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federal register

Tuesday
July 1, 1997

Part VI

Department of
Education
National Institute on Disability and
Rehabilitation Research; Final Funding
Priorities for Fiscal Years 1997–1998 for
Rehabilitation Research and Training
Centers and a Knowledge Dissemination
and Utilization Project; and Office of
Special Education and Rehabilitative
Services; Inviting Applications for New
Awards Under Certain Programs for
Fiscal Year 1997; Notices

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35636 Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices

DEPARTMENT OF EDUCATION legally authorized to make under and young adults who are L–D or HOH.
statutory authority—are not addressed. It is desirable and feasible to expand the
National Institute on Disability and scope of RRTC’s work in the area of
Rehabilitation Research; Notice of Rehabilitation Research and Training
personal adjustment and in transition-
Final Funding Priorities for Fiscal Centers
related employment areas to address the
Years 1997–1998 for Rehabilitation Priority 1: Maintaining the Employment needs of adolescents and young adults
Research and Training Centers and a Status and Addressing the Personal who are L–D or HOH.
Knowledge Dissemination and Adjustment Needs of Individuals Who Changes: The priority has been
Utilization Project Are Late-Deafened or Hard-of-Hearing changed to require the RRTC, where
appropriate, to address the needs of
AGENCY: Department of Education. Comment: Three commenters made a
adolescents and young adults who are
SUMMARY: The Secretary announces final number of different suggestions about
L–D or HOH.
funding priorities for the Rehabilitation the experience and expertise of the Comment: Three commenters
Research and Training Center (RRTC) RRTC’s key personnel. They suggested suggested that the priority distinguish
Program and the Knowledge that key personnel: have extensive between the personal adjustment needs
Dissemination and Utilization (D&U) experience with vocational and mental health needs of persons who
Program under the National Institute on rehabilitation policies and procedures at are L–D or HOH.
Disability and Rehabilitation Research the Federal and State level; have Discussion: In order to provide
(NIDRR) for fiscal years 1997–1998. The experience working with children who applicants with general guidance, at
Secretary takes this action to focus are HOH or L–D enrolled in mainstream various points the background statement
research attention on areas of national programs; include individuals who are elaborates on issues related to personal
need to improve rehabilitation services L–D; and include individuals who have adjustment. Parts of that guidance refer
and outcomes for individuals with demonstrated background, interest, and to issues that are commonly understood
disabilities, and to assist in the skill working with individuals who are as mental health issues (e.g., feelings of
solutions to problems encountered by L–D or HOH. alienation, alcohol and drug abuse).
individuals with disabilities in their Discussion: The peer review process However, ‘‘personal adjustment’’ is not
daily activities. evaluates the degree to which an defined, and the term ‘‘mental health’’
applicant’s key personnel are qualified is not used in the priority in order to
EFFECTIVE DATE: These priorities take to accomplish the purposes of the
effect on July 31, 1997. provide applicants with the discretion
priority. The selection criteria for to propose the specific parameters of the
FOR FURTHER INFORMATION CONTACT: RRTCs are used to determine the degree research and training the RRTC will
David Esquith. Telephone: (202) 205– to which: the staffing plan for the Center conduct in this area. The peer review
8801. Individuals who use a provides evidence that the project process will evaluate the merits of each
telecommunications device for the deaf director, research director, training applicant’s view of personal adjustment
(TDD) may call the TDD number at (202) director, principal investigators, and issues affecting persons who are L–D or
205–2742. Internet: other personnel have appropriate HOH.
DavidlEsquith@ed.gov. training and experience in disciplines Changes: None.
SUPPLEMENTARY INFORMATION: This required to conduct the proposed Comment: Three commenters
notice contains final priorities to activities; the commitment of staff time suggested that the RRTC address not
establish RRTCs for research related to is adequate to conduct all proposed only maintaining employment for
persons who are late-deafened (L–D) or activities; and the Center, as part of its persons who are L–D or HOH, but also
hard-of-hearing (HOH), substance abuse, nondiscriminatory employment underemployment and unemployment.
and rural rehabilitation. In addition practices, will ensure that its personnel Discussion: In regard to employment,
there is a D&U project on parenting. are selected for employment without the focus of the RRTC is maintenance of
These final priorities support the regard to race, color, national origin, employment status because the majority
National Education Goal that calls for gender, age, or handicapping of the target population are employed
all Americans to possess the knowledge conditions. These selection criteria when they begin to experience hearing
and skills necessary to compete in a address the issues raised by the loss and because research has
global economy and exercise the rights commenters, and no further determined that interventions that effect
and responsibilities of citizenship. requirements are necessary. maintenance of employment are more
Note: This notice of final priorities does
Changes: None. effective than restorative interventions.
not solicit applications. A notice inviting Comment: Five commenters suggested However, the first activity of the priority
applications under these competitions is that the RRTC should address the needs refers to ‘‘employment status’’ and
published in a separate notice in this issue of adolescents and young adults who are provides applicants with the authority
of the Federal Register. L–D or HOH. The commenters indicated to propose research and training on
that recent research suggests that for a other aspects of employment, so long as
Analysis of Comments and Changes significant number of young people such activities are in addition to those
On April 21, 1997, the Secretary hearing loss may be taking place earlier related to maintenance of employment.
published a notice of proposed than previously expected and may go Changes: None.
priorities in the Federal Register (62 FR undiagnosed for extended periods of Comment: Three commenters
19432–19439). The Department of time. The commenters indicated that suggested specific disability
Education received 19 letters very little research has been conducted organizations that the RRTC should
commenting on the notice of proposed on the personal adjustment needs of consult with or include in their training
priorities by the deadline date. Three adolescents and young adults who are and technical assistance activities.
additional comments were received L–D or HOH. Discussion: The fifth activity requires
after the deadline date and were not Discussion: There is a need for the RRTC to provide training and
considered in this response. Technical research and training on personal technical assistance to organizations
and other minor changes—and adjustment and, to a lesser extent, representing persons who are L–D or
suggested changes the Secretary is not employment issues affecting adolescents HOH. There are a large number of
Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices 35637

organizations representing the interests reasonable refinements of the Discussion: All of NIDRR’s grantees
of persons who are L–D and HOH, and definitions included in the priority, must conduct all activities in a manner
applicants have the discretion to select there are many others that could be that is accessible to and usable by
the organizations that will participate in proposed, and there is no compelling individuals with disabilities. No further
their training and technical assistance reason to require all applicants to utilize requirements are necessary.
activities. The peer review process will the two that were recommended. Changes: None.
determine the merits of their selections. In regard to the recommendation for Comment: The RRTC should be
As necessary, all RRTCs are expected the RRTC to generate a definition of L– capable of rigorous scientific research
to consult with a wide range of entities. D and HOH based on research, an combined with a strong commitment to
NIDRR declines to single out specific applicant could propose to conduct this consumer involvement with equal
organizations for this purpose. research as long at it furthered the attention given to individuals who are
Changes: None. purposes of the RRTC as set forth in the L–D and HOH.
Comment: The RRTC should be priority. The peer review process will Discussion: Using the relevant
required to consult with NIDRR grantees evaluate the merits of such a project. selection criteria, the peer review
addressing the needs of persons who are Changes: None. process will evaluate the quality of the
deaf including the RRTC for Persons Comment: One commenter research design that an applicant
Who Are Deaf or HOH. recommended using a different database proposes. No further requirements are
Discussion: The priority includes a to indicate the number of persons who necessary to ensure the scientific rigor
requirement, in part, to coordinate with are L–D or HOH, and a second of the RRTC’s research activities.
NIDRR’s other research projects that commenter indicated that the Bureau of In regard to consumer involvement,
address the needs of individuals who the Census data underestimated the the general requirements for all RRTCs
are L–D or HOH. There are areas of number of persons who have a state that the RRTC must involve
research common to persons who are L– functional limitation in hearing normal individuals with disabilities and, if
D, HOH, and deaf, and research projects conversation because many people may appropriate, their family members, as
addressing the needs of persons who are fail to realize they have a mild hearing well as rehabilitation service providers,
deaf should be included in this loss. in planning and implementing the
coordination requirement. Discussion: The priority cites data research and training programs, in
Changes: The priority has been from the Bureau of the Census, the interpreting and disseminating the
revised to require the RRTC to National Center for Health Statistics, research findings, and in evaluating the
coordinate with NIDRR research and the Association of Late-Deafened Center.
projects addressing the needs of Adults. Neither commenter presented In regard to providing equal attention
individuals who are deaf. compelling evidence to indicate that to individuals who are L–D and HOH,
Comment: Two commenters these databases are incorrect. each applicant is expected to propose
recommended changes to the definitions Changes: None. and justify its allocation of research and
of L–D and HOH, and a third Comment: The RRTC should address training efforts, which must include
commenter suggested that the RRTC the needs of various racial and ethnic attention to both population groups. The
generate definitions of L–D and HOH groups who are L–D or HOH. peer review process will evaluate the
based on research. The first commenter Discussion: By statute, each applicant merits of this allocation.
recommended that the definition be must demonstrate how it will address, Changes: None.
revised to recognize that the needs of in whole or in part, the needs of
persons who are L–D or HOH may individuals with disabilities from Priority 3: Improving Employment and
include issues related to deaf culture minority backgrounds. No further Independent Living Outcomes for
and the need for appropriate requirements are necessary to address Persons With Disabilities in Rural Areas
accommodations. The second the commenter’s concern. Comment: The project should include
commenter recommended that the Changes: None. a scientifically valid, credible, and
definition of HOH be revised to indicate Comment: Five commenters suggested outcome-based evaluation program.
that these individuals can understand numerous specific activities for the Discussion: Applicants have the
conversational speech ‘‘through the ear’’ RRTC to carry out. These suggestions discretion to propose the RRTC’s plan of
in order to clearly distinguish this include, but are not limited to, specific evaluation. Plans of evaluation that are
population from persons who are late- age group focus, development of scientifically valid, credible, and
deafened and can speechread. educational materials, incidence outcome-based are consistent with the
Discussion: The definitions that are studies, model demonstrations, and plan of evaluation selection criteria for
included in the background statement family dynamics. RRTCs. These selection criteria are used
are purposefully broad in order to Discussion: Applicants have the to determine the degree to which the
provide applicants with the discretion discretion to propose the specific plan for evaluation of the Center
to refine their approach to the RRTC’s activities that the RRTC will undertake provides for an annual assessment of the
target population. Applicants have the in order to fulfill the purposes of the outcomes of the research, the impact of
discretion to propose research that RRTC as set forth in the priority. the training and dissemination activities
incorporates the idea that needs of Providing this degree of discretion to on the target populations, and the extent
persons who are L–D or HOH may applicants is an acknowledgement of to which the overall objectives have
include issues related to deaf culture the wide range of approaches that been accomplished.
and the need for appropriate applicants could take. The peer review Changes: None.
accommodations. In addition, an process will determine the merits of the Comment: The third, fourth and six
applicant may propose to distinguish suggested activities. activities specifically call for the
the needs of persons who are HOH from Changes: None. development of new strategies and
those who are L–D, in part, by their Comment: All of the RRTC’s activities services, while the first, second, and
ability to understand normal and information should be fully fifth activities require the project to
conversation ‘‘through the ear.’’ While accessible to individuals who are deaf, carry out identification, analysis, and
these two recommendations are L–D, or HOH. evaluation activities. May a project carry
35638 Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices

out additional activities than those Comment: A seventh activity should Comment: The inter-disciplinary
included in priority? be added to the priority, requiring the focus of the priority should be wider
Discussion: An applicant must RRTC to identify, evaluate, develop, and and include related health service
propose to address each of the specific disseminate information about providers such as occupational
activities included in the priority, but appropriate assistive technology that therapists, physical therapists, speech
may propose additional activities as enables persons with disabilities living and language pathologists, and
well. in rural areas to live more psychologists.
Changes: None. independently and improve their Discussion: The priority refers to a
Comment: The fifth activity refers to employment outcomes. range of ‘‘fields of social services, law,
people with ‘‘significant’’ disabilities. Is Discussion: Access to assistive and medicine.’’ The health service
this term synonymous with ‘‘severe’’ technology is an important issue, and an providers included in the comment fall
disabilities, and is it NIDRR’s intent to applicant could propose to integrate within this range.
restrict the fifth activity to services assistive technology into the fourth and Changes: None.
affecting only persons with significant fifth activities of the priority. Adding a Comment: It is important to
disabilities? seventh activity to the priority related emphasize the importance of technical
Discussion: The terms ‘‘severe’’ and exclusively to assistive technology competence, access to technology
‘‘significant’’ are used synonymously. would significantly limit the RRTC’s resources, and potential for multi-site
By statute, NIDRR research must have a capacity to carry out the six activities in national collaboration of the successful
particular emphasis on problems of the priority. applicant.
individuals with severe disabilities. Changes: None. Discussion: All of the characteristics
This provision applies equally to all Comment: While the third activity included in the comment are within the
priorities in all Centers. The fifth addresses the participation of persons purview of the application review
activity of the proposed priority with disabilities in local public process.
unnecessarily restricted the RRTC to planning for community development, Changes: None.
address services provided to persons it should include service providers such Rehabilitation Research and Training
with significant disabilities. as independent living centers and Centers
Changes: The reference to persons vocational rehabilitation agencies.
with significant disabilities in the fifth Discussion: An applicant may propose Authority for the RRTC program of
activity has been eliminated. to include service providers in the NIDRR is contained in section 204(b)(2)
Comment: One commenter suggested strategies that are developed to increase of the Rehabilitation Act of 1973, as
that the collaboration requirement participation of persons with disabilities amended (29 U.S.C. 760–762). Under
should be broadened to include other in local planning for community this program the Secretary makes
Federal agencies, in addition to USDA development. The peer review process awards to public and private
and DHHS, that may be carrying out will evaluate merits of the proposal. organizations, including institutions of
projects related to persons with There is insufficient information higher education and Indian tribes or
disabilities in rural areas. A second regarding the role of service providers in tribal organizations for coordinated
commenter suggested broadening the local public planning for community research and training activities. These
collaboration requirement to include development to warrant requiring all entities must be of sufficient size, scope,
RRTCs that address the needs of applicants to include them. and quality to effectively carry out the
underserved and minority populations Changes: None. activities of the Center in an efficient
of consumers with disabilities. manner consistent with appropriate
Discussion: The priority establishes Priority 4: Parenting With a Disability State and Federal laws. They must
the minimum collaboration Technical Assistance Center demonstrate the ability to carry out the
requirements that the project must meet. Comment: The priority should training activities either directly or
While an applicant may choose to specifically include ‘‘research’’ among through another entity that can provide
propose to undertake additional the information that the Center that training.
collaborative activities, including those identifies, disseminates, and synthesizes The Secretary may make awards for
suggested by the commenters, across various activities in the priority. up to 60 months through grants or
additional collaboration is not Discussion: The background cooperative agreements. The purpose of
specifically required by NIDRR. statement clearly indicates that the the awards is for planning and
Changes: None. Center should utilize research findings conducting research, training,
Comment: Is it NIDRR’s intent to in its various information dissemination demonstrations, and related activities
restrict training and information activities. It would be redundant to leading to the development of methods,
services to the entities included in the include ‘‘research’’ among the specific procedures, and devices that will
sixth activity, and to limit training activities included in the priority. benefit individuals with disabilities,
activities? Changes: None. especially those with the most severe
Discussion: An applicant must Comment: Pre-service training disabilities.
propose to provide training and activities should have a relatively equal Under the regulations for this program
information services to the entities weight with the other training activities (see 34 CFR 352.32) the Secretary may
identified in the sixth activity, but may required by the Center. establish research priorities by reserving
propose to provide training and Discussion: Each applicant is funds to support particular research
information services to additional expected to propose and justify its activities.
entities. In regard to the nature of the allocation of training efforts, which
training activities, an applicant may must include attention to organizations Description of the Rehabilitation
propose to undertake a variety of and institutions of higher education that Research and Training Center Program
training activities, and the peer review provide pre-service and in-service RRTCs are operated in collaboration
process will evaluate the merits of the training. The peer review process will with institutions of higher education or
activities. evaluate the merits of this allocation. providers of rehabilitation services or
Changes: None. Changes: None. other appropriate services. RRTCs serve
Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices 35639

as centers of national excellence and CFR 75.253(a), continued funding funded research, this proposed priority
national or regional resources for depends at all times on satisfactory is for research that addresses the needs
providers and individuals with performance and accomplishment. of adults who are L–D or late-onset
disabilities and the parents, family HOH.
General According to data from the Bureau of
members, guardians, advocates or
authorized representatives of the The following requirements will the Census, the number of individuals
individuals. apply to these RRTCs pursuant to the who have a functional limitation in
RRTCs conduct coordinated and priorities unless noted otherwise: hearing normal conversation is
advanced programs of research in Each RRTC must conduct an approximately 10.9 million (McNeil, J.,
rehabilitation targeted toward the integrated program of research to ‘‘Americans with Disabilities: 1991–
production of new knowledge to develop solutions to problems 1992,’’ Household Economic Studies,
improve rehabilitation methodology and confronted by individuals with P70–33, December, 1993). The National
service delivery systems, to alleviate or disabilities. Center for Health Statistics (NCHS)
stabilize disabling conditions, and to Each RRTC must conduct a estimates the number of persons who
promote maximum social and economic coordinated and advanced program of are HOH ranges from 20 million to 22
independence of individuals with training in rehabilitation research, million (‘‘National Health Survey,’’
disabilities. including training in research Series 10, No. 188, 1994). The NCHS
RRTCs provide training, including methodology and applied research studies use the ‘‘Gallaudet Hearing
graduate, pre-service, and in-service experience, that will contribute to the Scale’’ which is self-reporting and
training, to assist individuals to more number of qualified researchers working quantifies the amount of interference
effectively provide rehabilitation in the area of rehabilitation research. with hearing in ordinary day-to-day
services. They also provide training Each RRTC must disseminate and situations. According to the Association
including graduate, pre-service, and in- encourage the use of new rehabilitation of Late-Deafened Adults, the number of
service training, for rehabilitation knowledge. They must publish all persons who are L–D is estimated to be
research personnel and other materials for dissemination or training between 800,000 and 1.5 million. For
rehabilitation personnel. in alternate formats to make them 1991 and 1992, of all persons 21 to 64
RRTCs serve as informational and accessible to individuals with a range of years old who had some functional
technical assistance resources to disabling conditions. limitation hearing normal conversation,
providers, individuals with disabilities, Each RRTC must involve individuals 3,335,000 individuals or 63.6 percent
and the parents, family members, with disabilities and, if appropriate, were employed, while 189,000
guardians, advocates, or authorized their family members, as well as individuals, or 58.2 percent of those
representatives of these individuals rehabilitation service providers, in who were totally unable to hear normal
through conferences, workshops, public planning and implementing the research conversation, were employed (McNeil,
education programs, in-service training and training programs, in interpreting J., 1993).
programs and similar activities. and disseminating the research findings, Over the years, NIDRR has supported
NIDRR encourages all Centers to a number of research efforts to address
and in evaluating the Center.
involve individuals with disabilities the problems caused by various hearing
and minorities as recipients in research Priorities impairments. At various times these
training, as well as clinical training. Under 34 CFR 75.105(c)(3), the efforts have included: developing
Applicants have considerable latitude hearing aids and telecommunication
Secretary gives an absolute preference to
in proposing the specific research and devices; enhancing the use and teaching
applications that meet one of the
related projects they will undertake to of sign language interpreters; developing
following priorities. The Secretary will
achieve the designated outcomes. interventions for ‘‘low-functioning’’ deaf
fund under these competitions only
However, the regulatory selection persons with multiple disabilities;
applications that meet one of these
criteria for the program (34 CFR 352.31) developing more effective interventions
absolute priorities:
state that the Secretary reviews the and service models for hearing impaired
extent to which applicants justify their Priority 1: Maintaining the Employment vocational rehabilitation clients; and
choice of research projects in terms of Status and Addressing the Personal studying mental health issues of persons
the relevance to the priority and to the Adjustment Needs of Individuals Who who are deaf, HOH, or L–D.
needs of individuals with disabilities. are Late-Deafened or Hard-of-Hearing As the population ages, as people
The Secretary also reviews the extent to recover from serious illness with
Background
which applicants present a scientific hearing impairments, and as
methodology that includes reasonable Individuals whose hearing is environmental factors contribute to the
hypotheses, methods of data collection impaired, but who can understand incidence of hearing loss, it has become
and analysis, and a means to evaluate conversational speech with, or without, clear that there is a growing population
the extent to which project objectives amplification are hard-of-hearing of persons who experience disabling
have been achieved. (HOH). Adults who are late-deafened hearing loss as adults. The time of onset
The Department is particularly (L–D) become deaf after having is likely to be in older adulthood, but
interested in ensuring that the experienced hearing as well as speech this population is distinguished by the
expenditure of public funds is justified and language development. Adults who fact that the hearing loss occurs after the
by the execution of intended activities are late-onset HOH and those who are person has developed spoken language,
and the advancement of knowledge and, L–D have common and different has completed substantial formal
thus, has built this accountability into employment-related and personal education, and may have worked,
the selection criteria. Not later than adjustment needs. A third group of married, had children, or developed
three years after the establishment of persons who are considered hearing social relationships—as a hearing
any RRTC, NIDRR will conduct one or impaired are those persons who are person with ‘‘normal’’ speech.
more reviews of the activities and prelingually deaf. Because the These individuals face major
achievements of the Center. In prelingually deaf have been and adjustment problems in all phases of
accordance with the provisions of 34 continue to be the focus of other NIDRR- their lives, and may undergo depression
35640 Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices

and disruption in family or community The onset of a hearing impairment or • Coordinate with NIDRR’s other
life, as well as in their ability to perform the increased loss of hearing ability also research projects addressing individuals
their work and maintain their career. can have a significant impact on the who are L–D, HOH, or deaf, the
Such individuals need to learn ways to personal life of an individual who is L– DBTACs, and the Assistive Technology
maintain communication skills—both D or HOH. It is not uncommon for those Projects; and
receptive and expressive—and individuals to experience feelings of • Where appropriate, address the
frequently need interventions to enable disorientation and alienation and to needs of adolescents and young adults
them to maintain speech quality (i.e., withdraw from family and friends. That who are L–D or HOH.
volume, modulation, articulation). withdrawal reinforces the individual’s
Because they socialize and work with isolation and can, in extreme instances, Priority 2: Improving Vocational
colleagues, family, and friends in a lead to secondary complications such as Rehabilitation Outcomes for Individuals
hearing and speaking environment, and alcohol and drug abuse. Who Are Substance Abusers
because of their age, they are not likely Priority 1: Background
to make a transition to deaf culture even
if they do learn some sign language. The Secretary will establish an RRTC In 1993, NIDRR funded the
Most will depend on lip-reading, for the purpose of conducting research establishment of a three-year RRTC on
amplification, or written on the maintenance of employment Substance Abuse and Disability to
communication. Multiple personal status and personal adjustment of address the vocational rehabilitation
adjustment and work performance persons who are L–D or HOH. The needs of two major categories of eligible
issues confront these individuals RRTC shall: individuals served by the State
ranging from safety (e.g., driving and (1) Identify and analyze the factors Vocational Rehabilitation (VR) Services
traffic noise, fire alarms, public that negatively impact the employment program. The two categories of VR
announcement warning systems) to status and the personal life of persons eligible individuals were: (1) Those
following instructions at work, to who are L–D or HOH; whose substance abuse has resulted in
communicating with doctors, dentists, (2) Develop and disseminate a work disability; and (2) those who
and therapists about their health and interventions that address these have some other disability but whose
medications. employment and personal adjustment substance abuse interferes with their
problems, including early identification, ability to benefit from vocational
The impact of partial or complete
reasonable accommodations, rehabilitation services.
hearing loss may have compound effects
counseling, and assistive technology; In addition, the 1993 priority
on the work status of individuals who (3) Develop information materials on
are L–D or HOH. In addition to the authorizing the RRTC limited the scope
effective interventions and disseminate
functional impact of the hearing loss on of substance abuse to substances other
those materials to employers, human
an employee’s performance, the than alcohol abuse (although the
resource organizations, appropriate
employee may be unfamiliar with his or presence of alcohol abuse in
counseling organizations, and
her civil rights and concerned about conjunction with other substance abuse
organizations representing persons who
disclosing his or her condition for fear was within the scope of the RRTC). For
are L–D or HOH;
of dismissal, demotion, or loss of (4) Identify materials that address the the purposes of this priority, substance
potential career advancement. This fear rights of persons who are L–D or HOH abuse includes alcohol abuse with or
of disclosure not only produces under the Americans with Disabilities without the presence of other substance
additional anxiety, but also may delay Act, and other disability rights laws, abuse. The RRTC is expected to address
or prevent the employee from obtaining disseminate these materials to the needs of VR eligible individuals
needed assistance. Even if the employee organizations representing those who abuse alcohol, other substances, or
discloses his or her condition, human persons, and inform those organizations alcohol and other substances.
resource personnel, family counselors, about opportunities to receive training Individuals with a disability that
and other employment and social and technical assistance from entities results in a substantial impediment to
service providers may not be familiar such as the Disability and Business employment and who can benefit from
with the sundry impacts that hearing Technical Assistance Centers (DBTACs); VR services, including those individuals
loss and impairment can have on work and whose disabling condition is due to
performance and personal life. The (5) Develop training and technical substance abuse, are eligible for services
inability of human resource personnel, assistance materials and provide through the State Vocational
family counselors, and others to provide training and technical assistance to Rehabilitation (SVR) Services Program,
effective services can increase the employers, human resource authorized under Title I of the
individual’s sense of isolation and organizations, appropriate counseling Rehabilitation Act. Program data for
anxiety. organizations, and organizations fiscal year 1995 show that substance
Factors such as early identification, representing persons who are L–D or abuse was reported as the primary
family support, and the provision of HOH to enable them to address disabling condition for 51,339 eligible
reasonable accommodations can play an effectively the employment and individuals who exited the program in
important role in enabling the personal adjustment problems that year. Of the 51,339 individuals with
individual to adjust to the hearing experienced by persons who are L–D or a primary disability of substance abuse,
impairment and maintain employment, HOH. 22,708 persons’ primary disabling
family, and community status. In carrying out the purposes of the condition was alcohol abuse and 28,631
Providing such individuals with priority, the RRTC shall: persons’ primary disabling condition
appropriate assistive technology (e.g., • Identify and address the was drug abuse. Of the 40,766 eligible
assistive listening devices, realtime employment and personal adjustment individuals with a primary disabling
computer assisted captioning) in a issues that are common to both persons condition of substance abuse who
timely manner can make a significant who are L–D and those who are HOH, received services before exiting the
difference in job performance and as well as those issues that are unique program, 21,718 (53 percent) achieved
morale. to each population; an employment outcome (Rehabilitation
Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices 35641

Services Administration, Caseload further underscored by recent changes vocational rehabilitation outcomes for
Services data, 1995). in legislation, including welfare reform SVR eligible individuals whose
There are also individuals with and discontinuance of Social Security substance abuse has resulted in a work
disabilities served by the SVR program Insurance and Social Security Disability disability, or who have some other
for whom substance abuse is a co- Insurance benefits for individuals who disability that results in a substantial
existing, and sometimes hidden, previously were eligible based on impediment to employment but whose
condition. In addition to those addictions to alcohol and other drugs. substance abuse interferes with their
individuals who exited the SVR The removal of substantial numbers of ability to benefit from vocational
program in 1995 for whom substance substance abusers from income supports rehabilitation services. The RRTC shall:
abuse was reported as the primary and medical assistance is likely to cause (1) Conduct epidemiological studies
disabling condition, another 33,808 strains on the SVR service delivery to advance the understanding of the
individuals were reported to have a system by increasing the demand for relationship between substance abuse
secondary disability of substance abuse. services, decreasing the ‘‘comparable and disability among individuals who
Findings from a State-wide survey of benefits’’ dollars available for SVR are eligible for the State Vocational
alcohol, tobacco, illicit drugs, and services, decreasing access to general Rehabilitation Services program,
medication among applicants for health care during rehabilitation, and including determining the relative
vocational rehabilitation services from increasing client financial instability. prevalence of substance abuse among
Michigan Rehabilitation Services Changes in the management and persons with more severe disabilities;
indicate that while alcohol use patterns financing of health care in both the (2) Develop, identify, and evaluate
approximate the general population, the public and private sector, including information about effective methods for
percent of applicants who report current managed care, may also have an impact providing vocational rehabilitation
tobacco use or lifetime use of illicit on SVR agencies’ financial arrangements services to individuals who are
drugs appear considerably higher than with third party payers and access to substance abusers;
the general population (Moore, D. and comparable benefits for substance abuse (3) Investigate the impact of recent
Li, L., ‘‘Substance Abuse Among treatment. legislative changes (including welfare
Applicants for Vocational Rehabilitation Although there is an increasing reform and SSA eligibility) and changes
Services,’’ Journal of Rehabilitation, prevalence of substance abuse among a in health care management and
Vol. 60, No. 4, pgs. 48–53, 1994). diverse population of individuals financing of substance abuse treatment
Unrecognized or untreated substance undergoing rehabilitation, many service on the provision of vocational
abuse as a co-existing condition can be providers communicate that they have rehabilitation services to individuals
a greater barrier to employment than the an inadequate understanding about who are substance abusers; and
primary disability. Chief among those substance abuse and co-existing (4) Disseminate informational
barriers are complications of disability and that this adversely materials and provide technical
psychological and social adjustment to impacts their ability to address the assistance and training to SVR eligible
the disability, impaired learning problem effectively (Heinemann, A. individuals whose substance abuse has
processes, decreased chances for W.,’’An Introduction to Substance resulted in a work disability, or who
vocational preparation and Abuse and Physical Disability,’’ have some other disability that results
employment, and increased risk of Substance Abuse and Physical in a substantial impediment to
adverse medical effects from the Disability, New York: The Haworth employment but whose substance abuse
interaction of abused substances with Press, 1993). Practitioners in a growing interferes with their ability to benefit
treatment medications. number of disciplines within the from vocational rehabilitation services,
One of the primary modes of rehabilitation field need information vocational rehabilitation personnel, and
transmission of HIV is through injection about substance abuse and co-existing related rehabilitation disciplines
drug use when an HIV-infected syringe disability, including rehabilitation concerning effective strategies for
is shared between individuals. The educators, vocational rehabilitation providing vocational rehabilitation
higher incidence of intravenous drug counselors, health care providers, services.
abuse in socio-economically depressed independent living specialists, In carrying out the purposes of the
communities means that resultant HIV community-based rehabilitation priority, the RRTC shall:
is concentrated among individuals who providers, rehabilitation administrators, • Give special emphasis to issues
lack health care, have low education chemical dependence counselors, and affecting the vocational rehabilitation of
and little prior work experience, and directors of State vocational individuals with co-existing disabilities,
lack access to transportation, assistive rehabilitation programs. particularly issues affecting SVR eligible
technology, and other community In order to address this need and individuals for whom substance abuse
supports that facilitate vocational because there are other Federal agencies is not their sole or primary disabling
rehabilitation and job maintenance. that focus significant resources on condition, but whose substance abuse
Substance abuse also leads to more high individuals whose sole or primary interferes with their ability to benefit
risk sexual behaviors, further increasing disability is substance abuse, this RRTC from vocational rehabilitation services.
the incidence of HIV infection in this will focus its efforts, although not • Address the vocational rehabilitation
population. The presence of HIV exclusively, on issues affecting needs of individuals with HIV/AIDS
infection can be a complicating factor in individuals with co-existing disabilities. who are SVR eligible individuals whose
the vocational rehabilitation of Particular emphasis would be given to substance abuse has resulted in a work
substance abusers. There is a need for SVR eligible individuals for whom disability, or who have some other
research on the specific vocational substance abuse is not their sole or disability that results in a substantial
rehabilitation needs of substance primary disabling condition, but whose impediment to employment but whose
abusers with HIV. substance abuse interferes with their substance abuse interferes with their
The need for an expanded ability to benefit from vocational ability to benefit from vocational
understanding of the relationship rehabilitation services. rehabilitation services;
between vocational rehabilitation, Priority 2: The Secretary will establish • Where appropriate, address the
substance abuse, and disability has been an RRTC for the purpose of improving needs of transitioning special education
35642 Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices

students who may have substance abuse lines and in a new partnership with Services’ (DHHS’) Health Care
problems, their special education State and local government and the Financing Administration funds Rural
teachers, and administrators; and private sector, has provided distressed Telemedicine Grants which demonstrate
• Coordinate with projects on communities with the tools they need and collect information on the
substance abuse supported by the and flexibility they desire, in the form feasibility, costs, appropriateness, and
Substance Abuse and Mental Health of block grants, tax breaks and waivers. acceptability of telemedicine for
Services Administration and with In return, EZ/EC communities— improving access to health services for
NIDRR centers and projects on residents, community leaders, rural residents and reducing the
vocational rehabilitation and emerging businesses, State and local governments isolation of rural practitioners. The
disability populations. and schools—must demonstrate that intended beneficiaries of these grants
they are taking responsibility for their are rural health care providers, patients,
Priority 3: Improving Employment and own futures by developing and and rural communities which gain from
Independent Living Outcomes for implementing a plan to utilize these this program.
Persons with Disabilities in Rural Areas tools. The U.S. Department of Changes in health care policy, such as
Background Agriculture (USDA) is authorized to managed care, are significantly affecting
designate three rural EZs and thirty ECs. the lives of people with disabilities
Between 11 and 15 million persons
These projects are intended to living in rural areas. For example,
living in rural areas have a chronic or
demonstrate that innovative economic managed care emphasizes primary care
permanent disability, a higher per capita development and service delivery and control of access to specialized
rate of disability than exists in cities approaches can make a difference for services. Persons with significant
with populations over 50,000 (Young, C. people with disabilities living in rural disabilities in rural areas, however, have
and O’Day, B., ‘‘Issues in Rural areas. It is important for individuals difficulty obtaining primary care and
Independence: Funding,’’ Rural with disabilities living in rural often need extensive services and access
Monograph Series.’’ Compared to their communities to participate in long- to highly specialized providers to
counterparts in metropolitan areas, range community development prevent death or further disability
persons with disabilities in rural areas planning. Their involvement is crucial (‘‘Medicaid Managed Care: Serving the
have higher rates of activity limitation to ensure that the unique needs of Disabled Challenges State Programs,’’
(16.4% versus 14.6%), work limitation people with disabilities for U.S. General Accounting Office (GAO)/
(14.2% versus 10.9%), and personal employment, economic self-sufficiency, Health, Education, and Human
care limitation (4.7% versus 3.8%) transportation, affordable and accessible Services-96–136).
(LaPlante, M. et al., ‘‘Disability Statistics housing, and access to generic The use of telecommunications
Report #7,’’ Disability in the United community facilities are addressed. technologies may be a critical element
States: Prevalence and Causes, 1992, Research is needed to study current in efforts to provide social services as
Institute for Health and Aging, approaches, and to develop new well as maintain and foster economic
University of California, San Francisco, models, for increasing their development. Advanced
July, 1996). Persons with disabilities in participation in public and private telecommunications technologies—the
rural areas face challenges that are quite economic development and services Internet, videoconferencing and high-
different from their peers living in and improvement initiatives. speed data transmission—offer rural
around metropolitan areas. The quality The health problems experienced by areas the chance to overcome some of
of life for many people with disabilities people with disabilities living in rural the problems they face as a result of
residing in rural America is areas are complicated by the burden of their geographic isolation. These
characterized by: (1) Limited job travelling long distances and the general technologies can link rural areas with
opportunities; (2) inadequate health shortage of primary health care other communities and expertise to
care; (3) isolation and inadequate providers. As a result, people with improve medical services, create new
transportation; (4) lack of accessible disabilities living in rural areas may jobs, and increase rural residents’ access
housing; and (5) underfunded social experience a high rate of secondary to education (‘‘Rural Development:
services. conditions each year such as pressure Steps Toward Realizing the Potential of
For many rural areas, social and sores, physical deconditioning, urinary Telecommunications Technologies,’’
economic vitality hinges on overcoming tract infections, depression and pain GAO/Resources, Community, and
the problems posed by remoteness from (Seekins, T. et al., ‘‘A Descriptive Study Economic Development-96–155).
urban centers—such as the lack of easy of Secondary Conditions Reported by a Interactive technology can link
access to advanced education, medical Population of Adults with Physical isolated rural settings with
knowledge, and enterprise development Disabilities Served by Three comprehensive services at distant
opportunities. People with disabilities Independent Living Centers in a Rural facilities. With these linkages, the
living in rural communities often live a State,’’ Journal of Rehabilitation, Vol. distant facility can review X-rays, CAT
long distance from vocational 60, No. 2, pgs. 47–51, 1994). Proper scans, and other medical evidence to
rehabilitation (VR) agencies, education, support delivered by health diagnose an illness and prescribe
independent living centers (ILCs), and clinics and independent living centers, treatment without having the patient
other social service agencies. Although and utilization of telemedicine can make long, and sometimes difficult,
these resources have great potential for dramatically improve the health of trips to the larger institution. Colleges
reducing the impact of disability, adults with disabilities and reduce and schools can offer classes, and even
service delivery challenges limit their medical service utilization. degree programs, to students in remote
availability in rural areas. The USDA’s Rural Utilities Service, locations. Large businesses can establish
Currently, Federal, State, and local which funds telecommunications or maintain branch offices in rural areas
initiatives such as Empowerment Zones infrastructure in many rural areas, by using videoconferencing or on-line
(EZ) or Enterprise Communities (EC) are provides grants to link rural health access to hold meetings and conduct
addressing community and economic clinics with larger hospitals to better business. There is a need to design ways
development in rural areas. The Federal serve rural residents. The U.S. to apply these emerging interactive
government, working across agency Department of Health and Human technologies to the lives of people with
Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices 35643

disabilities living in rural areas, Knowledge Dissemination and equipment for parents with physical
particularly as Federal and other public Utilization Projects disabilities and parenting assessment
and private programs expand their uses Authority for the D&U program of techniques. A wide array of parenting
of interactive technology. NIDRR is contained in sections 202 and equipment has been developed, for
204(a) of the Rehabilitation Act of 1973, example, a lifting harness and an
Priority 3 adapted baby bathing cart. Information
as amended (29 U.S.C. 760–762). Under
The Secretary will establish an RRTC this program the Secretary makes is also available on the social service
for the purpose of examining means to awards to public and private needs of parents with disabilities. As a
improve the employment status and organizations, including institutions of result of these and other research,
ability of persons with disabilities to higher education and Indian tribes or training, and development efforts, a
live independently in rural areas. The tribal organizations. Under the substantial body of knowledge now
RRTC shall: regulations for this program (see 34 CFR exists related to parenting with a
(1) Identify, analyze and evaluate the 355.32), the Secretary may establish disability.
impact of rural economic development research priorities by reserving funds to Persons with disabilities who want to
strategies in improving the employment support particular research activities. become, or remain parents, may need
outcomes and economic status of people information and technical assistance. A
with disabilities living in rural Priority NIDRR-sponsored focus group on
communities; Under 34 CFR 75.105(c)(3), the women and disabilities held in 1994
(2) Identify and examine issues of Secretary gives an absolute preference to recommended that NIDRR explore
access to health care for persons with applications that meet the following issues related to sexuality, reproductive
disabilities living in rural areas, priority. The Secretary will fund under health, pregnancy and parenting for
particularly those issues contributing to this competition only applications that women with disabilities, including ‘‘the
the onset of secondary conditions; meet this absolute priority: level of information that women have
(3) Develop and evaluate strategies to about these topics’’ (‘‘Focus Group on
Priority 4: Parenting With a Disability Women and Disabilities,’’ unpublished
increase the participation of people with
Technical Assistance Center ‘‘Report of Proceedings,’’ NIDRR, pg. 8,
disabilities in local public planning for
community development; Background July, 1994). Parents with disabilities and
(4) Identify, develop, and evaluate prospective parents with disabilities
Approximately one in eleven families need information about related
strategies to improve rural with children at home includes one or
transportation, accessible housing, and advances in the field of assistive
more parents with a disability (LaPlante, technology and medicine, public policy
access to generic community facilities M., ‘‘Disability in the Family,’’
services for people with disabilities; and legal developments, and parenting
presented at the annual meeting of the resources.
(5) Identify and evaluate strategies to American Public Health Association, One source of information and
improve the use of telecommunications Atlanta, GA, 1991). This proportion can valuable experience is persons with
technologies for the delivery of health, be expected to increase as a correlate of disabilities who are parents. These
employment, education, and social the gains that persons with disabilities individuals have a wealth of knowledge
services to people with disabilities have achieved in their efforts to live and and can not only share their experiences
living in rural communities; and work independently in the community. and practical information, but also serve
(6) Develop training and In the course of becoming parents and as uniquely qualified sources of
informational materials and provide rearing children, persons with support. Currently, this ‘‘parent to
training and information to persons disabilities may encounter a variety of parent’’ networking is primarily
with disabilities, and providers of attitudinal, physical, medical, and legal informal and limited in scope.
health care, vocational rehabilitation, barriers. They may also find Persons with disabilities may
and independent living services, on misinformation or an absence of encounter substantial attitudinal and
effective strategies for improving the information regarding advances in fields legal barriers in their efforts to become
employment, health, and independent that address issues related to parenting. pregnant, gain or maintain custody, or
living outcomes of people with NIDRR has been addressing the adopt children. Barbara Faye Waxman,
disabilities living in rural areas. physical barriers and reproductive an expert on reproductive rights, notes
In carrying out the purposes of the issues faced by parents with disabilities that laws allowing sterilization of
priority, the RRTC shall: through a variety of research and persons with disabilities remain on the
• Coordinate with NIDRR-funded development projects. Since 1993 books in some States and that social
research, training and demonstration NIDRR has supported a Rehabilitation service agencies are often too quick to
activities on delivery of rehabilitation Research and Training Center on put the non-disabled children of parents
and independent living services in rural Families in which one or more adult with disabilities up for adoption
areas, including those sponsored by parent or guardian has a disability. The (Mathews, J., ‘‘The Disabled Fight to
RSA and the RRTC on managed care; Center has investigated a wide range of Raise Their Children,’’ Washington Post
• Where appropriate, address the parenting issues, including the assistive Health Section, August 18, 1992). Most
needs of transitioning special education technology needs of parents with States treat disability as prima facie
students and their special education disabilities, training obstetricians to evidence of parental unfitness and a
teachers and administrators; deal with the needs of women with possible detriment to the child (Conly-
• Coordinate with rural projects disabilities, and needs of mothers with Jung, C., ‘‘The Early Parenting
affecting persons with disabilities visual disabilities. The Center has Experiences of Mothers with Visual
funded by USDA and DHHS; and created and identified a wide range of Impairments and Blindness,’’
• Address the needs of persons with valuable information for parents and Dissertation, California School of
disabilities in rural communities in all professionals. In addition, over the last Professional Psychology, Alameda, CA,
parts of the country, including persons ten years, NIDRR has supported pg. 21, May, 1996). One important
from ethnic and racial minority research projects on the design and strategy in the effort to overcome these
backgrounds. development of new adaptive attitudinal and legal barriers is
35644 Federal Register / Vol. 62, No. 126 / Tuesday, July 1, 1997 / Notices

providing social service, legal, and but not limited to, the Assistive Americans to possess the knowledge
medical professionals with information Technology Projects; and skills necessary to compete in a
that dispels stereotypes and describes • Collaborate with other NIDRR and global economy and exercise the rights
advances in the related fields that Office of Special Education Programs- and responsibilities of citizenship.
enable persons with disabilities to funded projects and centers that address The estimated funding levels in this
provide a safe and nurturing issues related to parenting and to notice do not bind the Department of
environment for their children. disability rights of persons with Education to make awards in any of
disabilities; and these categories, or to any specific
Priority 4 • Establish a national toll-free
number of awards or funding levels,
The Secretary will establish a center telephone hotline and publish a
unless otherwise specified in statute.
for the purpose of providing technical quarterly newsletter.
assistance and disseminating parenting APPLICABLE REGULATIONS: The Education
Applicable Program Regulations Department General Administrative
information to persons with disabilities
and to social service, medical, and legal 34 CFR Parts 350, 352, and 355. Regulations (EDGAR), 34 CFR Parts 74,
service providers. The technical Program Authority: 29 U.S.C. 760–762. 75, 77, 80, 81, 82, 85, and 86; and the
assistance center shall: Dated: June 25, 1997. following program regulations:
(1) Identify and disseminate (Catalog of Federal Domestic Assistance (a) Rehabilitation Research and
technological, legal, and medical Numbers: 84.133B, Rehabilitation Research Training Centers (RRTCs)—34 CFR Parts
information on parenting, pregnancy, and Training Center Program, 84.133D, 350 and 352; and
custody, and adoption to parents, and Knowledge Dissemination and Utilization
Program) (b) Knowledge Dissemination and
prospective parents with disabilities, Utilization Program (D&U)—34 CFR
and service providers in related field of Judith E. Heumann,
Parts 350 and 355.
social services, law, and medicine; Assistant Secretary for Special Education and
Rehabilitative Services. Program Title: Rehabilitation
(2) Develop training materials on
[FR Doc. 97–17206 Filed 6–30–97; 8:45 am] Research and Training Centers.
parenting with a disability and
disseminate those materials to BILLING CODE 4000–01–P CFDA Number: 84.133B.
organizations and institutions of higher Purpose of Program: RRTCs conduct
education that provide pre-service and coordinated and advanced programs of
in-service training to professionals in DEPARTMENT OF EDUCATION
research on disability and rehabilitation
related fields of social services, law, and [CFDA Nos.: 84.133B and 84.133D] that will produce new knowledge that
medicine, as well as to organizations will improve rehabilitation methods and
representing persons with disabilities; Office of Special Education and service delivery systems, alleviate or
(3) Provide technical assistance on Rehabilitative Services; National stabilize disabling conditions, and
parenting with a disability to persons Institute on Disability and promote maximum social and economic
with disabilities and service providers, Rehabilitation Research; Notice independence for individuals with
including making referrals and serving Inviting Applications for New Awards disabilities. RRTCs provide training to
as a clearinghouse of technical Under Certain Programs for Fiscal service providers at the pre-service, in-
information; and Year 1997 service training, undergraduate, and
(4) Develop and establish a parent-to- Note to Applicants: This notice is a graduate levels, to improve the quality
parent network that enables experienced complete application package. Together and effectiveness of rehabilitation
parents with disabilities to voluntarily with the statute authorizing the services. They also provide advanced
provide information and support to programs and applicable regulations research training to individuals with
persons with disabilities interested in governing the programs, including the disabilities and those from minority
becoming or remaining parents. Education Department General backgrounds, engaged in research on
In carrying out the purposes of the Administrative Regulations (EDGAR), disability and rehabilitation. RRTCs
priority, the technical assistance center this notice contains information, serve as national and regional technical
shall: application forms, and instructions assistance resources, and provide
• Collect and synthesize information needed to apply for a grant under these training for service providers,
from other NIDRR-funded projects and competitions. individuals with disabilities and
centers that could be relevant to These programs support the National families and representatives, and
parenting with a disability including, Education Goal that calls for all rehabilitation researchers.

APPLICATION NOTICE FOR FISCAL YEAR 1997


REHABILITATION RESEARCH AND TRAINING CENTERS CFDA NO. 84.133B
Deadline for Maximum
Estimated Project pe-
transmittal award
Funding Priority number of riod
of applica- amount (per
awards (months)
tions year)*

Maintaining the Employment and Addressing the Personal Adjustment of Individuals


Who are L–D or HOH ................................................................................................... 8/15/97 1 $500,000 60
Improving the VR Outcomes for Individuals Who Are Substance Abusers .................... 8/15/97 1 500,000 60
Improving Employment and IL Outcomes for Persons with Disabilities in Rural Areas .. 8/15/97 1 550,000 60
Note: The Secretary will reject without consideration or evaluation any application that proposes a project funding level that exceeds the stated
maximum award amount (See 34 CFR 75.104(b)).

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