Archive for the ‘Practical Tips’ Category

Hand Therapy| Homework with a Bang

Homework with a bang

Life Long Learning| like it or not.

Six weeks ago I fell and broke my wrist. Bad news is that it hurt like #$@! The good news is it’s healing well and gave me the opportunity to learn more about therapy. Hey, I’m a glass-half-full kind of person, right?

Aaron, my son with the label of autism, started physical, occupational and speech therapy when he was a baby. In fact, therapy was one of the things we won in our due process case with the school district. So, I’ve had years of observing therapists in action. We saw Aaron go through paradigm shifts in philosophies and approaches from sensory integration, NDT (neurodevelopmental), isolated medical model therapy, multidisciplinary, transdisciplinary, interdisciplinary…and others I can’t even remember.

My broken wrist was my first hand *laugh* opportunity to actually be the patient. I am now officially “disabled” I have crossed into the “yet”.

Of course there are many differences between Aaron and my experience:

*Mine is for a short time.
*I can tell the therapist when it hurts.
*I can ask questions.
*I can understand what the therapist is trying to do.
*I can look for ways to practice the exercises.

Because of my injury, I am going to a physical therapist who specializes in Hand Therapy. Hey, this is the day of specialization. I wonder if there is a physical therapist who specializes in “thumb” therapy? Probably is.

My therapist is great. What is really interesting is for the first time I finally understand how all those stairs-to-nowhere and giant pegboards ended up in special education.

In the 70s, when children like Aaron were granted the right to education (PL. 94-142) no one knew what curriculum to use for people with severe disabilities. It made perfect sense to start with the medical model and the exercises used in the therapy rooms. In fact, in the early days, many people thought education would be the cure.

Home: One Pound Weight

Therapy: One Pound Weight

Functional Activities

As many of you know, Lou Brown from the University of Madison, WI is one of my heroes. Not only is he an amazing person and teacher, but his innovative ideas helped win Aaron’s lawsuit, and introduce a “functional curriculum” which impacted all Greater Cincinnati.

Functional Curriculum:

If the person doesn’t do it, will someone else have to do it?”

What seems like a straightforward definition is often confusing to people. For instance. When I went home and substituted a hammer was that functional learning?

If you answered “NO” you are correct.

When a hammer is just a substitute for a one pound weight, it is not a “functional skill.” (BTW I felt ridiculous watching TV and pumping the hammer with claw.)

In a medical model or scientific method experiement, you always isolate and reduce the activity to one element. Exercises are specific to one area, so they can be more easily measured.

Did this exercise strengthen the wrist?

Can the patient lift one pound?

How many degrees can the patient turn their wrist?

After a week of practicing lifting one pound weights, could the patient now lift a two pound weight?

The answer would be clean, it would be easy to chart.

Now, if I used the exercise of lifting the hammer (one pound) to hit a nail, or build a cabinet then it would be a functional exercise. But it no longer requires just one skill. It would be more difficult to chart.

Make sense?

The hammer is a tool. The one pound weight is a good therapeutic exercise for my wrist, but until I give the hammer a purpose, there is no “functional skill.”

The idea of “functional skills” is that a person would practice the exercise many times, as opposed to just a couple times a week in therapy.

For years Aaron and others climbed the stairs-to-nowhere and were swung in nets to build therapy skills.

With a “functional curriculum” Aaron learned to climb the steps in the hallway to go to lunch. He used a swing on the playground at recess. He would practice these skills several times a day. They were real, not artifical exercises done in isolation.

Rotating Wrist Muscles

Rotating Wrist Muscles

Here is the test:

Goal is to strengthen wrist by turning an object.

Which picture shows a “functional” task?

Does that help explain it?

Keep Climbing: Onward and Upward

All my best,

Mary

Comment:

Of course, the peppermill is the correct answer. Can you think of other “functional” activities? Did this help explain this concept.

Related Articles

Dr. Lou Brown: Busy vs. Bored, Life Space Analysis for People with Disabilities

Functional Skills: Use it or Lose it

It’s a Jungle Out there| Inclusion in the Grocery Store

Chocolate Covered Strawberries

Mouth watering?

Don’t these chocolate covered strawberries look delicious?

For Valentine’s Day, or any day, what about making chocolate covered treats or gifts for the people you love?

Chocolate Covered Fun for ALL AGES and Abilities

Parents, Special Education Teachers, Directors of Day Programs and Senior Centers: Everyone is looking for activities that are fun, age-appropriate, and allow people with all ability levels to participate.

Taking your favorite snack for a chocolate dip may be the answer.
The costs will vary according to the ingredients, but pretzels and marshmallows are cheap. Of course, if you want to go gourmet, hey, yum.

Partial Participation

photo credit: mbaylor

“Partial Participation is Better than Exclusion from an Activity” (Lou Brown)

Even if the recipe says, “Easy” that doesn’t mean every person can do every part of the activity.

For instance, Aaron, my son with the label of autism, wouldn’t be able to set the timer on the microwave–but he can certainly dip the pretzel in the chocolate sauce and choose the kind of sprinkles for the decoration.

Aaron can’t read the recipe with words, but he could follow the directions with pictures and though he can’t drive to the grocery, he can partially participate by picking out the pretzels and chocolate.

When Aaron was in school and had a speech therapist, one of his goals was identifying pictures of grocery items and finding the item in the grocery aisle. When he had a physical therapist, one of his IEP goals was pushing the grocery cart without hitting anyone in the grocery store. (Not a pretend grocery store in the classroom.) When he had an occupational therapist, one of his goals was to hand the grocery clerk the money to purchase the items and put the money back in his pocket. Aaron successfully learned these skills and practiced them every week in his functional community based program and … every time our family went into the community grocery store.

There are lots of things Aaron can do to partically participate in every activity.

When Aaron is part of the group, when he does purposeful, functional activities, he develops self-esteem, he is a doer. He is not just a passive observer. If he is treated as a baby, or as someone who cannot do anything but watch, then he loses his skills and his self-esteem. The people who think they are being nice and helpful to him, are not–they are actually causing him to lose skills/self-esteem.

This is a functional activity because if Aaron doesn’t go to the grocery to get the supplies someone else will have to do it.

If Aaron is actively involved in the shopping, the decorating, and gives the chocolate covered pretzels as a gift HE MADE–then this activity becomes much more than an easy activity to fill the day. It can become a learning and social enhancing experience. When he gives Grandma a package of pretzels he made, it is a joyful celebration for everyone. You should see his smile

Be Creative: Lots of Ideas

Dip White or Dark Chocolate Ideas:

Dried Fruit (apricots, raisons…)
Fresh Fruit (strawberries, cherries with stems, apples (whole or slices)…)
Pretzel Rods or any size
Marshmallows
Cookies
Graham Crackers
Candy Canes
Rice Krispie Treats

How to Make Chocolate Covered Pretzels:

Activity for All Ages and Abilities

Things You Might Need:

Small candies or sprinkles

You Tube Video Demonstration

Task Analysis or Recipe

Chocolate-Covered Pretzels with Sprinkles

Recipe courtesy Paula Deen for Food Network Magazine
Prep Time: 20 min, Inactive Prep Time: 24 hr 0 min
Cook Time: 2 min; Level: Easy
Serves: 24 pretzels

Ingredients:
• 1 12-ounce package milk chocolate chips
• 1 12-ounce package white chocolate chips
• 24 large pretzel rods
• Assorted holiday sprinkles

Directions:
Place the milk chocolate chips in a microwave-safe bowl and the white chocolate chips in another. Microwave one bowl on high for 1 minute. Remove and stir with a rubber spatula. (The chips should melt while you are stirring, but if they don’t, you can continue to microwave for 15 more seconds, and then stir again.) Wash and dry the spatula. Microwave the other bowl on high for 1 minute, and stir until the chocolate is melted.

Dip one pretzel rod into the milk chocolate; use a spoon or butter knife to spread the chocolate about halfway up the rod. Twist the rod to let the excess chocolate drip off. Hold the rod over a piece of wax paper and shake sprinkles on all sides. Place the pretzel on another piece of wax paper to dry. Coat another pretzel with white chocolate and sprinkles. Repeat until you’ve coated all the pretzels, half with milk chocolate, half with white chocolate, and let dry completely, about 24 hours. (Cover any remaining chocolate with plastic wrap and store in the refrigerator.)

Copyright 2011 Television Food Network G.P. http://www.foodnetwork.com/recipes/paula-deen/chocolate-covered-pretzels-with-sprinkles-recipe2/index.html
All Rights Reserved

Gifts and Favors, Holiday Variations

President’s Day, Halloween, Easter, 4th of July, Christmas Variations

All American Holiday

Gifts and Favors

Stick Pretzels

Paula Deen's Christmas Pretzels

Halloween chocolate covered pretzels

Comments:

Does it make sense that an activity as simple as making a chocolate covered pretzel can be a learning and self-esteem project? Can teachers, parents and directors of day programs make this more? Can they blow the opportunity?

Have you any ideas on this or other projects?

Keep Climbing: Onward and Upward

All my best,
Mary

Other Related Articles:

It’s a Jungle Out There| Inclusion in the Grocery Store

Language of the Heart| Heartaches and Heartsongs

Busy vs. Bored| Life Space Analysis for People with Disabilities

The Animal School| Differentiated Instruction

Test Questions| Inclusion or Segregation?

Teachers| Segregation or Inclusion

Happy Ever Afters| One For The Money

Norm Kunc: What’s Your Credo?

photo credit: qthomasbower

In the post: Caring Community| People First Language we talked about the power of labels, negative stereotypes and the paradigm shift of looking at all people as PEOPLE First!

Today, on Valentine’s Day, I am asking you to think about how you use words:

Do my words cause Heartaches?
Do my words cause Heartsongs?

What are you doing?

WHAT are you doing?

What ARE you doing?

What are YOU doing?

WHAT THE HELL ARE YOU DOING!!!!

The same words can be said in anger or with gentle concern.
The speaker, the listener, the context of the communication, as well as the intent all make a difference.

Parents, Teachers, Coworkers, Friends, Enemies… We have all been misunderstood and misinterpreted. We have all wished we could swallow what came out of our mouths–take back our words. We have all been both aggressors and victims and have given heartaches as well as heartsongs.

HEARTACHES: “What’s that mess on your shirt?”
HEARTSONGS: “I see you have paint on your shirt.”
————————————————————-

HEARTACHES: “NO!”
HEARTSONGS: “Let’s talk about this before you decide.”
————————————————————

HEARTACHES: “Get over here right now!”
HEARTSONGS: “I need you with me.”
————————————————————-

HEARTACHES: “I told you so.”
HEARTSONGS: “That was harder than you thought.”
—————————————————————

In the comment section, let’s share some ideas on how you could make each of the following examples into either a heartache, or a heartsong?

Scenarios: Heartaches or Heartsongs.

1. Sara is eating breakfast. The bus is coming in 5 minutes. She spills her juice while reaching for the cereal.

What could you say that would cause a heartache?

What could you say that would cause a heartsong?

2. Ken wants to help his friend wash the car. He accidentally squirts him with the hose.

What could you say that could cause a heartache?

What could you say that could cause a heartsong?

3. Emily comes home from work. When asked about her day, she begins to cry and says, “Jim doesn’t like me.”

What could you say that could cause a heartache?

What could you say that could cause a heartsong?

By speaking with your heart, you may be able to bring out the very best in people. Give them a chance to talk. Listen patiently.

And of course, there is always the quote: “I know that you believe you understand what you think I said, but I’m not sure you realize that what you heard is not what I meant.” But we’ll save that for another post.

I’m wishing you a day filled with heartsongs. May you have many opportunities to give them and to receive them. Spread the love.

Keep Climbing: Onward and Upward
All my love,

Mary

Comments:

Do you have any examples of heartaches, heartsongs?
Heartaches turned into heartsongs?
Use the examples above, or share some from your own experiences.

Adapted from Project Prepare, Ohio (1995)

Grandma gets a Thong

The twelfth day of Christmas is Jan. 6th–Little Christmas, The Feast of the Magi.

Actually, it’s all the Magi’s fault. They are the ones credited with giving the first gifts.

Based on the number of people in line at the return desks last week, I’d say many people had problems with their gifts. (Actually I could see Mary and Joseph thinking the gold was useful, they could buy a wagon or better donkey, but what were they supposed to do with Frankincense and Myrrh. Myrrh–really????)

I know it is supposed to be the “thought that counts,” but it really is much more. Gifts are a whole cultural phenomenon.

My mother is 89.

Recently she’s had hip replacement surgery and has trouble shopping for herself.

Two months before Christmas she told me she wanted slippers. Slippers it is. I don’t have to guess her gift. And this is great…EXCEPT

Every day for the next month she would call me on the phone (usually at 6 AM because that is when she wakes up and is thinking about slippers) and define what kind of slippers. They had to have rubber soles so she could wear them outside if she wanted. And this is great…EXCEPT

She couldn’t tell me her size. It seems some Large slippers are size 8-9, some Larges are size 9-10. And the manufacture, design, model, production all make a difference.

I went to three different stores and brought her “Pair number one” on Thanksgiving. She didn’t even try them on. Which actually made it easier to exchange them, which is great…EXCEPT

She really wanted black. But none of the stores made black slippers. So, I picked out some navy size 8′s and 9′s and 10′s, and some pink (everything she owns is pink) in a size 8-9, and 9-10. And I figured I’d give her a choice. Which was great…EXCEPT

She decided she wanted slippers that weren’t slip-ons. “Only the devil would make slippers with open backs” and she has had slippers that covered her whole foot, well–her whole life. And, she thinks she has ugly toes, so–none of those slippers with toe cut-outs. So, I boxed up and returned the slippers. And it was great…EXCEPT

The next three stores didn’t have black or whole foot slippers. But they did have navy.

You know where this is going, right?

Yep, I rebought her the same slippers (that she wouldn’t even try on) from the first round. She opened them on Christmas and said they were perfect.

So, it makes you wonder.

Was the gift really about slippers at all?

Grandma and the Thong

The picture above is from a previous Christmas. My sister Martha worked in a lingerie store and gave each of the girl cousins a pair of thongs. They thought they were nice. Certainly something practical they could use. EXCEPT

She also gave one to Grandma.

The gift became an urban legend in our family. It brought down the house.

Even though mom didn’t even recognize the thong as underwear—it was the shared experience with her grandkids that made it the perfect gift.

Which again makes me wonder about gifts.

Aaron’s Christmas Gift and Charity

This Christmas Aaron went to a Christmas Party sponsored by a local non-profit. These are kind folks. Many of the people with severe disabilities are the poorest people in the county and don’t even have family members who can give them gifts. So, this is not only a nice gesture, it is an opportunity for these poor souls to get a little something extra.

This year the non-profit got items donated by local businesses to give as gifts. Over 150 adults with disabilities came to the Christmas Party and Dance.

There are so few recreation opportunities, many of the people put on their best clothes and showed up early. Many more wanted to come, but there was little transportation and they depend on staff–who didn’t want to bother.

At the party, even though they arrived early, there were only chairs for 100 people. So Aaron and Jack, his roommate, had to stand and hold their coats.

Since Aaron has balance problems, and couldn’t understand why he couldn’t sit down (people were guarding their chairs) he started biting his hand and pinching others. Not good behavior at a party.

Their staff person made the sensible decision to leave (even more people were coming in the already over-crowded room). Aaron and Jack were each given a “gift bag” at the exit. Which was nice… EXCEPT

The gift bag had a pair of donated slippers. Yea! I would be laughing too, slippers… EXCEPT

The slippers were size 11.

Aaron wears a size 9.

Now, no one with balance issues is safe wearing a pair of slippers two sizes too big. And, unlike my mother, these slippers were charity—donated. So there was no gift card or receipt, most people had no dutiful daughter, family or staff who cared to make an exchange.

And, Aaron couldn’t understand why anyone would give him slippers he couldn’t use. So he just carried the slippers around the house—making me crazy that good, kind people could be so dumb. After all who is the “intellectually challenged” person here? Did they think they wouldn’t notice the slippers didn’t fit? Or all people wear size 11?

Is “Just getting something to open” the point? Even if they can’t use it?

What is Charity?

If you plan a charitable event and are giving gifts:

Don’t

Don’t just arbitrarily pass out slippers, or coats, or T-shirts with misspelled words.

Don’t give radios with no batteries—because they want to use the radio that minute and staff often won’t be bothered with batteries.

Don’t give them things you couldn’t sell or are broken.

Don’t make your interaction a one-time-event.

Do

Do have a party with chairs and refreshments for everyone.

Do get to know people as individuals

Do think about what YOU would want to get

Do think about normalization, age-appropriate entertainment and gifts.

Do think about transportation and staff and family members

Do consider that the shared experience, like Grandma getting the Thong, may be the best gift ever—no excepts.

Keep Climbing: Onward and Upward

Mary

Comments:

Okay, best/worst gift stories? Am I just being an ungrateful jerk? What is the role of charity? Is it appropriate to give broken, torn things to Goodwill/charity? Only 258 shopping days until Christmas????

Here is one of our most popular posts. Relax and make an individualized ENJOYMENT plan for your best holiday ever.

Mary

Easy as I.E.P.

Mom’s I.E.P. for the Holidays: Individualized Enjoyment Plan

Want to enjoy the holidays?

Of Course.

Easy as I.E.P.

Don’t laugh. I.E.P.’s were developed because they are good planning tools. Some people are intimidated or challenged by the I.E.P. in Special Education. One way to demystify the I.E.P. process is to use it in our everyday lives. So, stick with me for a minute while we look at how this can work in real life.

Let’s use the Individualized Education Plan to create a holiday planning guide.

The first part is to create your Dream Plan of what you want. Then we plug in the basic parts of the I.E.P.: Evaluation, Annual Goals, Short term objectives, Related Services, Placement, and circle back to the Evaluation for the next I.E.P. for next year.

Dreaming of YOUR perfect holiday

Everyone’s perfect holiday looks different: Grandma’s turkey feast, or make that a roast goose, or Uncle Bob’s ham and sweet potatoes, or a vegetarian, or Kosher, or vegan, or gluten-free …

Everyone has different expectations, traditions, time and money constraints. So forget the Women’s magazines, forget what your Mother-in-law wants, forget what happens on the Food Channel and Martha Stewart show.

We don’t care about “Everybody.”

The beauty of the I.E.P. is it is individualized. It is for You. Not your mother, your children, your boss…YOU! This is YOUR moment, your freedom, just YOU–what do you want?

Action Step 1: Visualize a Dream Holiday

Take a deep breath and picture a smiling yourself surrounded by your favorite people, doing what you really want to do. Ahhhhh.

Are you skiing down a mountain? Are you sitting by the fireplace listening to Bing Crosby? or Lady Antebellum? ….

What would make this a joyous holiday for you–with just the right balance of work and relaxation?

What were the strengths and weaknesses of previous holidays?

Do you want to start any new “You” traditions, new family traditions?

Define your dream plan (see related post)

Feel empowered to do it YOUR WAY. This is your holiday gift to yourself. You deserve it!

Don’t you feel better already? This holiday is going to be the best.

Dream Plan:

1. Take a sheet of paper and fold it into four squares: Wants, Needs, Likes, and Dislikes.

2. Fill in the boxes based on YOUR Individualized choices.

If you are feeling pressure because others are trying to get you to do something you don’t want to do, be polite but tell them to make their own IEP. Empower yourself! I know this is hard for me and most Moms.

3. Circle your five top priorities and they will become your goals.

For example: Want live tree. Need family to be together for dinner. Loved shopping with Aunt Ruth. Hated the last minute rush….

One Priority goal: Need family to be together for dinner.

Making a decision is the first step. What do YOU want? What would bring YOU joy?

EVALUATION:

Since there is no standardized tool to measure the
holidays–no HFA (Holiday Fun Assessment) or HQ (Happiness Quotient)–we will create an informal evaluation tool based on ecological assessments.

GOALS:

–

LONG TERM GOAL I: To have a traditional, homemade turkey dinner with family members on Christmas Day.

Do we want to raise the turkey and grow the corn for the stuffing? Serve the strawberry preserves from your summer garden? Do we want to skip the preparation and order in? Or go out to eat? So many choices?

If we decide to keep this as one of our goals, then we must break down our long-term goal into measurable, observable steps.

Mom decides she wants to cook the Christmas dinner and eat at home.

SHORT TERM OBJECTIVES:

“Short term objectives are merely small steps that enable us to get from where we are now to where we want to be by a certain date.”

A. Mom will finalize the menu by December 10.

B. Mom will make the list and complete the shopping by December 15.

C. Mom will prepare the dinner by December 25.

Each of these short-term objectives can be “task analyzed” and broken down into smaller parts.

We know these are important steps to reaching our goal so they must be completed with 100% accuracy. (75% completion of the meal may leave some family members hungry.)

Goal Two:

LONG TERM GOAL II: To have the gifts wrapped and under the tree by December 24.

SHORT TERM OBJECTIVES:

A. Mom will purchase all supplies by December 10.
B. Mom will supervise the gift-wrapping by December 15.

Task Analysis example:

Mom will supervise:

1. Billy will cut the paper.

2. Dad will wrap and tape the gifts.

3. Susie will add the bow.

4. Tommy will place the presents under the tree.

Notice in the Task Analysis, family members with different skill levels can all partially participate.

RELATED SERVICES:

—“Developmental, corrective and other supportive services to enable you to reach your goals.”

To achieve Goal IC –“Mom will prepare the food by December 25”—Mom will need the following supportive services:

Consultant: Grandma has the expertise to bake and bring perfect pumpkin pies.

Consultant: Aunt Jane will come early to help in the kitchen.

Community Resource: We will purchase the local bakery’s famous dinner rolls.

PLACEMENT:

Now that we have written our IEP we must determine the least restrictive environment for accomplishing our goals.

We could cook and wrap the presents at Aunt Sara’s and bring
everything home, but to meet Mom’s goals on this particular IEP, her own home is the least restrictive environment.

Remember any IEP can be revised or modified at any time. For instance, if Paula Deen wants to invite my family for a holiday dinner, I would change these goals in one butterfat minute.

Happy Holidays

I hope using the I.E.P. process not only makes it easier to understand, but I hope it can be a tool for you to have a magical holiday season.

Well, what do you think?

1. Do you better understand the IEP process?
2. Would this process be useful for everyone?
3. Does anyone raise turkeys?

Keep Climbing: Onward and Upward
All my best,

Mary

Other posts you might enjoy:

Celebrating St. Nick and two special sons.

Balancing My child’s needs and my needs

St. Nick and the Batman Socks

St. Nick and the Batman Socks

Last year, I shared my story about St. Nick and the Batman socks. I told you I would give the Batman socks to our granddaughter when she went to kindergarten.

Well, as you can see in the picture above, Isabella picked the Batman socks right off our tree, made a face…and a new family tradition began.

As we learn in early childhood and special education, we take our cues from our children, right? Use those “teachable moments.”

New St. Nick Traditions

I don’t know if Tommy and his family will decide to put Isabella’s worn socks on their Christmas tree, but I’ve been trying to figure out how to continue our St. Nick’s tradition of fun plus lessons in diversity, inclusion and building community.

I’m not sure it will work, because two year olds are pretty young to understand sharing, but I’m thinking of giving Isabella two sets of Disney Princess socks for St. Nick’s.

One for her, and one to share.

I don’t want this to be a “charity” or “pity” model, but rather a gift of joy. I have read research which says giving is the best present you can give yourself.

Charity is tricky. I want Isabella to learn that she is giving a gift. It is something she would like, it is pretty and new (or gently worn), she can try to envision what the new little girl will feel like when she gets it.

If all goes well, this can be our new tradition.

Who doesn’t need a new pair of socks?

And even though the Disney Princesses are all young and beautiful, they are from different cultures and had to overcome some diversity, right?

Hopefully, the story of “St. Nick and the Batman Socks” will become a cherished tradition…and will continue to teach about diversity, community building and inclusion. And hopefully, our precious little Isabella will also learn about giving and sharing with others.

Comments:

Want to take bets? How will this little experiement work? Do you have any holiday traditions that promote community building? Do Disney Princesses rock?

Keep Climbing: Onward and Upward

All the best, Mary

Check out these other posts about the Holidays:

Grandma Gets a Thong

What is Charity and Love?

Thanksgiving: A song about autism

Kill the Turkeys: Life lessons for people with disabilities.

Thanksgiving: Inclusion and Interdependence

We have a house!

Amazing News: A House and Roommate| Part 12

Miracles Do Happen:

Last week, a non-profit agency bought a house near our home. They will accept Aaron’s HUD housing choice rent voucher.

Today, we met with a young man and his mother and we think we found a roommate match.

Miracle Triangle:
House/HUD–Roommate–Residential Staff

For those of you who have been following our journey to move Aaron, our son with the label of autism, home to our county, this is Part 12. You know how complex and difficult this has been. Here is the link to Part 11: 1st miracle| Aaron needs a Roommate| Part 11.

Even with the two miracles, don’t breathe yet. But we now have two pieces of the triangle in place.

The third part of our miracle triangle is great staff. I’ve talked about the critical importance of staff in Caregivers: Part 1, 2, 3

But as Scarlett O’Hara says, “I’ll think about that tomorrow.”

Here are the details in two emails: one from early this morning (2:30 AM—mothers never sleep); the second is after our dinner meeting (9:00 PM—mothers put in long days).

Task Analysis for Monday Morning:

From: Mary E. Ulrich [mailto:marye.ulrich1@gmail.com]
Sent: Monday, September 26, 2011 2:28 AM
To: Everyone I could think of who might be part of this move
Subject: Aaron’s house

Hi Everyone,

I met with the director of the non-profit on Friday. He said they closed on the new house last Monday and so we can begin the countdown to a move-in date of Nov. 1. Yea, Yea!

Thanks to the Non-Profit and the County Board of DD for making this new resource available to Aaron and our community.

So now there is much to do to be ready by Nov. 1st.

HUD

The director of the non-profit is finalizing the paperwork to become a HUD landlord in W. County. There will need to be an inspection and he is negotiating the rent…. As soon as we get Aaron’s roommate, we will be applying for three people and a 3 bedroom subsidy (Aaron, roommate and caregiver.) This is what Aaron has had in our past County for the last decade, so I think this should be pretty cut and dry. It is an accommodation under ADA, but is different than the rules for HUD’s definition of “caregiver.”

We have received HUD extensions until Oct. 31st. It has been a lot of running around between counties, but Debbie and Wendy have both been wonderful caring professionals. Thank you for helping me figure out the system.

Notices

I need to give notice to everyone in our current county and the current provider by Oct. 1st, which is fast approaching.

I’ve given the notice about moving to Aaron’s current landlord.

This will not come fast enough. Aaron had another “unusual incident” last week where he was not groomed for his day program. (The food he got in his hair on Monday was still there on Wednesday—the staff felt he had not had his hair washed in two days and it was dirty and grimy.) Also, Aaron is running out of transportation money to his day program.) Tom and I are taking Aaron up on Monday mornings, and usually picking him up one afternoon a week.

House Remodeling

The director of the non-profit says they closed on the house last week and will begin the remodeling shortly. They are starting with some tree trimming because of the possible danger and then will refinish the floors in the Living Room, Dining Room and move on to the bathrooms. If everything works out well with HUD and we get the caregiver’s designation for the third bedroom then there may be enough rent money to justify new windows (the current windows are casement windows—inefficient and BAD). They are reluctant to begin the bathrooms until we know who the second roommate will be. This makes sense if we want to make accommodations which are specific to the person needing the bathroom.

I think this is a great way to begin because we will want to show the community we will be great neighbors and take care of the house before the rumors begin that two men with intellectual disabilities are moving in. This is what worked on Aaron’s current residence and I have too many memories of Stetennius, Five Mile and other hearings from worried neighbors. It is a mature neighborhood, I don’t expect any problems, but we want to make a good first impression.

Tom and I will be planting some mums and have a couple inexpensive porch chairs to make the place look lived in. The house has been vacant for a long time so a few improvements should impress the neighbors.

Potential Roommate

I am hoping to hear from the parent of the potential roommate today, and then can set up some visits. This is the next big step.

Then, I understand from the new county board, we will finally get a case manager.

Transition for Aaron

We have been driving Aaron by the house and telling him it is his new home, but I can’t imagine he understands what we are talking about. I’m worried he will miss his roommate of the past 13 years and am sure he will be confused. I want to start some visits to the house as soon as possible. The more familiar he is, the easier the transition.

I’m hoping he will get to have a couple meetings with the new roommate and new staff as soon as possible.

Furnishing House

We also need to figure out how to furnish the house. I have begun to take donations from relatives. We probably have about $1000 set aside.

Tom and I furnished Aaron’s first two residences. We are told that if the furnishings belong to Aaron he can take them with him, but I am uncomfortable just taking the silverware out of the drawer and telling them, “Sorry, this belongs to Aaron.” We have enough problems with the current staff as it is and we don’t want to cause problems for Aaron’s current roommate. But, it is expensive to start a new house from scratch.

My family will be having a shower to donate items sometimes this month. I will have to coordinate with the director of the non-profit when we can get a key and get into the house and it’s not a Bengal’s game (if there are any Bengal fans left in Cincinnati by then).

I’m hoping we can set a corner of the garage or one bedroom to begin collecting items.

I began with a couple boxes in Aaron’s current residence and the staff (without permission) gave them away. “What would you do? Case of trash vs. treasure”. (I’m still VERY upset about this. Just add it to the list of why I want to get away from them ASAP.)

New Agency

Next week I will begin interviewing residential providers. They will need to hire and train staff by Nov. 1. We have met 3 different providers as we visited the 3 potential placements for Aaron. One company impressed us because it was a local company in Mason, but we are open to suggestions. Please email me ASAP. We are well aware that just because a company was good last month, doesn’t make it good this month. Having caring staff will be the second most important variable, after a good roommate.

Well, we have a busy week ahead. Please say a prayer we sell our condo, it is a huge strain on us. We listed it with another agent last week. We have begun to move some of our things into our new condo.

I’m hoping by Christmas we can look at both Aaron and us in our new homes and know we are in a better places, but GEEZ, it’s going to be an action packed couple of months.

Thanks to everyone for helping make this happen for Aaron. Maybe the Bengals could learn from all our teamwork

Any questions please let me know. Have a great week. Mary

About 1:00 PM, the mother of a young man who might be a prospective roommate called on the phone. That went well so we picked up Aaron at his day program and all met for dinner in a local restaurant.

Email to same group at 9PM.

Tom and I always felt one of the most important steps was finding a good roommate for Aaron. We think we have found a good match.

Aaron, Tom and I had dinner with Jim and his mother, and it went very well, so we would like to move forward.

Jim was very friendly. He is the kind of person that hugs everyone and is best friends with everyone in a couple minutes. He has a devoted mom. Aaron kept looking at Jim. I wish he could speak and tell us his thoughts, but he seemed happy. Jim likes to swim and go to King’s Island—both things that Aaron liked to do in the past. Hopefully, they will be able to do many activities in the community.

By Providence, or some divine plan, or dumb luck…Tom and Jim’s mother actually taught at the same school together and used to talk about their kids at lunch. Pretty amazing, eh?

So, if everything works out—drumroll please– Aaron and Jim will be roommates.

HUD

Jim’s mother is going to call Wendy at the HUD office tomorrow and see what we need to do to get Jim on Aaron’s list. So we will have 3 bedrooms and Aaron, Jim and the caregiver will make three. So, hurrah hurrah.

Also, yesterday the non-profit started painting rooms and beginning the process to get the house HUD approved. So we are really moving forward. It is hard to believe—this is going to happen.

Medicaid Waiver

Aaron and Jim both already have Medicaid Waivers at appropriate levels. So we can begin the transfer of Aaron’s waiver to our new county and start interviewing residential providers.

Finding a good staff will make our miracle triangle complete: (House/HUD—roommate—staff).

Furnishings

My sister Janet, visiting from Kansas, had a friend donate our first items for the house. The director of the non-profit allowed us to begin to put them in the garage.
The painters were there to let us in….
Today went so well, I think I’ll go buy some lottery tickets.

Thanks to everyone who is helping us climb our mountain and move forward. It takes a village….

Mary

Keep Climbing: Onward and Upward
All my best,

Mary

Comments:

Hope you’ll share your thoughts and experiences. I’m happy and exhausted and I know we are only about half-way on the move-in journey. Whew! Now on to making a task analysis for tomorrow. Whew! Whew!

photo credit: numberstumper

Should I rent a billboard| Medicaid Waiver Roommates Part 9

This is Part 9 in a series of posts about moving my son Aaron, who has the label of autism, from his current residence to the county where we live. If you want the background click on Searching for a Roommate: Medicaid Waiver Style| Part 8

Visiting House #3: Picnic and Social Gathering

First Meeting

In Part 8, my husband, Tom, and I met with two representatives of the residential company’s administration and our County Support Coordinator. We did a quick tour and saw enough good things to want to set a follow-up meeting where Aaron would get to meet the two potential roommates, Andy and Bea.

Yes sir, Andy is the Andy who had the problems in House #2. Disability World is a small place.

Flurry of Emails

The staff decided a picnic at the house might be a fun way for everyone to meet. Aaron likes picnics, and the informal atmosphere sounded good, so we set the date for 6 PM on a Wednesday evening.

Both sets of parents emailed me and welcomed us the next day. The staff said they would grill hotdogs and hamburgers. I offered to bring the dessert. The other parents brought salad, and macaroni and cheese. Bea’s and Andy’s parents, plus each of them had a sister who was coming.

In our previous experiences, the family members did not use email and it was difficult to communicate. I was excited this was so easy.

The professionals were not going to be able to come but we were looking forward to meeting the two young people and talking with their families.

I didn’t know how many people and they said they didn’t have any food allergies, so we brought two gallons of ice cream (one chocolate with nuts, another Neapolitan) some fancy butter cookies, plastic bowls and plasticware. These were Aaron’s favorite, and since we wanted to impress them, came from the best bakery/ice cream parlor in town. (Really, you didn’t think I was going to bake them myself????)

I also wanted lots of extras because most people with disabilities don’t have many extras after their food stamps run out.

I called Aaron’s house and ask them to clean him up after his day at the day program and the staff had Aaron shaved, in clean clothes and spit shined. He looked terrific.

Aaron was a little surprised we were picking him up on a Wednesday night, and I told the staff person we were going to a picnic with some new friends. (True, but not the whole story.)

The staff at his current home knew we have been very unhappy, but we didn’t want to tip our hand about Aaron potentially moving because:

1. We were still in the exploring stage.

2. Nothing was definite.

3. We knew they would blow everything out of proportion.

First Date

Andy and Bea met us at the door when we knocked. I was thrilled. This seemed so “normal” and respectful. I thought, finally, the staff must “get” the idea that this is Andy and Bea’s home and they would be the ones to greet visitors. It gave me the warm fuzzy feeling of welcome.

We were invited into the family room and the place had lots of energy, noise and … lots of people. I think it scared Aaron.

We met Andy and Bea’s parents and sisters and were about to sit down, when one of the staff people ushered us out to the back yard.

It was a beautiful day, but was hot. The big yard was pie-shaped and fenced. We gravitated to one of the patios in the shade. I thought this was great because it would give Aaron some breathing room and his loud “You okay?” would not be as annoying outside.

Company Picnic and Social

Apparently, the residential company decided to make this a group picnic and social get-together for several of the people they served.

So, besides Andy and Bea, there were probably 6 other people with disabilities and their staff who were playing cornhole, badminton and other outside games in the grass. So, over 25 people.

They explained the residential houses often did leisure activities together in the evening and on weekends. They said the staff shifted between the houses and everyone knew everyone. This made staff changes and emergencies easier to handle and gave more opportunities for friendships and leisure activities for the people with disabilities.

I was okay with this, but questioned whether this was the best way to introduce Aaron to Andy and Bea when we had so much to talk about. I thought the staff should have asked if we thought all these people would upset Aaron.

One staff person was smoking at a table on the patio. This surprised me. Ohio does not allow staff to smoke in the houses, so technically this was not against the law, but it was so casual, I got the feeling it was common practice.

Everyone was very friendly, but it was too much for Aaron. He began to get very agitated and bite his hands.

Tom and I gave him his baseball cards to comfort himself, but there were not any chairs outside. We stood on the patio and watched as one of the head residential staff started up the grill.

The grill was in terrible shape. It was a gas grill that no longer worked, so they put charcoal where the grill element used to be. They also didn’t seem to have the long spatula and were using regular pot holders. I decided a new grill might be a good housewarming gift if Aaron decided to move in.

The staff person who was supposed to bring the meat was late, and then forgot the meat, so by the time the meat was finished it was after 7PM, the games had become tedious and all the people with disabilities were HUNGRY.

Someone found a plastic chair for Aaron, but he was not a happy person. He kept saying, “You okay, you okay” in his usual manner, but it made the other people uncomfortable and ask about him.

Mental Note: Add some outside chairs to the list of things to buy for the house.

They asked if Aaron wanted to play the games, but he just bit harder and this scared some people.

Tom and I alternated taking Aaron for walks around the house. This helped him calm down, but Aaron really wanted to eat.

We noticed a dead tree in the front yard, lots of weeds, and there were two cars parked on the front lawn. Now granted there was lots of company and most people parked on the driveway or street, but we have had trouble with staff before who thought it was okay to park on the grass.

Parent Talk

For this first hour, Andy and Bea were nowhere to be seen. We did have some lovely conversation with Andy and Bea’s parents. Typical parent talk: Where did our children go to school? How long have they lived away from home? What did they like to do? How often did the parents take their child home? What Doctors? Where did they go to day program?

When the food was finally ready, one of the staff persons asked Aaron if he wanted to eat in the dining room with Andy and Bea and some of the other young people.

I thought this was nice and gave Tom and I a chance to be with the other families in the family room. The staff gave us lots of privacy (if you can ignore 25 people walking in and out of the kitchen and family room).

No one used the living room (there was too much furniture—no one could move around). Did anyone else notice this? At some future time would I need to talk to Bea’s mom about getting a smaller coffee table?

Over our baked beans, mac and cheese and hamburgers, the other parents loosened up. Now, we were starting to get the real story about their children, the house, the landlord, the county….

Some of it was good. They liked Susan, the Support Coordinator; they thought the Residential company did a good job. Their families and Andy and Bea seemed to get along well. All positives.

And yes, here is where we got the story about the van wreck. We suspected Andy was the person from the previous house, but his mom told us the whole story and it sounded like the staff supervision was a big part of the problem.

Bea’s mom has some health issues and was worried that her daughter get comfortable in her own place in case something happened to her.

Both families shared their thoughts and worries.

We started on our list:

Aaron is loud, would Andy get aggressive or upset when he was trying to watch his big screen TV?

Would he be protective of “His” room and furniture?

Would they allow Aaron to bring in his things and carve out a living area? Or, would Aaron be like an invader?

Could Aaron bring his own couch? What would they say the first time Aaron spilled stuff, or had a toileting accident on their new sofa?

These were all concerns that would need further discussion. All of us were honest and thoughtful; we were all trying to figure out what was the best for our children. I wish Aaron, Bea and Andy could use words and tell us more what they were thinking.

Would the residential provider promise us good stuff and then only see Aaron as a “cash cow” like the previous company?

Landlord Issues

The biggest concerns were about the landlord.

Both parents had stories where the landlord wouldn’t return phone calls or emails. The landlord wouldn’t even cash the rent checks for months messing up the checking accounts. RED FLAG!

When we asked about remodeling the bathrooms, they thought it was a great idea, but thought the landlord may/may not be interested, even if it was at no cost to them. RED FLAG!

Bea’s mother bought a sturdy stainless steel bar for the shower, but the landlord still hadn’t given permission to hang it. (It was on the top of the refridge in the kitchen.) Meanwhile Bea struggled taking a shower. RED FLAG!

I asked if they thought the landlord would take a HUD housing choice voucher and they said they couldn’t even guess. RED RED FLAG!

I asked about the dead tree in the front yard and waist high weeds. They said the landlord contracted the grass cutting to the county agency, but didn’t do anything else to the yard. RED FLAG!

The parents said if they could, they would move their children to another house because the landlord was so unpredictable. SCARLET FLAG!

Second Date?

I sent emails thanking everyone.

Susan was still on vacation. The head of the residential company was still in the hospital with her new baby.

It was a long shot that it would be a match. There were just too many variables.

The hard part was the week wait; no one would even talk with us.

If everyone decided to move forward, the next step would be for Aaron to go and spend an hour or so with Andy and Bea without us.

And, of course, all week Aaron’s current residential provider went crazy asking us questions. We told them we were looking, the same as we told them before. We told them we had no idea how long this would take. But it was awkward and emotional.

After everyone got back from vacation, having babies… Susan talked with us and said the families were concerned it was just too much change for their children.

Nothing against Aaron, but they didn’t think a third roommate was a good idea at this time.

Aaron would not be a good match.

Tom and I had pretty much come to the same conclusion. But, it is still hard to be rejected.

So back to the county…start again…and face the ticking clock.

COMMENTS

Any thoughts? I love for you to share your stories in the comments and social media.

Is the dating or matchmaker analogy appropriate? Should I rent a billboard?

Keep Climbing: Onward and Upward.

Mary

photo credit: monkeyc.net

Roommate Hunt Continues: Medicaid Waiver style| Part 8

This is Part 8 in a series of posts about moving my son Aaron, who has the label of autism, from one county to the adjoining county where we live. If you want the background click on Searching for a Roommate: Medicaid Waiver Style| Part 7

HUD UPDATE:

The clock is still ticking: we are asking for an extention until Sept. 31.

Ulrich HUD System Change Recommendation: All counties and states should use the same forms and the same rules/regulations. There is a time and place for state’s rights; it shouldn’t be on a federal program like HUD.

It would be so much easier on everyone if all the regulations and timelines were the same everywhere, not different in each county, each state. Then when a person looked for information on HUD.gov – they would find the information, not—each county has to explain “their” rules and regulations. Much confusion and time and wasted, and it is unnecessary. i.e. one county says you have to apply by the first of the month, another anytime….
I remember when PL 94-142 (Education for Handicapped Children Act) was passed in 1975. (Hey, I’m old.) Each school district in each state developed their own IEP forms. The idea was to give local control and not “impose” Federal regulations. Phooey. Parents and advocates then spent the next 10 years making sure the districts forms complied with Federal Law. It would have been sooooo much easier to have one Federal form, like they do now. Why take 35 years to figure that out?

Potential Roommates: House Number 3

In Part 6, I told about our meeting with Barney and his family. We also learned about a former roommate named Andy. Here is our meeting with the potential Roommates in House number 3.

Support Coordinator

Each residence in the county has its own Support Coordinator (like a social worker). So, this is our third house visit and our third Support Coordinator. If this residential placement doesn’t work and we check out another house, we will be assigned another Support Coordinator.

Ulrich System Change Recommendation: When a person is moving into a county they should be assigned ONE Support Coordinator, even if it is just for the transition into the county.

In our old county, we have had the same Support Coordinator for over 15 years, or forever in Disability World terms. She knows Aaron, she knows us. We love her and I think she loves us. She has followed our journey and helped us in innumerable ways, including talking to me when I need to vent and problem solve. We trust her judgment implicitly. When we actually move to the new county, one of the biggest losses we will feel is losing this dear friend and ally.

In the new county, Susan, our Support Coordinator du jour, reminded me of our beloved Support Coordinator from the old county. Susan called us and asked about Aaron, she even went to visit Aaron in his new day program at Goodwill/Easter Seals. She spent about an hour with Aaron and his Day Program Supervisor. (This got her great first hand information and brownie points from us.) This bought trust and loyalty from us.

Ulrich System Change Recommendation: Before the Support Coordinator or County Administrator tries to match potential roommates, they need to meet the person and family.

I know this is the day of on-line dating and matchmaking, but even if the Support Coordinators have Aaron’s ISP (Individual Service Plan—the adult version of the IEP), paperwork will never substitute for meeting the actual person.

In the comments from Part 7, two people recommended each county setting up a sort of online match site. It makes an interesting idea.

Visit House #3: Perfect Ranch near Park

Tom and I were pleased and excited when we learned the house we were visiting was literally within walking distance of our home. It was a large 60’s ranch with 4 Bedrooms, 2 Bath, sunken Living Room and even a family room. It was brick, had a fenced yard and was on a cul-de-sac with sidewalks. A city park was only a block away. Perfect, eh?

The house belonged to the parent of a young person in the County DD program. The county was desperate to find a ranch in our part of town and these parents said they could rent the house until their child grew up and could live there. Perfect, eh?

Susan said both the potential roommates were about Aaron’s age. I’m not really into labels, so I didn’t ask, and she didn’t offer. She said the county was only going to put 3 people max. in the house, even though there were 4 bedrooms. She said it was unusual to have a male and female as housemates, but it was working well in this situation. The one person mostly stayed in the living room, the other mostly the family room. They had only been living together for about 6 months. Perfect, eh?
She said the parents were active in their children’s lives. The one mom painted the common rooms (kitchen, living, dining and family rooms) and furnished the family room with new couches, flat screen TV….. The other parent bought the washer/dryer and furnished the living and dining rooms with new furniture. They took their children home for holidays and special occasions and visited them each week. Perfect, eh?

Susan highly recommended the residential company (who also came with the house). Perfect, eh?

She thought Aaron’s loud non-stop talking would not be a problem because the house was big enough, he could find his own favorite place to hang out. She said the two people liked to be out-and-about in the community and there would always be two staff people during all awake hours, so if one person wanted to stay home, it was possible, but Aaron would be able to be active. Perfect, eh?

Stakeholders Meetings

Susan thought it would be a good idea to meet with representatives of the residential company and let us tour the house before we actually met the potential roommates and their families. This way, if it didn’t work out, the potential roommates wouldn’t get confused or excited for nothing.

I thought that was a great idea–the less confusion the better. If the house was not going to work, then there was no point in getting Aaron and the other two people upset.
Susan, and two administrators of the residential company met with Tom and I one afternoon. We toured the house. We did a quick ecological assessment.

Ecological Inventory

Love, love, love the neighborhood and the fact that it is so close to our house. Lot of good things: nice floor plan, solid construction, good lighting and windows, two patios in the fenced back yard. There was new carpet and the kitchen had some new appliances.

But, the sunken living room did not have any railing or protection around the one foot drop. They had an 8×11 piece of paper taped to the floor that said, “Watch your step” but that wasn’t going to work with Aaron. He would need a protective railing across the 7 foot entrance to the living room and dining room, plus a railing to get down into the living room and up into the dining room. (Hope that made sense—the living room was one foot down from the hallway and the dining room.) If this house was to be used for the long term housing of people with disabilities, it would be a good idea to level the floor. There was no basement, so insulation over the slab would make the room more comfortable if the floor was leveled out.

The new furniture the parents bought took up the entire living room floor space. The coffee table was so large, you had to walk sideways around it to get to the other side of the room or to even sit on the couch. Aaron cannot walk sideways.

The new furniture in the family room was more accessible and Aaron wouldn’t have to climb up and down steps and risk toppling over the edge, so we thought Aaron might spend his time in the family room, but that meant he would not have access to the largest room in the house.

The bathrooms were an issue. The master bath was off the master bedroom. So, Aaron would have to go through the young man’s room to take a shower. The shower was probably 50 years old and wasn’t just old, it didn’t look clean. There was clutter on the floor. I worried that Aaron would not be able to just walk into the bathroom and god knows, we have enough toileting issues.

The second bathroom was long and skinny and was off the hallway. It was also not clean and had not been remodeled since the house was built. A staff person would have a difficult time helping Aaron take a bath/shower and help him with toileting—there was no room.

The bathroom in the hall was used by the young woman. There was a plastic stick-up bar in the shower which didn’t look sturdy.

We talked about the bathrooms being remodeled. After all, the first rule of advocacy is to ask for changes up front, before you sign the line, when you have more power.
The young woman’s bedroom was painted and decorated in her own bright pink. It had a personality and looked like a happy place

The smallest extra bedroom had an exercise bike in it and a closet with shelves, but no hanging rod.

The other was smaller than his current bedroom, had a bed for the staff and a regular size closet. So if Aaron moved in, he would take the bedroom with the regular closet and move the staff.

Discussion

The visit was cordial. There was some potential for a match, so we decided to set up a visit the next Wednesday evening, when Aaron could join us to meet the young people and their families. The woman in charge of the residential company was expecting a baby (to be born the next day) and her second in command said she would set it up and email me. Susan, was going on vacation but was enthusiastic this would be a good match. We all left hopeful.

TAKE-AWAY

Tom and I both were surprised that they had two staff in the house at all times, and yet the bathrooms were so dirty and the house looked upkept. And…they knew we were coming. We wondered if that meant anything? Would these staff be any better than the ones we had now? Would there be a caring staff person like our favorite staff person, who has loved Aaron and looked out for him for the past 8 years?

We also worried that Aaron was so loud, how would the young man feel about that when he was trying to watch his big screen TV? Would the young man be protective of “His” room and furniture?

Would they allow Aaron to bring in his things and carve out a living area? Or, would Aaron be like an invader?
What would Aaron think about living with a young woman? Since most of his current staff were women, would he see a difference?

It would be nice to have parents that were willing to help with the maintenance, painting, buying furniture…. We are all looking for long-term placements for our children in safe neighborhoods. But, what would they say the first time Aaron spilled stuff, or had a toileting accident on the new sofa?

Susan, said she would ask the landlord about accepting the Section 8 housing choice voucher, but we worried about that too?

So, stay tuned. All kinds of interesting things happened the next Wed. evening.

TEASER: The young man turns out to be Andy. Yea, the person from House #2 who punched a hole in the wall and drove the van into two of the neighbor’s houses.

“Life is either a daring adventure, or nothing at all.” Helen Keller.

COMMENTS

Any thoughts? I love for you to share your stories in the comments and social media. What would you look for when you were trying to find a home for your child? Many parents of typical kids help their children paint and buy a room of furniture, maybe some appliances. Can you see a difference in what a parent must do, if your child has a disability?

Would it make a difference if Aaron was in the home first and he got to choose the second/third person?

Keep Climbing: Onward and Upward.

Mary

photo credit: piermario

Searching for a Roommate: Medicaid Waiver style| Part 7

This is Part 7 in a series of posts about moving my son Aaron, who has the label of autism, from one county to the adjoining county where we live. If you want the background click on Searching for a Roommate: Medicaid Waiver Style| Part 6

HUD UPDATE:

I can’t say enough good things about both the HUD counselors in the sending and the receiving counties. They are terrific and I feel they are rooting for us, and hoping Aaron can find a place to live which will accept his housing choice voucher, an appropriate roommate with matching Medicaid Waivers for quality residential care, and a happy life.

What a blessing.

That said, we filed for the time extension and learned that for an uninterrupted rent subsidy to go through, our letter, the letters from the receiving county, and the landlord had to be filed by the 20th of the month and I would need to go to their office to sign the papers. So, still some work to do, but at least now I know the rules.

Roommate Search

In Part 6, I told about our meetings with the first proposed roommate and his parents. Here is our meeting with Roommate #2.

Roommate #2: Van into houses

We scheduled the visit to Potential Roommate #2’s house on a lovely evening. We parked the car and waved to the neighbors who were watering flowers and taking out the trash cans. They seemed friendly, but were clearly checking us out.

Aaron, Tom and I arrived about 7:pm and met Barney, a young man in his early 20’s, his parents, the head of the agency that provided the residential care, her elderly mother, and a college student who was the staff person on duty. The DD Support Coordinator who was assigned to this house was not able to come, but since the clock is ticking we wanted to move forward and he arranged the visit.

Former Roommate Andy

Everyone was pleasant and they told us they were very anxious to find a roommate because Andy, the previous roommate, did not work out. Apparently, Andy was dual diagnosed with some mental health as well as intellectual disability labels and he took the staff’s car keys, started the van and drove into two houses on the street. (No wonder the neighbors were so intense.)

So, Andy no longer lived there.

Well, okay, after that story we figured Aaron would be a breeze.

Parents believe in Segregation

Barney’s mother said she taught in the local school district and was proud they were going to start “Autism Only” classes next year.

The Dad told us he was very active in Special Olympics.

Barney

We had been told Barney liked sports, so we brought him a Starting Lineup Figure so Aaron and Barney would have a positive first interaction of Aaron giving something to Barney.

Barney likes to fish

One of the first questions we were asked was if Aaron liked to fish. In the back of the house was a fishing lake and Barney spent much of his free time standing on the side of the lake.

Barney didn’t like all the people in his living room and seemed quite anxious. When the staff person opened the back door, Barney shot down to the lake.

Tom, Aaron and I went in the backyard and noticed the yard sloped down toward the lake, there were no fences, and the weeds were very tall. Immediately, we worried that Aaron, who has terrible balance issues and often wanders off, would fall down into the lake. Based on our previous experience with inexperienced, lazy staff, and their story about Andy smashing the van into houses and almost killing himself, we wondered how safe Aaron would be.

Parents Own the House

The house was owned by Barney’s parents.

His mom apologized for the way the house looked so beat up and explained that as soon as the school year was over she planned on painting and doing a deep cleaning in the house. The parents also did all the lawn care which also needed some attention. This made us feel a little better because the rugs were stained, and the whole place just didn’t look clean.

The house was a traditional two-story with a kitchen, ½ bath, and combined dining/living area on the first floor. Three bedrooms and 2 baths up.

There were not really enough chairs for everyone, and the elderly woman was sitting in a broken reclining chair.
The upstairs had a master suite (bed and bath) that Barney used (which was filthy and cluttered). There was another bath and two additional bedrooms which were nice. The closet was full size, not as large as Aaron’s current closet, but at least the clothes would fit on the hanger, you didn’t have to hang the clothes sidewise like the closet in rural house #1.

There was a large hole in the wall at the top of the stairs. We were told Andy, the old roommate, had punched the wall, and again, after school was out, they would be repainting and repairing the wall.

Match?

Aaron was noisy, but as we were sizing up how he and Barney might get along, they were also sizing us up. We got the feeling they were hoping for someone who was higher functioning, and someone who would want to spend long periods of time at the fishing lake with Barney. Neither Barney nor Aaron spoke any words but they would watch each other.

We told them we had concerns about the stairs and the fishing lake. We told them Aaron gets sunburn in about 10 minutes (he has red hair, is very fair, and has a family history of skin cancer).

Aaron’s ISP (Individual Service Plan) requires a staff person to always be within hearing distance of Aaron and he would NEVER be allowed to be outside alone. The head of the residential company assured us she would be able to hire staff, Aaron would never be alone and this was doable.

The parents were actively involved in Barney’s life, but Barney didn’t go home for the weekends like Aaron. He stayed at the house all the time, except Christmas and special occasions.

We also learned that Andy, the old roommate had a HUD housing choice voucher. The father told us he accepted the HUD and got the house HUD approved, but his son couldn’t get the rent discount because of the “parents owning the house rule.” He did say the county paid a “rent subsidy” out of county “bridge” funds.

We had a pleasant conversation and both families were to go home and think about it.

The mother walked us to the car, and as we pulled away, both neighbors came to talk with her. I’m guessing they were as worried about the new roommate (Aaron) as we were worried about them. If someone drove a van into my house, I’d want to check out the new roommate too!

This decision was not as clear cut as our previous visit to house #1. Aaron didn’t give us any feedback, positive or negative, so we debated the pros and cons.

TAKE-AWAY

Ultimately, we called the family and told them we didn’t think this was going to work for Aaron.

We were just not confident about the supervision of the residential company (and there can only be one company for the whole house) and we had concerns about the stairs and the lake.

One visit was really not enough to tell how Barney and Aaron would get along, but we decided to keep looking.

The other take-away is that once again, the family owned the house but didn’t maintain it as well as Tom and I would expect. I’m not sure how the family would accept our help to plant flowers and pull weeds. They were very proud of it, just the way it was, holes in walls, dirty carpet, broken furniture was just the way things were and would get fixed someday.

I didn’t want to have to worry about “normalization” and “social role valorization” and our house being the worst on the street. With their philosophical bent toward segregated “autism only classes” and “special olympics” I just didn’t think it would work.

The information about a person with a disability being able to use his HUD housing choice voucher in another parent’s home was an interesting idea and one we might be able to use later.

So, strike 2. The next post will be about visit #3. Wait until you hear some of the surprises.

COMMENTS

Any thoughts? I love for you to share your stories in the comments and social media.

So, do you think parents owning the house is a good/bad idea? Would it make a difference if Aaron was in the home first and he got to choose the second person? Should we be looking to a non-profit to own the homes? A traditional landlord? Can we trust the residential company when the previous person had enough time to start the van and run it into two houses?

Keep Climbing: Onward and Upward.

Mary