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

RSA-7-OB for New York Commission for the Blind and Visually Handicapped - H177B180032 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 year1,881,522
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 20
A2. Total other federal1,435,824
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement1,435,824
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)1,803,382
A4. Third party0
A5. In-kind0
A6. Total Matching Funds1,803,382
A7. Total All Funds Expended3,239,206
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs0
C. Total expenditures and encumbrances for direct program services3,239,206

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 1.7500 1.1000 2.8500
2. FTE Contractors 47.1100 119.4400 166.5500
3. Total FTE 48.8600 120.5400 169.4000

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 27 15.5000
2. Employees with Blindness Age 55 and Older 3 1.7500
3. Employees who are Racial/Ethnic Minorities 40 27.0500
4. Employees who are Women 156 106.8000
5. Employees Age 55 and Older 71 44.9100

C. Volunteers

19.85

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 FY778
2. Number of individuals who began receiving services in the reported FY2,938
3. Total individuals served during the reported fiscal year (A1 + A2) 3,716

B. Age

1. 55-59238
2. 60-64313
3. 65-69365
4. 70-74341
5. 75-79427
6. 80-84507
7. 85-89674
8. 90-94599
9. 95-99216
10. 100 & over36
11. Total (must agree with A3)3,716

C. Gender

1. Female2,495
2. Male1,221
3. Total (must agree with A3)3,716

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race354
2. American Indian or Alaska Native11
3. Asian50
4. Black or African American573
5. Native Hawaiian or Other Pacific Islander1
6. White2,687
7. Two or more races39
8. Race and ethnicity unknown (only if consumer refuses to identify)1
9. Total (must agree with A3)3,716

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)227
2. Legally Blind (excluding totally blind)3,489
3. Severe Visual Impairment0
4. Total (must agree with A3)3,716

F. Major Cause of Visual Impairment

1. Macular Degeneration1,771
2. Diabetic Retinopathy274
3. Glaucoma758
4. Cataracts42
5. Other871
6. Total (must agree with A3)3,716

G. Other Age-Related Impairments

1. Hearing Impairment765
2. Diabetes874
3. Cardiovascular Disease and Strokes1,520
4. Cancer202
5. Bone, Muscle, Skin, Joint, and Movement Disorders1,440
6. Alzheimer's Disease/Cognitive Impairment239
7. Depression/Mood Disorder388
8. Other Major Geriatric Concerns499

H. Type of Residence

1. Private residence (house or apartment)3,194
2. Senior Living/Retirement Community328
3. Assisted Living Facility194
4. Nursing Home/Long-term Care facility0
5. Homeless0
6. Total (must agree with A3)3,716

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)1,658
2. Physician/medical provider94
3. State VR agency295
4. Government or Social Service Agency180
5. Veterans Administration1
6. Senior Center25
7. Assisted Living Facility14
8. Nursing Home/Long-term Care facility6
9. Faith-based organization4
10. Independent Living center7
11. Family member or friend335
12. Self-referral1,020
13. Other77
14. Total (must agree with A3)3,716

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 237,448
1b. Total Cost from other funds 152,927
2. Vision screening / vision examination / low vision evaluation 2,451
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 382,325
1b. Total Cost from other funds 24,526
2. Provision of assistive technology devices and aids 10
3. Provision of assistive technology services 3,152

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 1,261,749
1b. Total Cost from other funds 1,625,929
2. Orientation and Mobility training 1,405
3. Communication skills 3,093
4. Daily living skills 2,753
5. Supportive services (reader services, transportation, personal 8
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 544
8. Information, referral and community integration 1,039
. Other IL services 0

D. Community Awareness: Events & Activities

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

Part V: Comparison of Prior Year Activities to Current Reported Year

A. Activity

a) Prior Year b) Reported FY c) Change ( + / - )
1. Program Cost (all sources) 3,801,010 3,239,206 -561,804
2. Number of Individuals Served 3,852 3,716 -136
3. Number of Minority Individuals Served 1,015 1,028 13
4. Number of Community Awareness Activities 0 0 0
5. Number of Collaborating agencies and organizations 0 0 0
6. Number of Sub-grantees 16 16

Part VI: Program Outcomes/Performance Measures

Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 3,152 100.00%
A2. Number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss. (closed/inactive cases only) 2,635 83.60%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 474 15.04%
B1. Number of individuals who received orientation and mobility (O & M) services 1,405 100.00%
B2. Of those receiving orientation and mobility (O & M) services, the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services. (closed/inactive cases only) 1,089 77.51%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 217 15.44%
C1. Number of individuals who received communication skills training 3,093 100.00%
C2. Of those receiving communication skills training, the number of individuals who gained or maintained their functional abilities as a result of services they received. (Closed/inactive cases only) 2,474 79.99%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 561 18.14%
D1. Number of individuals who received daily living skills training 2,753 100.00%
D2. Number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills. (closed/inactive cases only) 2,115 76.83%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 454 16.49%
E1. Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 2,712 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 38 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 42 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) 30 n/a

Part VII: Training and Technical Assistance Needs

Part VIII: Narrative

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

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

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

The New York State Commission for the Blind encourages its contract agencies to expand and improve service delivery. Most contract agencies have intensive Outreach Programs that involve vision screening and education events at community health fairs and expos. Agency staff also visit sites that have populations who are at high risk for vision loss such as senior citizen clubs and senior congregate housing sites. All agencies work closely with area ophthalmologists and optometrists who provide a steady stream of referrals. A unique approach to reaching new eye doctors is educating office managers regarding low vision services, the ALP program and eligibility criteria for the program. Most providers also have identified rehabilitation agencies and community centers within their catchment areas and these organizations are provided with handouts and informational material. The diversity of service delivery across New York focuses on a broad array of innovative ways to provide services. Many agencies downstate and in the greater New York City area have direct service staff who are bilingual, as well as outreach staff who target specific neighborhoods. Examples of Outreach: 1. Glens Falls Association for the Blind: collaborated with NABA in a significant Technology/Outreach Fair in Saratoga Springs and attended multiple Senior Events in the community. 2. Northeastern Association for the Blind at Albany(NABA): has done the following: presentations at Hispanic Center in Amsterdam, Chinese Community Center in Colonie, and Senior Centers throughout the ALP catchment area; community TV to expand information, art of coalition 102 not-for-profits (CA$H) who provide services to low income families, hosted Low vision technology fairs (Free to the public) in Albany and Saratoga with over 200 attendees in two days , and A VRT/O&M intern became a staff person and was able to see consumers for both disciplines. 3. Helen Keller National Center Specialized Senior Services Program (HKNC SSSP): continued to collaborate with the I Can Connect Program. The I Can Connect program is funded by the Federal Communications Commission and provides telecommunications devices for individuals with vision and hearing loss who also meet economic eligibility guidelines. This collaboration has allowed seniors with vision and hearing loss to obtain high tech communication devices (computers, smart phones, tablets, etc.) and training that is not available through the SSSP program. HKNC SSSP expanded its work and collaboration with the Jewish Board of Family and Children’s Services (JBFCS) particularly with its programs serving the Deaf community. 4. Association for the Visually Impaired (AVI): continued to do outreach in the minority communities of Rockland and Orange counties with a Spanish speaking staff person. It placed ads in Spanish newspapers and attends outreach meetings in minority communities. continues to collaborate with agencies in the community so that we can expand our services. Specifically, AVI works with Independent Living Centers in New City, Newburgh and Middletown, Retired & Senior Volunteer Program (RSVP), visiting nurses, home health aide agencies, Office for the Aging in both Rockland and Orange Counties, Meals on Wheels, senior citizen centers and para transport providers. AVI staff speaks to other service providers throughout Rockland and Orange Counties to explain what services are available to visually impaired seniors. 5. Association for the Blind and Visually Impaired - Goodwill Industries of Greater Rochester (ABVI): staff participated in many opportunities to reach a variety of individuals located throughout our NYSCB service area: attend health fairs and participate in Office for the Aging sponsored events with professionals and individuals that may benefit from services; maintain a strong connection to the senior nutrition centers and host senior groups interested in learning more about low vision options and services. For the past three years, ABVI has offered vision education classes as part of a grant project with the University of Rochester. Those classes targeted individuals in Monroe and Ontario Counties who are in the early stages of vision loss. Additionally, ABVI continue Project Eye Care which is a program to provide primary eye care to individuals who are uninsured or under-insured. If an individual is diagnosed as being legally blind (and over 55) during that exam, s/he is referred for state sponsored ALP services. In mid-2018, ABVI received generous support from the Lavelle Fund for the Blind which is enabling us to offer vision rehabilitation training to older adults experiencing vision loss in a group setting. This new program is similar to the small group training sessions offered in conjunction with home based training to those sponsored under the ALP program. The new funding allows for further outreach into counties in our services area. ABVI responds to numerous requests for Sensitivity to Blindness trainings for Rochester Genesee Regional Transportation Authority (RGRTA) and paratransit drivers on a regular basis. ABVI provided training to hotel and convention center staff, museum staff, Assistive Living center personnel, Occupational Therapy Aid students, volunteer drivers and medical residents in ophthalmology. To increase safety and independence in the home for older adults with vision loss, ABVI implemented contact with an orientation and Mobility specialist for everyone sponsored under the ALP program even if they do not have identified OM goals. Contact with an OM occurs in a variety of ways to offer information about protective techniques, Human guide or more extensive options for safe travel. 6. Lighthouse Guild: has continued and strengthened outreach initiatives advanced efforts to connect people who are visually impaired with information and vision rehabilitation services to enable them to remain self-sufficient and productive in their daily lives. Lighthouse Guild’s outreach program encompasses direct contact with prospective clients as well as cultivation of referral sources. Direct communication with potential ALP clients includes presentations at senior centers, residences and other community venues, and active participation in community health fairs and other events. Ongoing communication with referral sources generates many new clients as well, and reinforces the direct outreach to older adults. In-service training for caregivers, visits to doctors’ offices, electronic and regular mail communiques are among the vehicles used to encourage patient and client referrals. An increased focus on the specialized services for the growing number of people with diabetes and vision was emphasized. Through these combined efforts, Lighthouse Guild directly reached hundreds of older adults, as well as approximately 825 doctors and more than 700 caregivers/professionals. Lighthouse Guild also continued participation in the NYC Coalition on Aging & Vision. Social workers reach out to the patients that visit our Low Vision clinic to ensure that they are receiving all the services they need and inform them of the ALP services. Staff assist them in completing the NYSCB application if they are interested and eligible. In the Westchester area, our social worker, Tamara Greeley, and Wendy Buckler from NYSCB visited doctors in the area to discuss VR and ALP services. Our marketing department has expanded its outreach through social media and is particularly focused on our surrounding community. Lighthouse Guild recently held a Wellness Fair for the community in which we provided free health screenings, including eye exams, glucose testing, blood pressure testing, etc. and provided free flu shots. The agency also received a grant from the Dept. of Transportation to provide mobility services for those visually impaired individuals not serviced by NYSCB. In providing presentations to senior centers to promote this grant, staff informed the participants of NYSCB services and assisted them with applying for services. 7. Helen Keller Services for the Blind (HKSB): conducted an in-service at a senior center in a densely populated polish community with the hope to hire a polish speaking translator/outreach worker. A health and wellness program was created to expose clients to adaptive tennis, adaptive rowing, and Zumba. 8. Association for Vision Rehabilitation and Employment (AVRE): This year, our CLVT has completed many off site Functional Vision Clinics, in addition to the On-Site Functional Clinics that are held twice a month at AVRE assisting a total of 92 individuals at no cost to them! Additionally, AVRE’s Foundation Board sponsored a grant for a Loaner Closet, and Lighting for our elderly participants, offering up to $100 in lighting items to our seniors. Additionally, AVRE sponsored a “20/70 Pilot” grant to serve those individuals who have a progressive eye disease, but do not yet meet the criteria of legal blindness. Participants are given services by a vision professional that assists them in meeting their vision and mobility needs, including up to $100 worth of adaptive equipment to promote and ensure their independence. Both programs start in 2018. The rehab team is involved in promoting community awareness about AVRE through participation in TV and Radio Commercials, social networking, volunteering at agency fundraising events and attending health fairs. Our VRTs are out in the community introducing themselves and providing contact information to other professionals working with the adult and older adult population. Additionally, AVRE employee donates approximately $100 a month to various local charities. AVRE has continued its effort to reach individuals who are blind or visually impaired through various digital platforms. By setting an initial goal of reaching individuals who are 55+ in our nine-county service territory, we have created web advertisements that display on different websites in front of anyone who fits that target criteria. In the last four months, we have received over 250,000 impressions, or placements, on webpages. Nearly 14,000 of those were engaged by the individual who saw the advertisement. As an agency, we crafted a 30 second commercial spot that speaks directly to anyone who may be facing difficulties with their vision. This ad has run continuously in Broome, Tioga, and Tompkins County during targeted programs throughout 2018. A voice copy of our ads also runs on several NY radio stations in the Southern Tier region. Outside of digital media, AVRE has placed print advertisements in senior newspapers and ads at high-traffic events. 9. VISIONS: VISIONS Outreach team participated in community activities geared to educate the public on eye diseases and prevention. VISIONS outreach strategy included people living in poverty, frail elders, and non-English speakers. VISIONS reaches out to medical facilities, senior groups and social work professionals, providing information on services available for legally blind and visually impaired individuals regardless of residential status. The outreach activities included presentations, staff training, distribution of brochures and referral inquiry on site. The services were delivered in all the 5 boroughs, especially in the South Bronx area, Sunset Park, East NY (BK), Jamaica (QN) and Staten Island. Services included various community locations such as senior centers (Morris Ave. Senior Center, Penn South, Van Dyke Senior Center, Davidson Center, Lenox Hill Senior Center, City Island Senior Center) Community Centers (Hamilton Madison House, Kittay House, Hamilton Madison House, Lower East Side Community Center) and health care facilities (Kingsbrook Jewish Medical Center, Montefiore Hospital, NY Presbyterian, Brooklyn Hospital, Mt. Sinai Hospital, Memorial Sloan Kettering) and street fairs in all boroughs (i.e. South Bronx, Soundview, Washington Heights, Harlem, East New York, Jamaica, Far Rockaway) among others. 10. Catholic Guild for the Blind (CGB): This was the last year of our grant from the Lavelle Fund for the Blind to outreach and provide adaptive living services to elders in Dutchess, Ulster and Sullivan Counties. Outreach Workers completed their work in December 2017. In the first quarter of FY 18 (September-December 2017), they continued their visits to senior centers, physician’s offices, offices on aging, health fairs, etc. and new consumers were identified. It should be noted that as the outreach winded down, new referrals did as well. It is evident that on-going outreach is required to continue to identify new cases. In NYC, staff visited senior centers, low vision doctors and outpatient hospital based vision services departments. Through outreach, we received referrals for several elders who are undocumented and not eligible for services from NYSCB. Because Catholic Guild for the Blind helps all in need, services were provided without funding. New to New York City in 2018, is a collaboration with an agency called Service Program for Older People (SPOP). SPOP provides in home and community based mental health services for seniors 55+ residing in Manhattan and parts of Brooklyn. CGB has referred elders to SPOP for evaluation and treatment primarily related to adjustment to vision loss. For seniors who are home bound, clinical staff go to individual’s homes and provide counseling services; this includes evaluation by a psychiatrist. Insurance is accepted for services including Medicaid and Medicare. In addition to direct client services, CGB and SPOP will be conducting cross training. SPOP staff will be trained to have a better understanding of eye disease and its’ effect on daily living and SPOP will be conducting training for CGB staff on recognizing depression and mental illness during the provision of services. 11. Olmsted: Olmsted’s Low Vison Clinic continues with its call back service for ALPS when they are eligible for the program to begin again to see if they need to be reopened for services. Olmsted’s Outstation Low Vision Clinics allow clients to access services in suburban areas and gets services closer to more remote/rural clients who will not venture into the City of Buffalo (for many reasons). Olmsted opened a new Outstation Low Vision Clinic in the City of Lockport in July 2018 to service clients in eastern and northern Niagara County as well as those in Orleans County allowing them easier access to enter services with the Olmsted Center for Sight. Olmsted’s Distinguished Speaker series invites the public to attend to hear a prominent professional with vision loss speak on what his/her experiences have been in reaching their achievements. The series is presented annually during October (Vision Awareness Month) thanks to a grant. The public and staff from other agencies are also invited to attend. We continue to attend health fairs, senior fairs, provide outreach in Senior Centers, senior residences or complexes, senior clubs and groups, increase relationships in minority communities, increase relationships with other community agencies serving the 55 and older population in minority and rural areas. We have maintained our presence at meetings of Erie County Caregivers Association and Coalition of Agencies in Service to the Elderly of Niagara County in the past year allowing other agencies to learn more about Olmsted and network with key contacts at those agencies to increase referrals. Olmsted recently learned about the Professional Elder Care Network and has joined it as well. We maintain outreach efforts with Ophthalmologists and primary care providers in all geographic/demographic areas Olmsted serves (the 8 counties of Western New York). Olmsted utilizes its website, as well as increased social media presence via Facebook and twitter to promote services. The Rehabilitation Department, as well as the agency, was featured numerous times on a promotional series on local television. All services to persons with visual impairments were promoted but the target audience of the program skewed to seniors. We are pursuing additional grant funding to be able to continue with our broadcast media outreach. In 2017 and, again, in 2018 Olmsted was asked to provide professional in-services for area home health care aids, COTA students at a local college and several residential facilities (both senior and OPWDD) on how employees should interact with visually impaired clients or residents. We also participated in a professional development day for the Visiting Nurses Association of Erie County. 12. Aurora of Central NY- has an outreach plan focused on outreach activities to the underserved and under-represented communities which includes presentations at senior centers, churches and participation at health fairs in these targeted communities. In addition, several Board members who are from these communities also outreach to these populations. Aurora has developed a strategic alliance with Liberty Resources that has provided needed infrastructure support to develop new opportunities in the areas of Care Coordination for both adults and children and participation in the Delivery System Reform Incentive Payment (DSRIP) initiatives in CNY. Aurora has changed their model of service to incorporate primary care and behavioral health concerns. Through DSRIP, we are now a formal partner of the Care Transitions Initiative in CNY. Additional funding has been provided as a partner with the Office of Aging on the new SHARP project which involved outreach and telehealth for seniors with behavioral health concerns. There are plans to embed Low Vision services within Liberty’s Article 28 clinic and expand our billing to include all insurance payers. Continued participation as a Core partner in Onondaga County’s Falls Prevention Coalition. 13. Chautauqua Blind Association (CBA): working with the small local Village of Brocton to make the community walking friendly for the visually impaired. Partnered with the State DOT to install an audible crossing signal in the middle of town as well as completely reworking another corner to install sidewalks, reflective crosswalk lines and truncated domes. 14. Western New York Center for Visually Impaired (WNYCVI): continue to provide monthly clinics in the rural counties of Wyoming and Allegany. This alleviates most of the transportation issues that inhibit services. Meet regularly with local eye care providers to keep them informed on possible services that may be available to their patients. Presentations are given to senior groups on a normal basis. WNYCVI has been working closely with the Allegany Blind Association to increase awareness in that county. We are coordinating a luncheon for past clients and prospective client to create more awareness for our services. 15. North Country Association for the Visually Impaired (NCAVI): NCAVI works closely with the United Way of the Adirondack Region throughout the year. As a member of the United Way Campaign Team, the NCAVI Executive Director uses the United Way platform to share information about NCAVI's mission, services and programs. This partnership strengthens NCAVI's standing in the community and reaches an audience of tens of thousands of people living and working in the North Country. In 2017-2018, NCAVI received no fewer than a dozen calls from individuals who heard about the agency through the United Way. In 2018, NCAVI partnered with the Central Association for the Blind and Visually Impaired to host the agency's first youth summer camp. The required establishment of a partnership with both the City of Plattsburgh Park & Recreation Department (for use of their outdoor space) as well as the Plattsburgh YMCA which donated gym space for rock climbing and swimming instruction. The event has the potential to be an annual one if participation grows. 16. Central Association for the Blind and Visually Impaired: Nothing to report. A major goal for NYSCB is to increase the number of individuals from ethnic and racial minority populations who receive services. NYSCB Offices continue to provide outreach presentations across New York State, focusing on schools, public libraries, colleges, churches, community centers, independent living centers, advocacy groups, health fairs, healthcare providers, ethnic festivals and senior centers. NYSCB staff have also participated in several cultural competency training programs that focus on identifying and eliminating racial and ethnic inequities in agency service delivery systems, practices and policies. In addition, NYSCB continues to participate in an agency-wide effort to identify those consumers for whom English is not their primary language. Staff frequently utilize “Language Line”, a telephone translation service, that provides interpreters for consumers who are non-English speaking.

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

ILOB cases are reviewed once every two to three years when NYSCB conducts a program review for all services provided by the contract agencies. As part of the program review, consumers are contacted by telephone to determine satisfaction with services. The Adaptive Living Program consists of four components: ALP-1: Assessment, eligibility recommendation and service plan development ALP-2: Rehabilitation services provided to an older individual to assist him/her to achieve a greater level of safety and confidence in their living environment ALP2-E: Enhanced rehabilitation services provided to an older individual who requires services in excess of the typical ALP-2 program in order to achieve his/her goals ALP-3: Rehabilitation services provided to an older individual who has significant needs and primary responsibility for managing the home The greater the need of services, the higher the payment is for each consumer served through the ALP program. Every consumer receives an ALP-1 assessment. Eight agencies were reviewed this year: ABVI, CABVI, Aurora, NCAVI. AVI, GFAB, WNYCVI, and CBA. Aurora 12/21/17: NYSCB reviewed 24 ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 6.2, with a range of 2-7. On average, services were provided in 1.9 months with the actual range from 8 days to 5.8 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that Aurora met the standards for first contact with a consumer. The time between referral date and assessment and training had very little or no wait. It was noted that there were no gaps in between assessment and training. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports included detailed notes and established a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. Aurora provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. Reviewers noted that there was evidence of detailed goal planning with multiple training goals involving the consumer and the instructors. We reminded Aurora to attach Legal Blindness verification to the ALP intake, as per contract guidelines. This includes attaching verification of legal blindness even to known consumers of Aurora or NYSCB. We also reminded staff that all attachments must be in accessible format when scanned into CIS. In addition, the reviewers found several instances of equipment lists not being attached. However, it is noted that there were descriptions about equipment provided in the progress notes of the reports. We reviewed 16 ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 8, with service units ranging from 7-9. On average, services were provided in 3 months with the actual range from 1.4 to 5.1 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case note standards in this service area were all met. Reviewers noted that the assessment notes were thorough. Also, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer and were submitted within appropriate timeframes. We reviewed 5 ALP 3 cases which represented 10% of all successful cases in the review period. The average units of service provided was 9.2, ranging from 9-12. On average, services were provided in 3.2 months with the actual range from 3 months to 4.6 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Reviewers noted that there was no gap in time between assessment and the actual training period. Assessment and progress notes were detailed and consistent in good quality. Review of final reports indicated that consumers received concurrent and comprehensive services. AVI 3/5/18 We reviewed seven ALP 2 cases which represented 7% of all successful cases in the period. The average number of units of service provided was 5.8, with a range of 5-9. On average, services were provided in three months with the actual range from four days to 5.3 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that AVI met the standards for first contact with a consumer. The time between referral date and assessment and training had very little or no wait. It was noted that there were no gaps in between assessment and training. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. However, the assessment reports should include more details about the individual’s current level of functioning. The assessments did establish a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. AVI provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. Reviewers noted that there was evidence of detailed goal planning with multiple training goals involving the consumer and the instructors. As part of the Comprehensive Services contract guidelines, AVI should attach Legal Blindness verification to the ALP intake. This includes attaching verification of legal blindness even to known consumers of AVI or NYSCB. In addition, the reviewers found some instances of equipment lists not including equipment costs. However, it is noted that there were descriptions about equipment provided in the progress notes of most of the reports. We reviewed five ALP 2E cases which represented 12% of all successful cases in the review period. The average number of units of service provided was 11.8, with service units ranging from 9-16. On average, services were provided in 5.8 months with the actual range from 4.6-7.9 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case note standards in this service area were all met. Reviewers noted that the assessment notes should include more details about the current level of functioning. However, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer and were submitted within appropriate timeframes. We reviewed five ALP 3 cases which represented 31% of all successful cases in the review period. The average units of service provided was 22.8 ranging from 16-32. On average, services were provided in 5.3 months with the actual range from 2.7 months to 9.2 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Reviewers noted that there was no gap in time between assessment and the actual training period. Assessment and progress notes were detailed and consistent in good quality. Review of final reports indicated that consumers received concurrent and comprehensive services. GFAB 3/19/18: NYSCB reviewed five ALP 2 cases which represented 19% of all successful cases in the period. The average number of units of service provided was 7.4, with a range of 4-10. On average, services were provided in 1.2 months with the actual range from 7 days to 3.4 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that Glens Falls met the standards for first contact with a consumer. The time between referral date and assessment and training had very little or no wait. It was noted that there were no gaps in between assessment and training. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports included detailed notes and established a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. Glens Falls provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. Reviewers noted that there was evidence of detailed goal planning with multiple training goals involving the consumer and the instructors. Information about equipment provided was listed consistently in the progress notes. We reviewed five ALP 2E cases which represented 25% of all successful cases in the review period. The average number of units of service provided was 10, with service units ranging from 8-13. On average, services were provided in 2.5 months with the actual range from 1.4 to 3.7 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case note standards in this service area were all met. Reviewers noted that the assessment notes were thorough. Also, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer and were submitted within appropriate timeframes. We reviewed six ALP 3 cases which represented 11% of all successful cases in the review period. The average units of service provided was 18, ranging from 10-24. On average, services were provided in 2.5 months with the actual range from 1.2 to 5.3 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Reviewers noted that there was no gap in time between assessment and the actual training period. Assessment and progress notes were detailed and consistent in good quality. Review of final reports indicated that consumers received concurrent and comprehensive services. CABVI 4/27/18 We reviewed 39 ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 3.1, with a range of 1-5. On average, services were provided in 1.7 months with the actual range from 2 days to 14 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that CABVI met the standards for first contact with a consumer. The time between referral date and assessment and training had very little or no wait. It was noted that there were no gaps in between assessment and training. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports included limited notes and some blanks were noted. The assessments overall did establish a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. CABVI provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. Reviewers noted that there was evidence of detailed goal planning with multiple training goals involving the consumer and the instructors. We reminded CABVI to attach Legal Blindness verification to the ALP intake, as per contract guidelines. This includes attaching verification of legal blindness even to known consumers of CABVI or NYSCB. We also reminded staff that all attachments must be in accessible format when scanned into CIS. In addition, the reviewers found some inconsistencies with equipment lists not being attached. However, it is noted that there were descriptions about equipment provided in the progress notes of the reports. We reviewed 10 ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 8.3, with service units ranging from 6-13. On average, services were provided in 2.8 months with the actual range from 1 month to 5.9 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The case note standards in this service area were all met. Reviewers noted that the assessment notes were thorough with very detailed progress notes. Also, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each consumer and were submitted within appropriate timeframes. Reviewers found equipment lists attached. Also, we reminded CABVI to attach Legal Blindness verification to the ALP intake, as per contract guidelines. This includes attaching verification of legal blindness even to known consumers of CABVI or NYSCB. We reviewed 7 ALP 3 cases which represented 10% of all successful cases in the review period. The average units of service provided was 14.1, ranging from 9-19. On average, services were provided in 5.1 months with the actual range from 1 month to 11.5 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Reviewers noted that there was no gap in time between assessment and the actual training period. Assessment and progress notes were detailed and consistently in good quality with extensive notes. Review of final reports indicated that consumers received concurrent and comprehensive services. Reviewers found evidence of equipment lists attached. Also, we reminded CABVI to attach Legal Blindness verification to the ALP intake, as per contract guidelines. This includes attaching verification of legal blindness even to known consumers of CABVI or NYSCB. CBA 5/23/18 We reviewed 6 ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 5, with a range of 3-6. On average, services were provided in 3.4 months with the actual range from 2.3 months to 4.6 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. The review showed that CBA met the standards for first contact with a consumer. The time between referral date and assessment and training had very little or no wait. It was noted that there were no gaps in between assessment and training. The assessments addressed consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports included detailed notes and established a sound basis for service needs, goal setting and case recording in this area. There were some blanks noted on the assessment forms that should be completed in the future. The case records contained information required to determine the level of service. CBA provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. All equipment provided was listed within progress notes. Reviewers noted that there was evidence of detailed goal planning with multiple training goals involving the consumer and the instructors. We reviewed 9 ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 8.8, with service units ranging from 8-11. On average, services were provided in 8.8 months with the actual range from 3 weeks to 19.4 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. CBA was reminded to attach documentation of legal blindness to all cases. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the consumer’s service needs, resulting in establishing agreed upon and appropriate individualized goals. Reviewers noted that the assessment notes were thorough. It was noted that there were some blanks on the assessment that should be completed in the future. Also, the case record contained the information required to determine the level of service based on consumer eligibility. Concurrent service provision, ISP and final reporting standards were all met. There were no gaps in the service provision. The case notes were very detailed and informative. Final reports documented the range of services provided to each consumer and were submitted within appropriate timeframes. Equipment provided was listed within the progress notes. We reviewed 5 ALP 3 cases which represented 71% of all successful cases in the review period. The average units of service provided was 20, ranging from 16-25. On average, services were provided in 10 months with the actual range from 7.1 months to 14.6 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. Reviewers noted that there was no gap in time between assessment and the actual training period. Assessment and progress notes were detailed and consistently in good quality. Review of final reports indicated that consumers received concurrent and comprehensive services. Equipment provided was listed within progress notes. Reviewers noted that the progress notes were excellent with comprehensive goal planning provided. WNYCVI 5/23/18 We reviewed 5 ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 2.9, with a range of 2-4. On average, services were provided in 2.3 months with the actual range from 1 day to 6.3 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. The review showed that WNYCVI met the standards for first contact with a participant. The time between referral date and assessment and training had very little or no wait. The assessments addressed participants’ service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports included limited notes. The assessments did establish service needs and goal setting. There were some blanks noted on the assessment forms that should be completed in the future. The case records contained information required to determine the level of service. WNYCVI provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. Equipment information was not listed and should be attached or provided in the progress notes. WNYCVI was also reminded to attach proof of legal blindness for all ALP cases. We reviewed 5 ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 10, with service units ranging from 9-11. On average, services were provided in 2.7 months with the actual range from 2.2 months to 3.4 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. The assessments were completed in a timely manner and addressed the participants’ service needs, resulting in establishing agreed upon and appropriate individualized goals. Reviewers noted that the assessment notes were limited. It was also noted that there were some blanks on the assessment that should be completed in the future. The case records contained the information required to determine the level of service based on participant eligibility. Concurrent service provision, ISP and final reporting standards were all met. There were no gaps in the service provision. Final reports documented the range of services provided to each participant and were submitted within appropriate timeframes. Equipment provided was listed within the progress notes. We reviewed 5 ALP 3 cases which represented 18% of all successful cases in the review period. The average units of service provided was 11 ranging from 10-12. On average, services were provided in 3.2 months with the actual range from 2.1 months to 4.4 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. Reviewers noted that there was no gap in time between assessment and the actual training period. Assessment and progress notes were detailed and consistently in good quality. Review of final reports indicated that participants received concurrent and comprehensive services. Equipment was not listed and should be found attached or within progress notes. WNYCVI was also reminded to attach proof of legal blindness for all ALP cases. NCAVI 7/7/18 We reviewed 5 ALP 2 cases which represented 17% of all successful cases in the period. The average number of units of service provided was 4.2, with a range of 3-6. On average, services were provided in 1.6 months with the actual range from 1 day to 3.6 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. The review showed that NCAVI met the standards for first contact with a participant. The time between referral date and assessment and training had very little or no wait. The assessments addressed participants’ service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment includes a question about the participant’s current employment status which should be completed as part of ALP eligibility. The assessments did establish service needs and goal setting. The case records contained information required to determine the level of service. NCAVI provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. Equipment information was not always clearly listed and should be attached or provided in the progress notes. NCAVI was also reminded to attach proof of legal blindness for all We reviewed 6 ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 9.6, with service units ranging from 8-12. On average, services were provided in 1.5 months with the actual range from 5 days to 3.6 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. The assessments were completed in a timely manner and addressed the participants’ service needs, resulting in establishing agreed upon and appropriate individualized goals. Reviewers noted that the assessment notes were detailed. It was also noted that there were some blanks on the assessment that should be completed in the future. The case records contained the information required to determine the level of service based on participant eligibility. Concurrent service provision, ISP and final reporting standards were all met. There were no gaps in the service provision. Final reports documented the range of services provided to each participant and were submitted within appropriate timeframes. Equipment provided should be listed within the progress notes or attached. We reviewed 5 ALP 3 cases which represented 11% of all successful cases in the review period. The average units of service provided was 19.4 ranging from 15-25. On average, services were provided in 6.1 months with the actual range from 2 months to 11.1 months. Overall, the cases reviewed showed that the agency met most NYSCB standards for service provision. Reviewers noted that there was no gap in time between assessment and the actual training period. Assessment forms should be consistently filled in and complete. Progress notes were detailed and consistently in good quality. Review of final reports indicated that participants received concurrent and comprehensive services. Equipment was not always listed and should be found attached or within progress notes. ABVI 8/28/18: We reviewed 12 ALP 2 cases which represented 10% of all successful cases in the period. The average number of units of service provided was 6.3, with a range of 3-7. On average, services were provided in 5.9 months with the actual range from 1 day to 9.9 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. The review showed that ABVI met the standards for first contact with a participant. The time between referral date and assessment and training had very little or no wait. It was noted that there were no gaps in between assessment and training. The assessments were thoroughly completed and addressed the participants’ service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessment reports included detailed notes. The assessments overall did establish a sound basis for service needs, goal setting and case recording in this area. The case records contained information required to determine the level of service. ABVI provided the appropriate types and amount of services required for Individual Service Plan (ISP) goal achievement while all ISP goals were addressed. Concurrent service provision and final reporting standards were met in all cases in the sample. Services were provided without gaps; all final reports described services provided along with the outcome of those services. The notes in the reports were clear and very informative. Reviewers noted that there was evidence of detailed goal planning with multiple training goals involving the participant and the instructors. We reminded ABVI to attach Legal Blindness verification to the ALP intake, as per contract guidelines. This includes attaching verification of legal blindness even to known participants of ABVI or NYSCB. We also reminded staff that all attachments must be in accessible format when scanned into CIS. In addition, the reviewers found some inconsistencies with equipment lists not being attached. However, it is noted that there were descriptions about equipment provided in the progress notes of the reports. During a survey call, a participant shared that he had been charged a co-pay for his low vision evaluation. NYSCB policy reflects that NYSCB ALP program funding reimburses fully for the cost of these exams and the participants should not be charged for this service. ABVI has agreed to reimburse the co-pay cost directly to this participant. ABVI acknowledged that their insurance carriers’ protocol in the past had required approvals to allow NYSCB to cover the costs. According to ABVI, these approvals are now in place. In the future, ABVI should contact NYSCB regarding any questions or issues related to insurance protocols inconsistent with NYSCB policy. We reviewed 10 ALP 2E cases which represented 10% of all successful cases in the review period. The average number of units of service provided was 10.8, with service units ranging from 10-12. On average, services were provided in 5.2 months with the actual range from 1.4 month to 6.6 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Assessment standards were met in all cases in the sample. The assessments were completed in a timely manner and addressed the participant’s service needs, resulting in establishing agreed upon and appropriate individualized goals. The assessments were filled in and very thorough. It is noted that the individuals were seen immediately after being referred for services, with no wait time between referral and assessment. The case note standards in this service area were all met. Reviewers noted that the assessment notes were thorough with very detailed progress notes. Also, the case record contained the information required to determine the level of service based on participant eligibility. Concurrent service provision, ISP and final reporting standards were all met. Final reports documented the range of services provided to each participant and were submitted within appropriate timeframes. Reviewers found equipment lists attached. The training progress notes were very descriptive and thorough. We reviewed 10 ALP 3 cases which represented 10% of all successful cases in the review period. The average units of service provided was 17.1, ranging from 12-25. On average, services were provided in 7.8 months with the actual range from 2.3 months to 14.8 months. Overall, the cases reviewed showed that the agency met all NYSCB standards for service provision. Reviewers noted that there was no gap in time between the assessment and the actual training period. Assessment and progress notes were detailed and consistently in good quality with extensive notes. Review of final reports indicated that participants received concurrent and comprehensive services. Reviewers found evidence of equipment lists attached.

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).

Catholic Guild- This 81-year-old gentleman was an interesting case. His wife would always accompany us on lessons. She was the one that asked multiple questions, learned the skills and was always involved. Suddenly she passed away. The elderly gentleman was devastated. He never prepared his meals or did the laundry. His spouse would never allow it. She loved taking care of her husband. After recovering from the shock and depression, he was ready to learn skills that would help him become safe and independent. He did not want to rely on his grandchildren to visit. “They have their own lives,” he stated. This very determined gentleman called this instructor and said he was ready to learn skills — especially related to cooking and laundry. Raised tactile markers were glued to his favorite settings on the microwave, washing machine and dryer. He easily and independently located his often used and preferred settings. He received a liquid level indicator and a red cafeteria tray. He was instructed to use the tray when pouring liquids to contain any spills — which could be laundry detergent or soup. Any spills that may make a mess on the floor or a physical hazard are now contained and easily poured down the drain or back into their container. A Knork was provided to this client. A Knork is a specially angled fork that can cut meat when using a rocking motion, but is not sharp. As he goes out often, this gentleman was also instructed to quietly speak to the waitperson to have his meat/food cut in the kitchen before it is served. These simple, yet amazing products, ideas and skills have led to increasing his confidence and happiness. He no longer sits at the kitchen table wallowing in pity or waiting for someone to visit that may aid him in basic daily tasks. HKNC SSP: M is a retired nurse who lived independently in a private apartment complex until age 103. For health reasons unrelated to her vision and hearing loss, she relocated to live with family in a nearby community on Long Island. The move was necessary but psychologically difficult for M because it meant a loss of her independence. She had been able to go for a walk in her old apartment complex and meet neighbors for her bridge games. SSSP services provided mobility training so that she can resume her daily walks when possible. In addition, a local senior center was identified and M began attending finding new opportunities for socialization. SSSP staff accompanied M to the senior center and provided training to the center staff on working with M and accommodating her vision and hearing loss. VISIONS: A 61-year-old male living in the City of Buffalo, who also has Parkinson’s besides his visual impairment, was fairly newly diagnosed to vision loss when he came to Olmsted. He suddenly had to give up driving and he successfully learned to use his smartphone to access UBER to be able to continue to get around without having to wait for his children to drive him. The VRT helped him access the application and then taught him to use it. This same client had just retired from his job prior to his vision loss. He loved to cook and spent a lot of money remodeling his kitchen. He thought he would spend his retirement experimenting in his new culinary haven. He was very distraught in the Intake when kitchen skills and safety were brought up and disclosed what his retirement goals had been. In working with the VRT and receiving adaptive items for the kitchen, this client found that he did not have to give up those plans and he can still pursue his passion. He also worked with an O&M instructor to be able to walk to the places of personal importance to him in his neighborhood safely and he was connected to/learned to use ParaTransit as well. Lighthouse Guild: Ms. B is 78-year-old widow who lives alone in Staten Island. She has 2 daughters, one lives in New Jersey and the other in Long Island. They are very concerned about their mom living alone due to her vision loss. Until she began services at the Lighthouse Guild, Ms. B, along with her daughters, was shown equipment such as talking watches and clocks, large button phone and 20/20 pens just to name a few items. Family members were concerned about mom using her appliances and stove. Ms. B was shown how to regulate the flame and center a pot on the stove plug in appliances. High marks and bump dots were used to tactilely mark appliances so consumer could feel where she needed to push buttons. Ms. B and her family were really impressed. When Ms. B’s daughters were not present she whispered in my ear “Thank You for buying me some time. Now I don’t have to leave my home because you’ve helped me to show them I can manage my home and be safe. I’m forever grateful.”

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

NYSCB continues to experience difficulties with serving consumers across New York State. At times, staff shortages have delayed services longer than expected. We continue to work closely with the contract agencies to work on solutions to this problem. Agencies also express that funding and budget reasons sometimes prevent them from providing additional services to older blind consumers. One example, is that agencies are getting consumers with multiple disabilities and do not have staff properly trained in all facets of disabilities. NYSCB has been more than supportive when agencies create different group programs to help consumers achieve independence in their region. NYSCB will continue to explore a variety of ways to help keep the ILOB program successful in New York State.

Part IX: Signature

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

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

Signed byTracy Breslin
TitleVocational Rehabilitation Counselor
Telephone518-474-9647
Date signed12/27/2018