Disability Studies Commons^™

Autism And The Body Of Christ: Understanding, Accommodating, And Accepting Autistic Believers In The Church, Kaitlyn Cook

Senior Honors Theses

Autism is a neurotype that causes a different set of strengths and weaknesses and thus should be embraced and accommodated within the church. Not only are autistic believers able to grasp Christian concepts, but they also have different perspectives and skills that can be instrumental in building up the church. Promoting a correct view of autism and accommodating neurodiversity within the church will allow autistic believers to follow God’s command to be part of a body and build up the church. The church can employ several strategies to create an accessible environment for believers on the spectrum, including creating sensory-safe …

Importance Of The Autism Cares Act, Jessica C. Molloy

LEND Trainee Presentations

The Autism CARES Act (Combating Autism Reauthorization Act) is a U.S. legislation aimed at addressing the needs of individuals with autism spectrum disorder (ASD) and their families. Enacted in 2019, it emphasizes research, early detection, intervention, and support services for individuals across their lifespan. The Act provides funding for research into the causes, prevention, and treatment of autism, as well as for programs that improve access to healthcare, education, and other services for individuals with ASD. It also supports initiatives to train healthcare providers, educators, and caregivers to better understand and support individuals with autism. Additionally, the Act promotes coordination …

Accommodation And Treatment Seeking For Those With A Concealable Stigmatized Identity Disability In The Undergraduate And Workforce Environments, Sophie K. Louis

Psychology Honors Papers

The goal of the present study was to examine the influence of stigma, disclosure, and affect on treatment and accommodation seeking (uptake and confidence) in both an undergraduate and workforce population for those with an invisible disability. Invisible disability, a form of concealable stigmatized identity, lacks research in terms of the barriers and motivators for seeking help, especially within a stigma framework. To fill in this gap in the literature, two studies were conducted via questionnaires for each setting respectively, in order to understand how to navigate disability concerns across multiple contexts. Binomial logistic regressions and linear regressions revealed that …

Interprofessional Training: The Intersection Of Disability, Cultural Responsiveness, And Implicit Bias In The New Mainer Population, Maryelizabeth Filon

LEND Trainee Presentations

Disparity in health and wellness can be reduced by training clinicians to recognize implicit bias and improve cultural responsiveness to patients with a double minority challenge.

Learning Within The Autism Perspective, Sarina Alvarez, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

The project addresses the needs of children with Autism Spectrum Disorder (ASD) within school settings, aiming to improve educational outcomes and quality of life. It highlights the role occupational therapists play in fostering collaboration and creating a supportive environment. The program utilizes a variety of activities to positively impact students education and encourage educational participation. Recommendations include further distribution of the activities to different campuses to promote program adoption.

Use Of Medication Management Strategies To Increase Medication Compliance In Person’S Who Have Suffered A Stroke, Mason Pace, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

The provided research provides education to increased independence in person with stroke for the occupation of medication adherence. Various exercises and education provided in the research to increase independence in persons with stroke.

Auditory Feedback Decreases Timing Variability For Discontinuous And Continuous Motor Tasks In Autistic Adults, Nicole M. Richard Williams, Luc Tremblay, Corene Hurt-Thaut, Jessica Brian, Julia Kowaleski, Kathrin Mertel, Sebastian Schlüter, Michael Thaut

Faculty Scholarship

Introduction: Autistic individuals demonstrate greater variability and timing error in their motor performance than neurotypical individuals, likely due at least in part to atypical cerebellar characteristics and connectivity. These motor difficulties may differentially affect discrete as opposed to continuous movements in autistic individuals. Augmented auditory feedback has the potential to aid motor timing and variability due to intact auditory-motor pathways in autism and high sensitivity in autistic individuals to auditory stimuli. Methods: This experiment investigated whether there were differences in timing accuracy and variability in autistic adults as a function of task (discontinuous vs. continuous movements) and condition (augmented auditory …

Professional Development Strategies For Treating People With Idd And Mental Health Needs, Jennifer L. Mclaren, Elizabeth Grosso, Karen L. Weigle

Developmental Disabilities Network Journal

People with intellectual and developmental disabilities (IDD) experience significant health and mental health inequities and difficulties accessing care. There are few initiatives that train mental health professionals to care and advocate for the health and mental health care needs of people with intellectual and developmental disabilities.

We developed a Mental Health and Intellectual and Developmental Disabilities Professional Learning Community (PLC) with Clinical Education Teams (CET) training components through The National Center for START (Systemic-Therapeutic-Assessment-Resources-Treatment) Services^® to further educate providers in the United States. The National Center for START Services^® utilizes multiple training and collaboration forums to build the …

Peer-Mediated Family Support Project: Evaluation Of Changes In Family Quality Of Life, Preethy S. Samuel, Elizabeth Janks, Nia S. Anderson, Michael Bray, Christina Topolewski, Sharon Milberger

Developmental Disabilities Network Journal

The Family Quality of Life (FQOL) approach represents a paradigm shift from fixing to supporting people with intellectual/developmental disabilities (I/DD) by changing the focus from the individual to the family and highlighting strengths rather than deficiencies. Aging family caregivers of individuals with I/DD often encounter obstacles, including accessibility, acceptability, and affordability of services. Little is known about best practices to support aging families of adults with I/DD. Understanding how a state-wide peer-mediated family support project implemented in this study helped improve the FQOL of aging caregivers is important in broadening participation of other caregivers in these types of programs. To …

Interdisciplinary Treatment Approach To Youth With Intellectual Or Developmental Disabilities And Co-Occurring Mental Health Conditions, Ashley Greenwald, Erika Ryst, Diane D. Thorkildson, Lauren Brown

Developmental Disabilities Network Journal

Many individuals with Intellectual and/or Developmental Disabilities (IDD) have co-occurring mental health needs, yet service delivery options often do not allow for the integrated delivery of mental health treatment and social behavioral support services. Siloed treatment approaches often result in lack of collaboration between providers, increasing the difficulty in accessing comprehensive and coordinated treatments and reducing treatment potential and effective outcomes. Additionally, many service providers in behavioral support services are not trained to address significant mental health needs; similarly, providers of mental health services lack experience in modifying practices for differing cognitive needs. The lack of cross-training and cross-collaboration makes …

Project Attain: Advancing Trauma-Informed Care For Youth With Intellectual And Developmental Disabilities And/Or Gender Diverse Youth, Kady F. Sternberg, Charlotte E. Bausha, Charlotte Jones, Erin Knight, Crystal N. Steltenpohl, Rebecca R. Parton, Jennifer L. Mclaren, Erin R. Barnett

Developmental Disabilities Network Journal

Children with Intellectual and Developmental Disabilities (IDD) and/or gender diversity are at higher risk of experiencing trauma. Provider knowledge is lacking; trauma, disability, and LGBTQ+ resources are often siloed; and few providers screen for trauma in this population. This paper describes the design, delivery, and initial evaluation of Project ATTAIN (Access to Trauma-informed Treatment and Assessment for Neurodivergent and/or Gender-expansive Youth).

ATTAIN is an ongoing 5-year state-wide initiative aiming to assess readiness to engage in new roles and practices over time; provide state-wide training and consultation in trauma, disability, and LGBTQ+-informed practices; install screening and assessment of trauma exposure and …

The Link Center: A Federally Funded Technical Assistance And Resource Center Aimed At Improving Mental Health Treatment And Access For People With I/Dd, Brain Injury, And Other Cognitive And Communication Differences., Stacy L. Nonnemacher, Jeanne Farr, Wendy Morris

Developmental Disabilities Network Journal

Although we do not have robust prevalence studies in the U.S., a recent meta-analysis estimated that 33.6% of individuals with intellectual and developmental disabilities (I/DD) have a mental health (MH) condition. We know that this prevalence may be an underrepresentation because of factors like diagnostic overshadowing. We also know that people with I/DD experience inequitable access to quality MH and preventive care. This highlights the chronic lack of and access to holistic, integrated care for individuals with I/DD, especially those who also have MH conditions. Consequently, an increasing number of individuals with I/DD experience MH crises and suffer adverse consequences. …

Building Neuro-Inclusive Community, Strengthening Mental Health: The Autism After 21 Utah Project, Sumiko T. Martinez, Anna Smyth, Ann C. Carrick

Developmental Disabilities Network Journal

Over two decades of research shows strong positive relationships are a consistently powerful indicator of wellbeing and resilience. However, the U.S. Surgeon General notes that loneliness and isolation is an epidemic in the U.S., and that it is exacerbated for individuals with physical and mental disabilities as well as those with isolating economic or environmental situations. A recent review shows that many autistic adults in particular face challenges in finding the connections they want and need. They also often have compounding mental health conditions, such as depression and mental illness, lower incomes, isolating home environments due to a lack of …

Exploring Parent/Caregiver Perspectives Of Self-Determination And Its Impact On Mental Health In Adolescents With And Without Disabilities, Jessica Schuttler, Sydney Walls, Tyler Hicks, Karrie Shogren, Hannah Adams, Richard A Chapman

Developmental Disabilities Network Journal

Introduction. Parents and caregivers play key roles in supporting the development of self-determination and mental health needs in adolescents with and without disabilities. This study explored parent/caregiver perceptions of the relationships among mental health and self-determination constructs for youth with disabilities, across gender and disability status. Method. Parents/caregivers of adolescents with and without disabilities completed rating scales regarding adolescents’ self-determination status (Self Determination Inventory) and mental health symptoms (Behavior Assessment System for Children, 3^rd Edition). Bayesian analyses examined the relationships among self-determination and mental health status. Results. Results are mixed, indicating moderate to robust relationships for self-determination as a …

The Person Experiences Interview Survey: A Measure Addressing Ableism In Mental Healthcare For Patients With Intellectual And Developmental Disabilities, Micah Peace Urquilla

Developmental Disabilities Network Journal

Many People with Intellectual and Developmental Disabilities (IDD) also have mental health needs requiring the support of mental health service providers, yet they may experience barriers to full engagement in their care due to ableism. Ableism is a kind of prejudice that impacts People with IDD in many parts of life, even in mental health care. This article proposes how an adapted Patient Reported Experience Measure (PREM) can be a response to ableism, with an impact at three distinct yet interrelated levels that reflect the parties involved in the mental healthcare of People with IDD-MH: provider, caregiver, and patient.

At …

Advancing Strength-Based Inclusive Mental Health Research In Intellectual And Developmental Disabilities, Luther Kalb, Joan B. Beasley

Institute on Disability

No abstract provided.

Professional Development Strategies For Treating People With Idd And Mental Health Needs, Jennifer L. Mclaren, Elizabeth Grosso, Karen L. Weigle

Institute on Disability

People with intellectual and developmental disabilities (IDD) experience significant health and mental health inequities and difficulties accessing care. There are few initiatives that train mental health professionals to care and advocate for the health and mental health care needs of people with intellectual and developmental disabilities.

We developed a Mental Health and Intellectual and Developmental Disabilities Professional Learning Community (PLC) with Clinical Education Teams (CET) training components through The National Center for START (Systemic-Therapeutic-Assessment-Resources-Treatment) Services^® to further educate providers in the United States. The National Center for START Services^® utilizes multiple training and collaboration forums to build the …

A New Lease On Life: The Occupational Impact Of Adaptive Skiing, Caitlin Tetherow, Amy Lyons-Brown, Amy Griswold

Spring 2024 Virtual OTD Capstone Symposium

This research study focuses on understanding the occupational impact of adaptive skiing on well-being and identity to promote lifelong occupational engagement, representation, and inclusion within current ski culture. A mixed-method research study utilized a 25-question online survey and an optional one-time virtual interview. 50 adaptive skiers and/or snowboarders participating in a winter adaptive program between 18-65 years old completed this study. This study found positive evidence supporting outcomes related to physical, emotional, spiritual, and social well-being and positive identity formation from adaptive skiing.

An Exploration Of Pediatric Occupational Therapist's Perspectives On Functional And Assistive Mobility, Jennifer Allison, Amy Lyons-Brown

Spring 2024 Virtual OTD Capstone Symposium

Background: Occupational therapists (OTs) are highly skilled in assessing context, environment, and sensory-motor needs which are critical in addressing functional mobility and implementing assistive mobility devices. There is limited research on pediatric OT’s role in functional mobility. This study aims to explore pediatric OT's roles and perceptions of functional mobility and the implementation and use of assistive mobility devices.

Methods: Data was collected via an online survey with an option to participate in a follow-up interview. Descriptive statistics and thematic analysis were used to summarize trends and differences in the data.

Results: Twenty licensed OTs working in a variety of …

The Mental Health And Wellness Of Young Adults With Down Syndrome, Annika Soderfelt, Susan Macdermott, Jazminne Orozco Arteaga

Spring 2024 Virtual OTD Capstone Symposium

A poster presentation regarding the mental health and wellness of young adults with Down syndrome. This poster discusses how the mental health and wellness needs of individuals with Down syndrome are or are not currently being met and how resources and programming could be created, particularly by OTs, to better meet their need.

The Person Experiences Interview Survey: A Measure Addressing Ableism In Mental Healthcare For Patients With Intellectual And Developmental Disabilities, Micah Peace Urquilla

Institute on Disability

Many People with Intellectual and Developmental Disabilities (IDD) also have mental health needs requiring the support of mental health service providers, yet they may experience barriers to full engagement in their care due to ableism. Ableism is a kind of prejudice that impacts People with IDD in many parts of life, even in mental health care. This article proposes how an adapted Patient Reported Experience Measure (PREM) can be a response to ableism, with an impact at three distinct yet interrelated levels that reflect the parties involved in the mental healthcare of People with IDD-MH: provider, caregiver, and patient.

At …

Best Screening: Introducing The Neonatal Assessment Visual European Grid To Nicus In Tennessee, Gabrielle Sledge

OTD Capstone Projects

Blind Early Services Tennessee (BEST) is an early intervention agency that serves children ages 0-5 with visual impairments across Tennessee. BEST serves over 200 children and families across the state offering early intervention (BEST Start), parent empowerment (BEST Advocate), and family support (BEST Together) programming. The purpose of this project was to assist in the implementation of an early identification initiative (BEST Screening) using the Neonatal Assessment Visual European Grid (NAVEG). The NAVEG is a newborn vision screening shown to identify neurological risk for visual impairments. The long-term goal of this program is to promote the screening and early identification …

Training Summer Camp Counselors To Understand And Address The Unique Needs Of Campers With Disabilities: A Video Series, Sadie Ingram, Karlie Christensen, Angela Blackwell

Spring 2024 Virtual OTD Capstone Symposium

This poster outlines a video series created for a specific camp in North Texas. The population this camp serves is youth and young adults with mental and physical disabilities.

Education For Sustainable Development Competencies In A Community-Engaged Art Workshop, Amy J. Schmierbach

SACAD: Scholarly Activities

Arts participation can expand empathy and cognitive growth capacity while creating a social bond and communal meaning (McCarthy et al., 2004). As an art instructor for over twenty years, I have witnessed the bonds that can be created through collaborative art experiences. These bonds are nurtured from a space of equity and inclusion. Teaching a community-engaged art course can bring these qualities into the community, allowing university students to use their art skills in real-world applications to impact society through experiential learning art practices. Making art with others will enable us to help others build empathy and social bonds that …

Dating Apps As An Outlet To Promote Sexual Autonomy Among Disabled Individuals: An Intersectional Approach To Change, Sarah Marrs

Sexual Ethics

As disabled individuals are forced into the social other and an asexual narrative, dating apps provide an outlet for this demographic to engage in their sexuality in a format that is more easily accessible. In an age of rising technology, the destigmatization and usage of dating apps highlights the self-expressive potential of an underrepresented and misunderstood demographic. This issue is addressed through historical perspectives of “crip sex,” a comparison between the disabled dating experience and the able-bodied dating experience, and a description of the significance of a dating app designed for individuals with disabilities.

Disability Inclusion In Corporate Supplier Diversity Initiatives, Nanette Goodman, Fatma Altunkol Wise, Fitore Hyseni, Peter Blanck

Burton Blatt Institute

Purpose Since the 1960s, federal and state governments and private-sector companies have used supplier diversity initiatives to ensure their supply chains include businesses owned by traditionally economically disadvantaged or underrepresented groups. Originally concentrated on racial and ethnic minority groups, programs have expanded to include businesses owned by women, veterans, LGBTQ+ individuals, and, in some cases, people with disabilities. This study investigates the extent to which disability is included in supplier diversity initiatives of Fortune 500 companies. Methods This paper uses a novel data set created by the authors with information on supplier diversity initiatives and Disability, Equity, and Inclusion (DEI) …

Broken Promises: Prolonged Diminished Quality-Of-Life Among Liberian Ebola Survivors Half A Decade After The 2014-16 West African Outbreak, Jessi Hanson-Defusco, Decontee Davis, Meghana Bommareddy, Zainab Olaniyan

Journal of Social, Behavioral, and Health Sciences

The 2014–2016 Ebola outbreak left thousands of Liberian survivors with severely diminished quality of life. Applying a social determinants framework, this mixed method study investigates to what extent Ebola virus disease (EVD) survivors suffer long-haul psychosocial stress, diminished quality-of-life factors, and the impact of EVD-related service provisions on their ongoing healing. We present the results of a quantitative analysis survey of data collected from 19 Liberian EVD survivors in 2022 using snowball sampling. Additionally, a qualitative analysis of survivor statements helps triangulate key statistical findings and inform causal mechanisms. Survivors report experiencing 5.25 of a total of 7 ongoing stressors …

Breaking Point: An Exploration Of The Mental Health Crisis On Campus, Melissa Wood

Inquiry: The Journal of the Virginia Community Colleges

In the past several decades, the number of college students who experience mental health concerns has increased astronomically. During that time, acts of campus violence have increased as well. Unfortunately, many colleges have been unable to effectively meet the needs of students with mental disorders. This article explores the challenges surrounding the mental health and wellness of college students. It also analyzes the impact of such challenges on students and the institution. Additionally, this paper examines best practices that colleges may implement to assist students in distress and discusses implications for higher education leaders.

Silent Holy Spirit, April-June 2024

Silent Holy Spirit

A newsletter published for Deaf Catholics in St. Louis, MO

Silent Holy Spirit Finding Aid

Assessing The Usability And Feasibility Of Digital Assistant Tools For Direct Support Professionals: Participatory Design And Pilot-Testing, Patrice Dolhonde Tremoulet, Andrea Lobo, Christina A. Simmons, Ganesh Baliga, Matthew Brady

College of Science & Mathematics Departmental Research

Background: The United States is experiencing a direct support professional (DSP) crisis, with demand far exceeding supply. Although generating documentation is a critical responsibility, it is one of the most wearisome aspects of DSPs’ jobs. Technology that enables DSPs to log informal time-stamped notes throughout their shift could help reduce the burden of end-of-shift documentation and increase job satisfaction, which in turn could improve the quality of life of the individuals with intellectual and developmental disabilities (IDDs) whom DSPs support. However, DSPs, with varied ages, levels of education, and comfort using technology, are not likely to adopt tools that detract …