4. Stress of RSA on periodic and continuous reevaluation of long-term clients. 5. Technical assistance to up-grade programs and services.

6. Improvement grants to add placement personnel and training staff. Rehabilitation facilities and workshops are a valuable resource for service. By and large they are staffed by people dedicated to the best interests of the client. While there may be a few dead end solutions, even in these cases they are better than no solution; they are better than institutionalization or complete inactivity. Real progress can be made by improving existing workshops, by grant programs, by staffing assistance and by insisting upon standards.

20. VR statistics show that you are serving about 1,400 cerebral palsy cases per year. The number of individuals who are afflicted with cerebral palsy is about 200-250,000. Why is it not possible to reach and serve a greater number of this population?

The number of cerebral palsy cases rehabilitated in fiscal year 1970 was 1,754. Another 471 received services but could not be rehabilitated and an estimated 3,500 other cerebral palsy victims were still receiving services at the end of fiscal year 1970. Thus, a total of about 5,700 of these persons received services at some time during fiscal year 1970.

Reasons for not serving more cerebral palsy cases are as follows:

1. Many are not eligible to receive services because, being too young or old, they do not have vocational objectives.

2. Others are not eligible because there is not a reasonable expectation that they can be rehabilitated.

3. Others are suitably employed up to the limits of their capacity and VR services would effect little change.

4. Others may be receiving suitable restorative and other services from nonState-VR agency sources.

21. Do VR reporting statistics now provide a breakdown as to the type of disability served and the success of rehabilitation for each type?

Table 1, attached shows the major disabling conditions of clients whose cases were closed rehabilitated or not rehabilitated during fiscal year 1969. Such information is available for closed cases only. An as yet unpublished report for fiscal year 1970 shows quite comparable findings.

Column (5) of this same table shows the ratio of rehabilitated to not rehabilitated cases, by type of major disabling condition; the higher the ratio for a particular disability, the higher degree of indicated success.

Table 2, attached, shows primary cause of the disabling condition.

Table 5.--Major disabling condition of persons rehabilitated by State vocational rehabilitation agencies, Fiscal Years 1966-1970

/ Not available.

22. Could you provide a breakdown by race, age group, and sex for all individuals eligible for VR services, and provide the same breakdown for those who actually have received those services for the last three fiscal years?

Data is not available on those characteristics of the universe in need. Published data for fiscal year 1970 classifies persons rehabilitated by age, sex, race, and disabling condition, although these characteristics are not cross tabu

lated. Copies of the pertinent tables are attached.

Table 3.--Age, sex, race, surname, and highest grade of school completed of persons rehabilitated by State vocational rehabilitation agencies, Fiscal Years 1966-1970

/ Certain States with relatively small proportions of rehabilitated Negro clients did not report race prior to 1970. Therefore, the figures for 1970 are not fully comparable to those for previous years.