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

RSA-7-OB for Washington Department of Services for the Blind - H177B180047 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 year681,139
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 2742,108
A2. Total other federal25,000
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement25,000
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)75,682
A4. Third party0
A5. In-kind0
A6. Total Matching Funds75,682
A7. Total All Funds Expended842,790
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs138,520
C. Total expenditures and encumbrances for direct program services704,270

Part II: Staffing

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

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 2.0665 0.0000 2.0665
2. FTE Contractors 0.0000 3.3859 3.3859
3. Total FTE 2.0665 3.3859 5.4524

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 5 1.1389
2. Employees with Blindness Age 55 and Older 4 0.9312
3. Employees who are Racial/Ethnic Minorities 4 0.6166
4. Employees who are Women 19 4.0352
5. Employees Age 55 and Older 10 1.3749

C. Volunteers

0.15

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 FY217
2. Number of individuals who began receiving services in the reported FY1,400
3. Total individuals served during the reported fiscal year (A1 + A2) 1,617

B. Age

1. 55-59102
2. 60-64101
3. 65-69126
4. 70-74137
5. 75-79166
6. 80-84268
7. 85-89321
8. 90-94283
9. 95-99103
10. 100 & over10
11. Total (must agree with A3)1,617

C. Gender

1. Female465
2. Male1,152
3. Total (must agree with A3)1,617

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race45
2. American Indian or Alaska Native23
3. Asian49
4. Black or African American56
5. Native Hawaiian or Other Pacific Islander13
6. White1,420
7. Two or more races5
8. Race and ethnicity unknown (only if consumer refuses to identify)6
9. Total (must agree with A3)1,617

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)100
2. Legally Blind (excluding totally blind)593
3. Severe Visual Impairment924
4. Total (must agree with A3)1,617

F. Major Cause of Visual Impairment

1. Macular Degeneration940
2. Diabetic Retinopathy103
3. Glaucoma193
4. Cataracts38
5. Other343
6. Total (must agree with A3)1,617

G. Other Age-Related Impairments

1. Hearing Impairment578
2. Diabetes328
3. Cardiovascular Disease and Strokes460
4. Cancer162
5. Bone, Muscle, Skin, Joint, and Movement Disorders633
6. Alzheimer's Disease/Cognitive Impairment109
7. Depression/Mood Disorder275
8. Other Major Geriatric Concerns564

H. Type of Residence

1. Private residence (house or apartment)1,151
2. Senior Living/Retirement Community245
3. Assisted Living Facility185
4. Nursing Home/Long-term Care facility30
5. Homeless6
6. Total (must agree with A3)1,617

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)457
2. Physician/medical provider99
3. State VR agency52
4. Government or Social Service Agency155
5. Veterans Administration0
6. Senior Center43
7. Assisted Living Facility20
8. Nursing Home/Long-term Care facility13
9. Faith-based organization2
10. Independent Living center6
11. Family member or friend300
12. Self-referral430
13. Other40
14. Total (must agree with A3)1,617

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 70,840
1b. Total Cost from other funds 0
2. Vision screening / vision examination / low vision evaluation 445
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 69,629
1b. Total Cost from other funds 0
2. Provision of assistive technology devices and aids 824
3. Provision of assistive technology services 827

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 537,762
1b. Total Cost from other funds 0
2. Orientation and Mobility training 293
3. Communication skills 1,227
4. Daily living skills 559
5. Supportive services (reader services, transportation, personal 9
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 695
8. Information, referral and community integration 695
. Other IL services 0

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 6,040
1b. Total Cost from other funds 0
2. Information and Referral 44
3. Community Awareness: Events/Activities 13 340

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) 964,268 842,790 -121,478
2. Number of Individuals Served 1,352 1,617 265
3. Number of Minority Individuals Served 150 191 41
4. Number of Community Awareness Activities 10 13 3
5. Number of Collaborating agencies and organizations 0 0 0
6. Number of Sub-grantees 9 11

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 827 100.00%
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) 825 99.76%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 2 0.24%
B1. Number of individuals who received orientation and mobility (O & M) services 293 100.00%
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) 275 93.86%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 18 6.14%
C1. Number of individuals who received communication skills training 1,227 100.00%
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) 1,057 86.15%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 170 13.85%
D1. Number of individuals who received daily living skills training 559 100.00%
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) 541 96.78%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 18 3.22%
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) 1,479 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) 49 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 8 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) 7 n/a

Part VII: Training and Technical Assistance Needs

Washington State received TA from MSU through the OIB-TAC during the reporting year. Topics for TA included developing a long-term strategic plan; exploring options for development additional funds and resources; staff and vendor recruitment and retention; developing best practices for reaching the maximum number of clients with limited resources; developing a community outreach strategy to connect with stakeholders and potential partners; program evaluation; and creating a transition plan as the current Program Director retires. Two in-person visits occurred during the reporting year. The first in-person visit from MSU staff was at the end of January 2018, with a follow up in-person in March 2018.

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 Older Blind Program is managed through a sub-grant to the Center for Technology and Disability Studies (CTDS) at the University of Washington. Within CTDS, the OB Program is housed with the State Assistive Technology Act Program and other related programs. CTDS is responsible for managing all subcontracts, data collection and reporting and compliance, outreach, and all other OB program functions. CTDS reports quarterly to the Department of Services for the Blind on all aspects of the program. CTDS maintains a client database for the purposes of tracking cases served by the program. The Older Blind Program is delivered through a network of community-based providers who meet rigorous qualification and performance standards based on high risk factors related to serving a vulnerable population. Providers have extensive training in how to teach adaptive skills of blindness as well as highly specialized knowledge of adaptive aids and devices. Providers for this reporting period include: Edith Bishel Center; Independent Skills for the Blind & Visually Impaired of Washington; Lilac Services for the Blind; Peninsula Rehabilitation Services; Seagull Low Vision Services; Sightconnection; Sophia Leduck (Independent Contractor); Tri-County Low Vision Services; Ryan Kupfer (Independent Contractor); and Grandstaff Consulting. Providers conduct local outreach based on availability of resources to provide services. If contractors have a waiting list, they are less likely to conduct outreach. Analysis conducted by the State Independent Living Council for the 2013 SPIL indicates that all IL programs are underserving Hispanic and Asian populations. We provide financial incentive to our contractors for outreach presentations in order to increase contacts with these populations. We are not, however, seeing an increase in service delivery to these populations. Some contractors produce marketing materials and other information products in alternative languages. The analysis also indicates that all programs are underserving people who are deaf or deaf-blind. The OB program is specifically doing outreach in the deaf-blind community as part of our relationship with Washington State’s iCanConnect program.

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 Older Blind Program supports the National Deaf Blind Equipment Distribution Program (NDBEDP) established by the FCC. We provide assessment and training services to deaf blind individuals who otherwise qualify for OB services and will support them as they receive equipment from the NDBEDP. This is included in the SPIL. The OB program collaborates closely with the Washington Assistive Technology Act Program to support older individuals who wish to try or borrow AT to increase their independence. The OB and AT programs collaborate to make sure the inventory is up to date and maintained and that consumers receive knowledgeable consultation and assistance. If appropriate, consumers can receive additional training through the OB program. The OB program established a relationship Aging and Disability Services Administration to explore how OB providers can collaborate better with this network. ADSA is mandated to partner with Centers for Independent Living but not with the Older Blind Program so we hope to change this. This is part of our SPIL implementation. ADSA is administering the Community First Choice Options (CFCO) program, giving people flexibility in how to use their care dollars. The OB Program is exploring how it can take advantage of CFCO program as a skills service provider.

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.

Our satisfaction rate is approximately 86%, with 99% of the survey respondents indicating that they would recommend the program to others. Any issues identified are typically related to limitations of service. The satisfaction survey is conducted primarily by mail with the invitation to complete the survey by phone or online if the client would prefer. We are having increasing difficulty getting survey responses. While we think our data is accurate, it is not significant in numbers. We are considering additional methods of surveying to verify our results. To help determine long-term impact, we are planning to implement a six-month post-closure phone survey of approximately 10% of the clients we serve.

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).

Each year, the Older Blind Program empowers Washingtonians struggling with vision loss to live independently in their homes and communities. To help clients achieve independence and adapt to significant vision loss, the Older Blind Program provides a wide range of services and training. Services are provided in the client’s home and are always geared towards helping the client meet self-identified goals. The Older Blind Program provides a variety of low vision or blindness skills training including reading with a magnifier; financial management, including paperwork and accessing mail; cooking with alternative techniques of blindness and practicing kitchen safety; medication identification and management; maintaining personal hygiene; alternative techniques to keep a home clean, safe, and clutter-free; dialing the telephone by touch, (so that they can access family, friends, or 911); falls prevention; and walking safely around the client’s home and in the community. Adjustment counseling is available for clients who are experiencing grief, fear, or even anger as their vision declines or when they experience sudden blindness. We refer clients to other services they may qualify for and benefit from, including talking books, diabetic nurses, or para-transit services. For clients with very low income, the program provides adaptive devices such as white canes, medical devices, kitchen devices, and magnification and lighting for reading and writing. The following three success stories demonstrate just a few ways that the Older Blind Program in Washington State significantly increases the independence and quality of life for its participants. All identifying information has been changed to protect the clients' privacy. Story 1 Lillian is an 83-year-old woman who lives alone and is fiercely independent. She has been dealing with low vision for quite some time as a result of glaucoma. Her daughter helps her from time to time, but Lillian wants to do all her life's business herself. She puts up a good front of vitality, but admits she is lonely and depressed and life can be a struggle for her. A recent decline in her vision has made it hard for her to maintain her independence. Lillian had a few goals when she began services with her Independent Living teacher. She wanted to be able to read, maintain her own finances, keep track of the time, and be more active in her kitchen. Services began with identifying what magnification strength and lighting type would benefit Lillian the most. Lillian likes to read at the kitchen table. Different kind of lights were demonstrated and client found an LED bulb on a swing arm lamp to be the most helpful. Lillian already had 3x and 4x lighted magnifiers, but her vision had recently slipped and they were no longer effective. Because of her glaucoma, she finds different strength magnifiers help in different situations. She practiced with 4.5x, 5x, 6x and 7x lighted magnifiers; she found the 4.5x and 6x to be the most helpful. Her Independent Living teacher provided re-training in how to use and take care of the magnifier. After the first meeting with her Independent Living teacher, Lillian practiced using the new lamp and magnifier. She now has the ability to read, maintain her finances and so much more. The lamp was positioned on her kitchen table in a way she could easily move it forward and backward on the table for maximum efficiency. In her improved workstation, she is now able to see her mail, pay her bills, and manage her checking account. With bold pens and paper, she is able to make legible lists and notes. Lillian can now access all critical information on medicines and other packages. She is now able to function independently with prescription and over-the-counter medications. In addition to her communication goals, Lillian wanted to be more active in her kitchen. Her Independent Living teacher showed her different ways to reduce glare in the kitchen. They talked about basic kitchen safety and about organization and simplifying the working space. Methods were discussed for increasing safety when using the oven and stove top. The Independent Living teacher also taught Lillian alternative techniques for measuring and pouring ingredients and liquids. Several adaptive devices were provided to increase Lillian’s independence in the kitchen, including a large print digital timer, talking meat thermometer, and large print measuring cups and spoons. Lillian was having difficulty telling time. Different items were considered and a talking key chain was provided. She was given a large print calendar which makes it easier to keep appointments and manage a schedule. With bold pens and a large print phone book, she is able to keep a clear phone list and this increases a sense of security and independence. Finally, the Independent Living teacher took the time to provide supportive counseling, focusing on Lillian’s adjustment to vision loss and her occasional bouts of depression. Lillian’s determination to keep as much of her independence as possible is her biggest strength. In combination, the equipment and training provided has enabled her to regain some of the skills she had lost, which has boosted her self-confidence. She was especially proud of being able to write checks and balance her account with the aid of the task light, clipboard, magnifiers, and the talking calculator (which she just loves). Because of the training and devices she received from Independent Living teacher, Lillian now feels more confident and has a positive outlook on life. Story 2 Sarah is an 88-year-old widow with vision loss secondary to macular degeneration and is diabetic. Sarah has a wide support network including five helpful children and many grand and great grandchildren as well as one "great great” grandchild. She also has many friends in the community from her years spent volunteering at a local senior center. As her sight decreases, Sarah wants to stay engaged in activities such as going to the casino with friends where she uses a large print deck. Her daughter visits frequently to help with errands. Although she has many people to support her, it is important to Sarah to maintain her independence in her home. Sarah finds it difficult to read her wristwatch and can no longer see her bedside clock. This makes it difficult to time her insulin doses correctly. When she was introduced to a talking key chain and a talking curve clock, she quickly learned how to find the voice setting and was able to hear both devices. She also learned how to set alarms to take her insulin and other medications. Sarah finds both these devices very helpful and keeps the talking clock next to her bed so she doesn’t have to get up to check the time. Sarah has been using a 12D illuminated PowerMag that she previously received to spot read her prescription bottles and food labels. This is working well for her, but Sarah has noticed that the field of view does not cover enough area to read longer material such as mail, newspapers and magazines. At the beginning of services, Sarah said she had given up on reading. She is familiar with CCTVs but does not have the space for one. With this in mind, Sarah tired an Eschenbach portable video magnifier and a variety of clip-on readers. She practiced reading a magazine article and found that a pair of +2.00 clip-on readers gave her the best clarity. She was given a pair of these so she can read larger areas of text. In combination with the handheld CCTV that she purchased, Sarah is now able to read whatever she wants. Before services concluded, Sarah mentioned she also has difficulty jotting down notes and writing grocery lists. She was introduced to bold lined paper and a bold black pen. She found it "easier to stay on the line" with both these writing tools. She was provided a bold black pen and bold lined tablet. Now she can write her own shopping list when she runs errands with her daughter. With the tools she was given and the new skills she learned, Sarah is able to be independent in her home. That is when she’s not out playing cards with her friends. Story 3 Miriam is an 86-year-old woman with macular degeneration in both eyes. In 2016, she received a magnifier and some training to help her read. After a few years successfully using the magnifier and the skills she learned, she’s ready to tackle some bigger challenges like baking! Miriam stated that cooking and baking has always been her passion. Due to her decreasing vision, Miriam is no longer able to read recipes, is having trouble setting the oven, and is unable to set the timer on her stove. She lives alone after her husband passed away a few years ago. Her daughter, Linda, visits frequently, staying for a week at a time to take care of her mother. Linda shared that Miriam’s friends loved to come to their house because her mom always had freshly baked treats. Since her eyesight is getting worse, the magnifier Miriam previously used is no longer effective. She is also having difficulty taking notes and telling time. After trying some different options, Miriam found the Coil Raylite 5.4X with an LED handle and 7X AT Max magnifiers to be the most helpful. She was also given a talking clock so she can easily know the time in the middle of the night without having to get out of bed and risk falling. To help with letter writing and making lists, Miriam was provided a bold line-writing tablet and two 20/20 writing pens. Miriam was given a Merlin CCTV to try. It was placed on her kitchen counter because it is a good location for her so that she can easily refer to recipes while she is cooking, preparing food, or baking. After instruction, Miriam placed several of her handwritten recipes under the camera and was thrilled that she could easily read them! Miriam’s oven was marked with bump dots and she learned how to use the dots to set it to desired settings. She was provided a tactile big bold timer and she was able to see it to set it. In addition, she was given a black/white cutting board for slicing/chopping vegetable and fruit. After a few months, Miriam reports she has been using the CCTV every day to read her recipes. Since she is able to read recipes again, when neighbors help Miriam out she returns the favor by giving them baked goodies. Linda is grateful for the services that her mother received. She still visits frequently, but now those visits are just for an afternoon.

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

We continue to need a stable funding source. The population is growing at a rapid rate and the funding is shrinking. The state funds have been significantly reduced. Federal funds have not increased in years. The Department has, in the past, contributed SSA monies to the extent possible, but this funding is not dependable from year to year; case in point, we do not expect to receive SSA funds in the upcoming year. And, yet our program costs continue to increase. It is also difficult to recruit and maintain qualified providers. We have three large service delivery organizations with limited resources beyond the Older Blind grant to support service delivery. Our individual providers are struggling. One provider has been working on a limited basis due to medical issues for the last 18 months and will likely never return to fulltime service. One provider gave up half of their service delivery area during the last year, with plans to fully retire in the next two years. One provider will be retiring during the next reporting year. And, one provider recently announced that they are closing their business and moving out of state. All of this has impacted our largest provider who is trying to pick up the slack. They do not have enough funding or staff to adequately serve the territory they already work and this will likely stretch them to the breaking point. We need to consider how to better utilize Occupational Therapy providers rather than insisting on Rehabilitation Teaching providers for all services.

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 byLou Oma Durand
TitleWA Dept of SVCS for the Blind Executive Director
Telephone209-906-5510
Date signed12/12/2018