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Stacy's Journal: The Care Woes Continue


By Stacy Ellingen, 2024-12-07

A faulty appliance. An event that flopped. A trial of a service that didn’t work out. A test-run of something that failed. There are all sorts of situations where something didn’t go as planned or hoped. In most scenarios, the problem can be fixed or there are other options available. When something doesn’t work out as one expected or hoped, it can be frustrating. Regardless of what it is, people usually aren’t happy about something going wrong. Everybody feels that way, and people with disabilities are no different.   We experience the same emotions everyone else does when things don’t go right.

In my journal entry last month, I explained how two big life changes were happening at the same time—I was moving into a new apartment and I had started with a care agency. The move went well and I absolutely love my apartment. Unfortunately, I can’t say the same for the agency. Going into it, I was prepared for challenges because I had gone through this process a couple times before.  The last two months were simply put, a nightmare.

As I previously mentioned, I was moving from part-time to an agency covering nearly full time, with two eight hour shifts. In early September, the agency promised to staff 16 hours daily, and this was to begin the first week of October.  A budget amendment had to be completed for more supportive home care hours, and this took time to get approved. Then I had to be rescreened for personal care hours.  This was a huge waste of time because, I had to be rescreened for the services I already had….hoops to jump through in this process.  Meanwhile, the agency was posting and hiring people specifically for my cares. Their plan was to hire four people, two on day shifts and two on afternoon-evening shifts.  Needless to say, that never happened.  We set up a training day for three people, only two of whom showed up.  Looking back, that should have been the first red flag. The plan was to have people hired to become “trainers of new staff.” We finally figured out a start date, and at that time, I was asked to release all my old faithful aides, some of whom had worked for me for over seven years.

Now to the staff that was hired.  The two initially trained were very capable and did have some experience, however we shortly found out that one was due to have surgery as well as going on vacation and the other had no way of getting to my place on time.  The third person hired had experience but I was forced to report her for hygiene issues and both she and I felt that she was not able to handle my needs.  Next, the agency was going to try to fill shifts with two people who had residential experience, but were only going to be fill-ins once in a while.  So, in the first two weeks starting, they only had two people, and only two days were fully staffed of those 14 days.  This meant that my parents came up there daily either to fill those shifts- they even stayed overnight a couple times due to consecutive days not being filled.  Admittedly, I was ready to switch back after a day or two, but we felt we had to give them a chance and at least a month or month and a half to prove to us that they could do this.  There were literally over a hundred phone calls between my mom and the personnel director as to what was going on each day. The next three weeks were no different.  I would go to my parents’ home when the agency couldn’t fill shifts, so in that time, only two more days were completely staffed.  Therefore, in a bit over a month, only four days were staffed, and either my parents came up or I would go to their home. The final straw was when one of the two initial hires called in sick four nights in a row, and they couldn’t find anyone to staff those shifts. Enough was enough, promises made were not kept! My parents and I made the decision to dismiss the agency and to go back to hiring our own people.  Even though we knew it would be a lot to go back, we all slept better that night, knowing we were back in control.

Basically, we knew this would be like starting all over again, but I didn’t realize how long it would take to switch back.  Everything from getting the personal care screen released from the agency to completing a new rescreening, to getting doctor’s orders, and budget amendments- it’s been another month of waiting. 

I contacted my old workers, and, thankfully, a couple were willing to come back.  Now, we are in the process of interviewing and hiring new people again.  I’m hoping by early January that I’m able to stay and enjoy my new apartment for more than two nights in a row!

What did we learn from this fiasco? When something sounds too good to be true, it probably is. Second, the long-term care system continues to have roadblocks whether you’re working with an agency or hiring your own aides.  Third, be grateful for the support system you have with family and/or friends! Finally, this experience just amplifies the need to continue to advocate for a better overall system in 2025 and beyond!

***The views expressed here are strictly those of the author and do not necessarily reflect those of InControl Wisconsin, the Network or any of our sponsors.

The report lists hundreds of actions that federal agencies, state and local governments, businesses, and communities that can be taken to improve caregivers' lives. The strategy includes five goals: increase awareness and outreach, build partnerships and engagement with family caregivers, strengthen services and supports, ensure financial and workplace security, and expand data, research, and evidence-based practices. 

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Member Spotlight: Katrina


By SD Network, 2024-11-25

IMG_1897.jpgMeet Katrina. This video game obsessed self-advocate is the coordinator of the Self Advocacy Action committee at the University of Minnesota-Twin Cities Institute on Community Integration. She recently finished a class and she’s looking forward to getting more involved with research work in the future. We’re so fortune to have her as a member of the Network!

What's your story?  Tell us a little bit about yourself.

Katrina shares that she lives with Cerebral Palsy and uses a power wheelchair for primary community mobility. She works at the University of Minnesota-Twin Cities Institute on Community Integration. She lives independently in an apartment and utilizes Home and Community Based Services to do so.

Katrina is the coordinator of the Self Advocacy Action committee at ICI. She explains that the purpose of that committee is to make sure that all of the policy and research products produced at the institute are “vetted” by individuals who live with Intellectual and Developmental Disabilities. “We meet once per month and focus on a specific product. All are welcome at our meetings,” she tells us.

How are you involved with self-determination? Why did you join the SD Network?

Katrina explains that their mission as a committee is to improve self-determination (and the knowledge base around it) for people living with I/DD and other disabilities. She joined this network to become more connected to similar efforts and to learn about best practices around self-determination.

Tell us some good news - what's the most exciting thing happening for you (or in Wisconsin) in terms of self-determination?

Katrina is just now finishing a class that is focused on lived experience partnerships for research outcomes in Cerebral Palsy. “I am excited to hopefully become more involved in that work in the future,” she says.

What tip or resource would you like to share with people who want to be more self-determined?

Katrina encourages people who want to be more self-determined to educate themselves about the choices available and the topic that they care about. Knowing what options are available is really important in self-determination.

What are some of your hobbies?

In her spare time, Katrina loves going to Target and playing video games. She also loves helping people. “One time I got to help someone pick out a video game at Target. It was a really great day,” she exclaims!

***We love hearing the views and opinions of Network members. We need to mention that the views and opinions expressed on this site are those of the person who is sharing them. They do not necessarily reflect InControl Wisconsin or any of our supporters and funders.

 

State legislatures passed over 3,000 health policy bills in 2024, focusing on healthcare workforce shortages, Medicaid changes, and youth mental health. Key actions included recruiting behavioral health workers, expanding Medicaid services, and addressing rising youth mental health concerns. AI in healthcare and drug affordability emerged as new priorities.

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Many people with disabilities prefer to self-direct their care. Yet, because overall enrollment and awareness remain relatively low. There are many misconceptions about self-direction. This is an interesting opinion article trying to debunk some of the myths about self-direction.

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Exhibitor and Sponsor Registration is Open!

Celebrating 40 years of supporting families, Circles of Life is Wisconsin’s annual statewide conference for families who have children with disabilities and the professionals who support them. As a financial supporter, you allow us to sustain this important event so participants can learn, grow and connect.

Supporter Benefits:

  • Reach over 500 families who have children with disabilities, providers and other related professionals. 

  • Get publicity on the conference website, social media and display signage.  

  • Each sponsor will be thanked and honored during our plenary sessions.

  • Receive an exhibit booth in a prime location and a free conference registration.

Past Supporters have Good Things to Say:

  • “Excellent traffic throughout the conference.”

  • “Great service and treatment.”

  • “Appreciated the support and check-ins from conference organizers!”

  • “What a great crowd! We have really enjoyed it.”

  • “Good traffic and lots of great conversations.”

  • “The entire experience was great, so well organized.”

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Sponsors receive an exhibitor booth, recognition on social media, our website and on conference signage.

Sponsorship Levels:

PLATINUM Level:  $5,500 | Early Bird* $5,000

GOLD Level:  $3,500 | Early Bird* $3,000

SILVER Level:  $1,500 | Early Bird* $1,300

*Early Bird pricing ends February 17, 2025

Starting at the Gold Level, sponsors will have the opportunity to gain visibility as a meal or activity sponsor. Your logo will be prominently displayed, along with your ad on the big screen. Contact Lynn at Family Voices for more information.

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Conference goers are encouraged to meet with each vendor at their display table on scheduled breaks throughout both days to learn about their valuable resources.

Exhibitor Levels:

Include 1 Conference Registration (meals and access to all sessions and activities)

Non-Profit Organization: $400

For-Profit Organization: $600

Additional Staff: $150 each

Getting Started Couldn’t Be Easier!

Information and Registration: familyvoiceswi.org/circles-of-life-conference

Your Contact: Lynn at Family Voices, lynn@fvofwi.org or 608.512.0217

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This analysis uses the 2022 American Community Survey to provide an overview of demographic characteristics, wages, and health insurance coverage of direct care workers, which include home health aides, personal care aides, nursing assistants, licensed practical nurses (LPNs), and registered nurses (RNs).

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This issue brief presents findings from focus groups with direct care workers and unpaid caregivers who provide HCBS including caregiver characteristics; physical, emotional, and mental caregiving demands of caregiving; their wages, finances, and opportunities for advancement; and what caregivers would like policymakers to know about their work.

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American Airlines has agreed to a record $50 million settlement with the U.S. Department of Transportation for violating laws that protect airline passengers with disabilities.  They are also accused of damaging thousands of wheelchairs from 2019 to 2023. The airline came under fire after a video of crew members mishandling a passenger's wheelchair went virtual.

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Celebrated every November, National Family Caregivers Month (NFCM) is a time to recognize and honor family caregivers across the country. It offers an opportunity to raise awareness of caregiving issues, educate communities, and increase support for caregivers.
The national observance is led by Caregiver Action Network (CAN), a nonprofit that provides free education, peer support, and resources to family caregivers. CAN selected the 2024 theme, I Care..., to highlight the importance of self-recognition and self-identity — key factors in caregivers’ access to essential support. According to CAN, more than half of those providing care in the U.S. don’t recognize themselves as caregivers. As a result, many do not connect with supports that can make a difference throughout their caregiving journeys. 
Families are the primary source of support for older adults and people with disabilities in the U.S. Many family caregivers work and provide care, experiencing conflicts between competing responsibilities. Research indicates that caregiving takes a significant emotional, physical, and financial toll. ACL is a proud observer of NFCM, but we work year-round through programs and councils to support and empower family caregivers.
Visit our observance webpage to learn about the 2022 National Strategy to Support Family Caregivers and our recent progress report to Congress, ACL’s National Caregiver Support Collaborative website, and much more.  
Visit ACL's NFCM Page
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