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

kcooper@aahd.us

Amer i can Assoc i a t i on on Hea l th and Disab i l i t y