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

RSA-7-OB for Iowa Department for the Blind - H177B170015 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 year310,647
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 2310,647
A2. Total other federal2,975
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other2,975
A3. State (excluding in-kind)118,380
A4. Third party0
A5. In-kind0
A6. Total Matching Funds118,380
A7. Total All Funds Expended432,002
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs122,999
C. Total expenditures and encumbrances for direct program services309,003

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 1.9600 2.8600 4.8200
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 1.9600 2.8600 4.8200

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 3 0.9500
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 1 0.3000
4. Employees who are Women 8 4.0700
5. Employees Age 55 and Older 3 1.9000

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 FY242
2. Number of individuals who began receiving services in the reported FY167
3. Total individuals served during the reported fiscal year (A1 + A2) 409

B. Age

1. 55-5952
2. 60-6442
3. 65-6939
4. 70-7442
5. 75-7945
6. 80-8457
7. 85-8965
8. 90-9447
9. 95-9918
10. 100 & over2
11. Total (must agree with A3)409

C. Gender

1. Female289
2. Male120
3. Total (must agree with A3)409

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race1
2. American Indian or Alaska Native1
3. Asian2
4. Black or African American11
5. Native Hawaiian or Other Pacific Islander1
6. White386
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)7
9. Total (must agree with A3)409

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)291
2. Legally Blind (excluding totally blind)6
3. Severe Visual Impairment112
4. Total (must agree with A3)409

F. Major Cause of Visual Impairment

1. Macular Degeneration210
2. Diabetic Retinopathy31
3. Glaucoma32
4. Cataracts3
5. Other133
6. Total (must agree with A3)409

G. Other Age-Related Impairments

1. Hearing Impairment180
2. Diabetes41
3. Cardiovascular Disease and Strokes187
4. Cancer24
5. Bone, Muscle, Skin, Joint, and Movement Disorders49
6. Alzheimer's Disease/Cognitive Impairment24
7. Depression/Mood Disorder0
8. Other Major Geriatric Concerns16

H. Type of Residence

1. Private residence (house or apartment)327
2. Senior Living/Retirement Community59
3. Assisted Living Facility17
4. Nursing Home/Long-term Care facility6
5. Homeless0
6. Total (must agree with A3)409

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)19
2. Physician/medical provider20
3. State VR agency30
4. Government or Social Service Agency5
5. Veterans Administration0
6. Senior Center7
7. Assisted Living Facility4
8. Nursing Home/Long-term Care facility1
9. Faith-based organization4
10. Independent Living center0
11. Family member or friend74
12. Self-referral199
13. Other46
14. Total (must agree with A3)409

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 7,522
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 81
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 1

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 54,656
1b. Total Cost from other funds 12,716
2. Provision of assistive technology devices and aids 130
3. Provision of assistive technology services 233

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 246,695
1b. Total Cost from other funds 0
2. Orientation and Mobility training 107
3. Communication skills 229
4. Daily living skills 209
5. Supportive services (reader services, transportation, personal 29
6. Advocacy training and support networks 91
7. Counseling (peer, individual and group) 265
8. Information, referral and community integration 116
. Other IL services 274

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 8,945
1b. Total Cost from other funds 0
2. Information and Referral 78
3. Community Awareness: Events/Activities 75 4,077

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) 852,075 432,002 -420,073
2. Number of Individuals Served 618 409 -209
3. Number of Minority Individuals Served 23 16 -7
4. Number of Community Awareness Activities 96 75 -21
5. Number of Collaborating agencies and organizations 20 29 9
6. Number of Sub-grantees 0 0

Part VI: Program Outcomes/Performance Measures

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

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 233 100.00%
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) 83 35.62%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 101 43.35%
B1. Number of individuals who received orientation and mobility (O & M) services 107 100.00%
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) 60 56.07%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 31 28.97%
C1. Number of individuals who received communication skills training 229 100.00%
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) 144 62.88%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 58 25.33%
D1. Number of individuals who received daily living skills training 209 100.00%
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) 140 66.99%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 51 24.40%
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) 144 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) 8 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) 17 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 50 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) 15 n/a

Part VII: Training and Technical Assistance Needs

Currently, Iowa is receiving technical assistance from Mississippi State University Individuals who are Older and Blind Technical Assistance Center. We have found their services to be most helpful; having conducted focus groups for Title VII-Chapter 2 agency clients, community partners, and staff. In addition, technical assistance was delivered in terms of direct staff consultation and training. The OIB-TAC team also has/is providing technical assistance with management in the areas of program and service model design and delivery systems, consumer surveys, and financial management efficiencies for the program. Again, our technical assistance support is currently in progress and is greatly appreciated.

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 Title VII-Chapter 2 program's service delivery method of implementation includes: 1) Group training opportunities: a. Community-Based Training is organized in partnership with the Independent Living Rehabilitation Teacher (ILRT). Title VII-Chapter 2 clients are encouraged to consider participation and invited to participate in local community-based trainings with other Title VII-Chapter 2 clients who are also blind. Group training size may vary but generally there will be 2 to 5 individuals who participate in this training. Based on the overall needs of the group and taking into consideration individual training needs, ILRTs will be scheduled from 4 to 6 hours over a one or two-day period. b. Senior Orientation Training is a weeklong, non-visual skills building training opportunity for Title VII-Chapter 2 clients. The training is held in Des Moines, Iowa, at the Iowa Dept. for the Blind and ILRTs provide direct service delivery for this training. The program provides training in multiple areas to help the participant learn non-visual skills techniques including but not limited to areas of daily living, home-management, cane travel, braille, and the business of blindness class. Whenever available, this training program brings in a blind volunteer; one who has previously participated in this training to provide support and mentorship to Title VII-Chapter 2 participants. ILRTs organized evening events, generally outside of the agency to allow participants an opportunity to continue to practice what they have learned and gain additional new skills through their experiences. c. Independent Living (IL) Integration is a weeklong, non-visual skills building training opportunity for Title VII-Chapter 2 and other IL clients interested in receiving blindness skills training. This training is held in Des Moines and Orientation Center staff provides direct skills training services. This program opens up additional opportunities for Title VII-Chapter 2 clients receive options to engage in technology training not to mention may engage with Orientation Center students over their stay in Des Moines. Other trainings include braille instruction, home-management/daily living, shop, cane travel, and the business of blindness class to name a few. Evening activities are organized by inviting consumer groups to volunteer and sponsor one evening with Title VII-Chapter 2 clients and others participants for that evening. Participants will engage and meet others who are blind with the ability to exchange information and learn from one another. 2) One-on-one training or in-home training. Title VII-Chapter 2 ILRTs meet with the Title VII-Chapter 2 client in their respective home to received individualized non-visual skills training. All individuals served are also offered opportunities to connect with other individuals who experience vision loss or blindness through group training connections as well as support group attendance that is offered around the state. The ILRT will provide the individual with contact information if she or he is interested in reaching out to a support group and/or consumer group nearest them. 3) Finally, we are piloting a Regional Cluster Model effective June 2017. Management discussed this concept with its assigned OIB-TAC team prior to implementing the pilot. This Regional Cluster Model is currently being tested in one of four statewide regional service areas. Currently, ILRTs have extensive regional service areas to serve with a significant amount of travel and travel time to meet up with the Title VII-Chapter 2 client. The Title VII Chapter 2 budget has four ILRTs. Iowa has 99 counties within its State boarders and these counties are divided between the four ILRTs. Some ILRTs are assigned as many as 31 counties within the state and some ILRTs have 55 to 100 Title VII-Chapter 2 clients assigned at any one time. ILRT travel time can approximately take a full day and perhaps another half a day per week given some region sizes. This Regional Cluster Model is that would allow the ILRT to serve clients in one area over an approximate four week period before moving to the next clustered area. There are different variations that can be trialed but to date, this is the one we have trialed. Through use of this regional cluster model we have observed and documented an increase in Title VII-Chapter 2 clients achieving their respective goals/objectives. We believe the reason for this increase in success is that Title VII-Chapter 2 clients are receiving more service time, more immediate reinforcement from the ILRT based on lessons learned/practiced from the week prior, and Title VII-Chapter 2 clients are remembering what was taught due to the shorter timeframe between service visits/lessons. This model thus far is impressive. We are still evaluating the usefulness and how it can be potentially implemented across the state. Title VII-Chapter 2 clients also have options to participate in Peer Support Groups which are located in areas across the state. Information about these support groups are promoted by Title VII-Chapter 2 staff and also information about these support groups are posted on our agency's website. These peer support groups contribute to enhancing Title VII-Chapter 2 clients' independence through the availability to participate in monthly meetings if desired, connecting each other with local community resources as well as other national sources such as Hadley School for the Blind, and connecting with two statewide consumer organizations both who have local chapters and generally meet monthly. Some of the consumer groups also offer At-Large Consumer Group Chapters where meetings are held by phone for those who cannot participate with the in person meetings. During this report period, we implemented various outreach methods to reach underserved and unserved populations including conducting presentations across the state to include, but not limited to, service clubs and/or organizations, community rehabilitation programs and groups as well as institutional facilities such as nursing homes and assisted living facilities who also served blind individuals across the state. Our OIB-TAC team has suggested we are doing well in this area; making certain that there is fair and equitable representation to all groups and blind individuals across Iowa. The Iowa Department for the Blind’s Title VII-Chapter 2 program employs a program manager, four statewide independent living teachers and a support staff member. There are no subcontractors for this program.

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.

This past year, the Title VII-Chapter 2 program collaborated with Centers for Independent Living (CILs), support groups and consumer groups as requested, agencies on aging and health, as well as various community service providers across Iowa to share information about the Title VII-Chapter 2 program. Our experience collaborating with Executive Directors of Iowa Centers for Independent Living has been very positive. The Title VII-Chapter 2 program manager, as required under our Statewide Plan for Independent Living (SPIL) attended Center for Independent Board meetings across the State of Iowa to exchange information about its programs and also offer collaborative opportunities including the availability of potential grant funding for special projects when known. This collaborative partnership not only a necessity to ensure we can work together to serve blind Iowans. As part of the SPIL requirement, the appointed Title VII-Chapter 2 program manager also attends quarterly meeting of the Statewide Independent Living Council (SILC) and reports out on program activities. We are open to continued learning and improvement when working with CILS to ensure Blind Iowans receive collaborative, quality and timely services. As previously document, our Title VII-Chapter 2 program has been receiving technical assistance from Mississippi State University OIB-TAC to help us look at the ways we can improve our service delivery system and manage limited financial resources in a fiscally sound and transparent way. We have implemented a pilot of a Regional Cluster Model as previously reported in order to help improve Title VII-Chapter 2 client services and efficiencies. We believe through the Regional Cluster Model we will find that Title VII Chapter 2 clients will see improved outcomes; thus far, our data suggests that Title VII- Chapter 2 clients are in fact experiencing increases in goal achievement. We continue to explore other strategies that will help this Iowa program remain sustainable over time, allow us to improve, and help us to reach individuals who need service.

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.

Below are responses by each question to include the number of respondents and based on the number of respondents to each question the percentage of those who responded: Q1: 49 respondents or 97.96% indicated that Title VII-Chapter 2 IL teachers thoroughly explained agency and program services. Q2: 49 respondents or 97.96% indicated they received timely services. Q3: 46 respondents or 100% indicated that Title VII-Chapter 2 IL teachers listened to their ideas and involved them in planning for services. Q4: 46 respondent or 93.48% indicated they received the kind of training desired to meet their needs. Q5: 43 respondents or 83.72% indicated they were provided with adequate information on services and resources available to them through other agencies. Q6: 44 respondents or 95.45% felt better about themselves and who they are after participating in Title VII-Chapter 2 program services. Q7: 45 respondents or 93.33% felt better about their future after participating in the Title VII-Chapter 2 program. Q8: 38 respondents or 92.68% reported maintaining or gaining independence as a result of their Title VII-Chapter 2 participation. Q9: Title VII-Chapter 2 participants were asked what they felt was the most valuable service they received. Their responses: 16 or 42.11% indicated developing a more positive attitude about their blindness. 24 or 63.16% indicated the training they received. 17 or 44.74% said the information they were provided about services and resources through other agencies.

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).

Before losing her vision, this 83 year old female who has been diagnosed with Macular Degeneration, held a professional position in both the education and the healthcare fields. She also had the privilege of traveling and working outside the United States, maintaining an active life style. When she began to lose her sight, she reported that she was nervous and not sure what she would be able to do as a person who is blind. She was referred to the Iowa Department for the Blind’s Independent Living program, and began receiving direct instructional blindness skills training in the areas of Daily Living, Communication, and Travel. She also participated in Senior Integration where she received a week long intensive training in the Adult Orientation and Adjustment to Blindness Center this past September. Throughout her training, she kept an open mind, and has learned and implemented the nonvisual skills she has been taught. She was given and has used various aids and devices such as, a talking clock, tactile markings, long white cane, voice recorder, and many more to help her live independently. She is in progress of learning braille so that she is able to take/retrieve notes and be able to read small signs in her community. Throughout her training, this individual has developed a positive attitude towards her blindness, and continues to push herself outside her comfort zone. She has been successful in reaching her personal goals. Because of the hard work she has put in learning the nonvisual techniques and the positive attitude towards her blindness she continues to maintain, she has started a support group in her area for individuals who are blind. This support group provides various workshops related to blindness skills training, educational trainings on eye conditions, and she has brought in various professionals to speak on these topics. Her support group has been going strong and is an encouragement to all those who attend. She reported to our Title VII-Chapter 2 program teacher that she is happy and is able to live a full life despite her blindness. One of her final statements was, “there is no stopping me!” Another female, who is 62 years old and blind due to a rare form of multiple sclerosis, first became acquainted with the Iowa Department for the Blind in July 2013. When we first met with this individual, she was going through a divorce and living with her sister. At that time, she was told by her soon to be ex-husband that she couldn’t do anything because of her blindness. She received training in alternative techniques through home training through a Title VII-Chapter 2 teacher as well as attended Senior Orientation in April of 2016. This individual has since moved into her own apartment. She has begun cooking for herself and friends in her apartment complex. She has learned to use a long white cane and is able to get out in her community to go to dinner or shopping. Through learning a variety of alternative non-visiual techniques she has not only gained skills she needs to be independent, but she has developed a positive attitude toward her blindness. She has also done very well learned to advocate for herself whether with her family or in community settings. These are her successes.

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

Problematic areas which we are attempting to identify potential solutions include: 1. Limited Title VII-Chapter 2 funding makes it challenging in terms of being able to hire additional Independent Living Rehabilitation Teachers which are needed to be effective in the area of service delivery. For this period, there has been four Title VII-Chapter 2 direct training staff currently serving 99 counties within the State most with very large client case assignments and large service areas. 2. Title VII-Chapter 2 client assignment size is too high per teachers to effectively manage particularly with extensive travel and travel time required to help adequately meet the service needs. 3. Centers for Independent Living (CILs) in Iowa are unable to serve all 99 counties; in fact they serve approximately a third of all counties in Iowa due to their limited funded situation. Centers can be a great resource for Title VII-Chapter 2 blind clients to provide information and connections to other community services and resources; however, this again is a challenge for our Title VII-Chapter 2 staff to make referrals to CILs as two-thirds of the state is unserved by them. At this juncture, Title VII-Chapter 2 program staff connect program clients who have an interest in that connection to local CILs who service their respective county to assist with delivery of unduplicated services. 3. Finally, when attempting to fill a Title VII-Chapter 2 staff position due to staff retirements, transfers, etc., we recognize it takes time to complete the hiring and training process once a qualified individual is secured. Most new Title VII-Chapter 2 direct training staff (i.e. teachers) require comprehensive instruction and training before they may serve begin to serve Title VII-Chapter 2 clients. The time frame for this training minimally is between 3 to 4 months before direct training staff member is ready to be placed in the field to start working with Title VII-Chapter 2 clients. Attempting to fill the gap until that position is filled can be challenging and could potentially delay direct training services for Title VII-Chapter 2 clients. We recently partnered with our own Orientation Center to temporarily borrow one of their experienced teachers who is now working in the field for our program; however, this is a very temporary solution and may not be available to us at all times when we experience program turnover.

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 byKimberley Barber
TitleIL-OIB Program Administrator
Telephone515-281-1299
Date signed12/28/2017