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O&M Guidelines

Table of Contents

>NC DIVISION OF SERVICES FOR THE BLIND
ORIENTATION AND MOBILITY GUIDELINES


Title:

Orientation and Mobility Guidelines

Current Effective Date:

06/08


FORMS

DSB-4002-ILR

Independent Living Rehabilitation Referral

DSB-4002-VR

Vocational Rehabilitation Referral

DSB-4004-ILR

Independent Living Rehabilitation Application

DSB-4005b-VR

Individual Plan for Employment

DSB-4043

Mini-Center Mobility Report

DSB-7080

Cane Request Form

DSB-7103

Independent Living Services Program Assessment and Plan

DSB-7103-B

Orientation and Mobility Services Plan

DSB-7404

Notice: White Support Cane

Introduction

Orientation and mobility (O&M) is a type of training designed to promote safe, independent movement of persons with blindness or visual impairment. Orientation training is designed to help such individuals determine their location in space and how to plan travel from one point to another. Mobility training involves teaching visually impaired persons to move safely from one place to another, which often requires the use of a mobility device, such as a long cane. Using a combination of orientation and mobility techniques, persons who are blind or visually impaired can learn to move around their homes, communities and the world at large with greater independence.

Orientation and Mobility Services

There are a variety of skills that help persons with visual impairments to achieve greater independence. Orientation and Mobility Specialist provide instruction or recommendations to maximize independent movement, services include:

When to Refer for Orientation and Mobility Services

Persons with blindness or visual impairments should be referred for O&M services when he/she can move independently and:

Has experienced a significant change in vision,

Priority of Referrals

Persons with blindness or visual impairment will receive priority for services in the following order:

REFERRAL PROCESS FOR INDEPENDENT LIVING REHABILITATION COUNSELOR FOR O&M SERVICES – Independent Living Rehabilitation Counselors will submit the following forms to the Orientation and Mobility Specialist

Responsibilities of the Orientation and Mobility Specialist to the Independent Living Rehabilitation Counselor

DAY 1: O&M OVERVIEW

DAY 2: FOLLOW-UP ( NOT NECESSARILY CONSECUTIVE WEEKS)

REFERRAL PROCESS FOR A VOCATIONAL REHABILITAITON COUNSELOR FOR O&M SERVICES – Vocational Rehabilitation Counselors will submit the following forms to the Orientation and Mobility Specialist:

Responsibilities of the Orientation & Mobility Specialist to the Vocational Rehabilitation Counselor

REFERRAL PROCESS FOR SOCIAL WORKERS for O&M SERVICES –

Social Workers will submit the following forms to the Orientation and Mobility Specialist

Responsibilities of the Orientation and Mobility Specialist to Social Worker

Record Keeping and Case Closures

Orientation and Mobility Specialist shall become familiar with and abide by the following sections of the DSB Independent Living Services Manual, available online:

Orientation and Mobility Specialists are also responsible for ensuring services rendered are recorded in the agency's Electronic Services System (ESS). There is an ESS Manual, which has instructions on how to record referrals, visits, and closures. However, for quick reference, follow the instructions per Mobility Referral Information, which is a document provided as an addendum to this O&M service manual.

Orientation and Mobility Specialists shall close cases upon plan completion or when further instruction is no longer useful or possible.

Orientation and Mobility Specialists shall not maintain open files on cases closed by referring professionals if notice is given from the referral source.

Services to Children and Youth

Orientation and Mobility Specialists shall provide services to school aged youth:

    • after school hours or when daily instruction is complete
    • during summer months
    • during school- breaks
    • when transition age students are planning on getting a job
    • home schooled children will be provided services according to the same schedule as other students.

Orientation and mobility training for transition age students learning to use a DSB approved GPS device shall receive training:

    • after school hours or when daily instruction is complete or
    • during school breaks
    • but not in the summer.

Monocular Telescopes (pending appropriate training for monocular evaluations):

Orientation and Mobility Specialists shall provide monocular assessments on an as needed basis.

Code of Ethics

Orientation and Mobility Specialists should maintain a copy of the Code of Ethics for Orientation and Mobility Specialists and abide by its standard

MOBILITY REFERRAL INFORMATION

Mobility Referral is for adding and updating client information into the Mobility Services system.

From the Main Menu, choose Option 1 - Client Services System

From the Client Services Menu, choose Option 2 - Client Add/Update;

From the Client/Add Menu, choose Option 4 - Mobility.

As this is the first screen in the Mobility Program, there will be a need to enter the SSN.

Social Security Number: Enter the individual's Social Security Number.

The following fields do not have to be completed by you as the information is already in the Electronic Services System and are protected:

    Name:
    Date of Birth:
    County:
    Vision Status:

Referral Date: Enter eight.-digit code to indicate month, day, and year that consumer was referred for specialized independent living services. Use MMJDD/Four Digit Year format- Cannot be past current date.

Referral Source: Enter source of referral. Examples: Name of doctor, teacher, Social Worker for the Blind. Limited to 10 digits.

Program Referral: Enter one-digit code to designate DSB Program that referred consumer to Orientation and Mobility Specialist.

    >Code 1-ILS Program
    >Code 2-VR Program
    >Code 3-ILR Program

Status: Enter the two-digit code to designate the consumer’s status in the service delivery system.

Valid statuses are:

    • 00-Referral/Evaluation
    • 08-Rejected
    • 24-Service Interrupted
    • 48-Closed Unsuccessful
    • 49-Closed Successful
    • 89-Open Active

Status Date: Enter eight-digit code to designate date the individual was placed in his/her current client status. Use MM/DD/Four Digit Year format. Cannot be past current date nor prior to Referral Date.

Worker: Enter worker's four-digit worker number.

Referral Goal: Narrative Entry. In 2-3 sentences, describe the expected achievement of client toward increased independence.

Contact Date: Enter eight-digit code to record date that you contacted the referral. This date cannot be past current date nor prior to referral date. Use· MM/DD/Four Digit Year format. This contact date may be the date that you contacted the referral by telephone or letter to acknowledge referral or the date of personal contact, whichever is earliest.

At the bottom of each screen, there is a list of PF keys with an explanation for each key.

Note: If a referral is closed, the Referral information may not be updated nor may the function keys be used to edit Service code information. Monthly Unit Detail Information, or transfer the client. If a new referral needs to be added for client with a currently closed Referral, press F5.

To add, update or delete Service Code information, press PF4 to go to the Service Code Maintenance Screen. To update, Monthly Unit Detail Information press PF6 to go to the Monthly Unit Detail Maintenance Screen. To transfer a client to a new worker, press PF7 to the Client Transfer Screen.

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  For questions or clarification on any of the policy contained in these manuals, please contact the local district office.


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