BLINDED VETERANS ASSOCIATION
Chartered by the United States Congress
FLORIDA REGIONAL GROUP
3801 Coco Grove Avenue
Miami, Florida 33133
(305) 446-8008
E mail: gstocking@bellsouth.net
FRG Web Site: www.frgbva.org
FRG Newsletter January 2016
The format of this issue is different, as
we are starting with a brief history of the Visual Impairment Service Team (VIST) Program
and the significant influence the BVA had on its establishment.
VIST Program: Most of us take the services and benefits for granted and are not aware of
all of the work which went into bringing us these services and benefits. Your editor was
one of the 11 Blinded Veterans who took part in the pilot project which ultimately led to
the establishment of the Visual Impairment Service Program. The following relates that
VIST Program History. Most Blinded Veterans (BV's) have had contact with their Visual
Impairment Service Team (VIST) Coordinator for assistance with benefits, rehabilitation
training, prosthetics and sensory aids, and independent living. We often take this
assistance for granted. However, few BV's are aware of how the VIST Program got started
and how it has evolved. In this article your editor will attempt to describe what led up
to the VIST Program, how it started and the tremendous changes it has experienced over the
last 48 years. To lay a foundation, it is necessary to return to the beginning of the BVA
in 1945. Near the end of World War II, when BV's began to return from overseas, Army and
Air Force BVs were sent to Valley Forge Army General Hospital in Pennsylvania and
Dibble AGH in California and Navy, Marine, and Coast Guard BVs were sent to the
Philadelphia Navy Hospital. It was at Valley Forge that Dick Hoover initiated the long
cane technique of mobility. It was also at Valley Forge that the total approach to
rehabilitation was implemented. Shortly thereafter, this process was implemented at Dibble
AGH and the Philadelphia Navy Hospital. The first step was to help the BV to get his head
on straight and acquire skills to make him as independent as possible. When BV's were
transferred to Avon Army Convalescent Hospital in Connecticut, BV's were assisted in
planning vocational training and for employment in addition to further personal adjustment
training. At that time, the VA had no specialized rehabilitation training for BV's and did
not plan to establish such programs. It had no Blind Rehab Centers, VIST, or BROS and few
prosthetics and sensory aids. Consequently, BV's at Avon started the BVA to advocate for
services and benefits for Blinded Veterans. Through the BVA's efforts, President Truman
signed an Executive Order in 1947 requiring the VA to establish a Blind Rehab Service
(BRS) and provide Blind Rehabilitation Training. As a result, the first Blind
Rehabilitation Center (BRC) was opened at Hines VA Hospital July 4, 1948. The training
started at Valley Forge, Dibble, Philadelphia, and Avon was refined and BV's began
receiving comprehensive rehabilitation training. When BVs completed their training
at Hines and returned home, there were no VA Staff in the various VA facilities to assist
in transferring the skills learned at Hines to the BVs community. Unfortunately few
staff at the many VA medical facilities were aware of the BRC at Hines and many BV's
dropped through the cracks. Further, no one at the various VA medical facilities was
assigned to learn about services for BV's and provide counseling to BV's at the local
level. The early leaders of the BVA worked with the VA BRS to inform BV's of the training
at Hines and other rehabilitation services. In the early 1950, the BVA applied for grants
to establish a Field Service Program (FSP) to have BV's work with other BV's to assist in
their rehabilitation. In 1954 the first BVA FSP was started and BV's were placed
geographically and employed to assist their fellow BV's with information, assistance with
benefits, and planning for employment. This program provided invaluable assistance to BV's
and expanded the contact with VA medical facility staff, thus expanding their knowledge
about Blind Rehab and the training at Hines. Unfortunately, the grants which permitted the
BVA to operate the first FSP ran out in the late 1950's. The resulting reduction in
contacts with BV's made apparent that something had to be done to improve this situation.
In the early 1960's, the BVA and BRS leaders began to work on a plan to educate VA medical
facility staff regarding the needs of BV's and of the rehabilitation services available to
them. At that time, they contacted the American Foundation for the Blind (AFB) to join in
securing data to justify establishing a program in the various VA medical facilities to
provide specialized services to BV's. Robbie Robinson, one of the early BVA FSP
Representatives, was then employed as a Social Work Researcher for the AFB. As a result
the BVA, VA, and AFB joined in a pilot research project to acquire this data. While a BVA
Field Rep, Robbie was located in Florida. As a result, he was familiar with the VA staff
and facilities at the VA Regional Office then located in the old Don Caesar Hotel in Pasa
Grille. In March 1963, 11 Florida BV's were brought to that VARO and run through a full
day of testing, medical exams, and counseling. It was quite similar to the annual VIST
review, with the exception of the younger ages of the participants, more emphasis was
given to vocational training and job placement. The results of this pilot project were
used to initiate an expanded research program at 10 VA facilities around the US.
Ultimately 851 BV's completed the research program. In 1966, the BVA and BRS used this
data to work with the VA Central Office to start the Visual Impairment Service Program.
Initially, both the BVA and BRS leaders wanted to name the program the Blinded Veteran
Service program. However, because many veterans, though legally blind, were reluctant to
identify themselves as blind. Consequently, Visual Impairment Service was selected as the
name of the program. In 1967, the VA Central Office approved the establishment of Visual
Impairment Service Teams at 60 VA medical facilities around the US. The VIS Team was
composed of individuals from the various disciplines which were involved with the annual
VIST Review. The VIST Coordinator was the catalyst who made the program function.
Initially the VIST Coordinator was a part time Social Worker. In those VA facilities where
the VIST Coordinator was given plenty of time for work with BV's, the program flourished.
However, there were too many stations where the VIST Coordinator was only given a few
hours a week for Work with BV's. It became apparent that there needed to be full time VIST
Coordinators at the VA facilities where there was a large population of BV's. In 1977,
with the assistance of Russ Williams BRS Chief, the Florida Regional Group submitted a
resolution to the BVA National Convention urging the VA to establish full time VIST
Coordinators at all VA facilities with large numbers of BV's in their area. As a result,
in 1978 the first full time Central Office funded VIST Coordinator positions were
established in Seattle, San Francisco, Houston, Cleveland, Miami and New York City. At
those 6 VA facilities, there was a dramatic increase in the number of BV's on the VIST
roles and the service those BV's received. The BVA used that data to go to Congress and in
1981, 12 additional full times Central Office funded VIST Coordinator positions were
established. In 1982, when the BVA Government Affairs Committee net with Dr. Jacoby,
Deputy Chief Medical Director, emphasis was placed on the need for additional full time
VIST Coordinators. During that meeting, Dr. Jacoby agreed to establish 36 new full time
VIST Coordinator positions over the next 3 years. As it turned out, 4 positions were added
in 1982, 12 in 1983, 12 in 1984 and the remaining 8 in 1986. Since then, The BVA continued
to work with Congress and the VA to establish additional full time VIST positions. Since
then, almost all of the VIST positions established around the US were a direct result of
the efforts of the BVA. Since the VIST Program was established in 1967, there are VIST
Programs at 166 VA stations, with 138 full time and 28 part time VIST Coordinators in the
US. The BVA has worked with the Congress, VA Central office, and individual VA Medical
Centers and Clinics to expand the VIST program. There are 12 full time VIST Coordinators
within the FRG area, more than any other Regional Group. the BVA and FRG will continued to
work with Congress, the VA Central Office, and local VA facilities to expand the VIST
Program both full and part time VIST Coordinator positions.
FRG Meeting Notice: The next meeting of the Florida Regional
Group will be held on Saturday, February 13, 2016 at the Hilton Hotel 3600 S.W. 36 Avenue
in Ocala. Gainesville VAMC VIST Coordinator Bruce Davis has assisted in making the
arrangements for this meeting. The meeting will begin at 11:30 AM with a period of
socializing, followed by lunch at noon. For lunch, you may select between: London Broil
Marinated Flank Steak Sliced Thin with Sherry Mushroom Sauce or Chicken Cordon Bleu
Chicken Breast Stuffed with Ham and Swiss Cheese each Served with Fresh Garden Salad,
roasted potatoes, Green Bean Almandine, rolls & butter, Coffee, Iced Tea, and
Chocolate Cake. The price of the lunch will be $5 per person including tax & tip. FRG
President Mike Taylor will preside at an Informational Meeting following lunch.
Information of interest to BVs and their families and of FRG activities for the
coming months will be provided. Join us in Ocala and meet with your fellow Blinded
Veterans and have a great afternoon.
The hotel has asked us to notify them as to the number who will be attending and the
choice of lunch desired before February 9. Please make your reservations prior to that
date by writing to Bruce Davis, VIST Coordinator, VAMC, 1601 S.W. Archer Road,
Gainesville, FL 32608, or call Bruce at (800) 324-8387 ex. 5560. You may also call Central
East District Director Jeff Ebbers at: (407) 473-5698, E mail jsefrgbva@gmail.com. You may also call Judy Hayes, Lake City VAMC VIST at (386)
755-3016 ex. 2088. Judy will try to provide limited transportation from the Lake City VAMC
to the meeting in Ocala, for BV's in that area. Call Judy if you need transportation
assistance.
To get to the hotel, take I75 North or South to exit 350. Go East off of I 75 on State
road 200 to the first traffic Light and turn right on S.W. 36 Avenue. The Hilton hotel
will be on your right. Free parking is available at the hotel. If you need directions call
the Hilton at (352) 854-1400. Do not call the hotel to make or cancel reservations, call
one of those listed above.
VIST Coordinator Responsibilities: by Bruce Davis CMSW, Gainesville VIST. When VIST
Coordinators complete an initial VIST Review we are asked to determine how well the
veteran is adjusting to their vision loss. I like to ask the veteran to rate their
emotional adjustment to their blindness on a scale of 0-10, with 0 being in the deepest
darkest throws of depression and 10 feeling like the blindness no longer affect you at all
and you feel like you can walk on water. Blindness impacts each person differently and how
they respond is unique to each veteran. We hope to be able to say that each blind veteran
has made a good adjustment to their vision loss. What does the well-adjusted legally blind
veteran look like? Over the years I have seen the blind veteran who refuses to let
anything stand in their way of resuming a normal lifestyle. They engage in educational and
vocational pursuits while being actively involved in sporting activities and other
community programs. I have also seen the veteran, who stops living life, retires to their
bed and waits for this life to end, allowing others to do everything for them in skilled
nursing care settings. These two responses to blindness are certainly on the extreme ends
of the scale of good to poor. Most of the veterans I have worked with fall somewhere in
between. Our response to adversity often comes from the experience that we have passed
through in our life. Many do see blindness as yet another challenge to be faced and
overcome while others see it as the loss that restricts their independence. What are some
signs that a blind veteran is making a good adjustment to their vision loss? Accepting the
fact that they have lost their vision by stopping activities that put themselves and
others at risk for harm, for example, driving their car. Taking advantage of blind
rehabilitation and low vision services that allow them to do more for themselves. Resuming
activities that they may have given up when they first lost their sight. Being willing to
share their feelings and experiences as a blind individual with others who are
experiencing it for the first time. Knowing when to ask for help to do things that they
cannot do for themselves. Blindness impacts every aspect of ones life. How we react
varies greatly based on our life experiences. Some find their way quickly while others
take longer to come to grips with their situation. Help is available from your VIST
Coordinator, Blind Rehabilitation Specialist, Low Vision staff and the Blind
Rehabilitation Center. Support groups can be helpful as you find that you are not the
first person to pass this way.
Membership reminder: It is only by joining
together that we can make our voices heard by the Nation and Congress. The strength of
your voice is needed by The BVA to make Congress and VA listen to the special needs of
Blinded Veterans. The recent BVA dues year ran from October 1, 2014 through September 30,
2015. There was a grace period from October 1 through December31, 2015. If you are a life
member you are paid up until perpetuity and never have to pay dues again. If you have been
an annual member and have not become a life member or not renewed your dues your status
changed to former member on December 31, 2015. We need the support of all Blinded Veterans
to continue the work the BVA has done for Blinded Veterans over the past 70 years. Those
BVs who are not presently a member or life member of the BVA will find a membership
application and return envelope in the print copy of this Newsletter. Please use it to
JOIN THE BVA TODAY. Annual dues are only $15. Better yet, join as a life member, and then
you won't have to pay dues ever again. Your life dues go into the LM Fund, the principal
of which is never touched. The dividends and interest from that fund are apportioned to
the Regional Groups according to the number of life members in the Group. Life dues run
from $50 to $100 depending on your age. You may start a life membership with a down
payment of $25 with the balance payable over the next 2 years. life dues run from $100 for
BV's age 44 and under, $88 for BV's 45 to 54, $75 age 55 to 60, $63 age 61-65, and $50 age
66 and over. Join the BVA and help to continue the work of the BVA for all of us who
benefit from the services available to us and to insure that these services and benefits
will continue to be available for the Blinded Veterans who come after us. PLEASE USE THE
APPLICATION AND JOIN THE BVA TODAY!
FRG Meeting Schedule
February 13, 2016 FRG Meeting Hilton Ocala
March 19 FRG Meeting Tropical Acres Steakhouse in Ft. Lauderdale.
April 28 - May 1 FRG State Convention Plaza Ocean Club Hotel in Daytona
FRG Newsletter Staff
Mike Taylor FRG President
Bruce Davis Gainesville VAMC VIST Coordinator
George Stocking FRG Newsletter Editor