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

RSA-7-OB for Alabama Department of Rehabilitation Services - H177B180001 report through September 30, 2018

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 year479,726
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year280,261
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2584,500
A2. Total other federal9
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other9
A3. State (excluding in-kind)53,303
A4. Third party0
A5. In-kind0
A6. Total Matching Funds53,303
A7. Total All Funds Expended637,812
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs215,851
C. Total expenditures and encumbrances for direct program services421,961

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 5.9300 7.4800 13.4100
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 5.9300 7.4800 13.4100

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 12 4.2692
2. Employees with Blindness Age 55 and Older 4 0.7692
3. Employees who are Racial/Ethnic Minorities 14 4.8580
4. Employees who are Women 39 10.3800
5. Employees Age 55 and Older 15 3.5572

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 FY353
2. Number of individuals who began receiving services in the reported FY707
3. Total individuals served during the reported fiscal year (A1 + A2) 1,060

B. Age

1. 55-5973
2. 60-6499
3. 65-69119
4. 70-74131
5. 75-79129
6. 80-84140
7. 85-89199
8. 90-94123
9. 95-9944
10. 100 & over3
11. Total (must agree with A3)1,060

C. Gender

1. Female745
2. Male315
3. Total (must agree with A3)1,060

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race3
2. American Indian or Alaska Native6
3. Asian2
4. Black or African American257
5. Native Hawaiian or Other Pacific Islander1
6. White791
7. Two or more races0
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)1,060

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)75
2. Legally Blind (excluding totally blind)466
3. Severe Visual Impairment519
4. Total (must agree with A3)1,060

F. Major Cause of Visual Impairment

1. Macular Degeneration485
2. Diabetic Retinopathy100
3. Glaucoma201
4. Cataracts18
5. Other256
6. Total (must agree with A3)1,060

G. Other Age-Related Impairments

1. Hearing Impairment357
2. Diabetes342
3. Cardiovascular Disease and Strokes686
4. Cancer169
5. Bone, Muscle, Skin, Joint, and Movement Disorders486
6. Alzheimer's Disease/Cognitive Impairment137
7. Depression/Mood Disorder137
8. Other Major Geriatric Concerns472

H. Type of Residence

1. Private residence (house or apartment)954
2. Senior Living/Retirement Community34
3. Assisted Living Facility53
4. Nursing Home/Long-term Care facility19
5. Homeless0
6. Total (must agree with A3)1,060

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)285
2. Physician/medical provider15
3. State VR agency100
4. Government or Social Service Agency189
5. Veterans Administration3
6. Senior Center5
7. Assisted Living Facility11
8. Nursing Home/Long-term Care facility9
9. Faith-based organization0
10. Independent Living center2
11. Family member or friend218
12. Self-referral202
13. Other21
14. Total (must agree with A3)1,060

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 5,627
1b. Total Cost from other funds 625
2. Vision screening / vision examination / low vision evaluation 265
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 115,891
1b. Total Cost from other funds 12,877
2. Provision of assistive technology devices and aids 841
3. Provision of assistive technology services 889

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 258,111
1b. Total Cost from other funds 28,679
2. Orientation and Mobility training 273
3. Communication skills 665
4. Daily living skills 765
5. Supportive services (reader services, transportation, personal 6
6. Advocacy training and support networks 184
7. Counseling (peer, individual and group) 427
8. Information, referral and community integration 555
. Other IL services 528

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 135
1b. Total Cost from other funds 15
2. Information and Referral 0
3. Community Awareness: Events/Activities 618 8,971

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) 489,241 584,500 95,259
2. Number of Individuals Served 1,044 1,060 16
3. Number of Minority Individuals Served 235 269 34
4. Number of Community Awareness Activities 569 618 49
5. Number of Collaborating agencies and organizations 167 141 -26
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 889 100.00%
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) 567 63.78%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 314 35.32%
B1. Number of individuals who received orientation and mobility (O & M) services 273 100.00%
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) 154 56.41%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 117 42.86%
C1. Number of individuals who received communication skills training 665 100.00%
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) 438 65.86%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 227 34.14%
D1. Number of individuals who received daily living skills training 765 100.00%
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) 528 69.02%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 237 30.98%
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) 665 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) 31 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 27 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) 4 n/a

Part VII: Training and Technical Assistance Needs

Technical assistance in regard to recruiting, hiring, and retaining qualified vision rehabilitation therapists will continue to be a need. Technical assistance in regard to recording information and reporting information for the new 7OB Report will be needed in the future as well.

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 Alabama Department of Rehabilitation Services (ADRS) administers older blind services funded under Title VII Chapter 2 as the Older Alabamians System for Information and Services (OASIS) program. When fully staffed, services are provided in all 67 counties through a network of 20 Vision Rehabilitation Therapists (VRTs) and six Orientation and Mobility (O&M) Specialists positioned in 12 ADRS offices. O&M positions are based in Huntsville, Birmingham, Dothan, Montgomery, Mobile and Tuscaloosa to provide these services across the state. To provide services in underserved areas the program utilizes contract O&Ms which provided 36 hours of instruction to 10 consumers in underserved areas in FY 18.

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 Alabama Department of Rehabilitation Services seeks to incorporate the unique approach to Title VII Chapter 2 Program into the State Plan for Independent Living under Section 704 of the Rehabilitation Act of 1973 as amended. Of note are several methods and approaches implemented and/or maintained in fiscal year 2018. In FY 16 a statewide needs assessment with staff and consumers identified that our current functional assessment needed revision to reflect current consumer needs. In November 2016 we implemented a workgroup of senior VRTs and administrators to develop revisions. In FY 18 the development of this new system was completed, and staff were trained at the end of FY18 to begin use in FY 19. This new system emphasizes the consumers goals and outcomes and provides an improved assessment of services. In response to recommendations in our FY 16 needs assessment to expand Camp SAVI (Seniors Adapting to Visual Impairment) to other areas. OASIS partnered with staff in Mobile and AIDB’s Mobile Regional Center to host a Camp SAVI for consumers in the southern counties of Baldwin and Mobile. Five consumers and 7 support persons participated in this event that included evaluations in independent living, technology, and hearing. It also included daily living skills training, information on community resources, and networking among the participants. The program also partnered with psychology doctoral students at the University of South Alabama who provided adjustment training to both consumers and support persons. OASIS maintains an Advisory Council that consists of over 20 agencies, organizations and consumers groups that serve seniors, persons with visual impairment or blindness, or both. The Council meets quarterly, and each meeting also has a presenter that shares relevant information. This year a representative from Mississippi State University RRTC reported on our consumer satisfaction report; ADRS Assistive Technology Specialist shared new technology; a local agency shared about Senior Corp Programs, and a council member who is also an optometrist shared information about the UAB Center for Low Vision as well as some of latest information in eye research. The Council also helps form valuable partnerships that help our consumers. Two resources for print materials and audio are represented on the Council which are the local area Radio Reading Service and the National Library Service (NLS). The Radio Reading Service formed an advisory panel on the future of the service, and the Program Coordinator served to represent OASIS consumers who use this service. We are looking at ways to expand and share this valuable service to other areas. Similarly, the Coordinator of VRTs and O&Ms serves on the advisory board for the NLS and helps us stay informed on its services. OASIS maintains affiliation with 30 support groups throughout the state of Alabama through the support of our VRT and O&M Specialists. Many of these support groups are in rural areas, and need help finding resources to share as well as ideas to maintain group growth. Regular conference calls are held to share important information which are facilitated by the Program Coordinator. ADRS is a supporter of staff training for its VRTs and O&M Specialists to enhance their ability to serve consumers. Staff participated in training opportunities provide by the local AER chapter, local NFB and ACB chapters, and ADRS sponsored Medical Aspects of Disability Training. In addition to small group training on enhancements to our electronic case management system, staff were trained on updates to our policy manual and newly developed VRT Resource Manual. In addition to direct training, the Program Coordinator and the Coordinator for VRTs and O&Ms initiated regular case reviews for our staff statewide. In each area OASIS cases were reviewed for the quality of the casework, adherence to policies, and overall case management. This resulted in training opportunities with staff and their direct supervisors. The OASIS program also does outreach nationally for resources and ways to improve services. The program Director, Program Coordinator, and the Coordinator of VRTs and O&Ms attended the AFB Leadership Conference in Oakland, CA which provided a track for older-blind program staff. The Program Coordinator and Coordinator of VRTs and O&Ms attended the 2018 AER International Conference. At the conference the Program Coordinator was selected to serve as the Chair of the Aging Division of AER. During FY18 the OASIS Program Coordinator and the Coordinator of VRT’s & O&M’s participated in the 21st Century Agenda on Vision Loss and Aging. Our subgroup successfully surveyed state agencies and sub grantees in their hiring and training practices. Since this initiative ended at AFB and is currently being reorganized this data was provided to the OIB-TAC for further analysis. In this fiscal year staff completed 618 community awareness activities, reaching an estimated 8,971 people and 141 local community agencies. An OASIS consumer was also highlighted in the 2017 agency annual report about the services she received from the OASIS program.

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.

A Consumer Satisfaction Survey was distributed to each OASIS consumer at program closure during FY 18. Consumers were told that their participation was voluntary and that their responses would be confidential. Findings from analysis of 206 returned surveys indicate that 98% of respondents agreed or strongly agreed that services were provided in a timely manner. Further, 99% of respondents agreed or strongly agreed that teachers were attentive and interested in their well-being; that their teachers were familiar with blindness-specific techniques and aids; and were satisfied with the quality of services received. Consumers responded to questions regarding services related to their ability to travel safely and independently in their home and/or community; complete tasks in the home (i.e. use appliances, cook safely, clean and organize their home, etc.); use a magnifier to complete tasks; ability to use a computer, tablet, or cell phone to complete tasks; their level of dependence on others in performing daily activities; their perceptions of control and confidence in maintaining their living situations; and helpfulness of support groups. For each of these questions, consumers were asked if they agreed or disagreed with each of the statements related to each service area. If they did not receive/request a specific service, they were also asked to provide this information. Note that percentages for each service may not total 100% due to rounding. • When asked about their confidence to travel in the home and community after receiving services, 57% of consumers strongly agreed they were more confident, 41% agreed, and 2% (n = 1) disagreed. 104 consumers reported that they did not receive this service, of which three said they would have liked to receive this service. • When asked about completing tasks in the home, 64% of consumers strongly agreed they were better able to complete these tasks and 36% agreed. 44 consumers reported that they did not request this service, of which three said they would have liked to receive this service. • When asked about their ability to use a magnifier to complete tasks, 72% of consumers strongly agreed they were better able to complete tasks, 26% agreed, 2% (n = 3) disagreed, and 1% (n = 1) strongly disagreed. Twenty-four consumers reported they did not request this service. • Among consumers receiving instruction on computers, tablets, or smart phones, 58% strongly agreed that they were able to complete tasks using these devices, 37% agreed, 2% (n = 2) disagreed, and 3% (n = 3) strongly disagreed. Eighty-one consumers reported they did not receive this service, of which three said they would have liked to receive this service. • Of consumers receiving services, 48% strongly agreed they were less dependent on others, 48% agreed, 4% (n = 7) disagreed, and 1% (n = 2) strongly disagreed that they were less dependent on others. • When asked about functioning before services, 54% strongly agreed they now have greater control and confidence in their ability to maintain their current living situation, 43% agreed, and 3% (n = 5) disagreed feeling less control and confidence. • When asked if they found peer support groups helpful, 66% strongly agreed, 29% agreed, and 6% (n = 3) disagreed. Of the 106 consumers who did not attend a peer support group, 8% were not able to get a ride, 32% said they were not given information about peer support groups, and 60% said they were not interested in attending a peer support group. In addition to demographic questions, the survey included questions regarding changes in vision and health over the previous year. Results indicated that 60% of consumers had experienced reduced vision, 5% had improved vision, and 35% had stable vision. With respect to overall health, 29% reported that their health had worsened, 8% reported improved health, and 63% reported stable health. Consumers were also asked if they had considered going into a nursing home before services and if services had helped them remain in their homes: 22% of respondents reported they had sometimes or often considered a nursing home; 77% reported that OASIS services had helped them remain in their homes. Overall, these results demonstrate the high quality of services and the substantial benefits consumers received from participating in the OASIS program. A copy of the complete program evaluation report conducted by Mississippi State University’s National Research and Training Center will be available in early 2019.

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).

A total of 1,060 persons were served by OASIS Program during FY 18. Of those, 658 completed their program with their VRT and/or O&M Specialist receiving 3,158 total hours of instruction, an estimated $151,062 of equipment, and reporting greater control in their ability to maintain their current living situation. The program also purchased $37,179 in new assistive technology and recycled 65 pieces of assistive technology to consumers for reading or accessing print. For consumers in underserved areas, 36 hours of contract orientation and mobility instruction to 10 consumers. Demographically 73% of the population was 70 years of age and older, and 27% were “Baby Boomers” (age 55-69). Consumers served reported being 75% white and 24% African American. Macular degeneration, diabetic retinopathy and glaucoma continue to be the most common cause of vision loss experienced by consumers. The leading secondary conditions for consumers, respectively, were: cardiovascular disease; bone, muscle and joint disorders; hearing impairment; and diabetes. Each consumer has an Individualized Plan for Rehabilitation Teaching or an Individualized Plan for Orientation and Mobility. In FY 18, 72% of consumers were provided daily living skills training, 63% were provided communication skills training, 26% were provided orientation and mobility training, and 84% were provided assistive technology training. Below are examples of consumers who were served in FY 18. Consumer A is a woman who lives in Blount county. She is a widow who lost her vision from diabetic retinopathy. She also has severe hearing loss. Consumer A has had vison loss for many years but recently lost additional vision which has caused her to become more isolated. She is not able to dial out on her phone anymore and can no longer read the can goods in her kitchen with her handheld magnifier. She has a desktop magnifier that she uses in her living room to read her mail and look at cards, but it is not practical for reading food items. She can’t read the large clock and sometimes doesn’t know what time it is. Consumer A was taught how to use a talking key chain clock and can carry that around with her at home and in the community and access time independently. Consumer A was struggling hearing on her telephone. She was taught how to use a large button amplified phone with talking caller ID that also offered one touch speed dial. Instruction focused on programming those buttons to dial her family and friends. Consumer A learned how to organize her kitchen food so that she could find what she is looking for easier. She is learning to use a 7-inch portable CCTV video magnifier to read her can goods and medicine bottles. Consumer A also learned how to organize and label her clothing according to feel and color. It is now easier for her to locate a matching outfit when she attends church and the local vision support group. It is important for her to get out of her house so that she has social interaction within her community. Consumer A reports that she feels more independent since completing her training. She is still working on using the portable video magnifier. Consumer A is calling friends and family again using the new phone and feels better about finding clothes in her closet. She has indicated that she is very thankful for our services. Consumer B is an eighty-five-year-old female who lives alone in Autauga county. She is a very vibrant woman who was diagnosed with Wet Macular Degeneration approximately six years ago. She also has an inoperative cataract on her right eye. She reports a history of cataract removal on the left eye, as well as continuous injections bilaterally due to reoccurring eye bleeding. Other health issues reported were severe vertigo, osteoporosis affecting her back and knee, and an inoperative sixty-five percent blockage in her heart. She reports to having severe anxiety and nervousness which she feels is related to fear of losing her independence. Consumer B was instructed on how to utilize a talking money identifier; adaptive folding techniques; and how to utilize an adaptive wallet to assist her in paying with cash allowing her more independence. She also regained her independence in her home by taking control of her home financial management activities her children where handling by utilizing her Mira Lite CCTV to read mail, organize bills, write letters, pay bills, and write checks. Consumer B was instructed on how to change the lighting in her home which increases her functional abilities in the home. She was able to understand how and why to change the lamp shades, move lamps, and change bulbs to increase her ability to function with less eye strain increasing her overall daily performance without strain and tiredness. Consumer C is a 97-year-old widowed female who resides in a rural community in Lauderdale county. Consumer C has macular degeneration. At the beginning of plan development and her training Consumer C’s visual acuity was OD 20/400 and OS 20/60. Initially, Consumer C’s rehabilitative goals centered on lighting and magnification. Approximately six months into her training Consumer C experienced a dramatic loss in vision resulting in her inability to drive. At this point the VRT re-evaluated Consumer C’s functioning and a second training plan was developed to address Consumer C’s new needs. Prior to vision loss Consumer C was an avid reader and the VRT assisted Consumer C in quickly transitioning to becoming an auditory reader with the use of the National Library Service. Consumer C is now back to reading 3 to 4 books per week as she did when she was fully sighted. Consumer C also wanted to remain very active in her church as well as her local senior center. Strategies for accessing transportation in her community were explored with the VRT. As a result, Consumer C took the initiative to contact others who attended her church and senior center to request assistance with transportation. Consumer C was issued adaptive time telling devices to assist in being prompt for ride sharing. Consumer C remains a vital member of her local center assisting with the preparation of meals and seating at the noon day meal at the center. Wanting to maintain her independence, Consumer C made use of a repurposed CCTV provided by the OASIS program to manage reading her mail, studying her Sunday School materials, and writing letters to family and friends in Maine. The VRT provided training and resources for labeling appliances as well as items in the pantry. According to her VRT, Consumer C embodies the title of life time learner.

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

Our program continues to have difficulty in finding highly qualified applicants for vacant positions. Training lesser qualified staff to serve consumers is time consuming, requires additional qualified staff that can’t serve consumers due to training, and means it will take longer to work with consumers who may need services. Another concern is the effect of the expected growth of Baby Boomers that will need our services as they already make up 27% of FY 18 consumers. Developing effective strategies aimed at serving underserved populations such as the Hispanic community continues to be a concern for us as well.

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 E. Burdeshaw
TitleCommissioner
Telephone334-293-7200
Date signed12/13/2018