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Articles 271 - 300 of 520
Full-Text Articles in Disability Studies
Reformation Within The Nation: Adapting The Nordic Rehabilitation And Reintegration Model To Positively Recondition The United States Criminal Justice System, Jessica Cornell
Helm's School of Government Conference - 2021-2024
An analytical and statistical based comparison of criminal sentencing, incarceration, rehabilitation and reintegration in the United States of America to those of the five countries which follows those of the Nordic Criminal Justice System.
Kebijakan Pemenuhan Kebutuhan Dasar Lansia Dan Optimum Aging: Kajian Literatur, Dini Widinarsih, Departemen Ilmu Kesejahteraan Sosial, Universitas Indonesia
Kebijakan Pemenuhan Kebutuhan Dasar Lansia Dan Optimum Aging: Kajian Literatur, Dini Widinarsih, Departemen Ilmu Kesejahteraan Sosial, Universitas Indonesia
Jurnal Ilmu Kesejahteraan Sosial
Elderly (elderly) is someone who has reached the age of 60 years and over. The United Nations Department of Economic and Social Affairs (UNDESA, 2015) projects that the number of people aged 60 years and over will reach 2 billion by 2050, and will continue to increase to more than three times by 2100. The increasing number of elderly population makes the elderly one of the It is important to pay attention to groups so that they do not become an economic and social burden. Therefore, it is necessary to utilize the potential of the elderly and seek forms of …
Financial Technology In Conditional Cash Transfer Dengan Menggunakan Systematic Mapping Study, Genta Rizkiansyah
Financial Technology In Conditional Cash Transfer Dengan Menggunakan Systematic Mapping Study, Genta Rizkiansyah
Jurnal Ilmu Kesejahteraan Sosial
This article is an initial study that seeks to explore the results of previous studies in the field of Financial Technology in the Conditional Cash Transfer Program using the Systematic Mapping Study (SMS). The purpose of this study is to determine the topic of Financial Technology in the Conditional Cash Transfer Program that has been studied. This study uses a qualitative method by using a literature study. The search was carried out in the Scopus database of 583 articles and after mapping, we found 25 articles with the publication year 2008-2020 that were published in scientific journals and entered the …
Evaluasi Program Asistensi Sosial Penyandang Disabilitas Berat, Djulaiha Sukmana, Mahasiswa Program Megister Ilmu Kesejahteraan Sosial, Fisip Universitas Padjajaran
Evaluasi Program Asistensi Sosial Penyandang Disabilitas Berat, Djulaiha Sukmana, Mahasiswa Program Megister Ilmu Kesejahteraan Sosial, Fisip Universitas Padjajaran
Jurnal Ilmu Kesejahteraan Sosial
This study aims to determine the extent of the implementation of the Social Assistance Program for Persons with Disabilities (ASPD) and the impact on the fulfillment of basic needs. Individuals with severe disabilities cannot be rehabilitated and are unable to carry out daily activities such as eating, drinking, and bathing, therefore need the help of others. They are unable and do not have a steady source of income either from themselves or from others to meet basic needs. Families are their life foundation because they are unable to access key services such as health care programs and food distribution, due …
Menakar Arah Kebijakan Kesejahteraan Sosial Melalui Program Asistensi Rehabilitasi Sosial (Atensi) Bidang Lanjut Usia, Puspitasari Nurul Darojati Prayoga, Universitas Binawan Jakarta
Menakar Arah Kebijakan Kesejahteraan Sosial Melalui Program Asistensi Rehabilitasi Sosial (Atensi) Bidang Lanjut Usia, Puspitasari Nurul Darojati Prayoga, Universitas Binawan Jakarta
Jurnal Ilmu Kesejahteraan Sosial
The elderly is the final stage in the human life cycle which is marked by a decrease in functional capability and balance of physiological functions. Problems experienced by the elderly in general are decreased cognitive function, decreased functional ability, namely self-care and instrumental dependence, disability, violence, depression, dementia, self-concept disorders, loneliness, poverty, and neglect. In addition, other problems experienced by the elderly are acts of violence, exploitation, and legal problems. The range of 2020-2021 is the starting point for the development of social welfare policies, especially social rehabilitation programs for the elderly, which is a national priority with a target …
Medical Norm Of Psychiatric Misdiagnoses In Rare Disease Patients, Rachel Han
Medical Norm Of Psychiatric Misdiagnoses In Rare Disease Patients, Rachel Han
Publications and Research
Spring 2022 ENG 120 Student Final Research Paper on the medical norm of psychiatric misdiagnosis throughout the diagnostic journeys of rare disease patients. The idea of a norm was taken from Chimamanda Ngozi Adichie's Tedx Talk "The Danger of a Single Story". Paper discusses prevalence, harmful effects, and origin of this medical norm. Includes discussion of statistical data quoted relating to prevalence of rare diseases as well as anecdotal evidence of the severe ramifications of this norm. Discussion of how medically unexplained symptoms such as mysterious chronic pain often lead to the phenomenon of the psychogenic inference. Origins of this …
Dirfloortime: An Innovative Approach To Supporting Development Through Connection And Understanding, Jessica Townsend
Dirfloortime: An Innovative Approach To Supporting Development Through Connection And Understanding, Jessica Townsend
Department of Occupational Therapy Entry-Level Capstone Projects
Children with developmental delays and neurobehavioral disorders such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), often have social, emotional, or behavioral delays. Children who are not reaching developmental milestones or are reaching them at a slower rate may need extra support and services to reach their full potential. An innovative approach to treatment of developmental delay commonly used among therapists is called DIRFloortime®. DIRFloortime® (also referred to as Floortime) is the application of the Developmental, Individual-Differences, & Relationship-Based (DIR) model in practice. The purpose of this capstone project was to explore Floortime as a holistic intervention …
Immigration, Politics, And Mental Health: An Undergraduate Independent Study, Abigail O. Akande, Erinn K. Rajapaksa
Immigration, Politics, And Mental Health: An Undergraduate Independent Study, Abigail O. Akande, Erinn K. Rajapaksa
Journal of Human Services: Training, Research, and Practice
The implications of a polarizing political climate on the plight of immigrants with disabilities in the United States are physiological and emotional. Rehabilitation and human services professionals are inclined to recognize the intersection of the process of immigration with related legislation and the presence of disability. Undergraduate students of relevant disciplines can benefit from the focused investigation that an independent study can provide – particularly because legislative directives evolve so rapidly, are directly associated with service provision and the availability of resources, and draw upon training and continuing education expectations from a variety of practitioner ethical codes.
Disability And Health In African Americans: Population Research And Implications For Occupational Therapy Community-Based Practice, Emily Schulz, Debarchana Ghosh, Eddie M. Clark, Beverly R. Williams, Randi Williams, Lijing Ma, Crystal L. Park, Cheryl L. Knott
Disability And Health In African Americans: Population Research And Implications For Occupational Therapy Community-Based Practice, Emily Schulz, Debarchana Ghosh, Eddie M. Clark, Beverly R. Williams, Randi Williams, Lijing Ma, Crystal L. Park, Cheryl L. Knott
The Open Journal of Occupational Therapy
Background: Population-based research and community-based interventions are integral to occupational therapy’s scope of practice, yet they are underdeveloped in actual implementation. Therefore, this paper focuses on some health challenges facing the African American population, guided by the Person-Environment-Occupation-Performance Model.
Method: Using data from an observational cross-sectional nationwide telephone survey of African American adults, we examined differences between African Americans who are receiving disability payments (RDP) and those who are employed full time (FTE) on several physical health behaviors and psychosocial health indicators. We further compared the differences between African Americans RDP versus those FTE on those physical health …
Speech-Language Pathologists On The Autism Spectrum, Rebecca Freeman Barnett
Speech-Language Pathologists On The Autism Spectrum, Rebecca Freeman Barnett
Master's Theses and Doctoral Dissertations
This thesis consists of three journal articles for publication that addresses three different aspects of the research that examines the state of diversity in the field of speech-language pathology (SLP) as it pertains to autistic representation and possible implications. In the first article, Demographic Analysis of Autistic Speech-Language Pathologists, the purpose was to determine the demographic differences between SLPs that identified on the autism spectrum and those that did not. A mass survey was conducted of SLPs in the states of Wisconsin, Michigan, and Ohio. It was concluded that 2.98% of SLPs self-identified on the autism spectrum. Chi-square analyses found …
The Price Of “Normal”: Masking In The Autistic Community, Phyllis Elizabeth Holloway
The Price Of “Normal”: Masking In The Autistic Community, Phyllis Elizabeth Holloway
Online Theses and Dissertations
The Autistic community has a rich history that often includes poor mental health outcomes due to the increased stress and anxiety surrounding the push to have “normal” social skills. On Twitter, many autistic people utilize a hashtag to connect with others in the online Autistic community. This qualitative study analyzes the Twitter hashtag, #ActuallyAutistic, to understand masking and camouflaging from the autistic point of view. A qualitative descriptive approach was used to perform this analysis. The themes found emphasize the need for professionals to increase their understanding of the Autistic community’s value and contributions. By improving the ability of non-autistic …
Influence Of Social Expectations On Muscle Dysmorphia In College-Age Males Studying Exercise Science, Quinten Garver
Influence Of Social Expectations On Muscle Dysmorphia In College-Age Males Studying Exercise Science, Quinten Garver
Williams Honors College, Honors Research Projects
PURPOSE: To investigate the correlation between the risk of an individual developing MD and the presence of unrealistic social expectations. The research question is “How do unrealistic social expectations influence the development of muscle dysmorphia in college-age males studying exercise science?”. METHODS: An electronic survey was distributed to all exercise science students at The University of Akron. This survey was targeted exclusively at male students; any responses received by females were not analyzed. The survey consisted of 20 questions that were aimed at determining the individual’s risk of developing muscle dysmorphia and determining how likely the individual is to have …
I’M Not A Tragedy: Speaking Up About Ableist Microaggressions, Kasandra Marguerite Colwell
I’M Not A Tragedy: Speaking Up About Ableist Microaggressions, Kasandra Marguerite Colwell
Communication Senior Capstones
Have you heard of ableist microaggressions? Let me tell you about them, as someone who has experienced them. I have a bi-lateral dislocating knee condition that I was born with. I can walk, but sometimes I need additional stability or reduction of pain while getting around, in which case I tend to use a cane. I have had many othering interactions while using a mobility aid in public, whether that be a knee brace, a cane, or crutches. While it often seemed the stranger didn’t mean any harm, the question is how many invasive questions and comments from strangers can …
Parent Reports Of Executive Functions In Students With Learning Disability, Jane Roitsch, Annemarie L. Horn, Lisa Morin
Parent Reports Of Executive Functions In Students With Learning Disability, Jane Roitsch, Annemarie L. Horn, Lisa Morin
Communication Disorders & Special Education Faculty Publications
This study examines the results of the Behavior Rating Inventory of Executive Function (BRIEF-2) (Gioia et al., 2015) reported by parents of children with Specific Learning Disability (LD) and/or other comorbid disabilities. LD is most notably associated with comorbid attention deficit hyperactivity disorder (ADHD) (Alloway & Stein, 2014; Westby &Watson, 2004; Willcutt et al., 2013). A total of 43 parents completed the BRIEF-2 rating scale. Findings suggest children with LD and ADHD display greater challenges with inhibition, working memory, planning, along with greater challenges in organization and metacognition. Parents of children with LD reported their children have greater levels of …
Inclusion Of The Mobility Impaired In Our Community: Ask First!, Jeffrey M. Heinz Dds, Msd
Inclusion Of The Mobility Impaired In Our Community: Ask First!, Jeffrey M. Heinz Dds, Msd
The Journal of the Michigan Dental Association
This DEI Series feature article provides a unique perspective on the inclusion of individuals with physical disabilities, focusing on mobility impairment, in the dental profession and community. The author, a paraplegic orthodontist, shares personal experiences and challenges, shedding light on the importance of considering physical disabilities in dental offices. Navigational difficulties in compliant yet wheelchair-unfriendly spaces are discussed, urging practitioners to have contingency plans. The article emphasizes the significance of etiquette in assisting individuals with disabilities, encouraging respectful communication and asking before offering help. Practical insights on dental chair usage and transfer assistance are provided, promoting a more inclusive environment …
Voices Of The Often Unheard: The Environmental Impacts Of Catastrophic Wildfire Events On Individuals With Developmental Disabilities, Mary Madison Mckenzie
Voices Of The Often Unheard: The Environmental Impacts Of Catastrophic Wildfire Events On Individuals With Developmental Disabilities, Mary Madison Mckenzie
Graduate Student Theses, Dissertations, & Professional Papers
The Thomas Fire for a time was the largest wildfire in California history, burning 281,893 acres and destroying 1,063 structures. Within three years, the August Complex Fire, at 1,032,649 acres, almost quadrupled that record. Climate related disasters such as these have impelled social science researchers to heed calls for a paradigm shift in understanding the risks climate change poses to the social world, in particular, disaster risks for vulnerable groups. Existing research tends to focus on disasters such as hurricanes, featuring risks for vulnerable populations by race, class, and/or individuals with disabilities in general, but not for individuals with developmental …
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric Sarrett
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric Sarrett
Walden Dissertations and Doctoral Studies
Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …
Stimming Expresses Empathy, Not To Be Masked Or Persecuted: A Scoping Review And Case Study Of The “Double-Empathy Problem” Solved By Recognizing The Autism Language, Kathryn Haas
Student Capstone Papers
This article critically examines autism and autistic stimming through the lenses of neurotypicals and autistics, evaluates confines currently imposed upon autistics by neurotypical society, and synthesizes what autistic leaders have expressed about their experiences striving for inclusion (Gernsbacher, 2017; Milton, 2012). Autistic-led studies are now at the forefront of the neurodiversity movement and are growing in fervor. The following themes were identified: (a) prevalence of autism, (b) the interpretation and measurement of empathy, (c) discovery of genetic factors transformed autistics’ identity, (d) publication of non-genetic factors such as vaccines undermined the legitimacy of the autism language, (e) the problem with …
Examining The Need For Parental Satisfaction With The Msu Extension Equine Assisted Therapy Program, Ashlyn Ann Kiker
Examining The Need For Parental Satisfaction With The Msu Extension Equine Assisted Therapy Program, Ashlyn Ann Kiker
Theses and Dissertations
Animal assisted interventions are becoming more prevalent in our society. Animal interventions have become a popular therapy technique that exist to aid a variety of disabilities. Equine therapeutic riding has become one of the most popular forms of animal assisted therapy for both children and adults. While research shows the importance and benefits of animal assisted therapy for children, there is a lack of research concerning parental satisfaction within therapeutic riding programs.
This study tested a newly developed instrument for measuring parental satisfaction for therapeutic riding programs. The Parent/Caregiver Evaluation Tool (Kerr, 2021) was administered to parents/caregivers whose children participated …
Ableist Ideologies Stifle Neurodiversity And Hinder Inclusive Education, Marie Adrienne R. Manalili
Ableist Ideologies Stifle Neurodiversity And Hinder Inclusive Education, Marie Adrienne R. Manalili
Ought: The Journal of Autistic Culture
This paper makes the case that ableist ideologies hinder trends towards inclusion on a broader global scale and beyond Anglo-American standpoints, as evidenced by key literature and legislations on inclusive education. I also discuss the issues, challenges, and dilemmas generated by these ableist ideologies in my professional context as an autistic speech-language therapist from the Philippines. I conclude with my reflection on how practitioners can help change the trajectory towards emancipatory inclusive practices that are informed by the neurodiversity paradigm. To respect the preference of the communities and the intersection of identities I represent, this paper uses inclusive identity-first language …
Identification Of Opportunity Barriers And Supports For Individuals Using Augmentative And Alternative Communication (Aac) And Stakeholders, Meredith K. Gohsman
Identification Of Opportunity Barriers And Supports For Individuals Using Augmentative And Alternative Communication (Aac) And Stakeholders, Meredith K. Gohsman
Rehabilitation Sciences Theses & Dissertations
Individuals using augmentative and alternative communication (AAC) are supported by many AAC stakeholders and communication partners. Clinical decision making and AAC assessment models consider the capabilities and access needs of the individual using AAC, as well as opportunity barriers and supports imposed by communication partners and environments. The purpose of this research was to investigate opportunity barriers and supports identified by two critical AAC stakeholders: speechlanguage pathologists and caregivers. The first study investigated characteristics of AAC service provision reported by post-professional speech-language pathologists. Speech-language pathologists reported lack of perceived knowledge related to AAC service delivery, inconsistent use of AAC modalities, …
Promoting Inclusion Of Adults With Disabilities In Local Fitness Programs: A Needs Assessment, Samantha M. Ross, Bridgette Schram, Kathleen Mccarty, Nicole Fiscella, Willie Chun Wai Leung, Kayla Lindland
Promoting Inclusion Of Adults With Disabilities In Local Fitness Programs: A Needs Assessment, Samantha M. Ross, Bridgette Schram, Kathleen Mccarty, Nicole Fiscella, Willie Chun Wai Leung, Kayla Lindland
Developmental Disabilities Network Journal
Fit-Pals* is a university-based, service-learning program with a mission to prepare adults with disabilities to engage in lifelong physical activity. We conducted a Needs Assessment to evaluate recent programmatic partnerships with community-based fitness organizations. We aimed to (1) evaluate organizational perceptions of Fit-Pals’ partnership efforts, and (2) identify perceived organizational needs to improve inclusion practices. Representatives from each of our seven partner organizations participated in an online-survey, follow-up interviews, and a stakeholder meeting. A thematic analysis of survey and interview responses highlighted areas for programmatic growth related to training in disability awareness and fitness accommodations, and improved communication across all …
Advance Care Planning Within Individualized Care Plans: A Component Of Emergency Preparedness, Heather L. Church, Christina Marsack-Topolewski, Jacqueline M. Mcginley, Victoria Knoke
Advance Care Planning Within Individualized Care Plans: A Component Of Emergency Preparedness, Heather L. Church, Christina Marsack-Topolewski, Jacqueline M. Mcginley, Victoria Knoke
Developmental Disabilities Network Journal
Federally-legislated Medicaid requirements for recipients with intellectual and/or developmental disabilities (IDD) to have a person-centered plan (PCP) do not specifically require that advanced care plans (ACP) be a component of the plan. However, coronavirus disease 2019 (COVID-19) has provided a salient reminder of the importance of incorporating ACP within the PCP for people who have IDD. As demonstrated by situations arising from COVID-19, emergencies and crises can dramatically alter access to care for people with IDD. This paper synthesizes results from an environmental scan related to ACP for adults with IDD. Findings suggest that the use of ACP, particularly when …
Praktik Baik Pemberdayaan Difabel Oleh Kelompok Difabel Desa Makmur Jati Mandiri, Damiana Damiana Puspita, Eka Zuni Lusi Astuti
Praktik Baik Pemberdayaan Difabel Oleh Kelompok Difabel Desa Makmur Jati Mandiri, Damiana Damiana Puspita, Eka Zuni Lusi Astuti
Jurnal Ilmu Kesejahteraan Sosial
The participation of people with disabilities is a crucial issue in Indonesia that has emerged along with the development of the concept of social inclusion that encourages the involvement of people with disabilities in social life. Based on the 2015 SUPAS, the most people with disabilities in Indonesia are people who have a little difficulty seeing, which is 5.51%. Meanwhile, the least number of people with disabilities in Indonesia are residents who cannot hear at all, which is 0.09% (Central Bureau of Statistics, 2016). The problems faced by people with disabilities in Indonesia are varied, ranging from limited accessibility in …
Peran Kampung Kb Sendangsari Untuk Mencegah Stunting, Rahmisutar Rahmisutar, Eka Zuni Lusi Astuti
Peran Kampung Kb Sendangsari Untuk Mencegah Stunting, Rahmisutar Rahmisutar, Eka Zuni Lusi Astuti
Jurnal Ilmu Kesejahteraan Sosial
The 2020-2024 RPJMN places stunting as a priority issue in health development. The 2019 Study on the Nutritional Status of Toddlers in Indonesia (SSGBI) which was integrated with the March 2019 Susenas showed that the prevalence of stunting in Indonesia in 2019 was still high, at 26.67%. One of the efforts taken by the government is to focus the Quality Family Village Program (KB) on the issue of stunting prevention. KB Villages can mobilize participation and synergy of various institutions in the community to play a role in preventing stunting. This paper discusses the role of the Sendangsari KB Village …
Disability And Healthcare Access In Morocco: Social And Cultural Influences, Christa Shipman
Disability And Healthcare Access In Morocco: Social And Cultural Influences, Christa Shipman
Independent Study Project (ISP) Collection
I stepped into the SIT Multiculturalism and Human Rights program as a pre-physical therapy student with experience working and volunteering in the disability rights arena. Striking personal encounters with Moroccans combined with these past experiences drew me to investigate how social and cultural factors influence access to healthcare for people with disabilities. I hypothesized that access to medical care is limited by social or cultural mindsets, perceptions, or beliefs for those in my target population. This subject is relevant to Morocco as a developing country and as a society with, in some cases, fixed social dynamics, while in other areas …
Risk Perception And Coping Strategies Among Direct Support Professionals In The Age Of Covid-19., Johanna Loporto, Kelly E. Spina
Risk Perception And Coping Strategies Among Direct Support Professionals In The Age Of Covid-19., Johanna Loporto, Kelly E. Spina
Journal of Social, Behavioral, and Health Sciences
The spread of novel coronavirus (COVID-19) across the globe and its associated morbidity and mortality has impacted and challenged society in many ways, which resulted in adapting to a new way of life. One underrecognized and unaddressed area is the mental health of essential employees providing services to people with intellectual and developmental disabilities (IDD). Direct support professionals (DSPs) serve an important function in the daily supervision and care of clients with IDD. It is not clear, however, how these essential workers perceived their own risk of contracting COVID-19 while working during this pandemic. Our research presents results of a …
Preliminary Exploration Of Pitch Discrimination, Temporal Sequencing, And Prosodic Awareness Skills Of Children Who Participate In Different School-Based Music Curricula, Ashley G. Flagge, Mary Ellen Neeley, Tara M. Davis, Victoria Henbest
Preliminary Exploration Of Pitch Discrimination, Temporal Sequencing, And Prosodic Awareness Skills Of Children Who Participate In Different School-Based Music Curricula, Ashley G. Flagge, Mary Ellen Neeley, Tara M. Davis, Victoria Henbest
University Faculty and Staff Publications
Musical training has been shown to have a positive influence on a variety of skills, including auditory-based tasks and nonmusical cognitive and executive functioning tasks; however, because previous investigations have yielded mixed results regarding the relationship between musical training and these skills, the purpose of this study was to examine and compare the auditory processing skills of children who receive focused, daily musical training with those with more limited, generalized musical training. Sixteen typically developing children (second–fourth grade) from two different schools receiving different music curricula were assessed on measures of pitch discrimination, temporal sequencing, and prosodic awareness. The results …
Object Control Skills Training For Children With Intellectual Disability: An Implementation Case Study, Catherine M. Capio, Kathlynne F. Eguia
Object Control Skills Training For Children With Intellectual Disability: An Implementation Case Study, Catherine M. Capio, Kathlynne F. Eguia
Health Sciences Faculty Publications
Children with intellectual disability (ID) tend to have difficulty with mastering fundamental movement skills, associated with cognitive deficits that impair skill acquisition. In this case study, motor learning evidence was transformed into an object control skills training program for children with ID in a school context. An implementation framework was used for program design, pilot, and evaluation. Research evidence on error-reduced motor learning was combined with practitioners’ insights to inform the program design. Children with ID in the participant school were allocated to a training or control group for the pilot; object control skills proficiency was the measured outcome. The …
Disability Injustice: A Latino’S Creative Autoethnographic Testimonio On The Organizational Culture Of Higher Education, Leonel A. Diaz Jr.
Disability Injustice: A Latino’S Creative Autoethnographic Testimonio On The Organizational Culture Of Higher Education, Leonel A. Diaz Jr.
Organization, Information and Learning Sciences ETDs
Using creative autoethnographic testimonio (CAT), a story is told about the injustices within the learning environment and work environment of higher education toward a person with disabilities: sleep apnea, learning disabilities, negative mental health. The author explores the health difficulties of addressing sleep deprivation while attending graduate school and working full-time as a professional. With sleep apnea impacting his health, his mental health declines. As his health declines, there is an increase in discrimination, hostility, oppression, bullying, and toxic masculinity. Initially, the medical system dismisses his declining health and refuses to look further into it. Once he receives medical care …