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[TIRR] New Options Reports [1976-1978] [2]
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[TIRR] New Options Reports [1976-1978] [2]
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Lex Frieden Collection: Records on Disability Rights
Records Relating to Disability Rights Organizations
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Originally Processed With FOIA(s):
FOIA Number:
S
S
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the George Bush Presidential
Library Staff.
Record Group/Collection: Donated Historical Materials
Collection/Office of Origin: Frieden, Lex, Collection
Series:
Disability Rights Organizations
Subseries:
OA/ID Number:
52065
Folder ID Number:
52065-002
Folder Title:
[TIRR] New Options Reports [1976-1978] [2]
Stack:
Row:
Section:
Shelf:
Position:
OMB Approval No. 29-RO218
a. NUMBER
FEDERAL ASSISTANCE
2. APPLI-
3. STATE
a. NUMBER
APPLICA.
CANT'S
TION
1. TYPE
PREAPPLICATION
APPLI.
b. DATE
IDENTI-
b. DATE
Year month day
OF
Year month day
CATION
FIER
19
ASSIGNED
19
ACTION
APPLICATION
(Mark ap-
NOTIFICATION OF INTENT (Opt.)
Leave
propriate
box)
REPORT OF FEDERAL ACTION
Blank
4. LEGAL APPLICANT/RECIPIENT
5. FEDERAL EMPLOYER IDENTIFICATION NO.
74-1334678
a. Applicant Name
Texas Institute for Rehabilita-
b. Organization Unit
: tion and Research
6.
1333 Moursund Avenue
a. NUMBER
c. Street/P.O. Box
:
PRO.
GRAM
b. TITLE
d. City
: Houston
e. County :
Harris
(From
Rehabilitation
f. State
:
Texas
g. ZIP Code:
77030
Federal
Catalog)
Research and Demon-
h. Contact Person (Name
Jean A Cole Ph D.
& telephone No.)
:
797-1440 ext. 504
stration
7. TITLE AND DESCRIPTION OF APPLICANT'S PROJECT
8. TYPE OF APPLICANT/RECIPIENT
A-State
H-Community Action Agency
Transitional Living: A Model for
B-Interstate
I- Higher Educational Institution
C-Substate
Indian Tribe
the Severely Physically Handicapped
District
K-Other (Specify)
D-County
E-City
non-profit reha-
This live-in transitional training program
F-School District
G-Special Purpose
bilitation center
prepares handicapped individuals for active
District
Enter appropriate letter
community involvement including independent 9.
TYPE OF ASSISTANCE
A-Basic Grant
D-Insurance
living, vocational or educational planning,
B-Supplemental Grant
E-Other
Enter appro-
& increased social participation.
C-Loan
priate letter(s)
A
10. AREA OF PROJECT IMPACT (Names of cities, counties,
11. ESTIMATED NUM-
12. TYPE OF APPLICATION
States, etc.)
BER OF PERSONS
A-New
C-Revision
E-Augmentation
BENEFITING
B-Renewal D-Continuation
national
250
Enter appropriate letter
D
13.
PROPOSED FUNDING
14. CONGRESSIONAL DISTRICTS OF:
15. TYPE OF CHANGE (For 12c or 12e)
A-Increase Dollars
F-Other (Specify)
a. FEDERAL
$ 144,155
.00
a. APPLICANT
b. PROJECT
B-Decrease Dollars
C-Increase Duration
b. APPLICANT
7,208
.00
22
22
D-Decrease Duration
E-Cancellation
17. PROJECT
c. STATE
.00
16. PROJECT START
DURATION
Enter appro-
DATE Year month day
d. LOCAL
10/1
30-60
priate letter(s)
.00
1977
Months
6. OTHER
18. ESTIMATED DATE TO
Year month day
19. EXISTING FEDERAL IDENTIFICATION NUMBER
.00
BE SUBMITTED TO
FEDERAL AGENCY
19
77
8
1
$
151,363 .00
RSA 13P57889/6-01
f. TOTAL
Wash D.C.
21. REMARKS ADDED
20. FEDERAL AGENCY TO RECEIVE REQUEST (Name, City, State, ZIP code)
Rehabilitation Services Administration; 330C. Street SW;
Yes
No
22.
a. To the best of my knowledge and belief,
b. If required by OMB Circular A-95 this application was submitted, pursuant to in- No re-
Response
structions therein, to appropriate clearinghouses and all responses are attached: sponse
attached
data in this preapplication/application are
THE
true and correct, the document has been
APPLICANT
duly authorized by the governing body of
(1)
NA
CERTIFIES
the applicant and the applicant will comply
THAT
with the attached assurances if the assist-
(2)
ance is approved.
(3)
23.
a. TYPED NAME AND TITLE
b. SIGNATURE
c. DATE SIGNED
Year month day
CERTIFYING
William A. Spencer, M.D.
REPRE-
19
SENTATIVE
President
77
7
29
25. APPLICA. Year month day
24. AGENCY NAME
TION
RECEIVED 19
27. ADMINISTRATIVE OFFICE
28. FEDERAL APPLICATION
26. ORGANIZATIONAL UNIT
IDENTIFICATION
30. FEDERAL GRANT
29. ADDRESS
IDENTIFICATION
31. ACTION TAKEN
32.
FUNDING
Year month day
34.
Year month day
STARTING
a. AWARDED
a. FEDERAL
$
.00
33. ACTION DATE
19
DATE
19
.00
35. CONTACT FOR ADDITIONAL INFORMA-
36.
Year month day
b. REJECTED
b. APPLICANT
TION (Name and telephone number)
ENDING
c. RETURNED FOR
c. STATE
.00
DATE
19
AMENDMENT
d. LOCAL
.00
37. REMARKS ADDED
d. DEFERRED
e. OTHER
.00
Yes
No
8. WITHDRAWN
f.
TOTAL
$
.00
38.
a. In taking above action, any comments received from clearinghouses were con-
b. FEDERAL AGENCY A-95 OFFICIAL
sidered. If agency response is due under provisions of Part 1, OMB Circular A-95,
(Name and telephone no.)
FEDERAL AGENCY
it has been or is being made.
A-95 ACTION
STANDARD FORM 424 PAGE 1 (10-75)
424-101
Prescribed by GSA, Federal Management Circular 74-7
OMB NO. 80-RO 186
PART II
PROJECT APPROVAL INFORMATION
Item 1.
Does this assistance request require State, local,
Name of Governing Body
regional, or other priority rating?
Priority Rating
Yes
No
Item 2.
Does this assistance request require State, or local
Name of Agency or
advisory, educational or health clearances?
Board
Yes
X
No
(Attach Documentation)
Item 3.
Does this assistance request require clearinghouse
(Attach Comments)
review in accordance with OMB Circular A-95?
Yes
X
No
Item 4.
Does this assistance request require State, local,
Name of Approving Agency
regional or other planning approval?
Date
Yes
X
No
Item 5.
Is the proposed project covered by an approved compre-
Check one: State
hensive plan?
Local
Regional
Yes
X
No
Location of Plan
Item 6.
Will the assistance requested serve a Federal
Name of Federal Installation
installation?
Yes
X
No
Federal Population benefiting from Project
Item 7.
Will the assistance requested be on Federal land or
Name of Federal Installation
installation?
Location of Federal Land
X
Yes
No
Percent of Project
Item 8.
Will the assistance requested have an impact or effect
See instructions for additional information to be
on the environment?
provided.
X
Yes
No
Item 9.
Number of:
Will the assistance requested cause the displacement
Individuals
of individuals, families, businesses, or farms?
Families
Businesses
Yes
X
No
Farms
Item 10,
Is there other related assistance on this project previous,
See instructions for additional information to be
pending, or anticipated?
provided.
X
Yes
No
OMB NO. 80-R0186
PART III - BUDGET INFORMATION
SECTION A - BUDGET SUMMARY
Grant Program,
Estimated Unobligated Funds
New or Revised Budget
Function
Federal
or
Catalog No.
Federal
Non-Federal
Federal
Non-Federal
Total
Activity
(a)
(b)
(c)
(d)
(e)
(f)
(g)
1. Rehab. R&D
13.627
$
-0-
$
-0-
$ 144,155
$ 7,208
$151,363
2.
3.
4.
5. TOTALS
$
$
$144,155
$ 7,208
$151,363
SECTION B - BUDGET CATEGORIES
- Grant Program, Function or Activity
Total
6. Object Class Categories
(1)
(2)
(3)
(4)
(5)
a. Personnel
$ 80,115
$
$
$
$
b. Fringe Benefits
C. Travel
2,500
d. Equipment
12,500
e. Supplies
500
f. Contractual
10,000
g. Construction
h. Other
10,500
i. Total Direct Charges
116,115
28,040
j. Indirect Charges
k. TOTALS
$ 144,155
$
$
$
$
est.
7. Program Income
$
100,000
$
$
$
$
OMB NO. 80-R0186
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program
(b) APPLICANT
(c) STATE
(d) OTHER SOURCES
(e) TOTALS
8. Rehabilitation R&D
$
7,208
$
$
$ 7,208
9.
10.
11.
12. TOTALS
$
7,208
$
$
$ 7,208
SECTION D - FORECASTED CASH NEEDS
Total for 1st Year
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
13. Federal
$ 144,155
$ 45,039
$ 33,039
$ 33,039
$ 33,038
1,802
1,802
1,802
14. Non-Federal
7,208
1,802
15. TOTAL
$ 151,363
$ 46,841
$ 34,841
$ 34,841
$ 34,840
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (YEARS)
(a) Grant Program
(b) FIRST
(c) SECOND
(d) THIRD
(e) FOURTH
16.
Rehabilitation R&D
$ 144,155
$ 158,300
$ 151,550
$ 139,000
17.
18.
19.
$ 144,155
$ 158,300
$ 151,550
$ 139,000
20. TOTALS
SECTION F - OTHER BUDGET INFORMATION
(Attach additional Sheets If Necessary)
21. Direct Charges:
(please see attached sheets)
22. Indirect Charges:
23. Remarks:
PART IV PROGRAM NARRATIVE (Attach per instruction)
SECTION F OTHER BUDGET INFORMATION
21.
Direct Charges
PERSONNEL
project director (50%) *
10,500
research director (15%) *
4,000
functional skills adviser
16,000
social worker
15,000
vocational counselor (30%)
4,800
follow-up specialist (50%)
7,500
research assistant
8,000
coordinator of staff
3,815
associates (50%)
attendant manager
8,000
care attendants**
2,500
80,115
TRAVEL
travel for staff to
disseminate materials
on project
2,500
EQUIPMENT
van to transport project
participants on fieldtrips
12,500
SUPPLIES
office supplies
500
CONTRACTUAL
production of audio-visual
materials for use by handi-
capped persons
10,000
OTHER
audio-visual consultation
2,000
consultation from handi-
capped staff associates
5,000
duplicating expense
3,000
computer time for research
data
500
TOTAL DIRECT COSTS
116,115
*
Remaining portion of these salaries to be paid by RT-4 funds.
Remaining portion of these salaries to be paid by per diem revenue.
22.
Indirect Charges
35% of salaries and wages
28,040
TOTALS
144,155
PART V
ASSURANCES
The Applicant hereby assures and certifies that he will comply with the regulations, policies, guidelines, and requirements
including OMB Circulars Nos. A-87, A-95, and A-102, as they relate to the application, acceptance and use of Federal funds
for this Federally assisted project. Also the Applicant assures and certifies with respect to the grant that:
1. It possesses legal authority to apply for the grant; that a
4. It will comply with requirements of the provisions
resolution, motion or similar action has been duly
of the Uniform Relocation Assistance and Real Property
adopted or passed as an official act of the applicant's
Acquisitions Act of 1970 (P.L. 91-646) which provides
governing body, authorizing the filing of the application,
for fair and equitable treatment of persons displaced as a
including all understandings and assurances contained
result of Federal and federally assisted programs.
therein, and directing and authorizing the person identi-
5. It will comply with the provisions of the Hatch Act
fied as the official representative of the applicant to act
which limit the political activity of employees.
in connection with the application and to provide such
6. It will comply with the minimum wage and maximum
additional information as may be required.
hours provisions of the Federal Fair Labor Standards
Act, as they apply to hospital and educational institu-
2. It will comply with Title VI of the Civil Rights Act of
tion employees of State and local governments.
1964 (P.L. 88-352) and in accordance with Title VI of
7. It will establish safeguards to prohibit employees from
that Act, no person in the United States shall, on the
using their positions for a purpose that is or gives the
ground of race, color, or national origin, be excluded
appearance of being motivated by a desire for private
from participation in, be denied the benefits of, or be
gain for themselves or others, particularly those with
otherwise subjected to discrimination under any pro-
whom they have family, business, or other ties.
gram or activity for which the applicant receives Federal
8. It will give the grantor agency or the Comptroller Gen-
financial assistance and will immediately take any mea-
eral through any authorized representative the access to
sures necessary to effectuate this agreement.
and the right to examine all records, books, papers, or
3. It will comply with Title VI of the Civil Rights Act of
documents related to the grant.
1964 (42 USC 2000d) prohibiting employment discrimi-
9. It will comply with all requirements imposed by the
nation where (1) the primary purpose of a grant is to
Federal grantor agency concerning special requirements
provide employment or (2) discriminatory employment
of law, program requirements, and other administrative
practices will result in unequal treatment of persons who
requirements approved in accordance with Office of
are or should be benefiting from the grant-aided activity.
Management and Budget Circular No. A-102.
1
PROJECT NARRATIVE
A. TITLE
Transitional Living: A Model for the Severely Physically
Handicapped
B. PROGRESS REPORT
1. Changes in Plan
The New Options Transitional Living Project opened in June
of 1976 with seed money from Rehabilitation Research and
Training Center 4 (RT-4). In October of 1976 an R&D grant
was funded for which continuation is sought in this request.
The R&D funding has substantially increased the project
capability to conduct service demonstrations and evaluation
research. (Residential costs for each participant in the
project are sponsored on a per diem basis by the Texas
Rehabilitation Commission.)
Implementation of the New Options project has departed very
little from the model as set forth in the original grant
request submitted in April of 1975. A few minor changes
are summarized below.
Length of Stay for Each Participant
It was originally intended that each participant would live
in the project for a period that was individually determined,
up to a maximum stay of six months The average period of
stay was estimated to be four months. In planning implemen-
tation of the project with the. Texas Rehabilitation Commission,
this agency agreed to sponsor each client for a maximum stay
of six weeks, with the understanding that at the end of a
year the policy on length of stay would be re-examined. As
a result of this agreement with TRC; the project has operated
to date on the basis of a six-week program cycle. Plans for
experimenting with other lengths of stay are outlined in
Section C-2 (proposed changes).
Use of a Nurse Clinician
Initial planning specified that New Options would share the time
of a nurse clinician with other programs of the Texas Institute
for Rehabilitation and Research. The role of this part-time
staff member included consultation with participants about
their medical status and implementation of a training module
on medical needs. Because of a shortage of nursing personnel,
this plan was not feasible. Instead, medical consultation
with participants has been donated to the project by TIRR
physicians, particularly by Dr. William A. Spencer, Director
2
of the Institute. Staff physicians and other medical personnel
of TIRR have also contributed their time to provide a weekly
medical training module.
Use of Practice Apartment
The original grant request specified that a practice apartment
would be established by the project so that participants could
experiment with living in this community setting. To date, a
practice apartment has not been logistically feasible. The
project is currently considering a possible move of the entire
program to a community apartment location. Issues surrounding
the exploration of this alternative are discussed in Section C-2
(proposed changes).
Follow-Up Services
To date follow-up services have not been extensively developed
in New Options, though some assistance to former participants
has been provided. This is due to a great extent to the fact
that a larger proportion of participants than expected have re-
turned to locations at some distance from Houston. Exploration of
follow-up needs and capabilities is a major objective for the
second grant year (see Section C-1, work plan for the next
grant period) .
There are several areas in which the project is ahead of schedule
as originally set forth in the timetable (see Appendix A) . These
are summarized below.
Task 11 Diversify Participant Population
The project began in cycle 5 (January, 1977) to include a few
participants with disabilities other than spinal cord injury.
To date, the participant population has included one person
with polio residuals, one with muscular dystrophy, two with
head injuries, and four with cerebral palsy. Information is
being collected on particular needs of various disability groups.
The effects of this diversity are discussed in Section B-2
(progress during current grant period).
Task 12 Diversify Program Content
Efforts have begun to diversify program content in order to acco-
modate differences in needs of various types of participants.
These developments are also discussed in Section B-2.
Task 14 Develop Modules for Replication
Work has begun on the production of written program materials and
videotapes. Materials produced to date are listed in Section C3
(research utilization plan). Expansion in this area will be a
major objective in the second and subsequent program years.
3
2. Progress During Current Grant Period
During the project's first year, major tasks were planning
program content, assembling a staff, putting the basic
transitional program into operation, and planning and im-
plementing research procedures. In planning the project,
core staff members traced the experiences of residents of
the previous Cooperative Living Project and talked with
them about how they initiated changes in their lives.
There seem to be several important prerequisites for be-
coming actively involved in the community. One of these
is having information about what opportunities are avail-
able and the knowledge of how to get needed information.
The second prerequisite is the possession of certain per-
sonal skills that are needed in order to take advantage
of available opportunities. These skills may include
social assertiveness, diplomacy, an ability to budget
energy well, or an ability to manage financial affairs.
A third important prerequisite is a more general skill
that may be termed problem-solving capability. This
involves the ability to analyze a situation, to obtain
new information, to make decisions, and to formulate
sequential plans. It involves being able to anticipate
consequences and to take action before crises develop.
New Options is intended to assist handicapped individuals
in each of these areas.
a. Accomplishments and Findings
Objectives of the first grant year as stated in the initial
grant request are as follows:
(1) to define a system of services required to meet
the needs of severely physically handicapped persons
engaging in a transitional living experience
(2) to refine criteria for selection of persons who
can benefit from a transitional living program
(3) to develop basic transitional program content
(4) to develop a research design to evaluate the
program and pre-test research methodology
(5) to develop a practice apartment that will allow
individuals to gain experience in independent living
in a protected environment
(6) to establish functional training programs that
prepare the individual to maximize his functional
abilities in non-institutional environments
4
Objectives 1,2,3,5, and 6 which relate to the development
of a service delivery demonstration will be reviewed below
in this section. Objective 4 which deals with research
aspects of the program will be reviewed in section b which
follows on Research Developments and Problems Encountered.
Objective 1: Development of a Service System
The New Options project is housed in TIRR's Maximum Indepen-
dence Center, a dormitory-style building located four miles
from the main Institute building in the Texas Medical Center.
Each project participant has a private room. Meals, trans-
portation, and non-professional attendant assistance are
provided on a shared basis. This residential system using
shared supportive services has been borrowed directly from
TIRR's earlier Cooperative Living residential project (SRS
R&D 13-P-55487/6-01) Experience has shown that living for
six weeks in a dormitory-style setting with a non-profes-
sional attendant staff is an important element at New Options.
Participants frequently interact with each other informally
on a one-to-one basis, and there seem to be some important
effects of this close interaction with peers. Many parti-
cipants have never been away from this personal care of
family members or a nursing staff, and learning to manage
the interaction with attendants and direct their own care
is an important skill to be acquired.
The New Options program staff includes a project director
(anthropologist), a research director (psychologist), a
social worker, a functional skills adviser with a background
in physical therapy, and a part-time vocational counselor.
In addition to organizing group activities, each of these
persons is involved in goal-setting and problem-solving
with participants on a one-to-one basis. The purpose of
this counseling is to help the individual learn to solve
problems on his own. This approach often involves departures
from traditional professional roles in which staff members
tend to solve problems for clients rather than letting them
devise their own solutions. Many outside resource persons
are also involved, including physicians, agency personnel,
and other persons encountered by handicapped persons in the
community. The staff also includes a category of individuals
called staff associates. These are handicapped persons who
are actively involved in the community and who are paid to
provide extensive information to participants and serve as
behavior models. The staff has tried to choose a variety
of associates who represent differing lifestyles and diverse
values and viewpoints. The extensive use of staff associates
is based on observation of the importance of modeling in the
previous residential project. To date the project has had
a total of 66 associates who meet with participants an
average of 39 times in each six-week program cycle.
5
In general, the staffing planned for the project has been
effective, though some changes have been made. The most
difficult role to define and fill has been that of personal
counselor which is held by a social worker. It has been
hard to achieve a good balance between therapy on the one
hand and more concrete planning and problem-solving with
individuals on the other. The staff has also learned that
more time is needed from the part-time vocational counselor,
and this position has been changed from 20% to 30% time
effort. A new part-time staff position has been created
for a Coordinator of Staff Associates. This individual is
responsible for making logistical arrangements and for
supervising the active handicapped persons from the community
who conduct various program activities.
Objective 2: Refinement of Selection Criteria
Staff members and the project DVR courtesy counselor largely
agree on the following characteristics as important traits
in persons who seem to have benefitted most from the project:
readiness to face life as a severely disabled individual;
desire to make changes in lifestyle; willingness to set and
work on goals; willingness to risk experimenting with new
ways of doing things and new kinds of behaviors; average
intellectual capacity (comprehension of verbal input, no
major memory deficits, reasonable attention span) ability
to read; ability to speak well enough to be generally under-
stood; ability to hear; no severe emotional pathology; and
physical endurance for program (sitting tolerance, bowel
control that is predictable, suitable urinary management).
Experience has demonstrated that the program seems to be most
effective when participants in a given cycle do not differ
too widely in intellectual level. The program can be altered
to accomodate persons at different intellectual levels from
cycle to cycle, but it is an advantage if persons within any
one group are relatively similar in this respect. Other
types of diversity such as differences in rural or urban
background, length of time since onset of disability, and
general direction of future plans, can frequently be utilized
to advantage in promoting group interaction.
One of the most significant problems in choosing participants
is assessing the individual's degree of medical stability
through reports from referring DVR counselors and physicians.
Professionals who have not worked previously with severely
physically disabled individuals may provide misleading in-
formation. In some cases participants have needed more medical
care than the project was designed to provide.
A few project participants and referring DVR counselors seem
to have held unreasonable expectations of what the program
can provide, and it has proven important to be aware of possible
problems in this area when selecting participants. Such ex-
pectations are attached not only to the New Options project
but to the notion of moving to Houston in general. Many persons
6
hold an exaggerated view of the number of residential
facilities, jobs, and supportive services available
in the city. The staff has made an effort to define
reasonable expectations and to communicate these be-
fore individuals enter the project. The following
list represents the views of project staff and of
the DVR courtesy counselor about what participants
can expect to accomplish in New Options : gaining in-
formation on what opportunities are available in the
community (living arrangements, educational training
programs, vocational availability, transportation
availability) learning the skills to go about getting
information; learning to manage financial affairs;
learning to relate with attendants to get needs taken
care of; learning to budget energy; learning to adapt
oneself to new environment; learning to be more com-
fortable in public (being visible, asking for help) ;
learning to examine how individuals interact with other
persons and ways this might be changed; having the
opportunity to be among other handicapped persons and
learning how they cope with problems; examining feelings
about issues important to each individual (their identity,
family relationships, sexuality, ability to control
their life course); learning to define goals and direc-
tions; becoming more comfortable in experimenting with
alternative ways of doing things; learning how to solve
problems and having actual experiences where such learning
can be practiced; learning sequential planning; and learn-
ing to anticipate problems and make plans on how to handle
them before a crisis develops.
Objective 3: Development of Program Content
Previous research and experience have indicated a number of
subject areas that are important for handicapped individuals
who are beginning active involvement in the community. A
series of training modules has been developed to address these
areas. The modules include:
independent living arrangements
vocational and educational opportunities
financial management
consumer affairs
mobility
functional skills
attendant management
problem-solving
social skills
sexuality
leisure time
medical needs
Outlines of the content of each module can be found in
Appendix C.
Teaching methods used include classroom
instruction, group discussions, and numerous fieldtrips
into the community. The modules are usually co-lead by a
regular staff member and a staff associate. Each module