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

RSA-7-OB for Kentucky Office for the Blind - H177B180017 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 year429,319
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year57,742
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2487,061
A2. Total other federal104,637
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement104,637
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)51,700
A4. Third party0
A5. In-kind0
A6. Total Matching Funds51,700
A7. Total All Funds Expended643,398
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs621,592
C. Total expenditures and encumbrances for direct program services21,806

Part II: Staffing

FTE (full time equivalent) is based upon a 40-hour workweek or 2080 hours per year.

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 1.0860 5.6920 6.7780
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 1.0860 5.6920 6.7780

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 1 0.7590
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 0 0.0000
4. Employees who are Women 8 4.9440
5. Employees Age 55 and Older 3 2.6670

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 FY121
2. Number of individuals who began receiving services in the reported FY470
3. Total individuals served during the reported fiscal year (A1 + A2) 591

B. Age

1. 55-5956
2. 60-6454
3. 65-6957
4. 70-7455
5. 75-7985
6. 80-8495
7. 85-89102
8. 90-9466
9. 95-9918
10. 100 & over3
11. Total (must agree with A3)591

C. Gender

1. Female421
2. Male170
3. Total (must agree with A3)591

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race0
2. American Indian or Alaska Native1
3. Asian0
4. Black or African American33
5. Native Hawaiian or Other Pacific Islander0
6. White478
7. Two or more races79
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)591

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)46
2. Legally Blind (excluding totally blind)285
3. Severe Visual Impairment260
4. Total (must agree with A3)591

F. Major Cause of Visual Impairment

1. Macular Degeneration344
2. Diabetic Retinopathy41
3. Glaucoma68
4. Cataracts5
5. Other133
6. Total (must agree with A3)591

G. Other Age-Related Impairments

1. Hearing Impairment91
2. Diabetes159
3. Cardiovascular Disease and Strokes119
4. Cancer10
5. Bone, Muscle, Skin, Joint, and Movement Disorders83
6. Alzheimer's Disease/Cognitive Impairment17
7. Depression/Mood Disorder7
8. Other Major Geriatric Concerns47

H. Type of Residence

1. Private residence (house or apartment)531
2. Senior Living/Retirement Community27
3. Assisted Living Facility15
4. Nursing Home/Long-term Care facility18
5. Homeless0
6. Total (must agree with A3)591

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)149
2. Physician/medical provider27
3. State VR agency35
4. Government or Social Service Agency79
5. Veterans Administration0
6. Senior Center4
7. Assisted Living Facility2
8. Nursing Home/Long-term Care facility10
9. Faith-based organization0
10. Independent Living center0
11. Family member or friend128
12. Self-referral143
13. Other14
14. Total (must agree with A3)591

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 35,197
1b. Total Cost from other funds 3,481
2. Vision screening / vision examination / low vision evaluation 456
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 160,239
1b. Total Cost from other funds 15,848
2. Provision of assistive technology devices and aids 539
3. Provision of assistive technology services 499

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 157,074
1b. Total Cost from other funds 15,535
2. Orientation and Mobility training 111
3. Communication skills 421
4. Daily living skills 509
5. Supportive services (reader services, transportation, personal 22
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 451
8. Information, referral and community integration 258
. Other IL services 141

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 116,833
1b. Total Cost from other funds 11,555
2. Information and Referral 0
3. Community Awareness: Events/Activities 126 5,131

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) 546,312 643,398 97,086
2. Number of Individuals Served 614 591 -23
3. Number of Minority Individuals Served 53 113 60
4. Number of Community Awareness Activities 101 126 25
5. Number of Collaborating agencies and organizations 0 0 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 499 100.00%
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) 356 71.34%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 143 28.66%
B1. Number of individuals who received orientation and mobility (O & M) services 111 100.00%
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) 67 60.36%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 44 39.64%
C1. Number of individuals who received communication skills training 421 100.00%
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) 293 69.60%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 128 30.40%
D1. Number of individuals who received daily living skills training 509 100.00%
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) 363 71.32%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 146 28.68%
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) 422 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) 1 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) 22 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 16 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) 10 n/a

Part VII: Training and Technical Assistance Needs

As of 10/01/2019, the Office for the Blind merged with the Office of Vocational Rehabilitation forming a new agency under the name Office of Vocational Rehabilitation. The specialized programs of OFB became the Division of Blind Services and the OIB program sits within this Division. As was expected, many technical and policy questions have risen as a result of the merger and time is being required to work through specifics including the inclusion of the OIB program into the new agency and culture. Technical assistance may be required on best practices for keeping the OIB program/staff/ leadership focused on this target population while housed in a larger agency dominated by VR programs and policies. In addition, OIB programs are encouraged on a national level to continue expanding services to be provided by highly credentialed staff. Practical guidance for accomplishing these recommendations with limited or even decreasing amounts of funding will be needed.

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 OIB program of the Kentucky Office for the Blind (OFB) is an in-house program with OFB employees providing direct services to consumers. There is a small staff consisting primarily of seven (7) counselors and a program administrator who carries a full time caseload in addition to administrative and supervisory duties. Services are offered in all 120 Kentucky counties requiring each staff person to serve consumers living in a large geographic area. The program administrator covers eleven (11) counties and each counselor is assigned a larger number of counties based on population centers and reasonable travel distances. At this time, OIB staff are located in offices across the state including the following cities: Paducah, Bowling Green, Elizabethtown, Louisville, Covington, Lexington, Somerset and Prestonsburg. Most of these locations are Career Centers where various workforce partners are also housed. The OIB staff are located with other employees including Vocational Rehabilitation Counselors, Orientation and Mobility Specialists and Assistive Technology Specialists. To make OIB services convenient to interested persons, the OIB counselors meet in homes, but upon request, meetings can be held in other professional settings such as Career Centers, Senior Centers, public libraries or community buildings. Any selected location is made as conducive to training and learning as possible giving the person the best possible experience. To promote services in all areas of the state, counselors routinely engage in a wide variety of outreach activities designed to reach unserved and/or underserved groups of the population. To document these activities, counselors record events in the agency's case management system (CMS) including the type of outreach activity, the location including city and county, a description of the event/activity, and the number of people who participated. Active involvement in outreach activities is valued and recognized on the yearly employee performance evaluation. Due to the large geographic territories assigned, counselors travel thousands of miles each year providing and promoting OIB services. This limits the amount of time counselors spend in any one city/county making it helpful for them to form relationships with community members who are likely to come into contact with persons with low-vision/blindness. These people with local connections will promote OIB services in the absence of counselors and make appropriate referrals. It continues to be true that in the rural areas of the state "word of mouth" is a highly effective method of advertising the program. People have more "trust" in the program/staff when recommended by a long time local resident. All the counselors give informational and educational presentations to community and professional groups in rural and urban areas. During FY18, counselors participated in events that attracted as many as 400 people and also spoke to groups consisting of just 2-3 individuals. Some situations required formal speaking while others were very informal allowing the counselor to directly interact with participants. For example, in Owensboro the staff person presented during the structured part of a peer support group meeting and then interacted informally answering questions from the audience of about twenty (20) participants. One of the goals of the program is to introduce the availability and benefits of assistive technology especially helpful to persons with low-vision/blindness. Many outreach events are designed to give persons hands on experience with various devices including items such as magnification devices and food preparation aids. These activities are usually popular and well-attended even in rural areas. It is common for counselors to receive referrals as a direct result of being available during health and job fairs, and many people say they were unaware of services and/or technology until coming into contact at the event. During FY18, there were 470 new OIB cases added to the case management system for a total of 591 served. The counselor in Paducah (Western KY) documented 99 OIB cases, the counselor located in Louisville had 100 documented OIB cases, and in the Somerset area(Southeastern KY) the counselor served 79 OIB cases. Many of these are directly related to various types of outreach efforts and/or the professional networking between counselors and community professionals.

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 OIB program staff attempts to promote and expand independent living in all areas of the state, and counselors collaborate as much as possible with other community and state organizations. For example, the counselor in Lexington is an active member of the Bluegrass Mental Health and Aging Coalition and also represents the agency on the Statewide Mental Health and Aging Coalition. In other areas such as Paducah (Western KY) and Elizabethtown (Central KY), counselors participate in Interagency groups that meet in the assigned work areas. In Pikeville located in Eastern KY, the counselor maintains relationships with agencies that attempt to reach out and meet basic needs of the more impoverished population groups. These populations tend to be hard to reach and most often associate with agencies providing food and clothing. These types of contacts enable the OIB counselors to network with other professionals who are more "local" to the area and regularly providing services to older persons. Often these coalitions/groups host events such as conferences or resource days that bring people together and are opportunities for staff to disseminate educational and program information to interested persons. In FY 2018, OIB program administrator represented OFB on the Statewide Independent Living Council (SILC) as an ex-officio member. OFB and the OIB program continue to promote SPIL goals designed to improve independent living opportunities for persons with disabilities including those with low-vision/blindness. This agency has a positive working relationship with the Centers for Independent Living across the state, and OIB staff is encouraged to work with the centers whenever appropriate for the benefit of consumers. This agency encourages staff to build skills through a variety of training opportunities. The OIB staff participates in training that is both general for service provision and also specific to the deliverance of independent living services. For example, in 2018 the staff participated in Suicide Gatekeeper training making them more aware of behaviors that might indicate someone is considering ending his/her life. In another training, individual goal writing and documentation was discussed. The program administrator also provides training one-on-one with counselors as needed for continued development of skills. All training is designed to enable staff to provide a high quality of services to consumers, and the agency continues to look for training opportunities that are both valuable and cost effective for the 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.

During FY2018, 73 OIB consumers whose cases were closed during the fiscal year were randomly selected and called for satisfaction surveys. This is 20% of the 367 "planned" closed cases defined as having a minimum of two services that were planned/completed. The surveys were completed by telephone interviews conducted by an OFB employee who does not provide direct services. The survey instrument has eight (8) questions and invites the person to make additional comments regarding his/her specific experience and/or the program in general. The first question asked if the services "met my needs" and 100% answered "Yes". In the following three (3) questions respondents all agreed that the services gave them more confidence to do activities around the home more independently, that the counselor was knowledgeable about services and resources, and that the assistive technology received helps them perform daily tasks. When asked questions that specified individual skills, most gave affirmative answers that if they received that certain skills training, it was helpful to them. The last question asked for an overall rating of satisfaction. Eighty percent (80%) answered "very satisfied" and nineteen percent (19%) said "satisfied". To conclude the interview, each person is asked for any additional comments. This year statements included remarks such as "good program, very helpful", "best program, thankful for it, best thing ever", "I use all the items", "very appreciative of this program" and "I have recommended it". Several people also made comments about individual counselors including "the counselor was very helpful to me", "the counselor knew what he was talking about and the information was very helpful" and "the counselor was wonderful". Each year there are a few comments that reflect consumers' wishes that more funding was available for costly technology or that more staff were available in their areas. In addition to the satisfaction surveys, the program administrator completed nine case reviews from each caseload for a total of 63 cases. The counselors were given feedback on each case, and if problems were found, appropriate instruction was given. Case reviews are an attempt to encourage quality of services and to maintain consistent program documentation. Also, the program administrator has almost weekly contact with all counselors to discuss specific service delivery questions and general case management requirements. The administrator keeps an "open door" policy which is taken advantage of by the staff regularly.

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).

Mrs. D is 67 years old and lives in a rural community located in south central Kentucky. She used her nursing skills to care for her mother, and then lived with her sighted sister until the sister died. At that time, Mrs. D was on her own without any nearby family support. Upon making contact with the OIB counselor, services were planned to help her learn to manage daily living tasks such as banking, cooking, and identifying medications. During training sessions, she was provided instruction in the use of assistive technology and adaptive methods. She now independently manages her banking tasks by using a talking calculator, and large print check register and check writing guide. She uses adaptive labeling for regulating appliances, and household reading including medication labels is now possible using various magnification devices. Having gained confidence in her abilities to take care of herself, she has now expressed an interest in obtaining employment and is working with a VR counselor toward that goal. Ms. P is 73 years old and lives alone in a small Western KY city. Due to the amount of vision lost, magnification does not benefit her. IL skills training helped her learn to do routine tasks using various non-visual techniques. For example, she learned methods for adaptive labeling of pantry items, and even though her vision is poor, she was taught how to use color contrasting to maximize remaining sight. Ms. P was pro-active while receiving services and quickly implemented techniques taught. She cited examples of how using skills such as tactually regulating appliances gave her confidence when inviting her friends for a meal. She learned to use writing templates and wrote a letter to her niece using the guide. She was pleased when her niece reported reading the well written note. She told the counselor that after every session, she enjoyed "teaching" her friends the "tricks" she had learned. Mrs. M lives in Northern KY and is 76 years old. She lost vision due to Age Related Macular Degeneration. She lives alone and must manage her activities of daily living with minimal assistance. When first meeting with an OIB counselor, she discussed problems managing business matters and medications. She related she has an adult son with significant medical issues and she helps him with various tasks as well. A training area of value has been the use of appropriate magnification devices that allow her to read important papers for both her and her son. She uses a stand device for lengthy reading such as medical correspondence and a pocket aide for spot reading labels, etc. She has learned to call in payments, but until using the devices, she could not see the amounts to be paid which was necessary when using automated systems. She has learned to use adaptive labeling for items such as medicine bottles which helps both her and her son. She prefers to eat a lot of frozen meals and/or prepared foods, and until receiving OIB services, she could not accurately regulate the microwave or stove/oven temperatures. By learning to tactually operate appliances she is much safer and enjoys the convenience the tactile labels provide. For recreation, she is now using audio books which fills a void for her. Mrs. M has become more confident in her abilities and believes she can continue to live independently by utilizing the skills training and devices provided. Mr. J lives in Central Kentucky with his wife. Although they have a large extended family, most live outside of the area. He lost vision due to Macular Degeneration and has bilateral hearing loss. When he initially met with the OIB counselor, he identified having difficulty in several daily living areas such as dialing the telephone, writing in specified areas, independently knowing the time, identifying coins, pouring liquids, using the microwave, and inserting keys and plugs. The OIB counselor provided a variety of instruction in the use of adaptive methods and devices helping Mr. J overcome the barriers related to vision loss. He learned to use different sizes of writing guides so he can sign his name as needed and even write an occasional check. A large button telephone made it easier for him to maintain contact with family and friends as he hears "better" on the phone. Although he doesn't do the family cooking, he can now get his own drink and heat in the microwave without having to bother his wife for assistance. Both he and his wife are very happy with his use of an adaptive time piece so that he doesn't have to ask her the time at regular and frequent intervals. He enjoys working in his detached garage, and by learning to insert the key into the lock and use the outlets, he can spend time there independently. An evaluation using magnification showed that Mr. J could significantly benefit from an increased level of strength. Mr. J has expressed satisfaction using the his new device to read mail and other short texts. For more recreational reading, he now enjoys audio books including an audio Bible. Mr. and Mrs. J have been able to resume their cards games as he is able to play familiar games with large print cards. Mr. J is an example of someone who had daily sighted assistance, but wanted to be able to do tasks without having to ask for help. OIB services and skills training allowed him achieve his goals.

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

An on-going concern for this program is the small number of staff attempting to keep pace with the number of referrals received statewide. Limited and reduced funding over the last few years has resulted in a reduction of OIB staff causing each person to serve large geographic areas. The program administrator has taken on more duties and is now carrying essentially a full time caseload, completing the program administrative duties, and providing direct supervision of the staff including performance evaluations. A main consequence of reduced staffing is the longer wait times between referral and eligibility determination. At the end of FY18, approximately 149 referrals were waiting for eligibility determinations. The long waiting lists can make it difficult for counselors to spend optimal amounts of time with established consumers as they do not want to extend the already long waiting times for others. Long waiting lists can also be a discouragement to potential referral sources as they can fear the person will never be seen by a counselor. In addition, low funding has negative influence on the amount of travel done by counselors and in the cost of assistive technology that can be provided during skills training. At the end of FY18, the Office for the Blind was merged with Office of Vocational Rehabilitation, and the OIB program has been located within the Division of Blind Services. As FY19 begins, there are several technical issues being worked through for all aspects of the former OFB programs. It is anticipated this merger will result in some program changes for OIB, but the leadership of the newly combined agency, which goes by the name Office of Vocational Rehabilitation, remains committed to supporting the OIB program.

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 byCora McNabb
TitleExecutive Director
Telephone502-782-3402
Date signed12/19/2018