Showing posts with label inclusion. Show all posts
Showing posts with label inclusion. Show all posts

Inclusion Denied in West Virginia

(Reposted from 9/16/15 on a defunct part of the site)

In West Virginia, a young man with Down syndrome is being told he can't attend the inclusive school near his house

It all started when Roy's parents noticed he was becoming more disinterested in school while attending Magnolia High School during his freshman year.
In Wetzel County students with "severe" special needs are to be placed at Magnolia, regardless of where they live. The Stevens family lives within the territory of Hundred High School, but the school system believes Magnolia is better equipped to deal with students with special needs.
Magnolia is about an hour drive away from the Stevens' home.
Last year Roy's family was granted a temporary reprieve, which allowed him to attend Hundred. At the time, Roy was having trouble getting up early enough to catch the bus to Magnolia. His family said he ended up missing school on quite a few occasions, despite his flexible attendance schedule. Karen would take Roy to school later in the day on some of these occasions, which was two hours round-trip.
While attending Hundred High School, Roy flourished. He attended more than half of regular education classes, performed hands-on work, and joined clubs and activities, including the school band.
"He made so many friends, and now, when he sees people in town, his friends know him, they're not afraid of him, they tell their parents about him, and their parents know him," Karen said. "And as Roy transitions into adulthood, that's the greatest thing for him where he lives."

Every time you read a story about a child being denied a FAPE in LRE (Free and Appropriate Public Education in the Least Restrictive Environment), remember there are lots more people like Roy being denied as well. 

West Virginia - Wetzel County anyway - is structurally designed to make a less independent, less included, adult population. 

We've got to fight that. 

Is Church Only for the Neurotypical?

In America, an English-language Jesuit magazine, Mary Berth Werdel (a prof at Fordham) has a powerful essay about church and her autistic son. She begins with diagnosis and all its complexities, a story I've heard many times from many parents (which doesn't make this story less important or well-written!), but I really want to focus on the church issues.
In times of stress one often turns to faith for guidance. But my connection to organized church was struggling. Peter could not handle the stimulation of church. When it came time for the bells to ring during Mass, Peter would cover his ears and scream. In an attempt to help Peter understand the bells, the pastoral associate let him touch them after Mass. But the next Sunday the fear response was the same. One thing was clear: The bells I heard in my ears were not the same sound Peter was hearing.

So we bought Peter a headset he could wear during Mass. It was not plugged into anything but something to dull the senses. We had many looks of disgust from parishioners who I can only assume thought Peter was listening to an iPhone. But I was not going to let other people’s unawareness keep my family from Mass; Peter’s fear, maybe. One Sunday we were in the car on the way to Mass when Peter started screaming, “Mommy do you have my headset?” On a scale of 1 to 100, his anxiety at that moment was a 99. I was forced to reflect. What was I doing? How is Mass helping Peter? What place of horror and fear is he associating with church? What was he learning about his parents and their ability to keep him safe? What was I really asking of him?
First, there's the headphones and the states.  I also noticed a similar situation in this piece on Judaism and special needs.
 My own family left the first synagogue we joined because we felt unwelcome bringing a baby to Shabbat services (we got narrow-eyed old-lady hissy faces if Josie so much as clucked) and no one welcomed us to the cliquey family service. I can only imagine how much less welcoming the shul would have felt to a family who had an older child with special needs. In our current shul, however, such families are welcome, and the general vibe is infinitely more inclusive. Embracing difference benefits all Jews, not just Jews with disabilities.
Notice how the headphone issue and here the description of the "clucking" are both about using hostile stares to reinforce social norms, norms to which these children cannot conform. That's the kind of microaggresion I wrote about for the New York Times. These little pains hurt, when stacked on each other.

Second, though, and back to Werdel, is the significant evolution of her thinking. She moves from trying to make it possible for her son to do the things she finds important, to trying to see the world through his eyes. This is vital and so hard.

Werdel ends with a plea for inclusion:
I no longer pray for normalcy. I am starting to believe that praying for and including that term sets up a system that by its nature demands exclusion. Instead I pray that Peter and I will grow more relational. I want Peter to feel love and express love. And I pray that one day Peter and others like him will be met by a living church that meets all with relational community and unconditional love.
I always like to talk about inclusion, not same-ness. That's the pathway forward for churches that want to do better, and of course there are many people in all faiths who are, in fact, trying to do better.

In the meantime, though, I leave you with this: If your church is not explicitly and pro-actively (not reactively) inclusive, it is betraying any claims to universality.

Inclusion, not Same-ness: Walgreens and the Disability Cliff

Over the last few months, I have been focusing more on "the cliff," which is a way some disability advocates refer to turning 22 in our system. Until then, special education provides support for school, training, and even certain kinds of therapies and other activities throughout a child's life. At 22, nothing. Work is hard to find. Programs are rare and expensive. Many kids just go home to their parents house or, if not possible, into a home, and that's that. They've fallen off the cliff.

But lots of people are working to change those realities, in all sorts of ways, and I am writing about some of them (including a piece on college to be published in August or September for the Chronicle).

Various people in the business world are trying to help. Here's a really great story, but not in the casual rah-rah inspiration way, about the former head of operations at Walgreens and his attempts to hire more people with disabilities at the stores and their distribution centers (the goal was 1 in 10 with disability). Randy Lewis is the father of a son with autism and his goal was not just to do what many retail stores do - hire people with disabilities to clean and move shopping carts and the like (which is fine, but not all that's possible), but rather:
Walgreens had previously employed disabled people to do “ancillary rather than mission-critical work”, cleaning for example, but Lewis wanted to do something more. “We wanted an opportunity to bring people in as our own employees,” he recalls. That opportunity came with the building of a new distribution centre; larger and more automated than any the company had owned before. Lewis’s mission was to use that centre to allow the company to hire greater numbers of people with disabilities. It is now Walgreens’ most efficient site, and 40% of its workforce is disabled.
Similar buildings have opened around the US, but Lewis says although automation has helped, it isn’t the true reason why hiring people with disabilities has spread throughout the company. “The automation is what gave us the courage to do something different,” he explains. “It didn’t make it happen, it made us believe it could happen. We could do this anywhere.” 
 Lewis had a vision. I am so skeptical of corporate mentalities, the kind of breathless lauding of business "visionaries," and other aspects of the way media talk about folks in the corporate world. And yet:
We never lost sight of the fact we are a business, not a charity: this had to make business sense,” stresses Lewis. “We had to hold everyone to the same standards and have a completely inclusive environment. When I presented it to the board, I said this was going to be the most expensive building we had ever built, which they didn’t like, but I said it was also going to have the best ROI, be the most efficient and be built in such a way that one-third of the workforce would be disabled.” The board had one question: ‘What if it doesn’t work?’ Lewis’s response? “If it doesn’t work, we’ll readjust. That’s what we do in business all the time: make mistakes, learn from them and move on. We didn’t say: ‘We’re going to have great performance or hire people with disabilities’; We said: ‘We’re going to have great performance, we’re going to have a positive impact on the community and change the workplace for everybody.’”
The piece continues like this and is worth reading, just to get a sense of the possible and how to talk to folks in business about employment.

One of the things I really like about the piece is that a number of Lewis' statements embody the concept that I call "inclusion, not same-ness." Inclusion requires creative thinking, it requires seeing possibilities that emerge from changing what we consider "normal," it involves letting people do things that you might not let another do. Often, unexpected benefits follow.

For example:
“We haven’t found a disability we can’t employ, because everything is on a spectrum,” says Lewis. “We have one person with epilepsy who has 17 seizures a day. He wears a helmet and people know to make sure he’s in a safe place when he has an episode. He couldn’t find a job until he came to us.”
This inclusivity has had a positive impact on engagement. Whenever a new piece of technology is implemented in a distribution centre, Walgreens expects some disruption, so with this high level of automation, it was expected things would go wrong. They did, and from July to November everyone in the centre was working overtime and Saturdays. “The preconception we had about people with disabilities is that they wouldn’t be able to be very flexible or work overtime,” says Lewis. “But when I went to talk to the team members, they only had two questions: ‘how are we doing?’ and ‘what can we do to help?’ That’s when I knew we had a special building.” 
 A helmet. A community. And a man has a job. Here's another piece.
Safety costs were also lower for people with disabilities. “Fears about more accidents had come up, but we found deaf forklift drivers – who many companies won’t hire – are twice as safe as someone who can hear,” says Lewis. “If I could give everyone a piece of advice, it would be to put plugs in the ears of their forklift truck drivers.”
Deaf-ness as advantage. And what I like is that these advantages are not predicated on disability as a superpower (the Rain Man phenomenon), but just be opening one's mind to the possibilities of inclusion.

So cheers to Walgreens (for all it's fleeing America to avoid paying taxes, 2 years after begging tax breaks from Illinois).  May other companies follow in its wake.

Tale of Inclusion: Down Syndrome and Violence at the Play Area

Yesterday I got a comment on another post from a parent who ended up on my blog. The short version is that at a public play-place her son was hurt by a child with DS and she didn't know what to do about it, because how can you blame a child with DS for anything? I offer the comment in full and then my response. 
I need advice. I have a four-year-old son who does not have Down Syndrome. Today, we went to a restaurant that had a play area. My son is big (tall and muscular) for his age, and I've always been worried about his playing in the play area there in fear that HE might hurt someone. Today at lunch he came screaming and crying out of the play area. It took five minutes to calm him down to the point to figure out that another child hurt him.
At this time, I saw a mother enter the play area and then come back out (by herself) but look at me as if I were a horrible parent because my child is screaming in the restaurant. So, after I finally calm my son down enough to find out that another child pinched him on the cheeks hard (and also I later found out from another child that the same child had first hit my son on the chin...and on the way home discovered that the child had pulled my son's legs out from under him), I decided to go find the child, explain to him (possibly not in the nicest tone of voice) that hurting my child is not acceptable, and then tracking down the child's parents (by the way...the woman who stared my child and me down for my son's screaming was the boy's mother and she knew what he did and still did nothing to stop the child) to explain to them that their child's behavior was unacceptable...it turns out the child had Down's. The one who violently hurt my son.
Of course, I couldn't take action against the child or the parents, but how do you explain to a four-year-old who only understands that he was hurt for no reason? (By the way, my son did not behave with aggression to the child. Several other children and the parents who were sitting in the play area--the only reason I was not in there physically was because there was no more room for parents--substantiated that the other child turned violent toward my son for no reason.) How is anyone (whether they "know" what they are doing or not...and this child knew that what he did to my child was wrong) allowed to do violence to another? How is it more acceptable for some?
Because I even knew it was "taboo" to blame a child with Down's for his behavior. I hate to say it, but I'm furious with the parents because they knew that their child was violent, knew that he was the one who hurt my son, didn't remove their child from the play area, didn't apologize to my son (but instead looked at me as if I were a horrible mother and my child a horrible child because my child was screaming because THEIR CHILD HURT MY CHILD).
DEAR READERS PLEASE NOTE - The person with the comment and I have exchanged emails and I anticipate she will read this blog. If you are rude in comments, I will simply delete your post without warning! It's fine to disagree thoughtfully, I'd love to hear better ways of framing a response, but no rudeness to someone genuinely looking for help. 
Dear S.

I'm really glad you wrote me and want to have this conversation. It's important. When my son was three, the idea that he could just go into a play area and be around the other kids as seemed impossible. How could he control his behavior? What if the other kids didn't understand his limitations? Most of all, what if he got stuck in one of the big climbing contraptions? Could he even physically, ever, go up those ladders and down those slides?

Now he does it all the time. I'm so proud of his physical and social development, but I'm still always worried something will go wrong. So far mostly so good, but your story reminds me of the challenges.

Here are my two key points:
First -  Having Down syndrome does NOT mean one can hurt other people without consequence. That is exactly the opposite of the message that I would hope to convey. I actually think it's extra vital that we make sure that our children understand the consequences of their actions. It's a harsh world out there for people with disabilities, and learning control is vital to inclusion. The problem is how. How do you make the connections between actions and results apparent with someone who has speech/developmental delays? There are solutions, or at least ideas, and I'll offer them below.

Second -  I was struck by how often you talked about feeling shame. Other parents were looking at you, you felt like a bad mother, but you know that you didn't do anything wrong. It's not a good feeling. Here's something to consider - That shame you were feeling, the shame that the other parents are looking at you and blaming you, parents of kids with disabilities live with that shame all the time. It can get really oppressive, making parents like us self-isolate. We just stay home, keeping our kids out of the grocery store, playground, or even school.

I've felt it, I feel it all the time when my son acts in a non-typical way, or his nose is too runny and people are judging me, when he shouts in the barber shop, when he dances randomly in the mall, I encounter so many micro-aggressions on a day-to-day basis that you'd think I'd be used to it, but no. I still feel shame.

So I'm asking you, as a parent, to think about that emotion you felt, to know that you were in the right here, but to approach those parents with compassion and empathy.

So now what? I operate under the principle of inclusion, but not same-ness. My goal is to have your son and the boy with DS included together, safely, in the play-space. That doesn't mean consequence-free violence, but it also doesn't mean that you can respond to the incident as you would for other kids, because the usual methods of parental reaction - yelling (sadly), time-outs, removal of privileges - might not have any meaning. Yeah, a parent can take away a toy or fun activity from a four-year-old with Down syndrome, but depending on their developmental level, it might not have any meaning. How do you connect the consequence to the act of hurting your son? That's the challenge here.

The first step is to understand what might have happened. What does the violent behavior - pinching, tripping, hitting - mean in this case? Does it come from anger? Aggression? Confusion? Fear? Sometimes it's from over-stimulation. Or, and this is pretty common, people with Down syndrome use physical responses as an alternate form of communication. When you don't have words, hitting or hugging communicates perfectly well from the perspective of the child, and it might not even communicate what you think it does.

People with Down syndrome are not any more likely to be violent by nature than anyone else, in fact probably less so, but they do often have boundary issues. Maybe the parents knew their child was violent, as you say, but maybe not. We - parents - are often surprised by our children's response to situations. I knew a boy who liked to grab hair and pull - it was an interesting texture and sensation for him. My son often pushes hands away, sometimes slapping, when he's angry or frustrated. One time my son Nico was so afraid of splashing water that he reached out and grabbed my face with his hand, cutting the skin with his nail, terrified. That's violent, but different than fighting from aggression or anger, or from knocking someone down because you're playing ninja and don't have good control.

The goal here is to communicate. We don't want four year olds, or fourteen year olds, hitting as a way of expressing their frustrations. On the other hand, typical interventions - yelling, time outs, taking away privileges - might not have a lot of meaning for the child with Down syndrome. When my daughter misbehaves, we talk about it, we make sure to verbalize a clear cause-effect relationship. When my son, who has DS, misbehaves, we have to be more creative.

There are intervention strategies for kids with Down syndrome who are "challenging." You focus on skills. You focus on communication. You find positive reinforcement rather than punishment (which works better for all kids). 

One technique we've used with Nico is the social story. They are picture and word-based behavioral stories that try to make sure a person understands a situation and the consequences of actions, to help them make better decisions in the future. They use a lot of positive affirmation and perhaps one or two pieces of instructional advice to try and achieve better response to situations.  Therapists make them for their patients, though parents can make them as well. Here, for example, is a story about playing nicely with a brother, easily adapted for a public playground. Here's another. Social stories have worked wonders for my son, but each kid is different.

So what might you do if you see the parents again, or if something like this happens again?

Comfort your son and comfort yourself! I'm sorry that people looked at you as if you were a horrible parent, but don't let them get you down! People judge all the time and are usually clueless about context; ultimately, the opinions of strangers aren't that important (to me anyway). Remember that no outsider ever has a clue about what's going on in a family and try to just do what's right.

Engage the parents. Tell them what happened. I would be devastated to know my son hurt another child, and so might they. Remember that raising a child with special needs is pretty difficult, so once you have calmed yourself and your child, engage with empathy

If you see these parents again, I can't tell you they'll be happy to hear from you, but I think you have the right to talk to them because your son was hurt. Moreover, I think building an inclusive society requires someone to make the first conversational move, to reach out, and I'm hoping you are the one to do it.

I would say something like, "I know you've got a lot of challenges, but I felt it was important to tell you that that your child hurt my child today in the play area. Is there a way we can talk to him about more appropriate play? Is there anything that I or my son can do to help?"

In the end, I'm really sorry that your son got hurt.

I hope, though, that this is a moment that can lead towards a more inclusive society, not away from it. Inclusion, not same-ness. We don't respond to this boy hurting your son the same way that we might from another child. Same-ness just won't accomplish anything. But we DO respond. We must respond, and respond with dialogue, patience, creativity, and empathy.

"It's so sad when people have special needs": Thoughts on Inclusion from the Bus Stop

Not Nico's Actual Bus
"It's so sad when people have special needs."

A caring, sweet, 4th-grader said this to me at the bus stop a few minutes ago. My son and I crossed the street, running and laughing, happy. Then he asked me to go see a dog that was being walked across the grass, I said no, we had to go get in line for the bus, so he said no to me, and then pouted. Nico is really developing his pout lately.

The girl, M, came over and reached out her hands to Nico asking if she could help. He said, passionately, "No!" Then she turned to me and smiled and said, "It's so sad when people have special needs."

It's one of those moments when, as a parent, words fall with a kind of physical force. It's not that they hurt, at least not in this case, but for me my whole body tenses in these kinds of interactions. I know, or I suspect, that I'm hitting a moment in which I might shape language, perception, action, reaction, and more - not just for my son, but for anyone this child interacts with who has special needs, and her friends and family.

If I handle it right, I hope, I might help build a more inclusive society and I might even manage to erode the gap between help and friendship (seriously, follow that link. It's really interesting).

I said, "I don't think having special needs is sad. I think it can be sad when people with special needs don't get the help they need, and even worse when they don't have a good community of friends and family around them."

M. thought about this and said, "I used to help my grandpa. He was in a wheelchair because of the war and his leg."

I replied, "Exactly, and imagine if he didn't have you and your family and his friends not just to help push his chair, but to be his granddaughter, to be his friends, and to make sure he has what he needs. And if our community didn't build wheelchair ramps or automatic doors, so he couldn't have moved around."

She nodded. Then the bus came and I had to get my surly boy onto his feet and onto the bus, which he did with only mild protest, surrounding by his aide and three girls, M, F and H, with G waiting for him on the bus.

I'm not quite satisfied with my answer, but I'll keep working on it.

Two other stories about inclusion and the girls who go to school with my son. And yeah, it's pretty much the girls, a sign of the ways that girls are pushed towards caregiving early, but that's another essay.

I've written about H before, back on the first days of school, when she included herself with Nico in a way that made me weep. She comes over and has playdates sometimes, and while she and my daughter have a beautiful big-sister/little-sister relationship, she's never satisfied just playing with Ellie for all my daughter provides her with an imaginative hyperverbal playmate for their games. Instead, every few minutes, she breaks away to go find Nico and see if she can bring him in. Sometimes, it works. On Sunday, the three kids sat huddled in a corner of couch passing two ipads around, giggling and happy. It was so powerfully inclusive, especially given that Nico had refused to participate in my daughter's birthday party earlier that day (too many kids, too loud, too hot).

F, on the other hand, lives across the street, but I haven't really processed her relationship with Nico. She's quiet, or at least a bunch of the other neighborhood kids are really loud. Two Fridays ago, though, Nico's aide wasn't on the bus and F was one of the girls who volunteered to help. It didn't go well at all, but everyone made it home safely.

Monday morning, though, I saw F with a plastic bag with little rectangles of paper, pencil drawings, and words written on it. I asked her what they were and discovered that she was trying to replicate one of the communication systems that the teachers and aides use for Nico. They carry a bunch of communication cards (bathroom, thirsty, desk, marker, etc. They look more or less like this.) to supplement the use of an Ipad-based communication program. F decided to make her own cards. As near as I can tell, no one told her to do this or helped her - she just observed what the teachers were doing and decided to generate her own assistive technology.

So, M, thinking more about the community in which my son lives, I can say pretty strongly that it is not so sad when people have special needs. Thanks to you and his other friends who are trying to do their best to create a more inclusive society. I'll do what I can to help you.


Awkwardness and Inclusion

I'm off to a workshop today, but wanted to offer a few quick thoughts on a great series of videos.

Scope, a British advocacy group, has made an outstanding series of videos that are fundamentally about inclusive society - how to you shake a hand that's not there, how do you talk to people in a wheelchair, etc. What I like about it is that it acknowledges that inclusion is hard and disability often makes social norms confusing. Ok, they all say, now you've been awkward, now what?

The answer turns out to be - acknowledge the awkward, then change it and do better.

You can see the videos at the link above, but Vox has a nice write-up and a few addendums on language.

Videos below. What do you think? Using humor is always dangerous, but my gut reaction is that these hit the marks pretty well.