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

RSA-7-OB for Virginia Department for the Blind and Vision Impaired - H177B170046 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 year763,910
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year43,262
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2698,937
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)1,723,805
A4. Third party0
A5. In-kind0
A6. Total Matching Funds1,723,805
A7. Total All Funds Expended2,422,742
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs50,841
C. Total expenditures and encumbrances for direct program services2,371,901

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 58.0000 5.0000 63.0000
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 58.0000 5.0000 63.0000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 19 12.9000
2. Employees with Blindness Age 55 and Older 5 3.9000
3. Employees who are Racial/Ethnic Minorities 9 4.7000
4. Employees who are Women 42 26.6800
5. Employees Age 55 and Older 28 18.7200

C. Volunteers

0.00

Part III: Data on Individuals Served

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

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY647
2. Number of individuals who began receiving services in the reported FY807
3. Total individuals served during the reported fiscal year (A1 + A2) 1,454

B. Age

1. 55-59129
2. 60-64155
3. 65-69152
4. 70-74157
5. 75-79172
6. 80-84197
7. 85-89237
8. 90-94182
9. 95-9968
10. 100 & over5
11. Total (must agree with A3)1,454

C. Gender

1. Female1,000
2. Male454
3. Total (must agree with A3)1,454

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race27
2. American Indian or Alaska Native3
3. Asian16
4. Black or African American311
5. Native Hawaiian or Other Pacific Islander1
6. White1,089
7. Two or more races5
8. Race and ethnicity unknown (only if consumer refuses to identify)2
9. Total (must agree with A3)1,454

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)60
2. Legally Blind (excluding totally blind)728
3. Severe Visual Impairment666
4. Total (must agree with A3)1,454

F. Major Cause of Visual Impairment

1. Macular Degeneration670
2. Diabetic Retinopathy118
3. Glaucoma263
4. Cataracts28
5. Other375
6. Total (must agree with A3)1,454

G. Other Age-Related Impairments

1. Hearing Impairment301
2. Diabetes329
3. Cardiovascular Disease and Strokes535
4. Cancer61
5. Bone, Muscle, Skin, Joint, and Movement Disorders269
6. Alzheimer's Disease/Cognitive Impairment4
7. Depression/Mood Disorder47
8. Other Major Geriatric Concerns479

H. Type of Residence

1. Private residence (house or apartment)1,280
2. Senior Living/Retirement Community91
3. Assisted Living Facility48
4. Nursing Home/Long-term Care facility33
5. Homeless2
6. Total (must agree with A3)1,454

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)634
2. Physician/medical provider53
3. State VR agency32
4. Government or Social Service Agency10
5. Veterans Administration9
6. Senior Center8
7. Assisted Living Facility0
8. Nursing Home/Long-term Care facility0
9. Faith-based organization1
10. Independent Living center1
11. Family member or friend242
12. Self-referral334
13. Other130
14. Total (must agree with A3)1,454

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 161,397
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 832
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 191

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 178,732
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 1,150
3. Provision of assistive technology services 722

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 206,629
1b. Total Cost from other funds 1,859,658
2. Orientation and Mobility training 439
3. Communication skills 527
4. Daily living skills 1,045
5. Supportive services (reader services, transportation, personal 39
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 1,444
8. Information, referral and community integration 86
. Other IL services 276

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 12,736
1b. Total Cost from other funds 3,592
2. Information and Referral 0
3. Community Awareness: Events/Activities 92 4,985

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) 1,731,584 2,422,742 691,158
2. Number of Individuals Served 1,458 1,454 -4
3. Number of Minority Individuals Served 346 365 19
4. Number of Community Awareness Activities 89 92 3
5. Number of Collaborating agencies and organizations 65 65 0
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 722 100.00%
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) 347 48.06%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 312 43.21%
B1. Number of individuals who received orientation and mobility (O & M) services 439 100.00%
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) 156 35.54%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 255 58.09%
C1. Number of individuals who received communication skills training 527 100.00%
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) 262 49.72%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 244 46.30%
D1. Number of individuals who received daily living skills training 1,045 100.00%
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) 506 48.42%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 499 47.75%
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) 680 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) 7 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) 114 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 300 n/a
E5. Number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only) 0 n/a

Part VII: Training and Technical Assistance Needs

Staff continue to experience challenges when working with individuals who have multiple disabilities such as Alzheimer's and other forms of dementia, hearing loss and diabetes management. Additionally as many more seniors use smart phones and computers, training in these ongoing updates is always appreciated

Part VIII: Narrative

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

The mission of the Department for the Blind and Vision Impaired (DBVI) is to empower blind, deafblind or visually impaired individuals to achieve their maximum level of vocational, educational and personal independence. Independent Living services under the Older Blind Grant (OBG) are delivered by DBVI utilizing a staff of 22 rehab teachers who dedicate 82% of their time providing evaluation and direct instruction in a variety of adaptive skills of blindness areas. Additionally, 11 O & M instructors dedicated 31% of their time to direct instruction in techniques of independent travel. Three Low Vision staff dedicated 33% of their time packaging and distributing low vision aids to the seniors, while 2 deafblind specialists dedicated 36% of their time consulting with teachers and serving seniors with both hearing and vision loss. Title VII, Chapter 2 funds are used to provide comprehensive independent living services for older blind individuals through DBVI barrier free regional offices at Bristol, Fairfax, Norfolk, Richmond, Roanoke and Staunton, and at the Virginia Rehabilitation Center for the Blind and Vision Impaired (VRCBVI) in Richmond. Our goal is to provide and arrange for services that enable individuals with significant visual impairment to gain or maintain independence within the home and community, and adjust to their level of impairment. Six hundred ninety-eight senior consumers achieved successful outcomes during this grant period, the majority of whom live in the Roanoke Valley again this year. The Richmond area also has a large number of seniors who successfully received OBG services. The provision of comprehensive services enables more individuals to live independently in their homes and communities with maximum self direction, enables others to avoid inappropriate institutionalization and assists many older blind Virginians in accessing appropriate and necessary community resources and services. Community outreach occurs in all areas of the Commonwealth, with the rehabilitation teachers making many presentations at nursing homes, assistive living centers, retirement communities, Centers for Independent Living, senior centers and hospitals. The 22 rehabilitation teachers who provide services to consumers also provided outreach presentations to a wide range of public and private organizations. The focus of the presentations is to educate interested individuals about the needs of seniors who are vision impaired, how best to access all DBVI services, and how to access senior related community services. Rehabilitation teachers in all six regional offices have participated in local health fairs, provided in-service training to other state and federal agencies and given numerous presentations at local senior centers. Cumulatively 4,985 potential consumers, their friends and family members, as well as service providers, learned of vision-related services available through 92 interactive presentations. The Roanoke Regional Office staff conducted 35 outreach events, by far the most activity among the six regional offices during this federal grant year.

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 Richmond Regional Office held a community focused Success for Seniors event on May 31, 2017. Thirteen seniors and their plus ones (partner, family member or friend) were invited for a day of instruction and sharing. Activities included kitchen skills, labeling techniques, exercise and fitness, O&M and group counseling. The entire event was well received and participants stated they benefitted from the instruction. The Plus Ones participated in a vision simulation exercise. All indicated that experience gave them excellent insight into their loved ones vision loss The group support time was the highlight of the day as a facilitated discussion was led to enable people to share their feelings, frustrations and success. • Senior Retreat — Live Active, Live Healthy, Live Modern (“LIVE”): LIVE is a one week program held at the residential Virginia Rehabilitation Center for the Blind and Vision Impaired. This program is for blind and vision impaired individuals who are age 55 and older and served by the OBG program. Participants may attend with a plus one (partner, family member, friend, etc.) This targeted program works with individuals on coping with vision loss, daily living skills, independent travel skills, assistive technology skills such as learning to use iOS devices, low vision assessment and training, diabetic information and training on the use of talking glucometers, nutritional consultation, recreational activities that are designed to promote a healthy and active lifestyle, and provides additional resources. As one senior put it, quite beautifully, “ . . . to pass those precious days with people from all walks of life, but who share the same goal — to manage our lives with low vision or no vision — and learn together that the world is not closing down around us, but opening up in a new way, was very special indeed!!!” . This year the program ran from 8/20/17 to 8/25/17. Seniors from the Bristol, Richmond and Roanoke regional offices, ranging in age from 56 to 88, completed the program. Assisting during the week were rehab teachers, mobility instructors and the program director from the Richmond area. As a result of their positive experiences in the senior retreat, some of the participants from the 2017 program have requested to return to VRCBVI for an in-depth adjustment to blindness training program. In conjunction with the Older Blind Grant program, VRCBVI will continue to offer a yearly senior retreat to help seniors realize that there is a fulfilling life with vision loss.

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.

Executive Summary of the 2016 Program Participant Survey For Virginia Older Blind Program National Research and Training Center on Blindness and Low Vision at Mississippi State University The National Research and Training Center on Blindness and Low Vision (NRTC) at MSU conducted a Program Participant Survey in FY 2017 as a mail survey to determine the degree of satisfaction consumers experienced with the services and training they received and to gather consumer perceptions about the extent to which they perceived their independence and quality of life had been enhanced by the skills they acquired during the course of their services from the VA Older Blind Grant. NRTC staff developed the survey in conjunction with the Program Director of the Virginia Older Blind Grant, and surveys were returned to the NRTC for data entry and analysis. The survey consisted of questions in the following categories: • Outcome and satisfaction of services provided (28 questions) • Consumer demographics (10 questions) This survey was designed to enable the Older Blind Program administrative team to acquire outcome data to report to RSA, plus some additional data that would be useful in program analysis and planning. Surveys were sent to 690 individuals whose cases were closed during FY 2017, and the return rate to MSU was 33% (225 surveys). This result is down slightly from the previous two years (35% in FY 2016, 37% in FY 2015), but up from the two years before that (31% in both FY 2014 and 2013). Overall results of the Program Participant Survey data were favorable. A majority of consumers reported very positive levels of satisfaction with the staff members with whom they worked, their level of instruction, and the quality of services. Demographic and Survey Data With ages ranging from 56 to 101, most respondents (59%) were 80 years old or older. Seventy-four percent were female. Most participants (82%) reported living in a private residence; with others reporting senior living community, assisted living facility, or nursing home. Causes of vision loss included macular degeneration (60%), glaucoma (17%), diabetic retinopathy (11%), and cataracts (4%). Many respondents (26%) listed other causes of blindness, including stroke, retinitis pigmentosa, medical error, and a combination of the above factors. Consumers were extremely impressed with the manner in which they were served by staff. Ninety-three percent reported receiving services in a timely manner; 95% felt they received their services at a steady pace; 97% felt that staff were concerned with their well-being; and 97% reported that staff listened to their feelings and concerns. Consumer satisfaction levels among those participating in the survey were generally high. In responding to satisfaction questions regarding delivery of services, (i.e., manner of service delivery, types of services provided, and perceived outcomes of services) most of the participants expressed satisfaction. Out of the sixteen satisfaction questions, two resulted in a satisfaction score less than ninety percent: 88% were satisfied with the support services they received, and only 83% agreed that the services they received allowed them to reach their goals. This last question was investigated further, with twelve questions about specific goals they may have had. Respondents were provided the opportunity to comment on any question, but the comments shed little light on the issue of lower than expected satisfaction levels. For the fifth year, consumers were provided the opportunity to request a call from NRTC staff to discuss any concerns about services or service providers. These follow-up surveys are still being completed, with the intention of providing an explanation of any negative responses. This explanation, along with full results of all survey questions, will be included in the complete program evaluation report conducted by the NRTC, available after its completion in early 2018. Forty-five days after receipt of the Virginia Older Blind Grant’s 7OB, the NRTC at MSU will provide the Virginia Older Blind Program with its 2017 Annual Report.

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).

All three success stories this year are about seniors with more than one impairment. We chose to highlight these individuals because of the many different and significant ways the older blind grant was able to assist. Mrs. G.S. is vision impaired due to Macular degeneration and she also has arthritis that can sometimes cause difficulties with walking. She received rehabilitation teaching and orientation and mobility services. We worked on personal grooming, eating skills, money ID, needle threading, and crafts. I took her for a low vision exam and she kept the majority of the aids recommended. We also labeled her appliances. She wanted to start a low vision support group in her community and asked me to help. I spoke at the Lake of the Woods Lions Club on her behalf and they are lending support to the group. G.S. is doing a good job of getting speakers for the group. They meet monthly and she has about ten regular attendees. She wanted to do some volunteer work so is now volunteering at Spotsylvania Regional Hospital and uses some of her low vision aids to help with her volunteer work. Our second success story involves a 67 year old female client with a congenital condition, Myopic Degeneration and Fundus Coloboma. Her acuities are 1/200 OD and LP OS. She also suffers from arthritis and will require surgery in the future on both hands. Additionally, she is currently having multiple dental procedures. Ms. G lives alone and has taken advantage of all DBVI services provided to her. Ms. G received training from VRCBVI 10 years ago. But she admitted that she never used much of the skills learned as she depended upon her husband for daily living and mobility. After her husband passed away, she realized that she needed to be more independent. Ms. G. was referred to the Rehabilitation Teacher, who further referred Ms. G to the O&M Instructor for orientation and mobility training. The time that she spent with these two instructors motivated her to learn independent living skills so to increase her quality of life. She first attended the one-week Senior Retreat at VRCBVI and then decided to attend the full training program. At VRCBVI, Ms. G took Braille instruction, orientation and mobility training, personal management training, cooking, daily living skills, and communication skills which included using assistive technology. As a result, her life was enriched as she learned to use the Victor Stream to read books and CCTV to read other print materials. She learned to use her smart phone’s accessibility features proficiently and was able to connect with her friends and family members. She learned to read contracted Braille and has been receiving follow up braille training at home after her graduation from VRCBVI. Most significantly, Ms. G prepared a lunch with a full menu for 12 in May 2017 as she was finishing up her training at VRCBVI. She was the sole cook, server, and her own cleaning crew. In summary, the training Ms. G received from the OBG program allowed her to enhance her independence and live alone in her Roanoke apartment. She is able to manage all her bills and personal business. She has a wonderful outlook and wants to remain as independent as possible for as long as she can. Our third success story is about a very pleasant and polite 73 year old divorced gentleman who lives in his own apartment with his daughter. He is a gentleman who made a few mistakes as a youth and consequently spent some time in prison as a result. He took advantage of this time to learn as many skills as he could so that he could be productive. During this time, he began having vision problems. He is diabetic, has COPD, and a family history of serious cardiac and circulatory problems. He told us that while in prison, he did not necessarily have access to the best medical care and as a result, he began to have serious vision issues. When he came to DBVI he was diagnosed with wet ARMD with a prognosis of progressive deterioration. He had a visual acuity of HM OD and CF at 5 ft. OS. He was also extremely bothered by glare and could not see “much of anything” in full sun. Mr. X stated that his vision had deteriorated over the years and that he could see shadows and movement and the odd object out of his temporal field. He stated that he could not read, see print or TV and he could not distinguish dark colors from one another. In the ADL area, Mr. X reported that he was formerly a chef and that he used to cook all kinds of things. Because of his worsening vision, he reported that he mainly used one button on the microwave to heat his food, that he could make a sandwich but that he felt somewhat sloppy doing it, that he could make coffee but that his technique was not great and that he often spilled the coffee. He did not use the stove at all as he could not see the controls. He also stated that he could not see to organize his clothes and had to check with his daughter to coordinate his clothes. He was curious as to how blind people accomplished these tasks, as well as how they shopped for groceries and clothing. With regard to mobility, Mr. X stated that he used to walk a lot and that he would very much like to be able to walk around his neighborhood, to the grocery store, his doctor’s office, the pharmacy and other stores. He wanted to remain as fit as possible and he liked to walk but could not do so safely because of his limited vision and glare problems. He had bumped into walls and sometimes had difficulty following his daughter around a store, etc. His balance was also unsteady because he had to walk very slowly in order not to bump into things. He did not use a cane or any protective device for travel. He also had to pace himself because of his COPD and heart issues. So he took frequent breaks when walking and it was difficult for him to find a wall or a bench where he could sit and rest. Mr. X knew that his vision was decreasing and this concerned him as to how he would function with no vision. His mobility goals were to be as independent as possible, and he was interested in exploring all aspects of mobility. Mr. X. received regular instruction from both RT and O&M. He was introduced to talking clocks and watches, shown how to use OCR on his smart phone. He learned to use and now enjoys talking books. His oven and microwave were marked so that he could use them and cooking was reviewed with him. Mr. X. quickly picked up on these skills, and learned how to make coffee and sandwiches with no difficulty, how to use the stovetop to cook things, how to use the oven, a crockpot, etc. He is now able to prepare meals for himself and his daughter and does so regularly. He also learned how to organize and label his clothes and he is very proud to be able to coordinate his own clothing. Mr. X. also received low vision aids including an 8X LED illuminated pocket magnifier to enable him to read grocery prices, food labels, etc., a 7.1X illuminated LED stand magnifier for reading his mail, bills, etc., and 3.5X task vision glasses for viewing TV and seeing scenery. In mobility, Mr. X. learned guiding and protective techniques, how to use a folding travel cane and to travel in his neighborhood. Ultimately he was able to travel to all the destinations of interest to him. He received UV 40 sunglasses for indoor travel and UV 80 sunglasses for outdoor travel. He also wore a hat as an additional glare reducer. With these travel aids, he was successfully able to learn to travel all over downtown Bristol, to go for 5 mile walks on his own, to travel to the hardware store, the senior center for exercise, etc. Mr. X. was so delighted to receive his LV aids, his travel cane, ADL and mobility instruction and to use his aids and techniques that in a recent visit with his RT, he began crying and told her that he was very thankful for the LV aids and all the DBVI services he had received. He also told her that he had thought about "giving up" when his vision started to decline before receiving OBG services, but now he happily reports traveling through town independently with his mobility cane. Although he cannot travel as far as he would like, due to his recent increased heart problems, he can still travel where he needs to go and can pace himself well. He can also use his LV aids for reading grocery prices/menus in restaurants, and so forth when he travels outside his residence. Mr. X. is extremely grateful to DBVI as he feels that RT and O&M services have changed his life and made it worth living. He has worked hard on his skills and he is proud of his accomplishments.

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

Again this year, the agency’s plan to encourage referrals all across the Commonwealth continues to raise awareness of specialized services for seniors. Each rehab teacher regularly visits local ophthalmology practices, retirement communities, etc. leaving agency brochures and their business cards to encourage referrals for independent living skills training, low vision services and adjustment counseling to mention only a bit of what we offer. This outreach activity has resulted in an increase of seniors seeking services from DBVI through the older blind grant. Caseloads remain higher than average across the state, with more and more seniors with secondary disabilities requesting assistance from the Older Blind Grant program. In spite of continuing budget challenges at both the state and federal level, the long-lasting positive effects of the OBG program provide inspiration and reinforcement to all agency staff as we carry out our daily activities. We are ever mindful of our ability to make a positive difference in the lives of so many of the Commonwealth’s senior citizens who are blind, vision impaired or deafblind.

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 byJANE WARD SOLOMON
TitleDIRECTOR OF INSTRUCTIONAL PROGRAMS AND SERVICES
Telephone804-371-3112
Date signed12/20/2017