Tutoring Unchartered 2022-2023 - NH Council on Developmental Disabilities
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2022-2023 A guidebook for people with disabilities, their families, and the professionals who support them Unchartered Tutoring page 14 A specialty publication of Published by Stones NH • 2022-2023 1 Stepping
Our Mission: The NH Council on Developmental Disabilities is dedicated to dignity, full rights of citizenship, cultural diversity, equal opportunities and full participation for all New Hampshire citizens with developmental disabilities. Council Members: Suzanne Austin Deborah Opramolla Abigail Conger Stephanie Patrick Jean Crouch Danielle Pelletier Carrie Duran Michele Petersen Our Belief: We believe that citizens of all abilities are fully Krista Gilbert Michael Phillips able to participate meaningfully in our society when given the supports and opportunities they need. Sara Gray James Piet Denis Greenwood Jennifer Pineo Our Work: We work alongside people with disabilities to Tim Houle Sarah Sadowski elevate their voices and to bring groups together to plan and build a better life for all of us. Joshua Madison Frank Vinceguerra Tammy Mills Alexis Wayland Council Staff: Find the information you Scan the QR code for need with the NHCDD grant opportunities Isadora Pamela Stiles, Resource Guide: Rodriguez- ED Administrative Legendre, Assistant Executive Director Miles Trier, nhddresources. Council Clerk Vanessa Blais, wordpress.com Director of Policy and Planning NHCDD.NH.gov • (603) 271-3236 2 1/2 Beacon Street, Suite 10, Concord, NH 03301
Table of CONTENTS 6 Access For All By Li Platz 8 Super Representation By Blake Tyler 10 There’s a Better Future In Sight By Randy Pierce 12 A Passion for Nursing 6 By Allison Love 14 Unchartered Tutoring By Amber Nicole Cannan 18 Behind the Wheel: Overcoming Challenges to Obtaining a Driver’s License By Matthew J. Mowry 22 In the Spotlight: 8 14 Story Corps with the Disability Visibility Project By Vanessa Blais 24 Collaborate to Communicate By Jules Good 26 Resource Guide 22 OUR SPONSOR positive, long-term change to participate in all aspects of New Hampshire Council on Developmental Disabilities community life and supports community initiatives that 2 1/2 Beacon St Ste 10 Concord, NH 03301-4447 promote full citizenship and inclusion. (603) 271-3236; www.nhcdd.nh.gov The NH Council on Developmental Disabilities is dedicated to dignity, full rights of citizenship, cultural diversity, equal opportunities, and full participation for all NH citizens with developmental disabilities. The Council initiates activities and projects for and with people with disabilities that create Stepping Stones NH • 2022-2023 3
Dear Stepping Stones NH Readers: I’m happy to introduce you to our 2022-2023 issue of Stepping Stones NH magazine. The NHCDD is committed to providing this important resource for individuals, families, providers, and other Co-Publisher and Matthew J. Mowry Executive Editor mmowry@BusinessNHmagazine.com important stakeholders. Co-Publisher Christine Carignan and Chief ccarignan@ As a community, we continue to come together to navigate our Creative Officer MillyardCommunications.com surroundings in new ways. We are excited that many events are Co-Publisher and Nathan Karol Chief Growth Officer nkarol@CardinalConsultingNH.com happening in person. We are even more excited about all the efforts being made to make these community gatherings and activities more Staff Writer Judi Currie jcurrie@BusinessNHmagazine.com accessible for people with disabilities. Proofreader Celia Heavisides We have been contributing funds through our new Accessibility and Account Executive Elizabeth Frost efrost@BusinessNHmagazine.com Emerging Needs grants for organizations to be more inclusive in how they share information and plan activities to better integrate people Account Executive Laura Maxfield lmaxfield@BusinessNHmagazine.com with disabilities. We have also been available to provide technical Ad Sales sales@BusinessNHmagazine.com assistance to groups and organizations who want to eliminate barriers Circulation Manager Deborah Nichols for people with disabilities in NH to participate in advocacy and circassistant@ community enrichment. BusinessNHmagazine.com Event Director Kelly Keating eventmanager@ We continue to support initiatives that align with the NHCDD five- MillyardCommunications.com year plan goals, contributing to advocacy and community inclusion Event Coordinator Vicki Pelczar in meaningful ways. Articles in this issue cover topics like driver’s eventassistant@ MillyardCommunications.com education, art and science, and health care providers with disabilities. Office 80 Canal St., Suite 203 There are also interesting contributions related to the accessibility Manchester, NH 03101 603-626-6354 needs from individuals across the disability spectrum in NH. We hope that you take the time to review the valuable stories and helpful information in this issue. Also, check out the Nature Conservancy’s Cedar Creek Trail for All in Manchester, NH to see what a truly inclusive community project can look like. If you have any ideas for articles or projects, please let us know at info@nhcdd.us. We would love to hear from you about important topics for the disability community. Stepping Stones NH is published by Granite Media Group Isadora Rodriguez-Legendre 80 Canal St, Ste 203 Manchester, NH 03101 Executive Director 603-626-6354 NH Council on Developmental Disabilities Please forward any inquiries or correspondence to 80 Canal St, Manchester, NH 03101. For editorial information, please call 603-626-6354. For information on how your company can advertise in Stepping Stones NH, Check out our Facebook page, which features information, events, call 603-626-6354. conferences and workshops relevant to the developmental disabilities community in NH: facebook.com/NHCDD. You can also access our BusinessNHmagazine.com online resource guide at nhddresources.wordpress.com. Business NH Magazine , 80 Canal St, Ste 203, Manchester, NH 03101 (ISSN 1046-9575), is published monthly by Granite Media Group; Matthew J. Mowry, Christine Carignan and Nathan Karol, co-publishers. Copyright © 2022. All rights reserved. Reproduction in whole or in part without permission is prohibited. 4 Stepping Stones NH • 2022-2023
Miracles every day Providing early intervention in the Seacoast, and an array of family support services around the state! Our team of highly skilled Early Supports & Services specialists is dedicated to helping children, birth to three, reach their full developmental potential. l Comprehensive evaluations by experts in child development l Physical therapy l Occupational therapy l Speech & language therapy l Early childhood education Accredited by waypointnh.org Stepping Stones NH • 2022-2023 5
Access For All Explore Nature Along the All Persons Trail in Manchester Rooted In Light Media By Li Platz Aislinn Graves of Wheels in the Wilderness explores the All Persons Trail with her husband David. M inutes from downtown ter Cedar Swamp in April 2022. The portable toilet. TNC also partnered Manchester lies something out-and-back trail is 6 feet wide with with the Manchester Transit Author- out of a fairy tale: Man- gentle, rolling terrain. It features an ity to add a new bus stop, providing chester Cedar Swamp Preserve, a informational kiosk, resting bench- much-needed transportation to the 640-acre property managed by The es, interpretive signs designed for preserve. “It’s a place where any per- Nature Conservancy (TNC) in New wheeled device access, and an au- son with any level of ability can go Hampshire with rare Atlantic white dio tour in both English and Span- to enjoy the beauty of natural New cedar swamps, towering hemlock ish. At the accessible parking area, Hampshire and to learn about one groves and, if you visit in mid-sum- visitors can use an ADA-compliant another; a place where everyone can mer, a flush of giant rhododendron coexist with a shared interest,” said blooms. Yet the magic of places like Max Morelli, director of program Manchester Cedar Swamp Preserve services for Opportunity Networks. has long been inaccessible for those It truly is a place for all. with disabilities. After a positive Learn more about the All Persons community response to a universal- Trail and visiting the preserve at na- ly accessible trail at its Ossipee Pine ture.org/manchester. Barrens Preserve, TNC considered building a trail in our most popu- lated city that helps everyone expe- Li Platz is Marketing and Com- rience nature. munications Intern with The Nature TNC participated in virtual com- Conservancy in New Hampshire and a munity-led conversations to learn student at Williams College who’s pas- about common barriers people with sionate about writing, outdoor recre- disabilities and other community ation and expanding access to nature. groups face in accessing the out- If Li isn’t at work or in the library, she’s doors. After three years of listening, likely on a trail somewhere between A mother and child review planning and construction, the All Durham, New Hampshire, and Land- the trail map. Persons Trail opened at Manches- er, Wyoming. 6 Stepping Stones NH • 2022-2023
V2 Revised LI-Mosaic Ad for NH Magazine.pdf 1 8/30/2021 3:28:19 PM HELPING PEOPLE TO HAVE A GOOD LIFE AT HOME AND IN THE COMMUNITY. Inclusion Participation Mutual Relationships Helping people with developmental disabilities live and work in their communities. For almost 40 years, Monadnock Developmental C Services has supported families M and people with developmental and related disabilities in the Y 34 towns in the southwestern CM corner of New Hampshire. MY How we can help: CY • Advocacy • Family support CMY • Respite • Training K • Planning for life transitions • Information about benefits • Early Supports & Services (0-3) To g ether we are stro nger. • Information and referral service If you or someone you know needs more information on Living Innovations provides support to people to have a good life at home and in the community. how MDS can help, please call, write or visit us online. Our services include shared living, community connections, supported employment, school to adult transition support, and in-home support. Monadnock Developmental Services 121 Railroad St, Keene NH 12A Depot St, Peterborough NH 603-352-1304 www.mds-nh.org 603-924-4203 LivingInnovations.com | NH Offices in Portsmouth, Exeter, Derry & Concord Crotched Mountain Foundation Launches $1 Million MCMS provides Music Therapy Special Education Initiative services for individuals and collaborates with school districts, community organizations, and healthcare facilities throughout Southern New Hampshire Working with a Board Certified Music Therapist, CMF Kids partners with school districts from clients often show significant growth and economically disadvantaged towns to support development in the areas of: and strengthen special education for kids - Motor Skills - Communication with the most complex disabilities. - Social Skills - Emotional Expression - Executive Functioning Skills CMFkids MCMS is proud to offer adaptive lessons for all abilities and instruments For more information, contact Shannon Laine, MM, MT-BC A Program of Crotched Mountain Foundation shannon@mcmusicschool.org Learn more at cmfkids.org 2291 Elm Street Manchester, NH 03104 www.mcmusicschool.org | 603-644-4548 Stepping Stones NH • 2022-2023 7
Chuck Zlotnick/Marvel Studios Vincent D’Onofrio as Wilson Fisk/Kingpin and Alaqua Cox as Maya Lopez in Marvel Studios’ HAWKEYE. Super Representation By Blake Tyler E veryday in New Hampshire, about 12% of the One of these heroes is someone who actually rep- population is living their day to day lives with a resents two worlds; the deaf community and also women developmental disability. The disabled commu- of color! Her name is Echo, and she is rising up the ranks nity does not want to be treated special or have hollow of the public consciousness lately thanks to her masterful dispensations hurled their way, they simply want the same portrayal by Alaqua Cox in the show Hawkeye and will respect and opportunities as everyone else in society. Of- soon have her own show on Disney+. Echo is raised to be ten, the disabled community goes largely ignored and un- a master hand to hand combat specialist and thanks to der-represented in many different mediums. So it’s always her being deaf is a master of reading lips and can mimic nice to see representation on a large scale that reaches any moves after seeing them performed once! mass audiences, and one of the largest stages you will find Adding to the authenticity of the character as por- these stories presented are the world of superheroes. trayed in the show is the casting choice. Alaqua Cox was 8 Stepping Stones NH • 2022-2023
Caring for children with complex medical needs • Short and long term pediatric care (infant to 22 years) • Advanced respiratory care including trach and vent weaning • Hospital to home transition care • Specialized physical, occupational and speech therapies • Onsite school with residential and day education services Marvel Studios 91 Maple Avenue, Keene, NH cedarcrest4kids.org • 603-358-3384 born deaf and raised on the Menominee Indian Res- ervation in Keshena, Wisconsin. She is a member of the Menominee and Mohican Nation and attended the Wisconsin School for the Deaf, where she played on the girls basketball team from 2014-2015 as well as the vol- CARING FOR leyball team. OUR COMMUNITY This sort of representation, while not a cure all or sil- All Day, Everyday, ver bullet for the hurdles the disabled community faces, is a welcome launching pad. The hope is that by start- ing with one portrayal and one character, thousands of For a Lifetime people can finally see themselves and feel seen on screen and inspire many more Alaqua Cox’s to keep shattering ceilings in the future. Proudly serving infants To close in the words of the immortal Stan Lee, “That with developmental delays, person who helps others simply because it should or children and adults must be done, and because it is the right thing to do, is with disabilities and indeed without a doubt, a real superhero.” seniors in need of care. Blake Tyler is a Social Media Assistant with the New info@gatewayscs.org Hampshire Council on Developmental Disabilities, a (603) 882-6333 lifelong Granite Stater, and passionate fan of all things www.gatewayscs.org comics related. Stepping Stones NH • 2022-2023 9
There’s a Better Future In Sight By Randy Pierce I ’m delighted to introduce you to the incredible mis- sion of Future In Sight along with some very personal and powerful perspectives on our inclusive approach to celebrating ability awareness. Future In Sight is a nonprofit organization that is ded- icated to transforming the lives of those who are blind or visually impaired. A byproduct of this work is that we also help transform the lives of the family members and friends whom our clients rely on in their day-to-day lives. In order to do this, Future In Sight provides a range of Randy Pierce, left, hiking with his wife services in education, rehabilitation and social services to Tracy and his guide dog. infants and toddlers, children (3-22), adults and seniors throughout NH. These services are part of a holistic con- tinuum of care that includes counseling, group therapy, experienced an unexpected —and very sudden—loss of occupational therapy, low vision therapy, vision rehabil- sight. I felt the frustration of helplessness and hopelessness itation therapy, orientation and mobility training, edu- as I thought everything fun or meaningful in my life was cation services and technology training. We also partner no longer possible. Fortunately, I was referred to Future with medical and eye professionals, healthcare facilities, In Sight and they helped me begin to understand that the social service organizations and state agencies, including possibilities were nearly limitless. A practiced and experi- the Department of Education and Department of Reha- enced counselor understood the reality of my challenges bilitation Services. Services are personalized to meet our with sight loss, my own approach to that loss and the vari- clients’ needs — in the home, at work, at school and in the ous community challenges. Education, demonstration and community. Whether it is no vision or low vision, Future the arrival of low vision therapy helped me to quickly learn In Sight has techniques to promote confidence, compe- and grow. We adapted my home in subtle ways to enhance tence and dignity for everyone. my safety as well as the access to all my home appliances. Future In Sight understands the developmentally dis- I was cooking, cleaning, managing my mail in slightly ad- abled community experiences an elevated risk to many justed ways. Soon I was learning to travel inside and out- health challenges. Our team of Occupational Therapists side the home and returned to my job with confidence. who practice in low vision are particularly proficient in I was thrilled to learn there are tools to magnify text, assessing complex situations and challenges to create an enhance the contrast, improve the lighting and reduce individualized plan to meet the needs of the client. Each the glare. There is technology to provide speech from of our clients is a collaborative partner in determining the talking books to talking computers and smart phones. goals established to define success. Our professional staff There is a peer support group to collaborate and com- utilizes a team approach to ensure the full range of our miserate with those who understood and had quality services are deployed to best reach those goals. suggestions. There are volunteers that provide transpor- I well understand all of these realities because they are tation and help me with the important tasks, which I a part of my personal journey. Thirty-three years ago, I might still find challenging. 1 0 Stepping Stones NH • 2022-2023
All of this transformed my life, allowing me to live and which enables me to give all of my effort to ensure the thrive. Future In Sight even helped to connect skills that we teach are there for everyone who faces me to my first guide dog and my indepen- vision challenges. I know personally how valu- dent travel became even easier as well as able the services of our organization are for more rewarding; after all, nobody ever success – however any of us may measure asks to pet my cane. it. I believe Future In Sight’s choice to Over a few years my legal blind- hire me in this role demonstrates their ness progressed to total blindness inclusive approach and also the quali- and each time I lost sight, there was ty of service they have been committed a supportive and knowledgeable to offering the NH community for over person to help guide me through 100 years. Because of my personal experi- the training necessary. Along with my ence with the organization, I am confident return to work came a host of activities to say to anyone who encounters sight loss, important to me. I trained for and received low vision or blindness, “there is a better future a 2nd degree black belt in Shaolin Kempo karate. in sight thanks to Future In Sight”! I learned to climb mountains here in NH and all over the world. I started running races and won a pair of Nation- al Marathon Championships. I founded a company and Randy Pierce is the President & CEO of Future In developed an international speaking career. I even wrote Sight. He is also a captivating motivational speaker who a book to share the many epic adventures and lessons of draws upon his life experiences to inspire, entertain, and my life, “See You at the Summit. All of this allowed me teach. Randy has climbed to the summit of Mount Kili- to support charitable organizations who had helped me, manjaro, won two national marathon championships, and repaying the kindness I’d received. earned his 2nd degree black belt in Karate – all while being Last year, Future In Sight invited me to become their 100% blind. He co-authored a book of his experiences, See president and chief executive officer. It’s a dream job, You at the Summit, with his wife Tracy. Community Bridges is dedicated to offering exceptional services to community members living with developmental disabilities or acquired brain injuries. Our approach is person centered to ensure individuals take the lead in pursuing a self-determined good life. Through a partnership with supported community members and their families, we look to bridge any potential barriers between those we serve and participation in their community. 162 PEMBROKE ROAD, CONCORD, NH 03301 TOLL-FREE: 1-800-499-4153 • PHONE: 603-225-4153 WWW.COMMUNITYBRIDGESNH.ORG Stepping Stones NH • 2022-2023 1 1
A Passion for Nursing By Allison Love Author Allison Love in her nursing uniform, above, and with her dog, below. W hen I was growing up, was at my school constantly to make was passionate about and build a I was fascinated by sci- sure that I was getting the education community through these activities. ence and medicine and I deserved. She would remind my I was a talented musician and music thought for sure I was going to be a teachers that even though I didn’t helped me in every way imaginable, doctor. I always did very well in my talk that I could both understand and including teaching me how to make schoolwork and had a strong desire communicate; and she helped come and keep friends through common and curiosity for new information. up with communication systems for interests. However, as I got older, I began to me to interact with my teachers. As we began to think about my fu- realize that the things about me that ture after graduation, my parents and made me different from my peers therapists helped me learn skills that would also make it harder for me to would allow me to go to college and be independent enough to have this live on my own; such as shopping in career that I wanted. a store, making phone calls, and ask- My family and I did not know I ing for help when I needed it. I was so had autism until I was in my 20s, but scared to go to college, but I wanted there were plenty of other diagnoses badly to work in medicine and with I was given up to that point to try the support of my family and my own to explain my differences. Now, as drive to reach my goals, I made that an adult and a women’s health nurse leap. By this time, I knew I wanted practitioner, I attribute a great deal to be a nurse practitioner instead of of my success to the love and dedi- a doctor because in my chosen field cation of my parents. I had the great of gynecology, I learned that doctors privilege of benefiting from a stay- are surgeons, and I wanted no part of at-home mom throughout my child- that. I planned to get a bachelor’s de- hood and despite her not knowing gree in biology first, then move on to that I was autistic, she gave me every nursing school getting both a bache- resource and therapy that she could lor’s and a Master’s in Nursing. learn about. As I moved into middle and high When I started nursing school, I I went to public school all the way school, my parents both encouraged realized how truly difficult it was for through 12th grade, and my mom me to dive deeply into the things I me to interact with patients and I was 1 2 Stepping Stones NH • 2022-2023
unsure if I could make it as a nurse. I excelled in academ- ics as always, but in nursing school that is a very small part of the picture. As I spent more time around my peers, experienced nurses, and instructors I began to realize how good I was at learning and mimicking social interactions from observing others. I could go into a patient room and take a blood pressure once I knew what a nurse says and nh hu g .or does when they perform that task. ngers Slowly, I began to accumulate scripts in my mind for ol u ti o n s different situations. I realize now that this is a common trait amongst women and girls with autism, and I feel very proud of it because it has allowed me to succeed in nurs- ing. Now that I, as a nurse, am comfortable and confident with my scripts I have more room in my brain to connect with my patients individually and to adapt to different types of people and different situations. Looking back on my life until this point, I believe that I have found success by learning about myself and my brain and figuring out how to use my skills to my advantage, even if it means doing things differently than others. Fur- thermore, I think I have my parents to thank for teaching me the way I needed to be taught and advocating for me until they could teach me to advocate for myself. Thanks Mom and Dad. Unlimited possibilities for students with special needs monarchschoolne.org Stepping Stones NH • 2022-2023 1 3
Unchartered Tutoring By Amber Nicole Cannan Amber Nicole Cannan, left, with group of students in the Unchartered Tutoring science gardens. I t’s no secret that overcrowded or if their heating bill has been paid. for superpowers and paid double. classrooms have become com- Students without these basic human I founded Unchartered Tutoring monplace. How, then, can we needs are not going to learn. Addi- with these challenges in mind. I be- expect teachers to recognize, reach, tionally, if a student’s very identity is lieve we can accomplish learning ob- and educate children who are with- compromised, or control over their jectives through smaller class sizes, drawn, or those whose fundamen- own bodies is removed, it will impair cross topic lessons, and teachers who tal needs are not being met? If this learning and their education could provide a human connection. continues, the students we love will be in jeopardy. Small class sizes are vital for ac- keep going unnoticed, unassisted, The hardest part of my job is commodating students with varying and unincluded. seeing students who lack life’s ne- challenges. As an after-school educa- Anxiety is a major learning obsta- cessities. Evaluating students’ needs tor, I can control my class sizes where cle that seems to be based in Maslow’s becomes impossible in overfilled daytime teachers cannot. Additional- Hierarchy and identity. Daily, I can’t classrooms. Teachers who can ac- ly, I can teach a class of fifteen alone, be sure my students have food at complish this in a classroom of over but with an assistant, we can form an home, clean clothes, steady shelter, twenty students should be evaluated emotional connection with our stu- 1 4 Stepping Stones NH • 2022-2023
dents. Because I limit our class sizes, we can form the emotional connec- tion required for students to disclose when their basic needs are not being met. We’ve identified and assisted students with learning challenges, abuse at home, and those who need to feel a little extra love and connec- tion. The smiles and light in a stu- dent’s eyes when they feel heard and helped is what makes my job the best job in the world. This is a testament to the teachers I have hired. One element that inspires student success is our approach. To teach children in the vulnerable popula- tion, we’ve created a curriculum that educates, engages, and avoids trig- gering sensory issues. A student in an after-school program learning about Before Covid, we provided gloves wood’s lamps and phosphorescence. and masks for students with sensory issues. COVID-19 has made it more commonplace to have these items on variety of other ewwy gooey things. We have enough tools and aids on hand. Granted, masks don’t block all We keep citrus-scented oils on hand hand that students can make a slime smells, but they do seem to help, if to try to mask some of those smells. without going into sensory overload. only psychosomatically. Some of our In other lessons where we use smells, The relief I’ve seen on students’ faces lessons inherently stink, particularly students have the choice to de- when I tell them they can make slime in our Gross Science series where we cline them if they so wish. Yes, it is and play with it without ever touch- create simulated fecal matter and a that simple. ing it is confidence boosting to both of us! Learning disabilities and poverty are not the only learning barriers in a classroom. Students from disadvan- taged groups need adults they can re- late to. My teachers have done a lot of reading and listening regarding what it means to be BIPOC, LGBTQ+, disabled, neurodivergent or a part of other disadvantaged demographics in this country, and how that affects Maslow’s Hierarchy for their students. Many of my teachers come from these spaces because I seek them out! I’ve stopped evaluating potential new hires by grades or test scores. Those criteria favor the socioeco- nomically advantaged, white male. Many people, especially those with A student looks at Estigmene acrea frass intellectual or learning disabilities, through a microscope. lacked resources and aren’t well-rep- Stepping Stones NH • 2022-2023 1 5
to transport lesson boxes because wheels are smarter, and accommoda- tions shouldn’t be reserved for those with a doctor’s note. The biggest challenge I’ve encoun- tered was resolved by building a ro- bust system of checklists--a method of checking out lessons to ensure supplies are ready ahead of time and that several eyes on the schedule en- sure that no mistakes were made. With such processes in place, my small business operates as smoothly as a big business. When someone moves on, another can take command and run it with very few questions. Our method works because the human connection between us makes Elise helps a student with a scientific illustration. robust learning possible. Because my teachers believe in us, resented by conventional standards. commitment from me to give more we have an amazing system where However, low test scores can have thorough training and patience with children can learn, and teachers can some bearing on what they can do errors. Sometimes I must stop what teach. In the end, isn’t that my job, as for Unchartered Tutoring—it makes I’m doing to reassure an anxious em- a teacher and as the boss? them stronger teachers and gives ployee that they are doing a wonder- them the ability to connect with stu- ful job and that I am extremely happy dents who struggle in similar ways! It with their performance. Other times, Amber Nicole Cannan (She/Her, is an advantage! I guide them on technology multiple They/Them) is our founder and pri- When interviewing, I seek that times to ensure they have the auton- mary muse/instructor. She is a bio- moment when candidates are de- omy to make their own schedules. medical artist, science and art teacher scribing a project and they lean for- All teachers are given hand trucks and general community member. ward in their seats. I watch for that moment when their eyes twinkle as they recall an impact they had where they knew they changed their envi- ronment for the better. If those mo- ments align with my needs, I hire them. If it doesn’t they don’t, I evalu- ate whether the skill is trainable or an innate personality trait. Being the boss for over seven years, I’ve realized that all the skills I need from workers are trainable. Their val- ues are not. I’m not evaluating them by the resources they had growing up, but for how they will work and how much they love what we are doing. Hiring neurodivergent people and those with intellectual or physi- A student carefully measures the ratios for her cal disabilities does take a little extra exothermic reaction. 1 6 Stepping Stones NH • 2022-2023
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Behind the Wheel Overcoming Challenges to Obtaining a Driver’s License By Matthew J. Mowry L ike any teenager, Abigail Ripley was excited about just over the border in Vermont, the closest place certified gaining freedom when she signed up in November to provide such evaluations. 2021 to take lessons at a driver education school. The driving school then told Ripley she couldn’t take Then, she learned there was an issue. Ripley has a 504 driver’s education until after the evaluation. By the way, plan, a program developed by schools to assist students that evaluation cost $750 on top of the fee for drivers ed. with disabilities. According to a state website, a 504 plan is “My mom emailed the head of DMV and the gover- a set of accommodations, or changes in the classroom en- nor’s office on disability,” Ripley says. The governor’s of- vironment, to help a child follow the regular curriculum. fice referred her to the NH Council on Development Dis- It is less formal and involved than an Individualized Ed- abilities, which provided a grant covering the cost of the ucation Program (IEP) and does not change the instruc- evaluation. Meanwhile, Ripley had to postpone driving tion itself. For example, a student who uses a wheelchair classes due to how far out evaluations were booked. but doesn’t need academic supports would have a 504 The three-hour evaluation included physical and cogni- plan. See Accommodations below for other examples. A tive tests as well as a driving test with the evaluator. Ripley student may qualify for a 504 plan but not an IEP. says the evaluator remarked on how much mobility and Ripley and her parents originally arranged the 504 to strength she had in her arm and commented that Ripley avoid potential issues that might come up as Ripley does was the best first-time driver they had seen. The evaluator not have functional fingers on one hand. But that has nev- did say Ripley needed a steering wheel knob, a recommen- er kept her from accomplishing anything she has pursued, dation that was forwarded to the driving school. including playing high school lacrosse. While the driving school added a knob for Ripley in Ripley says without meeting her and based solely on the driver’s education car, Ripley says, “It made it even the fact that she had a 504, the private driving school harder to learn. I felt it was not necessary. … I had driv- mandated an evaluation by an adaptive driving expert en 20 hours with my mom and never used this device. 1 8 Stepping Stones NH • 2022-2023
My pediatrician, who has the same limb difference as me, cars,” Frazier says. “We recommend equipment and train does not use this device and there is nothing on her li- them with equipment.” cense that indicates she needs it.” That is why those with learning and physical disabili- After completing her driver training, Ripley’s mom ties or those who have been in an accident or experienced called the DMV to see if the knob was required for the a medical event, are often referred to certified driver re- exam and was told it was up to her. She not only aced habilitation specialists by providers of driver training. her written test but also received a perfect score on the “We want to make sure the person learning to drive is driving portion. “It made me feel like I couldn’t do it appropriate to drive,” Frazier says. Scamman adds she on my own,” Ripley says of having to use the knob for also receives referrals through the state’s NH Vocational driver’s education. Rehabilitation program to assist those who must drive Ripley says she is lucky she has parents who are such to work. strong advocates and were able to find a grant to cover the Scamman says she asks clients about their ability to cost of the evaluation. While Ripley says she is grateful manage other life skills as that can help to assess their the evaluation allowed her to take the training, she says ability to drive and she provides a variety of tests that the evaluation was unnecessary. She adds that she took up evaluate such things as attention, visual scanning, and an evaluation slot and grant money that someone with a perception. The evaluation includes having the client more severe disability could have used. in a car demonstrating basic driving knowledge, such as an understanding Helping People of the pedals, and the ability to execute Get on the Road Safely turns and using turning signals. Eval- Such evaluations are required when uations start in a parking lot and may people may need adaptive equipment proceed to a neighborhood or rural to assist them in driving, says Amanda road, Scamman says. Scamman, a certified driver rehabilita- Frazier says even if the person has tion specialist at Northeast Rehabilita- an apparent disability, a thorough tion Hospital, one of only two facilities evaluation is done to assess whether that offer such services in NH. there are other needs. “We can’t make Certified driver rehabilitation spe- assumptions,” she says. And it is not cialists evaluate people’s physical and just people with physical disabilities cognitive abilities to see if they can who are referred for evaluations. Peo- meet the demands for driving. They ple with ADHD, anxiety, have autism, Abigail Ripley receiving also recommend adaptive equip- or require special services may also be her driver’s license. ment when an individual needs it to referred for an evaluation, Frazier says. drive safely. “Even if it is appropriate for them to According to Staci Frazier, an occupational therapist drive, there are times those young adults need specialized and certified driver rehabilitation specialist with Drive- interventions and teaching techniques that they won’t get Ability, a state-accredited driver school at Exeter Hospi- through traditional driver’s education.” tal, traditional driving schools do not have the training Due to time constraints as well as the need to have a to evaluate whether a person needs adaptive equipment. controlled environment for evaluations, clients are re- A specialist can evaluate a person’s vision, perception, quired to come to the evaluation site, says Scamman, who cognition, and reaction time to determine if there are is- sees clients from across the state. sues that could affect the ability to drive, says Frazier, who “In general people with disabilities are so appreciative earned certifications as a driving instructor as well as a of my services,” Scamman says, adding she occasionally driver rehabilitation specialist. has a disgruntled parent who is not happy their child re- Once an evaluation is completed and it is determined quires an evaluation. On the other hand, “Families of our if the person can drive with or without adaptive equip- aging population are appreciative as they are not sure if ment, the person then enrolls in driver’s ed, including at mom and dad should be driving and I can counsel them,” DriveAbility. “If a young adult needs adaptive equipment, she says. a traditional driving school [may] not be able to meet Scamman says her clients range in age from 16 to 80 their needs as they will not have the equipment in their and 90% reach their driving goals. Stepping Stones NH • 2022-2023 1 9
Limited Access One issue is the limited availability of certified driver rehabilitation specialists in NH. There are only a handful of specialists, and all are in southern NH. Scamman says, “There are not enough to serve the whole state.” But when a medical referral or a driving school re- quires an evaluation for someone from northern NH, they have to travel hours to get an evaluation or go out of state. “It is a challenge,” Frazier says. And, if someone requires adaptive equipment to learn to drive, many schools are unable to accommodate those unique needs. In addition, evaluations are not cheap. Scamman says an evaluation at Northeast Rehabilitation Hospital costs between $500 and $1,000, Frazier says, adding adaptive $500 and examines the ability to drive and other skills equipment can cost hundreds to thousands of dollars. such as vision, memory, physical capabilities, endurance And then there is the cost of travel. “We frequently have and driving knowledge. clients that come from the Lakes Region,” Frazier says. An evaluator then develops a plan for the person, There are organizations that provide financial assis- whether that is taking a driver’s education course, add- tance to people with disabilities to help cover the cost of ing adaptive equipment to the vehicle, additional train- a driving evaluation. New Hampshire Vocational Rehabil- ing with a certified teacher, or whether no further actions itation may provide resources for those who need to have is needed. the evaluation to work, Scamman says. The NH Council If someone requires extra training with a driver reha- on Developmental Disabilities also offers limited grants. bilitation specialist, that can cost upwards of $140 per Specifically, the Council developed an Employment and hour over and above the driver’s Post-Secondary Education Grant to course required by the state. provide up to $1,000 to help those “ Scamman says she knows of a few with disabilities pay for expenses re- instructors in NH who are working People must lated to employment or educational toward becoming certified driver have cars to access opportunities, including paying for ” rehabilitation specialists, and that driver’s education, clothing for job schooling and interviews, starter trade tools, assis- should help with the demand for such services. Scamman, an occupa- employment. tance with completing resumes, cov- tional therapy assistant, says it took -Vanessa Blais, er letters and job applications, career her three years to become certified or college exploration consultation NH Council on driver rehabilitation specialist and and transportation costs, says Vanes- Developmental Disabilities two more years to become certi- sa Blais, director of policy and plan- fied as a driving instructor. Those ning for the NH Council on Devel- requirements are why there are so opmental Disabilities. She notes the few certified driver rehabilitation specialists in the state. Council has only received two grant requests so far to cover “In some states you can become a driving instructor in a driver’s education evaluations. week, but, in New Hampshire, it takes two years,” she says. Other organizations Scamman recommends contact- Scamman says she is consistently booked a month out ing are Granite State Independent Living, Easterseals NH, and conducts about six evaluations per week. She adds and Gateways Community Services. Scamman says clients that the pandemic caused demand to spike. have also sought financial assistance through churches, Lions Clubs, and GoFundMe campaigns. If a student has Financial Resources a 504 plan, some school districts may pay for the service. Frazier says between evaluations, purchasing special- If someone was injured on the job, workers comp insur- ized equipment or vehicles and the actual cost of driver’s ance may pay for the evaluation, Scamman says. education, it can be expensive for someone with a dis- But cost remains an obstacle, especially if someone ability to get a driver’s license. An evaluation alone costs doesn’t know how to access these resources. “This is a 2 0 Stepping Stones NH • 2022-2023
huge barrier for families that have to pay extra for these evaluations. The state needs to make it more accessible,” Blais says. “There needs to be way more places in the state to provide this service. We live in a state with abysmal public transportation. People must have cars to access schooling and employment. We need to be better at mak- ing sure people don’t have barriers to this.” Frazier says there is a great need for these services. “If Swing for the Stars is a pediatric therapy center we weren’t here, the community of people with disabilities offering occupational, physical and that we have been serving for 23 years would be stuck and speech therapy services to not have a way to gain that independence that they want children with special needs. Our services are offered in a warm, and need,” she says. welcoming environment where family involvement in the treatment process is a priority. Our highly skilled Call for a FREE phone therapists have a firm consult with a Certified commitment to providing Speech Language quality therapy services in Pathologist Today! individual and group sessions. • Treating Children and Adults of all ages • Most insurances accepted 603.228.7827 swingforthestars.com 2 Pillsbury Street Suite 404 PEDIATRIC THERAPY CENTER, LLC Concord, NH 03301 80 Nashua Rd., Building B, Londonderry, NH • 603-548-2188 • www.premierspeechtherapy.com We provide compassionate, quality services to people from early childhood through adulthood and end-of-life care. Stepping Stones NH • 2022-2023 2 1
In the Spotlight Story Corps with the Disability Visibility Project By Vanessa Blais Dave Isay dreamed of creating You can now be a part of a place where we could listen sharing the stories of people to each other’s story. In 2003, with disabilities with the he opened the first StoryCorps Disability Visibility Project and booth in New York’s Grand StoryCorps Connect. Central Terminal. Story Corps has evolved into the largest collection of human voices ever recorded. These voices share what it means to be human in our diverse, ever- changing world. 2 2 Stepping Stones NH • 2022-2023
How do I record a story? How do I share the story? You can record remotely with a friend from 1. Add the keywords 2 separate locations using StoryCorps Connect “Disability Visibility Project” (disabilityvisibilityproject.com/how-to- participate/storycorps-connect) 2. Add your story to the StoryCorps community page for the DVP You can record a story anytime, anywhere (archive.storycorps.org/communities/ from your smartphone using the disability-visibility-project-2) StoryCorps App (disabilityvisibilityproject. com/how-to-participate/oral-histories-with- For more about how to add your story to a the- storycorps-app) StoryCorps community: (support.storycorps. me/hc/en-us/sections/115002804847- If you use a sign language interpreter or Communities) facilitator when you recorded your story with the StoryCorps app, the DVP has funds to Watch this video on how to use the reimburse for those services. StoryCorps app in 5 easy steps. Details here: http://wp.me/P4H7t1-MKK (https://youtu.be/CW8UDYCV5Oo) Want to learn more? • StoryCorps – Stories from people of all backgrounds and beliefs (storycorps.org) • Hear Alice Wong talk about the Disability Invisibility Project and StoryCorps (youtube.com/watch?v=8bgBOX42WyE) • Hear Dave talk about StoryCorps youtube.com/watch?v=QKHk_UiQboA • Note on Accessibility – Disability Visibility Project (disabilityvisibilityproject.com/how-to- participate/note-on-accessibility) • How to participate in the Disability Visibility Project story collection (disabilityvisibilityproject.com/ how-to-participate) Stepping Stones NH • 2022-2023 2 3
Collaborate to Communicate By Jules Good P icture this: Two people sit on a lary and structure among the people need. Being nonspeaking is not an in- park bench having a conversa- who use it. Some examples of lan- herently bad thing, it just requires dif- tion about the weather. What guages are English, Spanish, and Swa- ferent support”. In other words, Cole comes to mind when you think hili. A modality is the means through using an AAC is not a problem, but the about their conversation? You might which we use that language. Writ- fact that we live in a world where the imagine them speaking to commu- ing, speaking, listening, reading, and use of AACs is stigmatized makes it so nicate their thoughts and listening drawing are examples of modalities. that most people have no understand- to understand what the other per- The most common modalities are ing of how to properly communicate son is saying. This is how most of us talking and listening. People with dif- with an AAC user. Everyone deserves have learned about communication, ferent kinds of disabilities may need accurate communication access re- as a constant volley of talking and to use different modalities to express gardless of the language(s) or modali- listening. Therefore, it makes sense or receive communication. For ex- ties they use. that much of our world is connect- ample, Cole Sorensen, a nonspeaking So how exactly do we facilitate ac- ed through phone calls and spoken Autistic person, uses an Augmenta- cessible communication settings? First, interactions. But what about those tive and Alternative Communication we have to remember that there is no of us who are unable to express or (AAC) device to express his thoughts. “one-size-fits-all” solution; everyone’s receive communication through Instead of talking, Cole uses a digital needs and preferences are different! talking or hearing? The world is not device with a programmed board of We should aim to create solutions that designed with our communication icons and phrases; when he taps on are easily adaptable and changeable, needs in mind. But with thoughtful an icon or phrase, his device will say rather than aiming to create a fixed creativity and a shift in how we think it out loud. solution. Without flexibility, there about communication, we can work Many people think that the way will always be unmet needs. When together to create spaces where ev- Cole communicates is inferior to designing for communication access, eryone’s communication needs are “normal” spoken English. But Cole we need to think not only about the met and honored. says, “People don’t lose options for space that people are communicating Communication has two main communication because they are non- within, but also about best practices building blocks: language and modal- speaking. They lose options for com- for conversing with a wide variety of ities. A Language is a system of com- munication because they are not giv- people. Here are some key things to municating that has shared vocabu- en the communication support they consider in both of these realms: 2 4 Stepping Stones NH • 2022-2023
Environment/Space you. Do your best to embrace pauses or peoples’ communication choic- Reduce background noise (music, in conversation. We should cherish es rather than trying to make them loud fans, etc.). Background noise “awkward silence” as an opportunity communicate in a way that seems can make it difficult for people to for better communication! more “normal” to us. hear or process sound, and it can Persevere. Sometimes, commu- interfere with assistive technology. Make sure your space is well-lit. MENU nication doesn’t work on the first try– technology can fail or there can This helps people who use lip read- be misunderstandings. Be willing to ing, facial expressions, and signing be repeat yourself or ask others to do able to see information more clearly. so. Remember that everyone de- Use pictures and icons to con- serves equitable access to informa- vey information alongside written tion, and that sometimes we have words. To the right is an example to try things a few different ways in of a menu with both pictures and order for that to happen. words so that people who struggle By understanding the different with English can still receive accu- ways people communicate and be- rate information. ing willing to adjust our spaces, at- titudes, and practices to fit them, we Accessible Communication can create a world where everyone is Best Practices able to learn, share, and connect in Be patient! Sometimes, people Respect peoples’ choices. Some a way that is accessible and respectful might take a little longer to process people use different modalities at dif- for each person. Let’s work together what you’ve said and respond back to ferent times. We always need to hon- to build that world! Create Your Own Desired Future PathWays works with children, adults, and their families to provide ongoing, individualized support. PathWays works with local People First of NH agencies, programs and businesses to provide individuals with We are a statewide non-profit directed by citizens who meaningful work, recreation, and community life. experience disability, for the purpose of self-advocacy. * Early Supports & Services * Participant Directed Services * Family Support * Enhanced Family Care * Adult Services * Advocacy * Employment Options * Family Support Council Looking For Rewarding Work? Enjoy making a real difference in someone’s life? We are hiring! Full and part time openings with flexible schedules & comprehensive training! Self-Advocacy * Service Coordinators * Direct Support Professionals Leadership Team Visit us * Personal Mentors Learn more by contacting us at: www.pathwaysnh.org 603-542-8706 info@PeopleFirstofNH.org For more information email khenning@pathwaysnh.org Stepping Stones NH • 2022-2023 2 5
Resource Guide The NH Council on Developmental Disabilities has compiled this listing to help people with intellectual/developmental disabilities and their families find the information, services, and support they need. A complete version of the resource guide is available at NHDDresources.wordpress.com or by calling 603-271-7038. CONTENTS I. Information and Referral Services, Guidebooks and Online Resources II. Information and Resources on Specific Disabilities or Topics • Advocacy and Self-Advocacy • Assistive Technology • Autism • Blind Resources • Brain Injury • Bullying • Children with Disabilities or Significant Medical Needs • Deaf and Hard of Hearing • Dental Services • Developmental Disabilities and Acquired Brain Disorders • Employment • GED/Adult Education • Government Benefits and Agencies • Housing • Independent Living — Adults with Physical Disabilities • Legal Assistance • Mental Health and Suicide Prevention • Research and Training • Transition • Transportation 2 6 Stepping Stones NH • 2022-2023
Disability Rights Center – housing, voting and transportation. Information and Referral NH (DRC) Online list of state and federal Services, Guidebooks and www.drcnh.org government benefit programs for Online Resources (603) 228-0432 people with disabilities. (800) 834-1721 (v/tty) NH Family Voices Information, referral, advice, NH Statewide Independent www.nhfv.org and legal representation and Living Council (SILC) (603) 271-4525 advocacy to individuals with www.silcnh.org/ (800) 852-3345 ext. 4525 disabilities on a wide range of 54 Regional Drive, Suite 5, (in NH only) disability-related issues. Online Concord, NH 03301 A “Family to Family Health and resources and materials available (603) 271-2773 Education Center” assisting on many disability-related topics. Jennifer.i.beaulieu@gcd. families of children and young Federally funded Protection and nh.gov or info@silcnh.org adults with chronic health, Advocacy Center. Provides a monthly resource physical, developmental, and newsletter, archives of past issues mental health challenges. Provides ServiceLink Aging & and online “tip sheets” on benefits, one-to-one phone assistance, Disability Resource Centers housing, and health care, based on educational materials, online www.servicelink.nh.gov an independent living philosophy. resources, a lending library, and (866) 634-9412 A federally funded, independent, quarterly newsletter. Resource Directory: cross-disability council. www.referweb.net/nhsl/ Maneuvering From local offices throughout NH Family Ties (Formerly Through the Maze the state, helps individuals access Parent to Parent of NH) nhfv.org/how-we-can-help/ long-term services, supports and www.communitybridgesnh. resources resources, access family caregiver org/services/nh-family-ties A comprehensive resource information, explore options and (800) 499-4153 ext. 241 guide of state health and human understand and access Medicare Provides parent matches between services agencies, educational and Medicaid. After-hours experienced parents, who have resources, private associations, and appointments are available as “been there,” with new or referred organizations that serve people in needed. Callers are connected to parents of children with special NH with physical, developmental, the ServiceLink office in their area. needs just beginning to meet mental health and chronic illnesses Funded by the State of NH and the challenges of a disability or and their families, from birth federal government. chronic health condition. Available to adulthood. Produced by NH through the area agency network Family Voices. Brain Injury Association of NH as part of their family support www.bianh.org services. NH Family Ties provides Parent Information Center List of resources compiled by the information and referral to on Special Education (PIC) Brain Injury Association of NH. community resources, services, picnh.org support groups, state support 54 Old Suncook Road, Governor’s Commission programs, and others. Concord on Disability (603) 224-7005, (800) 947-7005 www.nh.gov/disability 2-1-1 NH Telephone/email support to families 54 Regional Drive, Suite 5, ] www.211nh.org with questions about early supports Concord, NH 03301 Information and referral for and services, special education, and (800) 852-3405, (603) 271-2773 general human services including other disability-related concerns, Provides information on the help with food, emergency interactive workshops for parents, Americans with Disabilities Act housing, employment, health volunteer advocate training and (ADA) and accessibility issues, care and counseling is available informational materials (online including accessible parking spaces, by dialing 211 in NH or (866) and printed). Stepping Stones NH • 2022-2023 2 7
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