CEHD News Institute on Community Integration

CEHD News Institute on Community Integration

Telling disability stories through music

Yue Wu.

Music therapist Yue Wu (MNLEND 2019-20) is working on a second production of her show, Light in the Well which weaves together symphony movements and the real-life stories of people with disabilities. The show debuted in October at MacPhail Center for Music, where Wu works as she pursues a doctorate in rehabilitation science at the University of Minnesota. 

“The reaction was overwhelming,” Wu said. “We had volunteers record interviews with audience members after the show, and many were moved and clearly holding back tears on camera. They had come to be entertained, but left educated.” 

Wu and her team created the experience as her MNLEND project, interviewing people with disabilities and their families about the difficult times and loneliness that can envelop a family living with disability. As she worked with families at MacPhail, she drew the analogy of being isolated in a dark well, but also noticed their ultimate resilience and joy.   

Working with composer Phil Shorey, who created a six-movement symphony depicting the stages of grief leading to acceptance, Wu brought in four people with disabilities and their families at each movement, playing instruments, singing, verbally sharing their stories, or dancing to the score. The stage of acceptance is meant to represent the hope, or the light in the well, either coming from within individuals, or from society, or both. This fall, Wu will bring the show to the Landmark Center in St. Paul.  

Wu expects to organize a second fundraising campaign to help defray the costs of the performance, including covering the cost of the musicians and other professionals working on the show. She has built a presence on several social media channels, including Facebook  and TikTok .  

“It’s a show about individuals sharing the story of themselves and their families, and how they come to where they are,” said Wu, a native of China who plans to work on global disability issues as her career develops. “The light is love, and hope.”

International forum: The future of outcome measurement

Logo of the Research and Training Center on HCBS Outcome Measurement.

Global approaches for using outcome measures to enhance the human and civil rights of people with disabilities will be presented April 11 at a live and virtual forum co-sponsored by the Institute on Community Integration and the U.S. Department of Health and Human Services’ Administration for Community Living.

Measuring Outcomes of People with Disabilities: An International Forum  will feature presentations from Julie Beadle-Brown of the University of Kent in the United Kingdom and Jan Šiška of Charles University in the Czech Republic. Other presenters include ICI’s Roger Stancliffe, professor emeritus at the University of Sydney, Australia, along with Renáta Tichá and Brian Abery. The host is ICI’s Research and Training Center on HCBS Outcome Measurement.

“Through this forum, we want to create a global vision for developing rigorous outcome measurements that lead to improved disability services and policies,” said Tichá. “These frameworks are a critical component of reducing the significant disparities in life outcomes between people with and without disabilities, and ensuring that the rights of people with disabilities are respected.”

A panel discussion will explore the different indicators, frameworks, and approaches used around the world to assess quality in disability service and policy contexts and propose improvements for the future.  

Panelists will include Dorothy Hiersteiner and Stephanie Giordano from the Human Resources Research Institute, Shawn Terrell from ACL, Allan Heinemann and Anne Deutsch from Northwestern University, Carli Freedman from the Council on Quality and Leadership, Christine Linehan from University College Dublin (Ireland), and Anne Rosken from University of St. Gallen (Germany).

The live event will be held in ICI’s new home at the Masonic Institute for the Developing Brain, 2025 E. River Parkway, Minneapolis.

Disability rights: Storytelling in the Congo

Under a U.S. State Department grant aimed at combatting persistent human rights abuses in the Democratic Republic of the Congo, the Institute on Community Integration last month trained people with disabilities and non-profit organizations in the central African nation on advocacy strategies, including the use of radio and social media to raise awareness about disability rights.

Working with the Kadiwaku Family Foundation, ICI’s Macdonald Metzger and Lynda Lahti Anderson offered training in social and broadcast media storytelling for about 100 individuals with disabilities, and in strategies for cooperatively advocating for the rights of people with disabilities for representatives of more than 60 community, governmental, and human rights organizations. The trainings were held in Kisangani, a city of about 1.2 million people.

“With very few resources, there is actually quite a lot of disability advocacy work going on there,” Anderson said. “Our message was focused on how to support a community of practice and have organizations work together to build a sustainable structure.”

The DRC ratified the United Nations’ Convention on the Rights of Persons with Disabilities and its laws offer education and employment protections, but substantial discrimination and stigma remain.

“We focused on skills that people with disabilities can use to write scripts, research content, conduct interviews, and essentially, tell their stories at the grassroots level, using radio and social media, to build awareness of disability rights,” Metzger said. “In the future, we’d also like to meet with editors and other media outlet managers to talk about the need for more disability coverage.”

As part of the two-year State Department project, the group earlier surveyed 1,000 people in the region about attitudes and behaviors toward people with disabilities. They expect to repeat the survey later this summer to determine if the trainings helped increase awareness of disability rights. In the initial survey, nearly 83 percent of respondents said they feel uncomfortable when they see a person in a wheelchair.  Nearly 50 percent said they have the impression that people with disabilities are being punished for something they have done.

“We were also fortunate to have Iréne Esambo, the DRC minister of human and disability rights, attend some of the events. She’s the first person to hold this office, and she has some ambitious plans to improve things in the region,” Metzger said.  

Anderson noted there is power, too, in smaller steps.

“The woman who runs the hotel where we stayed came to the training and said she had never thought about accessibility features because she believed people with disabilities wouldn’t be able to afford to stay in a hotel. After the sessions, she said she would be incorporating accessible features into an expansion she’s planning. And an English professor we hired as a translator said he would be volunteering to help increase the enrollment of students with disabilities in schools. It just takes a couple of people to start a ripple.”

Sensory-friendly vaccine sites

Maren Christenson Hofer (MNLEND 2018–19) pictured at an earlier event with her autistic son, Simon. He was vaccinated against COVID-19.

Several of the Institute’s MNLEND program fellows—current and past—have played key roles in bringing sensory-friendly vaccine clinics to children and families in the Minneapolis-St. Paul area. 

Fatima Molas (MNLEND 2016–17) and Maren Christenson Hofer (MNLEND 2018–19; pictured at an earlier event with her autistic son, Simon) of the Multicultural Autism Action Network, and Ellie Wilson (MNLEND 2010–11), executive director of the Autism Society of Minnesota, collaborated with several other partners to create COVID-19 vaccination clinics with quiet rooms, music therapy, a drive-thru option, and distraction techniques.  

“At most vaccine events, the goal is getting as many shots in arms as possible,” said Hofer. “Our primary goal was creating the best possible experience and to bring some compassion and understanding to children and families, who may have experienced past trauma or have ongoing anxiety in these settings.” 

Raniya Yiman and Brittany Miller, current MNLEND fellows, and Alicia Zhang, an ICI graduate assistant, served as volunteer staff at the clinics. 

“It was very meaningful work,” Yiman said. “I was really happy to be able to volunteer in this way and talk to the families.” 

Hennepin County Healthcare and Spero Academy partnered with the organizations on the most recent clinics in December and January at Spero in northeast Minneapolis, which drew more than 300 participants. The autism organizations held two smaller clinics last summer in St. Paul. 

“We believe everyone deserves access to healthcare,” Hofer said. “Offering this clinic is one way we can make sure all members of our community can stay safe during the pandemic. We offer a little more patience, flexibility, and an extra dose of compassion for anyone who might need it.” 

Hofer said families expressed gratitude at the events.  

“We had a really nice response. It was a tough day emotionally for everyone, but to see the relief and gratitude of families who had gone to other events and weren’t able to complete their vaccines, to see them feeling supported and not judged for needing some extra help was really nice,” she said.

ICI welcomes visiting international scholars

Brian Abery and Renata Ticha with international scholars in ICI's new home at the Masonic Institute for the Developing Brain in Minneapolis.
Brian Abery and Renata Ticha with international scholars in ICI’s new home at the Masonic Institute for the Developing Brain in Minneapolis.

Several scholars from Europe, Australia, and central Asia are visiting the Institute on Community Integration (ICI) as part of a broad-based exchange aimed at increasing the inclusion of people with disabilities around the globe. 

The visitors, on campus for varying lengths of stay, are from the Czech Republic, Spain, Kazakhstan, and Australia, and are working with ICI’s Global Disability Rights and Inclusion program area, led by Brian Abery and Renáta Tichá (pictured at left).  

Roger Stancliffe (not pictured), professor emeritus at University of Sydney, joins ICI as a senior research associate. He is working with an ICI team that is studying the transition to retirement process and served as an editor for the Institute’s most recent Impact issue focused on aging and retirement. 

Jan Šiška (third from right), a Fulbright-Masaryk scholar from Charles University in Prague, Czech Republic, is building relationships with U.S. disability organizations and gathering information about programs that assist students with disabilities in their transitions to community life after high school. He’s also building a framework for assessing the quality of social services across Europe. 

“The work also involves studying [ICI’s] research and project management methods and learning broadly about the American disability culture,” Šiška said. He will collaborate with Tichá and Abery on specific post-secondary education and independent community living objectives as part of grants their respective institutions have received from the U.S. and Czech governments. 

“We are trying to assess to what extent transition programs and education for young adults help them to become active citizens – working in the community and voting, for example – and how we can work together to build a framework for teachers to enhance their expertise,” Šiška said. 

Cristina Cardona Moltó (second from right), a professor at the University of Alicante in Alicante, Spain, is developing an index that will be used to assess the quality of inclusive special education instruction.  

“I’m very grateful to Renáta and Brian for opening the doors of ICI for this work,” she said. “We have different traditions in our respective countries, so having the opportunity to be here and observe the work you do will help us be successful in creating instruments for measuring the effectiveness of how we are preparing teachers for inclusive education.” 

In turn, Tichá and Abery said the international visitors bring fresh ideas and different perspectives to their work in improving the lives of people with disabilities. 

“We all come from countries with quite different disability policies and practices, but it has actually been smoother than we thought to find areas where we could collaborate,” Tichá said.  

Abery said the work is certainly easier when colleagues are sitting across a table instead of communicating virtually, but it goes deeper than proximity and language translation.

“It’s working through concepts that are slightly different in each country but knowing that the ultimate goal is the same, which is to enrich the possibilities for people with disabilities,” he said. 

One example is the time the group spent in discussing the different perspectives of active citizenship and what that means to and for people with disabilities. 

“My goal in being here is to understand the methods and evidence-based practices in research within inclusive special education because this is new for my country,” said Dinara Yertargynkyzy (extreme right), a senior lecturer at Al-Farabi Kazakh University in Kazakhstan. “Our education systems have been segregated in the past, so I’m grateful for this opportunity to observe.” 

Šárka Káňová (third from left), a researcher and senior lecturer in disability studies and inclusive education at University of West Bohemia in Pilsen, Czech Republic, leads a research team focusing on the availability and quality of community-based services for people with intellectual disability and autism in the Czech Republic. 

“My time at ICI has provided excellent opportunities to observe ongoing research projects and relate them to other work I’ve studied throughout the European Union with the Erasmus program,” she said. Erasmus is the EU’s program supporting education, training, youth, and sport, with an emphasis on social inclusion, environmental and digital advocacy movements, and promoting young people’s participation in democratic life. 

Stancliffe, who has worked extensively with ICI since the 1990s, said international exchanges have made a substantial difference in the disability research infrastructure. 

“There was nothing like ICI in Australia when I first began visiting here in the ‘90s,” he said. “Now, disability research centers exist in Australia and some are very strong, a direct result of university-affiliated programs in the United States and the learning that came from them. The scale and rigor of national U.S. research and the self-determination instruments that have been developed and shared are important. Also, what really impressed me in the ‘90s was that people in the United States with disabilities were working alongside fellow researchers, and today that is much more common in Australia, which is an important change as well.” 

Innovation created from spending time with other cultures is something that is still being repeated today, Abery said. 

“In the United States we often focus on resources and money,” he said. “Working with international colleagues, we see how innovation doesn’t always have to be based on that. Looking at things from a different perspective stimulates everyone’s thinking.”

TIES Center launches belonging guide

What would happen if students with varying abilities weren’t just welcome in classrooms, but actually needed? They would create schools that aren’t merely inclusive, but where everyone belongs. 

Such is the vision behind a new guide from the TIES Center at the Institute on Community IntegrationCreating communities of belonging for students with significant cognitive disabilities 

Created in partnership with Vanderbilt University professors Erik Carter and Elizabeth Biggs, the free guide for schools helps them reflect on what they are doing well and what areas need improvement on the road to the full inclusion of students with significant cognitive disabilities. Carter, a former high school teacher and transition specialist, is a widely published author whose research focuses on inclusion strategies. Biggs, a former special education teacher who has worked extensively with students using augmentative communication devices, studies the use of interventions in schools and communities. The authors also led a team to create a second resource on approaches for peer engagement that will be available on the TIES website later this year.  

“As students headed back to in-person school, we wanted to emphasize that school should be a place where every student belongs. While this is true for all students, it is particularly true for students with significant cognitive disabilities, who have often been segregated and isolated from their peers,” said Kristin Liu, TIES Center principal investigator. “We launched this resource in October, National Bullying Prevention Month, to bring attention to what schools can do to create a culture of belonging.” 

The guide covers nine dimensions of belonging, walking users through the steps required to have students with significant disabilities truly belong in a classroom, from being present (not sitting with a paraprofessional away from other students), to being needed and valued for their contributions to enrich the classroom.  

“We found that schools are wanting more resources to be able to reflect on what they are doing well and areas where they want to empower students to become needed members of their classrooms,” said Jessica Bowman, co-principal investigator of the TIES Center, a national technical assistance center on inclusive policies and practices in the kindergarten–8th grade education system. “They want to know what true belonging looks like.” 

TIES stands for increasing Time in the general education classroom, Instructional Effectiveness, Engagement with curricula and peers, and Support for Inclusive Practices from state and district education officials. 

Students with significant cognitive disabilities have made strides toward being present in the general education classroom, and toward being welcomed and known by their peers, Bowman said, but full acceptance to the point that these students are full contributors has been elusive. 

Schools can foster this level of belonging by providing leadership opportunities and skills training to succeed, connecting students with extracurricular activities, and involving them in service-learning projects, among other steps, she said. 

Want to start a conversation at your school about inclusion? Check out the Belonging Reflection Tool.

ICI expands workforce consulting service

Amy Hewitt and John Smith.
ICI Director Amy Hewitt and colleague John Smith.

Responding to dire shortages in staff supporting people with disabilities, the Institute on Community Integration has expanded its national workforce consulting work, leveraging its longstanding position as a key thought leader in the disability field.

Direct Support Workforce Solutions, led by ICI Director Amy Hewitt, will combine organizational analysis and in-depth training for direct support professionals (DSPs) into a comprehensive strategy to help organizations recruit, train, and keep their best direct support professionals, supervisors, and agency leaders.  

“As states allocate federal emergency funds to address the staffing crisis that worsened during the COVID-19 pandemic, this offering represents an investment in the agency workforce that goes deeper than temporary solutions,” said Hewitt. “ICI has been conducting research, developing tools, and refining a data-driven consulting process for more than three decades. Direct Support Workforce Solutions brings our research, development and consulting expertise together to meet the needs of state agencies and individual organizations as they struggle to meet demand for long term services and supports and create effective policies and practices regarding the direct support workforce.”

ICI’s Barb Kleist and Kristin Dean will lead the operations of Direct Support Workforce Solutions, and Kleist serves as a lead consultant for the group, along with more than a dozen experts in disability policy and workforce development.  

“We bring evidence-based practices and craft solutions that help organizations build stronger workforce strategies to address recruitment and retention,” Kleist said. “This effort brings our decades of experiences, resources, and tools into a single, accessible space.”  Consulting services begins with a rigorous discovery process to gather data on an organization’s workforce, from hiring and retention policies and practices to overall workforce culture.

Conducting surveys, self-assessments, stakeholder interviews, focus groups, document reviews, and a communications audit, the team then analyzes the findings and develops an action plan. Data management, recruitment, retention, and policy strategies are then implemented in a framework unique to each organization’s capacity. Targeted services include consulting and coaching sessions, options for new products such as realistic job previews and public service announcements, a customized recruiting plan, employee training and development, and more.

Already at crisis levels, turnover and vacancy rates worsened when the pandemic began and remain in emergency status. Early in 2020, the Institute quickly partnered with the National Alliance for Direct Support Professionals to initiate the largest-ever survey of the direct support workforce as it navigated the global pandemic. That report, and subsequent follow-up reports, documented increases in already-high turnover rates, job stress, and risk that DSPs have taken on during this emergency, raising public awareness about the necessity of these professionals and advocating for higher wages and other benefits.

Almost half of DSPs leave their jobs within the first year, and most within the first six months. Vacancy rates remain high, and demand for services is growing fast, particularly as more people with disabilities move from congregate care facilities to community-based service options. Staff shortages affect the quality and availability of essential services for individuals with disabilities, and greatly determine whether those individuals will participate fully in their communities.  

Amidst these dire national trends, ICI has a long track record of expertise in assisting people with disabilities and their families find and retain quality DSPs, and in elevating the skills and professionalism in the field as it evolves. Across nearly every U.S. state and several regions abroad, the Institute has provided technical assistance, training, evaluation, and consultation to government agencies and provider organizations. ICI researchers have authored and edited hundreds of publications, including textbooks, reports, magazines, briefs, and newsletters.  

More than 90 peer-reviewed journal articles have been published since 2012, and DirectCourse, the premiere online training curriculum for direct support workforce developed by ICI with partner Elsevier, has trained millions of DSPs, improving the quality and stability of supports for people with disabilities.

ICI also has produced award-winning films bringing attention to the underappreciated and underfunded work of DSPs. Among them are Invaluable: The Unrecognized Profession of Direct Support, Direct Support: A Realistic Job Preview, and Higher Ground: The Dedication of Direct Support Professionals During and After Hurricanes Katrina and Rita 

Frontline Initiative, a newsletter covering issues important to DSPs and their supervisors, is produced by ICI and the National Alliance for Direct Support Professionals, a longtime partner.

“They have, over decades, provided the tools for advocacy and change that result in measurable solutions,” NADSP President Joe Macbeth said of ICI’s team. “Using their research-based methods, ICI supports organizations in developing effective strategies that address long-standing workforce challenges.”

To learn more, visit Direct Support Workforce Solutions at dsworkforcesolutions.com.

Families love self-direction, but what lies ahead?

Ryan and Shari Serchuk.

People with disabilities and their families feel empowered by public programs allowing them to direct their own service dollars, but the complexities of the programs can be daunting and succession planning is critical. 

In the first known study to explore the sustainability of self-directed public services across major life transitions, the Institute on Community Integration and Independent Support Services, Inc., Monticello, New York, surveyed 413 people, most of whom identified themselves as a “natural support,” or someone providing unpaid support to a person with disabilities who directs his or her public services.

“We’ve known satisfaction levels with self-direction is strong, but until now we didn’t have this kind of data to show policymakers. Now, we have the data,” said Alan Kulchinsky, founder of ISS.  

The report, 2020 Evaluation of Experiences with Self Direction in New York State: A Focus on Sustainability, found that more than 90 percent of respondents listed a better quality of life, feeling empowered, and having flexible services that meet their specific needs as key benefits of self-direction.  

“Who doesn’t like choice?” said Shari Serchuk, of Jericho, New York, pictured with her son, Ryan, who is autistic. Self-directed services allow Ryan, 26, and Shari, his representative, to choose the types of public services he needs and to hire and train his support staff, within certain guidelines. It’s an alternative to traditional agency-provided services, and its use is growing.

“We wouldn’t have the same quality of life” without the choice and control self-direction gives them, Shari said.

Just because it was an easy decision, however, doesn’t make it simple. Recordkeeping duties and dealing with staff issues that an agency in a typical arrangement would handle takes a big outlay of time for the support person, such as a parent. In the study, respondents cited paperwork, staffing, and adapting to changes in service rules as top challenges.

Beyond the immediate challenges, respondents also expressed concerns about passing their responsibilities on when they die or are otherwise no longer able to manage their roles. About 40 percent of respondents said siblings would not be available to provide supports.

“There was a lot of fear and uncertainty about the future, but also a lot of hope that things will work out even if we can’t see the solution today,” said Libby Hallas, co-director of the study and an ICI project coordinator.

Ryan and Shari are both understandably anxious about the longer-term future, but said their strong family bonds give them confidence.  

“It would be a difficult adjustment to get used to, but I get along well with my family and they understand my needs,” Ryan said. 

Some support people said they are already building a team approach to succession, creating a network of paid and unpaid support people to handle what used to be one parent’s role.

Shane Winkler, a self-direction coordinator for ISS, helps bridge some of the gaps for people with disabilities who no longer have parents supporting them. He and Kulchinsky are working to expand the duties, and corresponding hourly rates, of these professionals. They also point to the need for better housing options that can bring the principles of self-direction to a bigger swath of the population.

“Self-directed services have become a key component of the disability services landscape and represent both a cost-effective and an important component of maintaining an individual’s self-determination,” said Jennifer Hall-Lande, co-director of the study and an ICI researcher. “As the population ages, we must find ways to sustain these services across life transitions and the lifespan.”

One of Ryan’s sisters has indicated she would like to help, but Shari says it’s hard for anyone to understand the level of commitment required to replace a parent. Shari stayed at home when Ryan was in school, and is only now working part time.  

“Whenever you think you have everything in place, things happen. Someone calls in sick or they can’t drive today. There always has to be a backup.”

ICI leads transition work

ICI’s Renáta Tichá and Brian Abery.
ICI’s Renáta Tichá and Brian Abery.

The Institute on Community Integration will lead a Project of National Significance from the Administration on Community Living designed to increase independence of Minnesota’s youth and create pathways to post-secondary education and employment.

Under the five-year, $1.4 million award, the Institute will collaborate with Minnesota’s Departments of Employment and Economic Security, Education, and Human Services; three local education agencies; several community-based employment and self-advocacy organizations; the Minnesota Inclusive Higher Education Consortium, and Utah State University. 

The project—A Community-Based Collaborative Transition Model for Minnesota Youth with Intellectual and Developmental Disabilities (IDD) —will use a number of collaborative approaches to engage diverse community stakeholders. The team will develop a tiered framework for youth with disabilities transitioning from high school to careers, higher education, and independent community living. The person-centered, inclusive, culturally responsive framework will be designed to address the economic and educational needs of Minnesota communities. The framework will be piloted in three transition programs, in the Minneapolis, Stearns-Benton, and Rosemount-Apple Valley-Eagan public school districts.

“Interest in this work from state, educational, and community agencies was quite high and exceeded our expectations,” said Renáta Tichá, principal investigator of the project. “The work will support the self-determination and empowerment of youth with IDD to pursue their life goals.”

Worker shortages in many areas of the economy, along with an increasing portion of jobs requiring post-secondary education, bring urgency to the project, said Brian Abery, co-principal investigator. 

“This project provides us with the opportunity to replace one-size-fits-all transition services with an individualized, person-centered approach that increases the quality of life of young Minnesota adults with IDD.”

October is Disability Employment Awareness Month

Rodney Sutherland at work, holding his Employee of the Month award.

Five evenings each week, Rodney Sutherland takes a taxi to his job cleaning administrative offices and breakrooms for drivers at the Duluth Transit Authority. He likes chatting with the drivers and office workers, and he really likes going out to eat with friends with the money he earns. 

“My favorite taxi driver is Erica,” said Sutherland, who was born with Down syndrome and has some visual impairments. “I like being independent, and getting to work on my own.”

As employers struggle to fill vacant jobs and increasingly consider diversity and inclusion in their hiring practices, the theme for this year’s National Disability Employment Awareness Month is “America’s Recovery: Powered by Inclusion.” The observance honors the contributions of people with disabilities in the American workplace.

When Sutherland was a young child, his father worked at the DTA and often brought Sutherland to the transit center to enjoy the bustling atmosphere. Once he became an employee, he had to learn not only about janitorial work, but also about how to get along socially in the office. Even hiring a taxi—and alerting drivers when they take him to the wrong facility—are accomplishments that some of his family members never dreamed he’d achieve. After starting at just a few hours a week, Sutherland now works 20 hours and was named Employee of the Month earlier this year.

“Rodney’s professionalism has gone through the roof since he started this job in February,” said Casey Lozon, career and life coach manager at Udac, Inc., a disability service organization that is working to place people with disabilities in jobs in their communities. 

For more than a decade after high school, Sutherland worked in the mailing and shredding room at Udac under Labor Department rules allowing contract work performed by people with disabilities to pay below the minimum wage. The goal was to provide jobs and training in a safe environment for people with disabilities, who could then use the experience as a stepping stone to paid employment in the community. In recent years, however, disability advocates have been calling for an end to subminimum wages, arguing that the work was not leading to good jobs. 

But switching to competitive employment involves highly individualized training and lots of staff time. In Sutherland’s case, that meant learning proper cleaning procedures and how to take a taxi by himself, as well as soft skills, such as knocking first before entering offices and respecting when co-workers need to focus and can’t socialize. Once that investment is made, however, it keeps paying off.

“We started treating Rodney as a professional. Instead of him telling his career coach the things that he needed, we worked on having him communicate directly with the employer about supplies that he needs or vacation requests,” said Ann Dahl, Udac’s operations director. “Doing that eventually changed his view of what this job is all about, and he realized he needed to up his game. We gave him training and task lists, but then we backed off and let him do the job.”

Like many other service providers across the country, Udac had begun transitioning away from group contract work. After the pandemic forced an abrupt closure of its facility in early 2020, the transition became a hard stop, said Karen Herman, executive director at Udac.

“After conversations with the board of directors and with legislators, we concluded that 14c [the regulatory code allowing subminimum wages for people with disabilities] was not our future,” said Herman. “We closed programs and we started to rebuild. We are committed to the creation of community-based services and an organization that is a model for the future.”

As part of that rebuilding, Herman connected with ICI Director Amy Hewitt and Danielle Mahoehney, an ICI education program specialist with expertise in workforce development. Along with Don Lavin, a consultant in competitive integrated employment, the team provided support, planning, and guidance as Udac rebuilt its staff, gearing services to focus on finding and advancing careers, not just jobs, for people with disabilities.

“I don’t think we could have done this as well or with as much confidence without the support ICI provides,” Herman said. “Of course, no organization can make this kind of rapid change successfully without buy-in from the employees making it happen every day, so we brought back key members of our former team and invited them to help us fundamentally transform how we approach working with clients. The team’s excitement and dedication to this process is a testament to their belief in the work we are doing.”

Udac also transformed its senior program, emphasizing activities out in the community that go beyond tourist outings.

“Our senior program was very well respected and did great work, but when we asked ourselves, ‘If we were aging in the community and didn’t have Udac, what would we be doing?’ we realized we needed to be engaging more with other seniors and community programs, and so we’ve begun interacting with senior centers much more.”

For its competitive employment placements, Udac now has a roster of employers who are embracing workers with disabilities as part of their organizations. Among them: Aramark, Culver’s, EasyLiving Services, General Cleaning Corp., Grandma’s Restaurant, Loll Designs, Roufs Property Maintenance, Sammy’s Pizza and Deli Lakeside, Superior Nets, and Super One Foods Lakeside.

“Udac’s organizational transformation has expanded its competitive, integrated employment services and they’ve had some great success stories in the past few months,” said Mahoehney. “Change can be very difficult, but the staff is dedicated to making meaningful work happen for people with disabilities.”

ICI moves to MIDB

The Institute on Community Integration has begun its move to the Masonic Institute for the Developing Brain (MIDB), ushering in a new era of collaboration across the University of Minnesota designed to advance brain health in support of each person’s journey as a valued community member throughout their lives. 

ICI, which brings more than 35 years of disability research, advocacy, and education/training, joins researchers, clinicians, and specialists from the University’s Medical School, M Health Fairview, and the College of Education and Human Development at the new 116,000-square-foot building, 2025 East River Parkway, Minneapolis. 

“As an organization, we actually outgrew our space in Pattee Hall in the early 1990s, and the opportunity to now have fully accessible space that encourages collaboration with colleagues and that lets us welcome community partners is the culmination of our collective work over decades to make life better for people with disabilities through our research and its influence on changing policy and practice,” said Amy Hewitt, director of ICI.

Named in recognition of a gift from Minnesota Masonic Charities, MIDB officially opens Nov. 1, offering collaborative interdisciplinary research, early neurobehavioral and mental health assessment, innovative targeted interventions, informed policy-making, compassionate advocacy, and community engagement and education. 

“Learning about the different ways our colleagues think, and the context they bring to their work, will help us break down barriers and make our work more relevant to the community,” said Damian Fair, University of Minnesota Medical School Redleaf Endowed Co-Director, MIDB. “Once we begin digging into how we approach care for people with disabilities, we see some of the old labels pitting the medical and social models against each other are not accurate and that both approaches have already been coming together. The hope is that by breaking down walls and creating safe spaces to talk about different approaches, we’ll improve all of the ways we work for families navigating the critical issue of brain health.”

While ICI and the other occupants of the MIDB building will retain their existing names, organizational structures, and research interests, their proximity in the space is designed to foster new collaborations, share resources, and spur new research and service delivery approaches.

“Access is a hallmark of equity and inclusion, not only regarding access to space, but to resources, opportunities, information, and discoveries,” said Michael Rodriguez, CEHD dean. “ICI has long led the way in creating access, and through enhancing collaborations with the Medical School, we will expand that legacy with new energy in MIDB.”

MIDB will be composed of several independent research cores, including TeleOutreach, that will provide support and expertise in neurodevelopmental research, integrated data collection, and analytical and intervention services under one roof. 

One collaboration already underway is the MIDB TeleOutreach Center, directed by ICI’s Jessica Simacek and Adele Dimian, associate director. The center was created under a philanthropic gift from the Richard M. Schulze Family Foundation, providing research, training, and technical assistance through innovative and secure technology to address barriers to care for children, youth, families, and professionals. Under a new $600,000, three-year grant from the U.S. Department of Health and Human Services, researchers from ICI and the Medical School’s Department of Pediatrics will conduct a large-scale, randomized control trial assessing intervention and diagnostic services delivered via the TeleOutreach Center to families awaiting formal autism spectrum disorder evaluation or intervention.

“The TeleOutreach Center is one of the early, exciting collaborations within MIDB,” said Simacek. “The physical space and technology are scaled up from what we have previously used to do this type of work, and it is already allowing us to welcome more trainees, fellows, students, community collaborators, and, ultimately, families, to be connected and engaged, regardless of where they are located.”

ICI’s Minnesota Leadership Education in Neurodevelopmental and Related Disabilities (MNLEND) Program is another existing ICI program that already has fostered deep connections across more than 16 academic disciplines at the University, Hewitt said. Each academic year, a cohort of MNLEND fellows comes together under funding from the U.S. Maternal & Child Health Bureau to develop knowledge, skills, and attitudes to make informed, committed action in the areas of neurodevelopmental and related disabilities. 

Looking forward, Hewitt said, advances in the fields of both medical and social policy are critical to understand together.

“In the past we made assumptions about how clinicians, physicians, and bench scientists think and act, but we don’t really know,” said Hewitt. “They have the same ultimate goal we do, which is that we want people with disabilities to have good lives. Today’s clinical advances in holistic medicine are just one example of a whole new way of looking at our work. And if we don’t really know what’s going on at the clinical level, we can’t change policies and practices.”

Jennifer Hall-Lande, who leads ICI’s work in autism prevalence data and early intervention, serves on the MIDB executive council, along with Hewitt.

“I’ve been waiting my entire career for an opportunity like this to leverage the strengths of the social model of disability with the clinical side,” she said. “Disability is a natural part of the human continuum, and I bring that perspective to my clinical work. It’s up to us to take this opportunity and learn from each other and grow and innovate.”

Future collaborations leveraging the diverse expertise that will inhabit MIDB are still to be created, both Hewitt and Fair said.

“What struck me as we toured the building was how a family coming through the clinic door could potentially encounter our TIES resources for parents of a child with a more significant disability, and they may want to begin a path towards educating their child in a more inclusive setting in their local school, or have started on that path and need help,” said Kristin Liu, principal investigator for the TIES Center, the national technical assistance center on inclusive policies and practices in K-8 schools.

Sheryl Lazarus, director of the National Center on Educational Outcomes at ICI, said that team is also interested in future collaborations at MIDB.

“The NCEO team looks forward to discussing the needs and characteristics of children with autism and other disabilities with clinicians and families as we strive to make assessments used for accountability and other purposes more accessible,” Lazarus said.

In a December 2020 CEHD Connect article, former Dean Jean Quam predicted that MIDB would be one of the most exciting partnerships in the history of the college. 

“It’s unique that a college of education would partner with a medical school and that we would look for strengths that we have and the things we have in common,” Quam said, adding that ICI’s history of interdisciplinary outreach would serve as a model for collaboration at the new institute.

“Viewing disability as a unique difference rather than a problem to be solved is a foundational aspect of ICI,” Hewitt said. “Our approach to supporting people with developmental and neurodevelopmental disabilities throughout their lives will inform the work of MIDB and create more inclusive communities for many years to come.”

ICI’s Impact focuses on siblings of people with intellectual and developmental disabilities

Siblings of people with intellectual and developmental disabilities (IDD) are frequently involved in their brother’s or sister’s life longer than anyone else in their family, but they are often overlooked by service providers, family members, and others. The new Impact issue from the College’s Institute on Community Integration (ICI) delves into these important and dynamic relationships over the life course.

Led by guest editors from across the country who are leading voices in the sibling community, the issue explores what we know about siblings’ roles and needs across the lifespan, their feelings about themselves and their siblings, and how to support them. It includes their personal stories, profiles of organizations around the world that are giving them a place to connect with one another, strategies and resources for addressing their concerns, and research findings about them. Guest editors from outside ICI were Katie Arnold, executive director of the Sibling Leadership Network and community education director for the Institute on Disability and Human Development at University of Illinois at Chicago; Emily Holl, director of the Sibling Support Project, Bellevue, Washington; and Emily Shea Tanis, co-director for policy and advocacy at the Coleman Institute for Cognitive Disabilities at the University of Colorado, Boulder.

“As a sibling of a brother with multiple disabilities, I have often felt my situation was too different for others to understand. This issue reminds me that I am connected to a larger group of siblings who really understand my experiences,” said Sarah Hall, an ICI research associate who served as a guest editor for the issue. “This issue is also essential for helping parents and professionals to understand the sibling experience and support siblings throughout their lives.” Another guest editor from within ICI, Jerry Smith, contributed a personal essay about his sister Gayle and her influence on his career.

Published by ICI and the Research and Training Center on Community Living and Employment, Impact is supported in part by grants from the U.S. Department of Health and Human Services and the National Institute on Disability, Independent Living, and Rehabilitation Research.

Articles in the issue range from an academic look at how sibling roles and needs change over the course of their lives, to very personal stories of family experiences, to important public policy issues and advice on handling grief and loss issues. Both print and online versions of the issue point readers to multiple sources of further information on sibling issues.

The issue also pays tribute to Vicki Gaylord, Impact’s managing editor, who is retiring from ICI after nearly 32 years of service. Under her leadership, more than 70 issues of the magazine have been produced, in addition to her other responsibilities.

“This magazine has without question moved us toward greater inclusion, self-determination, and empowerment of people with disabilities,” Smith said in the tribute. “For this, we owe Vicki a tremendous debt of gratitude.”

In crisis, ICI responds

Responding to the COVID-19 pandemic, researchers and training specialists at ICI are launching several new ventures aimed at supporting people with disabilities through the crisis.

Among other initiatives, ICI’s TIES Center is offering free distance-learning content on its website for teachers and parents who support students with the most significant cognitive disabilities as they manage schoolwork online.

Its long-running Check & Connect mentoring program for dropout prevention is helping mentors connect with at-risk students, many of whom lack access to reliable internet connections and computers.

DirectCourse, a training curriculum for professionals supporting people with disabilities, provides important content on staying healthy and managing stress.

“It’s been gratifying to see our investigators and trainers throughout ICI stepping up to support people with disabilities, families, teachers, and direct support professionals through this difficult time,” said Amy Hewitt, ICI’s director. “All of this work underscores our primary mission, whether in good times or crises, to fight for the rights and full inclusion of people with disabilities.”

DirectCourse training includes evidence-based information covering basic infection control measures for direct support professionals and the people with disabilities they support. Courses also cover stress management, nutrition, sleep, and exercise, said Jolene Thibedeau Boyd, who is part of the team that directs the curriculum. Content that is most relevant to the COVID-19 crisis is being identified and promoted to bring new staff up to speed quickly.

Through the Check & Connect program (C&C), ICI is creating forums for schools to share information on how mentors are accomplishing the key provisions of the program—personal interactions with students to boost accountability in school performance. Using dedicated Slack channels and online newsletters, they are creating new guidance to help mentors adapt to the new reality, said Eileen Klemm, director of C&C. Read more

NCEO work highlighted

Sheryl Lazarus, director of the National Center on Educational Outcomes.

Six teams from ICI’s National Center on Educational Outcomes (NCEO) at the College’s Institute on Community Integration (ICI) were selected to present posters at CEHD Research Day, the College’s annual showcase of promising work. Although this year’s Research Day was cancelled due to COVID-19 precautions, ICI is sharing the teams’ selected work with readers.

NCEO’s progress in unlocking clues to classroom success for students with significant cognitive disabilities who are learning English, its work showing why planning for transitions after high school needs to happen earlier for students with disabilities, and the availability of its extensive databases for future research, among other projects, were selected for poster presentations.

“Research Day is an important event for staying informed about our colleagues’ work, and we look forward to next year’s event,” said Sheryl Lazarus (pictured), NCEO director. Read more…

Ripple effect: Sustaining ICI’s international reach

Check & Connect staff from the College’s Institute on Community Integration partner with Micronesian school officials and social workers to promote school engagement.

Returning home after a six-week U.S. State Department fellowship to study techniques for making education more inclusive for people with disabilities, a group of seven Ukrainian professionals built a network of more than 2,000 educators, administrators, parents and people with disabilities that is lifting the visibility of the disability community in Ukraine.

In the Federated States of Micronesia, local school officials and social workers are learning how to connect with parents of students at risk of dropping out, adapting a popular U.S. intervention program called Check & Connect to their own culture.

An entrepreneurial tailor in Kenya is adding a new $75 sewing machine that will allow him to employ another worker with disabilities to create school uniforms, demonstrating the economic ripple effect of even small dollars invested in job-skills training.

Woven deep in a global tapestry of conflict, protectionism, and uneven funding in 2020 are threads of cultural understanding—fostered by ICI staff members and their international partners—that are sustaining progress in the quest for the full inclusion of people with disabilities in their communities.

Developing relationships that can carry work far beyond the initial scope of government or private grants is one way ICI is making sustainability happen, said Renáta Tichá, director of ICI’s Global Resource Center for Inclusive Education.

“Part of our responsibility in working at ICI is to support and build capacity for inclusion and participation, not just in the United States but all over the world,” Tichá said. “If you’re not building relationships, discovering unmet needs and developing creative and culturally appropriate means to meet them, you’re not fully utilizing your skills.” 

Read more…

Thurlow’s leadership legacy: Fairness, wisdom in education

Martha Thurlow

Longtime colleagues weighed in this month on the legacy of Martha Thurlow, who stepped down recently after 20 years at the helm of ICI’s National Center on Educational Outcomes (NCEO). University of Minnesota President Emeritus Robert Bruininks, himself a former NCEO director, highlighted Thurlow’s foundational work to expand educational opportunity for children with disabilities. Noted leaders outside of ICI also praised Thurlow’s contributions at NCEO.

“Her passion and commitment, and her ability to bridge theory to practice, has truly improved outcomes for students,” said Sheryl Lazarus, who assumed the role of NCEO director October 1.

A prolific writer, Thurlow is still working on a couple of academic book chapters and will continue on with ICI under a retirement appointment.

“Seeing the work of NCEO reflected in federal education laws and in the work that states are doing to improve the outcomes of students with disabilities” are among Thurlow’s proudest achievements, she said.

“Anything I have accomplished is due to my many mentors and the colleagues I have worked with at ICI and NCEO through the years,” she said.

Reflecting on Thurlow’s time leading NCEO, former ICI director David Johnson recalled occasions when federal education officials sought out her opinion on special education policy. He described her imprint at both the federal and state levels of education policy as remarkable.

“When you think about accountability for including all students in standards and assessments, she has probably had more influence on making that happen than anybody else in the country,” Johnson said. See FULL story here.

ICI’s telehealth lab improves access to autism intervention services

ICI's telehealth lab manager Jessica Simacek wearing a headset and looking at a tablet and a client on her computer screen.
ICI’s telehealth lab manager Jessica Simacek uses audio-visual telecommunications technology to assist people with disabilities and their families, notably in Greater Minnesota.

Early identification, treatment, and intervention helps Minnesota’s children with autism and other neurodevelopmental disabilities reach their potential, but families can encounter waitlists up to a year for evaluation services. Part of the reason for this long delay is geography and journey time: Autism evaluation clinics are typically located in the Twin Cities, but families of children with autism live all over the state. Reducing waitlists can be critical for young children with autism because intervention is most effective while the young brain is still developing.

ICI’s Jessica Simacek (pictured), Adele Dimian, and Jennifer Hall-Lande, are collaborating with Amy Esler from the Autism Spectrum and Neurodevelopmental Disorders (ASD) Clinic at the University of Minnesota’s Department of Pediatrics to see if ICI’s telehealth laboratory can help shorten these waitlists and improve access to early intervention among children with autism. Telehealth refers to using telecommunications technology to support long-distance clinical healthcare, health management, and education via devices like smart phones and home computers. Telehealth also reduces the need to schedule appointments with providers; the technology can be synchronous or asynchronous, meaning people with disabilities and their families can either communicate in real time with a medical professional or leave audio-visual messages that professionals can see and hear later.

“Too many children and their families face barriers to accessing needed intervention services,” says Simacek, who has managed the lab since it began a year ago. “I investigate innovative interventions that are timely, efficient, and effective for children with neurodevelopmental disabilities. The ICI telehealth laboratory allows us to leverage technology to reach children and families who may live in rural areas or may be on lengthy waitlists for intervention. We also provide training and technical assistance on the use of telehealth, which allows providers, educators, and researchers to use telehealth to improve and extend their practices.” 

ICI and Hennepin County collaborate to improve early screening and intervention

Jennifer Hall-Lande, on behalf of ICI, has received a $50,000 Hennepin-University Partnership Fall 2018 Mixer grant for a new project, scheduled to begin January 1, 2019, supporting healthy development and enhancing early intervention outcomes for Hennepin County children. Known as “Building Healthy Children and Strong Families: Increasing Access to Early Screening and Early Intervention,” the one-year project — co-directed by Hall-Lande and Karen Adamson, a Child Well Being Area Manager for Hennepin County — will study screening rates in Minnesota’s largest county and follow up for early intervention services. “Hennepin County and the University of Minnesota both want to empower families and improve health, well-being, and educational outcomes for all children,” says ICI’s Hall-Lande. The project will connect autism resources and early intervention research from the University with the county’s best practices. “This project provides valuable data to evaluate progress on screening rates and early intervention access for Hennepin County children,” adds Hall-Lande. “We hope to increase access and improve lives of children and families.”

The project will evaluate family perspectives on early screening and intervention in Hennepin County, including cultural and contextual factors that affect access, and learn why families may or may not pursue early screening and early intervention. Finally, the project will determine the impact of the parent-to-parent navigator model on family engagement and participation in early screening and intervention follow-up, developing a parent-to-parent community support model for future use.

ICI film about school inclusion in Armenia receives award

Cover image of the film, "Education for Every Child: Armenia's Path to Inclusion."The documentary film Education for Every Child: Armenia’s Path to Inclusion, directed by ICI’s Jerry Smith, has received a Gold Award at the 2018 MarCom Awards, an international creative competition that recognizes outstanding achievement by marketing and communication professionals. The film explores the work of University of Minnesota researchers collaborating with UNICEF-Armenia and Armenian State Pedagogical University (ASPU) in developing fully inclusive schools for children with disabilities. “Beyond strategies for promoting full inclusion, this film shows the value of building strong partnerships and underscores ICI’s international reach,” says Smith.

The 28-minute film is part of Enhancing the Inclusion of Children and Youth with Disabilities in Armenia: University of Minnesota – Armenian State Pedagogical University Partnership (ASPU), a collaborative project between ICI and ASPU. The documentary features ICI researchers Brian Abery and Renáta Tichá, and Christopher Johnstone from the University’s College of Education and Human Development, who along with Smith and Associate Professor Susan O’Connor from Augsburg University in Minneapolis worked with their Armenian counterparts. Armenia is making education more inclusive, triggering a critical need for training, knowledge dissemination, and technical assistance to support this endeavor, and ASPU is the only university in the country that trains both general and special education personnel. Besides the film, the project has also: (1) published Inclusive Education Strategies: A Textbook, an Armenian/English language publication written by 13 U.S. and 12 Armenian authors; (2) revised four ASPU courses on inclusion for general and special education personnel; (3) hosted three webinars on supporting students with mild and more significant disabilities, as well as peer-assisted learning strategies; and (4) produced three learning modules, one each on co-teaching, Universal Design for Learning, and instructional strategies for inclusive classrooms.