and production of information about services and strategies. Acquiring Low Vision assistive technology in all 3 of our offices. There are no stores on the Western Slope that consumers can access in order to try out equipment to see if it works for them. We demonstrate our equipment to consumers and service professionals and we loan out equipment. We also provide training on equipment and information on financial assistance. Presentations for residents and staff at Senior Living facilities, public Community Low Vision Education Events, presentations to agencies and programs whose goal is to enable aging in place and independent living, and lowering the risk of needing skilled nursing care. A highlight was the Low Vision Resource Fair in Grand Junction & Montrose in collaboration with Mesa ADRC and Ensight Skills Center which provided the opportunity for the community to learn about low vision rehabilitation, Low vision evaluations, Low Vision Assistive technology and Low Vision service availability. Ongoing participation in programs such as a Matter of Balance and the Stepping on Program. Colorado Springs Independence Center: Close collaboration is done through IC participation in committees that include Rural Advisory committee, Community Transition Services, Inter agency Transition Teams, Brown Bag Lunches which are informational sharing meeting facilitated in partnership with Department of Human Services and Rocky Mountain Options, Ethics Committee, Transit passenger advisory Committee, National Federation for the Blind local chapter, care collaboration project with local and rural hospitals and representation at transit training for all staff/drivers. The IC brochure is printed in Spanish, have Spanish speaking staff, and has started a Hispanic support group. Assistive Technology Department has office hours in Calhan 2x month to reach our rural participants. The IC now has regular satellite offices in Monument, Cripple Creek, Limon, and Burlington. The IC has been able to serve veterans in El Paso, Park, Teller, and Elbert counties. Staff has to participate in vendor shows locally. This helps them to stay current on available and accessible technology and community resources. We have been able to bring products to consumer’s homes. And brought in vendors to the center for product demonstrations. We have also been able to provide these services to our rural under/ unserved communities. The IC continues to be an accessible voting polling place. The IC runs a CNA school. The home modification grant process allows assistance with funding for needed technology for consumers. Staff members are represented on the SILC, and in sub committees such as Deaf Deaf/Blind and Hard of Hearing to increase direct communication across the state and to The Independent Centers for providing consistent services statewide. This is with the development of Mission and cross center inclusion. Ensight: The Education and Empowerment program allows Ensight to collaborate with the state independent living services and other organizations and service clubs to expand services. The feedback we receive through this program allows us to improve services and our approach to better meet the needs of our consumers and those who are in the target population that may become OIB consumers in the future. Through the Education and Empowerment program, Ensight offers presentations ranging from services and resource awareness, to training sessions and demos. We often partner with Disabled Resource Services, Connections for Independent Living, Center for People with Disabilities, and Center for Independence in Grand Junction. Ensight also works closely with the Division of Vocational Rehabilitation and the Veterans Administration to run demonstrations for latest tools on the market and support groups. Southwest Independence Center: Radio and newspaper coverage in rural areas about low vision services. Email and paper Newsletters. Contract with local Area Agency on Aging (AAA ) to provide Case Management, Material Aids and Education for qualifying people aged 60 plus. Low Vision Expos in Cortez and Durango. Presentations to local services clubs, senior centers and other organizations. Participation at Health fairs and Caregiver Conferences. Participation on senior advisory councils and adult protective teams. Lunch activity clubs in Cortez and Durango, encourage individuals with low vision to get out to different activities and restaurants. These types of activities help to combat the loneliness and isolation that is common with vision loss. Increasing our AT lab to include more low vision technology.

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.

Colorado Center for the Blind: We completed a satisfaction survey earlier this year. 111 seniors responded to our survey and of these seniors, 94% stated that they were able to maintain or increase their level of independence because of services received from us. Center for Disabilities: During this fiscal year the OIB staff received consumer satisfaction survey responses from 27 of the 85 individuals that were served through our program (32% return). Those who chose not to respond indicated that they did not have anything to share and some even indicated that they did not want additional information from them to be placed on any governmental report. The low number of responders is an issue which will need to be addressed during this fiscal year. Of the 27 respondents 26 of them indicated that they were satisfied with the services provided by the OIB staff members (96.2% satisfaction rate) The comments received focus on two major issues. First, there are a number of comments which indicate that the staff servicing the program do an outstanding job. The second major comment string that is recorded focuses on the group activities. Almost all of the individuals served indicated that the group activities have been very helpful and beneficial to them. There were a number of comments that indicated that the demonstrations (particularly of the assistive technology devices) was most helpful to them. There are also a number of individuals who indicated that they continue to enjoy the Holiday Dinner and Concert which the OIB staff is able to implement through donations and alternate funding streams. The individuals served also appear to be appreciative of the items Which the staff is able to provide for them that assist them in enhancing their daily independent living (e.g. large print calendars). Center for Independence: Wherever possible we record comments within the service notes in CIL or a note in their hard copy folder. Comment on Western Slope Visionaries (WSV) “The group has taught me how to deal with my disabilities. I've learned so much and made friends. I do not know what I'd do without the staff, they are always teaching me strategies so I can still do things despite my vision loss. I have definitely been able to be more independent because of all the help I've received Recent comments from families of Low Vision Consumers who passed away in September 2017 Comment - passed away after extended illness. By last February, she was housebound and unable to attend meetings at CFI. While visiting her, the one time she veered away from her usual cheerful demeanor, was when she expressed how sad and mad she was that she could no longer come to the Western Slope Visionaries (WSV) and then her eyes filled with tears. At her Celebration of life service, her daughter from New York said how much her Mom loved the Peer Support group. The low-vision surveys are implanted into the Ciliate program and are activated when a goal or consumer is closed. Unfortunately, we usually have moved on to the needs of active consumers demanding our attention and closed cases equate to dismissed attention files. This needs improvement in next years' activities. Colorado Springs Independence Center: We were able to complete phone surveys in September/October 2017 for OIB with active consumers of The Independent Center. Our consumers reported having complete satisfaction with the program, and liked the department staff. Some of the consumer comments include a desire for more nutrition information and a form of self-defense focused on low vision for aging individuals. The grievance procedures and CAP brochures/information are given to all consumers at initial intake. This information includes direct phone numbers to supervisors and direct extensions. Participants are always welcome to call with questions and concerns. If a complaint is made, it is logged into a complaint log with follow up done to close it out. There have not been any formal complaints this year. Ensight: Results show that the comprehensive, multi-disciplinary model that we implement for our consumers works. We know that more than 88% of clients report an improvement in their independence and 80% report an improvement in their quality of life. Southwest Independence Center: Our organization needs to focus on better implementation strategies specific to OIB services in the coming year. We did solicit feedback on our Low Vision program (OIB and AAA). We surveyed 80% of the programs participants with a result of 100% satisfaction.

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).

Colorado Center for the Blind: We offer a week-long residential training program called seniors in Charge. I would like to tell you about one senior who attended the program held in May 2017. H. is a 55 year old woman who became blind suddenly She lived in another state and moved to Colorado to live with her daughter. She gave up all areas of independent living — she gave her checkbook and financial matters to her family, stopped cooking, and believed that she would be unable to complete any normal daily activities due to her blindness. Her daughter learned of our program and H. began to attend our weekly support group meetings. H. enrolled in our seniors in Charge Program where she received training in using a white cane, cooking, technology, Braille and other basic household tasks. At the end of the week, she determined that she had learned the techniques needed to take back control of her finances, cook and live a much more independent life. She has recently been traveling across the United States to visit family and to take care of loved ones who are ill. S. is a 62 year old woman who lived with her family. She was frustrated that they expected little of her in the way of independence. She also attended our weekly support groups and then decided to attend a seniors in Charge program. At the end of the week-long training, she decided that she wanted to live independent of her family. In June, she moved out of the apartment she was sharing with her family and obtained her own independent living apartment. She is currently happy living on her own and continues to attend our support groups. D. is another woman who is currently living in a nursing home. Because of services she is receiving from us, she will be able to move out of the nursing home and obtain her own apartment. S. is a retired professor who has gradually become blind. He contacted us to learn how to use a long white cane. We provided cane travel instruction to him as well as instruction in technology. He now travels confidently with his cane throughout Denver. Center for Disabilities: The quality of Independent Life has been greatly impacted for many of our OIB consumers this year. The receipt of free AT has enabled them to do things they hadn't been able to do for years due to their vision loss. As an example, a married couple, residing in an assisted living facility, were consistently late for meals and other appointments at their facility (sometimes even missing meals). One of the reasons for this is that they had trouble seeing the wall clock in their residence. The provision of both a talking alarm clock as well as talking watches has helped them overcome this challenge. We also were able to provide a reader/scanner to one of our clients who enjoyed reading letters from friends and family as well as assisting him in reconciling his bank statements on his checking and savings accounts. Finally, we had one consumer who was struggling in maintaining their own personal living space in the home in which they had resided for nearly 40 years. Through individual contact with this client our agency workers were able to assist him in ordering his living space for safety, placing bump dots and other tactile marking supplies. We also assisted the client in signing up for Colorado Talking Books. After a number of contacts with this client he indicated how much safer and more productive he felt in his own home. In a number of the consumer satisfaction surveys indications were given that one of the highlights of our consumer's lives is their participation in the monthly support groups. For some of them the indication is that these outings are the only social interaction which they have on a consistent basis. One consumer said in particular that "she could not imagine a month without contact with her support group." Center for Independence: Challenges for seniors with Low Vision. As stated by a long standing and active CFI Consumer (M.) "The biggest challenge for me when I was diagnosed with AMD, was where to start." Consumer stated there was a lack of readily available information on 'who and what' could help people with low vision. She still finds that the local community is woefully lacking of awareness about low vision, along with how the impact of vision impairment has on seniors in our community. M's goals have always included acquiring education about living successfully with low vision and sharing that information with others, for the purpose of easing other people's adjustment to low vision. She continues to be active in the Western Slope Visionaries (WSV) Low Vision Peer support group as well as being an active member of the local chapter of the NFB. At age 92 she is currently learning braille, helps to teach others, and uses low vision assistive technology such as electronic magnification and Dolphin program for computers on a daily basis. She regularly provides information to the WSV Low Vision Peer support group members on daily living skills such as cooking, and is about to become the next president the local chapter of the NFB. Comment: My experience with CFI, the Center for Independence of Grand Junction, have been life altering. I realize that sounds rather dramatic, however, it is true. Over the past 20 years I have gradually lost much of my central vision to macular degeneration. During that time, I had to learn how to cope and adapt to the changes, brought about by my vision loss, almost entirely on my own. Thinking back on it, I think I did pretty well, and I was only just a little bit crazy as a result. About 5 months ago, I came to CFI for the first time, after moving to Grand Junction. I quickly learned that I'd missed a lot. Over the past five months, CFI and the activities they sponsored, have had me playing a very rewarding game of "Catch Up." Because of them, I've seen and experienced advanced technology, at my first "Vision Fair.: This was followed up with an in home demonstration of equipment, which they arranged. I received a low vision assessment, which they also helped arrange. And, I've had the chance to explore new possibilities that I never could have imagined. My eyes are not any better. But, yes, CFI has made it possible for my world to grow, and my life is the better for it. One of the significant issues and costs to the program is the delivery of services is transportation. Rural Colorado has localized transportation and limited transportation between communities. CFI uses a 16 passenger bus and driver to bring consumers to the center for meetings, presentations, potlucks, and classes. This has improved independence, emotional contentedness, mental health, and quality of life. In the satellite offices, we have cars that go out to see consumers and pick up seniors for local events. Colorado Springs Independence Center: We continue the practice of accepting and donating technology and products which are looked at by a technology specialist for functionality when needed before it is given out to consumers. We are able to store these donations in a storage unit and we log the items on a spreadsheet this has allowed consumers access to technology they may otherwise not have been able to access because of the cost. We were able to match an individual with a CCTV with an arm so she could continue silk painting. This consumer was a part of our first art show at the center where she sold some of her work. The CCTVs that have been donated out allowed individuals to continue reading, pay their own bills, and read their own mail. We have been able to provide consumers without large print calendars for the 2016 year. 20/20 pens and colored lined paper were also given out to show the benefit of contrast writing. With the loan program it has allowed individuals with low vision the opportunity to try technology to create independence and organization easier in the home. Metro bus passes were also purchased if transportation was needed to attend a group. OIB has worked with a gentleman who recently lost his vision after working 20 plus years in the military and civil services for the government. Staff helped him with tools to orient to his home, and the loan program is allowing him to use an Apple Watch to motivate him to increase stamina and goals. The OIB Program was able to lend a CCTV for a person visiting his daughter from out of state. He was here for five months and wasn't able to bring the technology with him. Several individuals have been able to use the pen friend for labeling. We had a lady label her entire pantry that she could enjoy her passion for cooking once again. Ensight: The services that contributed significantly to increasing independence and quality of life were skills training, orientation and mobility training, assistive technology training, and information and assistance. These services, often combined, create a holistic approach that helps the consumers to understand all available options to maintaining their independence and quality of life. The skills training helps the consumers adapted the way they do activities of daily living and implement modifications for the home and/or workplace. This results in greater success reaching goals and maintaining independence as reported at discharge. Southwest Independence Center: Several Audio information Receivers were distributed to individuals. All levels of communication accessibility referrals are offered and Colorado Talking Books and AIN have coordinated with our agency to provide services to persons. Assist individuals to develop natural supports with individuals who are not paid to care for them. Encourage OIB consumers to volunteer and become involved in community activities. Assist OIB consumers to access Home and Community Based Services thereby diverting them nursing home placement. Assisted individuals to access talking books, white canes, CCTVs and computers for the blind. Readers/scanners, Meals on Wheels and AT catalogs. Teaching individuals to use tools to access information and recreation. Assisting Elders to access OAP, Food Stamps, Medicaid and other available supports and services. Assistance with low and high technology demonstrations for persons to design a functional routine for their barriers and maintain independence in their daily living. Providing IL training to help people continue to live at home after blindness occurs or spouse passes.

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

Center for Disabilities: There are three concerns related to ongoing implementation of services in the OIB program. First, there is the fact that outreach to underserved/unserved clients is a slow process. It appears that a number of potential clients have anxiety related to ongoing vision loss. This anxiety appears to impact their desire to become involved in new endeavors. Their frequent reluctance and fear of coming out of their homes to engage with the community and their peers can be daunting. Ongoing outreach efforts and encouragement by current consumers appears to be making some impact. Secondly, transportation continues to be an issue, particularly in rural areas. The clientele that we service, by definition, are normally unable to drive themselves to where services and supports are available. Particularly in rural areas and even in Pueblo County outside of the city of Pueblo (and even in the city of Pueblo on the weekends) public transportation is negligible, if existent at all. Our agency workers do provide some very limited transportation for some of our consumers, but this service is very limited in scope and frequency. Finally, there are more needs for assistive technology devices than can be provided under current funding dynamics. Almost all of the consumers that we service could use some form of AT programming, but at this point this is not a possibility. Ongoing collaboration with other agencies as well as seeking alternative funding streams through foundation interaction is providing some hope for improvement in this area. Center for Independence: Consumers, consumer's friends & families, the community & local businesses, as well professionals involved with seniors lack awareness of what low vision is and how it impacts daily living for seniors. Consumers, consumer's friends & families, the community & local businesses, medical providers as well professionals involved with seniors often lack an awareness about Low Vision Rehabilitation, the availability of services, assistive technology, and simple adaptive strategies. There is also a lack of knowledge, communication, or general misunderstanding about the purpose, goals, content and effectiveness of low vision rehabilitation. Southwest Independence Center: Staff turnover is challenging in our rural area. Our rural community lacks critical resources and specific skill sets that would benefit low vision services.

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 bySteve Anton
TitleDirector-Division of Vocational Rehabilitation
Telephone303-318-8570
Date signed12/11/2017