I work in Social Services in a “home” to five people with
intellectual and developmental disabilities.
It’s in a suburban development in a little Pennsylvania farm town. It is a six bedroom ranch-style house that
looks like any other house in the neighborhood.
Most people who live nearby do not know that services are provided for
people there and that it is rented by a human services organization. A few observant folks have put it together
from the handicapped van in the driveway and the constant flow of different
employee vehicles that go in and out at certain times of the day.
As for the individuals who live there, four out of five are
elderly. Three out of five use wheelchairs because they are unable to walk. Four out of five
people have been in some kind of social services for most or all of their
lives. Two out of five have family who
visit with them. One of those two people
came back with a cigarette burn on his arm the last time he visited his
family. One has family who only visits
with him because there is money in the family and it is thought that after a death it will go to the person seen as the “caretaker” for this
individual. One person used to live in a
state mental hospital the name of which is still whispered in this geographic area
because such atrocities are known to have been committed there. Two people are diagnosed with Down’s
Syndrome. Three out of five people
cannot control their bowels and have special diets prescribed for them, one
consisting entirely of liquid. All of
these individuals have difficulty communicating with others to varying
degrees. One has a deformed limb. One has severe neuropathy and others have
increased or decreased pain sensitivities because of various medical conditions
and it is often unclear if they are experiencing pain. The individual who has neuropathy has pain so
severe with his condition that he is prescribed Vicodin to be taken three times
daily…I have never, ever, heard him complain about pain or say “ouch” though he
often winces as I carefully move him to his bed at the end of the day and
remove his shoes from his swollen feet. One
person is missing a limb which may possibly be due to inferior/inadequate
medical care due to her inability to communicate. Five out of five individuals take medications
for their conditions and trust others that it is the right thing to do since
they do not understand what they are or how they work. One person is legally blind, one lacks depth
perception and one has severe hearing loss.
Believe it or not, this is just the tip of the medical iceberg – I could
go on and on, and then I could add mental health issues, environmental stressors,
past trauma incurred in this environment and no doubt in others.
Five out of the five people have names. Five out of five had parents and often siblings, friends and relatives who are now physically gone from their lives, dead or absent. All of them are excited to see me when I walk in the door. One person has asked me if he can move into a bigger house so that I can live there all of the time. Five people tell me I’m their friend. One person loves to joke with me and pouts when I am too busy to watch his favorite zombie show with him. One person says “thank you” after I feed him or help him take a shower…every time. One person tells me that he loves me and always tries to tickle me as I put him to bed at night. One person asks me to talk to the ghosts in his room and to ask them nicely to let him sleep, and I do, always (at least four people that we know of have died in his room – he regularly sees lots of things we cannot see). One person used to be a weightlifter. One person looks at photographs from his past for hours each day. Two people have significant others who they work with. Five out of five people love children and animals. One person always asks when I will be back and every time is disappointed that I am not returning sooner. Two sleep with teddy bears. One “intellectually disabled” individual, who is also usually the most nonverbal, understands some Amharic from the Ethiopian employees and occasionally answers them in their language. One likes to kiss my cheek.
Five out of the five people have names. Five out of five had parents and often siblings, friends and relatives who are now physically gone from their lives, dead or absent. All of them are excited to see me when I walk in the door. One person has asked me if he can move into a bigger house so that I can live there all of the time. Five people tell me I’m their friend. One person loves to joke with me and pouts when I am too busy to watch his favorite zombie show with him. One person says “thank you” after I feed him or help him take a shower…every time. One person tells me that he loves me and always tries to tickle me as I put him to bed at night. One person asks me to talk to the ghosts in his room and to ask them nicely to let him sleep, and I do, always (at least four people that we know of have died in his room – he regularly sees lots of things we cannot see). One person used to be a weightlifter. One person looks at photographs from his past for hours each day. Two people have significant others who they work with. Five out of five people love children and animals. One person always asks when I will be back and every time is disappointed that I am not returning sooner. Two sleep with teddy bears. One “intellectually disabled” individual, who is also usually the most nonverbal, understands some Amharic from the Ethiopian employees and occasionally answers them in their language. One likes to kiss my cheek.
Three out of five people go to a work deemed appropriate for
their physical limitations 5 days a week and make less than minimum wage. Five out of five people cannot go outside of
their home unless they ask someone first and/or have assistance. Five out of five people are not allowed to
have a cat or a dog since they are not able to take care of it. Five out of five people are stared at by
others when they go outside of their home.
Five out of five are not valued by our society, just as they are not
valued by their own families. Five out of
five do not spend time with people who are nice to them who do not get
compensated for it. Five out of five
have experienced people being paid to spend time with them who are not nice to
them anyway or have been abusive. Five
out of five are affected by “budget cuts” and do not understand this
concept. Five out of five are
marginalized. Five out of five rely on
others – paid workers and strangers – to be their voice to stay healthy and literally
continue to live in our society. Five
out of five people are completely at the mercy of strangers. I think of these five people and the hundreds
of others I have personally worked with over the years every time I hear
someone say they are “pro-life.” And I am ardently pro-choice.
Five out of these five people are my gurus. I think of them every day, whether I work or
not.