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GEORGIA GOVERNOR’S COUNCIL ON DEVELOPMENTAL DISABILITIES Real Homes. Real Jobs. Real Education. Real Choice. www.gcdd.org SPRING 2004 Georgia’s First Lady Mary Perdue

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GEORGIA GOVERNOR’S COUNCIL ON DEVELOPMENTAL DISABILITIES

Real Homes. Real Jobs. Real Education. Real Choice.

www.gcdd.org

SPRING 2004

Georgia’s First LadyMary Perdue

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2 Making a Difference • Spring 2004

TA B L E O F C O N T E N T S

Features8Mothers & Babies Can’t WaitGrowth and budget cuts mayaffect Georgia’s successful early intervention program for children with disabilities.

12The Search for “BestPractices” Is GlobalDr. Licheng Tian and Dr. Pat Nobbiediscuss their worldwide search for“best practices,” in light of theupcoming conference in China.

14Summer Camps for All Kids

Three Georgia campsthat are open to kids with

disabilities are profiled, plus tipson finding the right camp for yourchild are provided.

18Putting a Premium on the Katie Beckett WaiverParents and advocates for childrenwith disabilities fight the state’splan to charge a monthly fee forthe Katie Beckett Waiver.

18

4GCDD ViewpointGeorgia’s State ofDisability: Funding is No Priority Disability community feelsmultiple effects of thestate’s budget crisis.

5News & EventsBetter All Together:Inclusion Works!Conference providedstrategies to supportinclusive communities;Olmstead Anniversary spursmarch and freedom rally:GCDD highlights.

6Legislative UpdateGCDD advocates againstproposed budget cutsduring the Georgialegislative session.

7Disability DaySnow and ice couldn’t keepself advocates away fromthe Capitol, rallying toUnlock the Waiting Lists!

16Point/CounterpointShould all students berequired to takestandardized tests?

22Making the Most of the IEP MeetingTips from parent mentorshelp you prepare for yourchild’s IEP Meeting.

23Roy BrownLong-term disability rightsadvocate is remembered.

Crossword PuzzleNew feature to test yourMAD magazine knowledge.

25Medical UpdateConquering obesity is acommon problem for allpeople, including thosewith disabilities.

In Each Issue3 Letters to the Editor

24 Calendar

26 Resources

Departments

8

12

About Our Cover: Georgia’s FirstLady Mary Perdue with occupationaltherapist Sloane Nguyen andtoddler Nygil Mann (2 1/2) in theBabies Can’t Wait program.

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Spring 2004 • Making a Difference 3

L E T T E R S TO T H E E D I TO R

A Service to theCommunity

All too often we get caught up in therush of things, and don’t slow down longenough to give pats on the back or tellfolks what a great job we think they havedone. Well, it’s the middle of the nightand I’m slowing down, and I just want tosay what an incredible service I think theGovernor’s Council has given the DDcommunity through the publication ofMaking A Difference! There has not beenone issue that I didn’t read cover to coverand truly appreciate the contents! Iparticularly liked this past issue on SelfDetermination, and thought your article,“Self Determination is Not an Option,” wasabsolutely right on target. I just wantedyou to know that I think this is one ofthe most (among many) outstandingcontributions that GCDD makes to helpfolks with disabilities and their families bemore informed and better prepared to dealwith the complex world of “systems” inwhich they live. And what an educationfor those who don’t live it! Great job!

Thank you and your staff for ALL thatyou do with all your programs. Wherewould Georgia be without the strength,support and leadership of the Governor’sCouncil on Developmental Disabilities!?

Beth Tumlin (Natalie’s Mom)President, The Arc of Georgia

Fills Important NeedIt is with great pleasure I write a

letter of support for the excellent quality of Making A Difference magazine. Themagazine is interesting, accurate andthought provoking.

There is a real need for morecommunication between families caring foradults with disabilities and for the peoplewith disabilities themselves.

Families have few resources, especiallywhen children reach adult age. Thismagazine is a great resource to thefamilies I work with across the state. I look forward to continue working withyou in the future.

Patricia SolomonGeorgia Department of Education

Great Source of Information

Special Olympics Georgia offers year-round sports training and competition toathletes age eight and up with intellectualdisabilities, so we sincerely support anyefforts to inform the constituency that weserve of available resources, advocacyissues, personal accomplishments andlegislative agendas. The editors and staffof Making A Difference have done a goodjob keeping important issues top of mindand promoting the visibility of individualswith all kinds of disabilities from allaround the state of Georgia.

Georgia Milton-Sheats, Executive Director Jennifer Daniell, Project/Office Manager Special Olympics Georgia

Putting Faces to Names

I wanted to let you know that I justread the Winter 2004 magazine that I gotwhile we were in Atlanta at the jointSICC/SAC meeting and really appreciate allthe effort you all put into it. I learned anumber of things, some small and somebig, that helped make other bits ofknowledge that I have make sense. Themost profound was being able to put aface to Eric Johnson and to know that theletter parents are receiving saying thatthe Senate Appropriations Committee hasrestored the funding to the 2004 budget isfrom someone who has listened to us andis someone who can make ourvoice heard. Thanks forhelping toguide us.

RuthMasciarelliParent, StateInteragencyCoordinatingCouncil (SICC)

Letters to the EditorLetters should include the writer’s full name, address, phone number, and may be edited for purpose of

clarity and space.

Email us at:[email protected]

Call us at: 404-657-2127

Fax us at: 404-657-2132

Or you can visit us at: 2 Peachtree Street, NW, Suite 8-210

Atlanta, GA 30303-3142

Sponsorship:For sponsorship

opportunities contact: Gordon O’Neill at770-578-9765 or

[email protected]

Subscriptions / Back IssuesVisit us at our Web site: www.gcdd.org

or call us: 404-657-2126

It is the policy of Making A Difference topublish readers’ comments. Contents do not

necessarily reflect the opinions of GCDD, the editors or state government.

H OW TO R E AC H U S

Disability advocates statewide sent a “few letters” to the legislature

regarding the Katie Beckett Waiverpremium proposal. Their advocacyreversed the DCH recommendation.

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4 Making a Difference • Spring 2004

G C D D V I E W P O I N T

Volume 4, Issue 4 Spring 2004

A quarterly magazine of theGovernor’s Council on

Developmental Disabilities.

The Governor’s Council onDevelopmental Disabilities collaborates

with Georgia’s citizens, public andprivate advocacy organizations andpolicymakers to positively influence

public policies that enhance thequality of life for people withdisabilities and their families.

GCDD provides this through education and advocacy activities,

program implementation, funding andpublic policy analysis and research.

Lynnette BraggChairperson

[email protected]

Eric E. JacobsonExecutive Director

[email protected]

2 Peachtree Street NW, Suite 8-210Atlanta, GA 30303-3142

Voice 404-657-2126Fax 404-657-2132

Toll free 1-888-275-4233TDD 404-657-2133

www.gcdd.org

Yao Atiim SeiduEditor-in-Chief

[email protected]

Valerie Smith BuxtonManaging Editor

O’Neill Communications, [email protected]

Janice NodvinConsulting EditorMay South, Inc.

[email protected]

Daemon BaizanPhotography - Cover Feature

Jeremy ChotinerCartoonist

Nancy O’NeillDesign & Layout

O’Neill Communications, Inc.

Borrowing from the English author Charles Dickens, “It is the best of times, it is theworst of times.” As we examine the disability agenda, coupled with requests forpriority funding, hard choices are being made, resulting in cuts in important programsand the scaling back of vital services.As I write during the twilight of this legislative session, we in the disability movement

reflect positively on “Disability Day at the Capitol,” where more than 600 advocates braved a“school snow day” to demonstrate their enthusiasm and commitment for “systems change”

through the legislative process. This event remains one of the largest annualactivities during the legislative session.

We are in the worst of times when once again we experience a void ofleadership concerning the publicly funded system of supports for people withdevelopmental disabilities and their families. It begins with the Department ofHuman Resources that still does not have a commissioner and filters its way downto the Division of Mental Health, Developmental Disabilities, Addictive Diseases(waiting for a director too) and the Office of Developmental Disabilities, whichmany of us thought had selected an administrator, only to have the offer withdrawnat the last minute. A car can’t drive without a driver and an airplane can’t flywithout a pilot . . .

It is the worst of times, when for the first time in many years, there was nonew money in the budget to address the Waiting Lists for home- and community-based services. The Waiting Lists continue to grow at an ever-increasing pace. Asof February, there were over 4,500 people waiting for services.

It is the worst of times when once again there is no increase in the reimbursement rate forhome- and community-based providers. In the last 10 years, the providers have received onlyone increase. Who would want to work for the same compensation over a 10-year period?

Families dependent on the Deeming (Katie Beckett) Waiver to help manage the cost ofcaring for a child with a disability have fought and won a hard battle to keep unfair monthlypremiums from being implemented without their input.

While we have experienced the worst of times, I have to be an optimist and think aboutwhat happens when it is the best of times. It is then that we have a publicly funded systemthat is built on a vision where individuals with disabilities and families are the driving force inthe decision-making process. During those best of times, we annually expect and receive newfunds in annual budgets to address the Waiting Lists as well as additional Georgians withdisabilities being served. Our providers should receive the same annual cost-of-living increasesthat doctors, hospitals and nursing homes receive from state budgets.

Perhaps, more importantly, during the bestof times, we anticipate more people havingtheir chains removed as adequate supports areput in place so that more Georgians can leaveinstitutions and nursing homes living free inhome- and community-based facilities.

In the best of times, from the time a child is born until he dies, there are supportsavailable based on need, not money.

Finally, I would like to direct your attention to our new Making A Difference magazineeditorial team, O’Neill Communications. We think you will be pleased with their improvementsand enhancements as we expand to new markets focused on disability issues. Please share withme your thoughts concerning our publication and what you would like published in the future. I can reached at [email protected] or 1-888-275-4233.

Eric E. JacobsonExecutive Director, GCDD

Georgia’s State of Disability: Funding is No Priority

In the best of times,from birth to death,there are supportsavailable based onneed, not money.

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March the Long Road Home June 14-22

Olmstead AnniversarySpurs March andFreedom Rally

The fifth anniversary of the U.S.Supreme Court’s Olmstead decision, thatfound keeping people in nursing homesand state hospitals against their will isunlawful, will be marked in Georgia withan eight-day march and freedom rallyJune 14-22, 2004, from Milledgeville toAtlanta.

According to Samantha Renfro, ofthe Brain Injury Resource Foundation,“There are over 4,500 people withdevelopmental disabilities waiting forhome- or community-based care. Somehave been waiting for 10 years.”

The “Long Road Home March” willbegin at the Central State Hospital inMilledgeville June 14 and go throughLake Sinclair, Eatonton, Monticello,McDonough, Stockbridge and Forest Parkbefore ending in Atlanta June 22 with arally at the state Capitol.

The march hopes to:

• Make the public aware of people whoare still in state hospitals and howGeorgia is implementing theOlmstead decision.

• Send a message to state officialsthat there are real people dependingon Georgia’s compliance with theOlmstead decision.

• Empower people with disabilities toknow that their voices count andtheir votes make a difference.

For more information, visitwww.longroadhome.org or call PeopleFirst of Atlanta at 404-687-8890, x 115.

Inclusion ConferencePresents Seminarsfrom Early Childhoodthrough Adulthood

To illustrate how inclusion works andprovide strategies to support inclusivecommunities, Georgia’s Governor’sCouncil on Developmental Disabilities(GCDD) held its sixth Better AllTogether: Inclusion Works! ConferenceMarch 17-20 in Peachtree City, GA.

The conference offered sessions on awide variety of topics to encourageinclusion in every stage of a person’slife, from early childhood throughgraduation from high school and beyond.

A special session for schooladministrators and several presentationson adult services were added this year.The Superintendents Summit andPrincipals Academy featured guestspeakers such as Georgia StateSuperintendent of Schools Kathy Cox andAssistant Secretary, U.S. Office of SpecialEducation and Rehabilitative ServicesRobert Pasternack.

Adult services sessions includedhigher education, homeownership, howto get and keep a job, self-employmentand several other important topics.Several adults with disabilities alsoshared their experiences of becomingincluded in their communities.

Early childhood and school inclusion,curriculum modifications, community-building, teaching strategies and person-centered planning sessions werepresented by leaders in the fields.Educators, parents and students hadaccess to key information to help themcontinue to move toward full inclusionin schools, work places andcommunities.

The conference was co-sponsored bythe Georgia Department of Education –Division for Exceptional Students; Officeof Children with Special Needs; Divisionof Public Health; Community DevelopersAssociation of Georgia; Institute onHuman Development and Disability:

Center for Excellence in DevelopmentalDisability Education, Research, andService; Project WINS; the GeorgiaAdvocacy Office; and The University ofGeorgia Center for Continuing Education.

GCDD Plans AwardsThe GCDD is presently surveying

advocates, policy-makers and lawmakersin preparation for the 2003 AnnualLegislative and Advocacy Awards Programheld in conjunction with the July Councilmeeting in Atlanta. This year’s programwill be held July 15-16 at the GeorgiaTech Conference Center and Hotel.

Traditionally, GCDD recognizesLegislators of the Year, Advocates of theYear and Media Professionals of the Year.

At the just concluded April meeting,held in Cartersville, GCDD’s focus was onemployment and leadership developmentwithin the disability community.

Doug Crandell, Cobb CountyCommunity Service Board, presented anoverview of successful efforts in jobplacement and training in the communityjust northwest of Atlanta.

Renn Doyle and Dave Blanchard ofthe Atlanta Alliance on DevelopmentalDisabilities presented a comprehensivereport on the past, present and future ofthe Partners inPolicymakingProgram, aGCDD fundedinitiative.

“Partners” has just recentlyorganized agraduate divisionto track theactivities of itspast graduates,now approaching200. Additionalgraduates are beingorganized to advance uniqueopportunities that will advance thedisability movement in the state.

Visit the Web site at www.gcdd.orgfor info and upcoming meetings. ●

N E W S & E V E N T S

Spring 2004 • Making a Difference 5

Art donated by aself advocate

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6 Making a Difference • Spring 2004

L E G I S L AT I V E U P DAT E

To fulfill its commitment to thedisability community, the Governor’s Councilon Developmental Disabilities (GCDD) sets a prioritized agenda for each legislativesession. This year, the budget deficit greatlyinfluenced legislative actions; however,despite cuts to many programs, the disabilitycommunity helped restore funding slated to

be cut, and evenaccomplished a fewlegislative victories.

Two fiscal year(FY) budgets weretracked: the FY’04supplemental budgetthat adds funding forthe remaining monthsof this fiscal year, andthe FY’05 budget thatauthorizes fundingthat starts July 1.The FY’04 budget,House Bill (HB) 1180,was passed by bothHouse and SenateMarch 22. The state’s

$16.2 billion FY’05 budget was adopted bythe House March 15, and was passed by theSenate March 25. As of press time, the finalbudget was being conferenced by threemembers each from the House and Senate.

First Priority Legislative ItemsMonitor the Department of HumanResources (DHR) budget. Status: The House originally proposedadding $654,105 for 25 more slots in the“Unlock the Waiting Lists” Home- andCommunity-Based Services Waiver Programfor adults with developmental disabilities;however, in the final appropriations vote, 15 slots were removed, and the committee’srecommendation was $218,035 for 10 slots.The House also removed $1.16 million totransition 20 consumers with developmentdisabilities from Columbus and SavannahRegional Hospitals to the community;however, the Senate voted to restore thatmoney (Olmstead budget item). The Senateadded $100,000 back in for five slots in theIndependent Care Waiver Program (ICWP).

Monitor the Department ofCommunity Health (DCH) budget. Status: GCDD supported the grassrootsefforts of hundreds of parents of childrenwith severe disabilities to fight a proposedpremium on the Katie Beckett Waiver. As aresult of parent participation in thelegislative process, the House and Senaterestored the funds to the Katie Beckettprogram in both the FY’04 and FY’05budgets, thus removing the requirement for a premium. (see article, page 18).House version of FY’05 budget includes: •$4.9 million to restore Medicaid coverage

for those with incomes over 185% of thefederal poverty level up to 200% which willmaintain coverage for 15,000 women andchildren who would have been cut off(Senate lowered to 195% of poverty level).

•$5.6 million to continue adult dental cov-erage in Medicaid (Senate kept restoration).

•$1.6 million for Medicaid coverage oforthotics and prosthetics (Senate reducedby $200,000).

•$1.5 million for the Katie Beckett waiverprogram to prevent premiums (Senate kept restoration).

Monitor the Department of Education (DOE) budget. Status: The DOE budget was threatened withhuge losses to the Quality Basic Education(QBE) formula that represents per pupilfunding across the state. The House added$278 million, but the Senate only approved$156 million.•Georgia Learning Resource System (GLRS),

the technical assistance (TA) system forspecial education, lost $1.129 million, andthe Regional Educational Service Agency(RESA) system lost $1.6 million. GLRS andRESA will be consolidated to maintain aneducation resource and TA function.Advocates are concerned GLRS will lose its capacity to deliver TA to the specialeducation system and parents of childrenwith special needs. Senate did not restore.

•House restored $5.8 million to the DOE forvocational lab supervisors. The Senate cut$3 million.

Propose a Money Follows Peopleresolution to create initiative for institutional dollars to follow peopletransitioning to home and

community-based settings. Status: Early conversations with Senateleadership on the proposal to work with twonursing home providers to transition peopleto the community with their financialsupport ran aground. However, certainSenate members are still interested if theeffort does not cost the state more thannursing home care.

Support revenue generating optionsthat surface during the session.Status: In his State of the State and BudgetAddress in January, Governor Sonny Perduesaid to Georgia families, “If you have to livewithin your means, state government will,too. We will not raise taxes to balance thisbudget.” Although the Georgia CoalitionUnited for Responsible Budget (CURB)advanced several revenue generatingproposals, neither House nor Senate, nor the Governor’s office, acted on them.

Secondary PriorityLegislative ItemsWork with the Secretary of State to amend election code legislation to remove voting process barriers for people with disabilities. Status: GCDD, with a disability rightsattorney, worked with the State to draftlanguage that would amend the electionscode by: •Amending the oath procedure and

making it uniform across all disabilities•Requiring public information directed

at voters to be in accessible formats•Amending absentee procedures so personal

assistants can deliver ballots for peoplewith disabilities without threat of prose-cution; and defining personal assistant

•Allowing poll workers to assist people with disabilities in all elections

Several barriers emerged during theprocess, and advocates decided to postpone

GCDD Advocates Against Proposed Budget Cuts

GCDD PublicPolicy Director Pat Nobbie, D.P.A.,monitors thelegislative session.

by Pat Nobbie, D.P.A.

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Spring 2004 • Making a Difference 7

A snow storm didn’t keep hundreds of advocates and people withdisabilities from rallying at theGeorgia State Capitol during theSixth Annual Disability Day,

sponsored by the Governor’s Council onDevelopmental Disabilities February 26.

At the Capitol, attendees and legislatorsheard compelling stories about how the Multi-Year Funding Plan (MFP) and Katie Beckett Waiverprograms positively affect families and howensuring these programs continue, without cuts or premiums, is imperative for people withdisabilities.

After the rally, attendees and legislatorsenjoyed a barbecue lunch and heard from severalstate politicians, including Sen. Eric Johnson (R-Savannah) who announced the Katie BeckettWaiver premiums had been removed from thestate’s fiscal year 2004 budget, thanks to thelobbying efforts of advocates and people withdisabilities. ●

Disability Day at the Capitol

Sen. Sam Zamarripa (D-Atlanta) shared thestory of his sister who wastransitioned out of aninstitution and now livesin her own home downthe block from him.

introduction of the bill until early nextsession. The Voting Coalition will work withthe Secretary of State’s Office to draft andprefile a bill prior to ‘05 legislative session.

Support the movement of self-determination legislation (SB 170 and HB 701). Status: Advocacy groups promised theGovernor’s Office they would give DHR andDCH an opportunity to work out processesfor self-determined service delivery. Bothbills received preliminary committeehearings, but neither passed. Both can bereintroduced next session if the agencies fail to make adequate progress.

Monitor HB 498 for amendments or other legislation to change theregional system. Status: Nothing happened this year. How-ever, the Healthcare Audits Div. of the Dept.of Audits and Accounts submitted the resultsof Phase I of a study of the CommunityService Board System to the Governor thatcited serious criticisms of the system. Basedon the findings, some changes may be madein the next legislative session.

Educate legislators on direct supportworker issues, especially the plannedtraining program with the Dept. ofTechnical and Adult Education (DTAE),and in the area of compensation andbenefits. This is an education andinformation item only this session. Status: Due to the necessity of paying closeattention to the budgets, this issue was notaddressed. GCDD will talk to legislatorsabout the issue over the summer, coincidingwith the introduction of the Direct SupportWorker Curriculum that will be in place inseveral DTAE campuses in July.

Support proposed registry legislationon behalf of the Brain and SpinalInjury Trust Fund (BSITF).Status: HB 869, which threatened to amendthe procedures for funding the BSITF wassuccessfully amended and retained theprocedures and percentages that currentlyfund BSITF. This bill passed the House andSenate. The Central Registry bill, SB 582,which would give the BSITF direct access toinformation on individuals with brain andspinal injuries, passed the Senate, and isassigned to the Healthcare Facilities

Subcommittee of the House Committee on Health and Human Services.

Other Legislation There is other legislation of interest topeople with disabilities that GCDD has beenfollowing. Below is a brief review of bills,resolutions and budget items whose finalpassage will affect the community.

Multi-year Funding Plan – Thisresolution supports developing a multi-yearfunding plan to create more Medicaidwaivers for home- and community-basedservices for adults with disabilities. The planshould address Waiting Lists, which includeover 4,500 people waiting for services.House Resolution 1307 passed after aunanimous vote. Its twin, Senate Resolution784, awaits passage. The next step is towork with DCH and DHR to develop the planand create an appropriations package for the Waiting Lists for next legislative year.

For the latest news and updates, visit www.gcdd.org, and check weeklyissues of Moving Forward, the legislative newsletter. ●

D I SA B I L I T Y DAY

Legislative Update

Lt. Gov. Mark Taylor (D) receives a gift made by patients atChildren’s Healthcare from Annette Bowling, Exec. Dir., AlbanyARC. Sen. Eric Johnson (right) announced proposed premiumson the Katie Beckett Waiver were deleted from the budget.

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Augusta parents Doug and Leslie Mann were at their wits’ end. Just

being the parents of quadrupletscould have that effect on anyone.

Now, multiply their frustration and desperationwith the news that not one, but all four of theirtoddlers have medical and developmentaldisabilities, including autism. The family becamemore vexed when they learned that state earlyintervention support is only available until the two-year-old quads celebrate their third birthday.

Families like theManns are not unusual.Even today, parentswho give birth to aninfant with complexmedical and develop-mental delays are oftentold “wait, pray andhope for the best.”

For more than a decade, Georgia hashad an alternative, an early interventionprogram for infants andtoddlers – Babies Can’t Wait (BCW).

BCW is a family-centered approach toidentifying early intervention services for infants andtoddlers with known disabilities or developmentaldelays. A multidisciplinary team, consisting of aservice coordinator, parents and various professionalswork together to develop a plan of action, theIndividualized Family Service Plan (IFSP), and toidentify the supports that are necessary to help thechild reach his or her full potential. Services arefunded through Medicaid, Peach Care, privateinsurance, personal family resources or BCW.

Experts know that BCW works throughindependent early childhood research that shows

effective early intervention can substantially reducethe need for specialized services later in life. Forexample, one study documents for every $1 spent onearly intervention, $7 is saved on special educationand related support systems.

Perhaps the greatest benefit of early interven-tion is that families increase their ability to interactsuccessfully with their child. That knowledge andtraining results in children experiencing fuller, moremeaningful lives with family and community.

Nygil Mann (not related to the Mann family in Augusta) is a two-and-a-half-year-old who hasbeaten all the medical odds against him and is today thriving in the BCW program.

Nygil was born nearly two-and-a-half monthsearly with hydrocephalus,

cerebral palsy, chroniclung disease and severevisual and hearingimpairments. “Nygilwasn’t supposed tosurvive, and if he did,they predicted he wouldbe blind, unable to hearor speak and have severemental retardation,” hismother, Tameka Lipson,said. “They told me notto expect much from

my son.” As a premature infant, Nygil’s prognosis was a

lifetime of immobility, dependency on supplementaloxygen and feeding and little more than existing ina vegetative state, his mother reflects.

“May I tell you that last week, for the first time,Nygil began independently drinking from a ‘sippycup’,” his proud mother said.

Enrolled as an infant, Nygil and his familycurrently receive support from physical, occupationaland speech therapists twice a week. He has madesuch advancements in mobility, speech and manualdexterity that his family can’t recall a time withoutsmiles, toys and learning devices.

“Nygil is just an unusual child; he’s a real

8 Making a Difference • Spring 2004

Children With Special Needs Program Provides Early

Intervention

By Yao Atiim Seidu

Babies Can’t Wait

Sloane Nguyenprovides occupationaltherapy to toddlerNygil Mann who hasbeen enrolled in theprogram since infancy.

Mothers &

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fighter,” says his occupational therapist SloaneNguyen. “He has shown tremendous improvementand achievement over two years primarily becausehe has this ‘can-do’ attitude.” His mother agrees.“He’s like many children his age: playful, affection-ate, compassionate, aggressive and loves to meetstrangers. He doesn’t feel sorry for himself.”

Nygil‘s success can be attributed to his strong family support says Georgia’s First Lady Mary Perdue, who met Nygil’s dad, Carlos, mom, and sister, Nydia, last month.

“I was impressed with their closeness and how well they communicated with each other,” Mrs.Perdue, a former speech pathologist said. “Nygil is

going to do just fine. I think he has abright future considering the family’sclose working relationship with therapistsand their commitment to him.”

Ashley “Chi-Chi” (last name withheldas she is a ward of the state) alsoreceives physical, speech and occupa-tional therapy at home twice weekly.

“Chi-Chi,” a Mexican-American, wasabandoned by her mother within 48hours of birth. She has spina bifida,chromosome seven deletion (hands onbackward with no bones in the hand),atopic kidneys (one organ is in her upper

Spring 2004 • Making a Difference 9

G eorgia’s First Lady Mary Perdue isperhaps the state’s most visibleand vocal advocate of children’sissues that include Babies Can’tWait (BCW) and foster care for

children with disabilities. “I just really have a love for young

children. Perhaps it’s that special love and careI have for those who are overlooked (in fostercare) or those who are considered not as lovableas others,” the First Lady said. “I believe it’sbecause I have something I can give them –unconditional love. Deep within me, no matterwhat a child looks like or how they act, or ifthey have a family like the rest of us, I feel theystill need love and attention from the people

they care about and those who care for them.”Mrs. Perdue is a trained speech therapist

who began her certification at the University of Georgia and graduated from Ohio State Univ.The former Georgia educator said most of herexposure to children with disabilities has beenlimited to her training in speech pathology. Sherecently attended a therapy session with Ashleyand Nygil, two children in the BCW program.

“I went into speech pathology with theidea that I could and would be helping childrenwho have disabilities,” Perdue said. “MeetingAshley and Nygil was special for me.

“Ashley gave me a big smile from thebeginning; she is certainly very responsive,”Perdue said. “She has a lot of work ahead of her

to reach her full potential, but those are justchallenges and opportunities. I just think thesechildren are a blessing, and I would encouragepeople not to shut their hearts just because theyare not what we consider average.

“Nygil is fortunate to have such asupportive family. I enjoyed interacting withhim and with meeting his mother, father andolder sister,” said Perdue. “With his supportteam and the kind of services he’s receiving,Nygil’s developmental delays will lessensignificantly. That does make a difference.”

Georgia’s BCW Director Stephanie Mossagrees. “Our program is designed for therapiststo work with the parents so they learntechniques, methods and procedures to helptheir child perform desired activities and tasks,”Moss said. “The services and therapies werecommend are focused on giving families thesupport and skills they need to be there for theirkids for the long-haul as lifelong advocates.”

Nygil, Ashley, their therapists and familieswere impressed with the interest andrelationship the First Lady has with disability.

“She looked me straight in the eye and saidshe understood what I was doing,” occupationaltherapist Sloane Nguyen said. Joyce Chaney, aspeech therapist said, “She referred to us as‘Sisters in the Profession;’ that warmed my heart.You know she was successful in the classroom, as a foster parent and now with her specialcauses as First Lady.”

Nygil’s mother Tameka, a parent advocate,said, “I hope when she spends time with thegovernor, they talk about cuts in the programand how expansion will further reduce services.”

Not mixing politics with her love forchildren, Perdue said, “When I look at people,children or adults, I see a person. I value themas a person. For me, their ability or disability isnot most important. We all have disabilities toovercome in our lives. To me, what’s importantis the value of the person. We have to under-stand in society that there is value in every life,and everyone can make a contribution.” ●

Mary Perdue Has a “Special Love” for All ChildrenGeorgia’s First Lady Mary Perdue and speech therapist Joyce Chaney work with toddlerAshley “Chi-Chi” (2) who receives speech, occupational and physical therapy.

0 1000 2000 3000 4000

SpecialInstruction (1089)

Occupational (1698)

Physical Therapy (2133)

Speech/Language (2448)

(4031)Service Coordination

Pathology

Therapy

Most Commonly Accessed Services

1st Quarter of 2003

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chest) and is unable to swallow. Evola Allen, 73, has provided foster care to

Ashley since she was released from the hospital.The former pediatric medical technician has caredfor nearly 60 foster children and has a long-termagreement with the Department of Family andChildren Services (DFCS) to care for Ashley until she becomes an adult.

“The therapists really make a difference in herlife. We are able to go places today that we neverdreamed possible,” Allen says.

The BCW program also provides families with ongoing evaluations. Each family’s servicecoordinator works to support the family into the

state’s educational system or other early childhoodsettings, such as Head Start, private preschool,

private therapies, or child care, as the childnears his or her third birthday to ensure a

continuum of services. After the age ofthree and through age 21, services andsupports are provided through theDepartment of Education.

The majority of children in BCWare referred by their parents. Physicians

and medical personnel are the secondleading referral source, but that is soon

to change.In June 2003, Congress passed the

Child Abuse Prevention and Treatment Act (CAPTA),requiring every child under three who has asubstantiated case of abuse or neglect to bereferred to early intervention. That mandate calledfor implementation within 12 months. In Georgia,that means that BCW will be working to screen upto 8,000 children who will be referred to theprogram and may be eligible for early interventionsupports and services.

“It’s always a challenge locating kids who arenot being served,” explained Stephanie Moss, statedirector of BCW. “Ourprogram is going toexpand even morerapidly as weimplement CAPTA.”

Currently, BCWserves 1.35 percent of all infants in thestate. Nationally, the objective is 2.11 percent. Withfederal mandates toscreen and add morechildren, and state coffers stretched to the limitand now constricting, BCW officials are bracingthemselves for changes in the program. One newprocedure is the requirement of “prior authorizationfrom the Georgia Medical Care Foundation” forMedicaid and Peach Care children who receive thehighest level of service.

“That’s bound to have a devastating effect on some children and their families,” says Nguyen.“With more children in the program, more infantsand toddlers are going to go without services orwill experience a reduced level of services.”

Easter Seals, along with other BCW providersstatewide, indicate a growing deficit in trained and experienced therapists to accommodate anexpanded program.

BabiesCan’t Wai

Babiesan’t Wait

BabiesCan’t W

BabiesCan’t Wait

hildren with ecial Needs

Children wSpecia

dren withal NeedsBabies Can’t Wait FAQ

What’s new?• About 6,000 to 8,000 more children in Georgia

will be screened as a result of CAPTA.• BCW will establish better relationships with

physician and DFCS offices to improve referrals. • BCW will provide increased referral training to the

Georgia Chapters of Family Practitioners and theAmerican Academy of Pediatrics on earlyidentification and early intervention of childrenwith delays in development or special needs.

Who is eligible?Any child from birth to three years old who is high risk or isexperiencing significant delays in one or more of the following areasof development: physical, cognitive, communication, social/emotional or adaptive, or has been diagnosed with a mental orphysical condition that will have a high probability of resulting insignificant delay. There are no income eligibility requirements.

How do children enter the program?• BCW personnel conduct an initial intake visit with parents

and family members.• A team evaluation is performed by people representing at least

two of the following: early childhood education, occupationaltherapy, physical therapy, speech/language or nursing.

• The team will discuss the results with the family and determine if the child is eligible.

How do I contact the program? • Visit your local county health department• Call the state Babies Can’t Wait office, 404-657-2726

or toll free, 888-651-8224, or on the Web,http://health.state.ga.us/programs/bcwl/

F E AT U R E

10 Making a Difference • Spring 2004

For every $1spent on earlyintervention, $7 is saved onspecial educationand relatedsupport systems.

(Pictured above) MaryPerdue with Nygil Mann(center), his family andtherapist Sloane Nguyen.

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“It takes at least five years of education,training, a national certification and state license,”Nguyen says, describing typical therapists. “I fearthat we are not going to be able to provide thenecessary therapy children and their families needand have grown accustomed to. That’s going toresult in children not making the progress we know is possible without adequate funding.”

Still, officials have redoubled their efforts to attract more children to the program, performingmore with less.

The BCW program, operating under Part C of the Individuals with Disabilities Education Act,identifies more than 16 services that are to bemade available to children and families if amultidisciplinary team determines they arenecessary to address goals and outcomes on IFSPs.The most frequently utilized and accessed servicesare provided by speech, occupational and physical

therapists alongwith specialinstruction.

A largerprogram in thestate will meanmore eligible andenrolled infantsand toddlers,therapists, admin-istrators andsupport staff.

“We are notthere yet, but we

are growing, improving,” Moss said. In 2000/01,BCW was serving less than one percent (0.98) ofthe state’s population, as reported to the U.S.Office of Special Education Programs. “Based on

the 2000 census, we should be serving about 7,000children,” she said. “We are at about 5,000 now,but just two years ago we were at 3,500. We haveto make the referral process more of a priority atthe district health level.”

Joyce Chaney, a speech language pathologist,works with occupational and physical therapists toprovide services to infants and toddlers in theirnatural environments with love, care and attention.

“It’s a humbling experience to provide servicesto children who have special needs. You see thatthey are so talented and aware of theircircumstances and situation. Where they don’thave normal functions, abilities and talents, theLord gives them other capabilities that we canharness to help make them more successful athome, in school and later in their private lives,”Chaney said. “Without Babies Can’t Wait, many of these childrenwould be instate institutionsor at home,receiving notherapies, helpor assistance.”

Somechildren haveproblems eating,swallowing,sitting up andeven allowingtheir teeth to be brushed.Through earlyintervention, aspeech therapist may be able to transition aninfant from gagging and babbling to forming simpleoral motor movements that are essential forrudimentary speech.

“One of the many wonderful things that hashappened with the Babies Can’t Wait program isthat we can now identify problems and get childrenhelp when it’s most beneficial to them,” explainedKeith Fields, a BCW service provider in Dublin, GA.

Fields says another major difference in earlyintervention for infants and toddlers can be foundin socialization.

“If a child has significant delays, they aregoing to see speech, occupational and physicaltherapists each week. Those are adult contactsoutside of the family,” he said. “That has topromote socialization, with advances and treatmentthat weren’t available just a short time ago.” ●

BA B I E S C A N ’ T WA I T

Spring 2004 • Making a Difference 11

Georgia’s First Lady Mary Perdue was impressed withthe closeness between Nygil Mann and his therapist inthe BCW program, Sloane Nguyen.

IV - IntraventricularHemorrhagePVL - PeriventricularLeukomalaciaPDD - PervasiveDevelopmental Disorder

Down Syndrome (340)

Seizure Disorder (204)

Cerebral Palsy (142)

IVH Grade III or IV (110)

Hydrocephalus (98)

Microcephaly (89)

Severe HearingImpairment (80)

Autism/PDD (61)

PVL (39)

Dandy Walker (39)

10 Most Commonly Served Diagnoses

1st Quarter of 2003

Perhaps thegreatest benefit ofearly interventionis that familiesincrease theirability to interactsuccessfully withtheir child.

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T he Governor’s Council on DevelopmentalDisabilities’ (GCDD) search for “bestpractices” will be focused on China inJune as the China - U.S. Conference onEducating Students with Special Needs

takes the world stage in Beijing.The conference hopes to expand understanding

among American and Chinese counterparts who dealwith government policy, technology and the

professional practices andstandards for people who carefor and educate students withspecial needs.

The conference is a forumfor the exchange of “bestpractices,” and two peopleinvolved in the GCDD areparticularly interested in theoutcome.

GCDD Public Policy DirectorPatricia D. Nobbie, D.P.A.,serves on the conference’ssteering committee, andLicheng Tian, M.D., Ph.D., aGCDD council member, movedfrom China in 1985. He hopes

for great things from the conference.“At the time I left, China was still quite far

behind - they had some schools for children withdisabilities, but it was not standard, and they werenot in every province and city yet - there is muchto do there.

“The United States has better resources,especially for people with disabilities. China is apoor country and cannot compete,” Dr. Tian said.“In China, people with disabilities still hide in theirhomes, and families are shamed – thinking they didsomething wrong. This will change gradually.

“China provides special education and specialcare but are still far behind – they are openingtheir eyes through exchange programs and confer-ences with the United States and other countries,”Dr. Tian points out. “The United States is therichest country in the world and should continue

moving people with disabilities into the communitywhere they can have close to a normal life.”

In the search for “best practices,” Dr. Nobbiesaid, “I am going with my eyes wide open. I don’tknow what to expect, as policy is quite different inChina. It will be interesting to see how they haveaddressed disability issues over there.

“I am really excited about going and hope thata longstanding relationship with China will bedeveloped between the disability communities,”she said.

“As I understand it, China has a lot of inclusionin education but no special curriculum orinstructional support for those with disabilities,” Dr. Nobbie said. “We will visit a number of Chineseschools and institutions – I have a lot of questions.”

But, based on Dr. Nobbie’s research, it appearsChina is on the move and getting ready for theOlympics. “China is really thinking about disabilityand accessibility issues. It seems China opened upafter the women’s conference that included a lot ofpeople with disabilities from around the world.”

Dr. Nobbie believes that China has a strongsense of family and community and not a lot ofstate supported help. “China puts more of theirpeople with disabilities to work because everyoneis expected to contribute.” And with the emphasison community-based jobs in the U.S., a great dealcould be learned from the Chinese approach.

Although Dr. Tian is unable to attend thisyear’s conference, he hopes Dr. Nobbie’s attendancewill allow him to develop contacts in China andthat he will somehow be able to help China betterserve their disability community.

12 Making a Difference • Spring 2004

Global Interactions is coordinating theconference that willexplore special educationoptions for Chinese andAmerican children.

“Best Practices” Is Global

The Search for

“The United States is therichest country in the worldand should continue movingpeople with disabilities into

the community where they canhave close to a normal life.”

By Gordon O’Neill

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When comparing China to the United States,Dr. Tian noted that many states are different. He came to Georgia after living in New York andMinnesota, and he said, “New York is better, muchbetter, and Minnesota has progressed much furtherin improving life for people with disabilities. Theymoved most of their people with disabilities intothe community.”

The United States has the most progressivepublic policy on people with disabilities because ofCivil Rights laws and regulations, but as Dr. Tiannoted, “How these laws and regulations are imple-mented from state to state is another question.”

China is faced with the same daunting task,administrating disability policy in a huge country,and the Chinese are interested to see how the U.S.implements its programs across the country. Thereare other issues to be studied, as Dr. Nobbiepointed out, “China has a ‘one-child’ policy,” andshe wonders how this impacts public policy forthose with disabilities in China.

The conference is just one part of an ongoingexchange program between China and the UnitedStates, and there was a similar conference ondisabilities in 1988.

The conference offers three days dedicated tothe presentation of papers on topics expected toinclude professional development and standards,technology, early childhood development, publicpolicy and law and integration into the community.Speakers from both countries will address eachtopic and, in the end, conference participants hopeto improve understanding between the twocountries and serve as the impetus of real change –on both sides of the ocean.

Twenty-six organizations are co-sponsoring theconference including the Council for ExceptionalChildren, National Association of Councils onDevelopmental Disabilities and a wider variety ofstate, regional, disability and education-relatedassociations and councils.

The conference is an interactive learningexperience, and each participant will play a role inthe dialogue as they work to clarify differences and

similarities while broadening their individualperspectives.

As Dr. Nobbie said, “There is a lot to belearned from both sides.” But the biggest ray ofhope is that Chinese and American counterparts cancarry on conversations and even visit each other tosustain the momentum of the conference andimprove the lives of people with disabilities aroundthe world. ●

Spring 2004 • Making a Difference 13

June 2004 – China - U.S.Conference on EducatingStudents with SpecialNeeds takes the WorldStage in Beijing.

A s part of the “bestpractices” movement inGeorgia, Dr. Licheng Tianand the East CentralRegional Hospital in

Augusta are moving more and morepeople who have been institutionalizedinto community-based homes.

“For many years, we have putthem into those institutions; we nowknow it is better to put people withdisabilities in the community – so theycan be part of the community withclose relationships with family andfriends.

“We now have eight houses, eachserving four clients,” Tian said. “It isthe first step; we have not done so ona large scale, but we are hoping toexpand.”

Currently Dr. Tian works with 500to 600 clients who have severe orprofound disabilities, and many havebeen “institutionalized” for as many as40 to 50 years. In addition tocognitive disabilities, his patients andclients have medical problems and mostare unable to speak.

“They require a lot of care, and

because they cannot talk, the entirestaff must watch each client closely tomonitor their health – to see if theylook sick, weak or have pain,” Dr. Tianexplained.

While he regularly treats peoplewith disabilities, Dr. Tian also has apersonal connection with the disabilitycommunity – his son has autism.

Dr. Tian’s vast professional andpersonal experience with people withdisabilities makes him uniquelyqualified to communicate with and treatpeople with profound disabilities.

For example, if a patient becomesangry or has behavior problems, Dr. Tianmight determine a medical problem iscausing the patient discomfort or painand triggering tantrums or seizures.

Serving as an internist for thosewith disabilities requires the specialsensitivity of Dr. Tian who noticessubtle changes in his patients’ bodiesand routinely screens them for newmedical problems.

(Pictured above) Dr. Licheng Tianwith a patient at the State Hospitalat Gracewood.

Doctor Treats Patients with Profound Disabilities

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F inding the right summer camp for achild can be difficult for every parent,and when a child has a disability, thetask becomes even harder. A widevariety of camps are available in Georgia

for children with disabilities, from inclusive tothose specifically for medically fragile campers.

Lucy Cusick, Executive Director for FOCUS GA,suggests parents consider several criteria whensearching for the right camp for their child. “Thereare several questions I ask when I’m looking for acamp: What is the ratio of adults to campers? Do

youths assist with the camp? Istoileting and/or feeding assistanceavailable? Does the camp have alot of outdoor activities that mightexclude my child?”

The importance of thesecharacteristics will depend on eachchild’s abilities and medical needs,and there are several camp optionsavailable for children who are medi-cally fragile or have developmentaldisabilities, from day programs toovernight camps.

Although many parents arereluctant to send their children to overnight camp,it provides campers with disabilities the oppor-tunity to learn to live in harmony with others andfosters independence – a primary long term goal –while also providing respite for the family.

Camp HollywoodA Week-Long Day Camp, Several Metro Atlanta Locations(medically fragile)

For children who are medically fragile andtheir siblings, Camp Hollywood is a day campin the metro Atlanta area that is hosted byFamilies of Children Under Stress (FOCUS).“Camp Hollywood is fun, and the kids love it.Each day is themed after a children’s movie

from that year. For example,this summer we’ll have a daythemed after Spy Kids, and thechildren will do activities with aspy theme,” Cusick said.

The camp features five activities eachday, including cooking, art, recreationalmovement, music and science. “Our camp is basedon indoor activities, and there’s not a lot of movingaround,” Cusick explained. “We have a nurse at alllocations and provide toileting assistance for thosewho need it.”

The camp usually accepts 32 campers at eachlocation. The campers are divided into four groupsof eight, according to their ages. “The children withdisabilities and their siblings aren’t necessarily inthe same group, unless they request it,” Cusicksaid. “Usually about 90% of the kids havedisabilities, and 10% don’t.”

Each group has two adults, providing a one tofour ratio of adults to campers. “This is the tenthyear of our camp, and we have a great reputationfor care,” Cusick said. Camps are held for one weekthroughout the summer at various locations inmetro Atlanta. “We try to keep the price low,about $125 per week,” she said.

For more information about Camp Hollywood,visit www.focus-ga.com or call 770-234-9111.

14 Making a Difference • Spring 2004

One of Camp TwinLake’s newest activitiesis its completelywheelchair accessibleputt putt golf course,which is the onlyknown course of itskind in the country.

Finding the Right Camp

A wide variety of camps are available for children with disabilities. To find a camp suited to

your child’s abilities, consult these valuable resources:

Atlanta Parent Magazine Camp Listingwww.atlantaparent.com/campexpo.html

Georgia Learning Resource Systemwww.glrs.org or 404-657-9958

Children’s Camp Web Sitehttp://KidsCamps.com

Summer Camps for All Kids

Summer Camps for All Kids

By Valerie Smith Buxton

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Camp Barney MedintzA Month-Long Residence Camp,Cleveland, GA (inclusive)

Camp Barney Medintz offers children withdisabilities the opportunity to go to overnightcamp with children who do not have disabilities.“This is a hybrid program,” explained Camp DirectorJim Mittenthal.

Those who participate in the Chalutzimprogram for children with disabilities are groupedtogether, but still have many opportunities tointeract with children with no disabilities. “Theylive in the same village with other kids, they eatwith other kids, and they’re on stage in front of600 other campers for our weekly talent show,”Mittenthal said.

Grouping the Chalutzim campers togetherallows a nearly two to one camper to staff ratioand allows the staff to tailor activities to thegroup’s needs. Campers choose from a variety of activities including horseback riding, boating,backpacking, swimming and much more.

Because the camp lasts for a month, allcampers must be somewhat independent from theirfamilies, Mittenthal said. “We would expect themto have the ability to manage their hygiene,maintain their possessions, follow instructions fromadults and seek help if they need assistance.”

Like campers without disabilities, as Chalutzimcampers grow older, they have the opportunity toparticipate in an apprenticeship program thatallows them to help the staff and give back to the camp community. In addition, some formerChalutzim campers are now staff. “They work inthe office, the kitchen and dining hall, the campstore and the infirmary. Some work in programareas,” Mittenthal revealed.

While Camp Barney Medintz is a culturallyJewish camp sponsored by the Marcus JewishCommunity Center of Atlanta, children of all faiths

and from all over the country are welcome. For more information, visit www.campbarney.orgor call Jim Mittenthal at 770-395-2545.

Camp Twin LakesA Week-Long Overnight Camp,Rutledge, GA (brain injuries)

Camp Twin Lakes was specifically designed to serve children with medical conditions, such ascancer, HIV or brain injuries. “Our camp is specialand unique to this area. Not many camps havethese facilities,” explained Executive Director Larry Melnick.

Built on flat ground, with buildings that areclose together, Camp Twin Lakes also has a medicaldirector and a counselor-to-camper ratio of eitherone to one or one to two, depending on the child’sneeds. The camp can accommodate up to 330children and provides toileting and feedingassistance when necessary.

“We try to offer all the activities of camps forchildren without a medical condition,such as arts and crafts, tennis,horseback riding, swimming, biking,boating, nature programs and more,”Melnick said. “The camp gives childrenwith brain injuries the opportunity to trythings they wouldn’t ordinarily do.

“We had one child here last year who couldn’twalk in a straight line, but completed our highropes course,” he said. “The camp allows parentsto see that their children can participate inactivities on their own.”

Two sessions for children with brain injuries are scheduled for this summer, including Camp TBI (To Be Independent), sponsored by WaltonRehabilitation Hospital in Augusta, and CampHardgrove, sponsored by the Brain Injury ResourceFoundation in Atlanta. For information on CampTBI, call 706-724-7746 or visit www.wrh.com. Forinformation on Camp Hardgrove, call 678-937-1555or visit www.birf.info. ●

Spring 2004 • Making a Difference 15

Snapshots from SummerCamps: Campers enjoy apopular waterslide atCamp Twin Lakes, whichhosts the Brain InjuryResource Foundation’sCamp Hardgrove; CampBarney Medintz (center)allows campers withdisabilities to shareactivities with childrenwithout disabilities; andthemed indoor activitiesare the focus of CampHollywood.

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T wo years ago, the President signed theNo Child Left Behind Act (NCLB) intolaw, a historic piece of legislation withthe goal of ensuring that every singlechild in this country receives a quality

education. The law has given unprecedentedflexibility to states and local school districts,allowing them to target funds and resources tomeet the needs of their students and teachers.

At the same time, the law requires states toestablish their own tests to measure howsuccessfully students are learning. Through

disaggregation of the test results, schools are alsorequired to show progress in the academicproficiency of certain subgroups of their studentpopulation, such as minority students, English-learners and special education students. I believethe accountability provisions in NCLB are acritical component of the law and are based onthe worth and intelligence of every child,including those with disabilities.

In public education, too many students withspecial needs have been subject to what Presi-dent Bush calls “the soft bigotry of low expec-tations.” These students are often passed alongfrom grade to grade with no true assessment ofwhat and how they are learning. For the firsttime, NCLB requires the academic progress ofevery single child to be measured.

The law also requires that the test results be

made available to the families of students withspecial needs and offers supplemental services forstudents who are not making progress. Thefamilies of students receiving special educationhave high expectations for their children. Theywant them to graduate from high school and goon to find gainful employment or participate inpost-secondary education. It is vital that ourschools have the same expectations and measureeach student’s progress toward these goals.

There is no doubt that for some students“proficiency” looks much different than it doesfor other students. The law recognizes this factand the Department of Education is constantlyworking with states and local school districts toensure that the goals of NCLB are in line with theday-to-day realities of the classroom.

In December, the Department released a newprovision that allows schools to assess studentswith the most significant cognitive disabilitieswith an alternate test that is appropriate to theirintellectual development. This allows states tomore accurately gauge the progress of thesespecial needs students.

The new provision is a great example of how we can use the law’s flexibility to not onlyrealign policies with the practical implications ofthe classroom, but also increase the academicachievement of students with special needs,including those with the most significantchallenges.

As Chairman of the State Board ofEducation, I learned firsthand that the mostimportant thing we can do for our children isgive teachers the freedom to teach, principals thefreedom to lead and superintendents theflexibility to make changes that suit the needs oftheir schools. No Child Left Behind gives theresponsibility for excellence in education back tothe local level. All that the law asks is that wemeasure our progress and work to better respondto the needs of every child. Together, I amconfident we can accomplish this goal. ●

16 Making a Difference • Spring 2004

Monitoring the Progress of Studentswith Disabilities Essential toAcademic Achievement

Representative Johnny Isakson(R) represents Georgia’s Sixth District in theU.S. House of Representatives. He serves onthe House Education & Workforce Committeeand was one of the original authors of the No Child Left Behind Act. Before beingelected to Congress, Isakson served asChairman of the State Board of Educationunder then-Governor Zell Miller.

By Representative Johnny Isakson

Should All Students Be Required to Take Standardized Tests?

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Standardized testing may not be the bestway to measure the effectiveness of aschool in educating children. Amongnumerous issues related to standardizedtesting for all, specific concerns for

children with disabilities include: fair access, thepurpose the test results serve and accountability.

Despite inclusion, children with disabilities oftendo not have equal access to the curriculum on whicha test is based. They also do not have equal accessto the test. While numerous, the accommodationsand modifications allowed are insufficient. Forexample, a test may tell us that a child cannot read.However, it does not tell us the same child under-stands and utilizes the information appropriatelywhen the content is read or signed to him or her.Some children do not read well enough to answergrade level comprehension questions but couldanswer if given the content in a way not allowedunder the acceptable accommodations for the test.

From an individual child viewpoint, standardizedinformation that conveys how a child compares withsame age peers is likely already available, andhopefully an effective IEP has been written. From apolicy point of view, the standardized testing of achild who has been identified, and has an educa-tional plan, is redundant and potentially hurtful tothe child, school and community depending on howtesting information is interpreted and used.

The advent of the No Child Left Behind Act(NCLB) has demanded the educational system devisea standardized testing program to measure progressand create accountability for schools. However, thetests being used are less than perfect. Manychildren score lower on standardized tests forreasons unrelated to their ability. In addition, testsmay not be adequately normed for all children.Finally tests may not be measuring the same thingin all groups. We do not have all this information,and yet the consequences for the individual andcollective educational systems are significant.

Children with disabilities should be evaluated ina way that is meaningful to their personal

educational outcomes and to the effectiveness ofthe educational system. Parents, teachers, cliniciansand legislators want to see that public educationsystems are accountable for the education of allchildren. But accountability can’t be achieved withan imperfect system that is unlikely to take accountof the interplay of complex dimensions. How do weapply a standard without truly understanding theimpact of disabilities on a child’s ability to: (a)understand the test content and respond to it withan equal chance as any other child; (b) complete thetest in its prescribed length and with specific

demands for writing, reading or math; and, (c)access their way of learning?

The current testing system is meant to identifyschools that are in danger. However, this type ofstandardized testing is blind to differences in howchildren learn. Applying this test data to inform acourse of action is ill-founded. This data is oftenirrelevant to improving the performance of studentsas a whole and to improving the performance ofstudents with disabilities.

IEPs and evaluations tell us more about childrenwith disabilities than any current test. The testingsystem propagated by NCLB does not help children,potentially robs them of the attention and energyneeded to learn and does not even provide anaccountability standard that we can feel good about.

The question we need to ask is: should ANYchild have to undergo this type of testing? ●

Spring 2004 • Making a Difference 17

Children with Disabilities May be Hurt by

Standardized TestingBy Jennifer L. Stapel. Psy.D.

Dr. Jennifer L. Stapelis Director of the Marcus Evaluation Project atthe Marcus Institute, an affiliate of the KennedyKrieger Institute at Emory University and Asst.Professor at Argosy University-Atlanta. She is alicensed pediatric psychologist with a specialtyin neurodevelopment and assessment, whoseareas of interest include children andadolescents with developmental disabilities.

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A passionate outcry from parentsprevented a proposed premium onMedicaid’s Katie Beckett Waiver forGeorgia’s 2004 supplemental budgetand 2005 budget.

The Department of Community Health (DCH)proposed the cost-sharing requirement on thewaiver, also known as the Deeming Waiver, inresponse to Governor Sonny Perdue’s call for a five

percent decrease in every stateagency budget.

The Katie Beckett Waiverallows families with children whohave long term chronic medicalconditions and disabilities toreceive Medicaid funds to pay forservices and supports not covered

by typical insurance. These families would notnormally qualify for Medicaid assistance becausethey make too much money to receiveSupplemental Security Income (SSI). The DCH

proposal would have requiredeach family receiving the waiverto pay a monthly premiumtoward the cost of the waiver,similar to the fee for privateinsurance.

Georgia’s House ofRepresentatives passed thesupplemental 2004 statebudget, with the proposedpremiums included, February 17, but the Senate removed the premium proposal from the2004 budget February 26. Both

Houses recommended restoring funding to the DCHto support the waiver in the 2005 budget in March.The final budget had not been approved as of press time.

Premiums were to be based on the parents’total income, according to their most recent federalincome tax return and ranged from $21 per monthto $458 per month. A $600 per child deductionwould have been allowed, and families with more

than one child receiving the waiver would havepaid only one premium.

The Georgia Governor’s Council onDevelopmental Disabilities (GCDD) advocatedagainst the premium to allow those receiving thewaiver to work with the DCH to come to a solutionthat meets everyone’s needs.

Patricia Nobbie, D.P.A., Public Policy Directorfor GCDD, voiced three main concerns with thepremium concept. “A child’s Medicaid coveragecould be terminated if the premium isn’t paid; thereis no variance for undue hardship; and, it could beterminated if the primary insurance lapses.”

Julie Beckett, whose daughter, Katie, was the first waiverrecipient in thecountry, said,“These familiestake on an incre-dible amount ofwork because theylove their kids.Having thesechildren homeallows them toparticipate intheir communities, and saves states the expense of hospitalizing or institutionalizing them.”

GCDD held press conferences around the stateto raise awareness of the issue in Atlanta, Athens,Columbus, Dublin and Savannah. In addition, Dr.Nobbie and about 20 parents attended the February11 board meeting of DCH to voice their concernsabout the proposed premium.

Many of the parents had similar stories; though

18 Making a Difference • Spring 2004

Mary Beth Morris(above) and PhillipRiley (right) explain to the DCH board howthe premium wouldaffect their families.

The Katie Beckett Waiver

Putting a Premium on

Advocates StatewideFight Proposed

Premium on Waiver “Having these childrenhome allows them toparticipate in theircommunities, and savesstates the expense ofhospitalizing or insti-tutionalizing them.”

By Valerie Smith Buxton

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their incomeseemed high onpaper, some ofthem werespending up to$11,000 a year on non-coveredsupplies andsupports such asspecial diet needs,

diapers, speech and other therapies and more.Most reported driving cars that were more than five years old, only buying clothes at second handstores or discount stores, living paycheck topaycheck and not being able to afford to go to the movies, out to dinner or on vacation.

Phillip Riley, the father of a seven-year-old girlwith autism said, “Emma doesn’t hurt herself anymore, and she is more self-sufficient thanks to hertherapies. I won’t be able to afford those therapiesany more if I have to pay this premium.”

Members of the volunteer DCH board weresympathetic to the parents, but because they hadalready sent the recommendation to the governor,felt they could not withdraw the proposal andvoted to proceed with it. Chairman Carol Fullertonsuggested parents lobby their legislators to havethe proposal removed from the budget.

Dr. Nobbie and many of the families who hadattended the DCH meeting subsequently met withseveral state legislators, including Rep. Jay Shaw(D-Lakeland), the Chair of the House Subcommitteeon Appropriations for Community Health.

The group also spoke with Senator Jack Hill (R-Reidville) who is the Chairman of the SenateAppropriations Committee. Sen. Hill expressed his support for removing the premiums from thebudget. He had heard from many families andGCDD about the impact the fee would have.

Senator Tommie Williams (R-Lyons) said, “I gotmore emails on the Katie Beckett issue than anyother this session. The (disability community) hasone of the most heartfelt and strongest lobbies atthe Capitol. It’s an important message to bring.” ●

G ene and Cindy Evans havethree children: Wesley,Jessica and David, whohas Down syndrome.Currently they receive

financial assistance for David’s therapiesthrough Medicaid’s Katie Beckett Waiver,also known as the Deeming Waiver.

David, who is 26 months old,receives physical, speech andoccupational therapy at an estimatedcost of $1,000 a week, and the Evansrely on the waiver to cover what theirown private insurance does not cover.Thanks to these therapies, David isprogressing well, and the Evans hopehe’ll be walking in four to six months.

“I don’t know where he’d bewithout his therapies,” Cindy Evans said.“If we hadn’t had the therapists, Iwouldn’t have known what exercises heshould do to help his low muscle tone(hypotonia).”

The Evans have incurred othercosts not covered by insurance or thewaiver to pay for David’s care. “Davidgoes to Therapy Works that bringstogether children with and withoutdisabilities to help with his socializa-

tion. He also receives his occupationaltherapy there,” Mrs. Evans said.

In addition, the Evans are stillpaying for diapers and don’t expectDavid to be toilet trained until he’s atleast four years old. They are livingpaycheck to paycheck, and Mrs. Evans,who used to work part time and as asubstitute teacher, can no longer workdue to David’s extraordinary needs.

“I don’t want to cut our budget bytaking away things from our other kids.Jessica wants to take gymnastics, andWesley wants to play piano and takesoccer,” Mrs. Evans said. “If we have to start paying $125 a month for apremium, we may have to do that,”Gene Evans said. “This premium isadding financial stress to the emotionalstress families are already facing.”

The Evans feel there are betterways to cut from the DCH budget thancharging a premium. “Every year wehave to re-file for the Katie BeckettWaiver. David has Down syndrome, andhe is always going to have develop-mental delays. The state could save alot of money if they didn’t have toprocess that paperwork every year,” Mrs. Evans said.

The Evans are concerned thatchildren whose families cannot affordthe premium may end up in institutions.“It’s ironic. The bottom line is that thecost to the government for the childrento be at home is much less expensivethan the cost of putting them in aninstitution,” Mr. Evans said.

“We pay state tax, and now we’rebeing asked to pay the state againbecause we have a child with adisability. I feel like we’re being discri-minated against,” Mrs. Evans said. ●

Spring 2004 • Making a Difference 19

Evans Worry Premium Will Strain Family Finances

“The (disability commu-munity) has one of themost heartfelt andstrongest lobbies at theCapitol. It’s an impor-tant message to bring”

The Evans children: Jessica (8),David (2), Wesley (9 1/2).

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W hile Katie Beckett was born threemonths prematurely in 1978, she was in better shape than her motherJulie after the birth. “I had toxemiaand kidney failure, and the doctors

had to do an emergency C-section, but Katie was prettyhealthy,” Julie Beckett revealed.

After a couple of months, Katie came home from the hospital healthy and weighing in at five pounds. She continued to thrive until four months later when her doctor suspected she had contracted encephalitis and admitted her to the hospital.

The next day, Katie had a grand mal seizure whiledrinking water from a bottle. As a result she aspiratedsome of the water, resulting in respiratory distress. Later that afternoon, she had a second grand mal seizure,lapsed into a coma, and stopped breathing.

Three weeks later she woke up completely paralyzedexcept for her face, and Katie would spend two and a halfmore years in the hospital, slowly improving.

“It was very stressful at first, but it became routine.We celebrated birthdays, Thanksgivings and Christmasesin Katie’s room,” Beckett said. “She would get sick everyfew weeks from being in the hospital and being aroundall the germs, though.”

Katie eventually was able to move, and when shewas two she started to breathe on her own, though shewas still dependent on her ventilator for part of the day.“By her third birthday, she was getting stronger, and we

could take her outside and take her home for shortperiods of time, then she’d have to come back to thehospital to get on the ventilator,” Beckett said.

During the time Katie was in the hospital, she hadreached her insurance cap of $1 million dollars, soMedicaid took over the cost of her hospital care. In1981, after she was able to breathe on her own for someof the day, Beckett, and her husband, Mark, wanted tobring Katie, and her ventilator, home.

“At that time, Medicaid would not pay for homecare. They would pay $15,000 - $18,000 per month tokeep Katie in the hospital, but would not pay the $3,000a month it would take to pay for the supplies andmedication she needed at home,” Beckett said.

Beckett determined she could apply for an exceptionto this rule, although exceptions had never been granted,and contacted her congressman Tom Tauke (R-Iowa), whoassigned one of his staff members to collect informationabout home care options to support her case.Unfortunately, her application for exception was rejected.

But Beckett had found a powerful ally in Tauke.Shortly after the rejection, he was on a plane with then-Vice President George H.W. Bush. “He told Vice PresidentBush about Katie’s situation and how having her homewould help her have a more normal life while also savingthe government money. Bush went back to Washington,talked to President Reagan about Katie, and less than aweek later Katie was released from the hospital.”

Having Katie home was just the beginning forBeckett, who had been teaching high school history.“During the Reagan and Bush years, I worked with agroup who was trying to get other kids home. Stateswere hesitant to start waiver programs at first, until weshowed them how the families could get what theyneeded while saving the states money,” Beckett said.

Because Katie was brought home and not hospita-lized for over 90 days, Beckett was able to have Katie’sinsurance reinstated, as well, saving her state even more.

In 1984Beckett went to work for theUniversity ofIowa. “TheKatie BeckettWaiver was like abest kept secret.Through theuniversity, I letfamilies know

F E AT U R E

20 Making a Difference • Spring 2004

Julie Beckett: Advocating for All Children

“The Katie Beckett Waiver

was like a best kept

secret. Through the

university, I let families

know how they could

get their kids home.”

Julie Beckett explainsto State Senator DavidAdelman and thecommittee what herlife was like before the waiver.

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how they couldget their kidshome. I alsourged healthcare providersto encouragefamilies toparticipate intheir children’shealth care sothey couldeventually bring them home.”

Now, Beckett is the National Policy Director forFamily Voices, a group that advocates for family-centered, community-based care, as well as promotingrespite and family support.

Katie, who is now 25, has graduated from collegewith a degree in English and creative writing, and isplanning for a career in journalism. “Katie lives in herown apartment and is healthy now,” Beckett said. “She’smaking her own footsteps, serving on a Senate advisorypanel about getting people with disabilities to work.”

Beckett is glad her fight to bring Katie home haspositively affected others. “Now people who aremedically fragile, have developmental disabilities or whoare elderly can live at home and be happy, healthy andaccepted by the community,” she concluded. ●

K AT I E B E C K E T T WA I V E R

Spring 2004 • Making a Difference 21

D awn Shepherd resigned from agood paying job with BellSouthto take care of her son Garrison,who is two and has cerebralpalsy. Shepherd, who lives in

Marietta didn’t have the time to commute toBuckhead and still keep Garrison’s many doctorand therapy appointments.

In addition to cerebral palsy, Garrison hasa seizure disorder and sensory problems thatcause him to be frightened of movement, lightand noise. “Just riding in the car would makehim scream with terror,” Shepherd said.

As a child with high muscle tone (hyper-tonia), Garrison’s screaming made him burn alot of calories, causing him to lose weight.

With help from his occupationaltherapist, Garrison is able to ride a little morecomfortably in the car and can take a bath

without screaming. He sees each speech,occupational and physical therapist two timesper week, and they are not covered by theShepherd’s private insurance.

“The Katie Beckett Waiver covers all histherapies,” Shepherd said.

Garrison needs other supplies that arenot covered by insurance or Medicaid thatDawn, and her husband Greg Shepherd, payout of their own pockets, such as a hearingaid, weight gain powders, PediaSure, flavoreddental exam gloves, dental swabs to teachGarrison how to chew, diapers and more.

“His therapist recommends certain toysfor him that are available on loan through theBabies Can’t Wait library, but they are oftennot there when we need them, so we buythem,” Shepherd said.

Even without the premium, expenses are

really starting to add up for the Shepherds.“We have to build a house that is moreaccessible for Garrison, and we had to buy a special van,” she said.

Shepherd said she and her husband arestruggling with emotional and financial stressdue to Garrison’s extraordinary needs. “Gregworks an average of 85 hours per week tryingto keep us up financially. He stays perpetuallybehind and under pressure, and his bloodpressure has shot up to stroke level,” she said.“Our life has been turned upside down.”

Shepherd firmly believes the state should find other ways to increase revenuesinstead of charging a premium on the KatieBeckett waiver. “Cuts can be made in areaswhere there is less pain and heartache thanthe area these families of special needschildren dwell.” ●

Funds Would Be Stretched EvenThinner for Shepherd Family

Julie Beckett meets with Georgia State Legislators and GCDD to discuss disabilityissues. (Pictured from left to right) GCDD Chairperson Lynette Bragg; State SenatorDavid Adelman (D-Decatur); State Representative Sally Harrell (D-Atlanta) and herdaughter Salena; State Senator Don Thomas (R-Dalton); Julie Beckett and GCDDExecutive Director Eric Jacobson.

DawnShepherdtestifiesat theDCHmeeting.

“Now people who are

medically fragile, have

developmental disabilities

or who are elderly can

live at home and be

happy, healthy . . . “

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About the AuthorsIjeoma Ajoku is the mother of three children, one of whom has Asperger’sSyndrome. Her goal as a mentor is to reach out to economicallydisadvantaged families to increase awareness of special education services.BA in Business Administration; diploma in Information Systems

Stacey Ramirez volunteers for her children’s teachers and the PTA’sExceptional Children Committee. Her third grader has mild to moderateautism and is doing well in a partial inclusion setting. Her kindergartner has an expressive speech delay. BS in Secondary Education/Chemistry

Judith Steuber joined the Parent Mentor program after a career in healthinsurance management. She has two boys with moderate to severe autism.Judith’s goal is to help students and parents understand and prepare for pre-school through post-secondary transitions.

I ndividualized Education Program (IEP) meetings give parentsand educators a chance to work together to design a customizedlearning plan for children with disabilities who are eligible forspecial education. The goals and objectives, or benchmarks, arethe core of the IEP. Parents play an important role in deciding

what will be written. After years of attending IEP meetings for their own children, Cobb

County School District Parent Mentors Ijeoma Ajoku, Stacey Ramirez andJudith Steuber have compiled the following suggestions for maximizingthe experience.

This important meeting should be scheduled at the parents’convenience, and they should come prepared to be team players. A professional appearance, a positive attitude and a willingness to worktogether will assure a successful collaboration for the student. Parentsshould be willing to listen to all points of view, as many will be shared.Collecting and organizing the student’s evaluations, observations, notesand goals in a binder will give parents quick access to information. The purpose of this binder is to help parents formulate questions andconcerns before the meeting. This is not only a time saver but helpsparents focus on what should be addressed. The binder should include:

• A list of the child’s abilities and interests• Work samples

• Recent medical or education records• List of questions and concerns• The parents’ goals and objectives for the child

• Copies of previous IEPs• Any other helpful information

To ensure a successful IEP meeting, parents should:

• Remember the IEP process is meant to be beneficial for the child. • Use the child’s present level of functioning to help develop the IEP

goals and objectives. Plan for the child’s placement based on these. • Be willing to offer appropriate modifications and accommodations. • Ask questions about parental rights and issues they don’t understand.• Inquire about resources that explain school terminology and special

education acronyms.• Take good notes and make sure the child’s strengths and weaknesses

are presented during the IEP discussion and understood. • Assess some of the child’s abilities with his/her present goals in

the home environment before going to the IEP. S/he may not begeneralizing the skills learned at school.

• Remember an IEP meeting can be called at any time and may bereconvened. An IEP is a living document and can be changed.

• Develop trust in the process. The goal for everyone at the meeting is to provide the most appropriate educational plan for the child.

• Offer suggestions for strategies that work best with the child.• Think of long-range transition goals as early as elementary school

and bring them up during the IEP meeting.• Adding phrases of acknowledgement or thanks go a long way toward

future success.

For more information about the IEP process and a list of child’srights, visit www.doe.k12.ga.us/curriculum/exceptional/iep.asp ●

22 Making a Difference • Spring 2004

Tips from Special Education Parent Mentors

Cobb’s School District is only one of the counties teaming up with the Georgia Department of Education’s (DOE) statewideSpecial Education Parent Mentor Network. In this program, parentsof children with disabilities are employed by local school systems asmentors. Because of their personal experiences, they understandthe issues that arise when navigating the special education process.The goal of the program is to nurture communication amongparents, educators and community agencies, ultimately leading to greater success for students with disabilities.

An integral part of student success isparental understandingof the IEP process.Parent Mentors conduct

workshops to explain the procedure and assist parents in thepreparation for the IEP meeting. To find out which Georgiacounties participate in the Special Education Parent MentorNetwork, call the DOE’s Division for Exceptional Students at 404-656-3963 or visit www.parentmentors.org.

Parent Mentors HelpNavigate IEP Process

Making the MostIEPMeetingof the

Parent MentorStacey Ramirez,Parent Liaison Judy Harvey,Parent MentorJudith Steuber, Special Ed DirectorRhonda Thompson,and Parent MentorIjeoma Ajoku

By Ijeoma Ajoku, Stacey Ramirez and Judith Steuber, Special Education Parent Mentors

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Spring 2004 • Making a Difference 23

C R O S S WO R D P U Z Z L E

W ith deep regret andsadness, the Gover-nor’s Council onDevelopmental Disa-bilities announces

the death of one of its members, RoyBrown, 48, a long-term disability rightsadvocate from Rossville, GA.

“Roy was a community activist whowas willing to share his knowledge withothers and help those who were lessfortunate than him,” GCDD ExecutiveDirector Eric Jacobson said. “He was agreat human being, a loving husbandand father and a staunch advocate forthe civil rights of people withdisabilities.”

As a GCDD member, Brown waselected chairperson of the Advocacy andInformation Committee. “Roy took hisposition very seriously and saw it as hiscivic duty to improve the lives of peoplewith disabilities. Even when there werebarriers in the way, it was his drive anddesire to see that all people withdisabilities had the opportunity forindependence, productivity, inclusionand integration,” Jacobson said.

Brown received many awards for hisservice to people with disabilities inGeorgia, including the “Service toMankind” award by the Sertoma Club ofEast Hamilton County; the “MostDistinguished Role Model” award by theAmputee Coalition of America; and, the“Advocate of the Year” and “Volunteer ofthe Year” awards by GCDD.

He is survived by his wife,Elizabeth, and daughters Kristina,Pickabo and Rory. ●

Disability CommunityLoses PassionateAdvocate Roy Brown

GCDD Council member Roy Brown (right)with Charles "Chuck" Ware, vice president,state legislative committee, AARP(American Association of Retired Persons).

2

1

4

5

9

3

6

7

8

10 11

14

13

16

12

15

ACROSS2) Governor’s _____________ on

Developmental Disabilities.3) What percent of GA’s population was

being served by BCW in 2000/01?4) Acronym for No Child Left Behind.5) The search for “what” is global?7) A customized learning plan for

children with disabilities.8) Babies Can’t _____________.9) Katie _______ Waiver, also known

as the Deeming Waiver.10) Type of camps for kids profiled.14) First Lady of GA, Mary ________ .16) Disability community calls to

Unlock the Waiting Lists at__________ Day at the Capitol.

DOWN1) Diagnosis most commonly served

by BCW program.3) Subject of the Medical Update.5) ______ All Together, Inclusion

Works!6) Person who works to raise

awareness for a cause.10) Standardized _________.11) Georgia’s First Lady’s profession -

_________ therapist.13) ______ Follows People – Resolution

proposed by GCDD during this year’sstate legislative session.

15)Asian country holding Conferenceon Educating Children with SpecialNeeds in June.

Have fun testing your knowledge of MAD magazine! Enter to win ticketsto Six Flags, Whitewater or American Adventures. To enter, mail or fax inyour answers by May 10. Visit www.gcdd.org for more details.

Answers will be in the next issue and on the Web site after May 15, 2004.

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APRILNATIONAL AUTISM AWARENESS MONTH

April 14-17Council for ExceptionalChildren ConventionNew Orleans, LA, 888-232-7733www.cec.sped.org

April 15-16GCDD Quarterly Meeting Cartersville, GA, 404-657-2126 www.gcdd.org

April 19-20Best Practices for SurveyingPeople w/Disabilities Washington, DC, 202-205-5633Email: [email protected]

April 19-20Asperger’s Syndrome/Autism Super ConferenceAutism Society Greater GA ChapterAtlanta, GA, 800-489-0727 www.asaga.com

April 22State Interagency Coordinating CouncilChildren with Special Needs - Babies Can’t WaitTifton, GA, 404-657-2726

April 28 - May 1Immersion Learning about Self-DeterminationConference Center for Self-Determination &GCDD, Atlanta, GA, 734-213-5220www.self-determination.com

April 30 - May 2Special Olympics Georgia Family Camp Hampton, GA, 770-414-9390 x 110jennifer.daniell@specialolympicsga.orgwww.specialolympicsga.com

MAYMay 2Arts for IndependenceJewish Family & Career Services – Independent Living ProgramAtlanta, GA, 770-677-9329www.artsforindependence.org

May 2FOCUS at Six Flags(Families of Children Under Stress)Atlanta, GA, 770-234-9111www.focus-ga.org

May 3-62004 National Associationof ADA CoordinatorsConference Las Vegas, NV, 800-722-4232http://janweb.icdi.wvu.edu/naadac/

May 10-11COSD 5th Annual NationalMeeting: (CareerOpportunities for Students with Disabilities)Chicago, ILwww.cosdonline.org

May 21-232004 State Summer GamesSpecial Olympics GeorgiaAtlanta, GA, 770-414-9390 www.specialolympicsga.org

May 27-30National Self-AdvocacyConference: Live the Dream People First of CaliforniaAnaheim, CA www.peoplefirstca.org

May 28 - June 1Association for BehavioralAnalysis ConventionBoston, MA, 269-492-9310www.abainternational.org

JUNEJune - JulyBlaze Camps Blaze Sports Programs 770-850-8199, Email:[email protected] www.blazesports.com

June 1-4AAMR’s 128th AnnualMeeting (American Assn.On Mental Retardation)Philadelphia, PA, 800-424-3688www.aamr.org

June 9-12National Council onIndependent LivingConferenceYour Vote Counts for Freedom Washington, DC 800-833-1354 x 102, www.ncil.org

June 14-22Celebration of 5thAnniversary of Olmstead People First, 404-687-8890 Email: [email protected] www.longroadhome.org

JULYJuly 7-10 Nat’l Conference on Autism Spectrum DisordersSeattle, WA www.autism-society.org

July 15-16 GCDD Quarterly CouncilMeeting Atlanta, GA, 404-657-2126 www.gcdd.org

July 22State Interagency Coordinating Council Children with Special Needs – Babies Can’t WaitMacon, GA, 404-657-2726

July 22-25National Down SyndromeSociety ConferenceWashington, DC, 800-317-7554 www.ndss.org

July 26-27ADA 14th AnniversaryCelebrationAugusta, GA Gerald Powell, 706-724-6262 x 303

24 Making a Difference • Spring 2004

C A L E N DA R O F E V E N T S

April 19-20Asperger’s Syndrome/Autism Super ConferenceSee nationally renowned Asperger’s Syndrome expert TonyAttwood, PhD, plus other experts on autism. Medical andintervention options, self care, puberty and personalsafety issues will also be discussed.

May 21-232004 State Summer GamesSpecial Olympics Georgia Join in the fun of the State Summer Games at EmoryUniversity in Atlanta! Sports include athletics, artisticgymnastics, aquatics and more.

July 26-27ADA 14th Anniversary CelebrationThis two-day event will feature seminars on ADA Law byNancy Duncan, kids activities, a puppet show and more.

UPCOMINGCONFERENCES

Send in your organization’s events to [email protected]

to be added to the calendar!

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Spring 2004 • Making a Difference 25

Some people with developmental disabilitiesare faced with the same struggle as manyother Americans - being overweight. Morethan half of all adults are overweight (64.5%)and nearly one-third is obese (30.5%). In

addition, approximately 15% of children are overweight.A study conducted by the University of Georgia and theDepartment of Human Resources found that 20.2% ofGeorgia’s children were overweight, five percentagepoints higher than the national data. The studymeasured height and weight of 3,473 Georgia children in the 4th, 8th and 11th grades.

Obesity is associated with medical conditions such as type 2 diabetes, hypertension, heart disease,depression and asthma. It is estimated that unlesshealth habits change for the better, one in three U.S.children who were born in 2000 will develop Type 2Diabetes. The Centers for Disease Control and Prevention(CDC) estimates that U.S. obesity medical expendituresfor 2003 were approximately $75 billion.

A variety of factors cause obesity, including genetic,metabolic, behavioral, environmental, cultural andsocioeconomic influences. While some factors cannot be changed, behavioral and environmental factors, thelargest contributors to obesity, can be addressed.Families should create and maintain a healthier lifestyle.

The dramatic increase in obesity over the past 20years has been impacted by the change in lifestyles andenvironments. About 45% of household budgets arespent eating meals outside ofhomes that are often high incalories and fat. Plus, foodportion sizes have increased. Forexample, 20 years ago a three-inchdiameter bagel had 140 calories,and today bagels are six inches indiameter and 350 calories.

Not only are people eatingmore, they are consuming morecalories from beverages. Softdrink consumption has increased300% over the past 20 years, andserving sizes have increased from6.5 oz in 1950 to 20 oz in the late1990s. This is an increase from 85to 250 calories. A 160-pound person will have to workfor 35 minutes gardening to burn those extra calories.

Society has also become less active. Modernconveniences like remote controls, elevators, car washes,leaf blowers and drive-through windows all mean lessphysical activity. Children and adults are spending moretime sitting in front of televisions and computers and

playing video games. A national surveyreported children watch at least four hours oftelevision per day, and those who watched fiveor more hours a day were four times morelikely to be at risk for being overweight.

Physical education (PE) in schools, whichgives kids a chance to be physically active, is

declining. Only a quarter of highschool students participate in daily

PE, down from 42% in 1991. In fact, half of high schoolers are not enrolled in PE at all.

Finally, the environment has changed,and there are fewer opportunities to bephysically active. The perceived danger ofneighborhoods discourages people to take awalk. Many suburban neighborhoods arestructured for the convenience of cars and not for families to take walks or ride bikes.

Motivating children with developmentaldisabilities to exercise can be even moredifficult, especially if they have physicallimitations. However, achieving energybalance is a good way to improve overallhealth and self worth, so ensuring childrenwith disabilities get enough exercise is veryimportant. The message is clear for allindividuals and families: maintain a healthylifestyle to decrease the risk of becomingoverweight. ●

Conquering Obesity in Children and Adults

M E D I C A L U P DAT E

Susan Burnsis a registered dietitiancurrently working with theGeorgia Chapter of theAmerican Academy ofPediatrics as the WIC/Nutrition Coordinator. Her work gives her theopportunity to provideeducation to physiciansthroughout the state onissues such as infant feedingpractices and childhoodobesity. She has alsoworked with Georgia’sDepartment of HumanResources (DHR), theGeorgia Women InfantsChildren (WIC) Program foreight years and was aclinical dietitian at EglestonChildren’s Hospital with theCystic Fibrosis Center.

Education: B.S. NutritionManagement, Georgia StateUniversity

Healthy Eating Tips● Serve regularly planned meals and snacks

and a wide variety of healthy foods. ● Eat more slowly and enjoy the food. ● Drink more water.● Eat fewer high-fat foods.● Eat more fruits and vegetables.● Eat a healthy breakfast.● Drink less soda and sweetened fruit drinks.● Choose skim or reduced fat milk.● Eat together as a family.

Healthy Exercise Tips● Choose activities the entire family can do together.● Keep activities fun, simple and non-competitive.● Try short periods of vigorous activity – 10 minutes

3 times a day is a great way to start.● Reduce TV time to less than 1-2 hours daily.● Limit video games.● Reduce computer time (except for homework!).● Move around during “breaks” at work or school.

by Susan Burns

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Below, please find furtherresources of informationrelated to the articles inthis edition of Making aDifference magazine.

Governor’s Council onDevelopmental Disabilitieswww.gcdd.org 404-657-2126 or 888-275-4233 (ASK-GCDD)

State GovernmentGeneral Informationwww.georgia.gov

Georgia General Assemblywww.legis.state.ga.us/

Georgia House ofRepresentativeswww.legis.state.ga.us/legis/2003_04/house/index.htm

Georgia Senatewww.legis.state.ga.us/legis/2003_04/senate/index.htm

Georgia Governor’s Officewww.gov.state.ga.us/404-656-1776

Georgia LieutenantGovernor’s Officewww.ltgov.georgia.gov/02/ltgov/home/0,2214,2199618,00.html404-656-5030

Babies Can’t WaitDivision of Public Health,Department of HumanResourceswww.ph.dhr.state.ga.us/programs/bcw/index.shtml 404-657-2726

“Best Practices”China - U.S. Conference on Educating Students with Special Needs www.globalinteractions.org/2004-Students/Students-home.htm

Disability Law and Policy Centerwww.dlpcga.org, 770-270-9964

Olmstead Decisionwww.accessiblesociety.org/topics/ada/olmsteadoverview.htm

Olmstead March andFreedom Rallywww.longroadhome.org

People First of Atlanta404-687-8890

Statewide IndependentLiving Council of Georgiawww.silcga.org770-270-6860 or 888-288-9780

Unlock the Waiting Lists!www.gcdd.org/programs/unlock/

IEP Meetings Awesome Librarywww.awesomelibrary.org/Library/Special_Education/Individualized_Education_Plans/Individualized_Education_Plans.html

Georgia Advocacy Officewww.thegao.org/advocatiep.htm

(IEP) IndividualizedEducation Programwww.doe.k12.ga.us/curriculum/exceptional/iep.asp

Kids Healthhttp://kidshealth.org/parent/growth/learning/iep.html

LD OnLinehttp://www.ldonline.org/ld_indepth/iep/iep.html

Special Education Parent Mentor Networkwww.parentmentors.org

IEPs and the LawAtlanta Legal Aid Societywww.law.emory.edu/PI/ALAS/schoolrights.htm

Reed Martinwww.reedmartin.com/iepgoals.htm

Special Education Council for Exceptional Childrenwww.cec.sped.org888-CEC-SPED (232-7733)

(FAPE) Families & AdvocatesPartnership for Education www.fape.org, 952-838-9000

Georgia Advocacy Officewww.thegao.org404-885-1234 or 800-537-2329

IDEAPracticeswww.ideapractices.org877-CEC-IDEA (232-4332)

IDEA Hotlinenow PSEA Interactive800-944-7732, x 7327

National DisseminationCenter for Children with Disabilitieswww.nichcy.org, 800-695-0285

No Child Left Behindwww.nclb.org

Special Education Rights Advocacywww.wrightslaw.com

State of GeorgiaDepartment of Education -Exceptional Studentswww.doe.k12.ga.us/curriculum/exceptional, 404-656-3963

World Institute onDisabilitywww.wid.org, 510-763-4100

Summer CampsAtlanta Parent MagazineCamp Listwww.atlantaparent.com/campexpo.html

Camp Barney MedintzResidential Camp (inclusive)www.campbarney.org 770-396-3250

Camp Hollywood Day Camp(medically fragile)www.focus-ga.org, 770-234-9111

Camp Twin Lakes OvernightCamp (brain-injured)www.camptwinlakes.org Winter: 404-231-9887Summer: 706-865-1495

Children’s Association forMaximum Potentialwww.c-a-m-p.org, 210-292-3566

Find Camps Across the U.S.http://KidsCamps.com

Georgia Learning Resource SystemDivision for Exceptional Studentswww.glrs.org, 404-657-9958

26 Making a Difference • Spring 2004

R E S O U R C E S w w w.gcdd .o rg

pg.18 pg.12 pg. 22 pg.14

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Spring 2004 • Making a Difference 27

Albany AdvocacyResource Center

Albany ARC,serving our community

since 1963, promotes the general

welfare of people with disabilities and fosters

the development ofprograms on their behalf.

(229) 888-6852(24-hour on-call)

www.albanyarc.org

Thanks to Our Sponsors

for their Support.

If you are interested inbeing a sponsor for Making a Difference

magazine, please call Gordon O’Neill

@ 770-578-9765 or email him at

[email protected]

Beth English, Director1906 Palmyra RoadAlbany, Ga 31701(229) 439-7061

ARC COBB(770) 427-8401www.arccobb.org

DEKALB DEVELOPMENTALDISABILITIES COUNCIL

(404) 508-7796 Fax (404)508-6443

Building on a tradition of “quality and caring”

LD Made EasySpecializing in organization and

handwriting problems and “homework wars“

Author of “Learning Re-enabled“Susan N. Schriber Orloff, OTR/L

Occupational Therapist, Registered andLicensed CEO/Executive Director

Over 30 years experience Former resource teacher

770-394-9791www.childrens-services.com

S P O N S O R S H I P S

1770 The Exchange, Suite 140 • Atlanta, GA 30339tel: 770.956.8511 • fax: 770.956.8907

www.maysouth.org

Supporting people with alldevelopmental disabilities

throughout Georgia

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The quarterly magazine of the Governor’s Council on Developmental Disabilities

Volume 4, Issue 4 • Spring 2004

Disability Day at the Capitol

Hundreds of advocates for people withdevelopmental disabilities brave snow and ice to make their voices heard atthe Georgia State Capitol in February.

Governor’s Council on Developmental Disabilities2 Peachtree Street, NW, Suite 8-210Atlanta, GA 30303-3142404-657-2126, www.gcdd.org

Address Service Requested