RSA-704 Part II for Ocean State Center for Independent Living - H132A930033 report through September 30, 2012

Subpart I - Administrative Data

Sources and Amounts of Funds and Resources

Indicate amount received by the CIL as per each funding source. Enter 0 for none.

Item 1 - All Federal Funds Received

(A) Title VII, Ch. 1, Part B

144,900

(B) Title VII, Ch. 1, Part C

334,372

(C) Title VII, Ch. 2

0

(D) Other Federal Funds

144,046

Item 2 - Other Government Funds

(E) State Government Funds

101,877

(F) Local Government Funds

2,000

Item 3 - Private Resources

(G) Foundations, Corporations, or Trust Grants

45,000

(H) Donations from Individuals

722

(I) Membership Fees

1,435

(J) Investment Income/Endowment

525

(K) Fees for Service (program income, etc.)

8,400

(L) Other resources

0

Item 4 - Total Income

Total income

783,277

Item 5 - Pass-Through Funds

Amount of other funds received as pass through funds to consumers (include funds, received on behalf of consumers, that are subsequently passed on to consumers, e.g., personal assistance services, representative payee funds, Medicaid funds, etc.)

0

Item 6 - Net Operating Resources

 

[Total Income (Section 4) minus Pass-Through Funds amount (Section 5) = Net Operating Resources

783,277

Subpart II - Number and Types of Individuals With Significant Disabilities Receiving Services

Section A - Number of Consumers Served During the Reporting Year

(1) Enter the number of active CSRs carried over from September 30 of the preceding reporting year

164

(2) Enter the number of CSRs started since October 1 of the reporting year

154

(3) Add lines (1) and (2) to get the total number of consumers served

318

Section B - Number of CSRs Closed by September 30 of the Reporting Year

(1) Moved

1

(2) Withdrawn

25

(3) Died

6

(4) Completed all goals set

80

(5) Other

15

(6) Add lines (1) + (2) + (3) + (4) +(5) to get total CSRs closed

127

Section C - Number of CSRs Active on September 30 of the Reporting Year

Indicate the number of CSRs active on September 30th of the reporting year.

Section A(3) [minus] Section (B)(6) = Section C

191

Section D - IL Plans and Waivers

Indicate the number of consumers in each category below.

(1) Number of consumers who signed a waiver

34

(2) Number of consumers with whom an ILP was developed

284

(3) Total number of consumers served during the reporting year

318

Section E - Age

Indicate the number of consumers in each category below.

(1) Under 5 years old

2

(2) Ages 5 - 19

6

(3) Ages 20 - 24

4

(4) Ages 25 - 59

137

(5) Age 60 and Older

169

(6) Age unavailable

0

(7) Total

318

Section F - Sex

Indicate the number of consumers in each category below.

(1) Number of Females served

190

(2) Number of Males served

128

(3) Total

318

Section G - Race and Ethnicity

Indicate the number of consumers served in each category below. Each consumer may be counted under ONLY ONE of the following categories in the 704 Report, even if the consumer reported more than one race and/or Hispanic/Latino ethnicity).

(1) American Indian or Alaska Native Number of Consumers

4

(2) Asian Number of Consumers

5

(3) Black or African American Number of Consumers

13

(4) Native Hawaiian or Other Pacific Islander Number of Consumers

0

(5) White Number of Consumers

160

(6) Hispanic/Latino of any race or Hispanic/Latino only Number of Consumers

58

(7) Two or more races Number of Consumers

0

(8) Race and ethnicity unknown Number of Consumers

78

(9) Total

318

Section H - Disability

Indicate the number of consumers in each category below.

(1) Cognitive

3

(2) Mental/Emotional

7

(3) Physical

161

(4) Hearing

36

(5) Vision

5

(6) Multiple Disabilities

106

(7) Other

0

Section I - Individuals Served by County During the Reporting Year

List each county within the CIL's service area, as indicated in the CIL's application for Part C funds and the approved SPIL. Add additional rows as necessary. For each county, indicate how many individuals residing in that county were served by the CIL during the reporting year.

County name      Number of county residents served

Bristol, RI            11

Kent, RI 76

Newport, RI        12

Providence, RI    194

Washington,RI   25

NA          0

Subpart III - Individual Services and Achievements

Section A - Individual Services and Achievements

List the number of consumers requesting and the number of consumers receiving each of the following services during the reporting year, including the IL core services. The total of these numbers is not expected to equal the number of active CSRs during the reporting year, as a consumer may receive multiple services during the reporting year. Also, individuals who receive information and referral (I&R) services only may not have a CSR.

Services               Consumers

Requesting

Services               Consumers

Receiving

Services

(A) Advocacy/Legal Services         70           20

(B) Assistive Technology 115        40

(C) Children's Services      0             0

(D) Communication Services         3             0

(E) Counseling and Related Services           0             0

(F) Family Services            0             0

(G) Housing, Home Modifications, and Shelter Services      223        35

(H) IL Skills Training and Life Skills Training              13           4

(I) Information and Referral Services         1,123     1,091

(J) Mental Restoration Services    0             0

(K) Mobility Training         1             0

(L) Peer Counseling Services          10           0

(M) Personal Assistance Services 2             0

(N) Physical Restoration Services 0             0

(O) Preventive Services    0             0

(P) Prostheses, Orthotics, and Other Appliances    0             0

(Q) Recreational Services               3             1

(R) Rehabilitation Technology Services      0             0

(S) Therapeutic Treatment             0             0

(T) Transportation Services           5             3

(U) Youth/Transition Services       0             0

(V) Vocational Services    0             0

(W) Other Services           44           6

Section B - Increased Independence

Item 1 - Goals Related to Increased Independence in a Significant Life Area

Indicate the number of consumers who set goals related to the following significant life areas, the number whose goals are still in progress, and the number who achieved their goals as a result of the provision of IL services.

Significant Life Area         Goals Set             Goals Achieved  In Progress

(A) Self-Advocacy/Self-Empowerment      24           10           5

(B) Communication          57           18           33

(C) Mobility/Transportation          25           12           9

(D) Community-Based Living         193        52           108

(E) Educational   11           3             8

(F) Vocational     2             0             0

(G) Self-care        57           34           17

(H) Information Access/Technology           16           6             7

(I) Personal Resource Management           10           2             8

(J) Relocation from a Nursing Home or Institution to Community-Based Living         38           14           16

(K) Community/Social Participation            6             2             3

(L) Other              10           4             3

 

Item 2 - Improved Access To Transportation, Health Care and Assistive Technology

(A) Table

In column one, indicate the number of consumers who required access to previously unavailable transportation, health care services, or assistive technology during the reporting year. Of the consumers listed in column one, indicate in column two, the number of consumers who, as a result of the provision of IL services (including the four core services), achieved access to previously unavailable transportation, health care services, or assistive technology during the reporting year. In column three, list the number of consumers whose access to transportation, health care services or assistive technology is still in progress at the end of the reporting year.

Area       Number of Consumers Requiring Access   Number of Consumers Achieving Access  Number of Consumers Whose Access is in Progress

(A) Transportation            17           13           3

(B) Health Care Services  28           20           5

(C) Assistive Technology 150        87           52

Note: For most IL services, a consumers access to previously unavailable transportation, health care and assistive technology is documented through his or her CSR. In some instances, consumers may achieve an outcome solely through information and referral (I&R) services. To document these instances as successful outcomes, providers are not required to create CSRs for these consumers but must be able to document that follow-up contacts with these consumers showed access to previously unavailable transportation, health care and assistive technology.

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(B) I&R Information

To inform RSA how many service providers engage in I&R follow-up contacts regarding access to transportation, health care services or assistive technology, please indicate the following:

Follow-up contacts with I&R recipients 

The service provider did engage in follow-up contacts with I&R recipients to document access gained to previously unavailable transportation, health care or assistive technology.

Section C - Additional Information Concerning Individual Services or Achievements

Please provide any additional description or explanation concerning individual services or achievements reported in subpart III, including outstanding success stories and/or major obstacles encountered.

OSCILs Housing Program: This program primarily funded through Title VII: Part C funding served a total of eighty-eight (88) individuals; including seventy-three (73) consumers who were seeking affordable/accessible housing and fifteen (15) who worked on achievement of multiple goals in the areas of: self-advocacy, assistive technology, personal resource management (SNAP, Medicaid recertification, emergencies), and/or health services. The housing advocate provided an additional ten (10) consumers with extensive housing information.

Twelve (12) consumers were able to secure affordable/accessible housing.

Six (6) in Warwick, one (1) in Cranston, two (2) in North Providence, two (2) in E. Greenwich, one (1 in Portsmouth). Ten (10) consumers were given the opportunity to move into subsidized housing; however, six (6) refused and chose to wait for another location, and four (4) choose to go to the bottom of the list and wait for another opportunity. As of year end, thirty-two (32) continued to work on housing goals and are on various subsidized housing waiting lists.

OSCILs Home Access Program: Funding for this program was provided through Title VII: Part B Federal funding, State Funding and a grant from Tufts Health Plan Foundation. OSCILs Home Access Coordinator and part-time assistant were able to assist a total of one hundred and seventy (170) individuals to address various barriers in the home which prevented complete independence, including completion of eighteen (18) home modification projects, with an additional twenty-four (24) in progress at year end. Other consumers were provided assessments and recommendations to increase access in the home and were referred or connected to funding sources, contractors and vendors to facilitate home modifications. Modifications consisted of: full bathroom modifications, vertical platform lifts, stair lifts, ramps, modifications to exterior steps, railings, grab bars, tub cuts, accessible showers, ceiling lift, and modification to doorways.

OSCILs Nursing Home Transition: OSCILs Nursing Home Transition Program was funded this year through Title VII: Part B funding. OSCIL worked with a total of twenty-eight (28) individuals on their goals to transition from the nursing home environment to a less restrictive environment. Twenty (20) individuals successfully transitioned from the nursing home environment into their choice of community living. Of the twenty, five (5) transitioned to newly acquired subsidized apartments, two (2) transitioned to the homes of family members, and thirteen (13) transitioned back to their own homes. Follow-up calls were made to all who were transitioned to confirm that community supports were still in place and to respond to new requests for help in securing additional household furnishings or services.

Of the eight (8) other consumers involved in this program, some consumers decided not to transition, some wanted information only, others were not ready to transition at this time, others had to be denied due to unsafe, medically unstable situations and one person passed away.

As this year ended, six (6) consumers were currently in the transition process. Consumers had initial intakes and assessments and had indicated tentative transition goals. Two (2) consumers wish to transition back home, one (1) consumer to return to the home of a family member, and three (3) to move into accessible apartments in the community.

OSCILs Assistive Technology Program: Staffing for this program is primarily funded through the Assistive Technology Access Partnership (ATAP) and Rhode Island Foundation funding. This program provided assistance with the acquisition of assistive devices/technology. A total of one-hundred and eighteen (118) consumers requested services to assist in the acquisition of assistive devices to increase independence in their homes and community, fifty-four (54) addressing multiple barriers in the home with the acquisition of specific assistive devices to achieve goals for increase access and independence. A one-time special ATAP grant also provided for the purchase of AT to significantly update OSCILs demonstration kit and exhibit materials, enabling consumers to see some of the latest AT and how it can increase their safety and independence.

Purchase of equipment/assistive devices was made possible through limited Federal Title VII: B funding, Tufts Health Plan Foundation?s Home Sweet Accessible Home project and Rhode Island Foundations Living with Macular Degeneration grant funding. Many devices helped provide increased access in their homes, allowing many to stay in their homes rather than having to move to another location. In addition, OSCIL continues to receive donated equipment such as stair lifts, ramps, rollators, walkers, scooters and wheelchairs, which were reutilized to assist consumers with increased independence.

Collaboration AT activities include OSCIL staff participation at monthly ATAP Partner meetings and Assistive Technology Advisory Committee (ATAC) meetings and on the Assistive Telephone (ATEL) Advisory Council.

Gift of Hearing Program

In collaboration with the University of Rhode Island Speech & Hearing Dept, PARI Independent Living Center and the Hearing Loss Association of RI (HLA-RI), OSCIL was able to provide low cost hearing aids to those individuals who met program eligibility. A total of fourteen (14) individuals benefitted from this program.

Deaf Services

OSCIL offers a range of services to consumers who are Deaf or Hard of Hearing. Our Independent Living/Deaf Services Specialist works one-on-one with consumers, providing assistance in a variety of ways: Peer Counseling & Advocacy, Skills Training, and Citizenship & Driver Education Training. In addition, our Deaf Services Specialist collaborates with other OSCIL staff to provide assistance in obtaining Housing, Home Modifications and Adaptive Equipment, and Information & Referral to other service providers. In the last fiscal year, approx. 38 individuals were provided with these services.

OSCILs Minority Outreach Program:

With the assistance of ARRA C funding, OSCIL was able to provide outreach into the Hispanic and Native American communities to offer independent living services. Outreach efforts included many presentations throughout the state and placement of OSCIL signage at transit-stops at key locations in the state. Hispanic Outreach efforts resulted in fifty-eight (58) individuals being served by the Center. This included several individuals who were assisted via a team approach at OSCIL, providing access to OSCIL?s information and referral, home modification and assistive technology programs.

OSCIL?s Native American outreach efforts continued providing informational presentations at Native American sites. These outreach efforts resulted in five (5) new referrals to the Center.

Bus Passes:

OSCIL was one of several agencies authorized to help consumers register for a RI Public Transportation Bus Pass. Program included reduced fee or ?no fare? pass for people with significant disabilities.

Internet Outreach Activities:

OSCIL developed its OSCIL Website, including many linkages to national and local agencies that could assist persons having disability. In addition a facebook account now operates providing up-to-date information to many individuals who have connected with the site.

Subpart IV - Extent of CIL Compliance with the Six Evaluation Standards

Section A - Compliance Indicator 1: Philosophy

Item 1 - Consumer Control

(A) Board Member Composition

Enter requested governing board information below.

Total Number of Board Members

12

Number of Board Members with Significant Disabilities

8

(B) Staff Composition

Enter requested staff information in the table below.

               Total Number

of FTEs  FTEs Filled by

Individuals with

Disabilities           FTEs Filled by

Individuals from

Minority Populations

Decision-Making Staff     1             1             0

Other Staff          13           7             3

 

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Item 2 - Self-Help and Self-Advocacy

Briefly describe how the CIL has promoted self-help and self-advocacy among individuals with significant disabilities during the reporting year.

All OSCIL consumers establish their own plan for increased independence and actively work towards the achievement of goals.

Whenever possible, consumers are encouraged to become their own self-advocates. Consumer self-advocates have testified at public hearings and public forums.

Item 3 - Peer Relationships and Peer Role Models

Briefly describe how, during the reporting year, the CIL has promoted the development of peer relationships and peer role models among individuals with significant disabilities.

Consumers who call the Center can speak with staff who have disability. Assistance with disability specific information and resources has helped consumers to move towards increased independence. Consumers also are free to come into our Center for one-to-one peer support and/or to try-out both high-tech and low-tech assistive technology available at the Center.

This year, a symposium held in May 2012 entitled, Living with Macular Degeneration, a program funded through a grant from Rhode Island Foundation, provided opportunity for one-hundred and forty (140) individuals to come together for information sharing, peer support, and establishing on-going support systems. The event featured a panel of prominent physicians, including Dr. Harold Woodcome, Dr. Lory Snady-McCoy, Dr. Salvatore Loporchio, Dr. Robert Janigian, Dr. Gaurav Gupta and Dr. Helene Bradley, who presented the latest information on this vision loss including physiology, research, treatment, and how assistive devices can be utilized to maintain or increase independence. In addition, key vendors were present to provide opportunity for attendees to try out the latest devices.

Follow up peer support was provided to several attendees, many of whom expressed appreciation at being able to speak to someone who understood their concerns.

 

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Item 4 - Equal Access

(A) Briefly describe how, during the reporting year, the CIL has ensured equal access of individuals with significant disabilities, including communication and physical access, to the center's services, programs, activities, resources, and facilities, whether publicly or privately funded. Equal access, for the purposes of this indicator, means that the same access is provided to any individual with a significant disability regardless of the individual's type of significant disability.

OSCIL ensures equal access to all consumers with significant disability by way of OSCIL?s accessible location, which is/has:

-Located on a main bus line

-Toll-free 800 phone line ? consumers anywhere in RI can call without toll charges

-Handicapped parking spaces directly in front of building

_Automatic front door

-Accessible Restroom

-One-story design, with access to all Center areas

-Video Phone for the Deaf

-Sign language interpreters upon request

-CCTV for the visually impaired

-Telephone alerting flasher devices

-Flashers for Center alarm system

-Website accessible for screen readers

Via program access:

-Picture communication books/computer software

-Service provision in consumer homes

-Interpreters secured

Via media:

-Display materials and consumer fact sheets are in large print and in Spanish

-Consumers can request any material be available in Braille and/or be available on disk or tape

-Newsletter ? large print

(B) Briefly describe how, during the reporting year, the CIL has advocated for and conducted activities that promote the equal access to all services, programs, activities, resources, and facilities in society, whether public or private, and regardless of funding source, for individuals with significant disabilities. Equal access, for the purposes of this indicator, means that the same access provided to individuals without disabilities is provided in the center's service area to individuals with significant disabilities.

All OSCIL programs are open to individuals with disabilities. Accommodations are made prior to meetings in order for all individuals to take part. (Example: events held by OSCIL are held in a central location, in an accessible building, on a bus line, with interpreters secured ahead of time - before any request is made). Consumers are notified of any event via the OSCIL newsletter, mailings via other disability-related organizations and in the newspaper. All mailings ask that persons attending please refrain from using scented products as these products may act as a harmful toxin to persons having chemical sensitivity. See activities.

Advocacy efforts to promote equal access this year were primarily in the area of public transportation and voting. OSCIL staff participated in monthly RI Public Transportation Authority (RIPTA) board meetings and the Accessible Transportation Advisory Committee (ATAC) meetings providing consumer input and comment on: ridership and RIDE eligibility changes, changes in the bus system, frequency and consistency of bus driver announcements, bus signage and continuation of existing routes (including opposing a movement to only take RIDE consumers to ?worthy? places; testifying that RIDE can not decide where people go.)

OSCIL continued to play a key role in advocating for the implementation of an accessible taxi cab service and working with stakeholders in the realization of this service in Rhode Island. In April 2012 OSCIL participated in the kick-off of Rhode Island?s Accessible Taxi Cab service which included seven cab companies from around the state. The new service has been utilized by many consumers, some calling our agency to report problems with the service which OSCIL has called to address. At present, Rhode Island?s cabs cover seventeen towns and cities. Advocacy efforts continue to expand the coverage to all areas of the state.

OSCIL participated on the Governor?s Commission on Disability (GCD) Election Committee which worked on polling place access and Voter ID issues. The Election Committee provided update on their program to assess all polling places to guarantee equal access for all voters. Recommendations were made to individual polling places to address physical barriers and signage. In addition the committee worked with a representative from the Secretary of State?s office to figure the best way to make sure all voters, including those having disability, have a picture ID with them as they go to their voting place. OSCIL was a designated Voter ID site for consumers to obtain a photo ID.

 

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Item 5 - Alternative Formats

Briefly describe how, during the reporting year, the CIL has ensured the availability in alternative formats of all of its written policies and materials and IL services, as appropriate.

OSCIL?s Center description and services are available on-line and can be read by screen readers. All materials are printed in large-print, 14 point font (or larger). Consumers can request any material be available in Braille and/or be available on disk or tape.

 

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Section B - Compliance Indicator 2: Provision of Services on a Cross-Disability Basis

Briefly describe how, during the reporting year, the CIL has ensured that IL services are provided to eligible individuals with a diversity of significant disabilities and individuals who are members of populations that are unserved or underserved, without restrictions based on the particular type or types of significant disability and in a manner that is neither targeted nor limited to a particular type of significant disability.

New consumers served are representative of cross-disability, many of whom (33%) have multiple disabilities. See demographics of consumers served.

All persons contacting our Center by way of phone, e-mail or walk-in who are requesting assistance are provided information and referral or direct service to facilitate increased independence. OSCIL eligibility criteria: (1) the presence of a disability, (2) motivation to participate in the program, and (3) indication that the consumer will benefit from services. OSCIL has a toll-free line that encourages consumers to contact us from outlying areas.

With the assistance of ARRA Part C funding, OSCIL was able to hire an IL/Minority Outreach Specialist, who expanded outreach into the Hispanic community. Efforts results in OSCIL providing IL services to an additional fifty-eight (58) consumers this year from the Hispanic community.

Section C - Compliance Indicator 3: Independent Living Goals

Item 1 - Consumer Information

Briefly describe how, during the reporting year, the CIL has ensured that consumers have the opportunity to develop and achieve their goals (either with or without an ILP) and that the consumer has the opportunity to express satisfaction with the center and such consumer satisfaction results are evaluated by the center.

Consumers establish their own goals for independence and direct their own IL service plans. Consumers sign the plan (or sign a waiver to the plan) and sign-off when the goal(s) is achieved.

Consumers are free to contact the Center and speak directly to the Executive Director or Program Director regarding any dissatisfaction or concerns with the provision of services. Consumer Satisfaction Surveys were mailed to all consumers in October who had received direct services. During this past year, 308 Consumer Satisfaction Surveys were received by consumers in October 2012, OSCIL receiving back 38 (12% return) by the November 13, 2012. Consumers are free to expound on any question and are free to suggest changes on the Center service delivery system.

Item 2 - Consumer Service Record Requirements

Briefly describe how, during the reporting year, the CIL ensured that each consumer's CSR contains all of the required information.

OSCIL utilizes a CSR master file for each consumer containing all information/forms required by our programs and funding sources. Following our RSA Monitoring Review in March 2012 and based on observations from the Review Team and sample master files obtained from other IL Centers, OSCIL significantly updated its CSR master file focusing on uniformity and consistency in layout.

A CSR Summary form is placed at the front of each file and provides a check-off of all forms to be completed by the IL Specialist and consumer. OSCIL staff/volunteers prepare these files ahead of time in preparation for staff intake/assessment visits. Files include the following tabbed sections: Demographics, Assessment, Goals, Part B/Economic Need, Home Modification, CNOM Verification, History/Correspondence, Contact Notes, Compliance Forms, Releases/Registrations. All staff was trained in the proper way to complete all documentation included in these new files.

All consumer information, signatures and other documentation acquired at the initial intake is placed in the appropriate section of the file. Contact Notes are entered into OSCIL?s web-based data management system (CIL Management Suite) and are periodically printed out, signed and maintained in the consumer?s file. As consumers progress through their IL program, the file set-up ensures that all documentation, correspondence and contact notes are kept organized. All CSRs are reviewed by OSCIL?s Program Director periodically and at the time of consumer becoming inactive, for completeness.

Section D - Compliance Indicator 4: Community Options and Community Capacity

Item 1 - Community Activities Table

Summarize the community activities involving the CIL's staff and board members during the reporting year. For each activity, identify the primary disability issue(s) addressed as well as the type of activity conducted. Describe the primary objective(s) and outcome(s) for each activity. Add more rows as necessary.

Issue Area           Activity Type       Hours Spent        Objective(s)         Outcome(s)

Other     Community/Systems Advocacy    4.00       Review of all purchases, setting up a system.               Establishment of system.

Transportation   Collaboration/Networking            3.00       To create new ways of increasing accessible transportation. Present information regarding town ordinaces to RIPTA.    Many ideas and concerns were shared. Chair will contact op-ed contributor for possible collaboration. Member will contact Senator to explore ordinance possibility.

Transportation   Community/Systems Advocacy    3.00       Co-chair meeting to discuss agenda. Discuss announcements on busses and discipline.               12 ATAC members attended. 2 RIPTA staff. Presentation by AGM for transportation. Discussion of possible changes to eligibility for RIde and driver announcements.

Other     Community/Systems Advocacy    3.00       Making sure polling places are accessible.               Discussion of locations that need to be made accessible.

Other     Outreach Efforts               4.00       To promote OSCILs programs to the minority community and increase awareness of different types of AT equipment and how it can increase their quality of life. 14 people, men and women ages between 70-85 attended. 2 people called requesting services.

Other     Collaboration/Networking            15.00     Award brunch     OSCIL staff recognized.

Other     Collaboration/Networking            4.00       Discussion of other group savings activities               Subcommittee to review

Health care         Technical Assistance        4.00       Training to home and Hospice care, Personal Choice and Global Waiver services from DHS and accessing services.          Increase referral path

Transportation   Collaboration/Networking            3.00       RIPTA changes, advocacy efforts, Accessible Taxi update         Updated on transportation changes.

Assistive technology        Outreach Efforts               3.00       20 participants in a group setting. To increase awareness of different types of AT and all OSCIL programs.           Received positive feedback from participants and referrals.

Health care         Community Ed. and Public Info.   3.00       Effort to coordinate Medicare and Medicaid               RI has 38,000 people on both insurances, since this complicates lives of many recipients, policymakers convened to discuss problem. Spoke with several people, including DEA director.

Transportation   Community Ed. and Public Info.   2.50       Co-Chair meeting             Discussion about concern over changes to RIde program.

Other     Outreach Efforts               3.00       To promote OSCIL programs and services through out the Hispanic Community.       Informed audience of OSCIL programs and services and received positive feedback.

Transportation   Community/Systems Advocacy    2.00       Attend hearing on proposed changes to pass and share ATACs perspective.       RIPTA will work with ATAC before any changes are made.

Assistive technology        Community Ed. and Public Info.   32.00     Participated in daylong annual event visiting vendor exhibits of latest AT. Also staff informational table with info on OSCIL programs esp AT and home mods.               Numerous consumers and service providers visited our exhibit and obtained information and resources for AT.

Assistive technology        Technical Assistance        3.25       To learn about new AT available.               Increase knowledge of AT

Assistive technology        Community Ed. and Public Info.   2.50       To educate public about devices available to improve accessibility.              Increased public awareness of devices to improve accessibility.

Other     Community Ed. and Public Info.   2.00       To provide information on OSCIL NFT program to assist with MFP planning.              Involvement with program.

Transportation   Community/Systems Advocacy    2.00       Committee hearing on RIde program to make sure value of program is clear.         Several Senators resumed past comments that RIde cannot choose to take only to "worthy" places. Spoke about the fact that RIde should not decide where people go. Senators seemed responsive to this.

Other     Outreach Efforts               4.00       To promote OSCIL programs and services through out the Hispanic community.       13 people attended. 6 people interested in our services and will be contacting us for services.

Other     Collaboration/Networking            3.00       12 members in attendance. Collaborate with other agencies to increase access to amplified telephones and other AT designed to increase independence for the hearing impaired.               Other agencies made aware of amplifed telephones, etc.

Other     Collaboration/Networking            3.00       Report on OSCIL services and advocacy efforts.               Reported on our advocacy efforts.

Other     Outreach Efforts               3.00       Review of activities, plan on going emphasis.        Increased referrals

Other     Outreach Efforts               3.00       8 people in attendance   Referrals received.

Transportation   Community/Systems Advocacy    3.00       Co-chair meeting with new RIPTA liaison. Discuss buss pass, announcements and moving location.   Voted to approve bus pass changes. Discussed announcements.

Transportation   Community/Systems Advocacy    4.00       Attend meeting with agenda including announcements, bus pass and new software for RIde.       Voted for bus pass changes and new chair.

Assistive technology        Community/Systems Advocacy    6.00       Review upcoming symposium with InSight and SBVI.              Involvement of other agencies to help promote and assist consumers in attending event.

Other     Outreach Efforts               5.00       To make community aware of OSCIL services. 20 people in attendence         Increased knowledge of OSCIL serivces.

Other     Outreach Efforts               4.00       To reach out to the Hispanic disabled community and promote OSCIL programs and services available. Provided literature about OSCIL programs and services.              OSCIL will coordinate efforts to extend the serviecs from both organizations to minority groups in RI. 2 new consumes were referred.

Health care         Technical Assistance        1.75       To obtain information and training of different programs available.         Will work together on outreach to the community.

Other     Outreach Efforts               1.75       Met with members of the Diocese of Providence that works with members of the Hispanic community and other minority grops. Gave a presentation of OSCIL programs.           Agreed to coordinate efforts to stay connected to share information. Referrals received.

Transportation   Community/Systems Advocacy    4.00       Attend meeting with several agenda items relating to insurance and issues about maintenence of the organization. Assure the needs of passengers with disabilities are being upheld.        First meeting with the Mayor of Warwick as chair. Several items passed ensuring public transit will continue to prosper.

Transportation   Community/Systems Advocacy    3.00       Co-Chair meeting with new liaison. Discuss bus announcements, new website and accessible taxies.   Slight improvement on announcements. 2 taxies have arrived with more coming. Presentatation about new website with explanation of ease of use features.

Health care         Outreach Efforts               2.00       To promote OSCILs servies and programs tot he Hispanic and minority community.             Approx. 50 Seniors attended.They discussed concerns about Medicare and Medicaid benefits.

Transportation   Community/Systems Advocacy    4.00       Attended meeting to ensure ongoing oversight about ADA announcements.      Useful presentation from head of Transportation Choices. Staff will make sure to include monthly updates about the ADA announcements.

Other     Outreach Efforts               2.75       Promote OSCIL services  Referrals received.

Transportation   Community/Systems Advocacy    3.00       Co-chair meeting to discuss updates about coalition for transportation choices stop announcements stop compliance and other items.               Reported improvement.

Other     Technical Assistance        7.50       To gain updated information related to serving people with disabilities           Gathered new information and networked with other providers.

Other     Outreach Efforts               2.00       To make tenants aware of OSCIL services. 10 people attended.            Received calls for further information.

Assistive technology        Collaboration/Networking            4.00       Learn about the latest in AT for low vision and the blind. 50 people attended. Gained info on new AT.

Other     Outreach Efforts               4.00       To make community aware of OSCIL programs. 200 people attended.            New referrals to the center.

Other     Outreach Efforts               12.00     Promotion of OSCIL programs and services with particular emphasis on our AT program and the Macular Degeneration Symposium.   Several staff members contributed time to this event. Calls to our center for further information.

Other     Outreach Efforts               15.00     150-200 people filtered in and out throughout the day.               Referrals received.

Other     Outreach Efforts               5.00       150 people and 20 different vendors         Referrals received.

Transportation   Community/Systems Advocacy    3.00       Discuss liability insurance, which would enhance safety for all passengers.             Further discussion warranted.

Other     Community/Systems Advocacy    10.00     Presented information on OSCIL programs to members of the Narragansett Indian Tribe with emphasis on housing and AT programs.       Resulted in 3 new referrals.

Transportation   Community/Systems Advocacy    3.00       Discussed current ADA announcement statistics which have decreased slightly from last month but still show improvement from last year.               Ongoing

Assistive technology        Community Ed. and Public Info.   350.00   A symposium on Macular Degeneration was held on 5/31 to bring info on physiology, treatment, research, AT to people with the disesase & other interested parties.    140 people in attendance. Evaluation forms indicated people found the info helpful, with many expressing they now "understood" the condition. Referrals received.

Health care         Community/Systems Advocacy    2.00       Email alerts about FY13 funding of Lifespan respite care program. Called RI Senators' offices and asked them to support funding.           Outcome unknown at this time.

Other     Outreach Efforts               3.00       To make consumers aware of OSCIL services. 25 people in attendance         Referral received.

Transportation   Community/Systems Advocacy    4.00       Meeting to discuss budget that is $7.8 million short.      Statement from board that will not support service cuts. RIPTA will run out of money by the end of the year.

Other     Technical Assistance        4.00       Collaboration and training with other agencies. 200 in attendance.        Collaborated with other agencies.

Assistive technology        Community/Systems Advocacy    2.50       Meeting to discuss upcoming board presentation re: meeting time, RIde report, RIPTA update, including announcements on busses. Met with contractor about a study being conducted on services.            The final presentation was approved.

Other     Technical Assistance        6.50       Training to understand the new 2010 ADA Standards               Gained a clearer understanding of ADA updates.

Other     Community Ed. and Public Info.   3.00       Presentation on OSCIL programs and services. 8 people in attendance.     Referrals received

Other     Outreach Efforts               4.00       To increase awareness of OSCIL services. 17 people attended.            Calls made to CIL.

Transportation   Community/Systems Advocacy    3.00       ATAC to present at this meeting. Gov. Chafee was present at the meeting to express his committment to RIPTA.  Governor committed to assisting RIPTA maintain present level of services.

Health care         Community Ed. and Public Info.   3.00       Consumer came in to ask if OSCIL could help develop a breast cancer peer support/education group for the Deaf Community. No such program currently exists. A Breast Cancer Awareness event for the Deaf did take place in November 2012 with this consumer taking the lead.

Assistive technology        Technical Assistance        7.50       To gain knowledge about the latest methods and equipment for home modifications.   Gathered information about advances in home modifications. Networked with contractors and other providers.

Other     Community Ed. and Public Info.   1.00       Promoting awareness of OSCIL Scholarship Program for students having disability. Article and photo in Warwick Beacon Newspaper and website.            3 Scholarships awarded.

Other     Outreach Efforts               4.00       To promote OSCILs programs to the Hispanic Community.               Referrals made to the center.

Other     Community/Systems Advocacy    4.00       GCD Election Committee reviewed polling places that had been surveyed and provided recommendations.  Polling places identified. Public aware of Voter ID law.

Transportation   Community/Systems Advocacy    3.00       Addressed issues at RIPTA re: CEO               Ongoing

Assistive technology        Community Ed. and Public Info.   12.00     OSCIL became an Associate Sponsor of the Southern NE Rehabilitation Center Conference, "New Horizons in Rehabilitation for Spinal Cord Injuries" at the Crowne Plaza        Referrals received

Other     Outreach Efforts               2.00       Education on OSCIL Programs to Deaf Community               Meeting established for further discussion of OSCIL programs.

Transportation   Community/Systems Advocacy    3.00       Continue improvements with the ADA automated announcements. New CEO to understand about the group, our perspective.      Changes were finalized to the bylaws.

Item 2 - Consumer Service Record Requirements

For the community activities mentioned above, provide additional details such as the role of the CIL staff board members and/or consumers, names of any partner organizations and further descriptions of the specific activities, services and benefits.

Details are listed above in above Communities Activities Table.

Section E - Compliance Indicator 5: IL Core Services and Other IL Services

In addition to the data provided in Subpart III, describe how information and referral services and the other IL core and other IL services are provided to those who request such services in formats accessible to the individual requesting the services. Describe any innovative practices (not mentioned elsewhere in this report) to enhance the availability and effectiveness of IL services.

Information and Referral

OSCILs I&R Specialist, as well as all OSCIL staff responded to 1,125 requests for information and referral this past year. OSCILs

I & R Program is primarily funded through Title VII: C funding; with additional support through Department of Elderly Affair?s (DEA) Age and Disabled Resource Center (ADRC) grant funding, municipal funds and the ATAP program for assistance with AT calls. OSCIL addresses information and referral calls via phone, emails and walk-ins. Information is provided in the following ways: (1) addresses immediate concerns, (2) provides information on other community programs and services, (3) provides information on OSCILs services and begins the referral process to the Center for staff to provide direct services, (4) provides information to promote self-advocacy, and (5), if necessary, act as an advocate to secure community services for the individual. OSCILs I&R Specialist conducts I&R follow-up calls when necessary to determine if individual is satisfied or needs further information. All individuals are encouraged to notify OSCIL if recommended connections to other service providers are unsuccessful. In addition, OSCIL produces a quarterly newsletter; Signs of Independence, that provides consumers and service providers with an array of information on community resources, ADA news and court decisions, assistive technology and available services.

Other services previously reported.

Section F - Compliance Indicator 6: IL Resource Development Activities

Briefly describe the CIL's resource development activities conducted during the reporting year to expand funding from sources other than chapter 1of title VII of the Act.

OSCIL continued utilizing ARRA Part C funding which supported ongoing expansion of services to minority populations. (This program has been previously reported); and OSCIL continued its third year of funding through Tufts Health Plan Foundation to support OSCILs Sweet, Accessible Home program. In addition, OSCIL successfully obtained Rhode Island Foundation funding this year to support a program for the blind entitled Living with Macular Degeneration. OSCIL continued to receive DEA ADRC funding, municipal grant funding and funding through the Assistive Technology Access Partnership (ATAP).

Subpart V - Annual Program and Financial Planning Objectives Edit

Section A - Section A - Work Plan for the Reporting Year

Item 1 - Achievements

Discuss the work plan's proposed goals and objectives and the progress made in achieving them during the reporting year

Progress towards Work Plan objectives have been previously reported throughout this report.

Item 2 - Challenges

Describe any substantial challenges or problems encountered by the CIL, and the resolutions/attempted resolutions.

Funding from ARRA Part C made possible acquisition of the CIL Suite IL Management Information System which was implemented in FY 2011. Staff continued to utilize and streamline the system this year. Staff have found this new system very helpful in following consumer progress toward the achievement of goals; providing access to all staff to respond to consumer calls regarding their services. Glitches in the customized software to meet agency needs continue to be addressed; however, the system as a whole has been instrumental in capturing consumer activity and assisting consumers. Some areas continue to be a challenge as to where to log information that doesn?t fit easily into specific categories. Staff have worked to resolve specific issues.

This year OSCIL continued to receive a significant number of difficult calls from consumers who require assistance in locating affordable, accessible housing or help in keeping their current housing/apartment. People are facing eviction, foreclosure due to rising unemployment, higher mortgage costs and/or increase in rent cost. Solutions to this problem have been to work with consumers on goals for housing, including completion of subsidized housing applications, and connecting consumers to the Hardest Hit Fund Rhode Island, a service of RI Housing to help with hardships such as unemployment, in order to prevent foreclosures. We have also referred consumers in crisis to Senator Reed?s and Senator Whitehouse?s local offices.

In addition, the momentum started in FY 2010-2011 to expand the home modifications and AT equipment programs made possible by ARRA B funding, continued this year, although ARRA B funds ended last year. Service requests for home modifications, especially ramps, bathroom modifications and assistive technology continued to increase. Many individuals had to be placed on a wait list as funding was limited this past year. OSCIL continues to explore grant opportunities.

Item 3 - Comparison with Prior Reporting Year

As appropriate, compare the CIL's activities in the reporting year with its activities in prior years, e.g., recent trends.

Previously reported throughout this report.

Section B - Work Plan for the Year Following the Reporting Year

Item 1 - Annual Work Plan

List the CIL's annual work plan goals, objectives and action steps planned for the year following the reporting year.

A. ADVOCACY EFFORTS:

1. OSCIL will continue to work on legislative activities that will facilitate equal access and social change for persons with disability, including initiating legislative change through collaboration with the Governor?s Commission on Disability to address the Commission?s priority list including: crisis intervention services for abuse of non-elderly adults with severe disability; transportation access, including following the establishment of accessible taxi cabs, maintenance of current RIPTA routes and fees, and monitor language changes to the Medicaid program to ensure services are maintained for persons having disability.

2. OSCIL will continue to collaborate with the Governor?s Commission on Disability in their organization?s effort to hold Public Forums across the state that provide opportunity for persons with disability and their families to express concerns regarding disability related issues. OSCIL will be responsible for the logistics of at least one of the locations ensuring consumer access to participate in the event(s).

3. Through testimony and letters of support OSCIL will rally support of legislation that will (1) increase housing options for persons having disability, (2) continue funding for home modifications and support the community living option, and (3) support the continuance of RIPTA?s existing bus routes.

4. Through OSCIL?s Information & Referral, Direct Service Staff and Housing Programs, OSCIL will provide technical assistance to at least 80 consumers, family members and other service providers to address specific access areas, i.e., communication/assistive technology, housing/home modifications, legal/legislation, health benefits/insurance, transportation and employment.

5. OSCIL will work with community leaders in the development of RI?s Olmstead Plan and support legislation to support the implementation of the Olmstead Plan.

B. OUTREACH EFFORTS:

1. Serve cross disability and promote equal access to all programs and services.

? Identify individuals to be served through community outreach efforts, including outreach into minority communities.

? Contact nursing homes and rehab facilities about the community living option.

? Promote OSCIL through newspaper, radio, conferences, workshops and bus transit shelter signage.

? Accept at least twenty-five new referrals each quarter.

? Serve at least 300 Rhode Islanders with significant disability, with at least 10% representing underserved populations.

? Document all demographics of persons who receive one-to-one direct services, i.e., disability, ethnicity, age and gender.

? Outreach through OSCIL?s Signs of Independence quarterly newsletter and OSCIL Website.

C. COMMUNITY AND INDIVIDUAL IL SERVICES:

1. COMMUNITY INTEGRATION GOALS: Seek to improve the quality of community options and promote the full and equal integration of people with significant disabilities into their communities to enable them to live as independently as possible by:

? Continue to provide individual services to promote independence and self-direction; such as, budgeting, banking, organization skills training, parenting skills, cooking, cleaning, accessing public transportation services, accessing interpreter and other communication services, etc.

? Working with nursing homes on the transition of those patients wishing to move to a less restrictive environment.

? Continuing networking efforts to develop website linkages with agencies/organizations that may assist people with disability.

? Addressing attitudinal barriers through disability awareness in-service training for realtors, and other public entities to assist in the removal of physical, and communication barriers.

2. COLLABORATION GOALS

? Work with the Department of Human Services and the Department of Elderly Affairs to promote services that will benefit persons having disability.

? Continue membership in the Warwick 13 (Warwick non-profits) in development of a new service delivery system that will offer a ?no wrong door? approach for consumers accessing services.

? Maintain partnership with members of the RI Council on Assistive Technology (RICAT) and Assistive Technology Access Partnership (ATAP).

? Work collaboratively with RI Retina Association on a symposium to assist consumers having vision loss to understand the disability and treatments, and access assistive technology and available services to increase independence.

? Through contact with the RI School for the Deaf, offer a group activity to promote independence and self-direction.

? Continue to participate in the Gift of Hearing Program, partnering with the University for RI Hearing Loss & Speech Center, PARI Independent Living Center and the Hearing Association of RI, to assist consumers seeking low cost hearing aids.

? Connect with Office of Rehabilitation Services (ORS) to provide home assessments for persons having disability seeking employment.

? Jointly work with the PARI ILC on the planning and implementation of the Annual Statewide IL Conference.

? Connect with the Department of Human Services as a referral path for consumers wishing to transition from the nursing facility into the community.

? Connect with the Department of Human Services as a referral path for assessments for consumers wishing Durable Medical Equipment (DME).

? Serve as a member of the Statewide Independent Living Council.

? In cooperation with the RI Department of Health and RI Emergency Management Agency promote and encourage participation in the RI Special Needs Emergency Registry.

3. EDUCATION GOALS

? Continue to play an active role in the planning, clerical and fiscal management support and implementation of RI?s Annual Youth Leadership Forum.

? Offer at least two scholarships to assist consumers to further their education.

4. HOUSING OPPORTUNITIES

? Assist consumers through the efforts of OSCIL?s Information and Referral Specialist and Housing Advocate with the acquisition of affordable, accessible, houses and apartments.

? Assist consumers with connections to community resources for household furnishings, security deposits, and donated items.

? Provide home modifications and equipment for those consumers who wish to maintain independence in their own homes.

5. INFORMATION ACCESS / TECHNOLOGY GOAL

? Provide service as an ADRC Resource Center accepting referrals from The Point, providing information and referral services to seniors having disabilities wishing to speak with OSCIL?s I&R Specialist.

? Be a direct connection with the Governor?s Commission on Disability to receive referrals regarding housing and disability related questions.

? Continue to conduct assistive technology outreach activities.

? Provide loaner equipment whenever possible

? Continue to be a Voter Registration Agency.

? Offer Shake-A-Wake smoke detector program for persons who cannot hear a standard fire alarm.

? Share information on the latest AT that may benefit persons having disability through partnership with members of the RI Council on Assistive Technology and Assistive Technology Access Partnership (ATAP).

? Serve as a vehicle for matching recycled adaptive equipment, i. e., ramps and stairlifts, with those who need them.

6. TRANSPORTATION ACCESS GOAL

? Will continue to advocate for implementation of an accessible taxi cab service.

? Will continue to advocate for continuation of existing bus routes.

? Will assist consumers to access public transportation services.

Item 2 - SPIL Consistency

Explain how these work plan goals, objectives and action steps are consistent with the approved SPIL.

All OSCIL activities are congruent with those identified in the State Plan for Independent Living. The Independent Living Council (State Plan Committee), the Office of Rehabilitation Services and the two Rhode Island Centers for Independent Living help to develop the State Plan for Independent Living.

Subpart VI - Training And Technical Assistance Needs Edit

Training and Technical Assistance Needs

Please identify the CIL's training and technical assistance needs. For each category, choose up to 10 Priority Needs - Rate items 1-10 with 1 being most important.

Advocacy/Leadship Development 

General Overview

 

Community/Grassroots Organizing

 

Individual Empowerment

3

Systems Advocacy

2

Legislative Process

 

Applicable Laws 

General overview and promulgation of various disability laws

5

Americans with Disabilities Act

 

Air-Carrier"s Access Act

 

Fair Housing Act

 

Individuals with Disabilities Education Improvement Act

 

Medicaid/Medicare/PAS/waivers/long-term care

 

Rehabilitation Act of 1973, as amended

 

Social Security Act

4

Workforce Investment Act of 1998

 

Ticket to Work and Work Incentives Improvement Act of 1999

 

Government Performance Results Act of 1993

 

Assistive Technologies 

General Overview

 

Data Collecting and Reporting 

General Overview

7

704 Reports

6

Performance Measures contained in 704 Report

 

Dual Reporting Requirements

 

Case Service Record Documentation

 

Disability Awareness and Information 

Specific Issues

 

Evaluation 

General Overview

 

CIL Standards and Indicators

 

Community Needs Assessment

 

Consumer Satisfaction Surveys

8

Focus Groups

 

Outcome Measures

 

Financial: Grant Management 

General Overview

 

Federal Regulations

 

Budgeting

 

Fund Accounting

 

Financial: Resource Development 

General Overview

 

Diversification of Funding Base

 

Fee-for-Service Approaches

 

For Profit Subsidiaries

 

Fund-Raising Events of Statewide Campaigns

 

Grant Writing

 

Independent Living Philosophy 

General Overview

 

Innovative Programs 

Best Practices

 

Specific Examples

 

Management Information Systems 

Computer Skills

 

Software

 

Marketing and Public Relations 

General Overview

 

Presentation/Workshop Skills

 

Community Awareness

 

Network Strategies 

General Overview

 

Electronic

 

Among CILs & SILCs

 

Community Partners

 

Program Planning 

General Overview of Program Management and Staff Development

 

CIL Executive Directorship Skills Building

 

Conflict Management and Alternative Dispute Resolution

 

First-Line CIL Supervisor Skills Building

 

IL Skills Modules

1 - Most important

Peer Mentoring

 

Program Design

 

Time Management

 

Team Building

 

Outreach to Unserved/Underserved Populations 

General Overview

 

Disability

 

Minority

 

Institutionalized Potential Consumers

 

Rural

 

Urban

 

SILC Roles/Relationship to CILs 

General Overview

 

Development of State Plan for Independent Living

 

Implementation (monitor & review) of SPIL

 

Public Meetings

 

Role and Responsibilities of Executive Board

 

Role and Responsibilities of General Members

 

Collaborations with In-State Stakeholders

 

CIL Board of Directors 

General Overview

 

Roles and Responsibilities

 

Policy Development

 

Recruiting/Increasing Involvement

 

Volunteer Programs 

General Overview

 

Option Areas and/or Comments

Subpart VII - Additional Information

Section A - Other Accomplishments, Activities and Challenges

Describe any additional significant accomplishments, activities and/or challenges not included elsewhere in the report, e.g., brief summaries of innovative practices, improved service delivery to consumers, etc.

Section B - Additional Information

Provide additional information, comments, explanations or suggestions not included elsewhere in the report.

Subpart VIII - Signatures

Signatures

As the authorized signatories, we will sign, date and retain in our files a copy of this 704 Report and the separate Certification of Lobbying form ED-80-0013 (available in MS Word and PDF formats) for this center for independent living.

Please sign and print the names, titles and telephone numbers of the CIL director and board chair.

Center Director 

Name and Title

Lorna C. Ricci, Executive Director

 

Signed

Date Signed (mm/dd/yyyy)

12/17/2012

Center Board Chairperson 

Name and Title

Henry Tarlian, Board President

 

Signed

Date Signed (mm/dd/yyyy)

12/17/2012

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