Friday, May 29, 2020

Washtenaw County Democratic Party Special Education Summit, 6/18 @ 6-8 pm

from the Washtenaw County Democratic Party:

Special Education Summit, K-12
June 18 @ 6:00 pm - 8:00 pm


The Washtenaw County Democratic Party is working hard to tighten our connection to the community and serve as a bridge between politics and people. Since parents have started crisis schooling, many of the gaps in our education system have been exposed. What does the “sense of urgency” in our response say about our commitment to educational equity? The WCDP’s Dems Care has organized the Special Education Summit to address this question. This event will include a number of speakers as well as several breakout panels with experts in the field. These panels include:

  • The Tea Room: Open discussion for parents
  • How Stuff Works: IEPs during COVID-19, summer resources and services
  • Advocacy is Self-Care: Special education advocacy
  • Big Changes: Social-emotional support, advice for families with students who were in self-contained classrooms
  • Ally/Working with Families and Intersections: How to support non-parent allies including teachers, social workers, and service providers
More information is forthcoming including a link to the Zoom meeting.

Wednesday, May 27, 2020

Parenting a child with severe autism during a pandemic

This is an NPR interview with Feda Almaliti, the mother of a 15-year-old son with severe autism. Feda is also the Vice President of the National Council on Severe Autism and has written articles for the NCSA Blog and the Autism Society San Francisco Bay :

'He's Incredibly Confused': Parenting A Child With Autism During The Pandemic  


May 22, 2020
Heard on All Things Considered 
by Courtney Dorning and Mary Louise Kelly 

Here are some excerpts from the interview: 

"'Muhammed is an energetic, loving boy who doesn't understand what's going on right now. He doesn't understand why he can't go to school. And school is one of his favorite places to go. He doesn't understand why he can't go take a walk in the mall when that was one his favorite things to do. He doesn't know why he can't go to the park, why he can't go down to the grocery store,' Almaliti says. 'So he's incredibly confused, in this time when we're all confused, but he really doesn't understand it.'"
 

..."It's the unknowing. ... We don't know when it's going to end. We don't know what's going on, and to deal with autism at home makes it even harder. The only support that I get to get through it is through fellow autism parents. We have Zoom calls, and we try to find humor in this thing. ... We're just trying to lean on each other to get through. Because I can't do it alone. Nobody can."...

"...I almost feel like nobody hears us. Because my son doesn't really talk. He doesn't talk. And I'm supposed to be his voice. And no one's listening to what's going on for our families. You know, no one gets that we are just as vulnerable as coronavirus people. The coronavirus is going to come and go. Autism is here to stay." ...

..."We desperately need extra help to get through this. And I firmly believe that autism support workers, aides, their teachers and caregivers are as essential as nurses and doctors and should be given the same accommodations. People don't understand that for our families, caregivers are our first responders. Special needs schools are our hospitals. Our teachers are our ventilators. And we can't do this without them."

More articles by Feda Almaliti:


Three Strikes... and He's Out?
May 23, 2020 [Reprinted from
a 2018 blogpost at Autism Society San Francisco Bay Area]

What happens when the regular world has had enough of my son's autism 
..."Inclusion is a hot topic in disability circles, but when our kids can’t play by society’s rules, inclusion can truly suck. Instead of some fantasy of joyful acceptance, we get black-listed. Over and over and over. How I dream of places, spaces and programs fully accepting of our special children. Autism-friendly rules, not 'If you act autistic you’re out' rules."

"...At Autism Society San Francisco Bay Area’s Summer Pool Parties we make sure an autistic kid can be him or herself. Where they can chew on pool noodles, bellow and flop around, and no one judges them. So here we are, me in the burkini and Mu in his element. A place, however small, where everyone with autism belongs... on the VIP List. If only the rest of the world were so accommodating."

Inclusion Sucks. Or, Why My Son with Severe Autism Has Nowhere to Swim this Summer 

May 22, 2020

"An autism mom stuck at home with her son on a hot summer day meditates on the smallness of his world when inclusion is the only option. ...Of course my pool predicament is a microcosm of a bigger problem: disability-friendly day programs, jobs, housing, and therapeutic care—vital lifelines for parts of our population—are at risk given the direction of federal policy. The trendy mantra is 'community integration' while options for the severely disabled slowly disappear into the black hole of red tape and de-funding."...

..."They say, 'Why maintain an autism day program when Joe could just go to the local Y?' or 'Why have sheltered workshops when Sam can get a competitive job at Safeway?' Please tell me, what are these people smoking and in which smoking lounge can I find them? Have they ever tried caregiving for someone like my son?

"So let's make a deal. Let's ensure inclusion and integration for all those who want it. And let's support acceptance of all, including acceptance of alternative options for the Muhammeds of our world. Don't let narrow ideology throw our babies out with the bath, or, er, pool water. It's just common sense. In the meantime if you'll invite us over for a swim, we'd appreciate it."

Monday, May 25, 2020

Michigan voter information - the Secretary of State's Website is the most reliable source

Last week, Michigan was the subject of a tweet storm between President Trump and Jocelyn Benson, the Michigan Secretary of State. As the dust settled, it turned out the President’s assertions were without merit and the original tweet was deleted, but the odor lingered of a grossly misleading accusation - that the Michigan Secretary of State was implicated in voter fraud. 

I looked to Factcheck.org for an accurate account of what happened. Factcheck.org is a “nonpartisan, nonprofit 'consumer advocate' for voters that aims to reduce the level of deception and confusion in U.S. politics.” It is a project of the Annenberg Public Policy Center of the University of Pennsylvania. 


According to this article at Factcheck.org, “Trump’s False Tweet About Michigan Absentee Ballot Applications” by D’Angelo Gore, 5/20/20:
 

“President Donald Trump erroneously tweeted that Michigan’s Democratic secretary of state was 'illegally' sending 'absentee ballots to 7.7 million people' for this year’s primary and general elections.

“The state said it will send absentee ballot applications — not actual ballots — to all registered voters, who may want to vote by mail.”


The article confirms that Benson’s Republican colleagues in Iowa, Georgia, Nebraska, and West Virginia have also mailed absentee ballot applications to voters and there is nothing illegal about it.


“The National Conference of State Legislatures says that all U.S. states allow qualified voters to vote by absentee ballot, and five states (Utah, Colorado, Hawaii, Washington and Oregon) currently conduct all their elections primarily by mail. Michigan is one of 34 states that do not require an excuse from those who want to vote by absentee ballot, according to the NCSL." [emphasis added]

 
The President deleted his original tweet and replaced it with one that claimed incorrectly that sending out ballot applications is illegal. He also threatened to withhold unspecified federal funds from Nevada and Michigan for sending out “illegal” ballot applications.


Furthermore, “Election experts previously told us that fraud via mail-in ballots is more common than in-person voting fraud, but still rare. Plus, a recent study by Stanford University’s Democracy & Polarization Lab found that neither the Democratic or Republican parties would benefit from an entirely vote-by-mail system.”
 

Putting all this aside, the Michigan Secretary of State Website has tons of information on voting. Here are some excerpts that tell you who can vote, where to vote, and how to vote;

How does one register to vote and who is eligible to vote?

 

You can register to vote through Election Day.
 

You must be:
  • A Michigan resident (at the time you register) and a resident of your city or township for at least 30 days (when you vote)
  • A United States citizen
  • At least 18 years of age (when you vote)
  • Not currently serving a sentence in jail or prison

[Note that a person under guardianship as determined by a Probate Court is not disqualified from voting. My husband and I are plenary co-guardians for our two sons who have profound developmental and Intellectual disabilities. If we thought they had opinions on who they would like to vote for, we would be happy to facilitate that. But they are unable to communicate or give any indication that they understand the concept of voting, so we will not do that. If we did, I think one could easily question whether we were having them express their own thoughts and opinions, or just giving ourselves two extra votes based on our own opinions.]

Check to see if you are registered to vote
 

[Michigan does not register voters by political party. If you vote in a primary election to choose a candidate for a political party, you must pick which party primary you want to vote in. You may not split your vote between parties.]

Frequently asked questions about voting

 

Excerpts:

Do I need to show identification in order to vote?


Michigan does have a voter identification requirement at the polls. Voters are asked to present an acceptable photo ID such as a Michigan driver's license or identification card. Please note that voters who do not have an acceptable form of ID or failed to bring it with them to the polls still can vote. They simply sign a brief affidavit stating that they're not in possession of a photo ID. Their ballots are included with all others and counted on Election Day….


Can Michigan residents in jail or prison still vote?


Michigan residents confined in jail or prison who are awaiting arraignment or trial are eligible to vote. However, residents who are serving a sentence in jail or prison after conviction cannot vote during the period of confinement. When residents are released from jail or prison after serving a sentence, they are free to participate in elections without restriction.


Can voters be challenged based on home foreclosures?
 

The compilation of home foreclosure information alone does not provide sufficient reason to challenge a person's voting status. In fact, the Michigan Republican and Democratic parties are in agreement that so-called foreclosure lists do not provide a reasonable basis to challenge voters.

How does the voter ID requirement affect me if I vote with an absent voter ballot?
 

If obtaining your absent voter ballot in person, you will be requested to show photo ID. If you are not in possession of photo ID, you can simply sign an affidavit stating you are not in possession of photo ID. This requirement does not apply if requesting your ballot via mail. 

Does Michigan allow early voting?


Michigan Voters can cast absentee ballots beginning 45 days prior to Election Day. These ballots are tabulated on Election Day.


For more information and answers to questions, see Michigan Election and Voter Information

Future Scheduled elections: 


Primary elections: August 4, 2020
General election: November 3, 2020

Saturday, May 23, 2020

Covid-19 Transmission: the risks and how to avoid them

When it comes to Covid-19 and the global pandemic, we are constantly advised to “follow the science” without considering what that means exactly. There are many variations of the definition of science. Here are parts of a definition from dictionary.com  that go a long way to describe what I refer to as “science”:

“...systematic knowledge of the physical or material world gained through observation and experimentation”…”knowledge, as of facts or principles; knowledge gained by systematic study”

Add to that this excerpt from Miriam-Webster.com : “..the state of knowing : knowledge as distinguished from ignorance or misunderstanding”. This covers the territory for me.

“Science” is not static. A body of knowledge about a new human virus changes with time as we get to know more and more about it. What we do about it is sometimes based on misleading and incomplete information. Combined with wacky conspiracy theories and unproven assertions of fact, the public response to the presence of the virus can veer into irrationality.

Early on in the pandemic, medical authorities recommended that masks should be worn by front-line medical workers, but were not necessary for average citizens without symptoms to contain the spread of the disease. This was based partly on a shortage of masks for medical workers who were most at risk of coming into contact with people who were contagious and falling ill because of it. As the shortage of masks eased and more studies came out about the value of masks in controlling previous epidemics, the recommendation changed to encourage the use of masks by everyone who was in a situation where strict social distancing could not be observed, and, finally, everyone out in public should wear a mask because many people can be contagious with the virus before they experience symptoms. Many others transmit the virus without ever knowing they have it.

For some, this seemed like a betrayal. People we are supposed to trust told us one thing and then recommended the exact opposite a few weeks later. “Science” does not offer certainty or necessarily comfort for people who are confused and fearful. But scientific knowledge, even as it changes, usually gives us the best chance to protect ourselves and our fellow citizens - in other words, to do the right thing.

***************************

“News” about Covid-19 that is more than two weeks old may be out of date. But this article, "The Risks - Know Them - Avoid Them", 5/6/2020, that appeared as a blog post by Erin Bromage, an Associate Professor of Biology at the University of Massachusetts, Dartmouth, functions as a little instruction manual for understanding the virus that causes Covid-19 and what we can do to avoid infection and prevent its spread. This is especially relevant as states remove restrictions on activities that have helped to contain the virus.

Here at two things from Bromage’s blog post to keep in mind when you read the article:

“As states reopen, and we give the virus more fuel, all bets are off. I understand the reasons for reopening the economy, but I've said before, if you don't solve the biology, the economy won't recover. “ [emphasis added]
 

and
 

“Remember the formula: Successful Infection = Exposure to Virus x Time”

Highlights from “The Risks - Know Them - Avoid Them”
 

Based on infection dose of other Corona viruses, “Infection could occur, through 1000 infectious viral particles you receive in one breath or from one eye-rub, or 100 viral particles inhaled with each breath over 10 breaths, or 10 viral particles with 100 breaths. Each of these situations can lead to an infection.”

Sources of Infection


"A Bathroom: Bathrooms have a lot of high touch surfaces, door handles, faucets, stall doors. So fomite [objects or materials that are likely to carry infection] transfer risk in this environment can be high. We still do not know whether a person releases infectious material in feces or just fragmented virus, but we do know that toilet flushing does aerosolize many droplets. Treat public bathrooms with extra caution (surface and air), until we know more about the risk...."

A Cough: A single cough releases about 3,000 droplets and droplets travels at 50 miles per hour. Most droplets are large, and fall quickly (gravity), but many do stay in the air and can travel across a room in a few seconds."


"A Sneeze: A single sneeze releases about 30,000 droplets, with droplets traveling at up to 200 miles per hour. Most droplets are small and travel great distances (easily across a room)."


"A breath: A single breath releases 50 - 5000 droplets. Most of these droplets are low velocity and fall to the ground quickly. There are even fewer droplets released through nose-breathing. Importantly, due to the lack of exhalation force with a breath, viral particles from the lower respiratory areas are not expelled."
 

"Speaking increases the release of respiratory droplets about 10 fold; ~200 virus particles per minute. Again, assuming every virus is inhaled, it would take ~5 minutes of speaking face-to-face to receive the required dose.
 

Who is contagious?

“Symptomatic people are not the only way the virus is shed. We know that at least 44% of all infections--and the majority of community-acquired transmissions--occur from people without any symptoms (asymptomatic or pre-symptomatic people). You can be shedding the virus into the environment for up to 5 days before symptoms begin.”

“The amount of virus released from an infected person changes over the course of infection and it is also different from person-to-person. Viral load generally builds up to the point where the person becomes symptomatic. So just prior to symptoms showing, you are releasing the most virus into the environment. Interestingly, the data shows that just 20% of infected people are responsible for 99% of viral load that could potentially be released into the environment.”


Where are you most likely to contract the virus?

 
“We know most people get infected in their own home. A household member contracts the virus in the community and brings it into the house where sustained contact between household members leads to infection."...

“But where are people contracting the infection in the community? I regularly hear people worrying about grocery stores, bike rides, inconsiderate runners who are not wearing masks.... are these places of concern? Well, not really. Let me explain….”


Bromage gives excellent explanations with references to relevant studies of outbreaks that show where an invidual is most at risk to contract the virus. 


“The reason to highlight these different outbreaks is to show you the commonality of outbreaks of COVID-19. All these infection events were indoors, with people closely-spaced, with lots of talking, singing, or yelling. The main sources for infection are home, workplace, public transport, social gatherings, and restaurants. This accounts for 90% of all transmission events. In contrast, outbreaks spread from shopping appear to be responsible for a small percentage of traced infections.”


…”Basically, as the work closures are loosened, and we start to venture out more, possibly even resuming in-office activities, you need to look at your environment and make judgments. How many people are here, how much airflow is there around me, and how long will I be in this environment. If you are in an open floorplan office, you really need to critically assess the risk (volume, people, and airflow). If you are in a job that requires face-to-face talking or even worse, yelling, you need to assess the risk. “


Most importantly, “… if you don't solve the biology, the economy won't recover. “


************************
Read “The Risks - Know Them - Avoid Them” by Erin Bromage to see all the graphics accompanying the article, references to studies, and information about the author.

Friday, May 1, 2020

Michigan: more information on pay increases for Direct Care Workers

This is a letter from the Michigan Department of Health and Human Services, Behavioral Health and Developmental Disabilities Administration, to PIHPs (regional administrative agencies that pass on Medicaid funding to local Community Mental Health agencies).

It deals with proposed Medicaid funding changes that have not been approved yet by CMS (the Federal Centers for Medicare and Medicaid Services) and are subject to change.
 

"...The purpose for sharing this information is to let you know what we are working on and to keep you as informed as we can as we all work to manage this crisis...."
 

*************************** 
April 30, 2020

TO: Executive Directors of Prepaid Inpatient Health Plans (PIHPs) and Community Mental Health Services Programs (CMHSPs)
 

FROM: Jeffery L. Wieferich, M.A., LLP, Director JW
Bureau of Community Based Services
Behavioral Health and Developmental Disabilities Administration

SUBJECT: Funding Information
 

[See the full letter here. It is missing its original formatting, but is the best I can do for now.]
 

Excerpt on pay increase:

Direct Care Wage Increase
The Direct Care Wage increase is intended to be effective from April 1, 2020 to June 30, 2020. [emphasis added] The increase does have limited funding and a limited scope of which workers are included. The behavioral health direct care workers impacted by this increase include those providing:

• Community Living Supports
• Overnight Health and Safety Supports
• Personal Care
• Prevocational Services
• Respite
• Skill Building.

There will be a Medicaid L-letter coming out shortly with this information.

The wage increase will be pushed out through the PIHPs in the same manner as the last two wage increases and funding will support the $2 an hour increase along with an additional 12% employer cost.

Please let us know if you have any questions.


cc: Allen Jansen