Better Health by Health Education & Sustained Employment


Play Recording (53 min)

Download Transcript

Download PDF and PowerPoint Slides

Date and time: Thursday, September 28, 2017 2:00-3:00 pm (Eastern Time)
Duration: 1 hour


The critical relationship between employment status and health is well established. Health education can enrich a Project SEARCH experience and increase the likelihood of sustained employment for Project SEARCH interns through better health. Join representatives from the Community Plan of Texas who will share how the Health Matters curriculum was implemented at their site. This session will encourage Project SEARCH on-site teams to understand the correlation between employment and health and wellness as well as best practices for implementing the health related curriculum.

Q & A

Question: Where are the Videos in the HealthMatters Curriculum in Lesson 8 Healthy Choices/Self-AdvocacyFreedom Equality & Justice for All” and Lesson 9 What do I think of me? Disability, Identity & Culture?” 


Other suggestions

  1. Self-advocacy video at a local library and found a local speaker with a disability. –
  2. Advocating for Change Together (ACT) is Minnesota’s leader in the self-advocacy movement
  3. Self-Advocates Becoming Empowered (SABE) SABE’s Mission is to ensure that people with disabilities are treated as equals and that they are given the same decisions, choices, rights, responsibilities, and chances to speak up to empower themselves; opportunities to make new friends, and to learn from their mistakes.
  4. Freedom Equality & Justice for All (DVD) This is a remarkable package of specific, concrete strategies for promoting and strengthening self-advocacy. Be a pioneer in promoting disability as an emerging civil right movement for persons with disabilities. Learn the rich history of self-advocates, disability rights activists, and the civil rights struggles. Viewers will have a stronger sense of empowerment and understand the importance of self-advocacy to their daily lives and futures. Narrated by Cheryl Marie Wade. This site also has other really nice videos discussing discrimination specifically for people with intellectual and developmental disabilities; and, it’s a conversation that is often difficult to have.
  5. The other option is to see if anyone from the local independent living center could come as a guest speaker to talk about self-advocacy.
  6. Another idea if the video can’t be shown is to create some type of banner, poster, or something that the class can create together to show what self advocacy means to them,  how it pertains to their health, etc. This might be a project for throughout the class, and just not the first class.  I do like Beth’s idea of contacting someone from the local community independent living center and see if they would come speak.
  7. Illinois has the Illinois Self Advocacy Alliance, and the vision is “Our vision is for self-advocates to work together to get the support we need to live the life we want in the community.”  Different communities, counties, agencies have self advocacy groups in IL. Does your state have something similar in which you could have an established self advocacy group come in and speak.


  1. Jillian Hamblin, Chief Operating Officer, UnitedHealthcare Community and Plan of TX, Houston, TX. Jillian is the Chief Operating Officer for the UnitedHealthcare Community & Plan of Texas. In her current role, Jillian oversees health plan operational excellence, reporting, project management, appeals and grievances, state complaints and fair hearings, and member advocacy. Prior to assuming this role in December 2015, Jillian focused on process documentation, creation and implementation of clinical training programs, employee engagement and quality management. Jillian received a Bachelor of Science in Psychology from Baylor University.
  2. Patti Moore, Upper Valley Career Center Project SEARCH Coordinator of Upper Valley Medical Center, Sidney, OH. Patti coordinates a partnership between the Upper Valley Career Center, Upper Valley Medical Center, Koester Pavilion, Miami and Shelby County Boards of Developmental Disabilities, Capabilities Inc., and Opportunities for Ohioans with Disabilities. Currently in its eighth year locally, Upper Valley Project SEARCH is a high school transition program designed to provide training and education in a business setting, with the goal of competitive, community employment. This is Patti’s 25th year working in special education, 14th year as a Career Tech Special Needs Transition Coordinator, and 8th year as a Coordinator in Project SEARCH.
  3. Alexandra Needler, Project SEARCH Business Liaison, UnitedHealthcare, Houston, TX. Alexandra serves as the Project SEARCH Business Liaison while assisting UnitedHealthcare members in seeking and obtaining employment. Before joining UnitedHealthcare, Alexandra was a Special Education Teacher for nine years in Fort Bend ISD. For the last five years with FBISD, Alexandra was a Vocational Adjustment Coordinator and Transition Specialist and focused on assisting transition age students and their families to plan and prepare for postsecondary employment.
  4. Jessica Treybig, Fort Bend ISD Project SEARCH Instructor, UnitedHealthcare, Fort Bend, TX. Jessica is a Project SEARCH Teacher at UnitedHealthcare and is an Adult Transition Teacher with Fort Bend ISD and has been teaching in Fort Bend ISD for 3 years. Prior to joining Fort Bend ISD, she taught students with disabilities in the Austin area and assisted in developing a robust community based work program. Prior to teaching, she worked with adults with severe disabilities through a nationally recognized long term support provider. Jessica is a graduate of Texas State University.


These webinars are hosted by the HealthMatters ProgramTM in partnership with Project SEARCH® and funded by The Rehabilitation Research and Training Center on Developmental Disabilities and Health (RRTCDD). The RRTCDD is funded through United States Department of Health and Human Services, Administration for Community Living (ACL), National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), Grant # 90RT5020-01-00, and a grant from the Ohio Developmental Disabilities Council.




Big Data and the Americans with Disabilities Act

Date Written: 2017


While big data offers society many potential benefits, it also comes with serious risks. This Essay focuses on the concern that big data will lead to increased employment discrimination. It develops the novel argument that the Americans with Disabilities Act (ADA) should be amended in response to the big data phenomenon in order to protect individuals who are perceived as likely to develop physical or mental impairments in the future. Employers can obtain medical data about employees not only through the traditional means of medical examinations and inquiries, but also through the non-traditional mechanisms of social media, wellness programs, and data brokers. Information about workers’ habits, behaviors, or attributes that is derived from big data can be used to create profiles of undesirable employees. It can also be used to exclude healthy and qualified individuals whom employers regard as vulnerable to future medical problems. The ADA, which now protects only individuals with current or past disabilities and those who are perceived as having existing impairments, can no longer ignore the discrimination threats posed by predictive health data. The Essay analyzes these risks and propose a detailed statutory response to them.

Download Paper

Hoffman, Sharona, Big Data and the Americans with Disabilities Act (2017). 68 Hastings Law Journal 777 (2017); Case Legal Studies Research Paper No. 2016-33. Available at SSRN:

Where All Bodies Are Exquisite

Source: The New York Times

“Circle Story #10,” a 2003 painting of poet and essayist Eli Clare. Credit Riva Lehrer

It’s 2009, and I’m in Philadelphia to deliver a talk at a conference. During a long break, I decide to visit the Mutter Museum. I teach anatomy, and the Mutter houses a collection of so-called medical curiosities. I examine the wall of skulls, the cases full of skeletons, and go downstairs, where preserved specimens wait for inspection.

And there I am confronted with a large case full of specimen jars. Each jar contains a late-term fetus, and all of the fetuses have the same disability: Their spinal column failed to fuse all the way around their spinal cord, leaving holes (called lesions) in their spine. Some extrude a bulging sac containing a section of the cord. These balloons make the fetuses appear as if they’re about to explode. This condition is called spina bifida.

Continue Reading

New NACCHO Fact Sheet: Five Steps for Inclusive Health Promotion | Healthy People, Healthy Places

NACCHO’s Health and Disability program recently released a new fact sheet, titled “Five Steps for Inclusive Promotion,” now available via the NACCHO Health and Disability webpage. 

Source: NACCHO’s Health and Disability Program

This four-page resource provides health department staff with five action steps for the development and delivery of inclusive health promotion programs and activities. Each action step provides helpful resources and tools for local health departments to ensure all community members are engaged in health promotion activities. Click here to view the fact sheet.


The National Association of County and City Health Officials (NACCHO) works with local health departments to promote the inclusion and engagement of people with disabilities in all public health programs, products, outreach, and services.

NACCHO encourages health departments to include people with disabilities when creating and delivering health promotion activities. This fact sheet provides five action steps for local health officials to ensure that the development and delivery of health promotion programs and activities are inclusive and accessible.

NACCHO also recommends the Guidelines for Disability Inclusion in Physical Activity, Nutrition, and Obesity Programs and Policies Implementation Manual to inform disability inclusion in community health promotion strategies.


  • People with Disabilities: Health Department Strategies
  • Guidelines for Disability Inclusion in Physical Activity, Nutrition, and Obesity Programs and Policies Implementation Manual
  • The President’s Council on Fitness, Sports & Nutrition: I Can Do It, You Can Do It!
  • ***
    This fact sheet was made possible through support from the Centers for Disease Control and Prevention (CDC), Cooperative Agreement #5NU38OT000172-04-00 (specifically, this project was supported by the Disability and Health Branch within the National Center on Birth Defects and Developmental Disabilities).

Include “Low-Tech” Options to Share Health Information with People with Disabilities

Source: New Hampshire Disability & Public Health Project (DPH) Data Briefs & Reports

Health and medical information is commonly shared via web sites, social media, smart phone apps, and even text messaging. However, these high tech options are not accessible to all people. Adults with disabilities in New Hampshire (NH) are significantly less likely than adults without disabilities to have access to information electronically.

Download Health Communication Needs: Low Tech Options

New Hampshire Adults with Disabilities Need Better Diabetes Prevention Care

Source: New Hampshire Disability & Public Health Project (DPH) Data Briefs & Reports

In New Hampshire, adults with mobility and cognitive limitations are significantly more likely to experience diabetes (26%) than adults with no disability (9%).1 The disparity in diabetes prevalence results in higher costs to Medicaid programs and poorer health outcomes and quality of life for people with disabilities.2  Promising diabetes prevention care for adults with disabilities includes accessible and inclusive health promotion.

Several factors contribute to a higher risk of diabetes, including:

• Unhealthy eating habits that result, in part, from uninformed and limited food choices;

• Lack of physical activity due to social, environmental, and behavioral barriers; and

• Lack of knowledge and support to address risk factors for diabetes.

Download Diabetes Prevention

Advocacy Skill Building Toolkit – Rural RTC

Advocacy Skill Building Toolkit

Source: Advocacy Skill Building Toolkit – RTC:Rural

This toolkit is a guide for Centers for Independent Living and others to conduct interactive and engaging workshops to facilitate the development of advocacy skills of emerging Independent Living leaders and youth with disabilities. It describes how to introduce advocacy through the facilitation of unique activities and discussions, identifying issues of importance, and putting advocacy skills into practice. A unique approach presented in this toolkit is the use of improv to introduce, invite, and engage others into and with the world of advocacy.

Using improv hones communication and public speaking skills, stimulates fast thinking, and encourages engagement with ideas, all skills that are important for effective advocacy. Improv also provides a supportive environment that allows participants to take risks, try out new ideas, and build their confidence. The activities incorporate different learning styles, and can easily be modified to accommodate everyone.

An important part of advocacy, no matter if the goal is to help one person or many, is establishing a confident voice, developed and supported by a community of peer support. This workshop and accompanying toolkit materials give participants the opportunity to explore their voices, build confidence, and display their skills both verbally as well as in written form. The intent is to provide a safe space among peers and trusted facilitators to introduce the concept of both group and self-advocacy.

Crisis Trends – Crisis Text Line

Crisis Trends aims to empower journalists, researchers, school administrators, parents and all citizens to understand the crises Americans face so we can work together to prevent future crises from happening.

Source: Crisis Trends – Crisis Text Line

Explore trends across texter conversations across all states in the U.S.

Crisis Text Line: Text 741-741 from anywhere in the USA, anytime, about any type of crisis.

Crime Against Persons with Disabilities, 2009-2015

…for each age group measured except persons age 65 or older, the rate of violent victimization against persons with disabilities was at least 2.5 times the unadjusted rate for those without disabilities.

…persons with cognitive disabilities had the highest victimization rate among the disability types measured for total violent crime…

Source: Bureau of Justice Statistics (BJS) – Crime Against Persons with Disabilities, 2009-2015 – Statistical Tables

Erika Harrell, Ph.D., BJS Statistician

July 11, 2017    NCJ 250632

Presents 2009-2015 National Crime Victimization Survey (NCVS) estimates of nonfatal violent crime (rape or sexual assault, robbery, aggravated assault, and simple assault) against persons age 12 or older with disabilities. Disabilities are classified according to six limitations: hearing, vision, cognitive, ambulatory, self-care, and independent living. The report compares the victimization of persons with and without disabilities living in noninstitutionalized households, including distributions by sex, race, Hispanic origin, age, disability type, and other victim characteristics. It also includes crime characteristics, such as victim-offender relationship, time of crime, reporting to police, and use of victim services agencies. NCVS data were combined with data from the U.S. Census Bureau’s American Community Survey to generate victimization rates.


  • During the 5-year aggregate period from 2011 to 2015, for each age group measured except persons age 65 or older, the rate of violent victimization against persons with disabilities was at least 2.5 times the unadjusted rate for those without disabilities.
  • Among those with disabilities, persons ages 12 to 15 (144.1 per 1,000 age 12 or older) had the highest rate of violent victimization among all age groups measured.
  • The rate of violent victimization against males with disabilities was 31.8 per 1,000, compared to 14.1 per 1,000 males without disabilities.
  • For females with disabilities, the rate of violent victimization was 32.8 per 1,000, compared to 11.4 per 1,000 females without disabilities.
  • Males and females had similar rates of total violent victimization in every disability type measured, except independent living disabilities.

Part of the Crime Against People with Disabilities Series

Summary (PDF 197K)
PDF (1M)
ASCII file (27K)
Comma-delimited format (CSV) (Zip format 46K)

Help for using BJS products

About the Source Data
National Crime Victimization Survey (NCVS)
To cite this product, use the following link:

View All Publications and Products

BUILDing Strong Foundations Farm to Early Care and Education: Working to Equalize Health and Education Outcomes

Source: BUILD Initiative

By Lacy Stephens, Farm to Early Care and Education Associate, National Farm to School Network

Good nutrition and good educational outcomes for young children are inextricably linked. Yet, there is little consistency in terms of the quality of the food that is offered in early care settings. Given that approximately 60 percent of US children under the age of six spend time in some sort of childcare (or non-parental care) setting on a weekly basis, and typically eat breakfast and lunch (and possibly an afternoon snack) at these sites, ensuring the quality of the food is essential.

The Good Food, Great Kids policy overview and case studies, developed in partnership with the National Farm to School Network and the BUILD Initiative, is intended both to share a broad spectrum of existing information about various experiences in building farm-to-ECE supportive policies and to point out how forging greater connections between current policies and the work of farm to ECE can benefit early childcare centers, children, and families.

Continue Reading