1Improving the lives of 10 million older adults by 2020 © 2016 National Council on Aging
Outreach to Adults with Disabilities
Panel:
Kristie Kulinski, Administration for Community Living
Karl Cooper, American Association on Health and Disability
Carlene Russell, Iowa Department on Aging
Dianne Davis, Partners in Care Foundation
Betsy Abramson, Wisconsin Institute for Healthy Aging
Rebecca Castleton, Utah Department of Health
National CDSME and Falls Prevention
Resource Centers’ Meeting
Outreach to Adults with Disabilities
Kristie Kulinski, MSW
May 26, 2016
About ACL
• Mission – maximize the independence, well-being, and health of older adults, people with disabilities across the lifespan, and their families and caregivers
• Commitment to one fundamental principle – people with disabilities and older adults should be able to live where they choose, with the people they choose, and participate fully in their communities
About ACL (cont.)
ACL
Office of the Administrator
Administration on Aging
Administration on Disabilities
National Institute on Disability, Independent Living, and
Rehabilitation Research
Center for Integrated Programs
Center for Management and Budget
Center for Policy and Evaluation
Intra-Agency Collaboration
• Translational research symposium co-hosted by AoA and NIDILRR (February 2016)– Highlighted using translational research strategies to increase
evidence-based program reach for people with disabilities in community settings
• Variety of methods– Adapting an intervention curriculum (EnhanceWellness)
– Adding “disability friendly” elements to various contextual factors (CDSMP)• Additional training for program coordinators and lay leaders,
ensuring workshop locations are accessible, etc.
CDSME and Falls Prevention Discretionary Funding
• Adults and older adults with disabilities specifically cited as a target population in FY 2016 CDSME and Falls Prevention Funding Opportunity Announcements
• Intended to “increase the number…while concurrently increasing the sustainability of these proven programs in the aging and disability networks through innovative funding arrangements…”
Engaging Adults with Disabilities in CDSME and Falls Prevention Programs
• Health disparities when compared with the general population
– High blood pressure, obesity, less physically active, less social-emotional support
• Older adults with disabilities present a greater falls risk
CDSME and Falls Prevention Reach to Date
• CDSME
– ~160,000 participants since Sept. 2012
– 34,250 participants indicated having a disability (46% of those reporting relevant data)
• Falls Prevention
– ~16,400 participants since Sept. 2014
– 3,169 participants indicated having a disability (39% of those reporting relevant data)
9Improving the lives of 10 million older adults by 2020 © 2016 National Council on Aging
10Improving the lives of 10 million older adults by 2020 © 2016 National Council on Aging
Amer i can Assoc i a t i on on Hea l th and Disab i l i t y
Including Adults with Disabilities in
CDSME and Falls Prevention Programs
Presenter: Karl D. Cooper, Esq.
NCOA State Grantee Meeting
May 26, 2016
Amer i can Assoc i a t i on on Hea l th and Disab i l i t y
AAHD Mission: To promote health and
wellness for people with disabilities
Reduce Health Disparities
Advocate for Community Inclusion
Promote Full Accessibility
Integrate Disability into Public Health Agenda
Health Disparities
• According to HHS, 12.5% of the population
has a disability which “seriously limits” them
• People with a disability are:
• Over twice as likely to not see a doctor due
to cost
• Over 30% more likely to be obese
• 60% more likely to smoke
• Over 2.5 times more likely to develop
diabetes
Health Disparities
• Women with a disability are:
• Less likely to have a current mammogram
• Less likely to have a current pap test
• People with a disability are:
• Over 3.5 times more likely to have
cardiovascular disease (18-44 y.o.)
• Just under 3 times more likely to have
cardiovascular disease (45-64 y.o.)
Health Disparities
Social Determinants
People with disabilities:
• Have double the unemployment rate among
those within the workforce
• About 35% more likely to have less than a
high school education
• Less likely to report sufficient social &
emotional support
Health Disparities
http://www.cdc.gov/ncbddd/disabilityandhealth/features/unrecognizedpopulation.html
Health Disparities
Disability & Aging
Krahn, et.al. (2015). Persons with Disabilities as an Unrecognized Health Disparity Population. American Journal of Public Health.
Partnership Deve lopment
• State Disability and Health Programs
• Centers for Independent Living (CILs)
• NDNRC Community Outreach
Collaboratives (COCs)
• Consortium for Citizens with Disabilities
(www.c-c-d.org)
State Disability and Health Programs
www.cdc.gov/ncbddd/disabilityandhealth/programs.html
Partnership Deve lopment
Centers for Independent Living (CILs)
Five Core Services
1. Information & Referral
2. Independent Living Skills Training
3. Peer Counseling
4. Individual & Systems Advocacy
5. Services that Facilitate Transitionswww.acl.gov/Programs/CDAP/IL/index.aspx
Find a CIL:
www.ilru.org/projects/cil-net/cil-center-and-association-directory
Partnership Deve lopment
NDNRC Community Outreach Collaboratives
www.nationaldisabilitynavigator.org/about/community-outreach-collaboratives/
Partnership Deve lopment
People with Mobility Disabilities
People who are Blind or Low Vision
People who are Deaf or Hard of Hearing
People with Speech and Language Disorders
People with Cognitive or Intellectual Disabilities
People with Mental Health or Behavioral Health
Disabilities
RESPECT!!!
www.ncoa.org/wp-content/uploads/Disabilities-Tip-Sheet_Final061915.pdf
www.nationaldisabilitynavigator.org/ndnrc-materials/fact-sheets/fact-sheet-17/
Disability Etiquette
Disability Accessibility and Accommodations
• Parking Lot Accessibility
• Building Accessibility
• Elevator Accessibility
• Ramp Accessibility
• Meeting Room Accessibility
• Restroom Accessibility
• Alternative Formats
• Packaging and Messaging of Materials
• Font Size
Disability Etiquette
Websites for Resources
AAHD (American Association on Health and
Disability)
www.aahd.us
Project Accessibility USA
project-accessibility-usa.org/Home.htm
National Disability Navigator Resource Collaborative
www.nationaldisabilitynavigator.org/
Karl D. Cooper, Esq.
Project Manager
110 N. Washington Street, Suite 328J
Rockville, MD 20850
www.aahd.us
(301) 545 – 6140
Amer i can Assoc i a t i on on Hea l th and Disab i l i t y