Arizona Center for Disability Law

Quarterly Newsletter

July 2007

In this issue:

 

ACDL secures important legal victory in home and community based services class action lawsuit.

 

ACDL editorial on the death of Dr. Frank Ruiz in Tucson.

 

Meet our summer law clerk.

 

Fiscal year 2008 priorities released for public comment.

 

 

ACDL secures important legal victory in home and community based services class action lawsuit.

 

Just a few days ago, our staff secured another ground breaking legal victory for Medicaid beneficiaries.  The decision in Ball v. Rodgers, from the U.S. Court of Appeals for the Ninth Circuit, confirmed the right of low income elderly and people with disabilities to sue to enforce their rights to receive reliable home and community based services in their home, rather than be forced to go to nursing homes in order to get the care they need. 

 

The original class action lawsuit, filed jointly by the ACDL and the AARP Foundation Litigation seven years ago, alleged that the Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid program, was not providing Medicaid beneficiaries with adequate home and community based services, such as attendant care, personal care, and homemaker services.  Home and community based services allow people with disabilities to reside in the community, rather than in nursing homes, by assisting the person with activities of daily living such as bathing, toileting, transferring and meal preparation.

 

A trial was held in 2004.  U.S. District Court Judge Earl H. Carroll found the state’s failure to provide health care workers caused our clients to be “trapped in bed unable to change position or care for personal hygiene, abandoned for hours in a bathroom, left without food or water.”  AHCCCS appealed.  Oral argument was heard in the Ninth Circuit just this past fall.

 

The decision by the Ninth Circuit gave Medicaid beneficiaries the right to sue under a provision in the Medicaid statutes known as “Freedom of Choice” but not the “Equal Access” provisions.  The Ninth Circuit remanded the case to the District Court in Phoenix for further consideration of our clients’ “Freedom of Choice” claims as well as consideration of whether Arizona’s Medicaid program violated our clients’ rights to receive services in the least restrictive setting under the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973.

 

Our fight to ensure that every Arizonan has a meaningful choice to live in the community is far from over.  Our victory this week is just one step in the process.  The case now returns to the U.S. District Court in Phoenix.  The case is being litigated by our staff attorney Jennifer Nye with the assistance of our legal secretary Mavis Lauritzen.

 

The Board of Directors and our staff remain committed to pursuing systemic change for individuals with disabilities in Arizona.  We hope you will continue to support us as we continue our fight for the right of individuals with disabilities to live independently in the community. 

 

ACDL editorial on the death of Dr. Frank Ruiz in Tucson.

 

For those of you living in southern Arizona, you may have noticed our editorial in the Arizona Daily Star this past Monday.  ACDL staff attorney, Michelle Michelson, brought to the public’s attention the need for law enforcement and SAMHC to improve their working relationship and better coordinate responses to mental health crises in southern Arizona.  SAMHC stands for Southern Arizona Mental Health Clinic.  Since 1996, SAMHC has provided crisis care and stabilizations as a private agency to residents of Pima County and outlying areas of southern Arizona.

 

Michelle was specifically addressing a tragedy that occurred earlier this month in Tucson when Dr. Frank Ruiz threatened to harm himself at least twice over a two day period.  The final threat resulted in death when Dr. Ruiz pointed a gun at a Pima County Sheriff’s deputy who arrived on the scene with a SWAT team. 

 

The point made by Michelle was that the deputy was accompanied by the SWAT team, not SAMHC.  This is not an isolated incident.  Every 911 call about a person who is suicidal or in a mental-health crisis should be immediately connected to SAMHC.  SAMHC provides Mobile Acute Crisis services – often without but sometimes with law enforcement. 

 

The good news is that many of Pima County Sheriff’s deputies who responded to Dr. Ruiz’s final threat had completed the County’s Crisis Intervention Training (CIT).  CIT training gives officers tools to help them safely diffuse mental health crises. 

 

Michelle pointed out how the case of Dr. Ruiz demonstrates that CIT does not eliminate the need for coordination with mental-health professionals and that increasing the use of SAMHC and CIT-trained officers in connection with mental-health crises would go a long way in preventing tragedies – like the death of Dr. Ruiz.

 

Meet our summer law clerk Asim Varma.

 

Every summer, the ACDL sponsors at least one law clerk from Arizona State University or the University of Arizona.  This summer, we were pleased to have Asim Varma as our law clerk.

 

Asim finished his first year of law school at Arizona State University in May.  In addition, Asim serves as a member of the Governor's Council on Developmental Disabilities.   Asim is a person with a disability and plans to pursue a career in disability law once he graduates from law school. 

 

Most of his work has focused on mental health law.  Asim has assisted ACDL lawyers with an important abuse and neglect investigation into a residential treatment facility in the Phoenix metropolitan area.  His work has consisted of records requests, records review, client interviews and database management of various reports related to the investigation. 

 

In addition, Asim updated our self-advocacy guide on the “Appeal Rights of Title 19 Children's Mental Health Services.”  Asim researched statutory changes and updated the guide to reflect changes in the law.

 

Asim told me that in addition to the areas of mental health and housing, he hopes to one day practice disability law in the area of health care and access.  “I have experienced some difficulties acquiring healthcare services as a person with a disability and I hope to help others with their health care issues,” said Asim.  “Overall, I have gained valuable experience working at the Center as an intern.  My internship will continue until August 9.  I will have worked 180 hours and earned three credits.  I would recommend any law student to intern at the Arizona Center for Disability Law.  It is a wonderful place to work, and the people at the Center are wonderful to work with.” 

 

We appreciate the contribution Asim has made to our legal team and we wish him the best of luck when he returns to ASU for his second year of law school.

 

Fiscal year 2008 priorities released for public comment.

 

The ACDL is seeking public input for our annual priorities.  These priorities are used to guide agency attention, resources and advocacy services to the important issues identified by and confronting individuals with disabilities and their families. 

 

Please visit our website for the full list of 2008 priorities and the public comment form.

 

I would also like to invite you to attend one of our public forums to comment on our proposed priorities.  Accommodations are available upon request.  Here is our schedule of forums:

 

Thursday, August 2 from 10:00 a.m. to 11:00 a.m.  This meeting will be a teleconference.  Call 800-922-1447, ext. 13 or email lfreyer@azdisabilitylaw.org to register.  Registration deadline is Monday, July 30.  Registration is limited to the first 10 callers.

 

Friday, August 10 from 9:00 a.m. – 10:30 a.m.  This forum will be held in Tucson at DIRECT Center for Independence, 1023 N. Tyndall Avenue, Conference Room.

 

Wednesday, August 15 from 9:00 a.m. to 10:30 a.m.  This forum will be held in Phoenix at ACDL, 3839 North Third Street, third floor conference room.

 

Monday, August 20 from 4:00 p.m. to 5:30 p.m.  This forum will be held in Yuma at the Yuma Community Food Bank, 2325 S. Engler Avenue, Carold M. Oden conference room.

 

Monday, August 27 from 12:00 noon to 1:00 p.m.  This meeting will be a teleconference.  Call 800-922-1447, ext. 13 or email lfreyer@azdisabilitylaw.org to register.  Registration deadline is Wednesday, August 22.  Registration is limited to the first 10 callers.

 

As you may know, the ACDL operates federally funded grant programs to protect and advocate for the rights of persons with disabilities.  Demand for our services far exceeds available resources; therefore, we must plan activities in a strategic manner to most effectively utilize our limited resources.

 

The ACDL proposes to work on the following issues next year:

 

Priority 1:            People with mental illness and developmental disabilities are free from abuse and neglect.

 

Priority 2:            People with disabilities have access to comprehensive and appropriate mental health and health care services.

 

Priority 3:            Children and youth with disabilities receive a free and appropriate public education in the least restrictive environment.

 

Priority 4:            People with disabilities have equal access to employment and employment-related services, including vocational rehabilitation and the removal of barriers to work for individuals with disabilities on social security.

 

Priority 5:            People with disabilities have equal opportunity to fair housing.

 

Priority 6:            People with disabilities have access to services, programs and facilities open to the public.

 

Priority 7:            People with disabilities who require assistive technology have access to it.

 

Priority 8:            People with disabilities are able to exercise their right to vote.

                                                                                                                       

The priorities listed above are a summary of the proposed areas of concentration under numerous federal grant programs.  To view the entire proposal, visit www.azdisabilitylaw.org.  Copies will be mailed upon request by calling 800-927-2260 or in Phoenix at (602) 274-6287.  All materials are available in alternative format by request.

 

 

As always, I appreciate the support you have provided to the Center.  Please feel free to contact me if you have any questions or concerns about the Center or our program activities.  You can reach me at (520) 327-9547, ext. 23 or by email at pradecic@azdisabilitylaw.org.

 

Thank you and I look forward to bringing you more news and information on the Center in the near future.

 

Peri Jude Radecic

Executive Director