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

RSA-7-OB for Mississippi Department of Rehabilitation Services - H177B180024 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 year278,431
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2278,431
A2. Total other federal63,659
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement63,659
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)30,937
A4. Third party0
A5. In-kind0
A6. Total Matching Funds30,937
A7. Total All Funds Expended373,027
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs18,340
C. Total expenditures and encumbrances for direct program services354,687

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 2.0000 8.0000 10.0000
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 2.0000 8.0000 10.0000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 0 0.0000
2. Employees with Blindness Age 55 and Older 0 0.0000
3. Employees who are Racial/Ethnic Minorities 10 8.0000
4. Employees who are Women 13 10.0000
5. Employees Age 55 and Older 2 1.5000

C. Volunteers

0.01

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 FY530
2. Number of individuals who began receiving services in the reported FY291
3. Total individuals served during the reported fiscal year (A1 + A2) 821

B. Age

1. 55-5967
2. 60-6484
3. 65-69108
4. 70-7490
5. 75-79112
6. 80-84117
7. 85-89129
8. 90-9488
9. 95-9921
10. 100 & over5
11. Total (must agree with A3)821

C. Gender

1. Female533
2. Male288
3. Total (must agree with A3)821

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race4
2. American Indian or Alaska Native1
3. Asian0
4. Black or African American264
5. Native Hawaiian or Other Pacific Islander0
6. White548
7. Two or more races2
8. Race and ethnicity unknown (only if consumer refuses to identify)2
9. Total (must agree with A3)821

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)108
2. Legally Blind (excluding totally blind)711
3. Severe Visual Impairment2
4. Total (must agree with A3)821

F. Major Cause of Visual Impairment

1. Macular Degeneration353
2. Diabetic Retinopathy93
3. Glaucoma176
4. Cataracts16
5. Other183
6. Total (must agree with A3)821

G. Other Age-Related Impairments

1. Hearing Impairment1
2. Diabetes3
3. Cardiovascular Disease and Strokes3
4. Cancer0
5. Bone, Muscle, Skin, Joint, and Movement Disorders0
6. Alzheimer's Disease/Cognitive Impairment0
7. Depression/Mood Disorder0
8. Other Major Geriatric Concerns2

H. Type of Residence

1. Private residence (house or apartment)784
2. Senior Living/Retirement Community6
3. Assisted Living Facility25
4. Nursing Home/Long-term Care facility6
5. Homeless0
6. Total (must agree with A3)821

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)220
2. Physician/medical provider78
3. State VR agency45
4. Government or Social Service Agency29
5. Veterans Administration2
6. Senior Center1
7. Assisted Living Facility1
8. Nursing Home/Long-term Care facility2
9. Faith-based organization0
10. Independent Living center1
11. Family member or friend93
12. Self-referral342
13. Other7
14. Total (must agree with A3)821

Part IV: Types of Services Provided and Resources Allocated

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

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 0
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 88
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 7,845
1b. Total Cost from other funds 63,659
2. Provision of assistive technology devices and aids 774
3. Provision of assistive technology services 3

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 251,457
1b. Total Cost from other funds 29,881
2. Orientation and Mobility training 43
3. Communication skills 91
4. Daily living skills 412
5. Supportive services (reader services, transportation, personal 7
6. Advocacy training and support networks 300
7. Counseling (peer, individual and group) 78
8. Information, referral and community integration 505
. Other IL services 388

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 789
1b. Total Cost from other funds 1,056
2. Information and Referral 495
3. Community Awareness: Events/Activities 99 1,449

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) 454,905 373,027 -81,878
2. Number of Individuals Served 782 821 39
3. Number of Minority Individuals Served 257 271 14
4. Number of Community Awareness Activities 70 99 29
5. Number of Collaborating agencies and organizations 32 76 44
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 3 100.00%
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) 1 33.33%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 2 66.67%
B1. Number of individuals who received orientation and mobility (O & M) services 43 100.00%
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) 20 46.51%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 23 53.49%
C1. Number of individuals who received communication skills training 91 100.00%
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) 36 39.56%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 55 60.44%
D1. Number of individuals who received daily living skills training 412 100.00%
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) 215 52.18%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 197 47.82%
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) 372 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) 2 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) 25 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 40 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) 5 n/a

Part VII: Training and Technical Assistance Needs

Training request: * Annual training for Older Blind Instructors including: working with smart phone technology and apps for the blind; low vision aids; computer assistive technology devices/software; and working with consumers with dual disabilities. * Orientation and Mobility Certification Training for Older Blind Instructors to establish an Itinerant base for O&M services.

Part VIII: Narrative

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

Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) has ten Instructors that provide direct services to Older Blind consumers throughout the state of Mississippi. With office locations within the ten MDRS district areas; all consumers have access to services regardless of location. Each year, great efforts are made to reach the underserved population of Mississippians 55 years of age and older who live in rural areas. Through participation in health fairs, visual acuity screenings, presentations to civic groups, and outreach contacts to service entities, thousands of Mississippians have received services and information regarding program services and referrals to other organizations. During the 2018 federal fiscal year, each Instructor made a minimum of one outreach contact each month. In October 2017, one staff member attended the Memphis VA Community Seminar and Informational Fair and five staff members attended The Disability Employment Awareness Conference; in December 2017, two staff members attended the Lee County Sheriff’s Department 5th Annual TRIAD Senior Celebration; in May 2018, all staff attended an Assistive Technology Awareness training in their district; in July 2018, six staff members attended the OVRB Casework Guidance Ophthalmology Clinic Training with The University of Mississippi Medical Center; and in August one staff member attended the Southern Connect Transportation Conference, these activities provided the staff an opportunity to network with other service entities and establish a referral base statewide. Visual acuity screenings were provided to underserved, rural areas of the state, including the Mississippi Delta. In August 2018, one Instructor partnered with Sunflower Home Health, Continue Care Home Health & Hospice, and Sunflower County Library Services to provide vision screening for five days at five local libraries in the Mississippi Delta. Screenings were coordinated with Mississippi Lions, home health agencies, senior centers, schools, community health fairs, and state agencies. A part of the screening procedure is to make referrals to the appropriate service providers for evaluation and needs assessment. Brochures on eye health and conditions are distributed all in an effort to increase the public’s general knowledge and awareness of blindness and its causes. Over 560+ Mississippians were screened during the 2018 federal fiscal year. The IL staff also set-up an information booth and display that provided opportunities to obtain program information at the National Federation for the Blind Convention in March 2018. All outreach activities are documented on monthly activities reports that are submitted to the OVRB Director.

B. Briefly describe any activities designed to expand or improve services including collaborative activities or community awareness; and efforts to incorporate new methods and approaches developed by the program into the State Plan for Independent Living (SPIL) under Section 704.

In an effort to improve and expand community services and programs for older individuals who are blind, the Independent Living program continues to partner with local service entities through participation in health fairs, visual acuity screenings, in-service trainings, peer support groups, and other activities. Mississippi Department of Rehabilitation Services (MDRS)/Office of Vocational Rehabilitation for the Blind (OVRB)/Independent Living Program (IL) continues to partner with Social Security Administration to provide Work Incentives Planning and Assistance (WIPA) services to SSDI and SSI beneficiaries. Six of the IL staff currently splits their time between IL and WIPA. This task of providing WIPA services has enabled the IL Program to allocate more of the Older Blind grant funds for client services because they are able to pay part of the staff salary with WIPA funds. Instructors are frequently asked to participate in different training activities and provide in-service programs to various service entities with whom they can partner to expand the region’s knowledge about aging and vision loss. During the 2018 federal fiscal year, IL staff members provided in-service programs to Heritage United Methodist Church in D’Iberville, Meridian Group Home, Community Counseling MAP Team meetings (Winston County, Lowndes County, Clay County, Oktibbeha County, and Noxubee County), and the Office of Vocational Rehabilitation for the Blind (Counselor Training in Jackson). Over 100+ participants received information about the Older Blind Program. This federal fiscal year, one staff member participated in Homeless Connect an event that was sponsored by East Central Mississippi Homeless Coalition. This one day event offered free services including lunch for anyone seeking assistance through various programs. Some of the services provided included T- Dap immunization, HIV testing, blood pressure checks, hair salon services, medical exams, employment assistance, legal services, housing services, hygiene kits, referral information, case management, and visual screenings (provided by the Older Blind Program). Thirteen consumers were screened with one being referred for visual services. This staff member also provided vision screening at The 2018 Mississippi Band of Choctaw Indians Career Expo. Thirty-one consumers were screened during this event. One IL staff member continues to partner with Mississippi Deaf-Blind Project to provide telecommunication equipment to eligible consumers through the I Can Connect Program (The National Deaf-Blind Equipment Distribution Program). During the 2018 federal fiscal year, two eligible consumers were able to receive computers, tablets, phones with high resolution and amplified sound for easier access to the internet for low vision/low hearing consumers all at no cost to Older Blind Program. This federal fiscal year, several staff members partnered with En-Vision America the makers of the ScripTalk Station. This device enables consumers to administer their medication independently. En-Vision America provided thirty-two consumers with free ScripTalk Stations at no cost to Older Blind Program. In February and March of 2018, the Independent Living Program and Addie McBryde Center (a division of MDRS) partnered to provide five Instructors with software training in Zoomtext and JAWS. This was a four day event and each Instructor received hands-on training. The program manager attends all quarterly Statewide Independent Living Council (SILC) meetings and trainings designed to improve and expand services for Mississippians with disabilities. A quarterly report on the Older Blind Program is provided at all meetings. The office of Vocational Rehabilitation for the Blind/Independent Living Program (OVRB/IL) is part of the statewide facilities committee that meets quarterly to discuss service provisions throughout the state. A quarterly report on the Older Blind Program is provided. Members of the committee are informed of consumer issues, funding, staff training, and other activities of the Independent Living Program. The Older Blind program continues to have a very active peer support group network. Ten groups meet statewide on a regular basis to discuss issues relating to vision loss, community awareness, prevention, advocacy and social events. Each group plans their own activities with the Instructor serving as a resource to provide information and guidance to group leaders as needed. Involvement in the community is enhanced by the participation of Independent Living staff in Lions of Mississippi, Mississippi Association of Education and Rehabilitation of the Blind and Visually Impaired (MAER), and other local civic and service organizations. Staff members serve as officers and board members, work on fundraising events, participate in community health fairs, and assist with providing visual screenings. This fiscal year, we assisted with over 29 screenings, increasing our referrals and visibility in the community.

C. Briefly summarize results from any of the most recent evaluations or satisfaction surveys conducted for your program and attach a copy of applicable reports.

MDRS Program Integrity Unit provides a bi-annual review of closed cases for the Independent Living Program. During the 2018 federal fiscal year, a total of seventy three closed cases were submitted for the first six month review period (October 2017 — March 2018). Client Satisfaction Survey Forms are given to each consumer at case closure and are included in the MDRS Program Evaluation Report (Appendix B). As stated in the Summary and Findings of the Program Evaluation Report, “The review of the case records indicates that the rehabilitation instructors are providing excellent services to this target population of Mississippians 55 years of age and older who live in rural areas and have visual impairments that inhibit their tasks of daily living. A review of case records from this program shows these instructors are striving to meet their mission of enabling these consumers to maximize their own skills, develop their own support systems and network with local resources in order to avoid or delay institutionalization and/or dependence on others.” Based on the surveys that were returned, consumers indicated they were greatly pleased with the program, the services, and the Instructors. They indicated their daily living skills were enhanced by the services provided by this program. One of the questions asked on the Consumer Satisfaction Survey that is completed by all eligible consumers at closure is “What was the greatest difference this program made in your life?” In the 2018 Program Evaluation Review Reports, responses range from: I feel better being able to do stuff for myself; The vision aids and appliances have helped me gain independence in the home and community; Getting my CCTV to read my bank statement. I thought I would never be able to do this again; Appreciate the in-house visits and peer support group. Allows me to read my mail. Be able to see and enjoy TV more. Being able to listen to the books from the library in Jackson. Enjoy my pictures; Being able to do the things that I cannot see to do; Gave self-confidence back. Able to do most things as before sight lost; I think everything has helped me a lot, especially my talking clock; Being able to read; The stuff for my kitchen has really helped; Demetrise has been a lifesaver. She cares and seems to understand what I am going through. She took her time with me and I am thankful for that. I really love the CCTV; Victoria was a great help; I think your services are wonderful and most helpful. The services are well needed. For a complete list of consumer comments see Appendix B in the MDRS Program Evaluation Reports.

D. Briefly describe the impact of the Title VII-Chapter 2 program, citing examples from individual cases (without identifying information) in which services contributed significantly to increasing independence and quality of life for the individual(s).

(1) Sweet, selfless and God fearing describe the lady I met for the first time on a cold and wet November afternoon. Mrs. G. began walking toward the van with an umbrella to meet me before she noticed I was in possession of the same. Once inside the welcoming home, I was presented with a dry towel and asked if I was in need of a warm beverage…I declined the latter. When the time came to be evaluated for the MaxTV glasses, Mrs. G. relayed that she hoped the glasses worked for her; she hadn’t seen the “ Young and the Restless” actor Victor Newman’s face in years, among other actors. I assisted her in positioning the aids properly on her face, Mrs. G. used the remote to power on the television and it was as though she’d seen God, she could actually see a person’s face on the “Let’s Make a Deal” show. Mrs. G. was ecstatic; she was ready for her pair on that day. I informed her I would authorize for the item as soon as I was able to do so and she quickly relayed that she was “looking forward to using them EVERY day”. As we completed the application and evaluation for aids/appliances process, Mrs. G. and I discussed topics we shared; she has three girls, as do I and we both love music. After every aid introduced thereafter, Mrs. G would peer over into my case as to make sure the MaxTv glasses were there. By the end of our meeting, there was a list compiled of requested items with the glasses at the top of it, Mrs. G. asked that she receive those first. The MaxTv glasses, among other aids/appliances, had been delivered to the office and a phone call was immediately made to Mrs. G. for the scheduling of a delivery appointment. The next day, I was at her doorstep @10:00 a.m. with most her requests in hand; “The Young and the Restless” began @ 11. I properly instructed Mrs. G. on how to utilize each aid until she was comfortable using all independently. Lastly, it was 10:50 a.m. and the most anticipated item, the MaxTv glasses, were presented. Mrs. G. didn’t wait for me to assist; she placed the device, used the dials on the sides to focus and turned to the television. There he was in the opening credits, the handsome Victor Newman…a little aged but not too much that he was unrecognizable. Mrs. G. cried and stated she “could see her man daily now, God is good”. I concurred and left her with her “man”, as she smiled and thanked me for the service and conversation. Consequently, with every phone call and every visit, Mrs. G. keeps the MaxTv glasses in her perimeter. Because of their functionality, the glasses are a big part of her life and she is careful while utilizing and storing them. She stated she “may not see the world like (I) used to but can see Victor Newman from Monday thru Friday”. Mrs. G. also relays that she “thanks God for the IL program and prays more visually impaired individuals are connected to help maintain their independence in the home and community”. (S. Johnson, ILB Instructor) (2) Mr. M is a 59 year old Male that has recently lost his vision due to diabetic retinopathy. After a functional low vision assessment, low vision aids were provided such as a talking clock and watch, support cane, electric shaver, etc... In conversation he mentioned that he was having an impossibly hard time getting to and from dialysis which is 7 miles away from his home. His son in law had been providing his transportation but due to a new job offer, he is no longer able to do this. Mr. M explained that he had already been in touch with the Medicaid Waiver program but they explained to him that he could be on their waiting list for months and months before receiving services and that he would have to first be receiving their services before he could be approved for Medicaid Transit services. Mr. M is on a very limited budget so paying a private driver, could one be located, was proving to be impossible. I tried seeking assistance with this matter from the Social work at the dialysis place but she said that she did not know of a service for this. I asked Mr. M if he had been in touch with the local public transit system for his area. He had, but it would be $18 a day for this. I called public transit and after several phone calls, and discussions with Mr. M, we were able to get the fee reduced from $243 a month to less than half. He was very pleased and while $121 a month is still a stretch for his budget, he is making it work until he can be approved for Medicaid transit. Mr. M has drastically been able to increase and maintain his independence by participating in the ILB program. He is now able to tell time, ambulate more safely and easily with the use of a support cane, use appliances that have been marked, shave more easily and independently with an electric shaver, dial out on his large button phone and even identify colors with his talking color identifier. (J. Peacock, ILB Instructor) (3) Mr. R H is a 46 year old male who suffers from retinitis pigmentosa in both eyes which has caused him to be legally blind. Mr. H also suffers from Type 2 diabetes which has affected both of his kidneys and is currently undergoing Dialysis three times a week since the year of 2015. Mr. H says he is a fighter and will not give up on receiving new kidneys one day. He is currently on the waiting list to receive two new kidneys to become healed through God blessings. Mr. H has not allowed his low vision to stop him from reaching his goals in life. Mr. H was currently employed at L. C. Industry as a labor worker which he also became a mentor for other employees that suffers with low vision. Mr. H enjoys family gatherings, attending church and social club meetings. Mr. H has set an example of walking by faith and not by sight; and not letting obstacles stop him from succeeding in life. As Mr. H counselor he never complained about his disability but only thanked God for allowing him to be the man that he has become today independent, motivated and a spiritual man of faith that can do all things through Christ which has strengthen him to use his low vision aids and appliances to be independent. Mr. H stated, that he wake up with a smile every day and thanking God who allowed him to have his health and strength to make it through every day of the week. He is very thankful to MDRS-ILB for providing low vision aids and appliances for his low vision and to the vendor Maxi Aids which the low vision aids and appliances was purchase. Mr. H has become independent with using his low vision aids and appliances through itinerant training and counseling and guidance. Mr. H is very happy with the service which has been provided by MDRS-ILB. (K. Rainey, ILB Instructor) (4) Mr. X is a 63 year old male who lives independently despite his blindness. His vision loss is due to Diabetic Retinopathy. He was also in a work related accident that has decreased his independence. Unfortunately, he did not know what to do but he had the idea to ask for help. Since he is on the Independent Living Program, the instructor was able to provided aids and training to increase his independence. Mr. X has received a Smart Lux, hand held magnifier, talking watch, keyboard label, and training on his computer. Since receiving the items Mr. X. says he will be able to take notes at work meetings, use his computer for research and drawings, and simply operated in his home and community much better. He is pleased with services and continues to work towards a more independent life. (C. Zollicoffer, ILB Instructor) (5) Mrs. BC is a 65 year old female who is married and is also blind due to glaucoma. Mrs. BC is now full of life and is very active. The only thing that was slowing her down was vision loss. Mrs. BC was once very active with activities involving her grandkids; she was once able to read her own mail, and was able to dress herself independently. When Mrs. BC first became blind she lost her independence, as well as a lot of confidence. She had to depend on her children to take her places, read her mail and handle her affairs. However, this became a problem when she started being depressed and losing any desire to do much. Mrs. BC was familiar with the Independent Living program; however after losing all of her sight she wasn’t aware that there were still things out there to help her still live independent. However, she found out that we were still able to help her be independent even with her being completely blind. She was very excited to know that there was help to enable her to live more independently in the home. Mrs. BC received a number of low vision aids to help her live independently in the home. Mrs. BC is now able to read mail by using her Sara. She is now able cook for herself by using her long oven mitten that we purchased for her. She was also able to gain more independence in the kitchen by using the liquid level indicator. She is also now able to sign her name and write grocery list from her family by using the signature guide and notepaper guide. She is also able to pay her own bills by using the check guide. Not only is she able to pay her bills, she is also able to choose her own clothes by using the color identifier to make her choices. Mrs. BC also attended Addie McBryde where she learned a lot more about being independent. Finally, she is also able to tell time by using her talking clock, and talking watch. More importantly, she gained her self-confidence back and is now able to enjoy the many things sighted people may take for granted. This was all provided to her at no cost and she was extremely pleased with the services that the state of Mississippi has provided her. (V. Young, ILB Instructor) (6) Ms. FJ was born May 5, 1932 on a plantation called Martin‘s Plantation in Tryro, MS to SP. Ms. F was taught to read by her mother at a very young age and at the age of 7 she enrolled into a public school called Independence School and later she had to travel to Whitehaven High in Memphis TN. Ms. F graduated from Whitehaven High School and begin secondary education at MI College in Holly Springs MS where she received her bachelor degree in Education. Ms. F taught school for 30 years and retired. F stated teaching was her passion. Ms. F enjoyed her students and coworkers. Ms. F experienced vision loss in the early 90s due to cataract and later glaucoma eye disease. Ms. F was later referred to the Independent Living for the Blind by Dr. Andrew Krauss. Ms. F was a little apprehensive about the fact of someone coming into her home and sharing her personal information for assistance. Due to Ms. F losing her vision, she was unable to accomplish the two things she loved and that was to read and write. Ms. F came into the program with hope and faith. Due to Ms. F vision loss, she was restricted from driving and had to rely upon others for transportation needs. She was unable to write her name or sign her signature, write out a grocery list, read her favorite recipes, operate her appliances, send birthday cards or read her favorite book, The Bible. Ms. F stated that she felt hopeless. At this point in Ms. F life, she then decided to give in and accept assistance from Independent Living for the Blind. Ms. F was eligible for assistance through Independent Living for the Blind in March 2017. Ms. F had a life changing experienced from that day forward in March 2017. Due to the services that Independent Living for the Blind offered, Ms. F learned to become independent and did not have to solely rely upon others for help. Low vision aids and itinerant services allowed Ms. F to obtain the independence she needed in order to do some of the things that she once enjoyed. Ms. F is now able to enjoy reading again due to using a CCTV, she is able to ambulate in her home and operate her appliance with the assistance of using bump dots, she is able to sign her name and write out her grocery list with the signature guide, 20/20 pen and bold writing paper. She is now able to stay connected with her son, M M with her talking cordless phone. Ms. F can now identify the day, month, and time with her talking watch and clock. Ms. F stated with excitement in her voice, “It feels good to do some of the things she used to do”. (S. Murray, ILB Instructor) (7) G C seemed depressed when I first met her. She was new to being legally blind and she wanted some guidance on how to deal with her diagnosis. She showed me her iPad at the first home visit and stated she would get frustrated at trying to focus while reading. She stated she loved to read, but her interest had decreased due to her vision loss. I showed her the accessibility features and she was in awe of how much the changes could help her see what she was reading. She stated during the home visit that she slept a lot and she was not coping with her diagnosis in a positive manner. Once we discussed how MDRS could assist with her daily living activities, she started to show more interest in learning how to cope with her loss of vision. ILS has provided her the hope she needed to continue on living her life by learning different techniques to daily living activities. Mrs. C came to a peer group meeting in January of 2018 with enthusiasm to learn about what devices, applications, and appliances had helped consumers with their daily living. She interacted so well with her peers that she was voted and became the peer group leader. She has led multiple peer group meetings at Addie McBryde with knowledge about iPhone and iPad applications, YouTube channels, and resources that have helped her learn more about being legally blind. She did a low vision assessment in January 2018 with Addie McBryde just to learn about what devices existed for legally blind consumers. Mrs. C has not let her diagnosis of being legally blind slow her down from living. She uses her CCTV to read her mail, read books, and even paint. She was an artist before she became legally blind and she can now enjoy her passion of painting again. She attends every peer group with new information to assist her peers with resources and she continues to spread positivity with her peers. (D. Vineyard, ILB Instructor)

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

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

Part IX: Signature

Please sign and print the name, title and telephone number of the IL-OIB Program Director below.

I certify that the data herein reported are statistically accurate to the best of my knowledge.

Signed byLynda Hall
TitleProgram Manager
Telephone662-320-6656
Date signed12/05/2018