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Who's
behind
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From the January, 2000 issue of Mouth magazine.
AJ
Says:
by Josie Byzek
You read that right: 797. AJ and TILRC can serve so many people because
the "consumers" themselves hire, manage, schedule, train -- and once in
a while fire -- their own attendants.
Here
is AJ under arrest at a recent ADAPT action.
Why make such a big deal out of consumer control?
When I train case managers, I start out by asking them what they had
for breakfast. Why did you choose a donut? Do you think that's nutritious?
Some people just have a coke. Is that nutritious? No?
Well, I ask them, are you maintained on that? And who picked out your
clothes today? Was that the appropriate thing to wear?
People think I'm bizarre, but they don't do anything about it because
I am independent. I don't have a visible disability, and I'm living on
my own. But the minute I need help, then people will come in and start
saying, 'Well, she's not making good choices.'
People need to know, they just need to know, that everybody gets a choice
in life. If you are told different, don't eat it. Don't fall under their
spell.
What is this disability thing, and why would it make a person different?
Why would somebody with a disability want somebody else picking what they
wear and what they eat? Just because I have a disability doesn't mean
I have to have a four course meal every time I sit down.
I go around the room, asking, 'What time did you go to bed last night?
Everyone says a different time. I say, why? Well, it's because that's
what they wanted to do.
Then why would somebody have to go to bed at nine o'clock every night
because that's when somebody could send an attendant?
When I worked for the state, for adult services, there was no such thing
as self--directed care. Eight or nine o'clock was the latest they'd go
put anybody in bed. Do you want to go to bed at eight at night? I don't.
Sometimes the case managers are in disbelief, and it's like, 'Well,
but...' Well, but what? What if you go out here today... and I try to
put them in the situation. Like one day it's icy and stuff and you fall
down these steps and you break your neck and you're a high quad. Now you
need help with every single thing in your life. How many people do you
want looking at you naked? Do you want to choose the person who comes
in and gives you a bath?
They say, 'I never thought of it that way.' Well, think of it. Because
it could be you today, it could be me tomorrow. Our wants and our needs
and our likes and dislikes are not going to change just because we need
help. But there we'll be, eating the same thing for breakfast every day.
I ask them, have you ever had a friend say, 'Let's go to the Dairy Queen
and have a great big banana split.' And you skip lunch and do it. So what?!
You didn't die of it! Neither will somebody with a disability. But that's
the biggest thing I hear out of case managers, especially for the 'frail
elderly.' They say, 'You have to have a balanced diet.'
Well, lots of times I'll have popcorn for supper. Or I'll hang up my
clothes outside on the line at midnight. And nobody says a thing to me
because I'm 54. But when I'm 84, they going to say, 'Oh, my God! AJ's
out there with no no shoes on!' So what! But when I'm 84 they'll think
I need protection.
I am who I am now, and I will always be this way.
And fraud, they all want to bring it up.'What if the person really doesn't
do the work and threatens them, because they're so vulnerable...'
Well, the same thing happens to people without disabilities, doesn't
it? But it's so minute a number, why would you even address it?
People aren't exploited in nursing homes? Aren't sexually abused? Aren't
fed their own feces? Excuse me!
'He might fall, so he has to go to a nursing home.' You're telling me
he won't fall in a nursing home? Those things happen in nursing homes,
and at home, all the time. A nursing home's got no guarantee -- except
to give you misery.
How would you like to share half of a piss--smelling room with somebody,
not even a curtain between you, and somebody's telling you when you have
to get up, when you have to eat and what you have to eat and who you see.
That's not for me.
If I had an attendant that was ripping me off and I was afraid, I would
call my independent living counselor and tell them. If the person feels
like they're in a dangerous situation and they want to get rid of that
person, and they don't feel like they can, they can call me. I'll fire
them.
In a nursing home, you can't fire anybody. In a nursing home, they'll
tell you, 'Eat shit and shut up.' They will! If you don't like the attendant
on your shift, you can't change that. It ain't gonna happen.
We [at Topeka Independent Living] only believe in self--directed personal
assistance. What about people with cognitive disabilities? What about
them? Just because you have mental retardation doesn't mean you're a moron.
That doesn't mean you don't know what you want to do, or who you want
to do it with or when you want to do it. Yes, sometimes you need somebody
to act on your behalf -- a person you know, a person you have designated.
Not just somebody out of the blue saying, 'I'm your social worker and
this is what you need and this is who's going to do it, and this is when
they're going to do it.'
That don't cut it.
People with mental illness, no different. It's just something you have
to deal with. I have not met anyone with mental illness who could not
self--direct their own services.
We never assume that people want intervention. If they want to be self--directed
and they've never done it, we'll say, 'Here are the steps on how you can
do it and if you want us to, we'll have a person help you. If they need
assistance to pick their own attendant, like if they've never done that
before and they need some cues or some training to do that, we'll provide
that free of charge.
We had a person once who had severe spastic cerebral palsy, and a communication
deficit. He was really bright, and he had written his own interview questions.
He just wanted someone with him when he interviewed attendants, someone
who could speak because people couldn't understand him until they got
used to him.
He ended up coming to the center and advertising for his applicants
and then they came here for interviews. He had his list of questions.
I just acted as a mouthpiece for him. He got to see their body language
and all when they saw him.
The way we get people out of nursing homes is to ask them if they want
out. A woman who used to work here, Brenda Hanna, she and I would go into
the nursing homes and ask people if they want to leave. We would just
start talking to people out in the smoking room. 'How do you like it here?
You want to be here? Would you like to leave? You would? We can help you
get out of here.' We would just start the ball rolling. We've had nursing
homes run us out before. We were the dastardly duo.
More times than not, people contact us. They've heard, by word of mouth.
They tell us about somebody in a nursing home that really wants to get
out, and we contact them. We also have what are called 'resident reviews'
that our state requires, quarterly. The nursing homes go through all their
residents and if they fall below a '26,' which is an eligibility criteria,
they're mandated to tell the state. And the state lets the centers for
independent living know and we go in.
So first we'll say, 'You want to leave?' and they'll say yes they do,
but they don't have anything. They don't have the stuff to keep house
with. And that's not a problem. We'll help them get something.
I've been known to go to garage sales and go, 'Hey, there's a chair!
I know somebody can use that.' Hop out, three bucks, and throw it in the
back of the truck. Or the Salvation Army. We have this warehouse full
of stuff. We have hotels in town when they change their beds, they'll
give us their mattresses and box springs. You can sleep on a mattress
and box spring. We have some institutions in town that will give us appliances.
Somebody gave us a piano.
We don't have every single thing to set up housekeeping, but we usually
have a way to get them.
We can have an independent living specialist take you around to look
at places if you designate a part of town you want to live in, or type
of place you want to live in.
The attendant services and supports are available here, in Kansas. The
whole state has waivers so that if Medicaid pays to keep you in an institution,
Medicaid will pay for your services at home. Getting that changed wasn't
easy. Even now we still have to keep after the state legislature, to get
everybody served. But that's the way it is now. Any state can do what
we did in Kansas. Centers just have to band together because, individually,
your voice can be squashed out..
I can hardly think of anybody that really wants to be in a nursing home.
Most people, even if they have severe multiple disabilities, want to be
at home. If you can get somebody coming in, what's the difference between
your home and a nursing home?
The difference is your freedom.
A lot of people have this misconception that a person with a disability
isn't able to do or think. They see a person in a wheelchair, and they
talk really loud. There are some people who are passive, and they take
it. Maybe they've taken it all their life.
If a kid with a disability wants to get out on their own, it's hard
for parents to cut them loose because they've done for them so much. The
kid will say, 'Well, I can do this.' Then it's like, 'But what if...'
If I would leave home to go to college and decide it's rough out there,
and I moved back home, nobody would think anything about it. But if a
person with a disability comes back from college, it's 'Well, you failed.'
I was just talking to my dad today. My dad's 82 years old. We were talking
about him dying. He said, 'You know, I think I'll go pick out my lot to
get buried in. I can't decide whether to be cremated, or to just be buried.
A lot of people don't like cremation.'
I said, 'Dad, what do you want?'
'Well,' he said, your body's going to rot anyway, you may as well be
cremated.' I said that's his choice. Who cares what anybody else thinks.
Your body, your life, your death.
My advocacy, it goes with me everywhere. When I'm visiting with people
and they ask me what I do, next thing they're asking about somebody they
know. 'Do you think she could live on her own?'
Why not? If that's what they want to do, why not?
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