Intellectual and Developmental Disability News

Pre-School Series from ‘Arthur’ Creator to Focus on Embracing Differences

Arthur series creator Marc Brown, whose long-running show bowed out last year, has a new show in the works, HBO just announced. Called Hop, the preschool animated series will have an important consultant: RespectAbility, the nonprofit organization dedicated to empowerment and self-advocacy for individuals with disabilities.

The star of the series is an outgoing six-year-old frog named Hop, who has one leg shorter than the other. His superpower is empathy. David Connolly, the first amputee to have performed on Broadway, voices the critter.

Other characters include Filipa, voiced by autistic actor Charlotte Walker. Filipa is “a fiercely intelligent squirrel” (is there any other kind?) who happens to be neurodivergent. She always speaks her mind, dislikes loud noises and big crowds, and is passionately creative.

“Even before Arthur ended, I was nurturing a new project about a little frog named Hop, for a younger audience,” said Brown in a press release. “With Arthur, we occasionally introduced characters with disabilities, but they never became part of the ensemble cast in any meaningful way. But the characters in Hop reflect many kids who are underrepresented in the media. Some of our characters have disabilities but they never define who they are or what they can achieve.”

Set in the aspirational community of Fair Village, the episodes are “grounded in emotional reality but [soar] into the world of fantasy, populated by dragons, trolls, talking banjos, and magic crayons.”

 

More News to Know for Week Ending June 17, 2023

Autism impacts non-White people, women and girls more than ever, a new employment model for people with I/DD, Staten Island holds its first disability empowerment conference, and more news to know for the week ending June 17, 2023.

Spotlight

Nation makes progress on early intervention for children with autism Young children, on average, are receiving early intervention services at a younger age than when they receive a formal autism diagnosis, indicating the nation may be doing a better job at providing early supports than diagnoses. (k12dive.com)

New York

130 attend Staten Island’s first disability empowerment conference, where the challenges – and successes – were explored Person Centered Care Services (PCCS) hosted the inaugural “Tap Into Empowerment Conference.” (silive.com)

At the edge between ‘being and becoming,’ a rabbi transitions  A rabbi in Kingston, N.Y., opens up about navigating faith after coming out as nonbinary and being diagnosed with autism. (Timesunion.com)

Outside New York

Chicago special education chief steps down amid reports that the district violated state law governing restraint, timeout Stephanie Jones left amid criticism for her role in the district’s failure to fix violations. (Chalkbeat.org)

Farm Grows Jobs — And Hope — For People With Developmental Disabilities A pilot program in St. Paul, Minn., trains people with I/DD to themselves train others for a produce-subscription program. (DisabilityScoop.com)

A San Antonio mom made a mobile unit for restroom needs of people with disabilities This creative mom co-created a mobile public restroom for festivals and other large events. (npr.org)

Big News

How Black autistic women and girls are excluded from conversations on resources and research Autism is impacting non-White people, women and girls more than ever. (19thnews.org)

A new employment model for people with autism and intellectual disabilities Researcher wins grant from California’s Department of Developmental Services to test an employment model called Individualized Placement and Support. (UC Davis Health)

Global Progress on disability rights risks going in reverse A “cascade of crises” is putting global progress towards ensuring the rights of persons with disabilities in danger, UN Secretary-General António Guterres warned. (United Nations)

 

A Q&A with New Jersey Disability Ombudsman Paul Aronsohn

New Jersey’s Disability Ombudsman Paul Aronsohn oversees the Office of the Ombudsman for Individuals with Intellectual or Developmental Disabilities and Their Families. Its small, hardworking staff —  Christine Bakterdoes is deputy director — helps individuals and families navigate the disability support system, advocates in areas including education and housing, and so far, Aronsohn tells the Boost proudly, has been able to respond to each and every constituent disability-related email or phone call.

Prior to this job, Aronsohn was a former mayor of Ridgewood, N.J., and worked on then governor-elect Phil Murphy’s transition team. He was recently reappointed to serve on the President’s Committee for People with Intellectual Disabilities.

RELATED NEWS: NJ makes strides but state still failing in care of people with disabilities, report says 

Aronshon’s work is inspired by his developmentally disabled sister Patti, who passed away in 2017 at the age of 54. His brother, Robert, a photographer who passed away in 2022 at age 67, was diagnosed later in life with a rare, neurogenetic disease that required the use of a cane and mobility scooter.

Aronsohn talked to The Boost about the “extraordinary” people his office serves, why one-on-one visits in homes are critical, surveillance cameras, and more. Our conversation has been edited for length and clarity.

Congratulations on the office’s five-year anniversary. Do you feel like you’ve run a marathon?

[Laughs] It feels great. It’s just busier and busier. And the nature of the office and how it often deals with families in crisis, it’s traumatic for them and traumatic for us trying to work through their situations. They’re often just so beaten down, and we get it. It’s hard to be in the system, it’s confusing and often overwhelming. But it’s wonderful to be in a position to help. It’s a whole mix of emotions.

Do you know how many other states have a disability ombudsperson? I know New York doesn’t have one for developmental disabilities.

I don’t think many states do. From what we can tell, our mandate might be the broadest.

Can you talk about your own family, and what makes this position so personally meaningful for you?

One of my older sisters, Patti, had developmental disabilities. She was never effectively diagnosed, but as a child, she had learning disabilities and cognitive and behavioral issues. She was physically a dynamo, very athletic, but in her 20s her disabilities began to express themselves physically and she had to use a cane then crutches then a walker. She eventually ended up quadriplegic with a feeding tube and lost her ability to speak.

She still had some choice words for her younger brother, though! “Goofball” was one, she never lost that.

When Patti lost her independence as an adult, she moved in with my mom and my mom became her caregiver. They were very close.

That’s so much to go through.

You know, my mom died on June 20, 2017, sort of unexpectedly. She’d taken ill a month before. Three days later, Patti died. It was shocking, heartbreaking. But it was also beautiful and somewhat poetic that these people who traveled together through life traveled together, so to speak, after. It speaks to the bond between parent and child.

You’ve taken on a lot, both personally and at work. What’s been the most unexpectedly difficult part of your job?

In our report last year, I tackled an issue I’ve grappled with for years — the disconnect between those who make decisions and those impacted by those decisions. I’ve got to believe most people who go into government do so for the right reasons. They want to help people, to serve people. But often they seem to lose their way and become disconnected from their mission, from the people they’re supposed to serve. Look at [New Jersey’s] decision to outsource managed care [to for-profit companies] and give private businesses ultimate responsibility for coverage decisions.

There are four of us in the office, three of us have a personal connection to disabilities. And so we’re often flailing our arms saying, “How can they say no” [to what’s needed], but unlike us, they don’t work up close and personal with people.

We’ve made a point since the beginning to do a lot of one-on-ones in people’s homes. Yesterday I was in three homes meeting with people in their living rooms, meeting family members, seeing the hole in the wall created by a person in crisis. Now we also do video phone calls.

People have a direct line to us, and then we try to work with our colleagues who don’t have that [experience]. Sometimes we beg them to go into a person’s home and see what’s going on.

The thing most eye-opening for me in terms of policy is [how we deal with] autism with severe challenging behavior, what some call severe autism. Coming into this job, I was struck — and still am —by its prevalence, as well as the lack of supports and services.

How many calls does the office field a day? 

We’re fielding them all day, emails too. And I give out my personal number so I get texts on the weekend! There’s a lot of incoming and we always get frustrated when we miss even one.

Can you give me an idea of the nature of some of the calls?

Well, [last] weekend, a family contacted us because their adult child with medical complexity is in the hospital with pneumonia and they [were worried that the] hospital staff wasn’t paying enough attention to the individual’s needs, and that a direct support professional couldn’t visit. We immediately reached out to the head of the [state] Division of Developmental Disabilities and the commissioner at the Department of Health to help the family navigate the system there and get them what they needed.

Our first call Monday morning was from a family I’ve been working with, a woman whose son [under 21] is in a group home. She had gone to visit him and found bruises over his body. She was very upset and I talked with her at length. This has been an ongoing problem for the family. We reached out to the head of [the state’s] Children’s System of Care to make sure they’re aware of the situation and to find out what was being done.

And that was just the first call…

We also got a nice email! We’d been working with a parent of a young man with severe challenging behavior, including self-injurious behaviors. They needed intensive in-home supports that just aren’t available and we helped them find out-of-home placement, first temporarily in New Jersey. It’s an excruciating decision for families to do this. He’s now in an out-of-state placement, a residential school, entering his fourth month and she wrote that he’s doing quite well, making good progress. It’s great to get that kind of note.

That’s fantastic. So, in this year’s report, you write that the office’s “spirited” approach doesn’t always sit well with providers. That’s a very carefully chosen word! Can you elaborate?

[Laughs] I think it’s the nature of the office. You need tension, a healthy tension [between the office and colleagues and providers].

This office is a place people come to when they have a problem. We not only help connect them with the resources they want, but we help them advocate. And there’s sometimes a difference in opinion with providers.

For instance, we get a lot of folks with abuse and neglect and staffing concerns related to the providers, and we’ll take up that cause not only in our day-to-day interactions with the Department of Human Services but with the providers themselves.

Staffing concerns of course point to the need to pay Direct Support Professionals [DSP] a fair wage. It’s a critical issue.

Most people don’t know how much [DSPs] make an hour, and you get what you pay for in life. For some of them, it’s a second job. For many, the wage is not enough. When you’re understaffed that’s when a lot of the abuse and neglect happens. If you have a group home with four people and even just one person has behavioral challenges it’s a lot to handle. Mistakes happen.

Where do you stand on camera surveillance in group homes?

We’re working with a group of families who want to make surveillance cameras more available. They’re allowed in state-licensed residencies, but not mandated.

I think they can serve multiple purposes: They can protect more incidents from happening; protect staff; and be used as an educational tool. You can go to video and see the antecedent and what led to a particular situation, and what could be done differently. Cameras don’t need to be punitive.

We have a very vulnerable population, particularly those who aren’t able to speak. But even if you can speak, it puts you in a precarious position to speak up against a staff member you depend on.

There are also privacy concerns.

Yes, there are privacy concerns. We need to strike a balance, to protect their privacy, but also their physical and emotional well-being.

I’ve spoken with families who think New York would greatly benefit from a developmental disability ombudsman. Any advice on how to get this rolling? 

I do think it’s something that’s needed, though as with New Jersey, I think it should serve all disabilities.

It’s not a big-budget item and it’s not that hard to do. We can share the legislation that created the office. [You’ll find it here.] Families and individuals need a place they can go to get information, to get assistance. They need someone to listen to them on a personal level and help them find their voice and advocate.

Switching topics, congratulations on being appointed by President Biden to a second round on the Committee for People with Intellectual Disabilities. Have you met the president? And what are you working on?

[Laughs] No, everything’s been virtual and I haven’t met the president.

Right now, we’re working on an annual report. I think it’s mandated, but there hasn’t been one since 2017!

One thing we’re focusing on is Home and Community-Based Services (HCBS). In that context, I’ve been leading the effort to look at family support programs primarily Medicaid, SS, programs that folks with disabilities rely on.

My focus has been on two angles. First, there’s the financial imperative, the need to update a lot of these programs both in terms of asset and income level so that they’re realistic in terms of today’s economy and needs.

And then there’s the moral imperative. Eliminating the marriage penalty is the most glaring example. An individual asset limit for SSI is $2,000, for a couple it’s $3,000, not even doubled. It serves as a disincentive and precludes them from getting married.

I can’t imagine you have time, but what do you do to relax? 

One of the things my colleagues in the office and I talk about is how much we absorb. We absorb a lot. We should be more schooled in trauma-informed care for our families and for ourselves. We have to find a way to let it go and release it.

Many times, one of us will get off the phone and say, “I’m going outside for a walk.” Yesterday I had a mother cry to me, the day before a father. I deal with teenagers with self-harming behaviors. It’s hard. So yeah, we do a lot of walking.

New York’s Medicaid Purge Is About to Start: What to Do

Since April, reportedly half-a-million people in less than a dozen states have lost Medicaid coverage, a direct result of a continuous enrollment provision enacted during the COVID-19 public health emergency coming to an end.

More specifically, in December 2022, Congress passed the Consolidated Appropriations Act, 2023, which ended continuous enrollment on March 31, 2023.

And now, New York is on the chopping block. The state’s Medicaid purge will begin June 30 and continue over 14 months, reports the Times-Union, with more than 9 million New Yorkers in need of renewing their eligibility or risk losing coverage.

Some Background on Medicaid

The state’s Office for People with Developmental Disabilities (OPWDD) provides most of its services through New York State’s Medicaid program, jointly funded by the federal and state governments. (OPWDD also offers limited services with state funding.)

To access services and supports from OPWDD, you need to apply for available benefit programs (like Medicaid) that help pay for the services you need.

Medicaid pays for the following OPWDD supports and services:

How Do I Know If I Need to Recertify?

Here are some tips I’ve picked up. (But please make sure to check with a care coordinator, if you have one, or the state Medicaid office.)

First, it’s critical to make sure your contact information is up-to-date with the state Medicaid office. If you need to recertify you should automatically receive a Medicaid recertification package in the mail.

In general, those who receive SSI need to recertify on a yearly basis.

Also, you always need to recertify if there has been a change to one or more of the following:

You will need documentation of the change(s).

(Note: The Medicaid renewal process is not consistent across all states and Medicaid groups.)

How to Recertify

Here, again, are some tips, but please check what’s needed with an expert.

Carefully fill out all paperwork and make sure to include all needed documentation. The process is often time-sensitive, so be sure to make note of the deadline.

If you work with a care coordinator through a Care Management Organization, they should be able to walk you through the process and any questions you might have. I say “should” only because of how overwhelmed they are with cases, and how some new care managers (for those organizations lucky enough to find people to hire) are learning as they go.

Medicaid Recertification Workshops

I’ll list them as I find them. If you know of one, please contact me here. Here’s one in Manhattan, being held June 14.

Details

What: “Medicaid Renewal Process: What’s Required & Tips to Ensure You Maintain Your Medicaid” workshop, part of the free Annual Manhattan Family & Professional Resource Fair

Date: June 14, 2023

Time: The specific time is unclear. The fair is being held 9 a.m.-2 p.m. Please contact the Manhattan Developmental Disabilities Council (the contact leads to an email form; I have an email in and will update if I hear back).

Where: CUNY Graduate Center, 365 Fifth Ave., N.Y., N.Y.

Register here.

Videotaped Abuse in Long Island Group Home Raises Question of Need for Cameras

An upsetting video of a staffer kicking a male resident in an East Islip, N.Y., group home, exclusively reported this week by longisland.news12.com, has horrified families across the state.

For many, such stories of abuse point to the question of whether surveillance cameras should be used in group homes.

In New York, an Administrative Directive from the Office of People with Developmental Disabilities (OPWDD) reads, in part: “The use of video cameras and other monitoring and/or recording technology are generally prohibited in OPWDD operated, OPWDD certified and provider-owned or controlled residential settings.”

In 2019, a bill was introduced in the New York State Assembly and Senate requiring providers of residential services to developmentally disabled children to have surveillance cameras in the common areas of their residential facilities. It’s been sitting In Committee.

I reached out to New York’s Chief Disability Officer Kimberly Hill with a link to the Long Island abuse incident and asked to hear her thoughts on the bill. A spokesperson wrote back noting only that “we will review any legislation that passes both houses of the Legislature.”

In this week’s Q&A with New Jersey Disability Ombudsman Paul Aronsohn, he noted that surveillance cameras are allowed in New Jersey state-licensed residencies, but not mandated. (Read more about his thoughts on cameras and other issues here.)

Image: Rawpixel.com on Freepik

NYC Families Caught in Special Ed Bottleneck Owed Money by DOE

Website The 74, a nonprofit news organization covering America’s education system from early childhood through college and career, does excellent work around the issue of special education. This week, it posted an important investigative article that looks at the many families trapped in New York City’s “decades-long special ed bottleneck.”

RELATED NEWS: They Stood Up to NYC Schools For Their Disabled Child. Then Child Protective Services Arrived

The report found that for decades now families who have shelled out money for support services schools were legally ordered to provide are not being reimbursed even after winning their special ed disputes in official hearings: “Even with … legal orders in their favor, they can’t get the department to actually cut the requisite checks.”

Read the whole article here.

Photo: Wikimedia Commons

NYC’s Dept. of Ed Failing Preschoolers with Disabilities

It’s a bad week for New York City’s Department of Education. Another report, this one from Advocates for Children of New York, found that more than one-third of New York City’s preschool children with disabilities did not receive all of the extra support they were entitled to in the last school year.

“When a child’s Individualized Education Program (IEP) mandates a service like speech therapy or the support of a part-time special education teacher, the City is obligated to provide those services,” the report notes.

“Yet data from the New York City Department of Education (DOE) show that the City is falling far short of meeting its responsibilities to its youngest learners. During the 2021–22 school year, 36.8% of preschoolers with disabilities — a total [of] 9,800 children — went the entire year never receiving at least one of their mandated special education services.”

Chalkbeat does a great job of unpacking the details. Read it here.

NYC’s Dept. of Ed Failing Preschoolers with Disabilities

It’s a bad week for New York City’s Department of Education. Another report, this one from Advocates for Children of New York, found that more than one-third of New York City’s preschool children with disabilities did not receive all of the extra support they were entitled to in the last school year.

“When a child’s Individualized Education Program (IEP) mandates a service like speech therapy or the support of a part-time special education teacher, the City is obligated to provide those services,” the report notes.

“Yet data from the New York City Department of Education (DOE) show that the City is falling far short of meeting its responsibilities to its youngest learners. During the 2021–22 school year, 36.8% of preschoolers with disabilities — a total [of] 9,800 children — went the entire year never receiving at least one of their mandated special education services.”

Chalkbeat does a great job of unpacking the details. Read it here.

Student with Autism Accepted to 18 Colleges

CBS News Chicago reports that a Chicago Public School student with autism has graduated high school with 18 college acceptance offers and more than $500,000 in scholarships and financial aid.

The article has an interview with the student’s mother, who first spoke with CBS seven years ago when “a transit driver for Chicago Public Schools left [her daughter] on the street without making sure an adult was home.” It goes on to detail how the mother fought to get her daughter her legally mandated services.

Read the upbeat story here. And ABC 7 Chicago has a photo, here!

Blog Post Highlights Need to Educate the World of Short-Term Rentals

A recent blog post on a website about Charcot-Marie-Tooth disease — a degenerative group of inherited disorders that cause nerve damage — touched on an interesting point about the need for disability education.

Its author, Young Lee, writes about an “inaccurate short-term rental listing” that stated it was accessible for people in wheelchairs. It was not.

“I can’t deny that the short-term rental industry has changed the way many travel. And I’m realizing that, partly because it’s largely unregulated, the industry leaves many disabled folks behind,” notes Lee.

It’s an anecdotal, informal look at a problem that vexes many people using wheelchairs, and quick to skim.

More Short-Term Rental News

Vacation Rentals and Accessibility: A Look at the Americans with Disabilities Act and Fair Housing Act (myvr.com)

Airbnb Using AI To Vet Accessible Rentals (Disabilityscoop.com)

Innovating to make travel more accessible (news.airbnb.com)

Image: Vectorjuice on Freepix