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

RSA-7-OB for Mississippi Department of Rehabilitation Services - H177B170024 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 year277,846
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 2277,846
A2. Total other federal146,187
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement146,187
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)30,872
A4. Third party0
A5. In-kind0
A6. Total Matching Funds30,872
A7. Total All Funds Expended454,905
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs34,772
C. Total expenditures and encumbrances for direct program services420,133

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 2.5000 8.5000 11.0000
2. FTE Contractors 0.4000 0.0000 0.4000
3. Total FTE 2.9000 8.5000 11.4000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 0 0.0000
2. Employees with Blindness Age 55 and Older 1 0.5000
3. Employees who are Racial/Ethnic Minorities 10 8.0000
4. Employees who are Women 15 11.4000
5. Employees Age 55 and Older 2 1.5000

C. Volunteers

0.02

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 FY443
2. Number of individuals who began receiving services in the reported FY339
3. Total individuals served during the reported fiscal year (A1 + A2) 782

B. Age

1. 55-5956
2. 60-6495
3. 65-69104
4. 70-7484
5. 75-79100
6. 80-8497
7. 85-89134
8. 90-9482
9. 95-9929
10. 100 & over1
11. Total (must agree with A3)782

C. Gender

1. Female527
2. Male255
3. Total (must agree with A3)782

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race4
2. American Indian or Alaska Native2
3. Asian0
4. Black or African American249
5. Native Hawaiian or Other Pacific Islander0
6. White525
7. Two or more races2
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)782

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)116
2. Legally Blind (excluding totally blind)666
3. Severe Visual Impairment0
4. Total (must agree with A3)782

F. Major Cause of Visual Impairment

1. Macular Degeneration335
2. Diabetic Retinopathy91
3. Glaucoma174
4. Cataracts11
5. Other171
6. Total (must agree with A3)782

G. Other Age-Related Impairments

1. Hearing Impairment2
2. Diabetes14
3. Cardiovascular Disease and Strokes9
4. Cancer0
5. Bone, Muscle, Skin, Joint, and Movement Disorders4
6. Alzheimer's Disease/Cognitive Impairment0
7. Depression/Mood Disorder1
8. Other Major Geriatric Concerns6

H. Type of Residence

1. Private residence (house or apartment)740
2. Senior Living/Retirement Community8
3. Assisted Living Facility29
4. Nursing Home/Long-term Care facility5
5. Homeless0
6. Total (must agree with A3)782

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)174
2. Physician/medical provider88
3. State VR agency55
4. Government or Social Service Agency21
5. Veterans Administration5
6. Senior Center1
7. Assisted Living Facility5
8. Nursing Home/Long-term Care facility3
9. Faith-based organization1
10. Independent Living center1
11. Family member or friend100
12. Self-referral323
13. Other5
14. Total (must agree with A3)782

Part IV: Types of Services Provided and Resources Allocated

Provide data related to the number of older individuals who are blind receiving each type of service and resources committed to each type of service.

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 76
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 15,645
1b. Total Cost from other funds 87,000
2. Provision of assistive technology devices and aids 706
3. Provision of assistive technology services 7

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 226,329
1b. Total Cost from other funds 88,859
2. Orientation and Mobility training 39
3. Communication skills 94
4. Daily living skills 395
5. Supportive services (reader services, transportation, personal 8
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 34
8. Information, referral and community integration 416
. Other IL services 384

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 1,100
1b. Total Cost from other funds 1,200
2. Information and Referral 478
3. Community Awareness: Events/Activities 70 1,287

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) 408,750 454,905 46,155
2. Number of Individuals Served 669 782 113
3. Number of Minority Individuals Served 192 257 65
4. Number of Community Awareness Activities 81 70 -11
5. Number of Collaborating agencies and organizations 25 32 7
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 7 100.00%
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) 5 71.43%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 2 28.57%
B1. Number of individuals who received orientation and mobility (O & M) services 39 100.00%
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) 7 17.95%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 32 82.05%
C1. Number of individuals who received communication skills training 94 100.00%
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) 37 39.36%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 57 60.64%
D1. Number of individuals who received daily living skills training 395 100.00%
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) 104 26.33%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 291 73.67%
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) 232 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) 0 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) 21 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 38 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) 6 n/a

Part VII: Training and Technical Assistance Needs

Training request: * Federal Regulations regarding funding and services for the Older Blind Program for Program Managers. * Promising Practices that are being used in other states to serve Older Blind consumers for Program Managers and Older Blind Instructors. Annual training for Older Blind Instructors including: working with smart phones technology and apps for the blind; low vision aids; and computer assistive technology devices/software

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.

Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) has eleven Instructors that provide direct services to Older Blind consumers throughout the state of Mississippi. With office locations within the ten MDRS district areas; all consumers have access to services regardless of location. Each year, great efforts are made to increase awareness of and access to Independent Living Services statewide. During the 2017 federal fiscal year, the IL staff made a total of 548 outreach contacts to optometrists, ophthalmologists, home health agencies, retirement centers, libraries, human service agencies, churches, schools, civic groups, area agencies on aging, and other civic entities that have direct contact with this underserved population of Mississippians 55 years of age and older who live in rural areas. Independent Living Fact sheets explaining the Title VII, Chapter 2 Older Blind Program, eligibility requirements, available services, and who to contact in each county for referral purposes were distributed statewide. During the 2017 federal fiscal year, each Instructor made a minimum of one outreach contact each month. In October 2016, five staff members attended The Mississippi Association for Education and Rehabilitation for the Blind and Visually Impaired (MAER) Conference and The Disability Awareness Conference; in May 2017, all ILB staff attended an Assistive Technology Awareness training; and in June, six staff members attended the Disability Mega Conference, these activities provided the staff an opportunity to network with other service entities and establish a referral base statewide. The Independent Living staff continues to participate in local health fairs, attend peer support group meetings, and provide in-service trainings and presentations to different service entities. During the 2017 federal fiscal year, the staff participated in over 70 activities resulting in over 1200+ Mississippians throughout the state to receive services, program information, and referrals to other organizations. The Independent Living staff continue to work closely with Lions of Mississippi in providing visual acuity screenings statewide. These screenings are held at senior centers, schools, churches, community health fairs, local businesses, hospitals, civic organizations, and state agencies. A part of the screening procedure is to make referrals to the appropriate service provider for evaluation and needs assessment. Educational brochures on different visual impairments and literature to help partners and family members understand the causes of vision loss are distributed all in an effort to increase the public's general knowledge and awareness of blindness and it causes. Additional information regarding outreach activities may be found in Appendix A.

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.

In an effort to improve and expand community services and programs for older individuals who are blind, the Independent Living program continues to partner with local service entities through participation in health fairs, visual acuity screenings, in-service trainings, peer support groups, and other activities. Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) continues to partner with Social Security Administration to provide Work Incentives Planning and Assistance (WIPA) services to SSDI and SSI beneficiaries. Seven of the IL staff currently splits their time between IL and WIPA. This task of providing WIPA services has enabled the IL Program to allocate more of the Older Blind grant funds for client services because they are able to pay part of the staff salary with WIPA funds. Instructors are frequently asked to participate in different training activities and provide in-service programs to various service entities with whom they can partner to expand the region's knowledge about aging and vision loss. During the 2017 federal fiscal year, IL staff members provided in-service programs to Gulf Coast Mental Health (Gulfport), LIFE of Tupelo, Aldersgate Retirement Center (Meridian), Lighthouse Baptist Church (Gulfport), Traceway Retirement Community (Tupelo), Hermington Senior Living (Oxford), Brooksdale Assistive Living (Oxford), Meet the Blind/National Federation for the Blind (Starkville), and the Office of Vocational Rehabilitation for the Blind (Counselor Training in Jackson). Over 100 participants received information about the Older Blind Program. The Independent Living Program continues to work with the Veteran Administration VIST program. Eligible veterans are referred to the VA for services and IL works with the VA in coordinating services. This grant year, one IL staff member partnered with Biloxi VA Blind Rehabilitation to serve eight consumers. Low vision equipment was provide to the consumers at no cost to the Older Blind program. One IL staff member continues to partner with Mississippi Deaf-Blind Project to provide telecommunication equipment to eligible consumers through the I Can Connect Program (The National Deaf-Blind Equipment Distribution Program). During the 2017 federal fiscal year, seven eligible consumers were able to receive computers, tablets, phones with high resolution and amplified sound for easier access to the internet for low vision/low hearing consumers all at no cost to Older Blind Program. This federal fiscal year, one staff member partnered with En-Vision America the makers of the ScripTalk Station. This device enables consumers to administer their medication independently. En-Vision America provided ten consumers with free ScripTalk Stations at no cost to Older Blind Program. This staff member also partnered with the Area Agency on Aging to assist ten consumers with transportation issues and with homemaker services. The program manager attends all quarterly Statewide Independent Living Council (SILC) meetings and trainings designed to improve and expand services for Mississippians with disabilities. A quarterly report on the Older Blind Program is provided at all meetings. The office of Vocational Rehabilitation for the Blind/Independent Living Program (OVRB/IL) is part of the statewide facilities committee that meets quarterly to discuss service provisions throughout the state. A quarterly report on the Older Blind Program is provided. Members of the committee are informed of consumer issues, funding, staff training, and other activities of the Independent Living Program. The Older Blind program continues to have a very active peer support group network. Twelve groups meet statewide on a regular basis to discuss issues relating to vision loss, community awareness, prevention, advocacy and social events. Each group plans their own activities with the Instructor serving as a resource to provide information and guidance to group leaders as needed. Involvement in the community is enhanced by the participation of Independent Living staff in Lions of Mississippi, Mississippi Association of Education and Rehabilitation of the Blind and Visually Impaired (MAER), and other local civic and service organizations. Staff members serve as officers and board members, work on fundraising events, participate in community health fairs, and assist with providing visual acuity screenings. This fiscal year, we assisted with over 27 health fairs/ screenings, increasing our referrals and visibility to the community.

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.

MDRS Program Integrity Unit provides a bi-annual review of closed cases for the Independent Living Program. During the 2017 federal fiscal year, a total of forty closed cases were submitted for the first six month review period (October 2016-March 2017). Client Satisfaction Survey Forms are given to each consumer at case closure and are included in the MDRS Program Evaluation Report (Appendix B). As stated in the Summary and Findings of the Program Evaluation Report, "The review of the case records indicates that the rehabilitation instructors are providing excellent services to this target population of Mississippians 55 years of age and older who live in rural areas and have visual impairments that inhibit their tasks of daily living. A review of case records from this program shows these instructors are striving to meet their mission of enabling these consumers to maximize their own skills, develop their own support systems and network with local resources in order to avoid or delay institutionalization and/or dependence on others." Based on the surveys that were returned, consumers indicated they were greatly pleased with the program, the services, and the Instructors. They indicated their daily living skills were enhanced by the services provided by this program. One of the questions asked on the Consumer Satisfaction Survey that is completed by all eligible consumers at closure is "What was the greatest difference this program made in your life?" In the 2017 Program Evaluation Review Reports, responses range from : The video magnifier (Pebble) helps me a lot. I don't know what I would do without it; Sending someone that was concerned with my well-being; Each aid has helped me tremendously, especially the Pebble. I often refer others to this IL Program; Ms. Spring was very helpful at a time when I was trying to accept my vision loss; The compassion that I received was very meaningful as I tried to learn more independence; Victoria was very helpful and knowledgeable; Thanks for all your help. God Bless!; Please continue to do what you do. The ILB Program is very much needed by individuals with visual disabilities. For a complete list of consumer comments see Appendix B in the MDRS Program Evaluation Reports.

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).

(1) This consumer may be 82, but that doesn’t stop her from being an active member of her church and community. She uses a large print hymnal to practice songs and her trusty magnifier goes with her wherever she goes. She is thrilled to be able to read her books again with her new CCTV. She has a large church family and lives near her daughters and grandchildren. They love to get together for church events and prepare dishes for the potluck. It is completely understandable that a lady who has always been so busy would not want to let something like macular degeneration slow her down. The only difference is she catches a ride instead of driving herself. She also has learned to do things differently thanks to the support she received from MDRS. A vision rehabilitation therapist came to her home to teach new ways of doing activities that are important to her. A talking calculator, check register and signature guide all help her keep up with household tasks. Bump dots on her stove ensure she knows how to adjust the heat settings. “Now I can really start using all of these cook books I keep ordering!” (S. Schiller, ILB Instructor) (2) Mr. B is an 85 year old man who suffers with wet age-related macular degeneration in both eyes. Mr. B did seek medical advice concerning his low vision. The Ophthalmologist diagnosed him with macular hole in both eyes. The Ophthalmologist stated that his vision was too far gone at the time and recommended treatment of injection in both eyes. Mr. B was referred to Independent Living for the Blind for aids and appliances by his Ophthalmologist. Mr. B family and friends encouraged him to get needed vision aids and appliance for his low vision to gain back confidence in himself. Mr. B hobbies are reading books, watching TV and enjoying his family. One of Mr. B goal is to become independent in his home and community with low vision appliances to help accommodate his vision impairment. Mr. B has been provided with a talking watch, Mono mouse, Smart lux, Visolux, CCTV, OTT light, Maxi TV glasses and many more aids and appliances for his low vision which has helped him to live independently in his home and community. Mr. B reported that he is very grateful and thankful to MDRS-ILB for providing aids and appliances for his low vision. Mr. B reported that his goal has been met with gaining independence in his home with each aids and appliances that MDRS-ILB has provided for his low vision. Mr. B has now gained his confidence back and is enjoying his hobbies once again. He feels more independent when watching television, reading important documents with the aids and appliances for his low vision. Mr. B reported that wet age-related macular degeneration is an inherited family eye disease. He is very happy that modern technology has many products for individual who suffers with wet age-related macular degeneration to accommodate with their low vision. Mr. B is a retired Veteran. Mr. B reported that he will help with providing MDRS-ILB with vital resources which can help assist Veterans who are legally blind or suffers with a visual impairment. Mr. B stated that someone helped him and he would like to become a help to others who are legally blind or suffers with a visual impairment. Mr. B also stated that he will refer others to MDRS-ILB who is legally blind or suffers with a visual impairment to get the needed aids and appliances for their visual impairment from Independence Living for the Blind. (K. Rainey, ILB Instructor) (3) I’ve had the pleasure to work with Mrs. B for this grant year. Mrs. B. is an 88 year old lady that is legally blind due to macular degeneration. She stays alone and need help with maintaining her independence. Mrs. B. is very independent and will like to remain this way. She told me that her ophthalmologist has gotten the macular degeneration stabilized. She is hopeful that she won’t go completely blind. Mrs. B. is very active and has not given up hope. She is very active especially in her kitchen. She told me that she most definitely needs help with reading her recipes. She said that ever since her vision has declined it has been difficult on her. Nevertheless, it hasn’t stopped her. She said that she has figured out different ways in doing things. She said that she doesn’t need to attend the Addie McBryde Center because she knows her way around her home and other surroundings. She said that when she leaves home she is always accompanied by someone always. Mrs. B has been provided with a CCTV, handheld magnifier, talking watch, talking clock, and large print calendar. All of these low vision aids have helped Mrs. B remain independent in her home. She is still cooking in her kitchen (small meals of course). She said that “Independent Living for the Blind” has helped her tremendously and don’t know what she would have done without the program. She said that the program’s services have truly been a blessing to her. (V. Barnes, ILB Instructor) (4) A referral was received on Mr. F for the ILB program for independent living and the referral was completed by speaking with Mr. F and ensuring that he wanted to pursue services through this agency. Mr. F made an inform decision to pursue services. The application for services was completed, after all medical had been received, and the ILP was competed. Throughout the duration of Mr. F case, he was provided with an in-home low vision assessment, and aids and appliances to help him live independently in his home and community. Thus far, Mr. F has been provided with the following items: bump dots, 20/20 pens, safe slice knife guard, Max TV Glasses, Clock, pocket talking timer, and CCTV. A signature guide was given to him, as well as Bold lined paper. The signature guide, 20/20 pens, and bold lined paper allows Mr. F to remain independent in his community by allowing him to continue to take care of his daily needs, such as paying his bills, and signing his credit card slips. Mr. F is also able to communicate on paper utilizing the 20/20 pens and thick lined paper. The bump dots allow Mr. F to be able to identify items in his home such as the buttons on his remote control, microwave, and stove. The talking clock and watch allows Mr. F to keep up with the time and date. This ensures that he is taking his medications on time every day, and allows him to be able to pay his bills on time using the date function of the clock. The safe slice knife guard allows Mr. F to cook with ease and the ability to know that he is safe while slicing his fruits and vegetables. The guard keeps Mr. F from cutting his fingers while cooking. The pocket timer also allows Mr. F to cook without fear of burning his food. He is hard of hearing so the timer fits into his top pocket of his shirt so that he can hear it when the alarm sounds. The Max TV glasses allow Mr. F to pinpoint his focal point of magnification to watch television. This allows him to be able to keep up with what is going on in his community by watching the news, as well as for entertainment. An application for an iBill was submitted. The iBill allows Mr. F to be able to count his money when at the bank or receiving change from a teller. He will also be able to ensure that the correct amount of change is given to him while out shopping and paying bills. This allows Mr. F to continue being as independent as possible in the community. The application for Talking Books Services with the National Library Services for the Blind was completed. Mr. F was shown how to operate the talking books. Mr. F was signed up for the talking books services and has already has begun to use it. He was not interested in radio reading or Bible on tape services. A CCTV request was made to VFO, and a recommendation was received. The CCTV was given to Mr. F. This CCTV was given to ILB Meridian from a deceased OBK consumer. The CCTV was in good working condition, and fairly new. The CCTV offers custom high-contrast color modes, color-boost contrast, brightly-colored control buttons, and swivel screen for comfortable viewing. The CCTV assists with Mr. F with his daily living needs. He is able read his newspaper, magazines, and mail. He was having a difficult time doing these things at first, but now is able to take care of his needs independently. Mr. F was given the FEMA Disaster Recovery Center information on several occasions for assistance with repairs on his home and to see if he was eligible for additional services or programs. Mr. F has also been sent several notifications regarding the Peer Group Meetings in his area. He has not attended any thus far. All of the purchased and given items have allowed Mr. F to be self-sufficient in his home. All of the problems and issues that he had prior to receiving services from this agency, he no longer has. Mr. F still needs some work completed on his home, to ensure safety, but he has been referred to those agencies that are able to help him. ILB will continue to work with him on his on maintaining his independence in his home and community. (D. Cooley, ILB Instructor) (5) Toward the end of his tenure as an administrator for the local public school system, HJ began experiencing issues with his sight. These problems prompted him to see an ophthalmologist, who then diagnosed Mr. J with Glaucoma. His condition was deteriorating quickly and would cause him to consider the “R” word in depth. After close to 30 years on the job, HJ would not have to maintain his daily schedule per employment…He would have the task of creating a new way of keeping his independence. With prayer and support from friends and family, Google and five years of “do-it-yourself”-ing it, maintaining independence was not as easy to hold on to for HJ. His sister retrieved information on the ILB program and took it upon herself to contact our office regarding her brother’s situation. Because of his very limited eye sight and the fact that he wanted to live on his own again, she was very concerned with his ability, or lack thereof, to be independent beyond her in-home care. HJ’s sister was used to looking out for her little brother. We scheduled an in-home evaluation where an application was completed and a low vision assessment conducted. After observation, magnifiers would be of no assistance because there was little to no sight left in each eye. HJ vied to utilize what he had left and admitted that he was usually frustrated and, most commonly, depressed. I expressed that it was normal to feel this way and that he was not alone. I went on to reiterate that his foundation (God) was already present and with the assistance of aids and appliances, training and, of course, information, anything is possible. As we continued conversing, we found that both of us were avid fans of our local high school football teams. This gave him comfort to know that his love for the game could still be appreciated and shared. His sister was elated to see his face light up after years of not wanting to have anything to do with any sport, not even his first choice. This meeting gave them both HOPE. Addie McBryde’s Orientation & Mobility training was discussed and participation (HJ) was agreed upon. HJ hoped to learn whatever he could to stay independent and knowledgeable about his situation. Upon leaving Addie McBryde, HJ contacted me and confessed that the time, although frightening at first (due to being in an unfamiliar place), was well-spent at the facility. He shared that the faculty and staff were committed to each consumer with a plan in place. HJ also added that he’d met many unique people who shared a comparable loss but found a way to grasp a “WIN”…in themselves. Subsequently, HJ has moved into his own home and is again the captain of his life. He maintains the usage of his money identifier, talking weight scale and blood pressure monitor, as well as his talking clock daily. HJ affirms that he has to “sustain himself for the ladies on the sideline”. Thanks to Mississippi Department of Rehabilitation Services, the training and aids/appliances were provided by the ILB program and assist HJ with his daily independence. HJ and I keep in contact on a regular basis and share visual impairment information and the latest football stats, mostly the latter. With O &M training and the low vision aids, HJ has set himself up for VICTORY. He is utilizing his own set of plays for his life and is always looking for ways to win on any given day, not only Fridays. (S. Johnson, ILB Instructor) (6) Mr. A is a 58 year old male that suffered vision loss is one eye after a work accident. The vision loss in his other eye is caused by a rare occurrence in which the better eye mimics the damaged eye. He is considered legally blind in both eyes and has been for several years with no signs of improvement. Mr. A was referred to the OB program by his ophthalmologist in hopes of us being able to assist him in becoming more independent there in his home. While Mr. A has a great support system from both his wife and his grown son who both live there in the home with him, he expressed that he would love to be able to do more on his own and to feel better about himself for being able to do so. Mr. A and I discussed how he feels that he has lost such a great deal of his independence because of his vision loss and how great an affect that has had on him mentally. We agreed that we would work together to help him reach these goals he has for himself regarding independent living. We discussed the various tasks that are difficult, if not at times impossible, for him to perform daily such as telling time, dealing with glare, ambulating in unfamiliar areas, using dials on his appliances, and reading printed material. We did a functional low vision assessment and found that he was able to read easily and well with a digital magnifier. He was overjoyed at this and had no idea that there was any device out there that would enable him to do so. We also discussed the provision of a talking clock for telling time, glare blocking shades for dealing with glare both indoors and out and also a support cane for easier and safer ambulation in both familiar and unfamiliar areas. After receiving these items and some instruction on their use, I marked Mr. A’s appliances so that he would be better able to use them. He explained that he had no idea that something as simple as a bump dot could make such a difference. Mr. A is now able to read all of his mail, prescription bottles, books, etc.. and is so very excited to be able to do so. He also is able to tell time with his talking clock, deal with glare with his glare blocking shades and be safer ambulating with his support cane. He and I discussed how far he has come to meet his goals in such a short period of time. He explained that not in his wildest dreams did he ever imagine that there would be so many things available to help him to once again live independently. He expressed that he feels so much better overall - more positive about himself and his overall outlook on life. He also mentioned that there even has been a vast improvement in his relationships with his family due to his new found independence. (J. Peacock, ILB Instructor) (7) Ms. PP is a 57 year old female who is divorced and is also legally blind due to macular degeneration. Ms. PP is now full of life and is very active. The only thing that was slowing her down was vision loss. Ms. PP was once very active with activities involving her grandkids; she was once able to read her own mail, and was able to dress herself independently. When Ms. PP first became legally blind she lost her independence, as well as a lot of confidence. She had to depend on her children to take her places, read her mail and handle her affairs. However, this became a problem when she started being depressed and losing any desire to do much. Ms. PP was not familiar with the Independent Living program at all. However, she found out about us after speaking with Dr. Meyers in Memphis TN. She was very excited to know that there was help to enable her to live more independently in the home. Ms. PP received a number of low vision aids to help her live independently in the home. Ms. PP is now able to read mail by using her CCTV and 10x magnifier. She is now able take better care of herself by using the magnifying clippers, and magnifying tweezers. She was also able to gain more independence in the kitchen by using the liquid level indicator. She is also now able to enjoy sewing again by using the needle threader. Finally, she is now able to write letters by using 20/20 pens and bold line paper. More importantly, she gained her self-confidence back and is now able to enjoy the many things sighted people may take for granted. This was all provided to her at no cost and she was extremely pleased with the services that the state of Mississippi has provided her. (V. Young, ILB Instructor) (8) Mr. X is a 55 year old male who lives independently despite his blindness. His vision loss is due to Glaucoma. Prior to the diagnosis of Glaucoma, he led a good life providing for his family as a truck driver. Unfortunately, the diagnosis required him to stop working, which restricted not only his income but his independence. To combat this, he placed a referral with the Independent Living Program, uncertain of what to expect. Mr. X had not been to the MD since moving from the coastal region and therefore, did not have any doctors who could document the state of his medical history. He and counselor worked together to find his old MD in Florida and finally obtained all documents needed to determine eligibility after two home visits and other efforts. When meeting with Mr. X, he already assessed the reality of his situation and was ready to increase his degree of independence, not only for himself but also for his son. Mr. X shared that he wanted to learn everything possible about how he could improve his current condition. Mr. X is aware of the hereditary risks this poses for his son and wanted to ensure a positive transition for him. Mr. X was provided with several devices but the one he has enjoyed the most is the talking watch. Shortly after receiving aids, Mr. X became a student and the Addie McBryde Center for training. He was eager to take all classed offered that would benefit him, especially the computer and advanced communications classes. He excelled quickly and both his official written and unofficial verbal reports were exceptional. The training was of great gravity to Mr. X. While still at the center, he met with his instructor and expressed he was interested in transitioning back into the workforce. So that day, he was referred to vocational rehab counselor. How magnificent, right? Not only does he want to start working, he wants to start his own business with the BEP program. More contacts were made and he is to meet with staff and become a blind vendor for the state and continue working towards his goal. Mr. X regained his confidence and will work again, receiving the maximum benefit by partnering with WIPA staff. Through training, devices, self-determination, and other aspects, Mr. X’s eyes have newly been opened to see himself in the world through a different lens. Yes, he decided to do this for himself but also pave the way for others, like his son to continue in his footsteps impacting blindness in the most positive light. There is much more to this narrative and one day it will be presented through another set of eyes. (C. Zollicoffer, ILB Instructor) (9) When I first met C S, she seemed shy. She was new to being legally blind and she did not know where to get help. A friend referred her to MDRS and she learned about IL services. She was shocked when I did the first home visit at how much help she could receive. During the first home visit, we discussed the Addie McBryde Center for training and she said sign me up! She wanted as much training as possible to remain independent in her home. She had taught herself various ways to stay independent in the home with cooking and cleaning. She wanted to learn how to get around safely and she wanted to be proactive in learning Braille while still having vision. She took Orientation and Mobility, Communications, and she was evaluated for a low vision assessment. She requested that she learn about all of the devices out there that could help her. She quickly learned how to use a cane, learned about various devices, and caught on fast to Braille. Her shy personality had turned into a bubbly personality that won everyone over with her attitude. All of the instructors loved her and she stated in her staffing that she did not want to leave. She is continuing to learn Braille through the Helen Keller website and she looks forward to returning to AMC for training on developing her computer skills. (D. Vineyard, ILB Instructor) (10) Ms. R is an 89 year old single lady who lives alone who is legally blind. She was referred for assistance after suffering dry macular degeneration. She is being treated for Exudative AMD in both eyes. Her condition is irreversible. Ms. R stated the condition started back when she first relocated to Tunica, MS several years ago. She said losing her vision was a hard pill for her to swallow and to accept. She stated depression set in and she felt hopeless. She feared nursing facility was in her future. She stated life she knew was gone. She thought about all the things she enjoyed doing and now she can no longer do those things. She debated it with her son. Ms. R‘s son encouraged her to get help. Ms. R discussed her feelings and concerns with her doctor and he encouraged her to seek. She said that is when he referred her to the ILB program. Finally, she accepted her vision loss and agreed to seek services from ILB. Ms. R stated since becoming eligible for the program, she is adapting to the vision loss. She has developed new skills. She is able to write her Sunday school devotions, grocery list, and etc. by using bold writing paper and 20/20 pens that were provided. She cooks without burning her arms and hands by using the burn resistant mitten. She can operate her stove, microwave, washer and dryer by using bump dots. She can sign her documents independently using her provided signature guide. She can make a few calls and dial numbers independently with her talking telephone. She can move safely in and out of her home with her folding cane. She was also provided amber and yellow shade and a bold calendar. Ms. R feels more independent, relaxed and is very appreciative for the services she’s receiving from Independent Living for the Blind. She is able to continue with her daily living skills with the skills she gained through ILB. She said losing her vision was devastating but that doesn’t mean her life has to end. By gaining skills and being provided aids/appliances the fear of entering a nursing home is a thing in her past. (S. Murray, ILB Instructor)

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

Mississippi's Independent Living Program is pleased with the services that were provided this grant year. As indicated in Part V, the Independent Living Program has been able to increase the number of consumers served. However, with the increasing cost of providing quality services, Mississippi's Independent Living Program is concerned with how the current state of the economy will impact the Title VII-Chapter 2 Older Blind Program and the consumers we serve.

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 byLynda Hall
TitleProgram Manager
Telephone662-320-6656
Date signed12/05/2017