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

RSA-7-OB for New York Commission for the Blind and Visually Handicapped - H177B170032 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 year1,880,042
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 21,002,549
A2. Total other federal0
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)2,798,461
A4. Third party0
A5. In-kind0
A6. Total Matching Funds2,798,461
A7. Total All Funds Expended3,801,010
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services3,801,010

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 1.7500 0.0000 1.7500
2. FTE Contractors 47.0000 126.1000 173.1000
3. Total FTE 48.7500 126.1000 174.8500

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 25 12.8100
2. Employees with Blindness Age 55 and Older 5 2.2000
3. Employees who are Racial/Ethnic Minorities 36 26.8000
4. Employees who are Women 147 105.3400
5. Employees Age 55 and Older 76 51.3500

C. Volunteers

20.10

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 FY832
2. Number of individuals who began receiving services in the reported FY3,040
3. Total individuals served during the reported fiscal year (A1 + A2) 3,872

B. Age

1. 55-59229
2. 60-64322
3. 65-69330
4. 70-74336
5. 75-79439
6. 80-84535
7. 85-89774
8. 90-94638
9. 95-99232
10. 100 & over37
11. Total (must agree with A3)3,872

C. Gender

1. Female2,630
2. Male1,242
3. Total (must agree with A3)3,872

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race341
2. American Indian or Alaska Native9
3. Asian59
4. Black or African American560
5. Native Hawaiian or Other Pacific Islander1
6. White2,852
7. Two or more races50
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)3,872

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)219
2. Legally Blind (excluding totally blind)3,653
3. Severe Visual Impairment0
4. Total (must agree with A3)3,872

F. Major Cause of Visual Impairment

1. Macular Degeneration1,926
2. Diabetic Retinopathy316
3. Glaucoma762
4. Cataracts48
5. Other820
6. Total (must agree with A3)3,872

G. Other Age-Related Impairments

1. Hearing Impairment892
2. Diabetes923
3. Cardiovascular Disease and Strokes1,489
4. Cancer214
5. Bone, Muscle, Skin, Joint, and Movement Disorders1,434
6. Alzheimer's Disease/Cognitive Impairment227
7. Depression/Mood Disorder352
8. Other Major Geriatric Concerns451

H. Type of Residence

1. Private residence (house or apartment)3,344
2. Senior Living/Retirement Community320
3. Assisted Living Facility208
4. Nursing Home/Long-term Care facility0
5. Homeless0
6. Total (must agree with A3)3,872

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)1,769
2. Physician/medical provider97
3. State VR agency331
4. Government or Social Service Agency186
5. Veterans Administration4
6. Senior Center19
7. Assisted Living Facility18
8. Nursing Home/Long-term Care facility8
9. Faith-based organization4
10. Independent Living center5
11. Family member or friend368
12. Self-referral977
13. Other86
14. Total (must agree with A3)3,872

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 126,522
1b. Total Cost from other funds 237,310
2. Vision screening / vision examination / low vision evaluation 2,719
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 203,718
1b. Total Cost from other funds 38,059
2. Provision of assistive technology devices and aids 0
3. Provision of assistive technology services 3,328

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 672,309
1b. Total Cost from other funds 2,523,092
2. Orientation and Mobility training 1,435
3. Communication skills 3,307
4. Daily living skills 2,933
5. Supportive services (reader services, transportation, personal 0
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 475
8. Information, referral and community integration 1,001
. Other IL services 0

D. Community Awareness: Events & Activities

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

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) 3,897,436 3,801,010 -96,426
2. Number of Individuals Served 4,133 3,852 -281
3. Number of Minority Individuals Served 1,021 1,015 -6
4. Number of Community Awareness Activities 0 0 0
5. Number of Collaborating agencies and organizations 0 0 0
6. Number of Sub-grantees 15 16

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 3,328 100.00%
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) 2,864 86.06%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 413 12.41%
B1. Number of individuals who received orientation and mobility (O & M) services 1,435 100.00%
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) 1,112 77.49%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 191 13.31%
C1. Number of individuals who received communication skills training 3,307 100.00%
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) 2,739 82.82%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 506 15.30%
D1. Number of individuals who received daily living skills training 2,933 100.00%
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) 2,358 80.40%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 395 13.47%
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) 2,961 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) 28 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 35 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) 29 n/a

Part VII: Training and Technical Assistance Needs

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 New York State Office of Children and Family Services Commission for the Blind contracts with 16 private agencies to provide direct services to legally blind individuals over the age of 55. The program is called the Adaptive Living Program (ALP). The goal of the program is to make a comprehensive package of rehabilitation services available to individuals who are legally blind, over the age of 55 and not seeking paid employment. The ALP program includes the evaluation (assessment) of an individual’s service needs within the framework of their personal goals, abilities and resources, and the provision of appropriate types and level of services to promote individual achievement of rehabilitation goals. The ALP program provides adjustment counseling (social casework), vision rehabilitation therapy, orientation and mobility instruction and low vision services. Individuals served may receive equipment such as talking clocks, watches, Braille paper and writing guides, task lighting and low vision devices. Many of the agencies that provide services in the ALP program are beginning to provide technological devices that assist consumers in daily living skills. Many of the agencies provide up to four hours of assistive technology instruction on such items as computers, and smart phones. Contract agencies receive payment based on the number of consumers who successfully complete a training program. Contract agencies conduct outreach activities but do not receive additional funding to do so, therefore it is not possible to calculate the amount of money spent on older-blind outreach activities. In addition, most outreach efforts are focused on providing services to all individuals who are legally blind; therefore it is also not possible to determine the number of elderly persons served as a result of these outreach activities. Outreach efforts include distributing information at health fairs, to doctors, eye care specialists and elder care agencies. A number of contractors have staff that participate in outside boards and organizations related to aging and vision loss. The 16 contract agencies who provide direct service to consumers are: Association for the Blind and Visually Impaired - Goodwill Industries of Greater Rochester, Inc., Rochester; Elizabeth Pierce Olmsted, M.D. Center for Sight, Buffalo; Association for Vision Rehabilitation and Employment, Binghamton; Archdiocesan Catholic Guild for the Blind, Inc., New York; Central Association for the Blind and Visually Impaired, Utica; Chautauqua Blind Association, Jamestown; Glens Falls Association for the Blind, Glens Falls; Helen Keller Services for the Blind, Brooklyn; Lighthouse Guild, New York; Helen Keller National Center for Deaf-blind Youths and Adults Sands Point; Northeastern Association of the Blind, Albany; North Country Association for the Visually Impaired, Plattsburgh; Association for the Visually Impaired, Inc., Spring Valley; Aurora of Central New York, Inc., Syracuse; VISIONS Services for the Blind and Visually Impaired, New York; Western New York Center for the Visually Impaired, Amherst

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.

The New York State Commission for the Blind encourages its contract agencies to expand and improve service delivery. Most contract agencies have intensive Outreach Programs that involve vision screening and education events at community health fairs and expos. Agency staff also visit sites that have populations who are at high risk for vision loss such as senior citizen clubs and senior congregate housing sites. All agencies work closely with area ophthalmologists and optometrists who provide a steady stream of referrals. A unique approach to reaching new eye doctors is educating office managers regarding low vision services, the ALP program and eligibility criteria for the program. Most providers also have identified rehabilitation agencies and community centers within their catchment areas and these organizations are provided with handouts and informational material. The diversity of service delivery across New York focuses on a broad array of innovative ways to provide services. Many agencies downstate and in the greater New York City area have direct service staff who are bilingual, as well as outreach staff who target specific neighborhoods. Examples of Outreach: 1. Northeastern Association for the Blind at Albany: Conducted presentations at local senior meal sites & free Low Vison Technology Fairs in Albany and Saratoga; attended health fairs throughout 9 counties served, 2. Chautaqua Blind Association: continued to reach out to the Chautauqua Adult Daycare Hispanic Outreach Program to contact clients and staff; provided in-service training and informational sessions to educate everyone about our service in the community. 3. ABVI of Rochester: Project Eye Care is a program in which ABVI provides primary eye care to individuals who are uninsured or under-insured. For example, if an individual is diagnosed as being legally blind (and over 55) during that exam, s/he is referred for state sponsored ALP services. In addition, a close relationship is maintained with many eye care practices, as well as with retinal specialists across the service areas; Attended numerous health fairs in many different parts of the counties that are served, in an attempt to reach out to individuals with vision loss who live in outlying and very rural areas, as well as individuals who are part of under-served communities; continued to work with Offices of the Aging in the counties within our NYSCB service area, and have conducted numerous outreach presentations at various senior nutrition sites and senior centers in Seneca, Yates, Steuben, Wayne, Monroe and Ontario counties; Vison Education classes are a part of a grant project in association with the University of Rochester targeting individuals who are in the early stages of vision loss. One part of these classes, discuss legal blindness and services available through NYSCB and ABVI. 4. HKNC Specialized Senior Services: HKNC SSSP staff have visited assistive living facilities in NYC and Long Island to provide information regarding the SSSP program and demonstrate ways in which the services could benefit seniors with vision and hearing loss; HKNC has entered into a Linkage Agreement with JASA (Jewish Association for Services for the Aged) to serve seniors living in Brooklyn with a particular emphasize on supporting formerly homeless seniors and those at risk for homelessness. HKNC SSSP staff have conducted outreach to SILO (Suffolk Independent Living Organization) to educate NY Connects staff about the services available to seniors with vision and hearing loss. 5. Lighthouse Guild: Continued and strengthened outreach initiatives advanced efforts to connect people who are visually impaired with information and vision rehabilitation services to enable them to remain self-sufficient and productive in their daily lives; Outreach program encompassed direct contact with prospective clients as well as cultivation of referral sources; Directly communicated with potential ALP clients with presentations at senior centers, residences and other community venues; Participated in community health fairs and other events; Ongoing communication with referral sources generates many new clients as well, and reinforces the direct outreach to older adults; In-service training for caregivers, visits to doctors’ offices, electronic and regular mail communiques are among the vehicles used to encourage patient and client referrals; An increased focus on the specialized services for the growing number of people with diabetes and vision was emphasized. Through these combined efforts, Lighthouse Guild directly reached hundreds of older adults, as well as approximately 825 doctors and more than 700 caregivers/professionals. Lighthouse Guild also continued participation in the NYC Coalition on Aging & Vision. 6. AVI: Continued to do outreach in the minority communities of Rockland and Orange counties with a Spanish speaking staff person; Placed ads in Spanish newspapers, and attends outreach meetings in minority communities; Collaborated with agencies in the community so that AVI can expand our services uch as Independent Living Centers in New City, Newburgh and Middletown; Retired & Senior Volunteer Program (RSVP); visiting nurses; home health aide agencies; Office for the Aging in both Rockland and Orange Counties; Meals on Wheels; senior citizen centers; & para transport providers. Staff did a series of in-services to the senior citizen centers throughout Rockland County earlier this year to explain what services are available to visually impaired seniors. 7. AVRE: VRTs continued to build and maintain a professional relationship with outside agencies in their catchment areas to educate them about the services AVRE provides and the eligibility requirements. Agencies may include, but are not limited to the Aging Office, Social Service agencies, Tioga Opportunities, and Office Managers in Senior Living Centers & High-rises. Continued to facilitate a support group in Owego for individuals with vision impairments and their families; Continued a standing rapport with the office staff at the Low Vision Centers AVRE contracts; Connected face to face with eye care professionals in their service area that may not be aware of the services AVRE provides; Worked with a local guide dog school to assist consumers in obtaining two guide dogs for their home (partners that have been guide dog user for decades). 8. CGB: Second year of a grant that Catholic Guild for the Blind received from the Lavelle Fund for the Blind to identify and provide services to seniors in Dutchess, Ulster and Sullivan Counties; From January 2017 through September 2017, 7 seniors were identified in Dutchess, 15 in Ulster and 3 in Sullivan. An additional 21 individuals were referred directly from NYSCB and provided with services. Totals of new seniors who had never received services and were identified by the Outreach Workers since the grant inception in 2016 are 21 in Dutchess, 24 in Ulster and12 in Sullivan. Between January 2016 and September 2017, 81 seniors were assessed in the three counties from all referral sources. Outreach workers in each County are visible throughout communities where seniors receive professional services, attend health fairs and socialize. The Outreach Workers are wrapping up in December 2017 and we believe that because of our outreach, new seniors will continue to be identified through community groups and professional providers and referred to the Catholic Guild for the Blind. In NYC, staff has been visible in senior centers throughout the boroughs and through each visit has identified individuals eligible for NYSCB services. These presentations will continue into 2018. 9. VISIONS Outreach team participates in community activities geared to educating the public on eye diseases and vision loss prevention. The community is also provided with information on services available for legally blind and visually impaired individuals. VISIONS outreach strategy includes a special focus on people living in poverty, frail elders, and non-English speakers. Outreach activities include presentations, staff training, distribution of brochures and on-site initial referrals. VISIONS has experienced increased number of request from Montefiore Hospital to provide presentations to their social work departments at their various sites. VISIONS completed 3 presentations at one of the Montefiore sites and now another site is requesting a presentation. VISIONS also expanded educational and outreach services about vision health, vision impairment, prevention and resources, in all the 5 boroughs, especially in the South Bronx area, Sunset Park, East NY (BK), Jamaica (QN) among others. The services targeted non-English speaking individuals. The services were and continue to be provided at various community locations such as senior centers (Seaside Center, Northside Center, Rios Center, Jacob Riis NORC, City Island Senior Center) Community Centers (Lower East Side Comm. Center, Staten Island Comm. Agency for Seniors, La Guardia Center), health care facilities (Maimonides Hospital, Montefiore, Bellevue, Lenox Hill, Carter Burden Health Center) and street fairs in all boroughs (i.e. South Bronx, Soundview, Washington Heights, Harlem). The new methods and approaches included eye disease simulators, how to communicate comfortably with a person who is blind and visually impaired, and suggestions for guiding individuals with visual impairments. VISIONS has seen an increased number of Mandarin/Cantonese speaking consumers seeking services. VISONS just hired an interpreter for Mandarin/Cantonese, who joins the interpreter pool of languages including: Spanish, Russian, Polish, French and Creole. In addition to providing language translation VISIONS interpreters share cultural insight into consumers’ needs and customs. A major goal for NYSCB is to increase the number of individuals from ethnic and racial minority populations who receive services. NYSCB Offices provide outreach presentations across New York State, focusing on schools, public libraries, colleges, churches, community centers, independent living centers, advocacy groups, health fairs, healthcare providers, ethnic festivals and senior centers. NYSCB staff have also participated in several cultural competency training programs that focus on identifying and eliminating racial and ethnic inequities in agency service delivery systems, practices and policies. In addition, NYSCB continues to participate in an agency-wide effort to identify those consumers for whom English is not their primary language. Staff frequently utilize “Language Line”, a telephone translation service, that provides interpreters for consumers who are non-English speaking.

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.

ILOB cases are reviewed once every two to three years when NYSCB conducts a program review for all services provided by the contract agencies. As part of the program review, consumers are contacted by telephone to determine satisfaction with services. The Adaptive Living Program consists of four components: ALP-1: Assessment, eligibility recommendation and service plan development ALP-2: Rehabilitation services provided to an older individual to assist him/her to achieve a greater level of safety and confidence in their living environment ALP2-E: Enhanced rehabilitation services provided to an older individual who requires services in excess of the typical ALP-2 program in order to achieve his/her goals ALP-3: Rehabilitation services provided to an older individual who has significant needs and primary responsibility for managing the home The greater the need of services, the higher the payment is for each consumer served through the ALP program. Every consumer receives an ALP-1 assessment. Three agencies were reviewed this year: Lighthouse Guild, Northeast Association of the Blind at Albany (NABA) and Helen Keller Services for the Blind (HKSB). 12/16/16 NABA We reviewed twenty-six ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 3.2, with a range of 1-5. On average, services were provided in 2.7 months with the actual range from 1 day to 11.8 months. Overall, the cases reviewed showed that the agency met many NYSCB standards for service provision. The review showed that NABA met the standards for first contact with a consumer. The time between referral date and assessment was on average less than 30 days, and in some cases within two weeks. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports were detailed and established a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. NABA provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. Reviewers noted that there was a high level of goal planning involving the consumer and the instructors. We reminded NABA staff that each consumer being considered for ALP services should be asked if they are currently employed or interested in employment services. At the time of the electronic review, some cases were missing the Legal Blindness verification form. All cases were cross checked at NABA on the day of the review. Documentation of legal blindness was not part of the electronic case record in two cases. As per the Comprehensive Services Contract Guidelines 1/1/14-12/31/18, section 2.02 states: For individuals served under ALP, the contractor determines eligibility for services and develops the individualized service plan. In addition, the guidelines state section 2.08 that the role of the contractor is to: Obtain information that documents that the consumer is legally blind. The following methods can be used to obtain documentation of legal blindness. The contractor should provide assistance to the consumer in obtaining documentation using one of the following methods: a. Obtain a NYSCB Medical Eye Report (Form 3451) from an ophthalmologist, or b. Obtain a NYSCB Report of Legal Blindness/Request for Information with Part A completed (OCFS 4599) from an ophthalmologist or optometrist, or Obtain a letter from an ophthalmologist or optometrist that states that the individual is legally blind, or c. Obtain documentation that the individual is receiving SSDI or SSI because of legal blindness, or obtain school records signed by an M.D. or O.D. that documents that the individual is legally blind, or obtain records from a medical clinic, hospital or other medical facility that documents that the individual is legally blind. In addition, the contractor will complete the ALP Intake Form in CIS. For individuals who will be served under the ALP program, determine if the individual is eligible to receive services using all of the following criteria: A. Individuals must be legally blind, age 55 or older, legal residents of New York State and not seeking or engaged in competitive employment. In summary, section 2.11 defines eligibility: 1. Eligibility for ALP-2 Services: The consumer is age 55 or older, a resident of New York State, legally blind, not residing in a nursing home and able to benefit from ALP services. NYSCB reviewed six ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 9.7, with service units ranging from 6-15. On average, services were provided in 7.8 months with the actual range from 2.6 to 17 months. Overall, the cases reviewed showed that the agency met many NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case note standards in this service area were all met. Also, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer and were submitted within appropriate timeframes. At the time of the electronic review, one case was missing the Legal Blindness verification form. The case was cross checked at NABA on the day of the review. Documentation of legal blindness was not part of the electronic case record in the one case. As per the Comprehensive Services Contract Guidelines 1/1/14-12/31/18, the contractor will determine and document eligibility for ALP services with legal blindness documentation which was referenced above for ALP. NYSCB reviewed five ALP 3 cases which represented 27% of all successful cases in the review period. The average units of service provided was 12.6, ranging from 3-29. On average, services were provided in 7.3 months with the actual range from 2 to 20 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. Assessment and individualized case notes were of satisfactory quality. Review of final reports indicated that consumers received concurrent and comprehensive services. 4/25/17 Lighthouse Guild NYSCB reviewed thirty-three ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 4.1, with a range of 2-8. On average, services were provided in 4.1 months with the actual range from 25 days to 19 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that JGB met the standards for first contact with a consumer. The time between referral date and assessment and training had little or no wait. It was noted that there were also no gaps in between assessment and training. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports were detailed and established a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. JGB provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. Reviewers noted that there was a high level of goal planning with multiple training goals involving the consumer and the instructors. NYSCB reminded JGB to attach Legal Blindness verification to the ALP intake, as per contract guidelines. All attachments must be in accessible format when scanned into Computer Information System (CIS). NYSCB also reviewed eleven ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 13.8, with service units ranging from 8-27. On average, services were provided in 8.9 months with the actual range from 2 to 36 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case note standards in this service area were all met. Also, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer, and were submitted within appropriate timeframes. NYSCB reviewed five ALP 3 cases which represented 16% of all successful cases in the review period. The average units of service provided was 23.8, ranging from 18-64. On average, services were provided in 6.1 months with the actual range from 2.5 to 10.7 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment and individualized case notes were of suitable quality. Review of final reports indicated that consumers received concurrent and comprehensive services. 9/12/17 Helen Keller Services for the Blind NYSCB reviewed 32 ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 4.8, with a range of 2-8. On average, services were provided in 1.6 months with the actual range from 4 days to 3 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that HKSB met the standards for first contact with a consumer. The time between referral date and assessment and training had very little or no wait. It was noted that there were no gaps in between assessment and training. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports were detailed and established a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. HKSB provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. Reviewers noted that there was evidence of detailed goal planning with multiple training goals involving the consumer and the instructors. NYSCB reminded HKSB to attach Legal Blindness verification to the ALP intake, as per contract guidelines. This includes attaching verification of legal blindness even to known consumers of HKSB or NYSCB. NYSCB also reminded staff that all attachments must be in accessible format when scanned into CIS. In addition, the reviewers found several instances of questions left blank in the ALP assessment; it was discussed that the ALP assessment should be fully completed including the employment question. NYSCB reviewed 23 ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 12.5, with service units ranging from 6-19. On average, services were provided in 2.5 months with the actual range from 1 to 5 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case note standards in this service area were all met. Also, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer and were submitted within appropriate timeframes. NYSCB reviewed ALP 3 cases which represented 10% of all successful cases in the review period. The average units of service provided was 11.9, ranging from 12-14. On average, services were provided in 2 months with the actual range from3 weeks to 3 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment and individualized case notes were detailed and consistent in good quality. Review of final reports indicated that consumers received concurrent and comprehensive services.

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).

ABVI A 67-year-old female, who experienced a very sudden loss of vision and frequently became very disoriented, had a great success story. The first time one of our Certified Orientation Mobility Specialist (COMS) met her, the consumer could not get to the front door because she was not able to find her way out of her bedroom. The COMS reached her by phone. She repeatedly said “I’m lost and I don’t know where I am.” He kept reminding her that she wasn’t lost because “…you know you are in your room.” While on the phone with her, the COMS was able to work with her to get her out of the room. From there, the woman was able to get to the front door to let him in. They had a couple of additional lessons in that house (her daughter’s house where she had been staying) learning to get to the main parts of the house more easily. She had an emergency operation—the amputation of her right leg from the knee down. This was a huge setback for her. She was in the hospital and rehab facility for the next four months. When she got out, she moved into her own apartment. The COMS started working together again, from the beginning. They worked on her new apartment and she was taught new ways of getting around in her manual wheelchair. She was now able to negotiate her own apartment. After a few lessons, she could use her manual wheelchair and long cane. Each time the COMS returned for another lesson, it was reported, “…she told me of her experiences practicing outside of our lessons. Once she mastered her apartment we worked on going from her apartment to the elevator and back. She lives on the fourth floor and was determined to get down to the first floor on her own!” After multiple lessons, the consumer is now able to get to the elevator, get on the elevator, and push the 1st floor button, and go down to the lobby. On one occasion, the consumer shared that she had surprised her daughter who was picking her up, by waiting for her in the lobby. She showed her daughter that she could get her mail and travel in the lobby on her own. The consumer is also able to get back to her apartment from the lobby. Most recently, she received a prosthetic leg, and demonstrated the same determination to be successful and walk again. During the last lesson with the COMS, she learned to get around in her apartment and the building using her long cane and a walker! Elizabeth Pierce Olmsted, M.D. Center for Sight A male consumer with Macular Degeneration, age 62, had several needs around his Cheektowaga, New York home for training. The consumer successfully worked with VRT and then disclosed he really wanted to be able to utilize his computer better. While his wife still worked, he would be at home, feeling isolated for hours at a time. The consumer wanted to use the internet and social media. The VRT assisted in making his computer more accessible, signing him up for social media account and explaining to him how things work in the application. The consumer found old school friends on social media and reported that he no longer felt isolated. He was also able to do research on subjects impacting his family (such as finding reviews for products the family was interested in buying) and contribute to the household in making educated decisions saving the family money. Catholic Guild An 80-year-old female in the Hudson Valley was having a difficult time adjusting to her vision loss. Through instruction, she was given hope and reassurances that her loss of vision did not mean loss of life. The consumer was given instruction on heating food safely in the microwave, using a talking clock to tell time independently, as well as other home management skills. She was taught to safely use the long folding cane and reported absolutely loving the freedom and assistance it provides. This consumer participated wholeheartedly in the lessons and learned how to safely ascend & descend the stairs leading to the lake shore. She was pleasantly surprised to discover that while using the long cane, complete strangers offered her support, kindness and compassion. She began ALP services skeptical but is now full of life, able to continue living independently and excited to experience whatever life has to offer. AVI Mr. B is a 77-year-old Hispanic male who lives alone in senior citizen housing. His adult children live out of state so he does not have any local family support. His goal was to become more independent in his home and community when he started to receive services from AVI. He also wanted to have more socialization. He began attending the AVI support group twice a month and now has new friends he keeps in touch with all month. He received orientation and mobility instruction to learn how to use a long cane in his apartment and throughout his complex. He can now go to the laundry room and pick up his mail on his own. He received rehabilitation teaching to improve his signature, learn to use a talking clock and talking timer and use his cell phone in case of emergencies. He was given a used CCTV that had been donated to AVI which enables him to complete most of his paperwork himself including reading his mail and paying his bills. Mr. B. is very happy that he has increased his independent skills.

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

NYSCB continues to experience difficulties serving consumers in some of the more rural areas of the state. At times staff shortages in these outlying areas have delayed services longer than expected. We continue to work closely with the contract agencies to work on solutions to this problem. Agencies also express that funding and budget reasons sometimes prevent them from providing additional services to older blind consumers. One example, is that technology such as laptop computers, tablets, and smart phones are becoming more widely used by consumers. NYSCB is currently looking at expanding assistive tech services to assist consumers to achieve greater independence. Several agencies already provide limited assistive tech training, and more innovative ways to train seniors on technology are being explored.

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 byTracy Breslin
TitleVocational Rehabilitation Counselor
Telephone518-474-9647
Date signed12/18/2018