Alabama`s Wounded Warriors return home
Transcription
Alabama`s Wounded Warriors return home
ACDDAdvocate A L A B A M A CO U N C I L F O R D E V E LO PM E N TA L D I S A B I L I T I E S Volume III Number 2, Summer 2008 Alabama's Wounded Warriors return home Th e Fed er al D efin it ion of Developmental Disability • A. The term “developmental disability” means a severe, chronic disability of an individual that is: • attributable to a mental and/or physical impairment • is manifested before the individual attains age 22 • is likely to continue indefinitely • results in substantial functional limitations in 3 or more of the following areas of major life activity: (1) self-care (2) receptive and expressive language (3) learning (4) mobility (5) self-direction (6) capacity for independent living (7) economic self-sufficiency • reflects the individual’s need for a combination and sequence of special, interdisciplinary, or generic services, individualized supports, or other forms of assistance that are of life long or extended duration and are individually planned and coordinated. B. Infants and young children: An individual from birth to age 9, inclusive, who has a substantial developmental delay or specific congenital or acquired condition, may be considered to have a developmental disability without meeting 3 or more of the criteria (listed above) ... if the individual, without services and supports, has a high probability of meeting those criteria later in life. From the Developmental Disabilities Assistance and Bill of Rights Act, 2000 Reauthorization, Public Law 106-402, S. 1809-7(8). 2 Alabama Council for Developmental Disabilities ACDDAdvocate Vol. III, No. 2 Spring 2008 The ACDD Advocate is published quarterly by the Alabama Council for Developmental Disabilities. Serving our WoundedWarriors COUNCIL OFFICE: RSA Union Building 100 North Union Street P.O. Box 301410 Montgomery, AL 36130-1410 (334) 242-3973 or 1(800) 232-2158 FAX: (334) 242-0797 Website: www.acdd.org 5 ACDD STAFF: Elmyra Jones, Executive Director Cheryl Bartlett, Planner Debra Florea, Information and Referral Queena Folmar, FiscalManager Jayne Chase, Partners in Policymaking Coordinator Shunqulla Moore, Office Manager Council Members: Philip B. Young, Parent/Advocate, Council Chair Johnna Breland, Parent/Guardian Ruth Brewbaker, Family Member Vivian Brown, Consumer Irene Collins, Senior Services Michael Collins, Consumer Barbara Crozier, Governor’s Office on Disability Richard Dorrough, Department of Children’s Affairs Karen Dixon, Center for Excellence Beverly Gardner, Family Member Mitch Garrett, Epilepsy Foundation Vickie Gillian, Family Member Ellen Gillespie, Alabama Disabilities Advocacy and Protection Carolyn Greene, Parent Advocate Reginald Guilford, Consumer Carol A. Herrmann, Medicaid Agency Britnee Hittle, Family Member John Houston, Mental Health/MR Anne Evans, Designated State Agency April Ikner, Consumer Col. (Ret.) Stefan Eisen, Family Member David Lowery, Consumer Angela Jones McNeal, Family Member/Guardian Frances Blake Murphy, Family Member G. Hugh Nichols, Parent Advocate John O’Malley, Parent Advocate Jim Pitts, Family Member Gaylen S. Pugh, Local Agency Nancy Rhodes, Parent Advocate Steve Shivers, Rehabilitation Services Graham Sisson, Jr., Governor's Office on Disabilities Shelia A. Smalley, Guardian Joan Smith, Consumer Elizabeth Turner, Consumer Page Walley, Human Resources Mabrey Whetstone, ALSDE-Special Edu. Svs DaLee Chambers, ALSDE Donald E. Williamson, Public Health Sharis LeMay, Deptartment of Public Health Operation Lima Foxtrot Birmingham facility helps severely wounded veterans get back to living 14 Noah Galloway 12 Wounded Warriors Program Heroic veteran describes his experiences at Operation Foxtrot Carlatrena Walker is the Soldier Advocate for wounded soldiers and their families in the Birmingham area. 20 BioTech Limb and Brace 22 Get 10 Program 26 Brenda McComb strives to see all Alabamians have access to full, meaniful employment. Department of Public Health program strives to get Alabamians prepared for emergencies Councilwoman Miriam Witherspoon Councilwoman makes Birmingham City Hall accessible after becoming elected. Contents Letter from the Governor............................................2 Letter from the Council Chair.....................................3 Letter from the Executive Director..........................4 Operation Lima-Foxtrot...............................................5 Noah Galloway.................................................................9 Ronda Jarvis-Ray...........................................................11 Wounded Warrior Program......................................12 BioTech Limb and Brace.............................................14 Estate planning for those with special needs...16 Shoals area ACDD grant.............................................18 New Council Members.............................................. 20 Public Health emergency planning..................... 22 Hurrican planing...........................................................24 Eleventh Annual Autism event............................... 25 Miriam Witherspoon Councilperson................... 26 DISCLAIMER: All direct quotations and other information represented through interviews in this magazine are the opinions of the speakers, and do not necessarily represent the position of the Alabama Council for Developmental Disabilities or the Alabama Department of Mental Health and Mental Retardation. T h e ACDD A d vo ca t e S u m m e r 2008 1 Letter from the Governor Bob Riley, Governor State of Alabama Greetings With all the excitement over the upcoming Presidential election and the concern of over high gas prices, it is sometimes easy to forget the sacrifices that are being made every day by the men and women in our country’s Armed Forces. In spite of our relatively small population, Alabama has the second highest deployment of soldiers in the Global War on Terror. These brave men and women are serving valiantly, and are willing to sacrifice everything in the line of duty. This issue of the ACDD Advocate looks at what happens to these men and women when they return home to Alabama after being injured or wounded in Iraq and Afghanistan. While the going can be and is often difficult, we have many nationally-recognized resources in place to serve our Wounded Warriors. Birmingham’s Lakeshore Foundation is one such place. Here, soldiers who were wounded in the Global War on Terror can come, free of charge, and experience thrilling, rehabilitative, and competitive activities designed to help them reintegrate into their communities. These unique activities promote physical and emotional strength, guided by Lakeshore’s dedicated professionals and made possible by generous support from Alabama businesses and individuals. Lakeshore’s Lima Foxtrot Program has a well-deserved national reputation, and has vastly enriched the lives of countless injured veterans. Read inside for examples of how lives are being changed for the better. Alabama also houses the United States Army’s Wounded Warriors Soldiers Advocate program, with offices in Birmingham and Huntsville. Soldiers from across the state can turn to these caring advocates for help in negotiating their nonmedical social needs as they return home after being injured in the line of duty. We even see in this issue how our private businesses are stepping up to the challenge of caring for our veterans by providing not only excellent, compassionate service, but also by employing the most innovative, effective technologies to help our injured soldiers readapt to the world of work. By designing and manufacturing the most modern and technologically-advanced prosthetics and orthotics, BioTech in Birmingham is helping to give new life to those who need it most. These are just more good examples of how the public and private sectors can work together to create opportunities to serve, and to change lives for the better. Let’s remember our veterans who have sacrificed in the line of duty, and do all we can to welcome them back to the state that they call home. Bob Riley, Governor 2 2 AA l albaabm a aC o e veevleol p e ne tnatla lD D i siasbaibliiltiiteise s am Cu on uc nicli lf of r o rD D om pm from the Council Chair Philip Young, Council Chair Alabama Council for Developmental Disabilities “Segregation distorts the soul and damages the personality. It gives the segregator a false sense of superiority and the segregated a false sense of inferiority. Segregation... is not only politically, economically, and sociologically unsound, it is morally wrong and awful.” Martin Luther King Forty years ago I was playing a spring training football game when I heard Dr. King had been shot. His words and actions have moved our country and the world forward in the understanding and growth of all individuals. Unfortunately we have failed to utilize all of our available resources to end segregation in the world of developmental disabilities. The restrictions and barriers of segregation continue to limit the contributions of many of our citizens with developmental disabilities – contributions that can and would improve all of our lives. My son turns twenty-two this month and he has been a great joy in my life. Nineteen years ago, upon his being diagnosed with a developmental disability, my awakening to a new world quickly changed from football to real world situations. Blocking and tackling changed to early intervention, occupational therapy, speech therapy and a whole new maze of life. We have a choice to make when we are jolted awake. Standing still is not an option. We are called to build capacity with our attitudes and actions. It is difficult to move from where we are to where we need to be. But it is only after everyone pulls his or her individual weight that we can continue forward. This forward way leads us toward ending the stereotyping and discrimination and segregation of the developmentally disabled. Thank you for the opportunity to serve on the Alabama Council for Developmental Disabilities for the last eight years. And thank you especially for the privilege of spending the last five years as Chair. It has been a great honor and privilege to serve in this challenging role. Thank you for the friendship and motivation that drives me to help make a difference. Let’s all push forward for change and choice in making our world more inclusive. T h e ACDD A d vo ca t e S u m m e r 2008 3 A L A B A M A C O U N C I L F O R D E V E L O P M E N T A L D I S A B I L I T I E S A Letter from the Executive Director Elmyra Jones, Executive Director Alabama Council for Developmental Disabilities As part of our public awareness campaign – which focuses on helping Alabamians see abilites instead of disabilities – the Alabama Council for Developmental Disabilities has undertaken several simultaneous efforts to reach more people with our important message. Over the last several months we have sponsored billboards statewide – an example of which was featured on the cover of our Winter 2008 issue. The billboards have a very plain message: Look at my disABILITY. We have also worked hard to better develop our mailing list. This updated and greatly expanded list was used for the first time with the mailing of this issue of the ACDD Advocate. You may very well be receiving this issue for the first time, though we are now in the middle of our third year of publication – though it seems like we just started yesterday. The quarterly magazine seeks to show the work of the Council in many areas, especially by focusing on how our efforts make a positive impact on our state’s citizens with developmental disabilities. We do this through a series of profiles of Alabamians with disabilities, showing how they impact their communities through leadership, employment and advocacy. We visit with university presidents, foundation leaders, medical and clinical researchers, philanthropists, legislators and other policymakers, and municipalities, businesses and industries that employ people with disabilities and engage with the disabilities community in a variety of ways. In future issues we hope to work collaboratively with other state departments and our sister agencies in the state’s DD Network to show the “big picture” of how we all work together for the greater good. And of course each issue starts out with “Greetings!” from the Governor, who reviews the contents in relation to his or her larger role as Alabama’s chief executive. Finally, we have also undertaken efforts to develop a website (www.acdd.org) that will serve as a reliable, useful destination for people seeking information and resources relevant to their unique needs. We hope our extended community will use the website to stay abreast of breaking news, learn about grant opportunities, find times and locations of meetings and public hearings, and add their name, address and email to our database so we can keep in touch with them. We have also archived all of the past issues of our magazine on the website. The site is a work in progress and we welcome your input for how to make it better. Thanks for keeping in touch, and if this is the first time you’ve heard from us, let us know what you think. Come visit us at www.acdd.org. 4 Alabama Council for Developmental Disabilities Lakeshore Foundation’s Operation Lima-Foxtrot Birmingham Facility Helps Veterans With Severe Injuries Get Back to Living L akeshore Foundation, a nonprofit organization in Birmingham, Alabama, is dedicated to enhancing the lives of individuals with physical disabilities. More recently, its Lima Foxtrot programs were developed for severely injured military veterans who have sustained injuries in Iraq or Afghanistan. Such injuries typically include blindness or serious visual impairment, traumatic brain injury, or loss of one or more limbs. Many of these veterans are also experiencing polytraumatic conditions, or Post-traumatic Stress Disorder. Lakeshore’s unique programs offer injured servicemen and women a variety of fun and challenging recreational opportunities which, under the guidance of Lakeshore’s professionals, also open the door to life after injury. “Lakeshore Foundation has served veterans for years, but with the Iraq and Afghanistan conflicts we felt uniquely positioned to offer this service,” said Ronda Jarvis-Ray, formerly Lakeshore’s Chief Program Officer, who this month joined a full-time vet rehab program called Wounded Warriors. “We focus on a variety of recreational opportunities that are most helpful to particular injuries. Lakeshore Foundation’s had several events and each caters to the veterans’ unique situations. The veterans who come here have a desire to compete and learn and challenge themselves. We provide that opportunity through our years of professional expertise and adaptive environments. Our programs are pretty unique and have gotten a great response from participants and their families.” All Lima Foxtrot programs are provided at absolutely no cost to the injured serviceman or woman, as well as one guest. This includes air and ground transportation, meals and lodging, and the events themselves. “Our first operation was held in September of 2006,” said Ray, a champion skier and former star in international wheelchair basketball competition (see sidebar). “Our focus on sports and recreation helps the veterans learn about adaptation. Improvised Explosive Devices (IEDs). So far We hope that once they participate in our in these two combat fronts we’ve had over programs, they will be able to repeat and 31,000 U.S. injuries. More lives are being use what they learned here back home, saved than in previous wars and that’s the and share that ability with other injured good news. The flip side is that many more veterans.” of our veterans are coming home with perThe total number of injured veterans manent, severe, disabling injuries. These served by Lakeshore’s various operations is now around 200. The first one had 26 vets from 16 different states. Lakeshore’s unique programs offer injured “Our participants have exservice men and women a variety of fun perienced a variety of injuries and challenging “extreme” recreational - burns, amputations, blindopportunities which, under the guidance ness, polytraumatic (PTSD) conditions - but by far the of Lakeshore’s professionals, also open the signature injury from these door to life after injury. conflicts is traumatic brain injury, most often caused by T h e ACDD A d vo ca t e S p r i n g 2008 5 are mostly young people who must live with these injuries for the rest of their lives. Lakeshore Foundation is trying to enrich and strengthen those lives.” “Many more vets are coming. We go from what they can’t do to what we can do. We focus on ability rather than disability.” Thus far, according to Ray, Operation Lima Foxtrot has been “incredibly successful.” “We have received an outpouring of calls from case workers, clinicians, therapists, VA professionals, anyone who works with these “In addition to the vets. It’s transformachallenging events tional. They all want to in which the veterans know the same thing: participate, there ‘When is the next event?’ Our president, is also a unique Jeff Underwood, asked networking opportunity. me to develop a yearThere is a sense of round comprehensive belonging to be with program so we could others like yourselves, serve more people. We call it Operation Ento have a mutual durance.” As listed beunderstanding of low, there have been what you’ve all a variety of camps, been through.” some that are more diagnostic-specific than others. “Take Operation Night Vision, for example. Vision loss has its own unique issues, and most often comes from shrapnel blast injuries, so there is also a strong association with PTSD. In addition to the challenging events in which the veterans participate, there is also a unique networking opportunity. There is a sense of belonging to be with others like yourselves, to have a mutual understanding of what you’ve all been through.” Ray said all of the camps, regardless of disability, are grounded in sports and outdoor and aquatic recreation, and are based on Lakeshore’s mission of using recreation to help people lead active, independent lives after becoming disabled. In addition to its Lima-Foxtrot programs, Lakeshore is also an official U.S. Olympic and Paralym- “We have received an outpouring of calls from case workers, clinicians, therapists, VA professionals, anyone who works with these vets. It’s transformational. They all want to know the same thing: ‘When is the next event?’” 6 Alabama Council for Developmental Disabilities Among the various Lakeshore events for veterans injured in Iraq or Afghanistan that have been held or are in the development process are: Operation Rise & Conquer. This threeday event in September will help injured veterans learn how to adapt recreational activities so they may continue to enjoy these things with family and friends at home, outside of the Lakeshore environment. It is open to veterans with amputation, visual impairment, spinal cord injury, traumatic brain injury, burns, and other service-related injuries. Activities include bass fishing, clay and skeet shooting, scuba diving and water skiing. It will be held at an accessible camp on Lake Martin. Operation Night Vision. This recent event was specifically designed for military veterans who served in Iraq or Afghanistan and suffered significant vision loss or blindness. Held on Birmingham’s Lakeshore campus, events included cycling, archery, shooting, fitness, rock climbing, and kayaking, among others. Operation X-Sports. This three-day event is designed to appeal to servicemen and women with a variety of injuries – including spinal cord injury, TBI, amputation or visual impairment -- who have an interest in extreme sports. Such activities include mountain biking, competitive sports, rock climbing, wakeboarding, and others. pic Training Site. The U.S. men’s and women’s wheelchair basketball teams competed in international competition at Lakeshore last month as part of their paths to the 2008 Paralympic games in Beijing, China. The men’s wheelchair rugby team also participated in international competition at Lakeshore in June. “Besides the Lima-Foxtrot programs and our close and longstanding association with U.S. Olympic and Paralympic training, Lakeshore is really like a health club for people with physical dis- Operation Endurance. This camp makes Lakeshore’s world-class daily programs and services available to any veteran injured in armed conflict who lives in the Birmingham area. This includes fitness workouts and classes, aquatic exercise, individual and team sports, paddling lessons, rock climbing, strength and conditioning instruction, and fitness assessments. T h e ACDD A d vo ca t e S u m m e r 2008 7 “In spite of its relatively small population, the state of Alabama has the second-largest deployment of soldiers in these two conflicts, just behind Texas. So we’ve got a lot of veterans right around this area. Our unique ability to help these injured veterans is getting a lot of national attention.” Speaker Pelosi, Congressman Davis praise Lakeshore, veterans On Friday, May 2, the same day that ACDD Advocate staff writers were touring Lakeshore, U.S. Representative Artur Davis of Alabama joined Speaker of the House of Representatives Nancy Pelosi at the Lakeshore Foundation. The two met with veterans participating in the Lima-Foxtrot programs. The visit was nonpartisan, focusing strictly on honoring Lakeshore’s commitment to serve injured veterans, and to praise the bravery and sacrifice of the soldiers themselves. Davis said of Lakeshore, “The Lakeshore Foundation and its facility for rehabilitating injured American soldiers is one of Alabama's proudest accomplishments.” Speaker Pelosi thanked Congressman Davis for inviting her to Alabama and said she “enjoyed meeting with the heroic men and women who have served our country with distinction and bravery. Just as our troops pledge to leave no soldier behind on the battlefield, we pledge to leave no veteran behind when they return home. The Lakeshore Foundation's Lima Foxtrot Program is an exemplary model for the rest of the country that honors this sacred commitment to our nation's veterans.” The 110th Congress has championed veterans' issues, passing a 3.5 percent across the board pay raise for all service members, expanding VA research on Post Traumatic Stress Disorder, increasing the mileage reimbursement rate for rural veterans traveling to the VA, and passing a law allowing 100 percent disabled veterans to receive both their military retirement benefits and VA disability compensation. Speaker Pelosi concluded, “Congratulations to Lakeshore Foundation for your tremendous leadership. What I see here today shows so much respect for people with disabilities, but also so much respect for our veterans by the magnificence of the facility, by the care and concern of the staff, and by the support of the community.” 8 Alabama Council for Developmental Disabilities abilities,” Ray said. “Our military and international training programs bring people in from across the country, but our day-to-day program draws its membership primarily from a five-county area around Birmingham.” Ray said there is a special reason for focusing on serving Alabama veterans who have been injured in Iraq and Afghanistan. “In spite of its relatively small population, the state of Alabama has the secondlargest deployment of soldiers in these two conflicts, just behind Texas. So we’ve got a lot of veterans right around this area. Our unique ability to help these injured veterans is getting a lot of national attention. We’ve even helped the staff at Walter Reed Army Hospital integrate injured soldiers back into civilian life. We’re good at it and it has become a major focus at Lakeshore.” “As I said earlier, we focus on ability rather than disability. And we will continue to do so.” Noah Galloway ‘Lakeshore teaches you to enjoy life!’ regains positive perspective N oah Galloway was born in 1981 in Birmingham, Alabama, and grew up in nearby Midfield. He dropped out of school in the eighth grade to work as a landscaper, and by the age of 19 became the youngest person ever to become a crew leader at an area plant that produced high-heat intensity smokestack liners. This independent, “get ‘er done” streak led Galloway at age 20 to leave a fledgling college career and enlist in the United States Army. The date of his enlistment: October 2, 2001. “There have been a lot of military members in my family but I knew it wasn’t for me because I never did like authority,” Galloway said. “But after 9/11 I felt suddenly there was a real reason to join up so I did. I wanted to go into the Marine Corps but they wouldn’t guarantee me Airborne training so I joined the Army and went almost immediately to Fort Benning for 16 weeks of basic training and then completed jump school.” Galloway was then shipped to Ft. Campbell, Kentucky with the prestigious 101st Airborne Division. From there one brigade went to Afghanistan while Galloway’s went to Kuwait T h e ACDD A d vo ca t e S p r i n g 2008 9 waiting, as he said, “on the word to go into Iraq.” “Our commanders assumed it would be a tank operation like our first Kuwait invasion, but it turned out to be an infantry campaign as everyone knows. We went on foot all the way into Baghdad, moving so fast the supplies couldn’t keep up with us. We were dehydrated and hungry and looked horrible, but I was hooked. It was a very exciting time and we truly bonded as fellow soldiers in a common cause.” Galloway re-enlisted to ensure he could stay with the 101st, then under the command of General David Petraus. Between deployments Galloway’s wife became pregnant and their son was born prematurely and lost 75 percent of his small intestines. “While the top specialists in the country were not sure if he would live, our son amazed everyone by getting better. He just got well. It was then my job to convince commanders up the line to allow me to return with my brigade to Iraq. The commanders all asked the same thing: ‘What about your family?’ I replied: ‘What about your family? We have a job to do!’ They let me go.” Re-deployed into that area commonly known as the Triangle of Death, Galloway said the region was really just too large to cover and his company suffered a lot of casualties. On one mission half the platoon was sent to one village while the other half went to a different village. They were traveling in armored Humvees. Two squads were unaccounted for at the end of the mission and Galloway volunteered to go find his brothers-in-arms. “It was 2 a.m. but we had to travel with our headlights off so as not to broadcast our presence to our enemies,” Galloway recalled. “I was wearing night vision goggles and didn’t see a trip wire stretched across the road.” The resulting explosion sent the four-ton vehicle flying into a roadside canal, and left Galloway unconscious and up to his chest in water. He woke up weeks later on Christmas Day and found himself back in the States, at Walter Reed Hospital, surrounded by family. “They had to tell me what happened, that in the explosion I had my left arm 10 blown off, my jaw shattered, and both legs severely injured,” Galloway said. “It was a tough thing to face, especially after they had to amputate my left leg as well. “My mentality was that I was not going to hang out there,” he said. “Although I didn’t plan on it, my attitude changed. If you’ve ever seen it, you know that the main building itself is inspirational. But it’s the staff that makes it almost incredible. There’s a guy who works there who is missing all four limbs and he’s getting the job done every day.” But, my dad lost his left arm at age 18, too, and everyone in those days told him he was finished. He wasn’t. He pushed himself and became a skilled construction Alabama Council for Developmental Disabilities worker. I decided I was going to push myself, too.” Galloway soon learned that wanting to push yourself and actually doing it are two entirely different things. “As an amputee at Walter Reed you’re a dime a dozen,” Galloway said. “Back home you know what it’s gonna be like – it’s gonna be tough and it’s good to get out there and start accepting it.” On what he called the start of “a long road,” Galloway learned about Lakeshore through a friend of his mother’s. “My mentality was that I was not going to hang out there,” he said. “Although I didn’t plan on it, my attitude changed. If you’ve ever seen it, you know that the main building itself is inspirational. But it’s the staff that makes it almost incredible. There’s a guy who works there who is missing all four limbs and he’s getting the job done every day.” “Almost against my will I started working with them,” Galloway said. “They said what I had to offer was that I could call up other vets and tell them I’d been there and it was OK and they should give it a try. I thought I could do everything on my own and they just asked me to help them help others. I owe a lot to Ronda (Jarvis-Ray). I mean, I’m not an emotional guy. Not at all. But when I left that first camp I just broke down. I never saw it coming. Skiing. Hiking in the woods and sweating and just having a good time. It’s the little things. It changes your life.” Galloway said he did things at Lakeshore he never thought possible. “What you do there … when they show you you can do what you thought was impossible, it changes your whole life. They have done that for me and so many other guys. They asked me to help them and then, without my realizing it, they helped me. They taught me you can’t do everything on your own. I didn’t want friends at Walter Reed. At Lakeshore, though, I quit being arrogant and got to be friends with all the guys. We help each other.” “At Walter Reed – which is great in its own way – they show you how to get back into your life. At Lakeshore, they teach you how to enjoy your life! I don’t know how else to put it. The place is inspirational.” Rhonda Jarvis-Ray follows passion, serves veterans R onda Jarvis-Ray, Lakeshore’s former Chief Program Officer and one of the moving forces behind the Lima-Foxtrot programs, grew up in Santa Fe, New Mexico and loved sports from an early age. “I had always been very athletic,” she said. “I had spinal cancer and that led to a spinal cord injury. Since age 14 I have been in a wheelchair. But sports – and especially basketball – gave me my life back.” Ray received a hoops scholarship to the University of Illinois where she received her BS degree, and then went on to gain her Masters of Social Work at Illinois. “I returned to New Mexico and was playing basketball by this time on an international level,” she said. “I was fortunate to be a U.S. Paralympic Basketball Team member in Barcelona in 1992, and in Atlanta in 1996. I also love to water ski. So I feel like I can relate to what our veterans here are facing when they start their rehabilitation.” Ray heard about Lakeshore when she was entered in a tennis tournament and interviewed for a job. “It was all just so great,” she said. “I had a job and I could keep training. So here I am having been in Alabama for over ten years. I only have one problem: I’m still trying to acclimate to the weather!” (Ray recently decided to devote full time to veterans’ rehabilitation issues through the work of the Wounded Warrior program.) tDear Ronda, e, came to an appoin ett and his wife, Yvonn nn Be k Nic , day ter Yes tact you and share my I am compelled to con nt. me art dep our in ment ce. An Adventure Experien des on the Operation felt gratitude and accola m tea ole wh that our capture the emotion he email simply does not (as nd eke we of last red their recollection Nick as Nick and his wife sha for e tim a t). It was tion Adventure T-shir selfproudly wore the Opera not s wa a time when he sporting events, but ento not only enjoy the nt otional). The eve (both physical and em e conscious of his scars head-on, in a totally saf es some of his disabiliti e fac to him ed irag lim cou accommodate for his o showed him how to th environment that als Bo le. ilab ava t bes y the and staff were clearl The tations. The facilities nt. eve s thi in ed ored by being includ hon felt o als e wif his s so Nick and the registration proces or to the event made and ar work that you did pri cle y ver s gements wa nication on the arran easy and the commu many informative. s event. There are so will able to repeat thi h as lt is my hope that you suc efit from an event d women that could ben d sen other servicemen an other opportunity to informed if there is an be to e lik uld wo I s. thi more of my patients. Sincerely, Jo Lee Coleman t Clinical Nurse Specialis tation bili ha Re d an a Polytraum ter Cen al dic Me VA Roudebush 2 20 46 IN Indianapolis, T h e ACDD A d vo ca t e S u m m e r 2008 11 Wounded Warrior Program Carlatrena Walker SoldierAdvocates serve those who sacrifice T he United States Army’s Wounded Warrior Program was established on April 30, 2004, to assist and advocate for wounded soldiers and their families. Carlatrena Walker is the Soldier Advocate for the Wounded Warrior Program in Birmingham. Until the Army recently added another position in Huntsville, Walker was Alabama’s only such Advocate. “The Program came into existence once the ‘Shock and Awe’ phase of the Iraq war was over and we realized this was going to be a long-term commitment and we were going to have a lot of wounded soldiers who would need ongoing assistance,” Walker said. “And these are not necessarily medical needs. Medical issues are generally handled by the VA and Army hospitals. We focus on helping our wounded soldiers return to the community, or employment, or reenlistment.” “Our advocacy extends to helping soldiers and their families obtain all of the VA and veterans benefits to which they are entitled, assisting with healthcare once a soldier has retired from the Army, financial 12 counseling, and career and employment opportunities, among other things.” The Wounded Warrior program is administered by a private military contractor, Serco, Inc., which employs thousands of civilians around the world. The Wounded Warrior advocates, according to Walker, typically have military experience so they bring a more authentic understanding of what the wounded soldier is going through. Walker herself was on active duty in the United States Navy, and she later used the GI Bill to obtain a degree in Social Work at UAB. “I used my degree to work in a program serving homeless veterans and their families, and then I had an opportunity to work with Serco as an education counselor with the 81st Regional Readiness Command in the Army Reserve,” she said. “From there I went to a family readiness program before becoming an Advocate in the Wounded Warrior Program. So I’ve had a lot of military experience, as well as experience working with military personnel in an advocacy role.” Alabama Council for Developmental Disabilities Walker, a small-town girl from Dadeville, Alabama, said the program serves an important need. “When I left active duty service I realized very quickly how much I didn’t know about the resources and opportunities that were available to me,” she said. “I now have a real desire to help our wounded veterans make informed decisions about education, job opportunities, benefits, and transitioning back into the community. And this local resource expertise extends to the soldiers’ families, as well.” The soldier advocates for the program are located at major military treatment facilities ad VA centers. To qualify for the program, soldiers must have suffered from injuries or illness incurred after September 10, 2001, in support of the Global War on Terror, and receive or be expected to receive a 30 percent or greater disability rating by the Physical Disability Rating System for such injuries as vision loss, loss of limb, spinal cord injuries, severe burns or permanent disfigurement, traumatic brain injury, or Post Traumatic Stress Disorder (PTSD). This same disability rating would extend to soldiers with fatal or incurable diseases and any other condition requiring extensive hospitalization or multiple surgeries. “The primary problem I see in my caseload is PTSD,” Walker said. “The soldier may come in the first time with a family member. When a soldier returns to the community, he or she is typically shut off from family and friends and just wants to be left alone. When it becomes obvious they do not want to be bothered the family member becomes concerned – they know something’s not right –they contact us. On the medical front we link the soldier up with the VA but we also ensure they have all their benefits in place and then we continue to provide assistance.” Walker said PTSD can be difficult to recognize and diagnose. Some have all the symptoms listed in the DSM IV – memory lapses, difficulty with crowds, darkness or low ceilings, fireworks or loud noises triggering bad memories – and some may just have a general feeling of being ill at ease, feeling insecure, or isolated. She said some can talk to other soldiers about it but most feel it’s something no one else could ever understand – especially family members. “We try to assist in general terms on issues of self-determination. We want to see our soldiers gainfully employed but as advocates we also know there are limitations. So we try to counsel them to lean toward things at which they have a better chance of success. Overall I’d say housing and education and an independent life – complete with all the benefits to which our Wounded Warriors are entitled -- are our goals as advocates.” Next to PTSD, Walker said traumatic brain injuries (TBI) are the next most common injury she sees in her office. These symptoms often take a while to manifest. And there are multiple diagnoses. Often with TBI there is loss of vision. But sometimes the injuries cannot be seen. “Those we call the walking wounded,” Walker said. “We of course don’t try to de- cide if it’s mild or severe. We let the VA do that. As I’ve said, we focus on help, education, and resources. We want our soldiers to know someone is there for them wherever they are, no matter how many years later. Our Warrior Ethos states it plainly: ‘I will never leave a fallen comrade.’ That’s the belief we adhere to here at the Wounded “Our Warrior Ethos states it plainly: ‘I will never leave a fallen comrade.’ That’s the belief we adhere to here at the Wounded Warrior Program.” Warrior Program.” Referrals come from various places: the VA, community agencies, Social Security, and community relationships. “We also have a call center so when a soldier comes in contact with a central location he or she is referred to us,” Walker said. “As of July 2008 we have over 3000 soldiers in our program. But we are constantly adding more. Our goal is to average 30 soldiers per advocate but we are presently at 42:1. I personally have as of today 45 clients.” Regardless of the caseload, Walker said the advocates will remain critical to the total re-integration program for wounded soldiers. “We have a strong collaborative relationship with the VA, which handles things on the medical front,” she said. “But we are the constant. We are here to support our soldiers and their families for however long they need us. And that can be for the rest of their lives.” “We form strong relationships with our clients,” she continued. “We reach out and have contact at least every 30 days. If you ask one of them ‘Who is Carlatrena Walker?’ they might say, ‘She is a friend. She checks on me and I and go to her when I need help.’ I might know about a problem they’re having and go ahead and contact a service provider on their behalf. They might or might not know I did all that for them, but we do what we must to ensure they get what they need.” Nationally, there are now 61 advocates in the Wounded Warrior Program, serving over 3,000 soldiers. According to Global Security.org, there have been over 30,000 American military wounded in Iraq alone since March 2003 (http://www.globalsecurity.org/military/ops/iraq_casualties. htm). From that number it’s pretty easy to understand that caring for those who have sacrificed themselves in the line of duty is very expensive, and will continue to be for decades to come. “It seems like we don’t have a budget,” Walker said. “We do whatever it takes. We grow by 21 advocates per year, and this growth is limited by Serco’s annual contracts. As the number of wounded continues to grow, we continue to need more advocates. When I started this job 18 months ago I had 33 soldiers and that number has been as high as 61. As long as we reach out and find soldiers and connect with them, those numbers will continue to grow.” For more information on the Wounded Warrior Program, call 1 (800) 237-1336, or visit its website at www.AW2.army.mil T h e ACDD A d vo ca t e S u m m e r 2008 13 BioTech Limb Brace and “The bonds last a lifetime” I “Our soldiers in Iraq and Afghanistan experience the kinds of explosions that can cause them to lose arms or legs, and often both,” Eisenberg said. “Unfortunately, we are working with soldiers who have the need for every service we offer.” 14 n the general population, fairly little thought is given to the process of designing and fitting artificial limbs for amputees. But in modern warfare more and more combat soldiers are able to survive the catastrophic explosions most commonly associated with IEDs. As a result, increasing numbers of these soldiers need prosthetics and orthotics. Alabama has the second largest deployment of combat soldiers in Iraq and Afghanistan in spite of its relatively small population. Fortunately for these soldiers, the Yellowhammer State also boasts a homegrown prosthetics and orthotics business that combines deeply personal, caring service with the very latest in materials and technologies. That business is Birmingham’s BioTech Limb and Brace. “Prosthetics is the field of designing, fitting, and fabricating artificial limbs,” said Eric Eisenberg, BioTech’s president and founder. “Orthotics is the design, fitting and fabricating of braces.” For most civilian uses, braces would be placed on the foot, leg, or spine. Civilian prosthetic uses are typically associated with the lower extremities (leg) as a result of circulatory or vascular problems. The same is not true for returning combat veterans. Alabama Council for Developmental Disabilities “Our soldiers in Iraq and Afghanistan experience the kinds of explosions that can cause them to lose arms or legs, and often both,” Eisenberg said. “Unfortunately, we are working with soldiers who have the need for every service we offer.” The process begins, Eisenberg said, with a physician’s referral. The soldiers frequently have battlefield injuries besides amputations so they have been cared for and stabilized before coming to BioTech. “When a patient comes to us for an artificial arm or leg, we begin of course with the design process. We look at the individual’s strength and weaknesses, skin conditions, things like that. A lot of our soldiers have been badly burned, so there are many things to take into consideration in the design process.” He points out that no two artificial limbs are the same – each prosthetic designed and manufactured by BioTech is completely unique to that individual soldier. “Each person is a different size and shape and has different contours,” Eisenberg said. “Furthermore, the traumatic injuries our soldiers sustain frequently leave them without a full range of motion, skin grafts must be taken into consideration, things like that. When we are in the measuring and design phase we have to take each of those things into account because we want each of our soldiers to be as comfortable and functional as possible. And for someone with multiple injuries missing limbs might be the least of their problems: visual problems, weakness in a hand, there are so many things to consider and help the soldier adapt to.” Once the measuring and design phase has been completed, the professionals at BioTech begin the manufacturing process, which takes place in the company’s own laboratory right there on 4th Avenue South in Birmingham. “The first step here is what we call the diagnostic interface: that’s the socket that fits over the remaining anatomy. The material we use is clear like glass and allows us to see where we are, what areas are pressuresensitive and which are pressure-tolerant, and ensure that the anatomical contour is correct. In the case of lower extremity prosthetics, every person stands and walks differently so we must “Our soldiers take their unique style in Iraq and and characteristics into Afghanistan account. Of course it experience requires much more the kinds of energy to walk with a explosions that prosthesis than with can cause them a regular leg so we to lose arms work hard on energy or legs, and efficiency. Alignment often both,” is critical; everything Eisenberg said. must balance.” “Unfortunately, From all of these we are working diagnostics BioTech is with soldiers able to produce a limb who have the that caters to the indineed for every vidual soldier’s needs service we and functional fitting. offer.” The biggest change in past 20 years in the industry is materials, according to Eisenberg. The underlying scheme hasn’t changed much in 150 years but modern materials are superior to those from even a few years ago. Feet and knees are more lightweight and stronger and give more efficient energy returns. “We use every material you can think of,” Eisenberg said. “Alloys, plastics of every description, titanium, wood, aluminum, composite carbon fiber, fiberglass, a lot of elastomeric gels, and many different kinds of silicones -- we use them all in our manufacturing process“ Perhaps an even bigger technological advancement in the world of prosthetics is the use of microprocessors. “Basically, the microprocessors function in the human body like they do in computers: they do the thinking for you,” Eisenberg said. “In knees, they make the walking smoother and especially assist when the person is going down a descent. In the past a person with an artificial knee would avoid stairs, ramps or downward inclines of any kind. But not now. “Elbows with microprocessors have more speed. The accuracy with which an amputee can place a hand is more easily accomplished. The very newest innovation is called the ‘I Limb.’ In this artificial hand each finger has a microprocessor and motor. As a result it more closely resembles the action of a human hand.” A huge study now going on in the field focuses on Targeted Muscle Nerve Reenervation; in hands, fingers, and elbows , for example, there are ways to get even more information into these individual areas. Eisenberg said the study, which is being conducted in Chicago, is for all practical purposes completed and the technology should be on the market in 12 to 24 months. “All the person needs to do is think, and the limb does it. The future is now.” Why all the new technology all of a sudden? Some of it is the natural evolution of the marketplace, but the marketplace, unfortunately, is also being driven by events in the Middle East. “The last big push in prosthetics research was during the Vietnam era,” Eisenberg said. “The Department of Defense is now involved, putting money into R&D, because of all the upper extremity injuries we’re seeing over there from IEDs and other similar explosive techniques to which our soldiers are exposed.” The American Board for Certification in Orthotics and Prosthetics is the licensing board for professionals in the industry. Training for the board examinations is typically gained through postgraduate work. In spite of the difficult nature of their work, Eisenberg and his colleagues at BioTech Limb and Brace find great rewards in their efforts through the lifelong bonds they form with the soldiers and other patients they serve. “It’s just an incredible feeling,” he concluded. “This is the most rewarding career I can think of. Someone comes to you injured. Psychologically they feel they will never walk again. No amount of money can compensate for the feeling that both of you have. They love you for it. The bond is professional, but it is also personal. And since only The Big Guy upstairs can make a limb that works forever without adjustments, these bonds between us continue over the years. We truly establish relationships that last a lifetime.” T h e ACDD A d vo ca t e S u m m e r 2008 15 �pecial �eeds ESTATE Planning for F A M I L Y M E M B E R S he Wall Street Journal has accurately summarized the dilemma faced by parents of children with special needs who contemplate estate planning. It is like “trying to construct a safety net while gazing into a crystal ball.” Will my child need continuing assistance throughout his life or will he or she be able to function as an independent adult in today’s society? Where will my child live, and does he or she need a guardian or conservator? Should I disinherit my child so that he or she will qualify for Medicaid? Should I leave a greater percentage to my special needs child than to When a family member with special needs is involved, the estate his siblings? When a famplanning process takes on a new ily member with level of emotional choices. special needs is involved, the estate planning process takes on a new level of emotional choices. Feelings of fear, worry and confusion coexist with feelings of love, duty and 16 Alabama Council for Developmental Disabilities compassion. Information about government benefits may be sketchy. Too often families respond by doing nothing. Alternatively, some parents disinherit the child with special needs, hoping their other children will supplement the disabled sibling’s government benefits. A number of problems exist with this approach. The parents’ funds in the hands of the other children are subject to the other children’s (and their spouses’) creditors. Moreover, the other children have no legal duty to support their sibling with a disability. It is critical for families to assess a child with a disability’s long-term needs for assistance after both parents’ deaths. This assistance requires implementation of a flexible estate plan that preserves options and provides for decision-makers for the child’s lifetime. The first step is to consult with a skilled professional about establishing a plan and making a will. Preservation of Government Benefits. A major factor to consider is the need to preserve eligibility for government benefits. Government programs are necessary for many people with disabilities. Long-term care is expensive and can rapidly deplete a family’s finances. The child with a dis- ability may not be able to work and obtain group health care coverage. Often he or she cannot purchase private health care insurance either. Preserving eligibility for Medicaid, which provides for comprehensive medical and long-term care coverage, is vital. The key to government benefits for a persona with a disability comes with qualification for Supplemental Security Income (SSI). In Alabama, individuals who are eligible for SSI automatically receive Medicaid. Of equal importance, admittance to many group homes and meaningful work programs is often restricted to SSI eligible individuals. Indeed, a full support program, including federal housing benefits, social workers, and educational programs, may sometimes only be available to individuals who qualify for SSI. Individuals who lose SSI upon the death or retirement of a parent, and instead receive Social Security Disability, may still be eligible to retain Medicaid under Alabama’s Disabled Adult Child Program (DAC) if the child does not have resources over the minimal limit. Severe financial resource and income tests must be met for a person with a disability to qualify for SSI. An inheritance of as little as $2,000 (whether outright or in a conventional trust or custodial account) may cut a child off from SSI eligibility or DAC and other needed programs until that amount is exhausted. A carefully drafted special needs trust recognizes that the child’s government benefits are primary and directs the trustee to provide supplemental benefits for the child’s “special needs.” The trust defines special needs as those items that are not provided through public or private assistance. The trust should contain an extensive list of examples, such as payments for companions, special education programs, enrichment opportunities, transportation (including vehicle purchase), electronic equipment, supplemental medical and dental care, flexible housing options, pets, adaptive equipment, clothing and personal expenses. The beneficiary of the special needs trust must not have any control over the trust. All discretion concerning payments resides with the Trustee. The document also may specify that the trustee has the authority to obtain a court ruling that the trust is exempt for eligibility purposes, and it should allow the trustee to amend its terms to comply with future changes in the law, a change of circumstances of the beneficiary, or to change trustees. In addition, the trust should provide a continuity of management that would include either a corporate trustee or a sufficient line-up of individual trustees who are capable of providing financial management as well as guidance regarding the beneficiary’s personal care and enrichment needs. The Special Needs Trust Solution. Tailor Plans to the Special Needs. The solution for most families is a “special needs trust.” This trust, which can be set up under a will or as a separate document, functions to supplement (not replace) government benefits for which the child may otherwise be eligible. The wording of the special needs trust is very important. For example, language requiring the trustee to provide for the child’s “support, maintenance, and welfare” may cause the assets of the trust to count as a resource for benefit eligibility purposes. The Social Security Administration and Medicaid generally will view a trust with those words as a primary support fund for the child and will insist that the trust monies be depleted before the child receives government support. Another important consideration is how much of a family’s resources should be allocated to benefit the special needs child. Projections should be made of the sum required to fund the disabled child’s lifetime needs, both with and without government assistance. Parents and advisors should be educated about the nature and severity of the child’s medical condition so that the estate plan can be tailored to the child’s individual and financial needs. For example, if a child’s resources are already so large as to preclude eligibility for government assistance, or if a child’s disability is not severe enough to meet the Social Security Act’s definition of “disability,” then a variation of a conventional trust may be more appropriate. Sources of funding for the special needs trust should be considered carefully. Insurance on one or both parents may be directed to the special needs trust along with other resources of the parents. It is important to examine whether other family members plan to provide for the child with special needs. The wills of grandparents and siblings should be coordinated with the parents’ estate plan to direct any inheritance for the child to the special needs trust. A well-meaning but poorly directed gift under one of their wills could have a devastating effect upon the careful plan. While special needs planning typically involves parents of children with special needs, it may also be of benefit to children who have elderly parents, or a spouse with special needs. A child providing supplemental support to a parent with a chronic illness—like Alzheimer’s Disease—can set up a special needs trust under his will that would not interfere with the parent’s eligibility for government benefits, such as Medicaid. Similar considerations may motivate a plan for a disabled husband or wife. The goal is to create a flexible support network to be in existence for the family member with special needs following the death of his or her chief provider, and to do it in a way that maximizes all benefits that may be available—including governmental benefits. About the Author: Katherine Barr is a shareholder in the Birmingham-based law firm of Sirote & Permutt, P.C., practicing estate planning and estate administration. Her estate planning practice is heavily involved in disability and special needs planning. She was invited to become Alabama’s first member of Special Needs Alliance (specialneedsalliance.org), and is a Fellow in the American College of Trust and Estate Counsel and in the American Bar Foundation. As a Supervisory Counsel Member of the ABA’s Real Property, Trust and Estate Section, she oversees the ABA’s committees on elder law and disability planning. Ms. Barr may be reached at (205) 930-5147 or [email protected]. T h e ACDD A d vo ca t e S p r i n g 2008 17 ACDD grant Shoals citizens benefit from “We wanted the people we serve to be able to spend nine months there learning culinary skills and be able to spend time with and learn from the entrepreneurs who were there at any given time. We thought if they could learn to make teacakes or cheese straws and just general kitchen operations it might lead to employment opportunities. Plus, it would show the citizens of our area that people with developmental disabilities also have many abilities.” T ina Scott, development coordinator at The Arc of the Shoals in Tuscumbia, said some “unexpected results” from an Alabama Council for Developmental Disabilities grant is giving people from The Arc and Shoals-area residents great opportunities to learn about themselves and each other. “This grant has worked wonders for our people and our community,” Scott said. “The grant period was supposed to end in May but we requested a no-cost extension from the Council to keep it going until September. No additional funds were involved, but we wanted to keep the grant period active because we are on the verge of really breaking through with some great things.” 18 In a nutshell, the grant was developed to allow The Arc of the Shoals people to spend time at the Shoals Culinary Center to learn from up-and-coming food industry entrepreneurs about cooking foods on a large scale and about general kitchen operations with the ultimate goal of developing The Arc’s own line of jams and jellies. It has done all that, and more. “The Shoals Culinary Center is part of a larger, entrepreneurial incubation center,” Scott said. “We wanted the people we serve to be able to spend nine months there learning culinary skills and be able to spend time with and learn from the entrepreneurs who were there at any given time. We thought if they could learn to make teacakes or cheese straws and just general Alabama Council for Developmental Disabilities kitchen operations it might lead to employment opportunities. Plus, it would show the citizens of our area that people with developmental disabilities also have many abilities.” The Arc people were, in fact, able to learn at the culinary center and learn from local entrepreneurs. But, as is often the case with great adventures, “unexpected results” led to something even better. “We originally thought if this worked out we would rent space in the culinary center,” Scott said. “As it turns out, we were able to gain local support for what we were doing, and we got additional support from The Arc’s Board of Directors that has enabled us to renovate our existing kitchen at The Arc of the Shoals and turn it into a commer- cial facility that meets health department codes. We are in the process of doing that now. We have some great plans for what we can do, and believe local support will enable the ACDD grant to become selfsustaining.” Scott said they are learning as they go. For example, jelly-making has its own complicated science, and you can’t just take Granny’s old recipe, multiply the ingredients by a factor of ten, and produce 100 units instead of ten. Dr. Jean Weese of Auburn University’s Agricultural Extension Service is working with The Arc on a scientific breakdown of the product and certifying that it has the right acidity and texture so the product can indeed be taken to an industrial production level. “This delayed us, but it’s a necessary part of the learning curve,” Scott said. “No one knew this was going to happen. It's another ‘unexpected result’ that is ultimately going to turn into something good. It has given us time between studying at the culinary center and gaining the confidence it requires for us to do this on our own.” “In addition to making our products for sale, we also hope that in the same kitchen we can produce lunches for the clients and staff members here at The Arc. We are in a bit of an isolated area so we are looking at that and maybe even trying to find a way to take orders and do lunch take-out orders. This would provide yet another opportunity for the community to see our abilities. We are really just open to anything we can do to give our people ways to work and be part of the community.” Meanwhile, people participating in art programs at The Arc are developing other items like hand-painted trivets to go into gift baskets. Individuals in the program are also making local contacts as part of developing a marketing plan. They are trademarking the products as “Y’alls Southern Sensations.” “Another class taught us about horticulture, and we’ve planted our own peppers here at The Arc to use for the pepper sauce,” Scott said. “And much like the way funds for the kitchen renovation came about through local support, we were also fortunate to acquire a large greenhouse that will allow us to grow our own pepper plants on a much larger scale. One good thing has led to another. It’s funny how things tie in together, but that’s what happens when the community is able to see peoples’ abilities and enthusiasm. People want to be part of a good and positive thing.” In addition to fruit jams and jellies and sweet pepper sauce and hot pepper sauce, indivudals involved in The Arc’s work center have been producing screenprinted items such as t-shirts and aprons. All of these items, along with the group's existing cookbook and a lotion mix developed by The Arc's group homes, can go into the gift baskets that the Arc will sell directly and through local gift stores. “Instead of trying to do this on a Wal-Mart type scale, we want touse local businesses so the whole thing will have a low-scale production and local flavor instead of being commercial and generic. People like to send gift items that reflect the local area they live in.” “At our recent Music In The Park event and especially at the W.C. Handy Blues Festival our folks set up tables and gave people taste samples of what they have been doing,” Scott said. “We asked for peoples’ opinions after they sampled the food and we got a great response. They rated the prod- ucts and we learned that the pepper sauce is the big one. People loved it. For those who like things really hot and spicy it was a little sweet, so we have also developed a ‘super hottie’ for those who like to ‘bring the heat.’ This kind of direct marketing gets people excited and is a wonderful way to share with the community what people can do. It's another way to focus on abilities.” Scott feels very strongly that the ACDD grant money has made a very positive impact. “Oh my gosh!” she exclaimed. “You want to talk about positive outcomes! This initial seed money will live on for years to come. It has helped our folks determine if they want to go into food production, gardening and horticulture, marketing, or many other areas. It has enabled them to determine where their strengths are as far as the many facets of this project go. And, of course, it has done wonders in helping us do what we try to do every day: show people our abilities instead of focusing on disabilities. And besides all of that, it’s just a lot of fun for everyone involved. I feel like this grant was a great success, and will live on and on and make help make our community a stronger place.” “You want to talk about positive outcomes! This initial seed money will live on for years to come. It has helped our folks determine if they want to go into food production, gardening and horticulture, marketing, or many other areas. It has enabled them to determine where their strengths are as far as the many facets of this project go. And, of course, it has done wonders in helping us do what we try to do every day: show people our abilities instead of focusing on disabilities.” T h e ACDD A d vo ca t e S p r i n g 2008 19 New Council Members Joe Eversole Charlie Jordan Joe Eversole lives in Pelham and is retired after more than 25 years as a counselor/ supervisor with the Alabama Department of Rehabilitation Services. He spent time in his career as the agency's liaison to University Hospital and later became a Birmingham Area Unit Supervisor and Office Administrator. “Since retirement I have been teaching a master’s level program for rehab counselors through San Diego State University and the University of North Texas. I am also involved with a local chapter of an organization (AMBUCS) that raises money to provide therapeutic adaptive tricycles for children with developmental disabilities. So far we have given away over 150 such trikes. It is truly a great feeling to see a kid be able to ride and have mobility for the first time ever.” Eversole himself was born with cerebral palsy, and he said he would have had stronger legs and have developed better balance and mobility if these trikes had been available when he was young. With his extensive background Eversole was already generally familiar with the work of the Council but is particularly interested in the grantmaking process. He said he likes to see money go to applied, practical projects such as employment programs for young people with developmental disabilities. He also feels that the extensive contacts Council members have in the various communities will help him identify children who might benefit from the therapeutic trike program. “Being on the Council enables me to learn, and increase my involvement in the community, so it’s a great natural fit. I look forward to continuing involvement with the Council.” Originally from Tennessee, Charlie Jordan (pronounced JUR-den) is a new Council member. He became interested in developmental disability issues when his son Andy, who turned 30 last month, was born with Down syndrome. "When Andy was young we would cheer for his brother and his sister at their ball games," Jordan recalled. "Andy always asked us, 'When do I get my uniform, so they can cheer for me?' Through the Exceptional Foundation in Birmingham Andy was able to become involved in recreational and social experiences that were really great for him and for our whole family." Jordan said Andy's schools did a great job for him academically, but that as the children grew older his friends began to separate and go on to other things in life. "He was in the high school band, and they got to play at Carnegie Hall, and he had lots of positive experiences, but his after school social scene was limited. This became even more prevalent after he got out of high school. For Andy, the Exceptional Foundation is the way. Instead of three or four friends in school, he is now surrounded by 200 friends. So now, after all, we can go and cheer for him just like he always wanted." Jordan was nominated for Council membership by the Exceptional Foundation. "Parents of kids with disabilities all too often do not know where to go," Jordan said. "Here, within the Council, knowledge is abundant. It's a great place for resource dissemination. When a child is born with a disability it is traumatic for the parents. They need resources. And this is especially true in smaller communities. I want to help the Council take the collective knowledge it has, and find ways to spread this knowledge to the community." 20 Alabama Council for Developmental Disabilities Joe Kemp Lewis McAllister A Leeds attorney with a general civil law practice, Joe Kemp is a recent Council appointee. He became interested in disability issues when his daughter was born with Down syndrome on May 20, 2006. Kemp, who has been active in Republican political circles, was sought out to suggest nominees for a Council opening. He obliged and made some suggestions. As it turned out, Kemp himself was asked to take the spot and he gladly did so. “This (the annual meeting) is my second Council meeting,” he said. “I was at last quarter’s meeting in Montgomery. I enjoyed meeting the other Council members and look forward to learning more about the Council’s work.” “My particular interest is in the area of early intervention,” he said. “Also, as an attorney, I want to see more work being done with estate planning for people with disabilities. There are really a lot of issues associated with that. A congressman in Florida right now is trying to pass a law to create a 529 plan so families can have access to money when they need it. A grandmother, for example, may have unique needs to care for her special needs granddaughter, but because of restrictive laws cannot access the money necessary to do what she needs to do. So that is a unique area that I believe has lots of room in which we can work.” In terms of early intervention, Kemp particularly feels the need to have early intervention services available in more communities. “Here is Birmingham we have the Bell Center, but what about people in Anniston or Mobile? There’s a lot of time and expense involved in travelling so far, so we need to look at more community services.” Kemp said his wife is fond of horses and would maybe someday like to become active in therapeutic riding (see ACDD Advocate Vol. III, No. 1 for more on equine therapy). As Executive Vice President of Coral Industries in Tuscaloosa, Lewis McAllister is involved in sales, management and manufacturing of the company’s line of shower doors, tub enclosures and related products. As a new member of the Alabama Council for Developmental Disability, McAllister wants to take the knowledge he has learned in business and in his personal life to “make the world a better place.” “I was involved in a three-wheeler accident t when I was 18 years old,” McAllister said. “As a result I lost the use of my arms and legs and have been a quadriplegic since that time. Along the way I have become older and wiser. I have a wife and two children and this helps me keep things more in perspective.” McAllister’s family has long been involved in Republican politics. “My father was the first Republican elected to the Mississippi legislature since Reconstruction,” he said. “And now that Governor Riley has asked me to serve on the Council I want to take my past experiences and help in every way I can.” McAllister’s main focus is on research and development. “When you live with a disability there is either improvement or a cure. There are cures for some disabilities, others have no cure. So, I am interested in seeing the Council focus on improving the lives of people with disabilities. There is a lot of diversity and experience on this Council and I want us to use that experience to make the world a better place.” T h e ACDD A d vo ca t e S u m m e r 2008 21 Department of Public Health program strives to get Alabamians prepared T he mission of the Alabama Department of Public Health is to serve the people of Alabama by assuring conditions in which they can be healthy. In the past several years, the Department’s mission has evolved to also include ensuring that the state and its citizens will be able to respond effectively during emergencies. Significant strides have been made to accomplish this mission. Alabama achieved “green status” for its level of preparedness to receive the Strategic National Stockpile, which is a special stockpile of drugs and supplies which would be shipped by the federal government to the state if requested following an act of terrorism or other large-scale event. More than 2,000 pharmacists, nurses and social workers have been trained to deploy the stockpile. The Department has also worked with statewide partners to address the needs of the special population communities, including those persons who are blind, deaf, physically impaired, and those persons with cognitive/developmental disabilities. This includes creating a Special Populations Task Force and developing materials, including booklets and Braille documents, specifically targeted toward those in the state with special needs. These materials have been distributed statewide in partnership with various agencies that work with special needs groups. With Alabama in the hurricane season, one recent goal of the Department is to encourage individual preparedness. 22 Alabama Council for Developmental Disabilities es pack Get 10 suggests famili l items: the following essentia One of the ways the Department is doing that is by launching the "Get 10" campaign. Get 10 offers a simple plan on how to accomplish one key component of preparedness- creating an emergency preparedness kit. The plan lists ten essential items that all families need in their emergency preparedness kits. “We are asking all Alabamians to join us in preparing. We want to be ready both individually and collectively as a state,” said Andy Mullins, director of the Center for Emergency Preparedness at the Alabama Department of Public Health. “Taking the first step to preparedness is sometimes the hardest,” said Mullins. “But, once families get started they will find that preparing is not as difficult as they thought, and the benefits are enormous.” In addition to creating an emergency preparedness kit, families should also take other precautionary steps such as learning about basic injury and disease prevention. And, to ensure that everyone gets out of danger safely, create a family preparedness plan that includes routes for escape and emergency contact numbers. For more information about Get 10 and emergency preparedness, please visit the Alabama Department of Public Health’s Web site at www.adph.org/Get10. per pply; at least one gallon 1. Water - a two-week su ing pets person per day, includ ch person, - a two-week supply for ea 2. Non-perishable food including pets there is al one that can be used if 3. Can opener - a manu no electricity none both prescription and 4. Medications - includ ons prescription medicati , gloves, should include antiseptic kit is th kit aid st Fir 5. d a thermometer bandages, masks an s r to include extra batterie 6. Flashlight - remembe io with a io - consider buying a rad 7. Battery-powered rad weather alert feature ar and s and shoes - pack rain ge ck so , ing th clo tra Ex 8. ent weather outerwear for inclem ne items include cleaning and hygie ms ite e car l na rso Pe 9. of these s - keep electronic copies 10.Important document /memor y stick. as well on a flash drive T h e ACDD A d vo ca t e S u m m e r 2008 23 Preparing for Mobile ILC Works with ACDD, Distributes Kits to Residents Since these landmark hurricanes, people realize that they must have their own plan. Our local officials cannot protect every individual. We must take on the responsibility for our own safety. 24 In recent years, emergency preparedness and hurricanes have taken on a new meaning for people along the Gulf Coast. Names like Ivan, Katrina and Rita have become household words. Before that time we marked June 21st as the beginning of summer, now we also mark June 1st as the beginning of hurricane season. In 2006 the Independent Living Center, in collaboration with the Alabama Council for Developmental Disabilities (ACDD) initiated a program to help people with developmental disabilities learn about and prepare for disasters. The program was presented to individuals in the seven counties served by the Independent Living Center of Mobile (Baldwin, Clarke, Choctaw, Washington, Escambia, Monroe and Mobile counties). ILC stressed the importance of having adequate medication and personal supplies for at least three to five days. Other items included contact information and important papers. We also shared information that suggested identifying family or friends that live outside of the immediate area to stay with until the crisis is over. In addition, “Hurricane kits” were distributed. These kits consisted of easy to handle rolling suitcases filled with items necessary for individuals to evacuate from their homes to a shelter. Items included: pillow, blanket/ throw, first aid kit, pencil and pad, whistle, weather radio and batteries, can opener, and other related items. The response from this program was great. Alabama Council for Developmental Disabilities This year, through a grant from the Alabama Department of Public Health, the Independent Living Center of Mobile has been able to expand this program to include people with various disabilities in those seven counties. After a recent segment on a local Mobile TV station, the Center had an overwhelming response to the program. People with disabilities and families are now starting to think about how to evacuate and to make a plan. Since these landmark hurricanes, people realize that they must have their own plan. Our local officials cannot protect every individual. We must take on the responsibility for our own safety. Mobile County has developed a Special Needs Registry. It is a voluntary sign up for individuals needing assistance to evacuate their homes and who have no other means of doing so. The registry is not only important for hurricane preparedness, but other crises such as chemical spills, fires, and other disasters that would require evacuating individuals to safe areas. In the case of hurricane evacuation, individuals would call into a designated agency to arrange a ride to a shelter or staging area for transportation out of the affected area. Counties are developing medical needs shelters for individuals with medical needs that would not require hospitalization. In the case of mandatory evacuation of the area, the county along with the Alabama Department of Public Health will identify medical needs shelters outside of the crisis areas. Counties are also registering medical personnel that would be available to assist in these shelters. Because of the impact of these disasters, we have made great strides in disaster preparedness in our communities. There is still tremendous work to be done, but with collaboration of our agencies as well as local and state governments we are striving to educate our consumers and to be better prepared. Prepared by Barbara Hattier, Independent Living Center of Mobile BringsCause Autism Societ y of A l aba ma to Forefront By Melanie Jones W ith autism affecting one in every 150 individuals and as many as 30,000 people in Alabama, this six letter word has become a talking point in the media, legislature, neighborhoods and households alike. If you don’t know someone with this disorder, chances are you soon will. This is one of many reasons the Autism Society of Alabama is passionate about making this cause known, voices heard, and bringing changes to the forefront. The Alabama Autism Task Force, now in its second year, is responsible for making recommendations to the Alabama Legislature. Task Force meetings are open to the public and meeting minutes are posted on the Autism Society of Alabama’s website (www.autism-alabama.org) after each meeting. Subcommittees of the Task Force include: Early Diagnosis and Screening, chaired by Dr. Hanes Swingle; Interventions (0-5), chaired by Dr. Elizabeth Griffith; Interventions (6-21), chaired by Mr. Jim Wrye; Interventions (Adults), chaired by Mr. Joe Carter; Medical/Healthcare, chaired by Dr. Bama Hager; and Systems of Care, chaired by Dr. Jennifer Sellers. Strong parent representation is essential in these work groups; please consider attending a meeting. For more information, contact Jennifer Muller, Executive Director of the Autism Society of Alabama, at (205) 383-1674. In addition to supporting positive change for autism in Alabama, the Autism Society continues its mission: to improve the quality of life of individuals with autism and their families through education, advocacy and support. Currently, there are 18 support groups in cities across the state: Shelby County Parents Educating Parents, Huntsville Making Connections, Cullman, Montgomery, Graysville, Jasper, Biomed 4 Autism, Prattville CAAST, Gadsden/Etowah, Glenwood Adults with Asperger Syndrome, Dothan FASE, Baldwin County/ Fairhope, Hartselle/Decatur, Monroe County, Lanett/Chambers County, North Alabama Chapter, Mobile and Florence. These support groups are led by volunteers and have monthly meetings with a variety of topics. Contact us if you’d like to learn more or become part of one of these groups. Since March of this year, the Society has received over 300 calls for information and referral. Calls vary, but usually assistance with a new diagnosis is needed according to Jennifer Robertson, the Society’s resource coordinator. Scheduling an evaluation, seeking social skills groups, to IEPrelated questions are some of the concerns for which parents seek advice. Jennifer may be reached at (251) 259-5553. Our Family Fall Camp is in its third year and has become an enjoyable experience for campers ranging from age six to 18. The Autism Society offers this program at no charge for the affected child and one parent at Easter Seals Camp ASCCA on beautiful Lake Martin. The camp offers a traditional setting with the supports needed for success. Family Fall Camp is scheduled for September 19 – 21. More information is available by calling Anna Bloom, Program Manager, at (205) 383-1673. FUN-raising events have also created much excitement in communities across Alabama. To commemorate Autism Awareness Month in April, Walk for Autism took center stage in Auburn, Alex City, Ashland, Birmingham, Cullman, Decatur, Dothan, Huntsville, Mobile, Montgomery, Sheffield and Tuscaloosa. Donations received from the statewide effort totaled $210,000, and over 2,000 volunteers participated. Other events included the Montgomery Crawfish Boil, Anderson Angels for Autism Golf Tournament, Lexington Rockin’ for Autism, and the Graysville Giant Yard Sale. On August 16th the Autism Society of Alabama and its Board of Directors held the 11th Annual FROG Affair. Why FROGS? For Research, Outreach and Giving Support to the autism and Asperger syndrome community. The frog-themed event takes place in Birmingham. Proceeds are used to send kids to camp, provide funding for programs and conferences, enhance the lending libraries, update information packets, provide scholarships for parents to attend workshops, and much more. For more information on this annual event and how you can participate, contact Melanie Jones, Development Director, at (205) 383-1675. T h e ACDD A d vo ca t e S p r i n g 2008 25 Polymaker A Series on Profiles Miriam Witherspoon Birmingham City Councilwoman makes City Hall accessible A “I really loved it there. I was president of my freshman, sophomore and senior classes, and I graduated with degrees in Political Science and History. My junior year I was able to co-op at the National Archives n Washington, D.C.” After taking a year off, Witherspoon enrolled in Myles Law School. “During law school I took a break and went to visit a friend in Atlanta,” Witherspoon recalled. “I was in an automobile accident there and suffered a spinal cord injury. I began my rehab at the Rotary Rehab Center in Mobile but soon came to Birmingham to the Spain Clinic. My back felt like crumbled bricks, but it just never occurred to me that I wasn’t moving my legs. When my mom asked at Spain if I would ever walk s a girl growing up in Mobile, Miriam Witherspoon always worked hard to be the best. And she wasn’t afraid of stepping out into new roles. A role she never would have envisioned for herself was becoming a City Council member and Council President Pro Tem for Alabama’s largest city. Nor could she have imagined that she would do it as a paraplegic. “My father was a truck driver for Roadway and my mother was a principal in the Mobile County School System,” Witherspoon said. “Education was always the top priority in my home.” As an honors graduate from Toulminville High School (now LeFlore), Witherspoon was awarded a music scholarship at Mobile’s University of South Alabama but she wanted to see a bit of the world. She chose instead to take a scholarship offer from Huntsville’s Alabama A&M University. 26 Alabama Council for Developmental Disabilities again it was a total shock. I had never even considered that possibility.” Witherspoon said she developed a very negative attitude, asking the same question asked by countless young accident victims: ‘Why me?’ “My attitude was basically negative,” Witherspoon said. “My mom wanted me to just give it up and come home with her. A turning point for me came when a young man came into my room and asked if I wanted to see a movie. He was a walking quadriplegic; he had broken his neck diving into shallow water. I told him no. He just said: ‘I wish I could change places with you.’ I said, ‘But you can walk.’ He replied, ‘But that’s all I can do.’ And then he turned around and left. I never saw him again but wish I could. I realized I had so much left in my life. The next day I told the rehab staff that I was ready to get to work. I said to them, ‘Teach me.’ And they did.” After a lot of hard work and even more soul searching, Witherspoon was released from Spain in a body cast. She returned to law school but didn’t want her old friends to feel uncomfortable. “I got to class early on that first day and realized that our classroom was not accessible. Very little was accessible in those days, in fact. So we had class on the bottom floor and I sat on the front row just like I always had. The instructor welcomed me back and I accidentally dropped my pencil. Everyone in the class jumped up to get it! I shouted to them, ‘You never did that before!’ The ice was broken by that, and from then on it was a lot like old times.” Since Witherspoon had been gone for ten months she was in with a new group of students. They had not known her before she began using a wheelchair so they just took her for who she was. She graduated second in her class and passed the bar exam on her first try. In her first several job interviews employers focused on her wheelchair and accessibility problems (which is now illegal) and Witherspoon really struggled to find someone who would hire her for her abilities. After several very painful interviews and rejections, she surprised herself by beating out several experienced lawyers to get a job assisting attorney Mike Ballard who had won the Jefferson County Senior Citizen contract. She was assisted in this placement by her former Constitutional Law professor Carole Ann Smitherman, to whom Witherspoon says she will be forever grateful. Witherspoon was a natural fit for the program. She reached out into the community, going to churches and neighborhoods “My attitude was basically negative,” Witherspoon said. “My mom wanted me to just give it up and come home with her. A turning point for me came when a young man came into my room and asked if I wanted to see a movie. He was a walking quadriplegic; he had broken his neck diving into shallow water. I told him no. He just said: ‘I wish I could change places with you.’ I said, ‘But you can walk.’ He replied, ‘But that’s all I can do.’ And then he turned around and left. I never saw him again but wish I could. I realized I had so much left in my life. The next day I told the rehab staff that I was ready to get to work. I said to them, ‘Teach me.’ And they did.” Witherspoon with her City Hall colleagues, Earnestine Williams, Jose Perry. T h e ACDD A d vo ca t e S u m m e r 2008 27 Council member Brown goes way back with Witherspoon ACDD Council member Vivian Brown met Miriam Witherspoon several years ago when they were both role models at the Spain Rehabilitation Clinic. They mentored those people who were new to the clinic, just coming to grips with the fact that they must learn to live with a disability. “She was still in law school in those days,” Brown said. “But we just hit it off right away. She is very intelligent and it was obvious even then. She is a good speaker and she especially has a good sense of humor. She tries to see the good side of things. Really I’d just have to say she is just good with people.” Brown mentions several other characteristics: Formidable. Hard-working. Upbeat. Tenacious. Focused on goals. “She has a good reputation around Birmingham, and a lot of people admire her for making the Council and City Hall accessible for people with disabilities,” said Brown, who also uses a wheelchair. “We go out and have fun together. We go to plays, go to dinner. But when we’re out on the town accessibility is always an issue. Miriam helped that change that at City Hall. We’re trying to do it on a larger scale at the ACDD.” 28 and wherever else she needed to in the community. In 2005 she won go to meet her clients. She said – the only non-incumbent to win she was seeing 5,000 clients a year, without a runoff. helping them with housing issues, “Mine is the largest district in the drafting wills, whatever her mostly city in terms of land,” she said. “Our low-income clients needed done. growth opportunity is almost unShe also in 1989-90 won the Miss limited. It’s a wonderful district. But Wheelchair Alawhen I was elected bama title, beI found I had a few coming the first She graduated second obstacles to face beAfrican-Amerifore I could work for in her class and passed can woman to my people.” the bar exam on her do so. WitherThose obstacles first try. In her first spoon was on were mostly about several job interviews a roll. how to access Biremployers focused on “I had begun mingham’s City transitioning Hall. The beautiful her wheelchair and into my own downtown buildaccessibility problems private practice ing, across from (which is now illegal) at night, after Linn Park, was comand Witherspoon working all day pletely inaccessible really struggled to find with the senior to people in wheelsomeone who would citizens,” she chairs. said. “The pro“As far as I know I hire her for her abilities. gram got a new am the first City Hall administrator, employee ever to Linda Vice, a very attractive white use a wheelchair. This building was lady. I had about decided to go completely inaccessible. I mean into private practice full-time when completely. There were so many Ms. Vice said she heard I was leavviolations in the building it was ing. She just asked me one quesunimaginable. Mayor Kincaid was tion: ‘What will it take to keep you very nice and accommodating, as here?’” was the city engineer. Everyone got Witherspoon worked well with together and said to me: ‘What do Vice, and expanded the program you need?’Well, we needed everyby opening up a satellite office in thing.” Brighton. She eventually was able There was no lift, no accessible to hire another attorney who was a bathroom, no automatic doors, no former student (Witherspoon had wide halls. The Council dais was been teaching nights at Myles Law so narrow she couldn’t get in. And School)and a policeman. there was certainly no way to get “I knew I was getting ready to up the narrow marble stairs to the leave that work, partly because Ms. Council chambers and offices on Vice was leaving,” she said. “I needthe third floor. ed to get someone in who I trusted, “That’s all changed now and I to whom I could teach about my am very at home,” Witherspoon templates and how to do a good said. “I now am able to focus on job, and especially someone who my job, though it’s good to know would love our people.” that those who come after me will With her health deteriorating have a better time of it. This is not from so much work, Witherspoon a job you enjoy, but one you must made a run for City Council. She be committed to. It’s about advowas defeated, and managed her cacy, improving the quality of life private practice for the next four for your constituents. I have always years while continuing to network been a community person and Alabama Council for Developmental Disabilities Alabama APSE celebrates ten years, recognizes ACDD now I can do that on a larger scale. My reward here is to see people transform their attitudes – I want people to see abilities, and not disabilities.” “That’s all changed now and I am very at home,” Witherspoon said. “I now am able to focus on my job, though it’s good to know that those who come after me will have a better time of it. This is not a job you enjoy, but one you must be committed to. It’s about advocacy, improving the quality of life for your constituents. I have always been a community person and now I can do that on a larger scale. The Annual Alabama Association for Persons in Supported Employment (AL-APSE) conference was held June 11 – 13, 2008 at the Marriott Renaissance Hotel in Montgomery. This year’s conference theme – “Employment for All: A Winning Platform” – provided excellent training opportunities for the more than 225 attendees, who were also able to join Alabama APSE in celebrating ten successful years as a state chapter of APSE. One of the many highlights of the conference was the Autism mini track. Michael Chapman, Director for the TEACCH’s Supported Employment Program, provided practical insight for agencies faced with the challenges of seeking employment for individuals with Autism Spectrum Disorders. Keynote speakers included Chris Davies from Minnesota who encouraged the audience to think positively and to “live where you are,” while Kent Radar closed out the conference with humor as he explained the importance of laughter in our lives. A special highlight was the annual awards presentations. Winners were recognized from across the state in multiple categories. Following the presentations, a reception was held honoring the winners. Attendees enjoyed delicious food, along with karaoke and dancing. Birthday cake and ice cream celebrating AL-APSE’s ten years added the finishing touches to the event. AL-APSE President Byron White selected the Alabama Council for Developmental Disabilities (ACDD) as the recipient of the President’s Award. Alabama APSE has received tremendous support from ACDD over the years and this support has enabled the organization to achieve many of its goals. Myra Jones, executive director of the ACDD, accepted the plaque on behalf of the Council. The 2009 conference is tentatively set for June 24 -26, 2009 back in Montgomery. T h e ACDD A d vo ca t e S p r i n g 2008 29 Let Us Hear from You! Go to our website and click on Contact Us button Read all about us! Go to www.acdd.org and click on Publications Get on our mailing list! AL Alabama Council for Developmental Disabilities ABAMA VEL DI OR SA BI L IT I E S C O U N CI L F DE OP ME NT AL RSA Union Building 100 North Union Street P.O. 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