Biennial report of the North Carolina Commission for the Blind
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^ hJ*^ Next ry Biennial Report of the NORTH CAROLINA STATE COMMISSION FOR THE BUND From July 1, 1962, throuprh June 30, 1964 'And I will bring the blind by a way they know ' ' / will lead them in paths that they have not known; I will make darkness light before them " —hsHiah xlii, 16. Biennial Report of the NORTH CAROLINA STATE COMMISSION FOR THE BLIND From July 1, 1962, through June 30, 1964 "And I will bring the blind by a way they know not; I will lead them in pciths that they have not known; I will make darkness light before them." —Isaiah xlii, 16. In May, 196Jf, Governor Terry Sanford presented Mrs. Edna C. Revels, Winston-Salem, N. C, the "Teacher of the Year Aivard." Mrs. Revels was designated by the National So-ciety for the Prevention of Blindness, New York City, as the outstanding teacher of the year for partially sighted chil-dren. This national award is known as the "Winifred Hath-away Award". Others shown are: (left to right) Col. W. O. Beasley, N. C. Representative National Society; Mr. J. D. Ashley, principal of Hth Street School, Winston-Salem and Dr. Charles F. Carroll, Superintendent of Public Instruction. TABLE OF CONTENTS Page Letter of Transmittal 4 Members of the North Carolina State Commission Board 5 Advisory Medical Committee 6 Introduction ° Organizational Chart ^ Aid to Blind Chart 10 Social Service Division H Specialized Service Chart 12 Comparative Analysis of Aid to Blind 13 Medical Division 1* Services for Children 22 Rehabilitation Division 24 Vocational Rehabilitation Services 25 Rehabilitation Center 30 Industries for the Blind 35 Workshops ^^ Bureau of Employment for the Blind 42 Cooperation from Other Agencies 45 Recommendations 46 Appendix I ^^ Appendix II '^ Appendix III ___-- '2 LETTER OF TRANSMITTAL To The Honorable Terry Sanford The Governor of North Carolina Raleigh, North Carolina Dear Governor Sanford: Pursuant to Chapter 53, Public Laws of 1935, as amended, and subsequent legislation, I have the honor to submit to you the accompanying report of the North Carolina State Commission for the Blind for the biennial period beginning with July 1, 1962 and ending June 30, 1964. This report concerns the management and financial transactions of this Department. Respectfully submitted, SAM M. CATHEY, Chairman N. C. State Commission for the Blind BOARD MEMBERS N. C. STATE COMMISSION FOR THE BLIND (Appointed by the Governor) Judge Sam M. Cathey, Chah-vtan, Asheville, N. C. Mr. Sam Alford, Chairman Executive Comynittee, Henderson, N. C. Mr. H. C. Bradshaw, Durham, N. C. Mr. Frank C. King, Brevard, N. C. Mr. Alston B. Broom, Fayetteville, N. C. Mr. Paul Alford, Durham, N. C. Dr. Howard E. Jenszn, Emeritus for Life (Ex-Officio Members—Designated by the Legislature; Mr. J. W. Beach, Director, State Employment Service, Division of Employment Security Commission, Raleigh, N. C. Mr. Egbert N. Peeler, Superintendent, State School for the Blind, Raleigh, N. C. Dr. J. W. R. Norton, State Health Director, State Board of Health, Raleigh, N. C. Mr. Robert A. Lassiter, Director, Vocational Rehabilitation, Raleigh, N. C. Mr. R. Eugene, Brown, Commissioner, State Board of Public Welfare, Raleigh, N. C. BOARD MEMBERS N. C. BUREAU OF EMPLOYMENT FOR THE BLIND Judge Sam M. Cathey, Chairman Asheville, N. C. Mr. Sam Alford Henderson, N. C. Mr. H. C. Bradshaw Durham, N. C. Mr. Frank C. King Brevard, N. C. Mr. Alston B. Broom Fayetteville, N. C. Mr. Paul Alford Durham, N. C. Dr. Howard E. Jensen Durham, N. C. Mr. 0. D. Nelson, Vice-Chairman Greensboro, N. C. Mr. V. J. Ashbaugh, Sr. Durham, N. C. Mr. Irwin Belk Charlotte, N. C. Mr. Dave R. Mauney, Jr. Cherryville, N. C. Mr. Voris G. Brookshire Charlotte, N. C. Mr. John Ed Davis, Jr. Shelby, N. C. Mr. Monroe Gardner Warrenton, N. C. ADVISORY MEDICAL COMMITTEE (Surgeons Certified by American Board of Ophthalmology) Dr. J. David Stratton, Chairman, Charlotte, N. C. Dr. V. M. Hicks, Sr., Supervising Opthalmologist, Aid to the Blind, Raleig-h, N. C. Dr. S. D. Mcpherson, Medical Consultant, Rehabilitation Program, Durham, N. C. Dr. Paul M. Abernethy, Burlington, N. C. Dr. Elbert C. Anderson, Wilmington, N. C. Dr. W. Banks Anderson, Jr., Durham, N. C. Dr. W. Banks Anderson, Sr., Durham, N. C. Dr. Lloyd Bailey, Rocky Mount, N. C. Dr. W. L. Bayard, Tryon, N. C. Dr. James W. Bizzell, Goldsboro, N. C. Dr. H. H. Briggs, Asheville, N. C. Dr. Frank B. Cooper, Salisbury, N. C. Dr. H. M. Dalton, Kinston, N. C. Dr. Alan Davidson, New Bern, N. C. Dr. John L. Etherington, Goldsboro, N. C. Dr. George W. Fisher, Fayetteville, N. C. Dr. Frank R. Fleming, Yadkinville, N. C. Dr. Clarence B. Foster, Southern Pines, N. C. Dr. George D. Gaddy, Burlington, N. C. Dr. E. Reed Gaskin, Charlotte, N. C. Dr. Thomas D. Ghent, Charlotte, N. C. Dr. Walter R. Graham, Charlotte, N. C. Dr. Raymond F. Grove, Wilmington, N. C. Dr. B. a. Helsabeck, Winston-Salem, N. C. Dr. L. Byerly Holt, Winston-Salem, N. C. Dr. M. J. Hough, Charlotte, N. C. Dr. Armistead B. Hudnell, Charlotte, N. C. Dr. John L. Humphreys, Charlotte, N. C. Dr. Edward K. Isby, Jr., Asheville, N. C. Dr. Thomas C. Kerns, Durham, N. C. Dr. G. T. Kiffney, Chapel Hill, N. C. Dr. Martin J. Kreshon, Charlotte, N. C. Dr. Ernest W. Larkin, Washington, N. C. Dr. Ruth Leonard, Charlotte, N. C. Dr. George A. Levi, Fayetteville, N. C. Dr. Marion N. Lymberis, Charlotte, N. C. Dr. Thomas A. Martin, Raleigh, N. C. Dr. E. E. Moore, Asheville, N. C. Dr. Maxwell Morrison, Southern Pines, N. C. Dr. George T. Noell, Kannapolis, N. C. Dr. Robert E. Odom, Asheville, N. C. Dr. Richard B. Rankin, Concord, N. C. Dr. R. Winston Roberts, Winston-Salem, N. C. Dr. M. Harvey Rubin, Greensboro, N. C. Dr. John L. Shipley, Elizabeth City, N. C. Dr. Paul J. Simel, Greensboro, N. C. Dr. Henry L. Sloan, Jr., Charlotte, N. C. ADVISORY MEDICAL COMMITTEE Dr. W. p. Speas, Winston-Salem, N. C. Dr. Roy A. Stewart, Newton, N. C. Dr. F. W. Stocker, Durham, N. C. Dr. Shehane Taylor, Jr., Greensboro, N. C. Dr. George T. Thornhill, Raleigh, N. C. Dr. Charles W. Tillet, Charlotte, N. C. Dr. Larry Turner, Durham, N. C. Dr. Richard G. Weaver, Winston-Salem, N. C. Dr. S. Weizenblatt, Asheville, N. C. Dr. W. J. Wheeler, Wilmington, N. C. Dr. John A. Wheliss, Raleigh, N. C. Dr. John D. Wilsey, Winston-Salem, N. C. Dr. W. Wayne Woodard, Asheville, N. C. Dr. Robert B. Yudell, Charlotte, N. C. INTRODUCTION The North Carolina State Commission for the Blind was created by Leg-islative enactment in 1935 and began to function as a state agency in July of the same year. This Biennial Report presents the accomplishments for the period July 1, 1962—June 30, 1964. The law under which the Commission operates places on it the responsibility of interpreting, administering and super-vising an all inclusive program of work for the blind. These activities are accomplished by the three main divisions of the Commission : 1—The Social Service Division which supervises financial grants to the indigent blind and renders special services to all the blind of the State ; 2—The Medical Division which carries on three main phases of work, prevention of blindness, conservation of sight, and restoration of vision ; 3—The Rehabilitation Divis-ion which is composed of five major parts : a. General Rehabil-itation Service; b. The North Carolina Rehabilitation Center for Adult Blind; c. Home Industries; d. Workshops; and e. The Bureau of Employment for the Blind. This report reflects the continuous development of activities and opportunities offered to the blind citizens of North Carolina. We feel that the blind of our State, as well as the thousands of persons with serious eye defects, have profited by the efforts of the Commission, and through the services rendered to them, many have become self-maintaining citizens of the State. The Commission for the Blind has made a concerted effort to conserve and utilize all State, Federal and community resour-ces, so that as many as possible of the visually handicapped of the State could benefit by the use of such resources. Our program considers the whole man against his background of social, med-ical and financial needs and endeavors to help him help himself to fit into his community and take his place in the life of our State. We could not present this report without comment on the loyalty, perseverance and hard work of the staff and all persons and organizations who have made such noble contributions to the forward progress of good eye care for our citizens. The Federal, State and County agencies, as well as private agencies, have given much aid and co-operation. The North Carolina Association for the Blind and the North Carolina Lions Clubs have given untold financial aid and unselfish devotion to the cause of a better way of life for the visually handicapped citizens of North Carolina. E EoO o D <*• (/) D Do o o eo IP o Jf* *e o M « « « .?4: aE Jr. E •*- o iSo !S 2- « o c .*" •« > 3T3 CO < — cO^E 0) E o i^_ T, V ._ 4) "in V .. .C 1. -- o o . c « a) > r- O o |0 "e^ 1^ o TJ 0) 4) ID C Q. 10 j2 a> ^ Eo E -o I- Z< Z I-oHO< a. O 2 >- < Oz < zo p< a. < I- < Z o o -a 0) c > O' 1- (/I z !^< 3o ^ a o -Q E3 Z y^ y^ >~ Ji -- c o o "D c fc E <D IXI -C a. 0) O HI -a c 0> oo •O— 73 C (0 o > "> 2:5 o O > Q. cQ 3 (U fQ to o V en x^ <D Ik to ro 5 -o Q. •"t; (l> -^ l*^ >- '^^o A — 1 V 6 w 1 n >0 U-E a> ^ -1- ~s >» c ^ '^< JQ v > "D •*- ID O c c o . •T. Q-o S. ^^ -Q o o i ^ o g-o 0^ < <^ h 1 N ^ DV 5> ^c U O) « ~ 0^0 "0 > u-o -c 11 SOCIAL SERVICE DIVISION Christine Anderson, Supervisor In North Carolina the North Carolina State Commission for the Blind administers the program of public assistance for the blind. The amount of money available for Aid to the Blind pay-ments must of necessity be governed by the amount of the State's appropriation for Aid to the Blind, as the non-Federal share in payments is shared equally by the State and the counties. It has been found through surveys and registration of the blind popu-lation that over 50 per cent of the blind in North Carolina are not in need of financial assistance, but are in great need of other services and training in order to live normally in a sighted world. Through its field staff of six field representatives and forty case-workers for the blind the social service division has made in-creased efforts during the past biennium to strengthen and ex-pand its program of services on a State-wide basis. Nearly 60 per cent of our Aid to the Blind case load is in late middle-age and above, and a high percentage of these have been totally blind or had very limited vision since childhood or early adulthood. The late middle-age and aged blind are unemployable, and a major portion of them have no work background or ap-titudes that can be effectively used without sight. Their handicap of blindness is increased not only by advanced age, but by poor general health and often secondary disabilities. Under our State plan blind persons having the following qualifications are eligible for Aid to the Blind : 1. Whose vision with glasses is insufficient for use in ordi-nary occupations for which sight is essential; and 2. Who are unable to provide for themselves the necessities of life and who have insufficient means for their own support and who have no relative or relatives or other persons in this State able to provide for them who are legally responsible for their maintenance; and 3. Who is not receiving any other type of public assistance (OAA, APTD, AFDC) ; and 4. Who have been residents of the State of North Carolina one year immediately preceding the application; and 5. Who is not living in a public institution; and 6. Who is not a patient in an institution for tuberculosis or mental diseases ; and 7. Who is not a patient in a medical institution as a result of having been diagnosed as having tuberculosis or a psychosis; and 8. Who are not publicly soliciting alms in any part of the State, and who are not, because of physical or mental condition, in need of continuing institutional care. Pro-vided, that the State agency shall, in determining need, take into consideration any other income and resources of the individual claiming Aid to the Blind ; except that, in making such determination, the State agency shall disregard the first eighty-five ($85.00) per month of earned income plus one half of earned income in excess of $85 of a blind individual. 12 Biennial Report Under our plan for hospitalization of Aid to the Blind re-cipients, any Aid to the Blind recipient may be eligibile when it becomes necessary. Authorization for hospitalization is made by the County Directors of Welfare. Financial assistance to a needy blind person, though very important meets only one phase of his problem. It is true that giv-ing financial assistance will relieve the immediate problem, but from the standpoint of the future, he is little better off. Special-ized services are often needed to enable him to achieve personal independence and social acceptance. The objective of specialized services is to enable the individual to achieve as high a degree of adjustment as is possible, and to utilize in every way pos-sible all opportunities for independence and self-care. Efforts have been made throughout this biennium by both the field representatives and casework staff to increase public understanding of our program; 246 talks were made to civic groups to interpret and discuss the services available to the blind through the State Commission for the Blind and interested sponsoring groups. The following data indicate the many types of specialized services provided the blind in North Carolina. CHART I SPECIALIZED SERVICES GIVEN BY CASEWORKERS FOR THE BLIND IN COOPERATION WITH LIONS CLUBS AND THE NORTH CAROLINA ASSOCIATION FOR THE BLIND. Biennium Biennium 1960-62 1962-64 1. Home Visits 29,680 30,876 2. Assistance in personal adjustment to blindness, as-sistance in learning to utilize to a maximum degree the other senses and assistance in developing ef-fective ways of performing without sight the ordi-nary activities of living 16,107 19,406 3. Assistance in Family Adjustment—Instructing the family in ways of helping the blind person to adjust to blindness—Assisting the blind person in resuming his or her normal responsibilities in the home through instruction in child care, performance of household duties, etc. 10,514 12,172 4. Instruction in Therapy Crafts—Hobby Crafts—sew-ing, weaving, chair caning, mat making, leather _ work, basketry, crocheting, knitting, gardening, rais- *^'*- -m^' ' ing pets and farm animals, etc. 3,532 3,163 5. Academic Work—Reading and writing Braille, typ-ing, signature writing, referral to State School for the Blind, referral to classes for partially sighted, distribution of sight-saving material, information regarding admission to Rehabilitation Center for the Blind 11,352 13,476 6. Medical Care—This includes planning for the treat-ment, transportation and follow-up work in coopera-tion with the Medical Division 30,586 38,446 7. Recreation—Plays, movies, picnics, parties, distri-bution of gift radios 13,166 8,888 8. Miscellaneous Services 5,820 6,529 9. Talking Book Machines distributed 1,462 1,187 Both State and Federal laws provide that any applicant or recipient for Aid to the Blind may appeal to the State Commis- North Carolina Commission for the Blind 13 sion for the Blind, requesting a hearing if he is dissatisfied be-cause of the following reasons : If his application is not taken ; if his application is not acted upon within thirty-one days; if his application is rejected; if he is dissatisfied with the amount , of his monthly payments ; if he is dissatisfied when his payment is changed or stopped ; or if he is found eligible and no payment is made within thirty-one days. The State agency upon receipt of such appeal must arrange for a fair hearing. During 1962-64 twenty-one requests for hearings were re-ceived; the following tabulations show the number and action taken by the State Commission for the Blind: Requests received 21 Total handled 1'^ Requests withdrawn or disposed of by other means, such as adjustment by county prior to hearing 4 Disposed of by decision of the State Commission in favor of appellant '* County action upheld 1^ The issues involved in the appeals were budgetary defic-iency, income or property of appellant's family and income or property of appellant. Complete information data on the number of persons re-ceiving Aid to the Blind payments, the number terminated or rejected, and the age, race and range of payments is given m Chart II. CHART II AN ANALYSIS OF AID TO THE BLIND ACCEPTANCES—REJECTIONS—TERMINATIONS 1. Number of persons receiving AB payments June 30, 1962 5,037 2. Number of applications accepted July 1, 1962-June 30, 1964_ 1,746 3. Total number of persons receiving AB July 1, 1962-June 30, 1964_ 6,783 4. Number of AB cases closed July 1, 1962-June 30, 1964 1,725 Reasons for Closing: a. Death 841 b. Employment of Recipient 24 c. Employment of other person in home 63 d. Receipt of Servicemen's allotment 10 e. Increased support from persons outside home 26 f. Increased resources of persons in home 109 g. Originally ineligible under State plan 5 h. Vision restored 135 i. Soliciting Alms 1 j. Increased resources 9" k. Admitted to institutions HO 1. Receipt of other type of Public or Private aid 8 m. Loss of residence 52 n. Other 251 5. Number of AB recipients June 30, 1964 5,058 6. Number of AB applications rejected July 1, 1962-June 30, 1964 __ 461 Reasons for Rejection: a. Ineligible on basis of vision 151 b. Ineligible on basis of residence 7 14 Biennial Report c. Other resources 245 d. Inmate of Public Institution 3 e. Other 55 7. North Carolina average monthly AB payment June 1962 $54.13 8. North Carolina average monthly AB payment June 1964 $61.97 9. Age of AB applicants July 1, 1962-June 30, 1964: a. Under 5 46 b. 5-19 -- 205 c. 20-44 316 d. 45-64 464 e. 65-74 294 f. 75-84 304 g. 85-over __, 117 10. Race of AB applicants July 1, 1962-June 30, 1964: a. White _____^___ ^ 988 b. Negro 755 c. Indian 13 The Chart, Appendix I, shows data by State and Counties concerning the 11,364 blind persons included on register for the biennial period ending June 30, 1964. Caseworker introduces a little ^-year-old girl to braille reading North Carolina Commission for the Blind 15 Top left: Caseworker teaching newly blinded person the proper usage of White Cane walking stick. Top right: Blind person is taught to tell time through the use of a braille clock. Caseworker has assisted her with braille. Bottom: Caseworker instructing a blind Sunday School teacher how to use his talking book machine. 16 Biennial Report Top: A 99 year old woman who is bedridden enjoys her talking book mach-ine which is her only source of entertainment. Bottom: Caseworker teach-ing blind woman how to weave mats on a hand loom. North Carolina Commission for the Blind 17 MEDICAL DIVISION Mary E. McColm, Supervisor The Supervisory staff of the Medical Division of the Com-mission for the Blind is responsible for medical services to the medically and economically indigent persons certified as being m need of eye care. The District Medical Service Supervisors are responsible on a local level for eye clinics held throughout the state m counties where sustained medical facilities are not available, ihese clinics are held on weekly, monthly, quarterly basis dependent on the need, facilities available, local interest and cooperation, and availability of ophthalmologists. The staff of this Division has grown in the last two j^ars from seven District Medical Supervisors in six district offices to twelve Medical Supervisors in seven district offices due to the increase in appropriations granted by the 1963 General Assembly to this Division. The additional staff has broadened the program and increased the number of persons receiving med-ical services. The fee schedule for hospital rates is the same as the Com-mission's rehabilitation per diem rates. A few items ot the tee schedule have been adjusted upward. The clinic fee for physi-cians' services has been increased. The Medical Division is still cooperating with local Lions Clubs and the North Carolina Association for the Blind m the Glaucoma Detection Clinics, sponsored by these two organizations as an educational and case finding program. The Memorial Hospital, Chapel Hill, Visual Aids Clinic continues to provide useful services to Rehabilitation clients and indigent persons with seriously impaired vision. In the last General Assembly, for the first time, provision was made for the Medical Division to match funds procured by county welfare departments for the payment of glasses. SERVICES PROVIDED BY THE MEDICAL DIVISION: 1. Eye Examinations (including refraction and the fitting of glasses) 2. Medical Treatment 3. Hospitalization 4. Eye Surgery 18 Biennial Report PROCEDURE FOR SECURING SERVICES : Certification For Eye Care: Eye Examinations—Glasses — Treatment—Surgery—Hospitalization All individuals or families receiving financial assistance through the County Department of Welfare must be certified for medical eye care without further investigation. All individuals or families not receiving financial assistance through the County Department of Welfare may request determination of eligibility as medically indigent, and if they are eligible shall be certified for medical eye care. School children certified by the County Welfare Department are also eligible for these services. The North Carolina State Commission for the Blind cannot pay for examinations unless the child has been certified by the County Welfare Department. When medical, surgical or hospital treatment is required, the parent or guardian will apply for aid through the County Welfare Department. FINANCING OF MEDICAL EYE PROGRAM : The Medical Eye Program is financed wholly through state tax monies. In areas of financing not covered by state monies, financing is shared by the Lions Clubs, the Association for the Blind, and School Health Funds. All medical eye surgery and medical eye treatment is per-formed by physicians who are members of the American Board of Diplomates in Ophthalmology or are in the process of such certification. The Chart, Appendix II, reveals data on the 73,989 indigent persons examined by eye physicians during the biennium; data given by counties. North Carolina Commission for the Blind 19 Before SURGERY After 20 Biennial Report Top: Patient being examined at the tveekly Medical Eye Clinic in Wake County. Bottom: Public Health Nurse talking with the oldest person who attended the most successful glaucoma clinic held in Rutherford County. North Carolina Commission for the Blind 21 Above: Newly established monthly Medical Eye Clinic, Rutherford County Below: New Sustaining Eye Clinic, Boone, N. C. 22 Biennial Report Blind children attending the Institute for Mothers of Pre-School Children learn to use tricycles, tractors, etc. The children are supervised by carefully selected sighted girls. SERVICES FOR PRESCHOOL CHILDREN The Medical and Social Service Divisions offer special ser-vices to North Carolina pre-school children. These services include : General Medical Examinations Medical Eye Examinations Eye Surgery and Treatment Medical Eye Care Follow-up Consultation Home visits by the Case Workers : To work with the parents to accept their child as blind and to work for relationships that will enable the child to develop and mature to a normal, useful adult. To encourage parents to take advantage of educational oppor-tunities for the child. To obtain educational materials and toys To use the Talking Book Machines To accept medical eye care which may improve vision Participation in the Joint School Health Program Referral to Sight Saving Classes Referral to the State School for the Blind Services to the Pre-School Child Eye Examinations Surgery Treatment North Carolina Commission for the Blind 23 OPERATIVE SERVICES FOR CHILDREN—1962-64 (Age—Birth through 7 years) Squint Operations 283 Congenital Glaucoma 45 Congenital Cataracts 58 Enucleations 27 Chalazions Removed 6 Ptosis 29 Treatment and other defects 130 Total 578 Madeline P. McCrary Public Information Officer Before SURGERY After 24 Biennial Report REHABILITATION DIVISION Rehabilitation is the restoration of disabled persons to the fullest physical, mental, vocational, and economic usefulness of which they are capable. Rehabilitation has proved its worth not only to the individual but to the taxpayer. Rehabilitation accepts a man as he is; and through various services, such as counseling, guidance, physical restoration, ad-justment and vocational training, prepares him for and places him in employment. The economic value of rehabilitation to the individual and to the nation can be measured by the dollar standard, but the social values gained by the individual and society cannot be evaluated. Rehabilitation gives a new life to the handicapped person who in turn makes his contribution to his community, his state and his nation. Rehabilitation can change his status from a recipient of tax funds to an employed person paying taxes. The Rehabilitation Program of the Commission for the Blind, with its multiple services, is carried out through the fol-lowing five co-ordinated major units : 1. Seven district offices providing case finding, counseling and guidance, physical restoration, vocational training, place-ment and other indicated services required in preparing blind people for employment. 2. The Rehabilitation Center for the Blind providing ad-justment to blindness and pre-vocational training for newly blinded adults. 3. Six workshops providing training for self-employment and jobs for blind people in need of sheltered employment. 4. Home Industries providing training for the blind people in the production of saleable articles made in the home and creating sales outlets for these products. 5. Bureau of Employment for the Blind providing training and employm-ent in vending stand operation. North Carolina Commission for the Blind 25 VOCATIONAL REHABILITATION SERVICES Britt L. Green, Supervisor Rehabilitation of the handicapped is not new, but there has been a growing emphasis on the program since 1943 and a marked increase in the number of persons rehabihtated. Re-bilitation goes back to the closing months of World War I when manpower problems were acute and disabled veterans were returning to civilian life. Since the beginning of vocational rehabilitation in 1920, the program has undergone many changes to meet the demands of a growing number of individuals in need of the services. In 1954 amendments to the Federal Rehabilitation Act, Public Law 565, were enacted, which provided the legal and financial framework for major expansions of the Rehabilitation program. Under the provisions of this law more Federal funds became available to the states to broaden the scope and basis of the program. Vocational rehabilitation for blind persons in North Car-olina provides counseling and guidance, physical restoration, adjustment and vocational training, placement and post place-ment services to all visually impaired persons who have not been able to achieve employment through the normal and routine chan-nels of the business, industrial, and professional world. Through the utilization of these services by the Vocational Rehabilitation Department, many visually impaired North Carolina citizens have been placed in remunerative employment. Vocational rehabilitation involves many processes. The most important of these are : Case finding ; Counseling and guidance ; Training; Placement; Post placement supervision. Case finding: All the services available to the visually impaired cannot be provided until the person has been found. The first job of rehabilitation is to find the individual so that he may accept or reject the services that are offered. After a person is found, he must be interviewed and a complete evaluation made in order to determine whether he has rehabilitation potentiali-ties. Rehabilitation looks at the Total Man in the light of his employability : physical ability to work, mental and educational ability to learn, personality adequate to hold a job, and skill to produce a service which someone is willing to purchase. Counseling and guidance : The aim of vocational counseling is to guide the client in his choice of a suitable employment objective, in planning his preparation for such employment and in achieving those attitudes which will bring success and satis-faction in his job. Counseling is based on an understanding of the "whole" individual with individual differences and the fact that the client is the one to be served. It is he who is to be made self-maintaining by the processes of rehabilitation. Every effort is made to remove or to meliorate his handicap. After a client has 26 Biennial Report been accepted by the counselor, the possibihty of physical restor-ation is the first rehabilitation service considered. The role of the counselor in rehabilitation is most important. He is dealing with a human life, and only counselors trained in the techiques of the rehabilitation processes should be entrusted with so great a task. Training: When an employment objective has been deter-mined, a plan is set up to provide necessary training, such as ad-justment to blindness, stand operation, workshop, and industry and professional occupations requiring college degrees. The counselor is responsible for the type and quality of training se-cured. He keeps constant watch to see that the client receives training which will fit him for remunerative employment. In some instances, specific types of training are not available. It is then that the Rehabilitation Division must work out special plans for training. In 1961, a four trainee unit for medical transcriptionists was set up at Duke Hospital, Durham, N. C. During the last two years thirteen blind persons have been placed as medical transcriptionists in private or State hospitals, one with a large insurance company, one in a county health department, and one in a hospital as a general transcriptionist. The latter has been promoted to the position of typing supervisor. For some time the Commission for the Blind has been working with the Merit Sys-tem and the Employment Security Commission on plans for test-ing blind transcriptionists. An agreement has been reached whereby the Employment Security Commission will do the test-ing and report the test scores to the Merit System. Already one transcriptionist has been placed in a County health department and it is expected that many placements will be made in county health and welfare departments and in state government. Re-cently an agreement was completed with a large insurance company to train switchboard operators. This program will start as soon as the Southern Bell Ttelephone Company can com-plete the installation of the required switchboard. Placement: Rehabilitation processes must lead to employ-ment— the ultimate goal of all rehabilitation aims—job place-ment which will allow the handicapped individual to use all of his abilities and to achieve the highest development of which he is capable. Through the years, it has been generally conceded that blind people are capable of working and earning a living. Finding new and better employment opportunities for blind people is a challenge to the rehabilitation worker and the mutual responsi-bility of a progressive society. Post placement supervision : The last major step in the re-habilitation process is post placement supervision. After a blind person has been placed, he needs guidance and supervision to some degree to insure continuing progress. The rehabilitation counselor visits the blind person at regular intervals as long as necessary. North Carolina Commission for the Blind 27 STATISTICS ON THE 1051 BLIND PERSONS REHABILITATED INTO EMPLOYMENT. PERIOD JULY 1, 1962 THROUGH JUNE 30, 1964 Number of Males 477 Number of Females 574 Number of White 664 Number of Negro 380 Number of Indian 7 Average Education at Survey 11.1 Average Age when Accepted for Rehabilitation Services 40.9 Average Number of Months Cases Were Serviced by Rehabilitation 23.8 Average Number of Months in Vocational Training (251 persons) 10.5 Average Cost of Case Services (does not include administration) $886.92 Average Weekly Wage when Accepted as a Rehabilitation Client $ 13.85 Average Weekly Wage when Closed as Employed and Rehabilitated _$ 33.79 STATISTICS ON THE OCCUPATIONAL GROUPS OF THE 1051 BLIND PERSONS REHABILITATED. PERIOD JULY 1, 1962, THROUGH JUNE 30, 1964 Type of Job Number Per Cent Professional and Semi-Professional 62 5.9 Managerial and Sales 105 10.0 Farmers 60 5.7 Skilled Workers 68 6.5 Semi-Skilled Workers 135 12.8 Unskilled Workers 193 18.4 Service Jobs 21 2.0 Craft Workers 22 2.1 Homemakers and Family Workers 385 36.6 Totals 1051 100.0 MADELINE P. McCRARY Public Information Officer 28 Biennial Report This young woman is employed as a transcriptionist by Nationwide Insurance Companies, Raleigh, N. C. This totally blind man ivas furnished tools, equipment and stock by rehabilitation; now has his own auto repair business. North Carolina Commission for the Blind 29 Visually impaired young woman is employed as a racker in the painting and finishing department of Pelton and Crane Company, Charlotte, N. C. Rehabilitation trainee secures training in water meter repair. On completion, will he employed. This visually iynpaired young man is receiving on-the-job training in a dry cleaning establishment. 30 Biennial Report Students' Training Class in sewing enjoy facilities in the new multi-purpose building. THE NORTH CAROLINA REHABILITATION CENTER Helen Cutting, Superintendent The North Carohna Rehabilitation Center, created by legis-lative enactment in 1945, has been in operation since November 1945. The establishment of a Rehabilitation Center for adult blind persons fulfilled an essential need for a more adequate pro-gram of rehabilitation services. Orientation and adjustment to blindness are basic to all training for the adult blind who are seeking employment. The Center provides this basic training as well as many pre-vocational courses. After several temporary locations, the Center moved into a permanent building on State property at Butner, North Carolina in 1952. Funds for staff houses were allocated by the General As-sembly in 1953, and funds were granted for additional dormi-tory space in 1959. Funds for the erection of a multi-purpose building for the Center were requested in 1959 ; the request for these funds was included in the state-wide bond referendum and approved. Con-struction on this building was started in the fall of 1961 and the building was completed in 1962. The installation of equipment and furnishing of this new building was completed late in 1962. These facilities provided space for medical and dental clinics, therapy, and an adequate dispensary. These clinics resulted in better services for the students and saved much in staff time and transportation to outside clinics. It is felt that all courses have been greatly improved be-cause of more adequate space and the new equipment. North Carolina Commission for the Blind 31 The Library at the Center has been expanded to include reference books, encyclopedias, talking books, braille books, etc. The new gymnasium has created a new interest in physical education and indoor sports. It has provided an excellent tech-nique for developing confidence in the student to move about and travel unaided. Graduate students in recreation from the University of North Carolina at Chapel Hill did practice teaching at the Center. These students brought in new ideas and gained much from the experience of working with the blind students. Dependent upon available space, the Center has always ad-mitted a limited number of out-of-state students. Many states do not have a Center for the blind and the North Carolina Center is used by these states. Early in 1964, a brochure of the Center was produced. It includes a brief summary of the establishment and purpose of the Center, the facilities, staff, cooperating groups, recreational activities, answers to some questions usually asked about the Center and a brief description of the courses offered with pic-tures to illustrate these activities. This is a helpful means of responding to the many inquiries directed to the Center. This Center Brochure was presented to the Center as a gift from the North Carolina Association for the Blind. Each year the Center has many visitors from agencies, schools, and colleges as well as interested individuals. Among the visitors during this period were : The President of Lions Inter-national ; the immediate past President and an International Dir-ector; various Lions clubs; a young woman from Syria, a graduate student at Duke ; a member of the Virginia Commission for the Blind ; a representative from the Seeing Eye, Inc. ; a re-habilitation counselor from Goodwill Industries, Dayton, Ohio; Executive Secretary, St. Paul's Rehabilitation Center; many visitors from the Regional meeting of Rehabilitation agencies; representatives from Washington, D. C. ; and the President of North Carolina Association for the Blind. Many Lions and Lions clubs visit the Center since Work for the Blind is the major project of Lions International. These and other friends contribute entertainment and gifts for the students and aid in such projects as the dredging of the lake, restocking with fish, seeding areas in the park, etc. The students in turn give excellent programs for these visitors and at times go as guests to Lions Clubs meetings with these programs. Among the gifts to the students are these: A Lions Club gave two boats ; Lions Clubs furnish tickets for fairs ; shrubs; spending money for students from Lions Clubs; rec-reational equipment and games; and materials to be used in therapy classes, by mills in the area. The Association furnished funds for materials to increase production of articles made by the students in the wood working shop. The lovely and charming Fragrance Garden originated by Mrs. W. F. Francks and started by The Garden Clubs of Durham, 32 Biennial Report then taken as a state-wide project of the North Carolina Garden Club, Inc. grows in beauty always. This year the Durham Gar-den Club put benches in the Garden and added many new plants and shrubs. The Lions Clubs, Garden Clubs and sororities decorate the Center early in December for Christmas so the students can enjoy the Holiday Season before their Christmas holidays. Basic courses at the Center are well established, however, new ones are initiated or old ones modified to better meet the needs of the students. The regular courses include: 1. Orien-tation to the physical setup of the Center and its surroundings, 2. travel techniques, 3. adjustment, 4. continuation of coun-seling, 5. psychological tests and measurements, 6. personality adjustment, 7. stand training and employment practices, 8. basic courses in personal hygiene, table etiquette and demands of daily living, 9. home economics and housekeeping, 10. acad-emic courses such as English, spelling, arithmetic. Braille, typing, and transcription, 11. craft courses, 12. sewing, 13. shop work, 14. house-hold mechanics, 15. laundry courses, 16. cooking classes, and 17. course for homemakers. The following are the statistics on this biennial period: STATISTICS—July 1, 1962—June 30, 1964 on Students at the Rehabilitation. Center. Total Number of Students : 223 Number of Counties Represented 67 Average Age 31 Average Education 8.8 Males 137 Females 86 White 120 Negro 101 Other 2 Single 140 Married 48 Other 35 Average Number of Months at the Rehabilitation Center 3.9 Age at Onset of Blindness: 0-5 126 G-18 26 19-29 20 30-44 26 45-65 25 Causes of Blindness (Multiple in some cases) Disease — 208 Accident 20 Congenital 109 Inherited 27 Degree of Vision at Present: Total Blindness—Both Eyes _._ 30 Blind One Eye—Partial Vision Other 38 Partial Vision Each Eye 155 Source of Support when Student Enrolled at Center : Family 130 Wage 12 Public Relief 52 Compensation 2 Other 27 Previous Employment: Professional-Semi Professional 3 Managerial and Sales 9 Farmer 8 Skilled Workers 11 Semi-Skilled Workers 14 Unskilled Workers 69 Service Job 3 Homemakers and Family Workers 20 Number Employed 68 Number in Training 88 Number Unemployed 65 Left State 1 Deceased 1 Types of Employment of the 68 Employed: Minister 1 Teacher 1 Instructor 1 Medical Transcriber 5 Salesman 1 Stand Operator 12 Skilled Laborer 4 North Carolina Commission for the Blind 33 Types of Employment of the 68 Employed: (cont.) Semi-Skilled — 9 Unskilled » Farmer ^ Craft Work Homemakers and Family Workers ^^ Masseur j Sander | Service Job ^ Messengers ^ Tt, flip iQfiO fi2 Biennial we presented statistics on the eniploy-ment status of the 192 students who attended the Center during tWs period In June 1964 we did a follow-up study which dis-closed these facts: June 1962-June 1964 192 Number of Students: ^^^2 1964 ^ ^ A - 45 149 Number Employed: ^^ 25 Number in Training: ^ ^^ ^2 Number Unemployed: ^ 3 Left State: ^^ q 3 Deceased: T^pmilts of this study showed that many more students had been Saced in employment and we feel that this fact is evidence that the training offered at the Center is a positive factor m a total Rehabilitation Program. Madeline P. McCrary Public Information Officer I Cooking class at tke Center. 34 Biennial Report Physical education class. Craft training class. Transcriptionist training class. North Carolina Commission for the Blind a5 INDUSTRIES FOR THE BLIND Irene Beaudin, Supervisor Home Industries and Workshop The primary purpose of the Home Industries Department in the Commission's Rehabilitation Program is to provide re-munerative occupations in the home for visually handicapped persons who for reasons other than blindness cannot accept or find employment elsewhere. Generally speaking, the negative employment factors that classify a person as home bound are : family obligations, multiple disabilities, geographical isolation, psychological reasons and advanced age. Experience has shown that the economic returns from home industry employment, while of considerable impor-tance, are often overshadowed by the satisfaction that can come only from work and the feeling of being capable of accomplish-ment in some field of endeavor. Hence, the aim of the Home In-dustry Program is to provide services to as many blind persons as possible who are feasible and capable of producing saleable ar-ticles. A great deal of time and considerable ingenuity are often needed to insure that each referral for home industry service is given every opportunity to prove feasibility before services are denied. Left: Home industry tvorker trained by rehabilitation now producing bas-kets. Right: Through rehabilitation services and in cooperation with the home industry program, this man has been able to resume his former occu-jation and produces a variety of beautiful marble articles for sale. 36 Biennial Report The Home Industries Counselors in collaboration with the Rehabilitation Counselors are responsible for raw materials, training, equipment, and other services leading to employment. The basic cost for these services is paid from Rehabilitation funds. The North Carolina Association for the Blind has made it possible to expand the Home Industry Program by providing funds for legitimate services where no other monies are available. This cooperation assures a sound state-wide program for home bound visually impaired persons. The General Assembly in its 1963 session granted funds suf-ficient to employ three new Home Industries Counselors. There are now six Counselors to serve the entire state but many more potential home bound industries workers are being offered the opportunity to take training leading to productivity. The Counselors made 2000 visits into the homes of these visually impaired persons to establish eligibility and feasibility, to initiate and supervise training and production of saleable articles. Even after productivity has been achieved, the Coun-selors continue supervisory contacts with most workers to supply materials, to suggest new ideas, and to insure the quality and sale of finished merchandise. There are around 165 active cases and these earned $30,065.89. Some of these were beginners and earnings were small, other seasoned workers qualified for Social Security benefits. It is difficult to ascertain the income of the home indus-try workers because of the various stages of productivity. Some workers have developed such skill and ingenuity that they can produce and market their own merchandise, others must sell through outlets provided by the program. Home industry display and sales booth, 1963 Trade Fair, Charlotte. N. C. Association for the Blind provided funds for the space. The North Carolina Commission for the Blind 37 State-wide publicity through the media of newspapers, TV, radio and talks made by the staff and Lions, resulted in ex-cellent publicity for the program and sales of articles made by the home bound persons. Many years ago, the North Carolina Association for the Blind provided the department a revolving fund. This fund en-abled the blind persons to be paid for a saleable article when it was finished. This was the first step toward a greatly enlarged Home Industry Program and the motivation for greater pro-duction by the workers. Before the revolving fund, the Counselors picked up the saleable articles, but the producer had to wait for payment until the merchandise was sold through various sales. Lions Clubs, Lionesses and some other civic groups, sponsor-ed 84 sales during the biennium. These sales totaled 268 days and were held in towns, county fairs, etc. There were 26 sales in county and industrial fairs such as the Trade Fair in Wilming-ton ; Trade Fair, Charlotte ; Craft Fair, Asheville ; Gem Festival, Spruce Pine; Allied Arts and Craft Fair, Durham. Twenty-four Gift Shops purchase merchandise made by home industries workers. Some of these shops are in North Carolina, but many are in other states such as Tennessee, Georgia, Ohio, Kentucky, etc. Displays, exhibits and all other sales outlets amounted to $31,285 during this biennium. Another event. The State Fair booth, was made possible by the generosity of the North Carolina State Fair Association. The Fair Association provided an excellent location for the booth and the Lions and their Ladies of Wake County Lions Clubs manned the booth. Thousands of visitors stopped at the booth to look at the attractive merchandise and purchased it. The Department is indebted to serveral industries for their generous donations of raw materials, among these are Tomil-son's of High Point, Fieldcrest, Lilly Mills, Penland School of Handicrafts and others who desire to remain anonymous. The program of Home Industries is an economic aid to home bound visually impaired persons; but more important, it is a challenge to them to develop and use their creative abilities to achieve personal satisfaction. 38 Biennial Report Toj) left: One of the craftsmen -who has qualified for Social Security takes great pride in his productions. Top j-ight; The home iyidustry counselor is teaching client the use of the attachments of the electric sewing machine. Bottom; A vivacious 87-year-old woman is discussing her crocheted articles with the home industry counselor. North Carolina Commission for the Blind 39 WORKSHOPS There are six workshops in North CaroUna. The N. C. State Commission for the Blind, through contractual agreements with each shop, participates in the over-all supervision of operations During this biennium, the shops employed an average o± 141 blind and visually impaired persons. At the same time, 58 per-sons received training leading to employment. ^.^a rro The average weekly wages of the operators were 5t)4U.^y. This was an increase over the 1960-62 period. In addition to the regular weekly wages, several shops gave a generous Christmas bonus in the amount of $19,861.61. Fringe benefits for the operators include paid vacations, sick leave, hos-pital insurance, low cost group life insurance, Social Security benefits, and Workmen's Compensation. The Asheville Workshop has shown steady improvement under its new management. It has had an increase in sales for this period and employment. , The Charlotte shop continues to make progress m its en-larged facilities with better sales and more blind persons em-ployed. This shop contracts for Federal orders through the National Industries for the Blind. These government orders supply the major part of sales outlets. The manager of this shop has been made a director of National Industries for the Blind. The Rockingham shop is making some progress since its reorganization several years ago. The expansion of the Durham Workshop has enabled it to handle large Federal orders. These government orders constitute a large per cent of its sales. The long time manager of this shop has been elected to the Executive Committee of the General Council on Workshops for the Blind in Region III which includes six southern states, Puerto Rico and the Virgin Islands. The Industries of the Blind, Greensboro, in cooperation with the National Industries for the Blind, sponsored a booth at the 1963 Trade Fair in Charlotte. The names and addresses of the other workshops were listed in this booth. In the fall of 1963, The National Industries for the Blind held its annual convention at Sedgefield, the Greensboro shop was host for this event. Members attending this convention were from all sections of the nation. Many of these members visited the Greensboro shop and mar-veled at its spaciousness and its modern machinery. A new wing has been added to the shop which includes a Director's room for the Guilford Association for the Blind. This Director's room was named for the shop's most loyal friend and benefactor. Lion O. D. Nelson. . . The Winston-Salem workshop has been under the supervision of the Goodwill Industries of Winston-Salem for some years. Ex-panded facihties for this shop provide more efficient handhng of the various processes involved in mattress making. A specially built "tight" room has eliminated dust problems in renovation work. The Page and Page Chair Company continues to supply its famous rocking chairs for the blind craftsmen to cane. Other contract work and Federal orders provide work for a large number of visually impaired workers. 40 Biennial Report All six shops have modern equipment comparable to that in private industries. This equipment was furnished by the N. C. State Commission for the Blind. The expansion and progress of these shops will result in employment of blind and visually impaired persons v/ho have never been workers and earners previously. These employed per-sons will know the satisfaction of producing citizens rather than recipients of governmental aid. This is good business and makes good citizens. Scenes in workshops — Greensboro, Asheville. North Carolina Commission for the Blind 41 T ""J Scenes in Workshops Top, Center, Charlotte workshop. Bottom, Mattress Departynent, Asheville. 42 Biennial Report NORTH CAROLINA BUREAU OF EMPLOYMENT FOR THE BLIND W. J. Strickland, Supervisor The Bureau, more commonly known and recognized as the Vending Stand Program, was created by statute to provide and maintain employment opportunities for blind individuals who were able to work but unable to find suitable employment in today's highly competitive field. This Program is a vital and significant part in our Agency's total efforts in the rehabilitation of the blind. It not only provides a good source of employment for hundreds of blind people but, more important, it has a profound influence upon the public by creating a favorable and acceptable image of blindness. A competent blind person effic-iently serving his customers from an attractive and well-designed vending stand is invaluable in establishing public confidence in the abilities and skills of blind people. Pursuant to law, an Advisory Board of this Bureau was established to assist in formulating policies, rules, regulations and practices w(hich would insure the continued operation of a successful Business Enterprise Program. This Advisory Board is made up of businessmen who have had wide and varied ex-perience in the field of merchandising and its related techniques. The Bureau has dual responsibilities to the Agency and its many clients. The first, is to find locations and establish stands whereby blind persons can successfully be employed. The second, and of equal importance, is to provide training and subsequent placement in either Bureau supervised stands or as independent merchants under the supervision of the Rehabilitation Division of the Commission for the Blind. During the training period, the trainee is taught the techniques of merchandising, display, buying and selling, and the record keeping required in the operation of a small business. During this biennium, 43 blind and/or visually handicapped persons were accepted for training by the Bureau. Thirty-four (34) of these persons successfully completed training and were employed by the Bureau. At the close of the biennial period June 30, 1964, the Bureau was operating 104 stands, employing 121 blind operators at an average weekly salary of $43.73, during this biennium the earn-ings totaled $521,542.03. In addition to these earnings, the Bureau provided its blind operators the following fringe benefits : free hospital insurance coverage, paid vacations, accumulative sick leave with pay. Unemployment Compensation, Workmen's Com-pensation and Social Security coverage. The Bureau, through group coverage, is able to overcome the prohibitive life insurance rate charged blind people and offers its operators the opportunity to secure insurance at a low group premium rate. North Carolina Commission for the Blind 43 The Bureau, in making surveys relative to the feasibility of establishing vending stands, has been offered concession privi-leges in plants and office buildings whose total occupancy did not justify the expenditure of funds necessary for the establishment of an attendant type service. In these locations vending machines have been utilized and due to the success of these vending ma-chine routes, it was possible this biennium to pay our blind oper-ators $20,775,00 as a bonus. These bonus payments were paid on a length of "service" basis ranging from employees with less than one year's service to employees with ten or more years' service. New industry locating within the state has made it possible for the Bureau to increase employment opportunities for blind persons. Industrial plants have looked with favor upon our Pro-cfram and have granted concession privileges to us for the estab-lishment of In-Plant Food Service Units which make possible the employment of one or more blind persons. The Bureau now operates In-Plant Food Service Units in 49 North Carolina industrial plants. The members of the Commission for the Bhnd and the members of the Bureau of Employment for the Blind express their appreciation to the Lions Clubs of North Carolina, the North Carolina Association for the Blind, the North Carolina Department of Conservation and Development, the General Ser-vices Division of the State Government, the General Services Administration of the United States Government, and other state, county and municipal officials, labor and management and thousands of interested citizens for their co-operation in making the Commission's Vending Stand Program a Success. In-Plant Food Service, Stanley Power Tool Works, New Bern. 44 Biennial Report Top: Blind operator executiyig the contract to operate a refreshment stand on the base at Camp Lejeune. Center: In-plant food service, Albain Shirt Co., Kinston, N. C. Bottom: In-plant food service, Shallcross Manufacturing Co., Selma, N. C. North Carolina Commission for the Blind 45 CO-OPERATION FROM OTHER AGENCIES, GROUPS AND INDIVIDUALS The data presented in this report have shown the assistance and co-operation received by the North Carolina State Commis-sion for the Bhnd from the Federal Department of Health, Ed-ucation and Welfare, the County Boards of Commissioners, County Welfare Departments, the County Health Departments, the Lions Clubs, County Associations for the Blind, and the North Carolina Association for the Blind. It should again be emphasized that the blind and visually impaired people of North Carolina have reaped the benefits of this interest and assistance and that the North Carolina Commission has been able to expand its services as a result of this co-operation. There are other groups and individuals who have made contributions to work for the blind. The majority of these have already been mentioned but because of the significance of the contribution, recognition is again given : EYE PHYSICIANS—North Carolina is most fortunate in having eye physicians located in the various sections of the State who are giving unsparingly of their time and skill to prevent blindness, and whenever possible to conserve sight and to restore vision. These eye physicians give to the needy cases recommended to their care the same highly skilled, professional services receiv-ed by private patients. Without the very fine co-operation and un-selfishness of these eye physicians, it would be impossible to have a program of prevention in North Carolina. The Commission is also indebted to the many private phy-sicians who give treatment to persons referred for general medi-cal attention by the eye physicians. Since the eye is often called "a thermometer to bodily conditions," many eye difficulties of patients are the result of disease or abnormal conditions in other parts of the body. A large number of indigent persons with de-fective vision comin? under the care of the Commission have diseases of the blood vessels, kidneys, brain or other parts of the body which are first discovered by eve physicians. Diseased tonsils and other bodily infections in children are often the cause of impaired vision. These conditions, if not detected by an eye physician and corrected, may weaken the efficiency not only of the eye but of other vital organs of the body. OTHER GROUPS The State Federation of Women's Clubs as well as individual Women's Clubs have contributed many services to the blind as a part of their general program. The Lionesses contribute personal services to blind persons, as well as assist in selling articles made by the home bound blind. The North Carolina Garden Club, Inc., has sponsored the first "Fragrance Garden" in the State for the bhnd students at the Rehabilitation Center, Butner, North Carolina. This project is a continuing one and grows in beauty each year. 46 Biennial Report The State Department of Public Welfare, The ^tate Board of Health, the County Schools and Health Officials, the Depart-ment of Conservation and Development, Chambers of Commerce, the local private welfare agencies and hospitals have all given valuable assistance in the development of services for the blind. The State School for the Blind has co-operated splendidly with the Commission in the development of a joint program. Rotary, Kiwanis, American Business Men's Clubs, the Variety Clubs, Exchange Clubs, P.T.A.'s and other organizations have parti-cipated in the work for the blind program on a community level. The following organizations outside the State have aided the Commission for the Blind: The American Foundation for the Blind, The National Industries for the Blind, The National Society for the Prevention of Blindness, The Seeing Eye, Inc., The National Rehabilitation Association, and The American Printing House for the Blind. REQUESTED INCREASES IN APPROPRIATIONS FOR THE BIENNIUM 1965-66 AND 1966-67 The members of the North Carolina State Commission for the Blind appreciate the difficult problems of State financing con-fronting the Advisory Budget Commission. The Commission is equally aware that it is responsible under law for administer-ing all governmentally sponsored services for the blind and vis-ually handicapped citizens of our State with the exception of the North Carolina State School for the Blind. Our request for funds for expansion of the present level of services included in this "B" Budget has been carefully considered and represents only the most pressing needs of the Agency in conducting its program of Prevention of Blindness, Conservation of Sight, Restoration of Vision and Rehabilitation. Our request will pro-vide for only the minimum basic needs of blind persons who are unable to care for themselves and have no family or relatives to care for them. SUPPORTING INFORMATION I. TO PROVIDE FOR THE ESTABLISHMENT OF AN AD-DITIONAL DISTRICT OFFICE IN FAYETTEVILLE, N. C. An additional District Office is urgently needed in Fayette-ville, North Carolina, since blind and visually handicapped persons in this area cannot be adequately served by Com-mission field personnel whose headquarters are in Char-lotte, Wilmington or Raleigh. Heavy caseloads in the Fay-etteville area in all three programs, Medical, Aid to the Needy Blind and clients receiving Rehabilitation services, require too much travel time for field staff stationed as far distant as Charlotte, Wilmington or Raleigh. For in-stance a Field Representative supervising the Aid to the Blind Program has an assigned territory of approximately seventeen counties. There are only twenty working days in North Carolina Commission for the Blind 47 each month. This means this field supervisor can visit each county only once each month and still have sufficient time in the office for correspondence, reports and related office responsibilities. This same situation exists for field super-visory personnel in the Medical Program and Rehabilita-tion Program. The establishment of an additional District Office in Fay-etteville will enable the Commission to reduce county area assignments of field supervisory staff to an average of approximately fourteen counties each. In order to effec-tively operate an additional District Office, the following additional staff will be necessary: one Rehabilitation Counselor II, one Social Work Supervisor I, one Medical Supervisor I, one Home Industries Counselor, one Steno-grapher II and one Stenographer I. Administrative items such as office rent, postage and supplies will be required in the operation of an additional District Office. The Agency feels it will be able to obtain adequate office space for the six field people assigned to the office at a monthly rental rate not exceeding $175.00 per month. 1965-66 1966-67 TOTAL REQUIREMENTS $42,752 $42,250 LESS: ESTIMATED RECEIPTS 24,879 24,629 GENERAL FUND APPROPRIATION 17,873 17,621 11. TO PROVIDE FOR ONE ADDITIONAL SOCIAL WORK SUPERVISOR I, THEREBY REDUCING COUNTY AREA AS-SIGNMENT FOR FIELD STAFF IN THE AID TO THE BLIND PROGRAM FROM THE PRESENT TWENTY COUNTIES EACH TO SEVENTEEN COUNTIES EACH. TO PROVIDE FOR THREE ADDITIONAL STENOGRAPHERS II TO RE-DUCE CLERICAL WORKLOAD INVOLVED IN THE EX-PANDED MEDICAL PROGRAM IN THE STATE OFFICE, THE CHARLOTTE AND GREENVILLE DISTRICT OFFICES. The additional positions above were requested and approv-ed during 1964-65 supported from budget transfers and re-ceipts. We are requesting the continuation of these critical-ly needed additional positions for the biennium 1965-67. It is unreasonable to expect a field supervisor to adequately supervise fifteen Case Workers working in a twenty county area in addition to carrying out other responsiblities of the Agency's program in co-operation with the county depart-ments of public welfare. We presently have only five field supervisors supervising a state wide Aid to the Blind Pro-gram in all counties. The three additional Stenographers II are critically needed. Since July 1, 1963, the Agency has employed twelve ad-ditional professional staff members, four Medical Super-visors, three Home Industries Counselors, three Rehabilita-tion Counselors, one Staff Development Supervisor and one 48 Biennial Report Quality Control Supervisor. These positions were approved by the 1963 Legislature, Only two stenographic positions were requested and approved. The stenographic and clerical workload has increased tre-mendously as a result of these additional professional staff members, particularly the four Medical Supervisors. The Commission for the Blind through its county eye clinics handles approximately 25,000 indigent cases each year. The clerical workload is extremely burdensome in the Medical Program as it is necessary to prepare and mail notices of clinic appointments on specified days and hours; prepare reports of examinations in five copies; route eye reports to district offices, State office, county welfare departments, and others; prepare authorization for medical treatment, surgery and hospitalization for all cases recommended for such services; check optical invoices on persons receiving eye glasses; and take dictation and type correspondence for the Medical Supervisors who necessarily have consi-derable communication with the families of the patients, physicians, hospitals, and cooperating agencies. The most critical shortage of stenographic and clerical help is in the Medical Division of the State Office and in tlie Charlotte and Greenvillle, North Carolina District Offices. We have taken many steps to help alleviate this situation. For example, we have allowed professional personnel in these offices to send dictation to the State Office to be transcribed by State Office transcriptionists who are alrea-dy carrying full workloads. We have had to allow some pro-fessional staff members, Home Industries Counselors and Field Representatives, to submit reports in longhand. This is undesirable since the required number of copies of re-ports cannot be made. 1965-6G 1966-67. TOTAL REQUIREMENTS $18,902 $19,538 LESS: ESTIMATED RECEIPTS 9,451 9,769 GENERAL FUND APPROPRIATION 9,451 9,769 in. TO PROVIDE FOR NORMAL INCREASE IN AVERAGE MONTHLY AID TO THE BLIND PAYMENTS. The additional funds requested will provide only for the normal increase in average Aid to the Blind monthly pay-ments. Many factors have caused a gradual increase in average monthly Aid to the Blind payments. The number of aged blind recipients who have no family to care for them is continuing to increase. It is necessary in many in-stances to place these elderly blind persons in boarding homes, and in some cases requiring constant medical at-tention, into nursing homes. Other factors contributing to increase average payments are decreases in the resources of persons in the home, decreased resources of the recip- North Carolina Commission for the Blind 49 ient, or decreases in recipient's earnings. The funds re-quested will provide for an average monthly payment in-crease of $.38 for the first year of the biennium and $1.13 for the second year. 1965-66 1960-67 TOTAL REQUIREMENTS $23,184 $69,084 LESS: ESTIMATED RECEIPTS 19,127 56,994 GENERAL FUND APPROPRIATION 4,057 12,090 IV. TO PROVIDE FOR AN INCREASE IN THE MEDICAL FEE SCHEDULE FOR EYE CARE PROGRAM AND TO IN-CREASE THE UNIT VALUE FROM $2.00 TO $2.50 IN THE RELATIVE UNIT VALUE FEE SCHEDULE NOW IN EFFECT FOR ALL STATE AGENCIES PROVIDING REHABILITATION SERVICES. The Commission's Prevention of Blindness Program pro-vides for eye examinations, surgery and treatment for eye conditions for indigent persons certified by the welfare de-partment. These eye care services are furnished indigent persons regardless of age. Considerable emphasis is being placed in providing needed eye care sevices to school age children. Eye physicians throughout the State who have provided these medical eye care services since the Com-mission was organized in 1935 are complaining bitterly about what they consider as the completely unrealistic fees paid by the State for these services. There has been no change in the present eye care surgery fee schedule during the past fifteen years. Some examples of comparative fees are : present indigent rate for eye examination $4.00, pri-vate patient fee $15.00 ; indigent cataract extraction fee $25.00, private patient fee $250.00 ; corneal transplant in-digent patient fee $25.00, private patient $300.00 ; glauco-ma surgery indigent patient fee $18,00, private patient fee $150.00. The additional funds requested will enable the Commission to increase the fee schedule for these eye care services to approximately 50 7^ of the private patient rate and the Commission will adopt for eye care medical services the same medical fee schedule now used by the Commission as well as other State agencies for Rehabilitation clients. The North Carolina Medical Society has accepted a relative unit value fee schedule for surgical procedures, dental care, radiology, diagnostic services and treatment. All State agencies involved in providing Rehabilitation type medical services to certified cases adopted this relative unit value schedule and the Department of Administration approved a $2.00 per unit rate effective July 1, 1963. We are now re-questing additional funds to increase the per unit value from $2.00 to $2.50 effective July 1, 1965. 1965-66 1966-67 TOTAL REQUIREMENTS $163,500 $167,500 LESS: ESTIMATED RECEIPTS 32,550 34,650 GENERAL FUND APPROPRIATION 130,950 132,850 50 Biennial Report V. TO PROVIDE STATE AID FOR COUNTY ADMINIS-TRATION OF AID TO THE BLIND. The Aid to the Bhnd Program is supervised on a state level by the State Commission for the Blind. It is administered on a local level by the county departments of public w^el-fare. Case Workers for the Blind are employees of the State Commission for the Blind and are assigned to the county welfare departments. All other Case Workers in the county welfare departments are County employees while Case Workers for the Blind are State employees. For sever-al years the State Board of Public Welfare has received an appropriation for State aid to the counties for administra-tion of the various public assistance programs. The Com-mission for the Blind has never received State Funds to assist the counties in the cost of administration of the Aid to the Blind Program on the county level. Salaries of Case Workers for the Blind have been supported entirely from County and Federal funds even though they are State Em-ployees. The Commission for the Blind has been placed in a difficult position due to the inequitable situation that now exists regarding State support of Case Workers in the county de-partments of public welfare. This request for funds will provide for Case Workers for the Blind salaries supported by Federal funds 50%, County funds 25% and State funds 25%. 1965-66 1966-67 TOTAL REQUIREMENTS $60,000 $60,000 GENERAL FUND APPROPRIATION 60,000 60,000 VI. TO PROVIDE FOR PAYMENT OF FULL REIMBURS-ABLE COST RATES TO HOSPITALS PROVIDING CARE TO INDIGENT PATIENTS IN THE COMMISSION'S REHABILI-TATION AND GENERAL EYE CARE PROGRAM. The Commission for the Blind along with the Vocational Rehabilitation Division, Department of Public Instruction, and the State Board of Health have been making payments to hospitals on a reimbursable cost basis. The reimbursable cost schedules were accepted several years ago. The reim-bursable cost rates have excluded charges by the hospitals for maternity care, non-funded depreciation, etc. Hospital reimbursable cost rates have increased considerably during the past five years. The State Agencies involved agreed to allow only for actual annual reimbursable costs increases up to a maximum of 71,4 %• This restricted rate of increase allowed has not been as great as the actual rate of costs increase experienced by the hospitals. The North Carolina Hospital Association has requested that State agencies make payment of full reimbursable costs rates effective July 1, 1965. The funds requested will enable the Commission for the Blind to pay anticipated full reimbursable cost rates to hospitals for both eye care pat-ients and rehabilitation patients. North Carolina Commission for the Blind 51 1965-66 1966-67 TOTAL REQUIREMENTS $65,000 $66,000 LESS- ESTIMATED RECEIPTS 17,500 17,850 GENERAL FUND APPROPRIATION 47,500 48,150 VII TO PROVIDE FOR MEDICAL CONSULTATION ON RE-HABILITATION CASES ON STATE OFFICE AND DISTRICT OFFICE LEVELS. The Federal Office of Vocational Rehabilitation Admin-istration is now requiring that all State agencies adminis-tering a program of Rehabilitation provide for adequate medical consultation on both a State Office and District Office level. Federal funds for all Rehabilitation services including medical consultative services amount to 70 % of total expenditures with the State's matching funds of 30%. Since physical restoration services are the backbone of any Rehabilitation Program, the Commission feels that it must provide for a sound program of medical guidance m Re-habilitation which can only be obtained by the designa,tion of a physician as a state medical consultant. This medical consultant would be charged with the overall professional direction of the health and medical affairs of the Commis-sion's Rehabilitation Program under the direction of the Rehabilitation Supervisor. In addition, the Commission feels that it should provide for the appointment and use, at least once a week, of a medical consultant in each District Office for the purpose of providing medical consultation on a face-to-face basis to the counseling staff in the acceptance of clients for evaluation to determine eligibility and in the development of their Rehabilitation plans. Professional medical consul-tation is needed by the Commission in the formulation of policies and procedures on all medical and health related matters. Medical consultation is also needed in the develop-ment of standards and operating procedures used m the selection and utilization of physicians, hospitals, chnics and rehabilitation centers serving Commission for the Blind clients. The Agency feels it can obtain the required medical con-sultation services on a State level basis at the rate of $100.00 per month and on a District Office level in each ot the six District Offices at $50.00 per month. 1965-66 1966-67 TOTAL REQUIREMENTS $ 5,400 $ 5,400 LESS: ESTIMATED RECEIPTS 3,780 3,780 GENERAL FUND APPROPRIATION 1,620 1,620 SUMMARY OF TOTAL "B" BUDGET REQUEST 1965-66 1966-67 TOTAL REQUIREMENTS $378,738 $429,772 LESS- ESTIMATED RECEIPTS 107,287 147,672 GENERAL FUND APPROPRIATION 271,451 282,100 52 Biennial Report CAPITAL IMPROVEMENTS First—(Two) 2-Family Staff Housing Units, Rehabilitation Cen-ter for the Blind, Butner, North Carolina. $84,000 additional funds are required to provide two 2-family staff housing units, including buildings, , utilities, access and equipment for the Rehabilitation Center for the Blind, Butner, North Carolina. The above staff housing units are needed because present staff housing is inadequate and does not provide for married staff with families. Private rental housing is not available in the vicinity of the Rehabilitation Center. Owing to the nature of the Center's operation, it is necessary to have staff members assigned to duty beyond the normal daytime hours of instruction and training. For this reason staff members must be housed as near to the Center facilities as possible. We have found it extremely difficult to attract and retain quali-fied unmarried staff members because of the isolation associated with the operation of the Center. Likewise, we have been unable to attract and retain staff members who have families because ac-ceptable housing is not available. We have recently lost 3 staff memhers: (1) a married couple with a young child, and (2) a widow with 3 children who had been placed in an orphanage. The children were unhappy and the mother was unhappy—so she resigned to accept employment where she could be with her chil-dren. We are convinced that adequate housing would make it possible for us to recruit married staff members. Experience has shown that married staff members, especially supervisory staff, would provide stability and thus reduce staff turnover. The units requested would provide for four families each with 1,600 square feet of space including a porch and storage. Utili-ties will be standard for this type housing. Landscaping, drives and walks will be required. An access walkway to the Administra-tion building has been included. Second—Land Improvements (15 Acres), Rehabilitation Center for the Blind, Butner, North Carolina. $30,000 additional funds are required for land improvements (15 acres) for the Rehabilitation Center for the BHnd, Butner, North Carolina. Approximately fifteen acres of land surrounding the Center, particularly that portion near the lake and stream is grown up in thick underbrush, is wet and snake infested. Old brick chim-ney foundations, concrete slabs, et cetera, need removing. Large drainage ditches need culverts and filling. All these things are particularly hazardous for newly blinded students. Total Requested Capital Improvement Appropriation $114,000. 54 Biennial Report APPENDIX I SOCIAL SERVICE DIVISION Data by state and counties concerning the 11,364 blind persons included on Register for the biennial period ending June 30, 1964. North Carolina Commission for the Blind 55 O < OS o o Q ^^ o O ;?; 12; o © Et3 1-9 Q Q o xtl W as iz; o iz; t xn PQ H wW Q o Wm o <! 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"' ;^q in 00 "* in eg eg m CO 00 t> CO •* CO CO •« t-eq CO tH in CO 00 35 eg in o in t-eg CO cg CO CO o CO >3 eg - 00 CO eg c^ eg t- -n CO CO in in _ 03 CD eg 05 00 CO CO eg CO eg in eg eg CO 00 eg in "^ in CO CO eg t-o CO CO CO 05 lO eg in CO c^ cc *"* o "^ "^ ^ in -<t '"' lO lO ^ Ol <t ^ - J3 o ••g CO s ^ en a> ^ eg "I- 00 ;:; in 03 CO CO CO C£- - CO eg CO m 00 o CQ H O H O a -- - eg ;; .<] - - ;; - o eg - CO in eg * 00 CO in in > 00 o eg N in " m eg eg ^ CO CO eg 00 lO CO M M eg CO eg OS eg in Ol CO 00 - eg _ - in eg eg in eg eg eg CO 2 05 in eg in co in eg in CO eg CO in CO eg 10 eg CO CD 00 0-. CD CD CO CO <1< t-eg eg ^ CO eg t-la to CO lO IN o 05 CO eg CO CD C- ^ ^ 00 00 '^ 00 t- t- c-eg in -<t eg S - 00 m eg eg eg ^1 in eg o Ol lO -* o « IM (N CO CO eg eg en eg eg om - CO - - in CO eg eg eg ej o CO m CO eg Ol CO in 00 CO 01 eg 00 in en eg CO eg ^ -t eg 05 - rH eg 00 - eg -* - c- * CO c- •* 00 in in CO eg CO CD m - - 00 -(J *^ O m in o t- - 00 eg CO eg CO o CO (N 00 CD eg r: * CO •* rC CO CO T-H in CD 00 ^ eq eq eg 2 CO CO oa eg 02 :4 B fa 13 E fa 23 "3 E fa 01 "3 S"5 E 0) fa a; 3 a; s fa IS 01 "3 E 01 fa 01 "3 -2 13 S 01 fa _o> 15 13 S OJ fa 01 15 fa 01 1« 01 15 E a; fa _0) "3 _0J 13 E 01 fa a; "3 E 4) fa 01 13 0) "3 E o; fa -2 13 E 01 fa 0) 1 <u O J3 "2 41 13 O 0) I 01 o .a 55^ 13 1 OJ 5 oH 1 01 J3 "3 1 V ja 13 J3 5 C B J! 1 1c o X 01 > c d X P 3 0, E CS z North Carolina Commission for the Blind 65 M •A 13 o HWM o H W o c =1 ^ IN in ^ N N * IN lo CO _ 05 N CO - ^ CO - - CO CO - ^ =3^ lO > 00 00 (M - - IN U3 •* - CO CO tr-io •^ » SI ?5 t- "* -* 3! r-l - CO M CO o t- •01 lO c- IN CO N (N ^ tH •«> 00 cq CO CO t- CO CO eo OC - CO lO .J lO iH o * - ^ .O •-0 .q CO - - CO IN 05 CO - CO CO CO o o CO eg - CO to CO m CO CO CO CO "J o lA OS ,-1 ?] \a CO "^ * N ^ CO '"' CO ^ 00 '"' '^ ^ CO ^ e^. o * jO CO CO ^ CO --= CO .A CO -- -^ C4 CO Tf CO •* c- •^ lO CO CO t- '^ -> CO * CO to O: ev t2 - oc - N ^ ej * - U3 Ol CO ^ N - co - - CO ;: in - CO - CO e^ CO o o H O 00 o t- ^ N] c- * 00 t- * IN N (N CO N N 00 o w lO - o 05 <N 00 00 CO * * CO IN o CO CO N in Si o 05 - cq - CO lO CO in CO in in •ft o lO to N cr- M 00 ^ '-I CO lO ^1 CO CO (N IN CO lO * * CO CO lO 3: 00 oc o CO CO --^ '* in CO CO -^ '^ CO t- •"t ^ in n lO o CO 5C -.o CO - 50 <N CO M (N oo IN -"I -' * ^ N CO * CO IN CO '-' in ^: '^ ^ - co in CO CO m to 05 tT c- N NN ^ - * - -• M IN lO O] - CO eg 1 00 - - - - - - eo N eo 00 ^ i -' N "3 N o » - N 05 2 .-1 CO - •* <t 00 co -* .^ 00 CO 2 CO 05 2 05 in in in CO 00 CO * o CO CO CO CO IT- - 5 "3 S 4) 01 s a; "3 15 sS -2 "3 "3 S 01 "3 "3 s V "3 "3 S 01 _0) "3 "3 s 01 "3 Jt) "3 B _0I "3 s"3 E 0) "3 "3 E _01 "3 ii "3 E 0) _01 "3 "3 E 0) —"3 "3 E 01 "3 "3 s o> CO 1 u "3 o 1 i> J3 "3 o ^S ^ 1 HI O J3 "3 1 Oi c .ti O J3 3 01 1 Oi "3 o 01 1 o> J3 5o OJ O J3 'S c E-e 3o c O 11 wc auO 1 -a! 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'£ ^ 1 ii J= o lU O J3 13 O IV 1 V J= 3 a 1 iJ j: 3 H 111 1 01 13 1e 3 0) s >> 1 c o c 2V a c c >-l ri 70 Biennial Report APPENDIX II MEDICAL DIVISION Data on the 73,989 indigent persons examined by Ophthal-mologists during the past biennium. " I i""l ' .!• .!. "ir-;i?-i^^7^i?~ii^~ii;~i^ r-s :'i^—y-~'~-:ii—-:r-r^-ii r^n 7, t—i^-;;^—————, it s-~7r-;;r— -st-sj-- cw 1 1 u. | —~ir~"ni .2 .i i I »| .n p;7~, ., j I .. I "I r\— i .. ] i| ! ''' 1=1 ^^rp: .1 j .| 1 .^p ' I oZT I ,'." Kr^"i?r^ " I "I ' .Tr~4~^~^ I ! "I I • I h" 1 '! ~ ! 1 '' ~' r^ I ' » ^""^1 • r^~ "i • •! "1 '-i "~ ~ c.i„.rt .... I,, „..|...|u. »..» n II .... ,h| .,.,..,-...... I »j .| • '•! ^ " [^•hl '! '^ ' 'I ' • j I'l I l;' j '^'''Ig_!i^liJ!l_ll l_ig_l^J!|^Mjg-!!^JgJ-J ZT ii ,!" |i .1 1 m I ," U |."i. I f ,!!!!!"' "r -iir j.].'. Hi~ZZZi4i4ji-:i--^ij--J— ZZZ]-!Uj-^—Z^ j ——'£-Wp w.., r.i.ji..pir ..i.. M.j •... I ..I_^_ll^^ | ,: I " ";L.| -i—l — izzzzizzzjzez: 72 Biennial Report APPENDIX III ACCOUNTING AND STATISTICAL DIVISION Budgetary Expenditures of the Commission during the Bi-ennium July 1, 1962 through June 30, 1964. North Carolina Commission for the Blind EXPENDITURES FOR 1962-63 and 1963-64 CHAPTER 53, PUBLIC LAWS OF 1935, CODE 16041 CHAPTER 124, PUBLIC LAWS OF 1937 I. ADMINISTRATION Expenditures Expenditures Purposes and /or Objects 1962-63 1963-64 101 Salary-Executive Secretary- $ 10,999.92 $ 11,833.34 102 Salaries and Wages-Staff 124,441.50 143,677.93 103 Expense of Commission 381.54 214.14 104 Supplies and Materials 2,872.03 4,463.23 105 Postage, Tel. & Tel. 10,492.37 13,499.79 106 Travel Expense 14,244.21 15,650.13 107 Printing and Binding 6,992.40 8,299.13 108 Repairs and Alterations 1,989.22 1,930.21 109 General Expense 15.38 100.00 110 Insurance and Bonding 35.00 111 Equipment 2,950.99 8,020.00 112 Merit System Expense 904.21 1,139.75 113 Office Rent 6,813.50 10,212.30 114 Retirement System 16,993.31 19,839.66 115 Moving Expense 149.75 220.56 116 Equipment Rental 1,399.24 TOTAL $ 200,240.33 $ 240,534.41 II. AID TO THE BLIND ADMINISTRATION 201 Salaries and Wages $ 51,820.58 $ 64,101.44 202 Travel Expense 6,364.51 9,888.50 203 Staff Development & Training 1,600.00 TOTAL $ 58,185.09 $ 75,589.94 III. REHABILITATION SERVICES 301 Salaries and Wages $ 9,383.70 $ 9,293.83 302 Travel Expense 2,146.83 1,703.82 303 Expense of Board Member Bureau of Employment for the Blind 285.68 278.31 TOTAL $ 11,816.21 $ 11,275.96 IV. VOCATIONAL GUIDANCE & PLACEMENT SERVICES 401 Salaries and Wages $ 125,018.87 $ 154.825.33 402 Travel Expense 24,561.44 32,900.16 TOTAL $ 149,580.31 $ 187,725.49 V. PAYMENTS TO NEEDY BLIND 501 County $ 413,490.25 $ 442,392.20 502 Federal 2,535,861.83 2,719,051.59 503 State 413,496.29 442,398.50 TOTAL $3,362,848.37 $3,603,842.29 VI. CASE SERVICES 601 Examination $ 74,998.42 $ 132,258.32 602 Treatment 95,999.14 106,999.80 74 Biennial Report 603 Prosthetic Appliances 604 Hospitalization (A) Aid to the Blind Recipients (B) General (C) Rehabilitation Clients 605 Training Expense 606 Training Supplies 607 Maintenance 608 Transportation 609 Placement Equipment TOTAL VII. COUNTY ADMINISTRATION 701 Salaries and Wages 702 Travel Expense 703 Federal Administration Direct to Counties 704 Case Worker Special Services TOTAL VIIL COUNTY EQUALIZATION FUND 801 County Equalization Fund TOTAL IX. PRECONDITIONING CENTER 901 Supplies and Materials 902 Equipment 903 Heat, Lights and Water 904 Repairs and Alterations TOTAL X. WORKSHOPS 1001 Equipment TOTAL XI. MERIT SALARY INCREMENTS XII. CONTRACTUAL SERVICES XIIL WORKMEN'S COMPENSATION TOTAL REQUIREMENTS $5,288,054.09 $5,834,528.29 LESS: RECEIPTS $4,248,694.69 $4,541,951.13 APPROPRIATION $1,039,359.40 $1,292,577.16 154,788.05 186,796.49 220,934.35 307,147.89 106,311.18 122,029.45 76,589.15 74,999.30 117,980.60 134,981.68 13,756.88 14,996.73 109,467.59 125,980.68 12,999.02 14,658.10 111,084.41 56,615.15 ,094,908.79 $1,277,463.59 181,165.16 $ 201,182.12 69,082,56 76,335.97 43,516.51 35,177.50 12,846.39 1.441.05 306,610.62 $ 314,136.64 12,000.00 $ 12,000.00 12,000.00 $ 12,000.00 24,996.77 $ 25,497.03 3,997.82 4,997.28 14,824.50 20,971.67 4,980.91 17,994.44 48,800.00 $ 69,460.42 29,621.84 $ 30,000.00 29,621.84 $ 30,000.00 11,924.28 $ 12,430.05 1,518.25 $ 69.50 STATE LIBRARY OF NORTH CAROLINA 3 3091 00747 1808
|Title||Biennial report of the North Carolina Commission for the Blind|
|Other Title||Biennial report of the North Carolina State Commission for the Blind|
|Creator||North Carolina State Commission for the Blind.|
|Date||1962; 1963; 1964|
|Digital Characteristics-A||84 p.; 5.35 MB|
|Title Replaced By||North Carolina State Commission for the Blind biennial report|
|Pres File Name-M||pubs_pubh_serial_biennialreportnccommission1964.pdf|
|Pres Local File Path-M||\Preservation_content\StatePubs\pubs_pubh\images_master|
^ hJ*^ Next ry
NORTH CAROLINA STATE
COMMISSION FOR THE
From July 1, 1962, throuprh June 30, 1964
'And I will bring the blind by a way they know '
/ will lead them in paths that they have not known;
I will make darkness light before them
—hsHiah xlii, 16.
NORTH CAROLINA STATE
COMMISSION FOR THE
From July 1, 1962, through June 30, 1964
"And I will bring the blind by a way they know not;
I will lead them in pciths that they have not known;
I will make darkness light before them."
—Isaiah xlii, 16.
In May, 196Jf, Governor Terry Sanford presented Mrs. Edna
C. Revels, Winston-Salem, N. C, the "Teacher of the Year
Aivard." Mrs. Revels was designated by the National So-ciety
for the Prevention of Blindness, New York City, as the
outstanding teacher of the year for partially sighted chil-dren.
This national award is known as the "Winifred Hath-away
Award". Others shown are: (left to right) Col. W. O.
Beasley, N. C. Representative National Society; Mr. J. D.
Ashley, principal of Hth Street School, Winston-Salem and
Dr. Charles F. Carroll, Superintendent of Public Instruction.
TABLE OF CONTENTS
Letter of Transmittal 4
Members of the North Carolina State Commission Board 5
Advisory Medical Committee 6
Organizational Chart ^
Aid to Blind Chart 10
Social Service Division H
Specialized Service Chart 12
Comparative Analysis of Aid to Blind 13
Medical Division 1*
Services for Children 22
Rehabilitation Division 24
Vocational Rehabilitation Services 25
Rehabilitation Center 30
Industries for the Blind 35
Bureau of Employment for the Blind 42
Cooperation from Other Agencies 45
Appendix I ^^
Appendix II '^
Appendix III ___-- '2
LETTER OF TRANSMITTAL
To The Honorable Terry Sanford
The Governor of North Carolina
Raleigh, North Carolina
Dear Governor Sanford:
Pursuant to Chapter 53, Public Laws of 1935, as amended, and
subsequent legislation, I have the honor to submit to you the
accompanying report of the North Carolina State Commission
for the Blind for the biennial period beginning with July 1, 1962
and ending June 30, 1964. This report concerns the management
and financial transactions of this Department.
SAM M. CATHEY, Chairman
N. C. State Commission for the Blind
N. C. STATE COMMISSION FOR THE BLIND
(Appointed by the Governor)
Judge Sam M. Cathey, Chah-vtan, Asheville, N. C.
Mr. Sam Alford, Chairman Executive Comynittee, Henderson, N. C.
Mr. H. C. Bradshaw, Durham, N. C.
Mr. Frank C. King, Brevard, N. C.
Mr. Alston B. Broom, Fayetteville, N. C.
Mr. Paul Alford, Durham, N. C.
Dr. Howard E. Jenszn, Emeritus for Life
(Ex-Officio Members—Designated by the Legislature;
Mr. J. W. Beach, Director, State Employment Service, Division of
Employment Security Commission, Raleigh, N. C.
Mr. Egbert N. Peeler, Superintendent, State School for the Blind,
Raleigh, N. C.
Dr. J. W. R. Norton, State Health Director, State Board of Health,
Raleigh, N. C.
Mr. Robert A. Lassiter, Director, Vocational Rehabilitation,
Raleigh, N. C.
Mr. R. Eugene, Brown, Commissioner, State Board of Public Welfare,
Raleigh, N. C.
N. C. BUREAU OF EMPLOYMENT FOR THE BLIND
Judge Sam M. Cathey, Chairman
Asheville, N. C.
Mr. Sam Alford
Henderson, N. C.
Mr. H. C. Bradshaw
Durham, N. C.
Mr. Frank C. King
Brevard, N. C.
Mr. Alston B. Broom
Fayetteville, N. C.
Mr. Paul Alford
Durham, N. C.
Dr. Howard E. Jensen
Durham, N. C.
Mr. 0. D. Nelson, Vice-Chairman
Greensboro, N. C.
Mr. V. J. Ashbaugh, Sr.
Durham, N. C.
Mr. Irwin Belk
Charlotte, N. C.
Mr. Dave R. Mauney, Jr.
Cherryville, N. C.
Mr. Voris G. Brookshire
Charlotte, N. C.
Mr. John Ed Davis, Jr.
Shelby, N. C.
Mr. Monroe Gardner
Warrenton, N. C.
ADVISORY MEDICAL COMMITTEE
(Surgeons Certified by American Board of Ophthalmology)
Dr. J. David Stratton, Chairman, Charlotte, N. C.
Dr. V. M. Hicks, Sr., Supervising Opthalmologist, Aid to the
Blind, Raleig-h, N. C.
Dr. S. D. Mcpherson, Medical Consultant, Rehabilitation
Program, Durham, N. C.
Dr. Paul M. Abernethy, Burlington, N. C.
Dr. Elbert C. Anderson, Wilmington, N. C.
Dr. W. Banks Anderson, Jr., Durham, N. C.
Dr. W. Banks Anderson, Sr., Durham, N. C.
Dr. Lloyd Bailey, Rocky Mount, N. C.
Dr. W. L. Bayard, Tryon, N. C.
Dr. James W. Bizzell, Goldsboro, N. C.
Dr. H. H. Briggs, Asheville, N. C.
Dr. Frank B. Cooper, Salisbury, N. C.
Dr. H. M. Dalton, Kinston, N. C.
Dr. Alan Davidson, New Bern, N. C.
Dr. John L. Etherington, Goldsboro, N. C.
Dr. George W. Fisher, Fayetteville, N. C.
Dr. Frank R. Fleming, Yadkinville, N. C.
Dr. Clarence B. Foster, Southern Pines, N. C.
Dr. George D. Gaddy, Burlington, N. C.
Dr. E. Reed Gaskin, Charlotte, N. C.
Dr. Thomas D. Ghent, Charlotte, N. C.
Dr. Walter R. Graham, Charlotte, N. C.
Dr. Raymond F. Grove, Wilmington, N. C.
Dr. B. a. Helsabeck, Winston-Salem, N. C.
Dr. L. Byerly Holt, Winston-Salem, N. C.
Dr. M. J. Hough, Charlotte, N. C.
Dr. Armistead B. Hudnell, Charlotte, N. C.
Dr. John L. Humphreys, Charlotte, N. C.
Dr. Edward K. Isby, Jr., Asheville, N. C.
Dr. Thomas C. Kerns, Durham, N. C.
Dr. G. T. Kiffney, Chapel Hill, N. C.
Dr. Martin J. Kreshon, Charlotte, N. C.
Dr. Ernest W. Larkin, Washington, N. C.
Dr. Ruth Leonard, Charlotte, N. C.
Dr. George A. Levi, Fayetteville, N. C.
Dr. Marion N. Lymberis, Charlotte, N. C.
Dr. Thomas A. Martin, Raleigh, N. C.
Dr. E. E. Moore, Asheville, N. C.
Dr. Maxwell Morrison, Southern Pines, N. C.
Dr. George T. Noell, Kannapolis, N. C.
Dr. Robert E. Odom, Asheville, N. C.
Dr. Richard B. Rankin, Concord, N. C.
Dr. R. Winston Roberts, Winston-Salem, N. C.
Dr. M. Harvey Rubin, Greensboro, N. C.
Dr. John L. Shipley, Elizabeth City, N. C.
Dr. Paul J. Simel, Greensboro, N. C.
Dr. Henry L. Sloan, Jr., Charlotte, N. C.
ADVISORY MEDICAL COMMITTEE
Dr. W. p. Speas, Winston-Salem, N. C.
Dr. Roy A. Stewart, Newton, N. C.
Dr. F. W. Stocker, Durham, N. C.
Dr. Shehane Taylor, Jr., Greensboro, N. C.
Dr. George T. Thornhill, Raleigh, N. C.
Dr. Charles W. Tillet, Charlotte, N. C.
Dr. Larry Turner, Durham, N. C.
Dr. Richard G. Weaver, Winston-Salem, N. C.
Dr. S. Weizenblatt, Asheville, N. C.
Dr. W. J. Wheeler, Wilmington, N. C.
Dr. John A. Wheliss, Raleigh, N. C.
Dr. John D. Wilsey, Winston-Salem, N. C.
Dr. W. Wayne Woodard, Asheville, N. C.
Dr. Robert B. Yudell, Charlotte, N. C.
The North Carolina State Commission for the Blind was
created by Leg-islative enactment in 1935 and began to function
as a state agency in July of the same year. This Biennial Report
presents the accomplishments for the period July 1, 1962—June
30, 1964. The law under which the Commission operates places
on it the responsibility of interpreting, administering and super-vising
an all inclusive program of work for the blind. These
activities are accomplished by the three main divisions of the
1—The Social Service Division which supervises financial
grants to the indigent blind and renders special services to all
the blind of the State ; 2—The Medical Division which carries on
three main phases of work, prevention of blindness, conservation
of sight, and restoration of vision ; 3—The Rehabilitation Divis-ion
which is composed of five major parts : a. General Rehabil-itation
Service; b. The North Carolina Rehabilitation Center
for Adult Blind; c. Home Industries; d. Workshops; and e.
The Bureau of Employment for the Blind.
This report reflects the continuous development of activities
and opportunities offered to the blind citizens of North Carolina.
We feel that the blind of our State, as well as the thousands of
persons with serious eye defects, have profited by the efforts of
the Commission, and through the services rendered to them,
many have become self-maintaining citizens of the State.
The Commission for the Blind has made a concerted effort
to conserve and utilize all State, Federal and community resour-ces,
so that as many as possible of the visually handicapped of
the State could benefit by the use of such resources. Our program
considers the whole man against his background of social, med-ical
and financial needs and endeavors to help him help himself
to fit into his community and take his place in the life of our
We could not present this report without comment on the
loyalty, perseverance and hard work of the staff and all persons
and organizations who have made such noble contributions to the
forward progress of good eye care for our citizens. The Federal,
State and County agencies, as well as private agencies, have given
much aid and co-operation. The North Carolina Association for
the Blind and the North Carolina Lions Clubs have given untold
financial aid and unselfish devotion to the cause of a better way
of life for the visually handicapped citizens of North Carolina.
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Biennial report of the North Carolina Commission for the Blindfor