DARS – Annual Report 2005

DARS
PARTNERSHIPS FOR TEXAS
ANNUAL REPORT 2005

DARS Annual Report 2005

VISION

A Texas where people with disabilities and families with children who have developmental delays enjoy the same opportunities as other Texans to pursue independent and productive lives.

MISSION

To work in partnership with Texans with disabilities and families with children who have developmental delays to improve the quality of their lives and to enable their full participation in society.

Commissioner's Comments
Terrell I. Murphy, Commissioner

Since being appointed as the Commissioner of the Department of Assistive and Rehabilitative Services (DARS), I've traveled around Texas meeting employees, stakeholders and consumers and working with our legislators on disability policy. Each day I am reminded and inspired by the words of Helen Keller who said, "Alone we can do so little, together we can do so much."

Ms. Keller's simple but profound observation is more than words on paper. It is a philosophy that is alive and in motion at DARS. In an atmosphere that values collaboration and innovation, DARS focuses on creating partnerships for independence, and these exciting opportunities are already working to benefit Texans who use our services. It truly has been a most exciting time in my career in public service, and it is an honor to be this department's first commissioner.

Shortly after DARS was created on March 1, 2004, our staff quickly responded to the concerns of Texans who are deaf, deaf–blind or hard of hearing. Through public hearings, this large group of consumers made clear that services for them had been under–funded for many years. The new DARS culture encouraged staff and stakeholders to work together with unprecedented flexibility and authority to find solutions. Today, the result is a valuable partnership that locates the new Office of Deaf and Hard of Hearing Services within the DARS Division for Rehabilitation Services.

DARS' partnerships extend to our stakeholders with whom we worked closely during the 79th Legislative session to enhance programs and increase funding for Texans with disabilities. With the help of the Traumatic Brain Injury Association of Texas, DARS worked with legislators to restore funding to the Comprehensive Rehabilitation Fund, which provides services to people who have sustained a traumatic brain or spinal cord injury.

DARS also partnered with the National Federation of the Blind to ensure that their audio newspaper service, Newsline, was fully funded.

These are just a few examples of the good work being done throughout the state by DARS staff, stakeholders and legislators. As you read through this first Annual Report, you will learn more about the divisions and the diverse array of programs and services administered by the department. It is my hope that you will see that DARS is more than a state agency. The department represents a renewed commitment to working together effectively and efficiently for the good of all Texans.

Disability is a natural part of the human experience. By creating partnerships for independence, we enrich our lives and our state.

Terrell I. Murphy, Commissioner, Department of Assistive and Rehabilitative Services

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Terrell I. Murphy – Profile

Terry Murphy was appointed commissioner of the Department of Assistive and Rehabilitative Services (DARS) in December, 2003. Before his appointment, Commissioner Murphy served more than three decades at the Texas Commission for the Blind. In addition to his distinguished career in public service, Commissioner Murphy is a proud veteran who was awarded three Bronze Stars and a Purple Heart during his service in Vietnam. He is a graduate of the University of Texas at Austin.

DARS – Department of Assistive and Rehabilitative Services
OVERVIEW

The Department of Assistive and Rehabilitative Services, or DARS, administers programs that ensure Texas is a state where people with disabilities, and children who have developmental delays, enjoy the same opportunities as other Texans to live independent and productive lives.

The department has four divisions:

Through these divisions, DARS administers programs that help Texans with disabilities find jobs through vocational rehabilitation, ensure that Texans with disabilities live independently in their communities and prepare children with disabilities and developmental delays to meet education goals.

It is a fundamental value of DARS to listen, to learn, and to be responsive to our stakeholders and our consumers in an ongoing effort to make programs and services even better. If you have suggestions or comments, please call the DARS Inquiries Unit at 1-800-628-5115, or email DARS.Inquiries@dars.state.tx.us

Expenditures by Category SFY 2005
Source: LAR for 2006-7
Category Million $
Services & Grants 296.9
Salaries & Wages 112.1
Operating Expenses 52.4
TOTAL 461.4
Method of Finance SFY 2005
Funds Million $
Federal Funds 347.2
General Revenue 91.7
Interagency Contracts 18.1
Earned Federal Funds 3.0
Other 1.4
TOTAL 461.4
Budget by Division SFY 2005
Division Million $
Rehabilitation Services 187.8
Early Childhood Intervention 127.1
Disability Determination Services 82.6
Blind Services 41.4
Program Support 22.5
TOTAL 461.4
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Annual Report 2005
DARS At A Glance

DARS is composed of four divisions focused on people with disabilities and children with developmental delays. The department includes the Division for Rehabilitation Services (DRS), the Division for Blind Services (DBS), the Division for Disability Determination Services (DDS) and the Division for Early Childhood Intervention (ECI).

DARS
Division for Rehabilitation Services
OVERVIEW

The DARS Division for Rehabilitation Services (DRS) is designated as the state's principal authority on the vocational rehabilitation of Texans with disabilities, except persons with visual impairments and the legally blind. DRS assists people with disabilities to participate in their communities by achieving employment of choice, living as independently as possible, and accessing high quality services through the following programs:

DRS has the following personnel available to meet the needs of the division's consumers:

DRS staff is located in Central Office in Austin, five regional offices and 125 field offices located throughout Texas. The Rehabilitation Council of Texas (RCT), which is federally mandated by the Rehabilitation Act, joins in a partnership with DRS to review, analyze, and advise DRS on policy and the effectiveness of vocational rehabilitation services and eligibility requirements. The RCT also contributes to the preparation of the DRS State Plan for Vocational Rehabilitation.

For more information about DRS programs and services, call the DARS Inquiries Unit at 1-800-628-5115, or visit the DARS website at www.dars.state.tx.us and select Division for Rehabilitation Services.

PROGRAMS

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DRS Mission Statement
Division for Rehabilitation Services

To work in partnership with Texans with disabilities to assist them in achieving their employment goals and living independently.

DARS
Division for Rehabilitation Services
CONSUMER STORY

The Path to Independence

Corina Cruz is thirty years old with three young children living in Laredo, Texas. She had been receiving Social Security Disability Insurance for some time due to her disability of deafness. She communicates using sign language; and applied with the Department of Assistive and Rehabilitative Services for vocational rehabilitation in order to better herself by preparing for a job.

Ms. Cruz received a comprehensive assessment, counseling, guidance, books, interpreter services, supported employment services, job placement assistance, and job coaching.

Through vocational rehabilitation services, Ms. Cruz was able to complete a training program that led to a Certificate in Office Systems Technology. Ms. Cruz was successfully placed in a competitive employment setting without support.

Today, Ms. Cruz lives independently and is able to provide for her three children. She is employed by the Laredo Independent School District and is enrolled in school to pursue an Associate's Degree in Applied Science in Office Systems Technology–Administrative and Secretarial Services.

Thus far, she has completed 45 hours of the 75 hours required to obtain her degree.

Recently, Ms. Cruz was recognized for her hard work. During the ceremony she was asked to say a few words.

"Thanks to Mr. Garza (Vocational Rehabilitation Counselor) and DARS, I now have a job," Ms. Cruz said through an interpreter. "I am very happy to be working. Thank you everyone at DARS for helping my family and me."

Successful Closures by Occupation for SFY 2005
Occupation Percent
Professional, Technical & Managerial 18.64
Clerical Sales 21.07
Service 32.91
Agricultural Related 1.78
Processing 1.39
Machine Tools 3.89
Benchwork 2.12
Structural Work 6.98
Miscellaneous 10.32
Services Purchased for VR Consumers SFY 2005
Services Percent
Maintenance & Transportation 2.54
Training:
academic, vocational & technical
on-the-job vocational adjustment
28.75
Restoration Services:
surgery & hospitalization, prosthesis,
appliances & devices, other restoration services
48.69
Diagnostic & Evaluation 10.05
Other Services 9.97
VR Employment Outcomes SFY 2005
Outcomes Percent
Competitive Employment 98.5
Self Employment 1.5
Eligible Served by Primary Disability in VR Program SFY 2005
Eligible Served Count Percent
Musculo-skeletal 21,869 28.65
Substance Abuse 4,973 6.51
Deaf & Hard of Hearing 6,201 8.12
Mental/Emotional 14,229 18.64
Cardiac/Respiratory/Circulatory 1,464 1.92
Cognitive 11,883 15.57
Neurological 3,145 4.12
Traumatic Brain/Spinal Cord Injury 2,248 2.94
Other Impairments 10,325 13.53
TOTAL 76,337 100.00
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DRS AT A GLANCE

For every dollar spent on vocational rehabilitation, consumers generate more than $13 in personal taxable income through the remainder of their work lives. By retirement, the average rehabilitated consumer will have repaid the cost of services at least seven times through taxes paid. Eligible consumers served in SFY 2005 total 76,337, and successfully rehabilitated consumers total 14,563.

DARS
Division for Blind Services
OVERVIEW

The DARS Division for Blind Services (DBS) assists individuals of all ages who are blind or visually impaired and their families. Depending upon their goals and needs, DBS offers services to help Texans live independently and participate fully in community life, find a high quality job, or receive the training needed to be successful in school and beyond.

In a society designed by sighted people for sighted people, barriers are inadvertently created for people who are without sight. To overcome these barriers, a person who is blind or severely visually impaired must have specialized adaptive skills and a high level of personal confidence. An extensive continuum of services and an effective partnership between the consumer and DBS are the keys to successfully acquiring these skills and bolstering personal confidence.

No person's rehabilitation plan is the same as another's, and DBS strives to ensure that each rehabilitation program is tailored to fit the needs of the consumer. Services must be matched to the consumer's choices, skills, aptitudes, and capabilities to assure better success.

The Division for Blind Services envisions a Texas where people who are blind or visually impaired enjoy the same opportunities as other Texans to pursue independence and employment.

For more information about DBS programs and services, call the DARS Inquiries Unit at 1-800-628-5115 or visit the DARS website at www.dars.state.tx.us and select Division for Blind Services.

PROGRAMS

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DBS Mission Statement
Division for Blind Services

To work in partnership with Texans who are blind or visually impaired to reach their goals.

DARS
Division for Blind Services
CONSUMER STORY

Achieving Through Education

William Sickler is thirty–three years old. He graduated from the University of Texas–San Antonio in December of 2003 with a Bachelor's Degree in Information Systems, and he's currently working towards a Master's Degree in the same field.

Mr. Sickler began losing his eyesight in 1995 due to diabetic retinopathy. By 1997 he had permanently lost his sight and was no longer able to continue working as a manager at a local amusement park. When he contacted the Department of Assistive and Rehabilitative Services–Division for Blind Services (DBS) for assistance, his vocational rehabilitation counselor explored several vocational options with him. Mr. Sickler decided to pursue a college degree and enrolled in San Antonio Community College.

Vocational rehabilitation services, orientation and mobility training, rehabilitation teacher services, employment assistance services, and assistive technology equipment and training provided by DBS helped Mr. Sickler achieve his goal of graduating from college. He did well academically and enjoyed the experience so much that he now is applying to graduate school to further his studies. In the meantime, he has secured employment with General Dynamics Company and is currently using his newly acquired computer skills in his position as a web developer under contract to Brooks Air Force Base in San Antonio.

Mr. Sickler's contributions have been an inspiration to others. "Everybody thinks that if they have an employee who is impaired that they are not functional or reliable," Mr. Sickler's supervisor says. "But I have such confidence in William that he has full control of our Internet pages."

VR Employment Outcomes for SFY 2005
VR Employment Outcomes Count
Professional, Technical and Managerial 23
Service 22
Clerical and Sales 19
Processing 11
Benchwork 7
Miscellaneous 6
Structural Work 5
Machine Trades 4
Agricultural Related 3
Percentage of Total Served for SFY 2005
Program Percent
Independent Living Program 26
Blind Children's Vocational Discovery and Development Program 17
Vocational Rehabilitation Program 57
Blind Services at the National Level –
Consumers Receiving Planned Services*
*Based on FFY 2004 reports. May not match state fiscal year numbers.
State Total
Texas 6,807
New York 5,311
North Carolina 3,344
Florida 2,508
Blind Services at the National Level –
Consumers Closed Successfully Employed*
*Based on FFY 2004 reports. May not match state fiscal year numbers.
State Total
Texas 1,354
New York 1,414
North Carolina 700
Florida 644
Blind Services at the National Level –
Number of Closed At/Above Federal Minimum Wage*
*Based on FFY 2004 reports. May not match state fiscal year numbers.
State Total
Texas 1,129
New York 360
North Carolina 660
Florida 636
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DBS AT A GLANCE

DARS
Division for Early Childhood Intervention Services
OVERVIEW

DARS Division for Early Childhood Intervention Services coordinates a statewide system of early childhood intervention (ECI) services for families of infants and toddlers, birth to age three, with disabilities or delays. ECI provides services through contracts with local community agencies and organizations. These include mental health/mental retardation community centers, school districts, education service centers, and private non-profit organizations.

Eligibility is determined by a team of professionals, and the family. Children are eligible for ECI services if they meet one of the following criteria:

ECI services are funded through federal, state, and local funds, Medicaid, private insurance, and a family cost share system.

To make a referral or for more information, call the ECI Care Line at 1-800-250-2246 or the DARS Inquiry Unit at 1-800-628-5115, or visit the DARS website at www.dars.state.tx.us and select Early Childhood Intervention Services.

ECI SERVICES

ECI teams help families and caregivers learn how to promote development in daily lives and routines.

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ECI Mission Statement
Division for Early Childhood Intervention Services

ECI assures that families with young children with developmental delays have the resources and supports they need to reach their goals.

DARS
Division for Early Childhood Intervention Services
CONSUMER STORY

Living a Normal Life

As a nurse, Chris Simon saw children with developmental delays and conditions like Down syndrome when she worked in the neonatal intensive care unit (NICU) and in pediatric clinics. So when she gave birth to Andre, a child with Down syndrome, she thought she was prepared. But it's different when you are the mother and it's your child.

A NICU social worker arranged for the nearest Early Childhood Intervention (ECI) Program to contact the Simons. Andre's physical and speech therapist, and early intervention specialist, came to his home and child care program. "Nothing seemed like treatment," Ms. Simon explained. "They gave us the confidence we needed to incorporate Andre's needs into our everyday life."

ECI staff also helped Ms. Simon and her husband transition Andre into Public School Early Childhood Education on his third birthday. The staff members attended meetings with the school district and talked with teachers about how Andre was performing at home and in child care.

"Andre is doing great now," Ms. Simon said. "He is fully included in regular first grade classes, without an aide. He gets extra help in reading and math from the resource teacher and is getting excited about starting soccer in the fall."

Having Andre has changed her as a nurse, Ms. Simon explained. "Before Andre, I'd shy away from parents who were going to have kids with disabilities or conditions like Down syndrome. Now, I seek them out and talk to them about how it will change their lives in some ways and not in others. It makes a big difference to them to see a nurse who lives with a child with Down syndrome every day. It helps them see that they can lead a normal life even though they have a child with a disability."

Sources of Referrals to ECI Services for SFY 2005
Referral Source Percent
Medical/Health Services 40
Parent/Family Friends 38
Social Services 10
ECI Programs 8
Educational Entities 4
Reasons for Eligibility for Children Enrolled in ECI
33% of children have delays in more than one area.  
Basis for Eligibility Percent
Medical Diagnosis 11
Of those with medically diagnosed condition:  
Chromosomal Anomalies 32
Disorders of the Nervous System 16
Congenital Anomalies – Brain/Spinal Cord 14
Symptoms and Ill-Defined Conditions 12
Congenital Anomalies – Facial Clefts 9
Conditions Originating in Perinatal Period 6
Congenital Anomalies – Musculoskeletal 5
Developmental Delay 74
Atypical Development 15
Number of ECI Programs by Affiliation for SFY 2005
Local agency affiliation.
Affiliation Percent
Private Non-Profit Organization 16
Independent School District 5
Education Service Center 7
Community MHMR 29
Other 3
Types of ECI Direct Service Personnel (Percent FTEs)
Source: Funding applications, submitted SFY 2005
ECI Direct Service Personnel Percent
Early Intervention Specialist 41
Occupational Therapist 10
Physical Therapist 8
Nurse/Medical 2
Social Worker/Counselor/Psychologist 9
Speech-language Therapist 17
Program Administrator 6
Other Direct
Other Direct includes:
  • Dietician
  • Child Find Coordinator
  • Audiologist
  • Paraprofessional
  • Translator/Interpreter
7
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ECI AT A GLANCE

Since the initiating legislation in 1981, more than 350,000 children and families in Texas have received ECI services.

DARS
Division for Disability Determination Services
OVERVIEW

The DARS Division for Disability Determination Services (DDS), funded entirely through the Social Security Administration (SSA), makes disability determinations for Texans with severe disabilities who apply for Social Security Disability Insurance and/or Supplemental Security Income. Texans with physical and/or mental impairments apply for benefits at their local Social Security Administration (SSA) field office and their applications are forwarded to the division for a disability determination. SSA, however, is responsible for making final decisions as to whether or not a person is eligible to receive benefits.

This DARS division is responsible for developing medical evidence and making the determination on whether or not a claimant is disabled under the law. Usually, the division first tries to obtain evidence from the claimant's own medical sources. If that evidence is unavailable or insufficient to make a determination, arrangements will be made for a consultative examination (CE) to obtain the additional information needed. After completing its development of the evidence, trained staff makes the disability determination and returns the case to the field office for appropriate action. If the staff determine that the claimant is disabled, SSA completes an eligibility determination, computes the benefit amount, and begins paying benefits. If the claimant was found not disabled, the file is kept in the field office in case the claimant decides to appeal the determination.

To apply for disability benefits, call the Social Security Administration at 1-800-772-1213 or visit their website at www.ssa.gov to learn more about the application process for disability benefits. If you already have filed a disability claim with Social Security, you may contact the DARS Division for Disability Determination Services at 512-437-8000 or 1-800-252-7009 for information or questions concerning your claim.

PROGRAMS

The Social Security Administration (SSA) administers two disability programs which pay cash benefits and provide medical coverage to people who are unable to work because of severe physical or mental impairments. They are designed to replace part of the income lost if a person becomes disabled. Many people are qualified to apply for both of these programs. Regardless of the program, DDS will make the disability determination for SSA but only SSA can determine who is eligible to receive benefits.

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DDS Mission Statement
Division for Disability Determination Services

To improve the quality of life for Texans with disabilities who apply for or receive SSA disability benefits, by making timely and accurate disability determinations.

DARS
Division for Disability Determination Services
GOING PAPERLESS

Imagine a world without paper. That is the vision of the Social Security Administration (SSA) as it transitions throughout the country from a paper disability folder to one that is entirely electronic.

Any visitor to this DARS division is immediately impressed with the tremendous number of disability claims folders being maintained in the building. On any given day there are approximately 50,000 files pending action. Each day more than 1,000 new case folders are received from Social Security field offices and each day an equal number of completed files are returned to SSA. These claims folders contain large amounts of medical reports ranging from one to several hundred pages in length. The thickness of folders is measured in inches and the total number of pages of paper is staggering.

Beginning in late 2004, the Division for Disability Determination Services began a year-long rollout process that will culminate in most initial disability claims folders being received, maintained and transmitted in an electronic environment. Instead of receiving countless pages of medical reports, scanned electronic images will be available for viewing on a computer screen. Instead of boxing up and mailing paper folders to SSA field offices, files will be transmitted electronically at the touch of a button. The savings in postage and mail time will be significant. For the staff this has been, and continues to be a major activity. Working with SSA experts, computer systems have been upgraded, countless hours of testing performed and training plans formulated.

Instrumental in making this happen has been a twenty person workgroup each of whom was recognized with a prestigious SSA Commissioner's Citation for their efforts. The result will be a much more efficient system to provide timely, accurate and cost-effective Social Security disability determinations for the citizens of Texas.

Percent of Initial Disability Cases Allowed
Compared to National Average
  2003 2004 2005
DDS 38.5 36.7 39
USA 36.7 36.5 35.7
Total Disability Cases Processed by DDS
  2003 2004 2005
Disability Cases 273,768 279,957 283,306
DDS Average Initial Case Processing Time
Compared to National Average
  2003 2004 2005
DDS 68.5 62.8 67.3
USA 84.9 85.7 87.2
Types of Disability Cases Received for FFY 2005
Compared to National Average
Types of Disability Cases Percent
SSI Only 41.4
SSDI Only 27.1
Dual Entitlement 31.5

All DDS data is for the Federal Fiscal Year, October-September.

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DDS AT A GLANCE

DARS
Department of Assistive and Rehabilitative Services
MANAGEMENT TEAM

Terrell I. Murphy Commissioner
512/377-0600
Terry.Murphy@dars.state.tx.us

Mary Elder Deputy Commissioner
512/ 377-0614
Mary.Elder@dars.state.tx.us

Terry W. Smith Assistant Commissioner
for Rehabilitation Services
512/424-4220
Terry.Smith@dars.state.tx.us

Barbara J. Madrigal Assistant Commissioner
for Blind Services
512/377-0602
Barbara.Madrigal@dars.state.tx.us

Mary Beth O’Hanlon Assistant Commissioner
for Early Childhood Intervention Services
512/424-6751
MaryBeth.O’Hanlon@dars.state.tx.us

Mary Wolfe Assistant Commissioner
for Disability Determination Services
512/437-8888
Mary.Wolfe@dars.state.tx.us

David Myers Director,
Office of Deaf and Hard of Hearing Services
512/407-3250
David.Myers@dars.state.tx.us

Bill Wheeler Chief Financial Officer
512/377-0618
Bill.Wheeler@dars.state.tx.us

Alvin Miller Chief Operating Officer
512/377-0605
Alvin.Miller@dars.state.tx.us

Alex McAlmon Director of Internal Audit
512/424-4042
Alex.Mcalmon@dars.state.tx.us

EXECUTIVE SUPPORT

Center for Consumer and External Affairs:
Glenn Neal, Director

Center for Program Coordination:
Robert Packard, Director

Center for Policy and Innovation:
Lynn Blackmore, Director

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DARS EXECUTIVE SUPPORT

The Centers were created during the implementation of House Bill 2292 to help departments improve client services. The improvements are accomplished by providing additional points of input for stakeholders, developing strategies to integrate and improve administrative functions, strengthening accountability, and generally ensuring that tax dollars are spent more effectively.

DARS
Department of Assistive and Rehabilitative Services
CONTACT INFORMATION

Department of Assistive and Rehabilitative Services

Address:
4800 N. Lamar Blvd.
Austin, Texas 78756

Phone:
(800) 628-5115

Email:
DARS.Inquiries@dars.state.tx.us

Inquire toll free about DARS programs and services:
(800) 628-5115 TTY

Additional Information about DARS:
Additional information about each of the DARS service divisions is available at www.dars.state.tx.us.

Texas Health and Human Services Commission

Mailing Address:
Texas Health and Human Services Commission
Office of the Ombudsman, MC H-700
P O Box 13247
Austin, TX 78711-3247

Physical Address/Headquarters:
HHSC Headquarters
Brown-Heatly Building
4900 N. Lamar Blvd., 7th Floor
Austin, TX 78751-2316

Additional Information about Health and Human Services:
Call 2-1-1 for access to information about health and human services in your community.

DARS-2005, A Year in Review

It has been said that "nothing great ever happens without enthusiasm," and that could not be more appropriate to describe the great strides made by the Department of Assistive and Rehabilitative Services (DARS). DARS Commissioner Terry Murphy credits the department's success to increased collaboration that would never have occurred without consolidation. "The synergy at DARS has created a culture that values innovation. The exciting partnerships with consumers and stakeholders, as well as among our divisions, have led to new sources of funding that enhance services and improve business processes," DARS Commissioner Murphy said. "This is a new way of running state government that is working for disabled Texans." In 2005 DARS:

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DARS ANNUAL REPORT 2005
DARS

Special Thanks to the Following People for their Contribution to the First DARS Annual Report:

Charlie Clikeman, Division for Rehabilitation Services, Kathleen Wolfington, Division for Blind Services, MaryJo Miller, Division for Early Childhood Intervention Services, Bruce Rollman, Division for Disability Determination Services, Michael Peal, Steve Grimes, and Kathie Elkins, DARS Media Services.

DEPARTMENT OF ASSISTIVE AND REHABILITATIVE SERVICES

This report is published annually by the Department of Assistive and Rehabilitative Services.

Inquiries may be made to:

Department of Assistive and Rehabilitative Services
4800 N. Lamar Blvd.
Austin, TX 78756

Phone: (800) 628-5115

Email: DARS.Inquiries@dars.state.tx.us

You may also view this annual report on the Internet at: http://www.dars.state.tx.us

The Department of Assistive and Rehabilitative Services is an equal opportunity employer and services provider.

#01680 CCEA 12/2005

1ST ANNUAL REPORT 2005