Would cameras make group homes for disabled people safer? Debate rages over privacy

By Susan K. Livio | NJ Advance Media for NJ.com, January 29, 2023

Since 2018, Children’s Aid and Family Services has used video cameras to keep a close eye on the residents inside the 18 group homes it runs for people with developmental disabilities in north Jersey.

The Paramus-based nonprofit spent about $10,000 a home to install cameras in doorways, living rooms and kitchens and train employees what to do, or not do, when a resident is experiencing a behavioral crisis, said Melinda Iannarone Geraghty, the agency’s vice president for Disability Support Services. The video recordings are evidence when investigating a resident’s injury and an allegation of abuse.

States Struggle To Curb Fake Emotional Support Animals

By Elaine S. Povich, Stateline | January 24, 2023

Numerous websites promise to qualify any pet as an emotional support animal that the sites claim can go nearly anywhere — inside restaurants and stores, into “no pets” apartments and throughout college dorms. The easily obtained certificates are making it tough for states to crack down on fake support animals without running afoul of federal fair housing or anti-discrimination laws.

Emotional support animals, which are supposed to help people overcome anxiety or other psychological ills, are different from “service animals,” which are trained to help people with disabilities navigate their surroundings or to warn owners of physical ailments such as low blood sugar.

There are specific criteria for service animals in state or federal law, mostly having to do with training or the performance of specific tasks, and the animals are protected by the Americans with Disabilities Act. Emotional support animals don’t have the same ADA protection.

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How California’s emergency plans fail disabled communities

by Astra Lincon, High Country News/hcnn.org, January 23, 2023

Kelley Coleman was vacationing in Santa Barbara, California, when the evacuation order came. It was New Year’s week, and Kelley’s two sons, third and fifth graders in Los Angeles’ Studio City neighborhood, were enjoying the last of their school holidays. Aaron, 9, Coleman’s youngest — a boisterous, enthusiastic child — relished splashing around for hours in the Pacific’s briny, biting cold.

Rain was forecast that week, not unusual for January on that part of California’s central coast. For days, it drizzled. Then, late on the last day of their vacation, Coleman’s cellphone buzzed. It was an emergency notification: Heavier rains were coming, and with them possible flash floods, falling trees and landslides capable of tearing homes from their foundations. Residents across Santa Barbara County were told to evacuate.

Immediately, Coleman called the nearest pharmacist. If they were evacuated, she thought, how would they get Aaron his medication

Aaron is a medically complex child. In addition to taking a daily medication for epilepsy, he has a variety of sensory impairments and relies on a feeding tube. Coleman’s life is built around rituals of readiness: She keeps go-bags in the car, at school and at a neighbor’s house with backup tubes, formula and replacement parts for the port in Aaron’s stomach. But she cannot keep backup medication; the federal Food and Drug Administration’s policies for controlled substances prevent people from getting refills until their prescriptions have nearly run out. Coleman had refilled Aaron’s medicine just days ago, but the bottle was back home in Studio City.

Aaron had just two days’ worth of medication left, and the rains were falling harder.

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NJ riders with disabilities lament Access Link’s delays, lost drivers. NJ Transit promises change

NJ Transit has six months to start improving its Access Link public ride service foar people with disabilities, after the U.S. attorney’s office found a pattern of late trips and excessively long rides.

Gothamist found a similar trend in a review of more than five years of ridership data provided by NJ Transit, and in interviews with longtime passengers. Gothamist additionally joined a rider with a brain injury for four trips last summer. One time, the driver arrived four hours after the appointment window. During another time, the driver got lost.

NJ Transit agreed to improve measures of its reliability, like how often it picks up riders later than scheduled, in a settlement with the federal government in December. But advocates and riders say if Access Link wants to substantially change, it’ll need far more drivers. Yet the number working for the service has been on the decline over the last few years. Access Link had nearly 700 drivers in 2019 but that number dropped by hundreds during the pandemic, NJ Transit records show. In the last few years, the rate of late trips also ticked up.

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California’s power outages are a life-and-death issue

A perspective on the impacts of storms for people with disabilities by Alice Wong

High Country News/hcn.org, January 19, 2023

The terms atmospheric river and bomb cyclone were not in my vocabulary until recently. During the first two weeks of 2023, however, the San Francisco Bay Area was deluged with a series of storms. I am a disabled person who depends on power to live. When I came home after four weeks in the ICU last summer, I was tethered to a feeding machine that pumps food into my stomach, as well as to a ventilator that’s attached to a hole in my throat, among numerous other devices. The stakes for potential harm during a power outage have exponentially increased. My anxiety, vulnerability and fear are real.

Jan. 3, 2023, 10:44 p.m.: Texted my caregivers on what to do if a power outage happens while I am in bed tomorrow night. Air mattress will deflate, and I will immediately need to be transferred into my wheelchair. I will need to use my backup electric batteries for medical devices such as my suction machine, since I need to suction hourly every day.

Jan. 4, 10 a.m.: Mentally calculating how much battery life some of my machines need before needing to use my backup electric battery. My other devices do not have a built-in battery.

1 p.m.: Bookmarked the link to Pacific Gas & Electric’s (PG&E) Outage Center, so I can look up all the outages by location and report one if it happens in my neighborhood.

1:30 p.m.: Asked my father to make sure my backup electric batteries are fully charged.

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‘Until it affects you’: Wheelchair users still battle to make NJ more accessible

by Olivia Liu,  Asbury Park Press, January 3, 2023

Stanley Soden of Long Branch was heading down Lowden Court to pick up groceries for himself and two neighbors in his apartment building. Despite the sidewalks that line Monmouth Medical Center on his right, Soden, who uses a motorized wheelchair, was riding on the street next to cars and trucks.

The reason? For Soden, sidewalks can be less safe than streets. At a few curb cuts leading down the sidewalk along Lowden Court, puddles and potholes have the ability to tip his wheelchair.

That is one of the many barriers wheelchair users face to fully participating in the communities where they live.

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‘Right to Repair’ Bill Aims to Empower Colorado Power Wheelchair Users

As a manual wheelchair user himself, Colorado state Rep. David Ortiz knows how critical timely repairs can be when your wheelchair isn’t working. Something as simple as a missing bolt can be the difference between independence and bed rest, yet those simple solutions can take days, weeks — even months — to secure because of insurance and provider complications.

“I don’t need pre-approval for every stupid little repair I need on my chair,” says Ortiz, the first wheelchair-using member of the Colorado General Assembly in that legislative body’s 146-year history. “We know that I have my chair, we know that it’s a critical piece of mobility device, and it needs to be repaired as quickly as possible.”

In hopes of making that possible, Ortiz was one of the prime sponsors of the Consumer Right to Repair Powered Wheelchairs, the first Right to Repair law focused on power wheelchairs in the nation. The law allows wheelchair users access to parts, software and manuals so they can repair their own power wheelchairs. Under the law, power wheelchair manufacturers could be cited for an unfair trade practice if they refuse to allow access to parts and manuals.

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Doctors Open Up About Turning Away Patients With Disabilities

by Michelle Diament | DisabilityScoop.com, October 24, 2022

Physicians are using excuses to intentionally dissuade people with disabilities from their practices, researchers say in a new study exposing just how pervasive discrimination against this population is in health care.

In focus groups, doctors described making strategic choices to turn away individuals with disabilities. They reported telling patients with disabilities that they would require specialized care and that “I am not the doctor for you.” In other cases, physicians said they simply indicate that “I am not taking new patients” or “I do not take your insurance.”

The findings come from a study published this month in the journal Health Affairs. It is based on focus groups conducted in late 2018 by researchers at the Northwestern University Feinberg School of Medicine, the University of Massachusetts and Harvard Medical School with 22 primary care and specialist doctors who were selected from a national database.

Many of the participants described accommodating people with disabilities as burdensome and some used outdated language like “mentally retarded.” Doctors frequently indicated that individuals with disabilities account for a small number of patients, making it hard to justify having accessible equipment. They also had little knowledge of their obligations under the Americans with Disabilities Act, with one suggesting that the law works “against physicians.”

The latest study builds on findings published earlier this year from a survey of 714 doctors that was done by some of the same researchers. Just 56% of physicians who participated in the survey said they welcome people with disabilities at their practices and only 41% indicated that they could provide such patients with a similar quality of care to others. Meanwhile, more than a third of doctors queried said they had little or no knowledge of their legal obligations under the ADA.

“Taken together, the focus groups and survey responses provide a substantive and deeply concerning picture of physicians’ attitudes and behaviors relating to care for people with disabilities,” the study authors note.

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