The Rehabilitation Act of 1973 was founded on the belief that every individual has the right to work and make choices that affect his or her life. Congress enacted and amended (1998) the Rehabilitation Act because:

1)   millions of Americans have one or more physical or mental disabilities and the number of Americans with such disabilities is increasing;

2)   individuals with disabilities constitute one of the most disadvantaged groups in society;

3)   disability is a natural part of the human experience and in no way diminishes the right of individuals to‑‑

a)   live independently;

b)   enjoy self‑determination;

c)   make choices;

d)   contribute to society;

e)   pursue meaningful careers; and

f)    enjoy full inclusion and integration in the economic, political, social, cultural, and educational mainstream of American society

The Rehabilitation Act provides financial assistance to states for vocational rehabilitation services and independent living services; with the goal of empowering individuals with disabilities to maximize employment, economic self-sufficiency, independence, and inclusion and integration into society.

If you would like further information about the Rehabilitation Act or how to access services provided by Vocational Rehabilitation and/or Center’s for Independent Living, you can contact Freedom Resource Center at 800-450-0459 or 701-478-0459.

Space under an element between 9 inches and 27 inches above the finish floor or ground shall be considered knee clearance. Knee clearance shall be 30 inches wide minimum. Space under the table has to allow toe clearance (25 inches maximum under an element).

 

Motivational Monday: Positive emotions

Positive people who regularly express positive emotions are more resilient when facing stress, challenges and adversity.

Wishing you peace and well-being as you examine your emotional outlook.

There’s one age group that’s going into nursing homes at a higher rate. And it’s not the elderly.  Young people ages 31 to 64 now make up 14 percent of the nursing home population, according to an analysis of federal data from the Department of Health and Human Services. That’s up from 10 percent just 10 years ago.  Traditionally, nursing home facilities where compromised of elderly men and women that either outlived their relatives or had some kind of a fall or a fracture. Now we’re seeing a transition to a younger population, either for psychiatric issues, which once upon a time were addressed in psychiatric state hospitals, which a lot of those have closed.

In 1999 the Supreme Court ruled that under the American’s with Disabilities Act (Olmstead case) that unnecessary institutionalization of people with disabilities is a form of discrimination.  Since then, federal policies have said states need to do more to create more community-based care.  One of the problems with the federal policies is “institutional bias.”  Federal law required states to pay for nursing facilities, while community-based care is optional.  Although this is changing, nationally more than 60 percent of what states spend on long-term care for the elderly and disabled goes to pay for people living in a nursing home (90% in North Dakota; 60% in Minnesota).

By federal law, people who face going into nursing home facilities must be told about alternatives. But in a study in one state, nearly 30 percent of younger people in nursing homes said they weren’t told about options. Often doctors and other health care providers just don’t know what’s available — and recommend a nursing home instead.  According to a study by the AARP Public Policy Institute, the cost of attendant care (home based service) is about a third the cost of providing care in a nursing home or institution.  Many states lack programs to help people receive care at home. And when such support exists, it’s hard to find.  And as states face budget gaps, the programs that help people live at home are cut.  A decade-long study published in Health Affairs in 2009 found that states with established home-and community based programs had cut their overall Medicaid long-term care spending by nearly 8 percent.  States that relied on institution like nursing home facilities saw their long-term care costs increase by almost 9 percent.

And the last word…although nursing home facilities play an important role for people who don’t have other choices, research has continued to show that 80 – 90% of people would rather live in their home with community based services.

For more of the story check out NPR’s Investigative Unit report and story at http://www.npr.org/2010/12/09/131912529/a-new-nursing-home-population-the-young

Some wealthy Manhattan moms have figured out a way to cut the long lines at Disney World — by hiring disabled people to pose as family members so they and their kids can jump to the front.

Disney World allows each guest who needs a wheelchair or motorized scooter to bring up to six guests to a “more convenient entrance.”  There is a “black market” guide service called Dream Tours.  One of the employees of Dream Tours has an auto-immune disorder and acknowledged that she uses a scooter on the job.  The woman who was interviewed and hired Dream Tours used the “guide” to escort her, her husband and their 1-year-old son and 5-year-old daughter through the park in a motorized scooter with a “handicapped” sign on it. The group was sent straight to an auxiliary entrance at the front of each attraction (one minute wait versus 2 ½ hour wait for those waiting in the regular line).  Disney Tours offers a VIP guide and fast passes for $310 to $380 per hour. The “black-market Disney guides” run $130 an hour or $1,040 for an eight-hour day.  The women who hired Dream Tours stated, “Who wants a speed pass when you can use your black-market handicapped guide to circumvent the lines all together?”

(First reported by Tara Palmeri, New York Post. May 14,2013)

Motivational Monday: Our Mental Mirror

“To see others, you need a pair of eyes.  To see yourself, you need the mirror of your own mind.”

Lasting and significant change will not happen by imposing our views on others, or because others impose their views on us.  It starts to happen when we look in our mental mirror, and observe that there are positive changes to be made, right here where we are.  (Ogyen Trinley Dorje.  The Heart is Noble: Changing the World from the Inside Out)

Wishing you peace and well-being as you look into the mirror of your own mind.

One of the key ingredients to becoming independent and self sufficient is acquiring information, knowledge and resources.  The key ingredient is doing something with the information, knowledge, and resources you have acquired; so that you not only gain information and knowledge, but you can improve your quality of life.  So today’s Freedom Friday not only gives you information on rejection-sensitive dysphoria and ADHD (attention deficit hyperactivity disorder), but if you do something with this information, you can increase your independence, as well as your overall well-being.

Although attention deficit hyperactivity disorder (ADHD) can’t be cured, it can be easier to manage if you understand ADHD and how individuals with ADHD process emotions.  When individuals with ADHD are asked “have you always been more sensitive than others to rejection, teasing, criticism, or your own perception that you have failed or fallen short?” most say Yes!  The technical term and definition for this is “rejection-sensitive dysphoria.”  The term “dysphoria” means “difficult to bear.”  The emotional response to the perception of failure becomes catastrophic (difficult to bear) for those with ADHD and rejection-sensitive dysphoria; they report that they “can hardly stand it.”    It is the constant vulnerability to being “wounded” by anyone at any moment that continues to throw them into a tailspin without warning and then disrupt their lives for days with obsessive worry about “what did I do to make them hate me so much?”  It does not even have to be real rejection or criticism (although that is common enough in the lives of people with unrecognized and untreated ADHD and rejection-sensitive dysphoria).  Perceived criticism and withdrawal of love and respect is just as devastating as the real thing.  Rejection-sensitive dysphoria can also be externalized.  This usually takes the form of a rage at the person or situation that wounded them so severely.  Luckily, this period of rage is usually expressed verbally instead of physically and passes relatively quickly.  Often, people are unaware of how severely this condition affects their lives until they start to receive treatment for it, causing their perception of the world to radically shift.

If the symptoms of ADHD are still getting in the way of your life, despite self-help efforts to manage them, it may be time to seek outside support. Adults can benefit from a number of treatments, including behavioral coaching, individual therapy, self-help groups, vocational counseling, educational assistance, and in some cases, medication.  The important thing is to get yourself treated, remember that life will improve, and take action even if you aren’t motivated.

Resources:

Attitude: Living With Attention Deficit, Summer 2013 (www.additudemag.com)

http://dodsonadhdcenter.com/rejection-sensitive-dysphoria/

Helpguide.org: A trusted Non-Profit Resource

http://www.helpguide.org/mental/adhd_add_adult_symptoms.htm

ADA states that service counter surface height shall be 38 inches maximum above the finish floor or ground.  Obviously this service counter is not in compliance with the ADA.

A disability doesn’t mean you can’t do something. It means the way you do something is a little bit different from the rest, and that’s nothing to be ashamed of.”  (Ben Cousins, freshman at Concordia College. Cousins was picked on and bullied due to his weight and also because of his autism. He was the keynote speaker for the North Dakota Autism Center’s AuSome Evening Gala Friday, April 26, 2013.)

Wishing you peace and well-being as you discover what makes you special.

Must air carriers permit passengers with a disability to travel with service animals?

Air carriers must permit a service animal to accompany a passenger with a disability.

(1) You must not deny transportation to a service animal on the basis that its carriage may offend or annoy carrier personnel or persons traveling on the aircraft.

(2) On a flight segment scheduled to take 8 hours or more, you may, as a condition of permitting a service animal to travel in the cabin, require the passenger using the service animal to provide documentation that the animal will not need to relieve itself on the flight or that the animal can relieve itself in a way that does not create a health or sanitation issue on the flight.

(b)  You must permit the service animal to accompany the passenger with a disability at any seat in which the passenger sits, unless the animal obstructs an aisle or other area that must remain unobstructed to facilitate an emergency evacuation.

(c)  If a service animal cannot be accommodated at the seat location of the passenger with a disability who is using the animal, you must offer the passenger the opportunity to move with the animal to another seat location, if present on the aircraft, where the animal can be accommodated.

(d)  As evidence that an animal is a service animal, you must accept identification cards, other written documentation, presence of harnesses, tags, or the credible verbal assurances of a qualified individual with a disability using the animal.

(e)  If a passenger seeks to travel with an animal that is used as an emotional support or psychiatric service animal, you are not required to accept the animal for transportation in the cabin unless the passenger provides you current documentation (i.e., no older than one year from the date of the passengers scheduled initial flight) on the letterhead of a licensed mental health professional including a medical doctor specifically treating the passenger’s mental or emotional disability (e.g., psychiatrist, psychologist, licensed clinical social worker) stating the following:

(1) The passenger has a mental or emotional disability recognized in the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (DSM IV);

(2) The passenger needs the emotional support or psychiatric service animal as an accommodation for air travel and/or for activity at the passenger’s destination;

(3) The individual providing the assessment is a licensed mental health professional, and the passenger is under his or her professional care; and

(4) The date and type of the mental health professional’s license and the state or other jurisdiction in which it was issued.

(f)  You are never required to accommodate certain unusual service animals (e.g., snakes, other reptiles, ferrets, rodents, and spiders) as service animals in the cabin.  With respect to all other animals, including unusual or exotic animals that are presented as service animals (e.g., miniature horses, pigs, monkeys), as a carrier you must determine whether any factors preclude their traveling in the cabin as service animals (e.g., whether the animal is too large or heavy to be accommodated in the cabin, whether the animal would pose a direct threat to the health or safety of others, whether it would cause a significant disruption of cabin service, whether it would be prohibited from entering a foreign country that is the flight’s destination).  If no such factors preclude the animal from traveling in the cabin, you must permit it to do so.  However, as a foreign carrier, you are not required to carry service animals other than dogs.

(g)  Whenever you decide not to accept an animal as a service animal, you must explain the reason for your decision to the passenger and document it in writing. A copy of the explanation must be provided to the passenger either at the airport, or within 10 calendar days of the incident.

(h)  You must promptly take all steps necessary to comply with foreign regulations (e.g., animal health regulations) needed to permit the legal transportation of a passenger’s service animal from the U.S. into a foreign airport.

(i)  Guidance concerning the carriage of service animals generally is found in the preamble to this rule.  Guidance on the steps necessary to legally transport service animals on flights from the U.S. into the United Kingdom is found in 72 FR 8268-8277, (February 26, 2007).

14 C.F.R. § 382.117 

Information regarding the complaint process

http://airconsumer.dot.gov/ACAAcomplaint.htm

Online complaint:

http://airconsumer.dot.gov/escomplaint/es.cfm