CHAPTER X

Virginia Rehabilitation Center for the Blind and Vision Impaired

1. Virginia Rehabilitation Center for the Blind and Vision Impaired Mission Statement

   The mission of the Virginia Rehabilitation Center for the Blind and Vision Impaired (VRCBVI) is to encourage and enable blind and/or visually impaired citizens of Virginia to achieve optimum vocational, educational, and social independence and economic equality.

2. Description

   VRCBVI is a rehabilitation facility operating under the Department for the Blind and Vision Impaired (DBVI). The Center exists to provide comprehensive rehabilitation services to blind and visually impaired consumers of the Commonwealth. These services focus on evaluation and training in prevocational, social and personal adjustment skills to enable students to function more independently and to become work ready.
   The Center provides the following services:
   1. Case Management/Counseling Services
      Rehabilitation Counselors are responsible for case management and coordination of services for each consumer at the Center. Each new consumer is assigned to a counselor who works closely with the consumer to plan a training program that will meet his/her particular needs. Counselors also provide for the emotional, social and psychological needs of each consumer at the Center. Through group and individual counseling services, a part-time psychologist provides more in-depth psychological counseling at the Center. Additional counseling services, geared to meet specific needs of consumers, such as counseling for the deafblind, are contracted out to professional service providers in the community.
   2. Communication Skills Services
      This department is made up of staff who provide instruction in Braille, keyboarding, handwriting, usage of audio equipment, listening skills, math skills, language skills, G.E.D. preparation, adaptive computer usage, and receptionist skills training. The primary goal is to help the individual achieve maximum independent functioning in written, verbal, and auditory communications.
   3. Personal and Home Management Skills Services
      These services provide the opportunity to learn skills of daily living which will enable blind and visually impaired consumers to safely and independently care for themselves in their living situation (house, apartment, room, etc.). Instructors provide instruction in cooking, table skills, hand sewing, cleaning and laundry skills, personal grooming and hygiene, time telling, telephone use, consumer education, and independent living skills.
   4. Orientation and Mobility Services
      This department is composed of orientation and mobility instructors. They provide training in skills and concepts that will enable the blind and visually impaired individual to travel safely, effectively, efficiently, and with confidence. The orientation and mobility instructor also does the initial low vision assessment and makes referrals to the Center's Low Vision clinic. In order to determine the feasibility of increased visual functioning through the use of optical aids, a Low Vision clinic is held every other week.
   5. Recreation Services
      The staff in this department aids the consumer in learning skills and activities that will enable him/her to effectively and creatively spend leisure time. Programs are provided in crafts, swimming, physical conditioning, bowling, and leisure time counseling. With the assistance of volunteers and other staff, the instructor plans and conducts recreational activities in the evenings and on weekends for consumers.
   6. The Vocational Department
      This department provides work evaluation, vocational counseling and exploration, vending stand evaluation, job readiness instruction, and trial work experiences. The department's objectives are to assess the consumer's work abilities, habits, and potential, and to provide an opportunity for the development of skills and interests that will enable the individual to set appropriate vocational goals.
   7. Residential Services
      Most students are housed in the dormitory facilities on the campus. A dorm supervisor is on duty at all times when classes are not being held. His/her main function is to assist consumers after hours and to ensure their safety, comfort, and overall welfare in the dormitory.
      The dormitory is made up of 20 rooms with two consumers to a room, accommodating a total of 40 residents. Also located in the immediate area are the dorm supervisor's office, the laundry room, the television room, and an independent living apartment for consumers.
      The recreation building is located next to the dormitory and includes a swimming pool, two bowling lanes, a game room, an exercise room, and a gymnasium. Certain activities, such as swimming and bowling, are offered only under supervision. The game room and gym are open to all students and provide space for watching television, eating, playing basketball, playing pool and other games, and having parties and dances.
   8. Food Services
      Located between the dorm area and the administration and activities building is the cafeteria. Meals are provided seven days a week. Food services are provided through a contractual agreement with ABL Management, Inc. Persons who are not consumers must cover the cost of their meals (see Chapter 7A).
   9. Medical Services
      Medical services available at the Center include a full medical assessment and audiological screening completed by a nurse during the first week of evaluation. Nurses also provide arrangements for physical and audiological consultations, as needed, transportation to medical appointments in the Richmond area, and assistance with medication. Physical complaints or illnesses are treated by the nursing staff or through local emergency room treatment when consumers are unable to be seen by their own physician. The nurses will establish contact with the consumer's private physicians to provide a continuum of care. The nurse will take direct medical orders from the physician(s) involved in the case.

3. Center Schedule During the Week (Monday - Friday)

   7:00 a.m. Wake up call 7:30 a.m. Breakfast served
   9:00 a.m. Classes begin
   12:15 p.m. Lunch
   1:00 p.m. Classes resume
   4:15 p.m. Classes end (except on Thursdays Fridays when all classes end at 3:00 p.m.)
   5:30 p.m. Supper
   After supper, students are free from structured activities. The recreation instructor or volunteers provide some recreational activities throughout the week. Consumers are also encouraged to initiate independent recreational activities.

4. Referrals

   1. VRCBVI General Acceptance Criteria
      Any individual is eligible for the services of the VRCBVI who:
      1. Is legally blind, has a deteriorating eye condition, or has a substantial visual impairment;
      2. Needs to learn more about his/her employment potential or needs to learn skills to become a more independent member of society;
      3. Is capable of receiving and benefiting from instruction;
      4. Is sufficiently mobile so that he/she can travel from building to building with a guide;
      5. Is not so hampered by medical problems as to be unable to participate in the program;
      6. Is able to administer his/her own medication, with minimal assistance, or has the potential to learn to do so (consumers who require injected medications must be able to inject themselves before being accepted to the Center;
      7. Does not cause undue disruption to the program, due to severe secondary disabilities, including behavior;
      8. Is reasonably safe and not a danger to himself/herself or other consumers.
      9. Is able to take care of basic needs such as bathing, dressing, and toilet functions or has an aide to assist with those skills (Aides can be arranged by VRCBVI or the field rehabilitation counselor.);
      10. Is preparing for a living situation other than an institution. (The function of the Center is to aid individuals in improving their independent living skills and level of functioning so that they can return to the community.);
      11. Has made arrangements (indicated in writing, if required) for an acceptable living situation in the home community to which he/she can return should his/her program be discontinued during evaluation, or at the end of training;
          Consumers referred from institutions (mental hospitals, nursing homes, correctional institutions, etc.) will only be accepted if the individual is on furlough and can return during the one-week evaluation period, if necessary.
          Consumers must also have a place to stay during holiday periods or long weekends when the Center closes. These arrangements must be completed prior to the consumer's acceptance for evaluation.
   2. Referral Guidelines
      Before making a referral to the Center, VRCBVI services should be fully explained to the consumer. Resources, such as the Center video, Center brochures, Special Program brochures and Center Catalog of Services are available in each regional office for this purpose. Prior to making the referral, counselors should encourage reluctant consumers to come to the Center for a tour or to contact VRCBVI directly for more information. The consumer is to be advised that the Center program emphasis is on prevocational evaluation, not vocational training. The difference between vocational evaluation and actual job training should be made clear to the consumer. Consumers need to be able to make a well-informed decision about attending VRCBVI.
      All relevant information in the consumer's case folder (see VRCBVI Referral Form for list) should be included in the referral packet. However, the primary documents for a referral to VRCBVI include a fully completed VRCBVI Referral Form, a general medical exam, and the most recent eye report and low vision exams. The General Medical Examination report should be less than one year old and signed by a physician. General medical exams on diabetics should be dated within six months of referral date. The VRCBVI Referral Form should be filled out as completely and accurately as possible, since a cover letter from the referring party is no longer required (see VRCBVI Referral Form). (Word)
      Because VR no longer requires a medical exam to provide field services, sometimes waiting for the medical delays making a referral. Referring counselors are encouraged to send the referral with an attached memo stating the medical will follow. This will ensure a more timely entrance date for the consumer, because the remaining information can be processed at VRCBVI in the interim. Prior to an arranging an entrance date with a consumer, field staff will be advised, on an individual basis, of special circumstances that might allow a medical to be waived.
      For efficiency in sending the referral to VRCBVI, referral packets may be e-mailed to the assistant director for administration. The eye report, low vision exam, and medical forms will need to be faxed.
   3. Referral Procedures
      1. The referring worker completes and forwards the VRCBVI Referral Packet (DBVI-70-014) (Word). The VRCBVI Referral Form is located in each regional office in the VR Manual and Chapter 12I.
      2. Counselors should consult with other staff who serve the consumer to develop the referral information.
      3. The counselor writes the necessary service plan to cover the consumer's training program at the Center and forwards a copy to VRCBVI. The plan of service must be received by VRCBVI prior to the consumer's acceptance date. Items that need to be included in the plan are as follows:
         1. Transportation to and from consumer's home and Center, at the beginning and end of the consumer's program, and when the Center closes (may include up to one trip home per month)
         2. Psychological testing fee (required if work evaluation is requested)
         3. Miscellaneous services
         4. Personal incidentals (if eligible)
            Personal incidentals will be advanced to the consumer by the VRCBVI once a week. The Center will then bill Fiscal Management by interdepartmental transfer.
      4. VRCBVI counselors can write authorizations for consumers at the Center, with field counselor approval. When VRCBVI counselors write authorizations, they must make an amendment to the plan in STARBASE. VRCBVI counselors will not authorize services that require a substantial amendment to the IPE (see Chapter 4 in the VR Policies and Procedures Manual). Field counselors should not expect Center counselors to write all authorizations but can be provided much assistance with this task by the Center staff.
         If a consumer has insurance that would pay the cost of medical services, and/or other services provided at VRCBVI, this source is to be the first to be utilized. (All sources of funding for the consumer must be included on the VRCBVI Referral Form). In a situation where the consumer's needs necessitate additional services (such as medical attention) while at the Center, the Center counselor writes the authorization and a regular plan amendment in STARBASE. The Center counselor notifies the consumer's field counselor by e-mail or telephone that the amendment has been written.
   4. Proper Status for VRCBVI Referrals
      Referrals may be made to VRCBVI in one of three statuses: The following is a discussion of Status 06, Status 10, and Status 18.
      1. Status 06 - Individuals may be referred to VRCBVI in Status 06 (extended evaluation) when the counselor needs a comprehensive evaluation to determine if vocational rehabilitation services can reasonably be expected to benefit the individual in terms of achieving an employment outcome. Generally speaking, individuals placed in Status 06 are those with most significant mental or physical disabilities, and an extensive evaluation is needed to address several areas, such as the individual's ability to function independently if given proper training, etc. Services provided in extended evaluation are not limited as long as they are needed to help determine eligibility.
      2. Status 10 - There are instances when an individual can be referred to VRCBVI in Status 10. The counselor can usually make an eligibility decision based on preliminary diagnostic study; but he/she and the consumer may be unable to mutually agree upon what is a realistic vocational goal, as well as the nature and scope of services needed to achieve the vocational goal. The vocational evaluation and other evaluative services may be provided at VRCBVI to assist in determining a realistic vocational goal. Services that may be provided in Status 10 are not limited as long as they are necessary to enable the counselor and customer to ascertain a specific vocational goal. Traditional support services such as incidentals and transportation may be routinely provided in Status 10 and only need to be entered on the service plan. Other services, such as skills training (O&M, Braille, typing, etc.) may be provided in Status 10 if they are necessary before a valid work evaluation can be completed. Low vision services, including the purchase of low vision aids, in most instances, are necessary to assess functional limitations, which are important in establishing the vocational goal and determining the scope of VR services needed to achieve the goal. Low vision aids purchased for this purpose would not include a CCTV or bioptics. The written report from VRCBVI must clearly explain why these services were needed prior to work evaluation.
         Since there has not been an IPE developed in Status 10, the counselor will complete the Preactive Service Plan in STARBASE when a consumer is accepted at VRCBVI. On the Service Plan, under the goal section, state the following: "vocational evaluation plan for Status 10." When the counselor has enough information to determine the vocational goal and services needed to achieve that goal, the IPE must be developed. VRCBVI cannot initiate a regular training program until the counselor and consumer have jointly developed the IPE.
      3. Status 18 - Cases are referred to VRCBVI in Status 18 when the counselor and consumer have jointly developed an IPE.
   5. VRCBVI Referral Follow-up and Acceptance Procedures
      1. VRCBVI sends a form letter acknowledging receipt of the referral to the consumer. A copy of this letter is sent to the referring worker. A letter requesting additional medical information is sent to consumer's primary care physician and ophthalmologist. This letter requests information such as medications and dosages, the consumers' current medical status, diet, activity restrictions, etc. relevant to the VRCBVI program.
      2. The VRCBVI Intake Committee begins the paperwork process, reviews all referral information and clears the consumer for an entrance date. If a consumer is not cleared, it is usually because more information is needed (such as a medical) before the final decision can be made. In such cases, acceptance dates may be delayed, depending on the receipt of additional information. The primary reason consumers are denied acceptance to VRCBVI is that the primary care physician has not given approval for participation in the Center program.
      3. Once cleared through intake VRCBVI will contact the consumer to establish an acceptance date. Once established, VRCBVI sends a letter to the consumer, and the referring counselor, confirming the starting date at VRCBVI. Acceptance letters also include a list of items to bring and directions to VRCBVI. It is the responsibility of the referring worker to arrange and coordinate the consumer's transportation from his home to the Center.
      4. For acceptance, VRCBVI will give priority to consumers from VR who are currently employed or are in danger of losing their job due to a lack of skills.
      5. A consumer cannot be accepted for services until arrangements have been made for a place for the consumer to go for long weekends when the Center is closed or in the event the training program has to be interrupted unexpectedly.
   6. Arrivals at VRCBVI
      1. Whenever possible, all new consumers should arrive at VRCBVI on Monday by 9:00 a.m. If necessary, exceptions can be made and need to be arranged in advance with VRCBVI.
      2. Consumers need to bring enough spending money for two weeks, or at least $10.00.
      3. Consumers need to bring original prescriptions for medications or the medicine bottle itself and sufficient medication to last for one month. The only exception occurs when students have been accepted for a program that is shorter than one month, such as a one-week computer program.
      4. The initial evaluation period is 4-5 days. Consumers should be aware that training that is subsequently recommended will begin immediately after the evaluation period. Consumers always have the option of coming to the Center for the evaluation and returning at a later date for training. Frequently reluctant consumers who agree to come for a week will often stay or return more quickly once they have been evaluated.
      5. During the consumer's VRCBVI program, evaluation and periodic progress reports are e-mailed to the appropriate regional manager, who distributes the reports to all appropriate field staff and sees that the reports are placed in the central file. The rehabilitation counselor also receives a copy of the report.
      6. Involved staff members of the agency and consumer's family may visit the consumer while he/she is in training at the Center. These visits are strongly encouraged and need to be arranged in advance through the consumer's Center counselor or the Assistant Director for Administrative Services.
      7. The Center notifies the consumer and referral source two weeks in advance of the termination date for each consumer, if at all possible.
      8. A Final Summary Report from the Center is E-mailed two weeks after the consumer completes training, indicating what follow-up services the consumer will need upon returning home. The referral source is responsible for informing the appropriate staff, such as rehabilitation teacher, mobility instructor, etc. of any recommendations involving them.
   7. When VRCBVI Counselors Write Authorizations
      VRCBVI counselors may write consumer authorizations and IPE service plans when adhering to the following procedures in the provision of vocational rehabilitation (VR) services:
      1. Procedures
         1. The VRCBVI counselor must sign his/her own name when completing an authorization; however, the VRCBVI counselor must use the field counselor's caseload code, the regional office VR cost code, and assign an authorization number. A copy of the authorization is forwarded to Fiscal Management.
         2. When the IPE/Service Plan is amended in STARBASE by the VRCBVI counselor, the home counselor must be notified by E-mail or telephone that the plan has been amended and the type of service to be provided.
         3. The VRCBVI counselor must receive verbal approval from the field counselor or his/her supervisor before an authorization can be written for services of a non-emergency nature. Emergency services are an exception, and will be discussed in section b. (1) Services.
         4. When the VRCBVI counselor writes the authorization, he/she will then be responsible for processing the bill.
         5. VRCBVI counselors are not required to do IPE progress reviews. Services authorized by the VRCBVI counselor are considered to be in support of the immediate objective established by the VR counselor.
      2. Services
         In the provision of VR services, such matters as the consumer's financial eligibility and the utilization of comparable services and benefits must be considered.
         Please adhere to the following guidelines in the provision of services:
         
         1. Emergency Services - Emergency services may be authorized without prior approval by the field counselor. The following situations would constitute an emergency:
            1. A medical emergency is a sudden injury or illness in which the consumer needs immediate medical attention (includes treatment and/or medication necessary to alleviate the medical emergency).
            2. Transportation (round trip if needed) when there is a need for the consumer to return home due to an emergency or when the Center closes, and there is not ample time to consult with the field counselor.
         2. Non-emergency Services - These services require the verbal approval from the field counselor or his/her supervisor before an authorization can be issued. Examples of these services include:
            1. Routine transportation (includes the allowed one trip per month home)
            2. Prescriptions for intercurrent illnesses
            3. Medical treatment for an intercurrent illness
            4. Low vision aids
            5. Independent Living Apartment
            6. Diagnostic/specialty exams including, but not limited to, low vision evaluations; psychological and neurological testing; audiologicals; hearing aid evaluations; general medical exams; eye exams, etc.
            7. Miscellaneous

   8. Evaluations and Related Services

      The Virginia Rehabilitation Center for the Blind and Vision Impaired offers a comprehensive service program focused on prevocational evaluation, adjustment to blindness skills training, and social skills related to blindness. A consumer may be referred for a general five-day functional evaluation, for work evaluation, and/or for a program of prevocational training. Consumers may also be recommended for special training programs, which cover specific skills and are offered only for a set time or number of hours. Work evaluations are usually incorporated into the regular training program, but vocational evaluators can provide a special work evaluation program only, which would be a minimum of two weeks, under certain circumstances. Occasionally, vocational evaluations are completed in one week, but this does not allow the consumer time for vocational exploration of vocations and must be completed at home with the field counselor.
      Evaluation and instruction are offered in the following areas:
      • Psycho-social services
      • Vocational services
      • Recreational and physical conditioning activities
      • Personal and home management skills
      • Communication skills
      • Orientation and mobility skills
      1. Five-Day Functional Evaluation
         This evaluation is provided to determine the consumer's need for prevocational services and to determine each consumer's aptitude and potential for independent living and employment. Consumers initially undergo evaluation in the six areas listed above.
         Upon completion of the evaluation period (consumers usually finish evaluation on Thursday and are free to go home for the weekend), recommendations are made by the Center staff to the consumer, referring staff, and frequently to the consumer's family. These recommendations may indicate that:
         1. The consumer does not need adjustment training. Recommendations, either for educational or vocational training, or for placement in a specified field of employment, should be implemented.
         2. The consumer could benefit from a limited program of adjustment training at VRCBVI.
         3. The consumer needs an extensive program of adjustment or prevocational training, which may last anywhere from 3 to 12 months or more, depending on the rate of progress of the individual.
      2. Vocational Evaluation
         This evaluation is comprised of paper and pencil tests and hands-on work samples. Generally, testing assesses intelligence, academic skills, personality factors as they are pertinent to a vocational setting, and career interests. The work samples give an idea of the individual's general manipulative abilities, physical capabilities, and work habits and behavior. An evaluation is typically one to two weeks in length. It may follow the two-week functional assessment or be completed without the assessment. The tentative development of a feasible general career goal can be obtained by using the following: the Virginia VIEW, the Dictionary of Occupational Titles, ALEX, and other resources which acquaint the consumer with more specific jobs appropriate to his/her circumstances. The Work Evaluation report will make recommendations for a suitable goal and indicate problem areas which may need remediation to make goal attainment feasible or suggest areas which require further, more specific evaluation in this or another facility.
      3. Evaluation for Vending Stand Potential
         Field counselors may refer consumers to VRCBVI for a Vending Stand Evaluation, prior to recommending them to the Randolph Sheppard Vending Stand Training Program. All consumers who are referred for vending stand evaluation will first participate in a five-day evaluation to determine their strengths, weaknesses and overall potential for success in the Vending Stand Training Program. The length of evaluation is determined by each individual's needs. VRCBVI staff provides evaluation, adaptive skills training, and initial preparation for vending stand training for consumers preparing for the Randolph Sheppard Training Program.
         1. Recommendations
            VRCBVI recommendations for consumers to be referred to the Business Enterprises Program by their field counselors are based on:
            1. progress reports of staff members,
            2. performance in required classes
            3. VRCBVI counselor's summary of performance report
            4. Any other appropriate professional test results or evaluations, such as intelligence tests, psychological tests, and vocational evaluation tests, when indicated.
            The field counselor, along with the consumer, makes the final decision to refer the consumer to the twenty-week Vending Stand Training Program. It is also up to the field counselor to decide if the consumer needs the evaluation offered by VRCBVI prior to making the referral. (See Appendix Q for complete outline of VRCBVI Evaluation of Vending Stand).
      4. Communication Technology (Computer Services)
         VRCBVI provides evaluation, orientation and instruction in the use of various types of communication hardware and software. These systems are updated and expanded as technology and funding permits.
         Each computer training workstation located at VRCBVI is equipped with image enlargement capability, voice access, and Braille output. Primary emphasis is placed on providing evaluation and instruction in the adaptive equipment that will best meet the individual's needs. Commercial software programs in word processing, spreadsheets, and databases are introduced for general information.
         This technology has been incorporated into the VRCBVI program in order to:
         1. Assist consumers in building adaptive communication skills; i.e., Braille, typing, use of low vision aids, and use of speech synthesizers
         2. Augment our Continuing Education program through the use of tutorial software, specifically in language and math development and G.E.D. preparation.
         3. Utilize access technology for vocational evaluation and vocational exploration activities.
         4. Provide consumers, prospective employers, and the general public with exposure to some examples of access technology.
         5. Provide training to selected consumers in the use of those devices that are expected to have direct impact on their vocational goal.
         Once the consumer meets the requirements for computer training (15 wpm in keyboarding or 20 wpm if the consumer is considering CSR training), VRCBVI offers a 10-hour training program, that provides instruction in basic computer operation skills and the access technology program the consumer is using. In order to receive the additional 20-hour training in basic word processing and more advanced training in access technology, the consumer must first pass a test on the 10-hour training. The approximately 30-hours of computer training does not include e-mail or use of the Internet, since consumers must first have an ISP at home or work in order to be trained in the appropriate skills. The consumer who needs computer skills in order to maintain employment or to begin a job requiring computer skills, takes priority over other students in terms of acceptance into the program.
      5. Trial Work Program
         A one-to-three month trial work program may be arranged in the community. The trial work program is designed to provide the individual with a realistic work setting in which he/she can gain experience and refine skills. It is not intended to result in a permanent placement. The counselor will be requested to authorize funds to cover the training stipend during this period. VRCBVI arranges contracts with employers in the community to provide a work experience for the Center consumers. Consumers are paid the training stipend using VR funds from their regional office. This encourages employers to try using visually impaired and blind consumers in positions and allows the consumer the opportunity to work, in many cases, for the first time. For those who have lost vision, they have the opportunity to experience new employment opportunities without using their vision, to gain confidence and assurance that they can be productive members of society.
      6. Job Readiness Program
         The Job Readiness program seeks to develop in job-ready individuals the necessary skills to seek and obtain employment. This includes looking for a job, contacting the potential employer, completing job applications, developing a resume, and interviews and follow-up with the potential employer. If needed, appropriate behavior and grooming are addressed, and may be the bulk of the class for more limited individuals. Mock interviews with individuals outside the Center allow for practice and refinement of job-seeking skills.
      7. Independent Living Program
         VR consumers must be at least 18 years old to be considered for the Independent Living program. The primary purpose of this program is to determine the consumer's ability to live independently.
         Other criteria include:
         1. The consumer must participate in the five-day evaluation prior to residing in the apartment and a minimum of two-four weeks in Independent Living training.
         2. The consumer must demonstrate that he/she is motivated towards the program and ultimate goal of independent living.
         3. The selection of consumers and scheduling of entry dates will be determined by the Personal Home Management department based on the consumer's potential to live independently, and his/her readiness to enter the program at the time space is available.
         When the VR consumer is ready forconsideration of the Independent Living program, the following material will be available to the counselor and consumer: (1) Pre-admission criteria; (2) Rules of Conduct; and (3) Consumer responsibilities during residence.
         All fees essential with this program are found in Chapter 7A under the VRCBVI fees.

   9. Special Evaluations

      1. CCTV Evaluation and Training
         1. Referral
            Individuals referred for CCTV evaluation and training can bring a machine (if available) or one will be available at the Center.
         2. Screening and Training
            Individuals are screened by qualified personnel for their ability to use the CCTV and perform the operational functions. Low Vision services usually does the screening. The training consists of familiarization with the equipment and its operational use.
         3. Recommendations
            The recommendations are based on the individual's ability to use the CCTV and that it is the "MOST APPROPRIATE" means of seeing large print.
      2. Computer Assessment
         No referral is needed for a one-day computer assessment. VR staff need only to contact the computer technology resource specialist or the assistant director for administration to set up a date for a one-day assessment. This assessment merely identifies the computer hardware and software combination consumers can utilize most efficiently and effectively with their degree of visual impairment/blindness. If further training is recommended as a result of the one-day assessment, a referral needs to be made.
      3. Customer Service Representative Evaluation
         All students referred for Customer Service Representative Training will first participate in a five-day evaluation to identify the need for any basic adjustment skills training and to receive any basic and advanced computer training needed prior to acceptance into the program.

   10. Training

       1. Receptionist
          A candidate for receptionist training should have the following basic characteristics:
          1. A well-groomed appearance
          2. The ability to speak clearly and in a well-modulated tone
          3. A good degree of proficiency in grammatical skills accepted as correct usage in the spoken and written English language
          4. Good vocabulary skills at the upper elementary level or above for effectively understanding others and communicating with others orally and in writing
          5. The ability to hear well with good auditory discrimination
          6. The ability to memorize extension numbers and other pertinent information
          7. Good number awareness skills allowing for the retention of a telephone number until it can be recorded or dialed
          8. The ability to record and transcribe messages and other data such as that involved with keeping required reports (For a totally blind person, this would require a knowledge of Braille and typewriting or handwriting skills.)
          9. Good spelling skills at the upper elementary level or above for effective written communication
          10. The ability to dial local, long distance, SCATS, and emergency calls
          11. Good time concepts, such as correct time telling and measurement of intervals of time
          12. A willingness to be pleasing, helpful, and cooperative in all circumstances so that a friendly image is projected to staff and outside callers
          13. A willingness to accept responsibility for competently carrying out the duties of receptionist
          14. The ability to orient, if necessary, tactually to the work space and receptionist's telephone
       2. Computer Training
          Standard referrals are needed for computer training following the VRCBVI referral guidelines, even for short-term computer training programs.
       3. Customer Service Representative Training Program
          1. Hour training program in computers, he/she may submit a resume, Virginia State Application, and cover letter to the Computer Resource Technology Specialist by the deadline date. Consumers of the Agency may also submit the required paperwork if they feel they meet the requirements for the program. CSR Training Programs are generally offered twice a year. Applicants for this program are interviewed by the Business Advisory Council, an outside group of professionals working with customer service representatives in the public and private sectors. Acceptances into the program are based on the recommendations of the BAC. The CSR Training Program provides four weeks of training in specific skills that would enable the consumer to be successful working as a CSR. Once the training is complete, the consumer participates in a six-week internship in the Richmond community or in their home community. If the consumer wants to have their internship provided in their home community, the field counselor, with assistance from the VRCBVI Technology Resource Specialist, will be responsible for arranging the internship.

   11. Other Services

       1. Deafblind Services
          For those consumers who are both visually impaired and hearing impaired, the Center offers a full program of services. Consumers are mainstreamed into the regular Center activities. Interpreters are provided when needed.
          The program director for deafblind services works closely with VRCBVI and other programs of the agency offering consultation and technical assistance to develop and expand services to the deafblind.
       2. Psychological/Psychiatric Services
          A psychiatric consultant is available two hours per month to evaluate consumers, prescribe medications, and consult with staff regarding consumer psychiatric needs. Psychological testing is provided at VRCBVI through a consulting LPC. Group counseling sessions that address adjustment to blindness issues are facilitated by the Center psychologist. The Center psychologist also provides individual counseling services. Psychological services are arranged through a contract with an outside agency. They are available to consumers 16 hours per week. Other psychological services needed by consumers are purchased and provided by professionals in the community and arranged on an individual basis.
       3. Medical Services
          The Center nurse interviews all new consumers to identify and address medical needs, does hearing screenings, coordinates medical and audiological consultations, monitors consumer's medications, treats consumers' medical complaints, makes appointments for medical services provided in the community, and provides or assists with coordination of transportation for medical appointments. The Center nurse provides instruction in the following areas:
          1. Diabetic Information
             Provides information about diabetes, its complications, and its treatment. Consumers are shown adaptive equipment, exposed to literature, and encouraged to express their feelings about dealing with diabetes.
          2. Medication Administration
             Consumers are evaluated for their ability to self-administer medications as soon as they arrive at VRCBVI. Those who are independent have the option to self-administer medications in their room, once they have signed a waiver, releasing VRCBVI from any responsibility. Consumers who are unable to administer their own medication are given assistance by medical or dorm staff (who are trained, tested, and supervised by medical staff). Training for self-administration begins as soon as the student arrives and is determined to need training. Once a consumer is considered safe and independent in medication administration, he/she may self-administer in their room following guidelines above.
             In order to provide quality services to all consumers, the medical department requires that any consumer coming to the Center with a pre-existing medical condition, for which they are being treated, is expected to bring a four-week supply of medication in the ORIGINAL pharmacy bottle. Consumers are expected to pay for all prescription refills and any necessary medical supplies. The nurses will assist in securing these items when necessary. Consumers who are or become too ill to participate in the Center program will be required to return to their home physician for treatment until the physician states (in writing) that the consumer may return and resume their program.
             Diabetics are required to furnish their own blood glucose monitor (if available), blood glucose test strips, insulin and syringes. The Center will have a supply of blood glucose test strips available for use on a temporary basis or in the event of unforeseen circumstances.
       4. Low Vision Services
          1. Screening and Follow-up
             The Orientation and Mobility Department is responsible for low vision screening and coordination of follow-up. Orientation and mobility instructors serve as case managers and are responsible for the visual assessment and training in the use of distant and near vision. Other staff may assist with training in use of near vision aids in classes, such as handwriting and continuing education. Functional vision screening is a service of a structured lesson designed to discover how well a person uses his/her remaining vision in everyday activities. This screening is an integral part of the clinical examination.
          2. Low Vision Clinic
             VRCBVI operates a Low Vision clinic for consumers in evaluation and/or training at the Center. An optometrist who specializes in low vision conducts the clinical aspects of the low vision process. Although this is not a medical examination, appropriate medical referrals are made, if necessary. If applicable, prescriptions are given for special low vision aids for near and distant vision. All partially sighted consumers at VRCBVI who have not received low vision examinations within the last six months are seen in the Low Vision clinic.
          3. Statewide Services in Low Vision
             VRCBVI also accepts referrals for low vision only consumers from throughout the state. These are consumers who need exposure to more sophisticated equipment than may be available in their home region. Such equipment might include closed circuit television units, large-print computer screens, or special high-powered lenses not available in most low vision clinics.
       5. Adult Education Skills (Evaluation)
          1. Wide Range Achievement Testing
             Evaluation of the consumer's general skills in the areas of reading (word recognition), spelling, and math is given using the Wide Range Achievement Test, with grade equivalents given for each of the three subtests.
          2. Test of Adult Basic Education
             This test provides evaluation of the consumer's skills in a rather detailed manner in the areas of vocabulary, reading comprehension, grammar, spelling, and math using the Test of Adult Basic Education, with grade equivalents given for each subtest. This evaluation is given very selectively to consumers based on specific vocational or educational needs.
          3. Language Skills
             1. Basic Level
                Study of the fundamentals of language - grammar, spelling, vocabulary, and composition - with emphasis on those skills necessary for handling personal everyday needs.
                Prerequisite: Ability to use large print or Grade I Braille.
             2. Intermediate Level
                Study of grammar, spelling, vocabulary, and composition in a systematic, fairly detailed manner as preparation for a vocational goal, as part of a pre-G.E.D. program, or as a remedial program prior to further education.
                Prerequisite: Ability to use large print or Grade I Braille, adequate ability to handle the fundamentals of the language.
             3. Advanced Level
                Study of advanced skills in grammar, spelling, vocabulary, and composition in a highly structured, rather technical and detailed manner, in preparation for G.E.D. testing, successful entry into a vocational endeavor, or preparation for success in college. VRCBVI is a G.E.D. testing site. The G.E.D. can be given in Braille, on tape, and in large print.
                Prerequisite: Fairly good overall language skills and ability to use large print or Grade II Braille.
       6. Services to Family Members
          VR should encourage the family's participation in the consumer's program at VRCBVI. To accomplish this, the following activities are provided:
          1. Consumers are encouraged to have their families visit them while attending the Center and participate in tours prior to or during their program.
          2. The Center uses conference calls, as well as written communication, to involve the family in the evaluation and progress of the consumer.
          3. Families are sent copies of the Center's prescription plan.
          4. Families of consumers are invited to "Family Day" once a year and "Open House" the fourth Friday of every other month.
          5. The Center gives "homework" assignments to consumers to encourage the observation and participation of family members.
          A commitment by the family and significant others is vital to the successful outcome of the consumer's VRCBVI program and to their total rehabilitation!

   12. Special Summer Programs

       1. Summer Transition Program
          VRCBVI offers an adjustment skills training program for adolescents each summer which focuses on transitioning the consumer from high school to college, additional job skills training, or employment, depending on the goals of the consumer. Special social skills activities, adjustment skills training and recreational activities are planned each year. Approximately 16 students can be accepted for this program. Counselors need to send referrals as early as possible to ensure acceptance into the program.
          Decisions about which students to accept are influenced by:
          1. Whether those particular four weeks are the only time the student can attend (Consumers who have participated in previous transition programs are given lower priority.)
          2. Whether the student has substantial need for the skills and experiences which the program offers (Students with greater visual or other secondary disabilities, or whose visual loss has been sudden and recent, are given priority when possible.)
          3. Whether the student has access to other sources for similar training (Students who can be expected to have difficulty getting similar training experiences in their community are given priority.)
          4. Whether the student has the ability to substantially benefit from a short- term, concentrated training program (The student's demonstrated level of maturity, intellectual capacity, and physical functioning will be factors in this decision.)
          The Transition program includes a class in vocational exploration to participants. This class examines realistically desired vocational goals, as well as to provide exposure to a cross-section of occupations. The class includes speakers from the community and field trips to various community work settings. A VRCBVI work evaluation is not considered a prerequisite to enrollment. A full work evaluation is not included in the transition program.
       2. College Assessment Program
          VRCBVI offers two or three two-week College Assessment Programs each summer. Approximately 8 students can be accepted for each program. Programs are designed to evaluate consumers who are planning to attend college to determine if additional training or skill development is needed prior to attendance. In addition to the assessment, much information is provided to consumers to ensure a successful college experience. If students need to develop or refine skills before attending college, they may remain at the Center for skill training beyond the two-week program. Consumers who successfully complete the college assessment program are usually more prepared than their sighted peers for the freshman year in college.
          Decisions about which students to accept are influenced by whether or not:
          1. The consumer has recently completed high school.
          2. The consumer has attended college and needs help to return on a stronger footing.
          3. The consumer is entering his/her senior year in high school and needs to determine the advisability of continuing his/her academic education after high school.
       3. Computer Technology Program
          A one-week computer program is offered for high school students during the summer. Two levels of computer training, basic and advanced, are offered during this week. Students focus on learning the adaptive technology they will need for school or work, in addition to computer operation system commands and popular basic software programs, including word processing, database, and spreadsheet commands. Use of games and creativity with activities is encouraged to develop interest and enthusiasm for using the computer. Other areas of instruction emphasized include orientation and mobility and independent living skills. Adolescents in this program have special age-appropriate recreational activities planned. Extra staff members are available for increased supervision and safety during the time adolescents are residing at the Center.
       4. Deafblind Transition Program
          A one-week transition program is offered for Deafblind adolescents during the summer. The program emphasizes planning for the future after high school for Deafblind students. The program can serve approximately six Deafblind adolescents. Development of communication skills, computer skills, and independent living skills are included in the program but emphasis is placed on Deafblind adaptive equipment and resources, career exploration, self-awareness of employment skills and interests, and decision-making skills. Each student has an interpreter available for approximately 12 hours per day. DeafBlind professionals and outside consultants assist the DeafBlind Program Director in developing and implementing the program, based on previous recommendations from consumers.

   13. Consumer Information

       
       The information for prospective consumers on travel arrangements, clothing and personal items, VRCBVI Canteen, and other Center policies follows:
       1. Transportation
          1. VR will make travel arrangements with the consumer. VR will pay bus fare or equivalent cost for getting a consumer to VRCBVI at the beginning of training and home upon completion of training. VR is also responsible for the consumer's travel when VRCBVI is closed for holidays, etc. In addition, VR may assist with transportation to allow the student to go home once a month (when the center is closed during a month, that trip will be counted as the monthly trip). The optional monthly trips home must not interrupt the student's training schedule at the Center.
          2. The Center counselor will contact the consumer to determine their time of arrival and, if public transportation is used, the Center can make arrangements to meet the consumer, during normal working hours. If the consumer is traveling by bus or train, counselors are urged to arrange for consumers to arrive for their program on a weekday (Monday-Friday) during working hours, when staff members are available to provide transportation.
          3. When the consumer arrives at the Center, he/she will be fully oriented to the Administration and Activities building, dormitory, recreation building, and cafeteria. Staff will provide assistance to students until they can travel in the Center environment independently.
       2. Clothing and Personal Items
          These items are to be obtained prior to entering VRCBVI. The consumer may bring items such as small televisions, radios, tape players, tapes, CDs, cameras, and jewelry at his/her own risk. Students are discouraged from bringing large amounts of cash. The Center will not be responsible for any of the consumer's items that are lost or stolen. Clothing may be casual, but students are to dress appropriately to the environment and the occasion. Diabetics should bring blood glucose monitors, blood glucose test strips, insulin and syringes. The Center needs to be informed of any special diets.
          Consumers should bring the following clothing and personal items:
          1. Clothing
             Women: slacks, skirts, blouses, dresses, etc.
             Men: slacks, shirts, etc.
          2. Durable shoes
          3. Tennis shoes
          4. Bathing suit
          5. Outerwear for cold weather
          6. Alarm clock (optional)
          7. Wash cloths and towels
          8. Toothbrush and toothpaste
          9. Shaving equipment and deodorant
          10. Sanitary and hygiene supplies
          11. Low vision aids
          12. Laundry detergent
          13. Money for coin-operated washing machine
          VRCBVI provides bath soap and bed linens.
       3. Items consumers are NOT permitted to bring to VRCBVI
          The following items are not allowed on Center property or in consumers'; rooms:
          1. Drugs and alcohol
          2. Perishable food
          3. Guns, knives, or other dangerous weapons
          4. Pets
          5. Toasters, heaters, or any appliance which could start a fire or be considered unsafe for the consumer or his/her roommate
       4. Rules and regulations
          The VRCBVI Student Handbook is reviewed with all students during their first week at the Center. Consumers will be expected to sign a statement that they have heard and understood the rules. Rules and regulations were designed to ensure a safe and positive learning and social environment for consumers.
       5. Canteen
          The Center operates a canteen where drinks and snack items are sold. The Canteen is only open during break periods and special occasions. Vending machines are located in the dorm TV room and the recreation building.
       6. Questions a consumer mightask about the Center
          1. When is the dorm supervisor on duty?
             Dorm supervisors are on duty from 4:00 p.m. until 7:30 a.m. on weekdays and 48 hours on weekends. A nurse is also on campus from 7:00 a.m. until 9:45 p.m.
          2. Can I go home on weekends?
             Yes. Classes are over at 3:00 p.m. on Friday. Consumers are responsible for making the arrangements for their transportation. VRCBVI cannot guarantee that a staff member will be able to take consumers to the bus station or pick them up except when beginning or ending a program or when the Center closes for holidays.
          3. What is signing in/signing out?
             If a consumer leaves campus he/she must sign out, either at the receptionist's desk during the day or in the dorm office at night. Commuters need to sign in and out at the Reception Desk during instructional hours or in the dorm during non-instructional hours. Consumers must also sign in when they return from an outing or trip.
          4. How much money should I bring?
             Consumers should bring enough money to take care of laundry ($.25 to wash and dry) and for personal needs and snacks. A canteen at which snacks are available is open three times per day. Evening shopping trips allow consumers a chance to shop for personal need items. The amount of money a consumer needs is dependent on his/her spending preferences.
          5. What will be done during the evaluation week?
             During the first week, consumers meet all of the Center's instructors to be evaluated, to talk about the classes offered and to discuss the consumer's goals and expectations. A functional evaluation will be done for some skills. An evaluation staffing will be held on Thursday afternoon or Friday morning of the first week, to discuss recommendations and estimated time for training. Consumers are encouraged to attend the staffings.
          6. Will I have a roommate?
             Two people share a dorm room. A bathroom connects two rooms and is shared by four people. Consumers should anticipate sharing a room. Although at times in their program, a consumer may have a room to themselves, this could change; new consumers come to VRCBVI each week.