Category Archives: intersectionality

Signal Boost: Submissions Requested for the September Disability Blog Carnival

Astrid, of Astrid’s Journal, has agreed after much consideration to host the September edition of the Disability Blog Carnival, and we at FWD/Forward are enthusiastic to support that decision!

Astrid has chosen the theme “Identity”:

Think of it as broadly as you want. Posts relating to transforming identities, are of course especially welcome, as they honor both themes. Just a reminder that, even though this is a disability blog carnival, we honor intersectionality, so racial, ethnic, gender, sexual and any other type of identities also count, as long as the post is somewhat relevant to disability.

Comments can be submitted preferably here or else at the Disability Studies, Temple U. blog. The deadline for submissions will be Tuesday night, September 21 – Tuesday night your time, so don’t worry about my living in Europe. I hope to post the carnival on Friday, September 24 – whenever it suits me, my time.

We hope you will consider submitting something for the Carnival. Remember, the theme is a way to get you started, and we hope that you will interpret it to how it applies to your own situation, keeping the general spirit of intersectionality in mind.

Again, thanks to Astrid for taking this on, because without volunteers, there would be no Carnival!

Be sure, if you haven’t already, to check out the August edition of The Disability Carnival at Brilliant Mind, Broken Body, hosted by Kali.

Recommended Reading for 26 August 2010

Warning: Offsite links are not safe spaces. Articles and comments in the links may contain ableist, sexist, and other -ist language and ideas of varying intensity. Opinions expressed in the articles may not reflect the opinions held by the compiler of the post and links are provided as topics of interest and exploration only. I attempt to provide extra warnings for material like extreme violence/rape; however, your triggers/issues may vary, so please read with care.

Westborough News: Marines shoot calendar for male breast cancer research

They are the few. The proud part has been a bit more of a struggle.

“Most guys don’t want to reach out, don’t want to tell anyone they’ve got a woman’s disease,” Pete Devereaux said yesterday as he talked with fellow male Marines who’ve been diagnosed with breast cancer.

INCITE! Blog: Reflections from Detroit: Reflections On An Opening: Disability Justice and Creating Collective Access in Detroit

We would not just think about disability as separate from class, age, race, queerness, family, children, gender, citizenship, violence, but we would understand it as intimately connected.  We would think, not just about “conference and workshop time,” but we would also think about social time and what social spaces were accessible and how we would make sure no one was isolated or left out.  Because in our movements much of the relationship building, socializing and bonding is done in very inaccessible ways in very inaccessible places—we know this all too well.

New York Times: When Battlefield Humor Backfires (Extra Trigger Warning)

And so the doctor’s determination not to lose a contest of wills undermines the opportunity to have successful discussions about treatment. The patient instantly senses that the doctor distrusts and dislikes him, and this, coupled with the patient’s lack of respect toward authority figures, leads to a rapidly deteriorating situation, often ending in a discharge against medical advice — much to the team’s relief.

NPR: Administration To Appeal Ruling in Stem-Cell Case

The Justice Department said an appeal is expected this week of the federal judge’s preliminary injunction that disrupted an entire field of science.

Judge Royce Lamberth on Monday threw the research community into disarray when he said a federal law invalidated Obama administration guidelines on human-stem-cell research. He concluded that two researchers challenging the Obama stem-cell policy stood a good chance of success as the case moved ahead in the courts.

The judge said any scientific projects using human embryos required their destruction, which flouts a longstanding federal law.

Something More Than Sides: Dear Doctor: Actually, I *Am* Sick

Let’s completely ignore the actual health concerns in exchange for shaming a young girl. Classy. And let’s not forget the fact that, were I suffering from an eating disorder, this is not the way to broach the subject. I left that appointment feeling shamed and humiliated, and with no answers.

If you’re on Delicious, feel free to tag entries ‘disfem’ or ‘disfeminists,’ or ‘for:feminists’ to bring them to our attention! Link recommendations can also be emailed to recreading at disabledfeminists dot com. Please note if you would like to be credited, and under what name/site.

I’ve Got Your More Responsible Pain Management, Right Here

Not many of you would know this but I had my first experience with acupuncture the other day.

I went to see a physical medicine doctor about a TENS unit because my current dose of my narcotic pain medication for breakthrough migraine and body pain is no longer sufficiently covering the amount of breakthrough pain I am having, and as a personal preference I have decided to seek alternative methods before I agree to increase the current dosage (which honestly, I am already trying to squeak by with as little as possible because the hospital here is so stingy with it, and I am trying to be Model Patient). The physical medicine doctor, for whom I would make up a name for him, but in all honesty, I have, currently, three Dr. Kims and two Dr. Lees  so I don’t feel the need to do so, agreed quickly to get me set up with the TENS unit. I just have to come in to see the physical therapist to try it out, and they will order it for me. In the week between, Dr. Kim asked if I would like to try acupuncture.

Now, I have a very high level of phobia surrounding needles, and the thought of acupuncture, being pins, doesn’t stray too far from that for me. This is not the first time I have been asked to try acupuncture. But Dr. Kim wasn’t pushy. He offered it casually, mentioned that he is licensed and certified, and that he could start right away, if I wanted to. He smiled in an understanding manner when I explained that I was afraid that any benefit might be canceled out by my anxiety.

He spent ten minutes calmly explaining to me a slightly different method, more commonly known to military doctors as “Battlefield Acupuncture”, where pins go in my ears and stay for a week or so, at its most basic form. I agreed to try it, not wanting to have another doctor click their tongue at me for not trying everything and not wanting to give anyone a chance to call me a drug seeker. But when I say “pins” I tell you that these tiny things felt like thumb tacks piercing my non-pierced ears, five in each ear with two in the inner part (ten total). I was instructed to sleep in a supine position, which would screw up my sleep, since I am a side sleeper. But he told me to keep them as long as I could stand them.

I lasted two nights of thrashing around. And The Guy told me he was proud of me for sticking it out that long. I felt like I was in agony the whole time. I could think of nothing else.

I have seen noticed that the military is leaning towards pushing acupuncture on troops, which I think is odd, since getting other “alternative” care (things as innocuous as chiropractic care) and getting it covered by our insurance is like getting a root canal. I believe that more options is better, but it was the framing of these alternatives that bothered me.

The first time I had heard that acupuncture was being offered to troops was in an AFN commercial. AFN is the military’s overseas entertainment network, both on television and radio. They offer commercial free programming for military families. But they have AFN sponsored spots and informercials. One of those was for acupuncture, celebrating the troops who were asking for it, choosing to treat their pain in “responsible ways”, which clearly spoke to me that people who received no help from such methods (such as I discovered I did not), or where it was not available, or who chose not to, were irresponsible for choosing narcotic pain relief methods.

And that just doesn’t sit well with me. I will defend against screeds like this writer at Forbes, who are just simply dismissive of methods that have helped actual people, because the author is deliberately dismissing their experiences. That would be like someone telling me that all chiropractors are quacks because they don’t ever help anyone, when I know for a fact that the last doctor to give me actual, long-term relief that didn’t require daily narcotic care was a chiropractor specially trained in treating patients with fibromyalgia. At the same time, however, I know that suggesting that because I use certain medication to manage my pain doesn’t make me less responsible. I am pretty sure that managing my pain makes me responsible for my pain. Certain people may not like how I am choosing to do it, but it is still up to me how I choose to do so, making it my responsibility. No one but me gets to make a moral judgment on that.

It isn’t widely available. I am fortunate, were I willing to give it another go (and possibly, I might be talked into the more traditional style). Acupuncture is widely practiced in Korea, so it is readily available. But not every military medical center is so well equipped. In fact, I think your chances of getting chiropractic care are better. They’ve hit the big ones, like Walter Reed, and it seems Fort Hood, which has a high deployment rate, has one as well. I am unclear how many other branch facilities are joining…but that is hardly accessible with so many needing it. I am also unclear if this is widely available to family members, or if this is another perk to my medical record still being messed up because of Dick Cheney’s privacy law funhouse or whatever it was that has left me listed as still active duty and of a higher rank than I actually was (and yet, with my hyphenated post-married name, which I never used while active duty…).

Often times it is being coupled with Chaplain care and yoga, which isn’t going to help everyone, and you shouldn’t be forced into one in order to get the other. Nothing adds to my needle phobia like you praying for my soul. And sometimes people with chronic pain shouldn’t be forced into certain types of exercise, which really is the Military Way, I know, but they need to understand that it can do more harm than good.

It’s a big Catch-22 of hope. I hope to see a broadening of options opened up for the masses of troops coming back from battle hurting from a decade of two wars (why, yes, I do say that a lot), or even as a way to help troops still in combat zones who have to stay and carry on. I hate to see it being set up as another way to shame people into using it if they aren’t ready to be the shiny happy Model Patient.

Non-Fiction Book Review: Signs of Resistance by Susan Burch

If you were lying awake last night thinking “You know what I need? I need to read a well-written, engaging book that deals with Deaf cultural history in the US, and that includes discussion of gender, race, and class distinctions. Gosh, if only I knew of such a book!”, I have exciting news: Signs of Resistance: American Deaf Cultural History, 1900-1942 is totally the perfect book for you!

Although the book is basically chronological, Burch divides the subject into overall themes and discusses them at length. She starts with the Oralism vs Sign Language in Schools issue, then discusses the growing Deaf community, Deaf-focused Associations and Clubs (including Deaf athletes competing in mainstream sports), barriers to Deaf people and working, and legal issues that Deaf people faced, including proposed bans on Deaf-Deaf marriages (think of the children!) and bans on Deaf people driving.

Throughout, Burch discusses intersectionality. While the chapters are primarily focused (due to sources) on white Gallaudet-educated men, she devotes time in every chapter to discussing how white women in the same situations were treated, and how Black Deaf people had almost entirely different experiences from white Deaf people, such as the segregated school system and racism within the Deaf community. I’m pretty certain this is Burch’s earliest work, and I know her later stuff focuses a lot more on these issues.

One thing I really liked about this book as well is that Burch puts a short sketch of the life of various Deaf people in every chapter. This gives us someone to “root” for, as well as someone to celebrate or make note of. It’s easy to look at a book like this, that talks about broad cultures, and forget that individuals were actually involved in it. I also like that, for the most part, these were people I hadn’t heard of. While Gallaudet and Clerc are discussed – they have to be, really, for any history of Deaf education in the US – the life sketches are of people like Alice Taylor Terry or Thomas Francis Fox.

I found the text very engaging, and not difficult to read. Like most people, I’ve groaned my way through dull prose that made me want to sleep rather than read, but Burch’s writing kept me wanting to stay up late reading.

I give this book 5/5 stars, and would totally recommend it to anyone. The only thing that makes me eager to put it aside is that I have some of Burch’s later books and edited anthologies in my To Be Read (TBR) pile.

[Signs of Resistance at WorldCat].

[Limited Preview of Signs of Resistance on GoogleBooks]

…And At This Point, I Don’t See It Stopping Anytime Soon

Courtesy of amandaw I bring you this stellar article that once again rubs in my face how brilliantly miserable the VA is scratching the surface of realizing what is wrong with they way they even see women veterans. If you read along carefully you can even see the lightly sugar-coated condescension artfully woven in TIME writer Laura Fitzpatrick’s story. It really is a piece of work, from the dismissive way she re-counts the testimony of the “presumed” treatment of a victim survivor of sexual assault at the hands of a medical professional (because they NEVER do THAT) down to the detailed description of the very girlie attire of the staff at the impressively mostly women-run facility in Palo Alto. I crave to read the way a man’s shoes click-clack on a hospital hall’s floors in such a manner. But it is a very cliche description etched in the halls of descriptive-writing history, INORITE, so who am I to argue with the laws of good writing. I am, after all, only an amateur.

The news isn’t that the VA is failing women veterans. I’ve known that for quite some time. Really, I have. I have encountered some of the treatment described to some degrees first-hand:

I remember having to hunt around for a toilet in an ill-fitting paper gown at my own exit screening, past several other open, occupied exam rooms. I was the only woman there. They had no sanitary napkin to offer me and it was an embarrassing scene trying to find a place where I could insert a tampon. I was fighting back tears when I finally found a (presumably) unisex bathroom.

So My Dear Friend Ms. Fitzpatrick’s dismissal of Anuradha Bhagwati’s story, the one she gave as testimony before the House Committee on Veterans’ Affairs is ill-received. It isn’t too far-fetched for me to imagine the way she recounts “the ham-handed manner in which a male gynecologist, upon being told by a patient that she had been sexually assaulted, left the exam room and — presumably to beckon a female staff member — yelled down the hall, ‘We’ve got another one!'”. I can easily see the inept professionals at the inadequate facilities just stumbling over how to even grasp a way to provide basic courtesy to a patient who isn’t like them. And failing. Miserably.

The news here is that they seem to have no idea how to fix it, and no set, immediate time line in mind for seeing progress. Sure, Secretary of the VA, Eric K. Shinseki recently, at a forum at the Women in Military Service for America Memorial in Arlington, Virginia, has said that he hopes to have the VA ready to serve 100% of veterans in 25 years, but what is going to happen to this generation of women veterans who are already being ignored? To the women veterans of the wars past who have been fighting for help all along already?

Because their concerns are already being swept aside. You can already see as things like their urinary-tract issues being categorized as simple “gender differences”, because women react to the desert differently. Sure, possibly. I’ve seen this intimated a few times. People looking to explain away womanly behavior in high stress situations. Oh! They didn’t want to stop the convoy! Well, why is that? Maybe because we know that women are far more likely to be killed by their fellow servicemembers than by combat in combat zones that they learned defense mechanisms, as confessed to by Col. Janis Karpinski. Women tended to drink less water, as little as they thought they could get away with, to avoid using latrines or having to stop roadside alone with men out of fear of sexual assault. And it killed some of them. If you remember, though, Karpinski was even dismissed as a woman scorned because of the Abu Ghraib scandal, anyhow, so we can’t win for losing. She was just ratting out her old boss because she got in trouble.

Some of it is true, though. Most of the VA’s 144 hospitals do not have the proper facilities to even offer privacy to non-men patients, let alone provide gynecological care, or as I mentioned above, pads. The TIME article notes a hospital in Salt Lake City which announced that it delivered its first baby this past October (the article mentions that its average patient is 78 and male), but the day after the little girl’s arrival they didn’t know how much she weighed (I cringe to think how much more they couldn’t provide) because they didn’t even have an infant scale.

Women veterans are spiking in numbers. They, funnily enough, are not the same as men. That means they are not the same as the average patient, such as that the Salt Lake City hospital are used to dealing with, and their health care with be different. Even if you line up the matching parts, the treatment for heart disease and blood pressure, to my lay knowledge, is not the same. The numbers have been growing since The Great War, and surged after we had the need to call the next one World War II. It took until 1988 for the VA to start providing even limited care to women veterans.

Today, women veterans in need of help from the VA are of an average age far younger than the average male veteran (for obvious reasons) and have different needs. They are at least twice as likely than civilian women to be homeless (with only 8 facilities in all the U.S. available to help homeless women veterans with children). They are likely to be mothers when they are. Many of them returning from combat zones — yes, combat zones, why do you ask? — are coming home to families and are more likely than their male counterparts to get divorced following combat connected tours. They are really damned likely to get asked if that is their husband’s or boyfriend’s shirt they are wearing, or asked for their husband’s social by a thoughtless agent on the phone. They are the forgotten in war. Doubly so if they served in a branch of the military that isn’t on the forefront of the public’s mind as “really the military” (as slave2tehtink has said, Aircraft carriers tend to not be zipped around by civilians, yo). Extra-specially so if you had a thinkin’ job, like “nuke” or “spook”, and your Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), or Military Sexual Trauma (MST) didn’t happen “In Country” (Iraq or Afghanistan), the only sanctioned places where these things can occur, you know.

It’s frustrating as hell. And while I don’t believe that the VA is intentionally forgetting about us, I don’t believe that they are doing everything that they can to make sure that it gets better faster.

And honestly, I don’t think writers like Ms. Fitzpatrick are helping. But maybe I am jaded and have been at this for too long. But the VA needs an overhaul, stat. Pretty words from the Secretary of the VA and promises that it will be better in a couple of decades just aren’t good enough.

Recommended Reading for August 10, 2010

Wheelchair Dancer at Feministe: On the Cover [trigger warning for discussion of violence]

Regardless of how disability plays out in Aisha’s world, the vast majority of readers of TIME live in a culture that understands disability as tragedy. As shocking. As among the worst things that can happen to you (bar death). Mainstream American culture thinks it knows disability and knows how to read it. Ms. Bieber has a history of photographing disabled bodies[. . .]But the work she does in the Real Beauty series does not come through in this photograph — perhaps because of the context and placement of the image. Here she (and or the editor) uses Aisha’s disability to trade upon the readership’s sympathies and their horror: this and other unknown kinds of disability are a direct result of the US departure from Afghanistan. This is not about Aisha; it’s about the message of the article.

Cripchick at Cripchick’s blog: tell me who i have to be to get some reciprocity?

don’t feel the way white supremacy creeps into your life and plops itself in the center?

in the last wk, white ppl have:

  • told me how to rearrange my words as to be more approachable.
  • made my need to have ppl of color time about them.
  • asked me invasive medical questions about my body.
  • thanked me over and over for teaching them about oppression.

Cara at The Curvature: Disabled Student Assaulted on School Bus; Bus Driver Watches and Doesn’t Respond [trigger warning for description and discussion of severe bullying]

Most readers here who have ever ridden a school bus will have at some point been on at least one end of bullying and harassment. Many will have at different points throughout their childhoods and adolescences acted as both bullies and victims — myself included among them. Big news stories since I stopped riding a school bus have left me with the impression that little has changed. School buses are places where bullies, harassment, and violence thrive. And as all current or past school bus passengers know, students with disabilities, particularly cognitive or intellectual disabilities, are especially vulnerable.

Daphne Merkin at the New York Times Magazine: My Life in Therapy

This imaginative position would eventually destabilize me, kicking off feelings of rage and despair that would in turn spiral down into a debilitating depression, in which I couldn’t seem to retrieve the pieces of my contemporary life. I don’t know whether this was because of the therapist’s lack of skill, some essential flaw in the psychoanalytic method or some irreparable injury done to me long ago, but the last time I engaged in this style of therapy for an extended period of time with an analyst who kept coaxing me to dredge up more and more painful, ever earlier memories, I ended up in a hospital.

William Davies King at PopMatters: In Defense of Hoarding

To be sure, a special label like compulsive hoarding seems required by many of the heart-rending cases they recount, people neck-deep in the slough of their despond, overwhelmed by more whelm than can be weighed. But sadness and dysfunction are hardly rare or new. What is new is the social imperative to ram open that front door. Bring in the wheelbarrows, the commanding case worker, and the camera—especially the camera, which enlists us all in the drive to evacuate these cloacal dwellings. Reality TV rolls up its sleeves, puts on the rubber gloves, and hoards the evidence while [authors] Frost and Steketee stand alongside the labyrinth, notepad in hand, giving that Skinnerian nod.

National Association of the Deaf Videos

When writing in my own space, I tend to make a lot of jokes about how much I enjoy doing “history in the future!”, by which I mean a lot of primary sources are on-line. Last year, for example, I randomly put the name of one of the people I was writing about into Google, and out popped a bunch of articles he’d written about his theories on Deaf people in the 1860s, which drastically changed my thesis.

For those of us who like to highlight disability related history, the internet can be a huge boon. Whereas as little as five years ago, reading Susan Burch’s description of the Hotchkiss videos for the National Association of the Deaf would have been my only way of learning about them, various video-sharing websites (especially YouTube) allow for us to see these videos, and get a better idea of their impact and importance, for ourselves.

Transcript, as provided by pdurr on YouTube:
Description: John Hotchkiss is an older white man wearing a suit and signing for the camera.

Excerpt of Hotchkiss discussing memories of old hartford from the NAD Motion Picture Project
translation of excerpt by P. Durr – NOTE translation’s accuracy is not confirmed.

“Another time Clerc called a boy who had passed by his house asking, “Please tell (name sign of bent L handshape going downward from top of lips to bottom of chin indicating a beard) S-T-E-W-A-R-D to please have wood delivered to me.” “My pleasure,” the boy replied and went on his way. But this boy completely forgot about this message as his mind was set on playing. Thus, it totally slipped his mind to inform Steward (name sign) of Clerc’s message of his need for wood and Clerc never received any.

A few days passed and again Clerc approached this boy, tapping him with his walking stick and holding him by the shoulders. “I told YOU to PLEASE tell Steward to bring me wood and you said, ‘Ah huh, Yes, Yes, Yes’ but instead you went off and completely forgot. Darn you for forgetting.” and he went off in a huff. As days went by, Clerc would continue to bump into this boy and would always say “Darn, you’re the boy who forgot” (hand at mouth) and stomp off.

The boy was embarrassed and became weary of Clerc’s insults so he decided to go to him and asking his forgiveness for having forgotten to deliver the message to which Clerc let out a joyful laugh and said “alright, you are forgiven, you are forgiven, be on your way.” And with that they departed.

Context, of course, is important. Hotchkiss is telling a story about Laurent Clerc, who is considered the father of the US Deaf Community – for certain definitions of Community, which I will get to in a moment. Dr. John Hotchkiss himself is a very important member of the Deaf community, having been part of the first generation of Deaf students to attend Gallaudet University. Once he graduated he took up teaching, and was a passionate advocate for the continued used of Sign Language in teaching Deaf children.

In the 1910s, the National Association of the Deaf began making several films of Sign Language masters such as Hotchins, and they toured the country. While they were mostly seen by Deaf students, there were hearing students who also saw these ‘silent’ films, exposing them to “the beautiful language” as well.

These films were created as a means of combating the oralist movement (requiring Deaf people to learn to lip read and articulate verbally, a movement that also attempted to ban Sign Language in schools), as well as recording the history of US Deaf people. Looking at the present, the increasingly easy access to video technology is leading to a similar growth in easily accessible videos by and for Deaf people, many of them on YouTube.

What is not obvious from this one video but would be if you went seeking out the rest of the National Association of the Deaf videos from roughly this time period is that “the beautiful language” that they’re preserving is pretty much the beautiful language of white men with the means to attend Gallaudet University. Gallaudet accepted one class of women pupils, and then refused to accept any more for over a decade. Even afterwards, women pupils were discouraged from attending, because they risked “stealing” jobs from more-deserving men. As well, there was a great divide between white and non-white/people of colour in terms of Deaf education. There was a segregated Deaf school system in parts of the US, and Black Deaf schools developed their own form of Sign Language. You can read a bit more about this at the Black ASL Project. Historians like Susan Burch make it very clear that there was no attempt by white Deaf leaders to support Black Deaf people, and only limited support in the non-segregated school system of the North and Western US.

I like to highlight some things in disability history because I find it frustrating that, if you want to learn about the history of disability in a non-specialized context, you’re probably only going to learn the tragedies. I’ve taken classes that have talked about forced sterilization and the eugenics movement, both in North America and abroad, but never had a class that dealt with the foundation of the Deaf press, say, or the National Fraternal Order of the Deaf – even in classes that were about Fraternal Orders in the US. I’ve taken classes that have focused on the resistance of marginalized people, but somehow fail to mention decades of resistance by people with disabilities, and often fail to mention even the success of the Americans with Disabilities Act.

We have a history that is more than tragedy, that is more than the last 20 years of fighting. It is not all brave plucky fighters, and it is certainly not all wonderful people who had no prejudices and only celebrated good things. People with disabilities are people, and I think talking a great deal more about this history is part of the way we fight against stereotypes and the boxes people put us in.

Commenting note: I am, as I said, on Thesis Time right now, which basically means I’m hardly at all around. If you decide to comment, please keep commenting policies in mind, and I’ll do my best to keep up with them.

Vulnerability Indexes, Homelessness, and Disability

(Note: this originally appeared in a modified form on my tumblr.)

Vulnerability indexing is a new trend in homelessness services. It started in LA and NYC but is now being used a bunch of cities and localities of all sizes around the country. Instead of traditional outreach services, these projects use a “vulnerability index” survey to collect data from street-based homeless folks (rather than people in shelters, living in cars, doubled up on couches, etc). The data is then used to rank the homeless people, in order, by their “vulnerability,” or likelihood of dying within the next 12 months if they remain on the street.
That ranked vulnerability list is then used as a priority list to provide the people with services, starting with housing.

In providing housing and services, these programs use a “housing first” model, which means that unlike the vast majority of homeless housing services, individuals are NOT required to be clean of drugs/alcohol or engaged in mental health services prior to moving in. Once they move in, they’re provided with all the supportive services they want, including substance abuse treatment, mental health treatment, education and job training and placement assistance, etc.

I strongly support these programs and have been very excited to see them gaining traction in LA. (we have project 50 in downtown LA, project 30 in the San Fernando Valley, and others pending right now.) I also think these programs are of special interest from a disability perspective because of the extremely high prevalence rates of mental and physical disabilities among the long-term chronic homeless, and the way these disabilities make it difficult, if not impossible, for this group of homeless people to move towards stable permanent housing.

Here are some of the reasons I think this approach makes a lot of sense:

1. It targets the population that needs it the most, re-opens discussions about serving the chronically homeless
These projects target a subset of the homeless population – the chronically homeless. This group is defined as people who have been continuously homeless for at least a year. This is a minority of the overall homeless community (about 23% of all homeless), as most people cycle in and out of homelessness in periods of 3 months or so. The chronically homeless are generally single adults, not families, and generally have some kind of substance abuse issue and/or mental disability and/or physical disability. Most policy analysts believe that nearly every chronically homeless person has either a mental or physical disability.

This population is considered extremely difficult to serve, as lots have tried to engage with services in the past and not found it useful, so are considered “service resistant.” This is a nice way to say that most people and agencies have pretty much given up on them and don’t have any hope of bringing them into services, much less into stable housing. This is also a nice way to say that these homeless folks have correctly figured out that most homeless services aren’t appropriate or beneficial for them, so there’s little point in trying to engage with service organizations. This is partly because homeless services are not really set up for people with disabilities – getting necessary accommodations in a shelter is enormously difficult because of the already extremely limited resources available. If you have PTSD and need a door that locks in order to sleep, a shelter is not for you. If you have a service animal, shelters are not for you. If you need even a minimal level of nursing or medical care, shelters are not for you. (Not that the streets are better at accommodating disabilities.)

These chronically homeless people are, unfortunately but frankly, likely to die. the vulnerability index looks at factors that “place them at heightened risk of mortality,” including 3 or more hospitalizations or ER visits in the last year, aged 60 or above, cirrhosis of the liver or end stage renal disease, HIV+ or AIDS, or co-occurring psychiatric, substance abuse, and chronic medical conditions (tri-morbidity). When this tool has been used in communities, the most vulnerable person identified by the tool usually has all of those risk factors and has been homeless for 20+ years. Can you imagine how difficult it would be for a 62 year old man who is HIV+ and has a physical and mental disability and an active substance abuse problem to enter a shelter, especially after over 20 years of street homelessness?

Traditionally, this group of the chronically homeless is a group that people have given up on. Not just the public, but even homeless service providers. But the first iteration of this program, in the Times Square area of NYC, has produced before and after stories that are flooring. A woman who lived on the streets for 20+ years as a heroin addict is now housed and working as the concessions manager at the movie theater in Times Square. Looking at the before and after pictures seemed like she’d moved backwards in time – she looked 20 years younger. These are the people who we walk by on the street and feel like they’re beyond help and beyond hope. We just don’t think people can come back from that – and these programs are proving that assumption to be absolutely wrong.

Another benefit of focusing on the most vulnerable folks is that it communicates that same message – you are not beyond help or hope, there are programs that can provide meaningful and beneficial assistance – to the homeless community itself. If folks see that the agency promised housing to someone with a substance abuse disorder, a mental disability, and 20+ years on the street, and then delivered on that promise, they’ll be motivated to participate with the agency and trust them in a way they wouldn’t trust the shelters or outreach teams that hadn’t housed that guy in the past. These programs usually see a “tipping point” once the first few, most vulnerable, people are housed – then the rest of the community believes in the promise of potential housing and is motivated to cooperate with the service agency.

2. These programs make economic sense.
These targeted programs are usually seen as an alternative to simply ignoring the homeless and continuing to not spend city and county funds on them. Because there are not a lot of homeless services or programs targeting this group, the perception is that we are currently spending zero dollars on them, and any targeted program will be a dramatic increase in funds directed to the chronically homeless. This could not be more inaccurate. Actually, this group is consuming an astounding amount of public funds, through county health programs, police and jail funding, and public benefits such as food stamps or general relief funds. A recent study by the Economic Roundtable here in LA found that these most vulnerable folks are consuming over $8,000 in county funds PER MONTH, through multiple ER visits, jail time for quality of life infractions, and health care services received in jail. When these folks are moved into housing – even fully subsidized funding with inclusive supportive services – it’s a net savings for the government.

So this popular conception that we’re not already spending a bundle on these chronically homeless folks is simply inaccurate. We, as city and county governments, are already spending an enormous amount of county health funds, justice system funds, and social system funds on this group, with no discernible improvement in their quality of life or life expectancy. (This New Yorker article is a great discussion of how these costs can mount up for a single homeless individual.)

I know that cost savings is likely not the most important aspect of these programs for this audience, but these economic arguments are extremely powerful in persuading localities who do not understand why they would benefit from targeting funds and assistance at the chronically homeless.

3. The overall economic effects of the project help those homeless who aren’t directly targeted.
The economic benefits of these programs mean that there will likely be additional homeless service dollars available for use at other places in the homeless continuum of care – meaning that the program could generate benefits for the non-chronically homeless as well. This is much needed. Currently, in LA, it’s really hard to get into a homeless shelter. that’s because the “emergency” homeless shelters – where you’re supposed to stay for 30-90 days before moving into a “transitional” shelter – are backed up. Because all the transitional shelters are full. Because there’s no permanent housing available, so there’s nowhere to transition to from the transitional shelter. So the transitional shelter is serving as permanent housing and the emergency shelter as transitional shelter and the folks who need emergency shelter … sleep in their cars, or on the floor of a friend’s apartment. This system could benefit from some more cash to build permanent housing – money that might be available were we able to reduce the significant existing county expenditures on the chronically homeless.

4. Housing First and other harm reduction policies make sense.
Currently, a lot of housing placements require that the person moving in be clean and sober and, if they have a mental disability, be actively engaged in mental health treatment services. As you can imagine, this turns into a lot of chicken and egg problems. If you are a homeless person living in LA’s Skid Row, which is overrun with illegal drugs and alcohol, and have no money to afford rehab or treatment, you are never going to be eligible for that housing, even if you actively want to stop using. You don’t have anything to lose while living on the street – even going to jail gets you a bed and some food – so there’s absolutely no incentive to stop using. If you’re likely to die within 6 to 12 months, it’s likely that being high during the interim will be more pleasant than being sober.

If you’re placed in an apartment, though, you quickly learn that ongoing abuse is going to cause financial problems in affording the apartment and social problems in not disturbing other neighbors. There’s also an incentive – you don’t want to lose the apartment. The programs have found that people are motivated to enter treatment when receiving housing, even if it’s not a requirement of maintaining housing. There have been similar results with mental health treatment.

Even aside from the incentive effects, these Housing First programs are humane. I know a bunch of people who wouldn’t be able to get apartments if they had to show clean drug tests to get the apartment and to maintain tenancy, but they’re allowed to do that because they have money.

SO, in short: even though it sometimes feels a bit squicky to be ordering homeless folks in terms of likeliness to die and priority for housing, these programs make a lot of sense conceptually and have had amazing effects on the ground. Of the 50 most vulnerable in downtown LA, all of which had disabilities of some kind, 41 are currently in housing. I don’t see how this could have been done any other way.

From Sea to Shining Sea: Bad Ass Disabled Vets Refocus Their Military Training

Military personnel learn to apply their earliest military training to many parts of their lives. From the first moments of boot camp our lives are broken down and that training is ingrained into our very being. We take that training with us long after the uniform hangs unworn in the closet and the neckerchiefs lie in the drawers. Even today, I can write a business email in all acronyms, because it is still the most formal and proper way I know. One time we “tossed racks” because Kid couldn’t find something and insisted it wasn’t in her room. I can fit many t-shirts in a drawer or suitcase, thanks to a certain Chief, who, incidentally was not my division chief, but who seemed to think the sun shone from my arse nonetheless.

For some, it helps to pull us through the unexpected twists that life hands us. I am sure I am not the only person who will endure more pain than is required before complaining because I believe it is expected.

For Marc Esposito, a 26 year-old Air Force Sergeant and member of a special tactics squadron until his humvee hit a roadside bomb, his training helped him focus trough the year of rehab at two separate medical facilities, including the Walter Reed Medical Center, where he re-learned how to walk.

Now he is using that focus — that training — to ride with Sea to Shining Sea, to raise awareness for the Special Operations Warrior Foundation for wounded veterans, and in his own words,”[T]o hopefully show any kind of disabled American you are still capable of doing amazing things […] and hopefully change the perception of what it means to be an athlete.”

Sea to Shining Sea is a group of 17 cyclists, most of them disabled veterans, who started the journey of some 4,000 miles from San Francisco on 22 May, by dipping their wheels in the Pacific Ocean, and plan to end it by dipping their wheels in the Atlantic in Virginia Beach on 24 July. They have averaged about 50 miles a day.

Some people don’t understand that the training doesn’t leave you. It isn’t something you take off, and in some cases, this is a very good thing. The drive it takes to recover, the intensity it takes to stare illness and injury head on, the nerve it takes to accept that your career may be forever ended or changed … all of that comes from the part of you that is broken down and rebuilt ahead of time. All those weeks, months, years ago when you step off the bus and dress to that line for the first time. They rebuild you up, and it becomes a life skill that you use to accept, use, and build upon.

And it allows you to meet any task head on, using whatever you have left.

Sometimes all you have left is enough and you have no other desire but to give it.

Because that is all we know.

We know to take what we have left, and give something back.

Sea to Shining Sea is nothing short of Bad Ass, and I am not doing them justice, because I have struggled over days to write this post. I have wept a little at what these people have done with what they have kept and done. I am so proud of them, and so humbled to know that they, through their hardest, darkest times, have pulled through because of a common link and have spun it around to something positive, and to something healing, and are finding a way to use it to raise a positive message for disabled veterans everywhere.

Thank you to s.e. smith for the link, because ou is always looking out for me.

Recommended Reading for 12 July 2010

Warning: Offsite links are not safe spaces. Articles and comments in the links may contain ableist, sexist, and other -ist language and ideas of varying intensity. Opinions expressed in the articles may not reflect the opinions held by the compiler of the post and links are provided as topics of interest and exploration only. I attempt to provide extra warnings for material like extreme violence/rape; however, your triggers/issues may vary, so please read with care.

BBC News: Families with disabled children ‘struggle to pay bills’

Srabani Sen, chief executive of Contact a Family, said: “Many families with disabled children are in financial dire straits.

“Everyone has been hit hard by the recession but families with disabled children were already having to cope with a harsh combination of extra living costs and the difficulty of holding down a job and caring.

“These financial pressures have been worsened by the economic slump and have left many at breaking point.”

Researchers found that 23%, almost one in four, had to turn off their heating to save money and one in seven, 14%, are going without food.

Politics Daily: Thousands of Soldiers Unfit for War Duty

In an unmistakable sign that the Army is struggling with exhaustion after nine years of fighting, combat commanders whose units are headed to Afghanistan increasingly choose to leave behind soldiers who can no longer perform, putting additional strain on those who still can.

The growing pool of “non-deployable” soldiers make up roughly 10 percent of the 116,423 active-duty soldiers currently in Iraq and Afghanistan. Thousands more Army reservists and National Guard soldiers are also considered unfit to deploy, a growing burden on an Army that has sworn to care for them as long as needed.

“These 13,000 soldiers, that number’s not going to go away,” said Brig. Gen. Gary Cheek, who heads the Army’s Warrior Transition Command, which oversees the treatment and disposition of unfit soldiers. “If anything, it’s going to get larger as the Army continues the tempo it’s on.

“This is an Army at war.”

Laura Hershey: Some Thoughts about Public Space

I myself am a very noticeable presence in any public venue. I use a power wheelchair which I operate by blowing into a tube. I have more tubes going into my nose, connected to a mechanical ventilator, which pumps air into my lungs as I breathe. At symphony orchestra concerts, during pianissimo passages, I’ve become acutely aware of the mechanical sounds emanating from my respiratory equipment. My self-consciousness has sometimes veered close to embarrassment, but I’ve reminded myself that I have as much right as anyone to be in the presence of that great music.

Change.org’s Environment blog: Going Under For Surgery? Doctors May Be Going Green Too

So I’m all for rooting out the last vestiges of wasteful carbon from every last corner of our society. But, I have to say, this study makes me slightly nervous. “Going under” is a dangerous procedure, and I’m not sure I want my doctor thinking about the fate of the planet at a time he should be focused solely on my own fate.

Now, obviously the doctors themselves were quick to say that patient safety should and will always come first when choosing the correct drug. But, regardless, doctors who are concerned about the environment would want to know this information, they contend.

SPOUSE CALLS: Born on the 4th of July

In the headline there was no name, just a number: “1000th GI killed in Afghanistan.” I skimmed the story: Name not yet released pending notification of next of kin.

Numeric milestones seem so arbitrary. What makes 1000 more significant than 999? Mourning families don’t care about the math.

If you’re on Delicious, feel free to tag entries ‘disfem’ or ‘disfeminists,’ or ‘for:feminists’ to bring them to our attention! Link recommendations can also be emailed to recreading[@]disabledfeminists[.]com