Addition By Subtraction: When The Other Parent Leaves Ten years ago my wife left. Six years ago I taped a note to the front door and she never came back....
The Two Conversations About Autism That Never MeetThirty one states have written Employment First into law. The Lancet Commission has defined a quarter of autistic people as needing round the...
Ten ABA agencies refused to serve my son: when the system isn’t built for severe autism A mother in California counted the refusals. Ten agencies, each saying they lacked qualified...
Profound autism: why 1 in 4 autistic people need a different policy conversation The Lancet Commission drew a line: eight or older, needing 24-hour access to an adult caregiver, with...
42 states have supported decision-making laws. Michigan still doesn’t. Twenty-four states and DC have a supported decision-making statute. Eighteen more require courts to consider it before appointing a guardian. Michigan...
Customized employment: is it a real option for your high-support-needs adult? It is promoted specifically for people most affected by disability. A 2023 review found eighteen studies and zero randomized...
Employment First is failing Level 3 adults, and nobody’s tracking the outcomes Thirty-one states passed Employment First legislation. The national competitive integrated employment rate for people served by state disability...
The ADA at 35: Why Severe Autism Still Gets Left Behind by the Law’s Own Framework Thirty-five years after the Americans with Disabilities Act became law, a July 2025 report...
Constipation as a Medical Emergency: The GI Crisis Hiding in Plain Sight For a Level 2 or 3 adult, chronic untreated constipation is one of the most common causes of...
Seasonal and Environmental Triggers: Managing Behavioral Changes Through the Year Every winter looks a little worse. Every school break brings the same rough week. Most caregivers notice the pattern eventually....
