Biennial report of the North Carolina Commission for the Blind
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SIS' tio Biennial Report of the NORTH CAROLINA STATE COMMISSION FOR THE BLIND July 1, 1960 through June 30, 1962 "And I will bring tft£ blind by a way that they know noti I wiU lead them in paths that they have not known; I mil make darkness light before them." —Isaiah xlii, 16. Biennial Report of the NORTH CAROLINA STATE COMMISSION FOR THE BLIND From July 1, 1960 through June 30, 1962 "And I will bring the blind by a ivay that they know not"; I will lead them in 'paths that they have not knownJ J will make darkness light before them." —Isaiah xlii, 16. HONORABLE TERRY SANFORD The Governor of North Carolina TABLE OF CONTENTS Page Letter of Transmittal 4 Members of the North Carolina State Commission Board 5 Advisory Medical Committee 6 Introduction ^ Organizational Chart 8 Aid to Blind Chart 9 Social Service Division 1^ Specialized Service Chart H Comparative Analysis of Aid to Blind 12 Medical Division ^'^ Services for Children 23 Rehabilitation Division 25 Vocational Rehabilitation Services 26 Rehabilitation Center ^1 Industries for the Blind ^^ Workshops '*" Bureau of Employment for the Blind 43 Cooperation from Other Agencies 46 Recommendations 47 Appendix I ^° Appendix II '4 Appendix III '" 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 M^ith July 1, 1960 and ending June 30, 1962. This report concerns the man-agement 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 (Six Members—Appointed by the Governor) Judge Sam M. Cathey, Chairman, Asheville, N. C. Dr. Howard E. Jensen, Chairman, Executive Committee, Durham, N. C. Mr. H. C. Bradshaw, Durham, N. C. Mr. Frank C. King, Brevard, N. C. Mr. Sam Alford, Henderson, N. C. Mr. Joe W. Hood, Wilmington, N. C. (^Yiwe—Ex Officio Members—Designated by the Legislature) Mr. J. W. Beach, Director, State Emvloyment Service, Division of Einployynent 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. Col. Charles H. Warren, Director, Vocational Rehabilitation, Raleigh, N. C. Dr. Ellen B. Winston, Commissioner, State Board of Public Welfare, Raleigh, N. C. BOARD MEMBERS N. C. BUREAU OF EMPLOYMENT FOR THE BLIND Judge Sam M. Cathey, Chairman Mr. O. D. Nelson, Vice Chairman Asheville, N. C. Greensboro, N. C. Dr. Howard E. Jensen Mr. V. J. Ashbaugh, Sr. Durham, N. C. Durham, N. C. Mr. H. C. Bradshaw Mr. Irwin Belk Durham, N. C. Charlotte, N. C. Mr. Sam Alford Mr. Alston B. Broom Henderson, N. C. Fayetteville, N. C. Mr. Joe W. Hood Mr. David R. Mauney, Jr. Wilmington, N. C. Cherryville, N. C. Mr. Frank C. King MR- Frank Brown Brevard, N. C. Greenville, N. C. Mr. Wayne C. Simpson Salisbury, N. C. ADVISORY MEDICAL COMMITTEE (Surgeons Certified by American Board of Ophthalmology) Dr. E. E. Moore, Chairman, Asheville, N. C. Dr. V. M. Hicks, Sr., Supervising Opthalmologist, Aid to the Blind, Raleigh, 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, Durham, 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, Albermarle, 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. Edward K. Isby, Jr. Asheville, N. C. Dr. Thomas C. Kerns, Durham, 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. 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. Dr. J. Lawton Smith, Durham, N. C. Dr. W. p. Speas, Winston-Salem, N. C. Dr. Roy A. Stewart, Newton, N. C. Dr. F. W. Stocker, Durham, N. C. Dr. J. David Stratton, Charlotte, N. C. Dr. George T. Thornhill, Raleigh, N. C. Dr. Jack A. Thurmond, Albemarle, 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. John D. Wilsey, Winton-Salem, N. C. Dr. W. Wayne Woodard, Asheville, N. C. INTRODUCTION The North Carolina State Commission for the Blind was created by Legislative 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, 1960—June 30, 1962. 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 ot sight, and restoration of vision ; 3—The Rehabilitation Division which is composed of five major parts: a. General Rehabilita-tion Service; b. The North Carolina Rehabilitation Center tor 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 per-sons with serious eye defects, have profited by the efforts ot 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 ot the State could benefit by the use of such resources Our pro-gram considers the whole man against his background ot social, medical, and financial needs and endeavors to help him help him-self to fit into his community and take his place m the lite ot our State. We could not present this report without comment on the loyal-ty, 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 As-sociation for the Blind and the North Carolina Lions Clubs have given untold financial aid and unselfish devotion to the cause ot a better way of life for the visually handicapped citizens ot North Carolina, lA CI *Z *" e-E 4, £ c LUU m >. 0) c C .«> 3 -0 ^ CO < ta o j: *• k O c ~ o U Eu E E E o u U 1^ u i= X *• CO o lo 1. o = c cu " o > «o Uo e» EEi^*- >^ .c U-" «> -a o ^ ^. Z iy\ "0 1 a. 0. 4L k K. ^ u EV -0 E c v—o ._t_ <u 0) wo u 3 c X £ LU < oM o O) >- .!2 « > a> _ EE .y -oU :S ui U c usines terpris jreau loyme 1. ea c m ^ 3 uj _ E »^ UJ ° 2 Oi/o 01 -c0 .sS-o *- k. i c -0 (U 2 c <u '> ^ c 5 — -'^ lU <U -j^ a> *" EU E (•1 ^^- c .2 S> ~ 5 U) ^ ^ c<aU </3l _ Ol 0 u c u 'o; 5 >L = -=2 a. m ^ t/i > CO u E u Q. .c \n ^m *" .dC n \yi < 03 H § OQ 1^ H O HQ O H Z I? < Q < CO O ul-H H^ &< < o < o (2< z o z o (» C» I— I o E- Z DO Z u Oh < ^ ^ s< S:b3 ^i w S C « BB 0- u 8| <« sl 1 = « 9 00 09 la P3 (U WO •a fi >.£ u-a ^ 0) M c -,^ s, ^ «u <J « y < S^ ^>, «-s >' A >k-o2 U c ^ ". *; »« "< '6J .a .1) Is TjE » *- »> > b; IS' mI ^2 a ^5 "1 <o \ r > ' s •St; B5o ^ ^ S* MU 10 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 payments must of necessity be governed by the amount of the State's ap-propriation for Aid to the Blind, as the non-Federal share in pay-ments 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 supervisors and thirty-eight 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-Mide 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 apti-tudes 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 quali-fications are eligible for Aid to the Blind: 1. Whose vision with glasses is insufficient for use in ordinary 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 sup-port and who have no relative or relatives or other persons in this State able to provide for them who are legally re-sponsible for their maintenance; and 3. Who have been residents of the State of North Carolina one year immediately perceding the application; and 4. Who are not inmates of any charitable or correctional in-stitution of this State or of any county or city thereof: Provided, that an inmate of such charitable institution may be granted a benefit in order to enable such persons to maintain himself or herself outside of an institution ; and 5. Who are not publicly soliciting alms in any part of the State, and who are not, because of physical or mental con-dition, in need of continuing institutional care. Provided, that the State agency shall, in determining need, take into consideration any other income and resources of the in-dividual 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 indi-vidual. North Carolina Commission for the Blind 11 Under our plan for hospitalization of Aid to the Blind recipients, any Aid to the Blind recipient may be eligible when it becomes necessary. Authorization for hospitalization of Aid to the Blind recipients is made by the County Directors of welfare. Financial assistance to a needy blind person, though very im-portant meets- only one phase of his problem. It is true that giving financial assistance will relieve the immediate problem, but from the standpoint of the future, he is little better off. Specialized 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 possible all opportunities for independence and self-care. Efforts have been made throughout this biennium by both the field representatives and case work staff to increase public under-standing of our program; 951 talks were made to civic groups and over radio in an effort 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 ser-vices provided the blind in North Carolina: CHART I SPECIALIZED SERVICES GIVEN BY CASE WORKERS FOR THE BLIND IN COOPERATION WITH LIONS CLUBS AND THE NORTH CAROLINA ASSOCIATION FOR THE BLIND. Biennium Biennium 1958-60 1960-62 1. Home Visits 30,748 29,680 2. Assistance in personal adjustment to blindness, assistance in learning to utilize to a maximum de-gree the other senses and assistance in developing effective ways of performing without sight the ordinary activities of living 15,147 16,107 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. - — 8,936 10,514 4. Instruction in Therapy Crafts—Hobby Crafts—sew-ing, weaving, chair caning, mat making, leather work, basketry, crocheting, knitting, gardening, rais-ing pets and farm animals, etc. 3,392 3,532 5. Academic Work — Reading and writing Braille, typing, signature writing, referral to State School for the Blind, referral to classes for partially sighted, distribution of sight-saving material, information re-garding admission to Rehabilitation Center for the Blind - - 9,788 11,352 6. Medical Care—This includes planning for the treat-ment, transportation and follow-up work in coopera-tion with the Medical Division 27,017 30,586 12 Biennial Report 7. Recreation—Plays, movies, picnics, parties, distribu-tion of gift radios 14,466 13,166 8. Miscellaneous Services 5,817 5,820 9. Talking- Book Machines distributed 1,118 1,462 Both State and Federal laws provide that any applicant or reci-pient for Aid to the Blind may appeal to the State Commission for the Blind, requesting a hearing if he is dissatisfied because of the following reasons : If his application is not taken ; if his application is not acted upon within thirty-one days; if his ap-plication is rejected; if he is dissatified with the amount of his monthly payments; if he is dissatified when his payment is chtinged 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 1960-62 fourteen requests for hearings were received; the following tabulations show the number and action taken by the State Commission for the Blind: Requests received . 14 Total handled 10 Requests w^ithdrawn 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 3 County action upheld 7 The issues involved in the appeals were budgetary deficiency, income or property of appellant's family and income or property of appellant. Complete informational data on the number of persons receiving Aid to the Blind payments, the number terminated or rejected, and the age, race and range of payments is given in Chart II. CHART II AN ANALYSIS OF AID TO THE BLIND ACCEPTANCES—REJECTIONS—TERMINATIONS 1. Number of persons receiving AB payments June 30, 1960 5,149 2. Number of applications accepted July 1, 1960-June 30, 1962 ___ 1,846 3. Total number of persons receiving AB July 1, 1960-June 30, 1962 6,995 4. Number of AB cases closed July 1, 1960-June 30, 1962 1,963 Reasons for Closing: a. Death 804 b. Employment of Recipient 78 c. Employment of other person in home 66 d. Receipt of Servicemen's allotment 6 e. Increased support from persons outside home 20 f. Increased resources of persons in home 82 g. Originally ineligible under State plan 6 North Carolina Commission for the Blind 13 h. Vision restored 136 i. Soliciting Alms 1 j. Increased resources 98 k. Admitted to institutions 125 1. Receipt of other type of Public or Private aid 8 m. Loss of residence 48 n. Other 485 5. Number of AB recipients June 30, 1962 5,037 6. Number of AB applications rejected July 1, 1960-June 30, 1962 425 Reasons for Rejection: a. Ineligible on basis of vision 146 b. Ineligible on basis of residence 4 c. Other resources 242 d. Inmate of Public Institution 1 e. Other 32 7. North Carolina average monthly AB payment June 1960 $52.76 8. North Carolina average monthly AB payment June 1962 $54.13 9. Range of monthly AB payments: a. $ 5.00—$ 9.99 b. 10.00— 14.99 c. 15.00— 19.99 d. 20.00— 24.99 e. 25.00— 29.99 f. 30.00— 34.99 g. 35.00— 39.99 h. 40.00— 44.99 i. 45.00— 49.99 j. 50.00— 54.99 k. 55.00— 59.99 1. 60.00— 64.99 m. 65.00— 69.99 n. 70.00— 0. 71.00—204.00 June 1960 June 1962 24 44 80 116 120 156 140 156 165 157 249 209 364 320 647 533 498 434 552 530 435 388 409 350 296 290 972 1,100 193 254 10. Age of AB applicants July 1, 1960-June 30, 1962: a. 0- 5 35 b. 6-18 231 c. 19-29 161 d. 30-44 192 e. 45-64 473 f. 65-over 754 14 Biennial Report 11. Race of AB applicants July 1, 1960-June 30, 1962: a. White 1,056 b. Negro 782 c. Indian 8 The chart, Appendix I, shows data by state and counties con-cerning the 9,865 blind persons included on Register for the biennial period ending June 30, 1962. Case Worker' in Iredell County Present", a Blind Woman a Braille Watch North Carolina Commission for the Blind 15 Case Worker in Rockingham County Teaches a Visually Handicapped Young Woman to Read Braille; Rutherfordton Lions Club Secured Ih^aille Bible for this Totally Blind Man; Totally Blind Case Worker Teaches a Sighted Person Braille. This Volunteer Worker Plans to be a Braille Transcriber. 16 Biennial Report Case Worker Teaches Blind Woman How to Use a Needle Threader; Case Worker Establishes a Relationship with a Totally Blind Child so that She Can Help Her to Learn to Care for such Personal Needs as Dressing, Feediyig, etc., Herself. Case Worker Shows Elderly Blind Woman How to Use Her Gift Radio Furnished by the North Carolina Association. North Carolina Commission for the Blind 17 MEDICAL DIVISION Annie Ruth Penney, Supervisoi- The Physical Restoration Nursing Staff of the Commission for the Blind working with all interested agencies, civic clubs and physicians offer medical services to indigent persons in need of eye care. The two main objectives are services and education. Services include eye examinations, treatment, hospitalization and surgery. Education is achieved through interpretation of clinic reports to Public Health nurses and personnel of Welfare Departments and Commission for the Blind. The medium of films, pamphlets, television talks and the press are also used. The three medical schools provide free eye examinations for persons certified on the basis of need by Directors of Public Welfare. Recommendations are forwarded from hospitals to the Commission for the Blind for authorizations for hospitalization, surgery and treatment. The Memorial Hospital, Chapel Hill, Visual Aids Clinic continues to provide useful service to Rehabilitation clients and indigent persons with seriously impaired vision. Glaucoma Detection Clinics held over the State during the last biennium provided a new awareness both to the physicians and to the general public of the prevalence of glaucoma and of the importance of early discovery and treatment in the interest of prevention of blindness. Glaucoma detection is a part of all group clinics where persons 40 years of age and older are examined in clinic groups. The Variety Club Eye Clinic in Charlotte and the Lions Club Eye Clinics in Asheville have provided a continuous program of medical services. Eye clinics are held throughout the State in counties where sustained medical facilities are not available. The frequency of these clinics—weekly, monthly, quarterly or yearly depends on the need, facilities available, local interest and cooperation. The Commission for the Blind uses all local and community public services including services of local eye physicians wher-ever available. During period from July 1, 1960, through June 30, 1962, 69,427 indigent persons were given eye examinations, 10,084 were given eye treatments, 3,141 were furnished eye operations and, 38,424 pairs of glasses were fitted. Since there is no item in the Agency's medical budget for glasses, most of the 38,424 pairs of glasses were purchased by the 300 or more Lions Clubs, the North Carolina Association for the Blind and the School Health Program. 18 Biennial Report SERVICES PROVIDED BY THE MEDICAL DIVISION: 1. Eye Examinations (including refraction and the fitting of glasses) 2. Medical Treatment 3. Hospitalization 4. Eye Surgery PROCEDURE FOR SECURING SERVICES: Certification For Eye Care: Eye Examinations—Glasses—Treat-ment— Surgery—Hospitalization The client applies to the County Department of Public Welfare for eye care. The Director of the County Department of Public Welfare determines whether or not the client is eligible on the basis of need to receive services offered by the State Commission for the Blind. Public Assistance Recipients: All individuals or families receiv-ing financial assistance from the County Welfare Department will be certified for eye care without further investigation. The type of Public Assistance the client receives will be designated on Form CR-2 (Certification of Need Slip). Eye Examinations—Glasses—Minor Treatment: The current standards used by the Department of Public Welfare to estab-lish eligibility on basis of need for Public Assistance payments plus an additional $35.00 per month will be used for certifying applicants who are not Public Assistance recipients for eye ex-aminations, glasses and minor treatment. Eye Surgery—Hospitalization—Extensive Treatment : The Com-mission for the Blind income scale will be used as criteria for determining eligibility for recommended eye surgery, hospitali-zation and extensive treatment. The County Director of Public Welfare furnishes an eligible client with duplicate Forms CR-2 (Certification of Need) and assists the client in securing the services indicated or recommended. The State Commission for the Blind will assume responsibility for the payment of all eye examinations. Local resources such as payment or partial pay-ment by the client. Lions Clubs, Association for the Blind, other organizations, and School Health Funds are used for payment for glasses. Practitioners' Offices: The client goes to the practitioner's office at the appointed time and presents Forms CR-2 (Certification of Need). Sustaining Clinics: If the client is to be examined in a sustain-ing clinic, duplicate Forms CR-2 (Certification of Need) are fur-nished to the person in charge of the clinic, and an appointment is requested. Group Clinics: Plans and appointments are made in advance as to the number of persons (35) to be seen in a group clinic. North Carolina Commission for the Blind 19 Persons requesting clinic services are certified by the County Director of Public Welfare. A list signed by the Director is fur-nished to the Physical Restoration Nurse on the day of the clmic. School Health Program : Children with vision defects should be referred to a licensed practitioner cooperating with the North Carolina State Commission for the Blind or to a sustainmg eye clinic of the Commission for services indicated or recommended. In localities where neither a cooperating licensed practitioner nor a sustaining eye clinic is available, a group clinic will be ar-ranged upon receipt of a request made to the Commission. The Commission will arrange for the clinic in cooperation with the local School Superintendent, the County Health Director and the County Director of Public Welfare. The North Carolina State Comm^ission for the Blind cannot pay for examinations unless the child has been certified by the County Welfare Department in accordance with procedures now in effect. If medical, surgical or hospital treatment is required, the parent or guardian will apply for aid through the County Welfare Department. In accor-dance with cooperative plans now in effect, the Welfare Depart-ment will process the case through the Commission for the Blind. The State Commission for the Blind will authorize the case in advance of hospitalization in the usual manner. If funds from the State Commission for the Blind are not adequate to cover the estimated expense for the case, the North Carolina State Commission for the Blind will write a letter to the County Health Department to determine whether or not School Health Funds are available. If such funds are available from this source, the case will be authorized. FINANCING OF MEDICAL EYE PROGRAM: Financing is shared by the Lions Clubs, the Association for the Blind, Variety Clubs, School Health Funds, and the State Com-mission for the Blind. FOLLOW-UP WORK: 1. Surgery is done by eye physicians who are American Board Diplomates, or eye physicians who are accepted ap-plicants for Amercian Board examinations. 2. Hospitalization and surgery are financed by the State Commission for the Blind. 3. Glasses. The State Commission for the Blind secures glasses at special rates from wholesale optical companies for local agencies and Lions Clubs. Glasses are paid for locally by the North Carolina Association for the Blind, Lions Clubs and from other local resources. 20 Biennial Report 4. Sight Saving Classes are sponsored by the Medical Divi-sion. The Chart, Appendix II, reveals data on the 69,427 indigent persons examined by eye physicians during the biennium; data given by counties. ^'n*€ *; •*>^;*»«-»,*.s>^a^'v^ eft® * Before SURGERY After North Carolina Commission for the Blind 21 Medical Eye Clinic, Cherokee Indian Reservation; Guilford Convtij Medical Eye Clinic, Greensboro; Rendersonville Medical Eye Clinic, HevdersonviVe ; Equipment Furnished by Lions Clubs and N. C. Association for the Blind Clinics Supervised by N. C. Commission for the Blind. 22 Biennial Report The Rockingham Lions Clubs Furnish Milk and Cookies to Persons Attending the Regular Medical Eye Clinics. Before SURGERY After North Carolina Commission for the Blind 23 Blind Children Attending the Institute for Mothers of Pre-School Blind Children Learn to Enjoy Swings, Slides, Etc. The Children Are Supervised by Carefully Selected Sighted Girls. SERVICES FOR PRESCHOOL CHILDREN The Medical and Social Service Divisions offer special services 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 their 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 24 Biennial Report PRE-SCHOOL OPERATIVE SERVICES—1960-62 (Age—Birth through 7) Squint Operations _. 231 Congenital Glaucoma 65 Congenital Cataracts 60 Enucleations 25 Chalazions Removed 7 Ptosis 22 Treatment and other defects 128 Total 538 Madeline P. McCrary Public Information Officer Two of the Boys at the Institute for Mothers of Pre-School Blind Children. These Boys Were Learning to Use Toys. North Carolina Commission for the Blind 25 REHABILITATION DIVISION Rehabilitation is the restoration of disabled persons to the ful-lest 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, adjustment 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 following five co-ordinated majors units: 1. Six 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 adjust-ment 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 employment in vending stand operation. 26 Biennial Report 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 rehabilitated. Reha-bilitation goes back to the closing months of World War I when manpower problems were acute and disabled veterans were re-turning to civilian life. Since the beginning of vocational rehabilitation in 1920, the pro-gram 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 Carolina provides counseling and guidance, physical restoration, adjust-rnent and vocational training, placement and post placement ser-vices to all visually impaired persons who have not been able to achieve employment through the normal and routine channels 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 im-portant 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 ac-cept 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 potentialities. Rehabilitation looks at the Total Man in the light of his employ-ability: 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 objec-tive, in planning his preparation for such employment and in achieving those attitudes which will bring success and saisfac-tion 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 North Carolina Commission for the Blind 21 has been accepted by the counselor, the possibility of physical restoration 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 techniques of the rehabilitation processes should be entrusted with so great a task. Training: When an employment objective has been determined, a plan is set up to provide necessary training, such as adjust-ment to blindness, stand operation, workshop, and industry and professional occupations requiring college degrees. The counselor is responsible for the type and quality of training secured. He keeps constant watch to see that the client receives training which will fit him for remunerative employment. In some in-stances, 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 transcription-ists was set up at Duke Hospital, Durham, N. C. The first four trainees have completed training and are now employed in hos-pital settings. The second group of trainees will soon be ready for placement. This training unit will make it possible to place several well qualified medical transcriptionists each year. A Young Blind Man Was Trained and Furnished Equipment by the Rehabi-litation Department. He Now Operates an Independent Store. 28 Biennial Report Placement: Rehabilitation processes must lead to employment —the ultimate goal of all rehabilitation aims—job placement which will allow the handicapped individual to use all of his abili-ties and to achieve the highest development of which he is cap-able. 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 respon-sibility of a progressive society. Post placement supervision: The last major step in the reha-bilitation 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. STATISTICS ON THE 887 BLIND PERSONS REHABILITATED INTO EMPLOYMENT. PERIOD JULY 1, 1960, THROUGH JUNE 30, 1962 Number of Males 448 Number of Females 439 Number of White 584 Number of Negro 296 Number v:»f Indian 7 Average Education at Survey 6.9 Average Age when Accepted for Rehabilitation Services 45.2 Average number of Months Cases were Serviced by Rehabilitation _ 23.9 Average number of Months in Vocational Training (242 persons) _ 10.7 Average Cost of Case Services (does not include administration) $879.03 Average Weekly Wage when Accepted as a Rehabilitation Client __ $ 5.71 Average Weekly Wage when Closed as Employed and Rehabilitated _ $ 31.06 STATISTICS ON THE OCCUPATIONAL GROUPS OF THE 887 BLIND PERSONS REHABILITATED. PERIOD JULY 1, 1960 THROUGH JUNE 30, 1962 Type of Job Number Per Cent Professional and Semi-Professional 48 5.4 Managerial and Sales 130 14.7 Farmers 54 6.1 Skilled Workers ^_1 : 14 1.6 Semi-Skilled Workers 100 11.3 Unskilled Workers 168 18.9 Service Jobs 45 5.1 Craft Workers 21 2.4 Homemakers and Family Workers 307 34.5 Totals _^„„^-^„_^_„, ~887~" 1:00~ Madeline P. McCrary Public Infoy^mation Officer North Carolina Commission for the Blind 29 Young Blind Woman Employed by Shallcross Manufacturing Co., Sclma, N. C. Shallcross Manufactures Precision Resistors, Switches, Instruments, and Electrical Testing Equipment. Hx^t^^^l Blind Man Was Trained and Furnished Equipment by Rehabilitation. He Operates a Launderette. 30 Biennial Report The Rehahilitation Departtnent Furnished Sheep, Feed, and Fence no that This Avery County Man Could Start a Sheep-Raising Project. This Man Was Furnished Tools and a Cash Register so That He Could Operate His Own Garage. This Unit at Duke Hospital Where Blind and Visually Impaired Persons Are Trained as Medical Transcibers. The Unit of Training is Sponsored by the Rehabilitation Department. North Carolina Commission for the Blind 31 THE NORTH CAROLINA REHABILITATION CENTER Helen Cutting, Superintendent The New Multi-Piirpose Building Recently Completed at the Center, Butner, N. C. The North Carolina Rehabilitation Center, created by legislative 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 program of rehabilitation services. Orientation and adjustment to blind-ness 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 per-manent building on State property at Butner, North Carolina in 1952, Funds for staff houses were allocated lay the General As-sembly in 1953, and funds were granted for additional dormitory 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. Construction on this building was started in the fall of 1961 and the building was completed in 1962. The completion of the interior of the building and the installation of equipment and furnishings should be completed in the near future. This building will provide the long needed space for satisfactory class rooms, a gymnasium, clinics, etc. Each addition to the physical facilities at the Center results in more adequate services for adult blind persons and becomes an important factor in achieving the goal of employment. 32 Biennial Report Dependent upon available space, the Center has always admitted a limited number of out-of-state students. This biennium was no exception, and students from other states were enrolled. The Center has numerous visitors from agencies, schools, col-leges, and student nursing classes. Among the visitors during this period were : The Director and the Regional Representative, Office of Vocational Rehabilitation; representatives from The American Foundation for the Blind ; Superintendent of the Com-mission for Aid to the Blind, Guatamala ; The Seeing Eye, Inc. ; Third Vice-President, Lions International ; Program for the Blind, Mexico City; The New York Association for the Blind, New York; the Philippines; Director of Education Abroad, Antioch College in Ohio; two exchange students. University of Taleriz, Iran; some North Carolina legislators, and many others. Mr. Jeri, founder, life president, and organizing director of the African Society for the Blind and Physically Handicapped spent two weeks at the Center studying its methods. 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: Durham Lions Club gave two non-sinkable boats; Lions Clubs furnish tickets for fairs ; trampoline given by a friend ; shrubs ; spend-ing money for students from Lions Clubs; recreational equip-ment and games; and materials to be used in theraphy classes, by mills in the area. The Association furnished funds for ma-terials 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, then taken as a state-wide project of The North Carolina Gar-den Club, Inc. grows in beauty always. This garden has been officially dedicated with several hundred persons in attendance. A bronze bust of Helen Keller was unveiled at the dedicatory services. The Center through the ingenuity and labor of the staff and students has a Fall-out Shelter. This Shelter is housed in the basement of one of the buildings and is adequate to care for 375 persons. Cots, food, proper ventilation, water, and all essen-tials for a two week stay are provided. This shelter has been inspected and approved by Civil Defense Personnel. It is the only large shelter in the Butner area. Basic courses at the Center are well established; however, new ones are initiated as a need is presented. During this period a new course in health education was begun. This course is a lec-ture course by the nurse and demonstrations of the practical North Carolina Commission for the Blind 33 aspects covered in the lecture. Such a course has far reaching values for our students as well as their families when they re-turn to their homes. The other regular courses include: 1. Orientation to the phy-sical setup of the Center and its surroundings, 2. travel techni-ques, 3. adjustment, 4. continuation of counseling, 5. psycho-logical 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. academic courses such as English, spelling, arithmetic. Braille, typing, and transcrip-tion, 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, 1960-June 30, 1962 on Students at the Rehabilitation Center. Total Number of Students: 192 Number of Counties Represented 67 Average Age 28 Average Education 9.9 Males 113 Females 79 White 126 Negro 66 Rural 96 Urban 96 Single 141 Married 33 Other 18 Degree of Vision at Present: Total Blindness—Both Eyes 20 Blind One Eye—Partial Vision Other 29 Partial Vision Each Eye 143 Sources of Support When Student Enrolled at Center: Family 139 Wage 7 Public Relief 40 Compensation 1 Other 5 Previous Employment: Average Number of Months at the Rehabilitation Center Age at Onset of Blindness: 0- 5 6-18 19-29 30-44 45-65 4.9 134 19 13 17 9 Causes of Blindness (Multiple in some cases) Disease 184 Accident 10 Congenital 111 Inherited 34 Teacher 4 Clerk 4 Stand Operator 1 Piano Tuner 2 Odd Jobs 8 Family Worker 4 Instructor _ _ 1 Clerical 2 Homemaker . _ 13 Service Job 4 Machinist 1 Newsboy 3 Domestic 6 Beautician 2 Laborer 36 Farmer 5 Sales 2 Textile 2 34 Biennial Report Number Employed _. Number in Training _ Number Unemployed Left State 45 Sheet Metal Worker 1 73 Typist 1 73 None 90 1 Musician 1 Merchant 1 Laborer : Semi-skilled 5 9 Unskilled 2 1 Poultry Processor 1 9 Domestic 1 2 Medical Transcriber 1 5 Service Job 2 4 1 Types of Employment of the 45 Employed: Stand Operator Instructor Homemaker Packer Sales Family Worker Clerk In the 1958-60 Biennial we presented statistics on the employ-ment status of the 209 students who attended the Center during this period. In June 1962 we did a follow-up study which dis-closed these facts: June 1960-June 1962 Number of Students: Number Employed: Number in Training: Number Unemployed : 209 Left State: Deceased: 1960 1962 49 151 73 27 85 24 2 4 3 Results of this study showed that many more students had been placed in employment and we feel that this fact is evi-dence that the training offered at the Center is a positive factor in a total Rehabilitation Program. Madeline P. McCrary Public Information Officer ^-mm^ i0mmmt, \ r Bicycle Used For Exercise and Brings Fresh Air Into the Fall-Oiit Shelter. The Wheel Is Con-nected to the Gen-erator. Staff and Students Construc-ted This Exercise Machine. North Carolina Commission for the Blind 35 Scenes at the Center Typing Class; Laundry Training; Shop Work in the Expanded Wood Work Shop. . . . 36 Biennial Report INDUSTRIES FOR THE BLIND Irene Beaudin, Supervisor Home Industries and Worksliops The primary purpose of the Home Industries Department in the Commission's Rehabilitation Program is to provide remuner-ative occupations in the home for visually handicapped persons who for reasons other than blindness cannot accept or find em-ployment elsewhere. Generally speaking, the negative employment factors that clas-sify 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 bsing capable of accomplish-ment in some field of endeavor. Hence, the aim of the Home Industry Program is to provide services to as many blind persons as possible who are feasible and capable of producing saleable articles. 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. The Home Industries Counselors in collaboration with the Reha-bilitation 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 mede it possible Sale of Articles Made by the Blind at the Biltmore County Market. North Carolina Commission for the Blind 37 to expand the Home Industry Program by providing funds for legitimate services where no other monies are available. Thi? co-operation assures a sound state-wide program for home bound visually impaired persons. The department was understaffed during this biennium because of the impossibility of recruiting personnel. Two Home Industries Counselors serviced a case load of 180 visually impaired persons residing in all parts of the State. The Counselors made 2,100 visits into the homes of these visual-ly impaired persons to establish eligibility and feasibility, to initiate and supervise training and production of saleable articles. Even after productivity has been achieved, the Counselors con-tinue supervisory contacts with most workers to supply materials, to suggest new ideas, and to insure the quality and sale of finish-ed merchandise. There are around 106 active cases and these earned $23,210.00. Some of these were beginners and earnings were small, other sea-soned workers qualified for Social Security benefits. It is difficult to ascertain the income of the home industry workers because of the various stages of productivity. Some workers have develop-ed such skill and ingenuity that they can produce and market their own merchandise, others must sell through outlets pro-vided by the program. State-wide publicity through the media of newspapers, TV, radio and talks made by the staff and Lions, resulted in excellent 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 enabled the blind persons to be paid for a saleable article when it was finish-ed. This was the first step toward a greatly enlarged Home In-dustry Program and the motivation for greater production by the workers. Before the revolving fund, the Counselors picked up These Visually Impaii-cd Pc>-sous Were Tra'med by the Home Industries Department. The Man Reseats All Types of Chairs and Makes Henrth BrooTns. The Seamstress Won a Prize at the State Fair for Hei' A/jj-ows. 38 Biennial Report 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 sponsored 82 sales during the biennium. The sales totaled 244 days and were held in towns, county fairs, etc. Total sales amounted to $29,000.00 during this period. Sales were continued at The Craftsman's Exposition, Asheville, and The State Fair, Raleigh. The State Association and Lions Clubs paid the expenses of several blind workers to the Crafts-man's Fair; these workers demonstrated the arts of weaving, basketry, wood carving, and chair re-seating. Many hundreds of spectators actually observed the creative ability of blind and visually impaired persons for the first time. The workers not only gained in a financial way but made contacts with expert craftsmen. The other 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 preceeds of this sale amounted to almost $1,320.00. Other sales were held at The Allied Arts and Crafts Fair in Durham and in the Charlottetown Mall, Charlotte. Proceeds from these sales were well over $1,000. The Home Industries sponsored an educational booth at The 1961 Trade Fair in Charlotte. The booth displayed an excellent exhibit of merchandise made by blind crafters and had an automatic projector with color slides of the blind at work which ran con-stantly. This was a display and educational booth, no sales of merchandise were permitted but orders could be taken for future deliveries. Through contacts made at this fair, the Home Indus-tries Department recieved several donations of raw materials. During this period a workshop was held at East Carolina College for Home Industry workers. This was a most profitable train-ing session. - Sales were held at the Gem Festival, Spruce Pine and twelve gift shops are buying merchandise from Home Industries. These are out of state as well as in North Carolina. Home Industries ship regularly to Kentucky, Tennessee, Ohio, and Georgia, The Uni-tarian Church, Oak Ridge, Tennessee is a regular customer as well as the Blind Crafters, Cuyahoga Falls, Ohio. The Department is indebted to several industries for their gener-ous donations of raw materials, among these are Tomilson's of High Point, Fieldcrest, Lilly Mills, Penland School of Handi-crafts 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. North Carolina Commission for the Blind 39 Blind Person Trained and Furnished Equipment hij Rehabilitation Is Now Proficient in the Art of Weaving. A Multiple Handicapped Woman Was Trained by Home Industry Counselor to Make Stuffed Toys. There Is a Ready Sale for these Articles. 40 Biennial Report WORKSHOPS There are six workshops in North Carolina. The N. C. State Com-mission for the Blind, throug-h contractural agreements with each shop, participates in the over-all supervision of operations. During- this biennium, the shops employed an average of 118 blind and visually impaired persons. At the same time, 105 persons received training leading to employment. The average weekly wages of the operators were $39.61. This was an increase over the 1958-60 period. In addition to the regular weekly wages, several shops gave a g-enerous Christmas bonus in the amount of $14,157.48. Fringe benefits for the operators include paid vacations, sick leave, hos-pital insurance, low cost group life insurance, Social Security benefits, and Workman's Compensation. The manager of the Ashville shop retired after many years of fine service. This shop is showing improvement and has added several new workers. The Charlotte shop completed its building addition, received new equipment through the N. C. State Commission, and increased its sales. The new facilities not only made better working condi-tions but have resulted in the employment of more blind persons and more trainees. This shop contracts for Federal orders through the National Industries for the Blind. The Rockingham shop moved to a larger building which provided more suitable housing for shop operations. It also had a change in managers and management. This has been a trying period but progress is being made. Sales are up and the shop has been able to slowly increase its employees and trainees. It also received new equipment to facilitate operations. Industries of the Blind in Greensboro has expanded and is now in the process of adding another addition. Through Civil Defense, the shop secured a packaging project. There are 40 workers em-ployed on this project. It was necessary to rent extra space to house this project, (see pictures) This shop, in co-operation with The National Industries for the Blind, sponsored a booth at the Trade Fair in October 1961. In the booth there was a complete operation of mop making demonstrated by three blind and one visually impaired persons. This exhibit attracted much attention and many interested viewers. Winston-Salem's shop has been under the supervision of Good-will Industries for some time. It moved October 1961 into the new plant of Goodwill Industries. Conditions are more favorable for work and progress is being made with more workers and better wages. A sub-contract from the P and P Chair Company, Asheboro, was secured. This contract involved the caning of "Kennedy Rockers" by our blind workers. The Durham workshop is in the process of expansion so that it can train and employ more blind and visually impaired persons. North Carolina Commission for the Blind 41 Sales have been up which has made employment favorable for more blind persons. This shop contracts for Federal orders and manufactures mattresses. 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 em-ployment of blind and visually impaired persons who have never been workers and earners previously. These employed persons will know the satisfaction of producing citizens rather than re-cipients of governmental aid. This is good business and makes for good citizens. Scenes in the Lions Club Indnst)-ies fo)- the Blind, Darhttni. 42 Biennial Report I Packing Articles for Civil Defense; Industries of the Blind, Greensboro. North Carolina Commission for the Blind 43 NORTH CAROLINA BUREAU OF EMPLOYMENT FOR THE BLIND W. J. Strickland, Suvervisor The Bureau, more commonly known and recognized as the Vend-ing Stand Program, was created by statute to provide and main-tain 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 significient 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 efficiently serving his customers from an attractive and well-designed vending stand is invaluable in establishing public confidence in the abili-ties and skills of blind people. Pursuant to law, an Advisory Board to this Bureau was estab-lished to assist in formulating policies, rules, regulations and practices which would insure the continued operation of a suc-cessful Business Enterprise Program. This Adviory 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 responsibility 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, buy-ing and selling ; and the record keeping required in the operation of a small business. During this biennium, 58 blind and/or visually handicapped per-sons were accepted for training by the Bureau. Forty-eight (48) of these persons successfully completed training and were em-ployed by the Bureau. At the close of the biennial period June 30, 1962, the Bureau was operating 95 stands, employing 111 blind operators at an average weekly salary of $41.37. During this biennium the earnings of blind operators totaled $412,441.00. In addition to these earnings, the Bureau provided its blind operators the following fringe benefits: free hospital insurance coverage, paid vacations, ac-cumulative sick leave with pay. Unemployment Compensation, Workmen's Compensation and Social Security coverage. The Bureau, through group coverage, is able to overcome the pro-hibitive life insurance rate charged blind people and offers its operators the opportunity to secure insurance at a low group premium rate. 44 Biennial Report The Bureau, in making- surveys relative to the feasibility of es-tablishing- vending stands, has been offered concession privileges 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 ope-rators $3 0,695.00 as a bonus. These bonus payments were paid on a "length of service" basis ranging from $40.00 for employees with less than one year's service to $200.00 for 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 per-sons. Industrial plants have looked with favor upon our Program and have granted concession privileges to us for the establish-ment of In-Plant Food Service Units which make possible the employment of one or more blind persons. The Bureau now ope-rates In-Plant Food Service Units in 47 North Carolina industrial plants. The members of the Commission for the Blind 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 Caro-lina Department of Conservation and Development, the General Services 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 me Comm.ssion's Vending Stand i-'rogram a success. In-Plant Food Service Unit—Corning Glass Works Plant, Raleigh, N. C. North Carolina Commission for the Blind 45 In-Plant Food Service Unit—Hickory Springs Mfg. Co., Hickory, N. C. In-Plant Food Service Unit—Carolina Casuals Mfg. Co., Wilson, N. C. Snack Bar—Agriculture Stabilization Commission, Photo Laboratory, Asheville, North Carolina 46 Biennial Report 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 Commission for the Blind from the Federal Department of Health, Education and Welfare, the County Boards of Commissioners, County Wel-fare 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 contri-butions to work for the blind. The majority of these have already been mentioned but because of the significance of the contribu-tion, recognition is again given: EYE PHYSICIANS—North Carolina is most fortunate in hav-ing eye physicians located in the various sections of the State who are giving unsparingly of their time and skill to prevent blindness, and wherever possible to conserve sight and to re-store vision. These eye physicians give to the needy cases re-commended to their care the same highly skilled, professional services received by private patients. Without the very fine co-operation and unselfishness 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 physicians who give treatment to persons referred for general medical at-tention by the eye physicians. Since the eye is often called "a, thermometer to bodily conditions," many eye diflPiculties 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 coming 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 eye 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 Woman's Clubs have contributed many services to the blind as a part of their general program. The Lionesses contribute per-sonal 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 blind students at the Rehabilitation Center, Butner, North Carolnia Commission for the Blind 47 North Carolina. This project is a continuing one and grows in beauty each year. The State Department of Public Welfare, The Stat« Board of Health, the County Schools and Health Officials, the Department of Conservation and DeveloDment, Chambers of Comnience, the local private welfare agencies and hospitals have all given valu-able 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. Exchfing^ Clubs. P. T. A.'s and other organizations have participated 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 So-ciety for the Prevention of Blindness, The Seeing Eye, Inc., The National Rehabiliation Association, and The American Printing House for the Blind. REQUESTED INCREASES IN APPROPRIATIONS FOR THE BIENNIUM 1963-64 and 1964-65 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 administering all governmentally sponsored services for the blind citizens of our State with the one exception, the North Carolina State School for the Blind. SUPPORTING INFORMATION I. ADMINISTRATION (To Provide for Staff Development and In-S'Jrvice Train-ing Program:) Staff Development Supervisor—For several years, we have realized the need for more formalized agency in-service training for upgradmg staff to help them perform more - effectively in our ever changing programs of Public As-sistance, Medical Care and Vocational Rehabilitation. Par-ticularly in Public Assistance caseloads, many problems require a high level of professional services. Both pro- . fessional education and in-service training of staff are es-sential to deal effectively with these kinds of problems. The Federal Bureau of Family Services has issued a mandate requiring State agencies administering Public Assistance to have a full time State Training Director by October 1, 1962. They are also requiring that this full time training 48 Biennial Report Director be qualified by appropriate education and exper-ience for the responsibilities of the position. We are hope-ful that we can get an extension for the effective date of employment of a full time Staff Development Supervisor to July 1, 1963. The Federal Office of Vocational Rehabili-tation recently completed a case review and their report includes the following comment: "An in-service training program designed to improve counselor knowledge and skills in vocational counseling, job development and job placement appears to be indicated. Such training would broaden the insights of counselors in assessing vocational potential, the motivation to work, and the placement of more clients in a greater variety of jobs with more eco-nomic potential. Improved vocational counseling would as-sist clients in making more realistic vocational choices and reduce stereotyped pre-conceptions about what jobs blind persons can perform." This Staff Development Supervisor will be required to travel on a state-wide basis in connection with the scheduling of staff in-service training on the dis-trict office level. 1963-64 1964-65 TOTAL REQUIREMENTS $6,705 $6,705 LESS: ESTIMATED RECEIPTS 3,072 3,072 GENERAL FUND APPROPRIATION 3,633 3,633 (Additional Personnel to Handle Increasing State Office Clerical Workload:) Accounting Clerk I—This additional position is required in the Finance Division of the Commision to help process the ever increasing volume of record keeping for all phases of the Commission's Medical, Rehabilitation and Aid to the Blind programs. It is necessary to maintain records of encumbrances, authorizations and disbursements. The Commission's active caseload of clients receiving services last year totals more than 35,000. We presently have only five clerical positions in the State Office in the Finance Division. Stenographer I—This position is needed to provide stenog-raphic and clerical help in the office of our Public Informa-tion Officer and Aid to the Blind Hearing Officer. Our Public Information Officer works very closely with the more than 365 Lions Clubs in the State. These Lions Clubs contribute more than $250,000 annually in support of the Commission's programs. Our Hearing Officer conducts all hearings for Aid to the Blind applicants and recipients who appeal decisions made by local departments of public wel-fare concerning their monthly grant. Proceedings at these hearings must be recorded and transcripts furnished mem-bers of the Commission for the Blind for final action. We North Carolina Commission for the Blind 49 have been forced to use stenographic help from whatever division we could borrow it. This hit-and-miss practice has created confusion, inefficiency and embarrassment. Records of Fair Hearings amount to quasi-legal documents, and a trained, experienced stenographer is needed to do this job. Statistician I—part time—The Commission is charged by law to maintain an up-to-date register of blind persons in the State. This register has been kept by typists and stenographic help who have no statistical training. We have realized this register is not adequate to provide need-ed statistics on our blind population. The National Insti-tutes of Neurological Diseases and Blindness has requested the State Commission for the Blind to join several other states in a model reporting area for blindness statistics. This office has granted us a Federal contract in the amount of $8,500 to bring our register up-to-date and to transfer it to an IBM punch card system. This project is currently in process and should be completed by July 1, 1963. It is imperative that we have a trained statistician to maintain this register properly and to give the agency needed in-formation that will be helpful in program planning. Upon completion of the register project, we believe a person with adequate statistical training will be able to maintain this register on a part time basis. Typist I—The Commission maintains a central filing room with case records of all programs including Medical, Reha-bilitation and Aid to the Blind. The volume of materials to be filed in these case records has steadily increased to the point that the one clerical person now in charge of the File Room cannot keep up with the workload. This additional Typist I would assist our File Room Clerk, thus enabling all divisions to receive needed case records for the day's activity earlier in the day. Material returned to the Cen-tral File Foom could be filed on a more current basis. At present, the one File Clerk is sometimes as much as a week behind in getting materials back into the proper files after being returned from the division offices. This Typist I would also assist our Mail Clerk in processing the mail in the mornings and afternoons. 1963-64 1964-65 TOTAL REQUIREMENTS $10,600 $10,600 LESS: ESTIMATED RECEIPTS 5,243 5,243 GENERAL FUND APPROPRIATION 5,357 5,357 (Additional Personnel to Handle Increasing Field Work-load in Medical Program:) Physical Restoration Nurses—The Commission presently has only six field nurses with an assigned territory of ap- 50 Biennial Report proximately seventeen counties each. During- the fiscal year ended June 30, 1962, each of these field nurses con-ducted eye clinics in their various counties with an aver-age of 5,833 cases being processed. It is impossible for one nurse to continue carrying this heavy caseload with the required reporting on cases, follow-up for treatments and required hospitalization. The requested additonal three Physical Restoration Nurses would enable the Commission to reduce the assigned territory to approximately eleven counties each and reduce caseloads accordingly. The pre-vention of blindness, the conservation of sight and the restoration of vision is the best investment the State can make through the Commission. These Physical Restoration Nurses will be required to travel within the eleven county territory contacting welfare departments, families of clients, physicians, hospitals, and county health depart-ments. 1963-64 1964-65 TOTAL REQUIREMENTS $18,633 $18,633 LESS: ESTIMATED RECEIPTS 8,514 8,514 GENERAL FUND APPROPRIATION 10,119 10,119 (To Provide a Step-Van Truck for Collection, Sales and Distribution of Articles Produced by Homebound Blind Persons : ) $3,000 for 1963-84 is required for the purchase of a Step- Van truck to be used by our Home Industry Division. Articles made by the homebound blind throughout the State are collected and stored in a central location. Sales of articles made by the homebound blind are held in var-ious cities usually sponsored by a civic club and at other locations such as fair booths, horse shows and other public functions. It is imposible to carry in an automobile a suf-ficient quantity of these articles to conduct a sale. It will be possible to arrange for drawer space and shelving with-in a truck that will allow easy accessibility from a stand-ing position. Merchandise can be transported in such a vehicle with much less soilage and damage than is possible in a Counselor's passenger automobile. 1963-64 1964-65 TOTAL REQUIREMENTS $3,000 -0- GENERAL FUND APPROPRIATION 3,000 -0- (Retirement Matching:) This item represents only the Federal share of retirement matching on salaries that are paid partly from Federal Funds. North Carolina Commission for the Blind 51 (To provide for Equipment Rental to Place Certain Re-cords on Punch Cards:) $2,300 for each year of the new biennium is requested to provide for rental of an IBM key punch and for tabulation machine time at the State Board of Health and the Central Pay Roll Unit. The Commission for the Blind has received approval from the Department of Administration for transfer of our "Register of the Blind" to an IBM punch card system. The key punch operation will be handled by our agency and the various tabulations required for sta-tistical reports will be prepared by the State Board of Health on a cost basis. The Department of Administration has also approved the transfer of our Aid to the Blind monthly grant program to an IBM punch card system. The key punching for this program will also be done by the Commission for the Blind. The Central Pay Roll Unit has agreed to handle the check writing and tabulation process in this program on a cost basis. 1963-64 1964-65 TOTAL REQUIREMENTS $2,300 $2,300 LESS: ESTIMATED RECEIPTS 1,300 1,300 GENERAL FUND APPROPRIATION 1,000 1,000 II. VOCATIONAL GUIDANCE AND PLACEMENT SERVICES (To Provide for Additional Personnel to Handle Increased Field Workload of Blind Persons Requiring Rehabilita-tion Services:) Rehabilitation Counselor H—The Commission presently has only six Vocational Rehabilitation Counselors with an assigned territory of approximately seventeen counties each. During the fiscal year ended June 30, 1962, each of these Rehabilitation Counselors was carrying an active caseload of 175 cases. The national average of active blind Rehabilitation clients per Counselor is approximately 75 cases. It is impossible to furnish the necessary medical services, vocational guidance and training for such a large caseload by one Rehabilitation Counselor. These three ad-ditional Rehabilitation Counselor positions will enable us to reduce the average territory assigned each Counselor from seventeen counties to eleven counties and will reduce average caseloads accordingly. The Charlotte dis-trict Counselor for instance is now carrying a caseload of 280 cases. There are only 260 working days in a year. This means this Counselor must try to rehabilitate and place into employment a blind person with less than eight hours during the year available for the total process including travel time. One of these three additional positions will provide funds to continue an additional Counselor in the 52 Biennial Report Charlotte district that has been approved by the Depart-ment of Administration in July 1962 for the fiscal year 1962-63. The other two additional positions will enable us to make critically needed revisions in the other five Reha-bilitation district office territories and caseloads. Home Industries Counselors—The Commission presently has only three Home Industries Counselors with an as-signed territory of approximately thirty-three counties each. These Home Industries Counselors work with home-bound blind people throughout the State who for various reasons cannot leave the home to seek employment. These Counselors train these homebound blind persons in crafts, sewing, etc., and supply them with raw materials to make articles that are saleable to help supplement their very meager income. In many cases, the only income these homebound blind persons have is a monthly assistance check averaging $55 per month. It is also the responsibility of the Home Industries Counselors to seek sales outlets for the articles made by the blind. The intangible value of providing these homebound blind persons with some-thing constructive to occupy their time cannot be measured in dollars and cents. Our present three Home Industries Counselors can barely scratch the surface of the need in this field and have been laboring under most diflficult cir-cumstances to allot their time to the most urgent needs. The additional three Home Industries Counselors will enable the Commission to reduce each Home Industries Counselor's territory from thirty-three counties to seven-teen counties with a corresponding increase in the number of homebound blind people provided needed services and more individual attention. Stenographer I—The two additional Stenographer I posi-tions requested are needed to handle the stenographic and clerical work involved in the district office by the ad-dition of the Medical, Rehabilitation and Home Industry Staff outlined above. Many agencies, physicians, and others are involved in all these case services and must be kept informed with reports, appointments, hospital admissions, etc. A blind Rehabiliation Counselor also must have secre-tarial help to read mail, take dictation and keep files up-to- date. The blind Rehabilitation Counselor on days in the office will dictate case contact reports for perhaps the entire day. The secretary can then get this material out, answer the telephone and set up appointments for clients who call in while the Counselor is out in the field. This same type stenographic and clerical help will be required by the additional Physical Restoration Nurses and Home Industries Counselors but on a more limited basis. $10,800 for each year of the new biennium is required to provide for travel expenses of the additional three Reha-bilitation Counselors and the three additional Home Indus- North Carolina Commission for the Blind 53 tries Counselors outlined above. The travel allotment is based on $1800 annually for each of the three Rehabilita-tion Counselors and the three Home Industries Counselors. 1963-64 1964-65 TOTAL REQUIREMENTS $45,452 $45,452 LESS: ESTIMATED RECEIPTS 29,598 29,598 GENERAL FUND APPROPRIATION 15,854 15,854 III. PAYMENTS TO NEEDY BLIND (To Provide for Normal Increase in Average Monthly Pay-ments:) $29,880 for the first year of the new biennium and $59,520 for the second year of the new biennium will be required to provide for the normal increase in average Aid to the Blind monthly payments. Many factors have caused a gradual increase in average monthly Aid to the Blind pay-ments. The number of aged blind recipients who have no family to care for them is continuing to increase. It is necessary in many instances to place these elderly blind persons in boarding homes, and in some cases where they require constant medical attention, into nursing homes. The average cost of nursing and boarding home care is $175 per month and $130 per month respectively. Other factors contributing to increased average payments are decreases in the resources of persons in the home, de-creased resources of the recipients, or decreased resources of persons making contributions to the recipient, decreases in recipient's earnings and increases in the recipient's medical needs. An additional important factor that will have definite effect on average monthly payments is the provision by both Federal and State laws effective July 1, 1962, which makes it mandatory that the first $85 earned income plus one-half of earned income in excess of $85 per month of a blind recipient is not to be considered as a resource in determining eligibility for monthly assistance. It is estimated that the annual average increase in monthly payment will be $.50 for 1963-64 and $1.00 for 1964-65. 1963-64 1964-65 TOTAL REQUIREMENTS $29,880 $59,520 LESS: ESTIMATED RECEIPTS 24,651 49,104 GENERAL FUND APPROPRIATION 5,229 10,416 (To Provide for Removal of Individual Maximum Monthly Payment to Needy Blind Persons : ) $200,196 for 1963-64, $199,980 for 1964-65 is requested to provide funds for the removal of individual maximum 54 Biennial Report inonthly payments to needy blind persons. The Commis-sion presently has a monthly maximum on individual pay-ments of $70. The $70 maximum on individual payments imposes a particularly severe hardship on our neediest group of recipients. This results in an inequitable situation and has subjected the Commission to valid criticism in that some recipients receive 100% of unmet need while others do not. We feel that provision must be made to remove in-dividual maximums in order to provide monthly assistance to needy blind people on a more equitable basis. There are no individual maximum payments in the other public assistance categories. It is estimated the removal of in-dividual maximum monthly payments will increase the annual average monthly payment for each year of the biennium by $3.36. 1963-64 1964-65 TOTAL REQUIREMENTS $200,196 $199,980 LESS: ESTIMATED RECEIPTS 165,159 164,982 GENERAL FUND APPROPRIATION 35,037 34,998 (To Provide for the Inclusion of Spouse or Essential Per-son in Hospitalization of Aid to the Blind Recipients:) $27,600 for each year of the new biennium is requested to provide for the inclusion of the spouse or essential person in the Aid to the Blind Hospitalization Program. The Commission's program of hospitalization for Aid to the Blind recipients presently includes only the recipient. In many instances, the monthly Aid to the Blind payment is the only source of income to a needy blind person and the spouse or an essential person who is included in the as-sistance budget. The Commission feels very strongly that our AB Hospitalization Program should provide for neces-sary hospitalization of spouses and essential persons when they are included in the Aid to the Blind assistance budget. Spouses or essential persons are included in hospitalization coverage under the other public assistance categories. 1963-64 1964-65 TOTAL REQUIREMENTS $27,600 $27,600 LESS: ESTIMATED RECEIPTS 22,770 22,770 GENERAL FUND APPROPRIATION 4,830 4,830 IV. CASE SERVICES (To Provide for Increase in Fee for Eye Examinations:) $72,000 for each year of the new biennium is requested to provide funds for increasing payments to doctors for eye examinations from $2 per examination to $4. During the fiscal year ended June 30, 1962, a total of 35,000 indigent North Carolina Commission for the Blind 55 persons including- school children were given eye exami-nations. The private patient rate for eye examination in North Carolina is $15. Physicians in North Carolina co-operating with the Commission for the Blind in its eye care program have repeatedly complained of the token fee we were able to pay for eye examinations. Even with the increase to $4 per examination we still will be paying only 25% of the private patient rate for this professional ser-vice. This prevention of blindness program pays great dividends in preserving sight and keeping indigent North Carolina citizens from becoming needlessly blind. 1963-64 1964-65 TOTAL REQUIREMENTS $72,000 $72,000 GENERAL FUND APPROPRIATION 72,000 72,000 (To Provide for Increase in Medical and Surgical Fee Schedules:) $39,000 for each year of the new biennium is requested to provide for an increase in the surgery and treatment fee schedule currently used in our medical programs. There has been no revision made in these schedules since 1947. Since 1947 hospital costs have more than doubled. The North Carolina Medical Society has adopted a new rela-tive unit value fee schedule for all medical and surgical procedures. This new schedule will result in the elimina-tion of many inequities which now exist in current fee schedules. The three State agencies primarily concerned with surgical and treatment schedules have undertaken a co-operative approach to this problem and have made a request to the Department of Administration that we be allowed to adopt the new relative unit value schedule pro-posed by the North Carolina Medical Society. The addi-tional funds requested will enable the Commission to establish a dollar value per unit for the new fee schedule of $2.50. This increase in fee schedule will represent an overall increase of 25% in fee schedules since 1947. 1963-64 1964-65 TOTAL REQUIREMENTS $39,000 $39,000 LESS: ESTIMATED RECEIPTS 18,900 18,900 GENERAL FUND APPROPRIATION 20,100 20,100 (To Provide State Funds on a Matching Basis for Eye Glasses Furnished Indigent Persons:) Eye Glasses—$45,000 for each year of the new biennium is requested to provide State funds for glasses furnished indigent people on a matching basis. Funds from Lions Clubs, the North Carolina Association for the Blind and County Welfare Departments will be matched on a 50-50 56 Biennial Report basis. The Lions Clubs and Association for the Blind have indicated they will have difficulty increasing further their contributions for this purpose. During the fiscal year 1962, Lions Clubs and Association for the Blind contributed in excess of $70,000 for the purchase of eye glasses. 15,000 indigent persons received eye glasses during fiscal year 1962 at an average cost of $10 per pair for a total expen-diture of $153,464. The Commission is convinced that unless we obtain some help through State funds for this much needed service, the Lions Clubs and North Caro-lina Association for the Blind will become discouraged to the point that their contributions will begin to be reduced. 1963-64 1964-65 TOTAL REQUIREMENTS $45,000 $45,000 GENERAL FUND APPROPRIATION 45,000 45,000 VI. COUNTY ADMINISTRATION (To Provide State Matching Funds for County Adminis-tration of the Aid to the Blind Program : ) $60,000 for each year of the new biennium is requested to provide State funds to help the local County Depart-ments of Welfare administer the Aid to the Blind program. The State does not presently provide any portion of the funds for the salary and travel expenses of the thirty-eight Case Workers for the Blind who work in the local Depart-ments of Public Welfare administering the State program of public assistance for the blind. This cost has been sup-ported entirely from County and Federal funds. The Commission recognizes that the only way the Aid to the Blind Program can be administered adequately on the local level, with provision for the many special needs of blind people in the counties, is for the State to help relieve the County of some of the burden of the cost of administra-tion. These State funds would enable the counties to pro-vide additional Case Worker staff and increase the case work services the agency may provide in assisting blind persons in their adjustment to their handicap, and thus enable these indigent blind persons to become more self-sustaining. State funds are presently being provided to help the counties with administration of the other public assistance categories. 1963-64 1964-65 TOTAL REQUIREMENTS $60,000 $60,000 GENERAL FUND APPROPRIATION 60,000 60,000 SUMMARY OF TOTAL "B" BUDGET REQUEST 1963-64 1964-65 TOTAL REQUIREMENTS $560,366 $590,036 LESS: ESTIMATED RECEIPTS 279,207 305,029 GENERAL FUND APPROPRIATION 281,159 285,007 58 Biennial Report APPENDIX I SOCIAL SERVICE DIVISION Data by state and counties concerning the 9,865 blind persons included on Register for the biennial period ending June 30, 1962. NOTE: The North Carolina State Commission for the Blind is presently en-gaged in transferring its' register data on blind persons to an IBM Punch Card System. The data in Appendix I listing 9,865 blind people reflects only the progress to date made in the establishment of the new IBM Register for the blind population of the state. Complete data will be available for the 1962-64 Biennial Report involving the total blind population of 12,500. 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(N lO M ^ N M ^ o lO lO CO CO c- 00 N in o o '^ *"* IN o o CO o ^ o o o ^ O o o o o o o o o o O o o o o o o o o o 13 o M CO •"f to rH 00 to to to ^ OS CO to c- ^ o CO * to CO -<f '^ to (N o o lO 11 E fa _0) E fa 01 13 s fa '3 _4J "a B V fa "3 01 "3 s 0) fa "3 B 01 fa ,2 "3 01 "3 B 0> fa "3 "3 s 01 fa o PS IS 1 4' Ic 1 V 13 o OJ 1 01 J= 3o 01 t-s Ic 1 OJ J= "3 o 1 o> 3cH .2 S O 41 c 01 1 s s 13 c 74 BlEXKIAL ReFOuT APPENDIX II MEDICAL DIVISION Data on the 69,427 indigent persons examined by Ophthal-mologists during the past biennium. N. C. COMMISSION FOR THE BLIND MEDICAL EYE CARE PROGRAM STATISTICAL F < I; K :,..,_ j _ ii 11 m . f j jif I i: .1*1 ,h i, .1 76 Biennial Report APPENDIX III ACCOUNTING AND STATISTICAL DIVISION Budgetary Expenditures of the Commission during the Bi-ennium July 1, 1960 through June 30, 1962. North Carolina Commission for the Blind 7' EXPENDITURES FOR 1960-61 and 1961-62 CHAPTER 53, PUBLIC LAWS OF 1935, CODE 16041 CHAPTER 124, PUBLIC LAWS OF 1937 Purposes and/or Objects Expenditures Expenditures for 1960-61 for 1961-62 I. ADMINISTRATION 101 Salary-Executive Secretary $ 10,000.00 $ 10,749.93 102 Salaries and Wages-Staff 103,087.00 120,443.66 103 Expense of Commission 348.77 „ q„^qq 104 Supplies and Materials 2,333.60 2,970.89 105 Postage, Tel. & Tel 6 699.65 7,900 00 106 Travel Expense 13,319.45 12,666.66 107 Printing and Binding 3,999.97 4,283.47 108 Repairs and Alterations 1,403.06 I'l^^"^^ 109 General Expense 24.00 45.19 ' 110 Insurance and Bonding ntrl^n 111 Equipment 8,065.00 3,000.00 112 Merit System Expense 894.67 Z'?l 113 Office Rent 4,248.00 5,166.00 114 Retirement System 13,928.14 16,103.05 115 Moving Expense 125-66 3d^.5U rj,Q,pAL $ 168,476.97 $ 186,594.50 II AID TO THE BLIND ADMINISTRATION 201 Salaries and Wages $ 51,083.65 $ 53,241.23 202 Travel Expense :— - '7,971.51 7,409.85 203 Staff Development & Training 977.02 -PQrpAL $ 60,032.18 $ 60,651.08 III. REHABILITATION SERVICES 301 Salaries and Wages $ 8,088.92 $ 8,949.94 302 Travel Expense 1.380.28 1,781.68 303 Expense of Board Member Bureau of Employment for the Blind 72.00 ^83.d» rpQ^AL $ 9,541.20 $ 11,015.00 IV. VOCATIONAL GUIDANCE & PLACEMENT SERVICES 401 Salaries and Wages $ 108,376.39 $ 119A32.96 402 Travel Expense 22,761.28 23,090.79 TOTAL $ 131,137.67 $ 142,223.75 V. PAYMENTS TO NEEDY BLIND 501 Countv $ 430,781.49 $ 427,148.36 Fedl'i ::::::::::::::: 2,379,311.80 2,370,085.46 503 State 430,761.39 430,004.34 TQ-pAL $3,240,854.68 $3,227,238.16 78 SiENNiAL Report VI. CASE SERVICES 601 Examinations $ 68,499.91 $ 77,998.65 602 Treatment 70,329.69 73,998.71 603 Prosthetic Appliances 151,674.30 153,464.49 604 Hospitalization (A) Aid to the Blind Recipients _ 119,994.68 172,383.58 (B) General 117,764.51 121,130.19 (C) Rehabilitation Clients ; 69,819.64 69,991.50 605 Training Expense 87,656.52 107,794.77 606 Training Supplies 16,308.39 15,816.95 607 Maintenance 99,999.10 116,671.47 60S Transportation 8,449.65 10,399.97 609 Placement Equipment 83,073.28 89,133.23 TOTAL $ 893,569.67 $1,008,783.51 VII. COUNTY ADMINISTRATION 701 Salaries and Wages $ 155,424.71 $ 174,649.95 702 Travel Expense 63,104.77 67,050.17 703 Federal Administration Direct to Counties 47,357.00 46,980.00 TOTAL $ 265,886.48 $ 288,680.12 VIII. COUNTY EQUALIZATION FUND 801 County Equalization Fund ___$ 12,000.00 $ 12,000.00 TOTAL $ 12,000.00 $ 12,000.00 IX. PRECONDITIONING CENTER 901 Supplies and Materials $ 20,000.00 $ 22,055.57 902 Equipment 4,000.00 3,525.21 903 Heat, Lights and Water 10,800.00 14,998.44 904 Repairs and Alterations 6,200.00 5,000.00 TOTAL $ 41,000.00 $ 45,579.22 X. WORKSHOPS 1001 Equipment $ 29,372.66 $ 28,210.80 TOTAL $ 29,372.66 $ 28,210.80 XI. MERIT SALARY INCREMENTS XII. CONTRACTUAL SERVICES $ 11,680.20 $ 11,942.20 XIII. WORKMEN'S COMPENSATION $ 2,124.00 $ 955.51 TOTAL REQUIREMENTS $4,865,675.71 $5,023,873.85 LESS: RECEIPTS $3,880,736.63 $4,004,550.08 APPROPRIATION $ 984,939.08 $1,019,323.77 STATE LIBRARY OF NORTH CAROLINA 3 3091 007471790
|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||1960; 1961; 1962|
|Digital Characteristics-A||84 p.; 5.78 MB|
|Title Replaced By||North Carolina State Commission for the Blind biennial report|
|Pres File Name-M||pubs_pubh_serial_biennialreportnccommission1962.pdf|
|Pres Local File Path-M||\Preservation_content\StatePubs\pubs_pubh\images_master|
NORTH CAROLINA STATE
COMMISSION FOR THE
July 1, 1960 through June 30, 1962
"And I will bring tft£ blind by a way that they know noti
I wiU lead them in paths that they have not known;
I mil make darkness light before them."
—Isaiah xlii, 16.
NORTH CAROLINA STATE
COMMISSION FOR THE
From July 1, 1960 through June 30, 1962
"And I will bring the blind by a ivay that they know not";
I will lead them in 'paths that they have not knownJ
J will make darkness light before them."
—Isaiah xlii, 16.
HONORABLE TERRY SANFORD
The Governor of North Carolina
TABLE OF CONTENTS
Letter of Transmittal 4
Members of the North Carolina State Commission Board 5
Advisory Medical Committee 6
Organizational Chart 8
Aid to Blind Chart 9
Social Service Division 1^
Specialized Service Chart H
Comparative Analysis of Aid to Blind 12
Medical Division ^'^
Services for Children 23
Rehabilitation Division 25
Vocational Rehabilitation Services 26
Rehabilitation Center ^1
Industries for the Blind ^^
Bureau of Employment for the Blind 43
Cooperation from Other Agencies 46
Appendix I ^°
Appendix II '4
Appendix III '"
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 M^ith July 1,
1960 and ending June 30, 1962. This report concerns the man-agement
and financial transactions of this Department.
SAM M. CATHEY, Chairman
N. C. State Commission for the Blind
N. C. STATE COMMISSION FOR THE BLIND
(Six Members—Appointed by the Governor)
Judge Sam M. Cathey, Chairman, Asheville, N. C.
Dr. Howard E. Jensen, Chairman, Executive Committee, Durham, N. C.
Mr. H. C. Bradshaw, Durham, N. C.
Mr. Frank C. King, Brevard, N. C.
Mr. Sam Alford, Henderson, N. C.
Mr. Joe W. Hood, Wilmington, N. C.
(^Yiwe—Ex Officio Members—Designated by the Legislature)
Mr. J. W. Beach, Director, State Emvloyment Service, Division of
Einployynent 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.
Col. Charles H. Warren, Director, Vocational Rehabilitation,
Raleigh, N. C.
Dr. Ellen B. Winston, Commissioner, State Board of Public Welfare,
Raleigh, N. C.
N. C. BUREAU OF EMPLOYMENT FOR THE BLIND
Judge Sam M. Cathey, Chairman Mr. O. D. Nelson, Vice Chairman
Asheville, N. C. Greensboro, N. C.
Dr. Howard E. Jensen Mr. V. J. Ashbaugh, Sr.
Durham, N. C. Durham, N. C.
Mr. H. C. Bradshaw Mr. Irwin Belk
Durham, N. C. Charlotte, N. C.
Mr. Sam Alford Mr. Alston B. Broom
Henderson, N. C. Fayetteville, N. C.
Mr. Joe W. Hood Mr. David R. Mauney, Jr.
Wilmington, N. C. Cherryville, N. C.
Mr. Frank C. King MR- Frank Brown
Brevard, N. C. Greenville, N. C.
Mr. Wayne C. Simpson
Salisbury, N. C.
ADVISORY MEDICAL COMMITTEE
(Surgeons Certified by American Board of Ophthalmology)
Dr. E. E. Moore, Chairman, Asheville, N. C.
Dr. V. M. Hicks, Sr., Supervising Opthalmologist, Aid to the Blind,
Raleigh, 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, Durham, 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, Albermarle, 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. Edward K. Isby, Jr. Asheville, N. C.
Dr. Thomas C. Kerns, Durham, 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. 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.
Dr. J. Lawton Smith, Durham, N. C.
Dr. W. p. Speas, Winston-Salem, N. C.
Dr. Roy A. Stewart, Newton, N. C.
Dr. F. W. Stocker, Durham, N. C.
Dr. J. David Stratton, Charlotte, N. C.
Dr. George T. Thornhill, Raleigh, N. C.
Dr. Jack A. Thurmond, Albemarle, 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. John D. Wilsey, Winton-Salem, N. C.
Dr. W. Wayne Woodard, Asheville, N. C.
The North Carolina State Commission for the Blind was created
by Legislative 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, 1960—June
30, 1962. 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 ot
sight, and restoration of vision ; 3—The Rehabilitation Division
which is composed of five major parts: a. General Rehabilita-tion
Service; b. The North Carolina Rehabilitation Center tor
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 per-sons
with serious eye defects, have profited by the efforts ot
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 ot
the State could benefit by the use of such resources Our pro-gram
considers the whole man against his background ot social,
medical, and financial needs and endeavors to help him help him-self
to fit into his community and take his place m the lite ot
We could not present this report without comment on the loyal-ty,
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 As-sociation
for the Blind and the North Carolina Lions Clubs have
given untold financial aid and unselfish devotion to the cause ot
a better way of life for the visually handicapped citizens ot
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