well, substance abuse may not be the highest priority among the disability world because the disabilitycommunity has so many needs, this one-it really has to come into the forefront because it has an impact on every other one. if you have a substance abuse problem, you're not going to be employed, you're not going to get good health care, you're not gonna have a place to live in the community. so i think it needs to move up the scale. dr. clark. well, we've heard my three colleagues comment, and their comments are very substantial. we can anticipate having more resources with the affordable care act, but we must do, however, is make sure our programs are trained, they have staff that are trained, they are prepared, they have the information systems that will allow them to link up with other resources in the community, whether it's housing, employment, child welfare, criminal justice. we want to make sure that these programs are able to address the unique needs of individuals with disabilities. and i want to remind our audience about national recovery month celebrated each september. and

disabled. but i use the term, often, physical sensory, cognitive, and developmental disability to really clarify what we're talking about. so, barbara, in terms of a real sense, so there are individuals who may have had accidents are now paraplegic, quadriplegic- in terms of those with a substance use or mental illness, are they covered under the ada? yes, they are covered under the ada. the ada defines disability as someone who has a substantial limitation in a major life activity, a history of having a substantial limitation, or someone who is regarded as having a substantial limitation in a major life activity. so people with-in recovery probably have a history of having had a substantial limitation. they may have one at present, or people may regard them because they're in recovery, there may be that stigma to it that creates that you have a disability feeling. and, dr. clark, let's talk about the americans with disability act of 1990. when it was passed, what type of coverage did it offer

of disability, but the manifestation is very different. ed? yes, in reference to some of the self-help groups that i work with in maryland, we have a-a current effort going on just to show that you can outreach in the smallest and the slightest ways. maybe it's not really considered a small and slight way, but what we've-we've found is there's a lot of folks who just cannot read. there's millions of americans who cannot read or read at-at such a low level that when, when we're speaking in our-our groups and we say here's this literature- just read this literature and everything will be fine. and they cannot read it. so our effort is to put audiotapes and videotapes out to-to the groups themselves, to-to the libraries in our counties, to the corrections facilities, and treatment facilities, and it's amazing how fast it took off because i've-i've been in the presence of people who-no one, no one wants to admit that they can't read. it's one-one of your deep, dark secrets. well, thank you, and when we come back, we are going to talk about mor

so that is the disability committee. we have direct access to the secretary. chairman louis is the commissioner for the administration for now the newly formed intellectual and developmental disabilities. on that the aging said, mr. walker serves as the deputy assistant secretary for aging, advocating on behalf of older americans. now this new federal agency will seek to enhance and improve a broad range of support that individuals may need to live with respect and dignity as full members of our community. this needs to go well beyond health care. it includes the availability of private housing, employment, education, meaningful relationships, as well as social participation. in addition, we will be working with the centers for medicare and medicaid services to develop, refine, and strengthen policies that promote independent living among all populations, especially those served by medicaid. we would also look with cms to promote home and community-based services and support. last but not least, i will be remiss if i forget to mention that may is also the time

i am disabled and i have quite a few in visible disabilities -- invisible disabilities and i'm also a senior. i am concerned about city government and the services they give to rise as disabled and seniors. you need to retrain a lot of the programs, such as policing neighborhood -- neighborhood policing. and some of our partner programs need to be retrained so they understand what the new laws are concerning disabilities and concerning seniors. besides that, i am concerned about the greatest illness in our community. and the greatest illness in the senior community is depression. that depression is going to continue to exist as long as people are worried about how they're going to eat their next meal, how they are going to stay out of the rain, and how they will be able to get the medications they need. i would like to suggest that the board come up with some eight -- some way of managing not for profits who service seniors. there's so much money wasted by duplicated programs and programs that are not doi

the disabled and under-income people. i lived in and sro. i call it home. i will probably live the rest of my life there. i do not know how long that is. i would like to see some upgrades. especially to the electricity. we can only operate a couple of things at once. it is hard on us. i have been lucky. the va gave me enough letters. i got a room with a bathroom. i tell you what, the people that do share bathrooms, those rooms need to be fixed. there needs to

adults with disabilities in this ty is public housing. this woman was not a senior when she came to san francisco and wa not a siowhen she lived n standard housing. housing when she was a senior, but to oers is csenow. i have been working with adults with disabilities and i have material i can e-mail to you. thank you. >> congratulations, christina. >> thank you. it cracks i have a speech -- >> i have a speech impairment, so it is quite to take me more than two minutes, but i will do my best am here with my mobility service document o testify befo y how these budget cuts have altered by life. i am a person with a disability, which ishidden and often misunderstood. one, i have a brain injury. i can feel the discord burning within the city with regard to those of us who are viewed differently. i have endured a reduction in in-home support services and ssi can no longer afford to buy food at my local grocery store, safeway. wastold i was ineligible and that i have too much money. he cu iav endured over the last five years have so increased -

of the survey sample, they reported some kind of disability. it is important to highlight the discrepancy between the number of physically acceptably units and the percentage of people that need them. of course, we know that the majority of these are old-style hotels that do not even meet minimum have the ability standards. this is a major challenge. we are talking about really old construction with many barriers. we know that the city continues to work towards memorial projects online, such as the civic center and accessibility standards. we do not yet have enough. permanent housing is kind of far down the horizon. as long as the city is using these sro's to house people, we still have an obligation to provide access. let me take a minute to define for you what program access really is. it means that the percentage of usable units must be proportionate to the number of residents in need accessibility to function properly. whether we call these individuals seniors or people with disabilities, it is the matter that they stop and need basic featu

so that is the disability committee. we have direct access to the secretary.irman louis is the commissioner for the administration for now the newly formed intellectual and developmental disabilities. on that the aging said, mr. walker serves as the deputy assistant secretary for aging, advocating on behalf of older americans. now this new federal agency will seek to enhance and improve a broad range of support that individuals may need to live with respect and dignity as full members of our community. this needs to go well beyond health care. it includes the availability of private housing, employment,

the disabled and under-income people. i lived in and sro. i call it home. i will probably live the rest of my life there. i do not know how long that is. i would like to see some upgrades. especially to the electricity. we can only operate a couple of things at once. it is hard on us. i have been lucky. the va gave me enough letters. i got a room with a bathroom. i tell you what, the people that do share bathrooms, those rooms need to be fixed. there needs to be something on the floor so that people do not slip. i do not want to see these people hurt. we are all family. i happen to be on the tenant's council and we have gotten a few things done. we have gotten the place painted. we want to be safe. >> thank you. >> next speaker? >> hello. my name is john stone. i am sro -- in a residence sro of the -- i in am a resident of the sro in the tenderloin. something i want to bring your attention to, it is a relevant problem to sro's in general. it has to do with the task force. now, the reason it came to my attention is i came

we don't call them disabled. they happen to have a disability. he joined pacific bell, helped organize honda the advisory group for people that happen to have a disability. he gave them put to that company on how to develop features that will help them do better. he became the director of death and disabled services. he was executive director for berkeley in 2001. under dmitri's direction, they have expanded it, they have done so many different things. i can't even less the mall. he sends people out that happen to be disabled and of a test things. before they get out there, to make sure that they are done the right way. so they can practically help people. it is my pleasure right now. give a warm welcome cojones -- to mr. dmitri belzer. [applause] >> thank you, dave. i just decided who will be giving this speech that my memorial service, that is a great introduction. i want to talk to them about how people with disabilities use computers. the first and want to talk about is my family. i come from a family of eastern european immigrants. they were

there are 54,000 seniors with disabilities, and 34,000 young for adults with disabilities. i want to point out the wrote showing african americans are much more disproportionate in terms of having disabilities. either as younger adults or seniors. almost half of older african- americans have some form of disability. this is where ssi recipients of the blind and disabled category lived in san francisco. tenderloin is the highest concentration. that is where there is affordable housing for persons living on ssi and accessible transportation. the needs assessment discuss a number of different populations, including veterans, homeless seniors, seniors and public housing is described at length. i do not have time today to go through all of them. i wanted to pick just one and emphasize the impact of the recession on seniors. nationwide seniors lost 18% of their wealth during the recession. a number of seniors working today exceeds that of young adults for the first time in history. i also want to point out that a quarter of persons between the ages of 65-74 in san francisco are w

well, thank you, everyone here today for the aging disability technology summit. it is an honor for us to be here today to support this important event for the city and county of san francisco. my name is ann, and i direct the state broadband initiative of the national telecommunications and information administration, which is in washington, d.c. our agency and tii is part of the u.s. commerce department, and it is the executive branch agency that is in charge of advising the president on telecommunications and information policy issues. we are at the forefront of the obama administration's push to establish a broadband foundation needed to support the innovation economy in the united states. we are looking to produce better and new jobs and position to ensure that america remains at the forefront of the economy in the 21st century. we are working to ensure that all americans have the resources and the skills necessary to fully share in all of the possibilities, civic, social, and economic. all of these made possible by the internet. that is one of the reasons we

disability insurance favors retiring disability over old age insurance. if you have moderate disability to figure out if you can file with the system. the system has huge disincentives once you get that medicaid to go back to work you're scared about losing your health insurance. you're not sure how long you're going to last on the job and afraid of having to get back into the system. i don't have an easy answer. i think there are too many disincentives in the system to go to work, but it's off the issue to handle. it's some margins where we

i have -- i came as an advocate to save seniors and disability services. i am very disabled. i live with our steel prices the -- osteoporosis. that my medicine has been cut out. and i am appealing, and they do not listen to me. and also, the senior moment is now. no cuts. i hope you get that message from all the seniors in the city. and supervisor christina olague dknows me very well. she came to the senior action network. we had a great meeting honoring our great citizen, miguel, who died after 20 years of service completely devoted to make sure that he saved those with addictions. and all the supervisors, everybody, i have some copies for you. i hope you will read them. the majority of you are trying to say it is ok for washington to demolish. this is a great injustice. we have to save those units, those people, because it is the great story of our lives. >> thank you. >> thank you very much. gregg's i was at miguel's that also. -- >> i was at miguel's the event also. he did a lot for tenants. >> thank you. >> my name is francisco decosta. and i'm looking at some of your pr

almost half of all households headed by someone with a disability did not have a computer. compare that to only 20% of households that do not have a computer if they were headed by someone without a disability. similarly, 43% of homes headed by someone with a disability subscribed to broadband compared to 72% of all homes, a 29-point difference. our data also shows that older americans, particularly those 65 and older, are less likely to live in a home with a computer or to have broadband internet access at home. and what is more, as we look further into this data, we found that when we looked at other socioeconomic factors, like in come or education, it did not fully explain it the gaps. even after accounting for a socio-economic and geographic factors, african-american and hispanic households still lack a white household in broadband adoption by 11 percentage points. at rural households still lacked urban households by five percentage points. these ongoing disparities and our critical need for our nation's future to overcome them are white today's summit is so important -

really there is largely driven by the disability population. when we think about the disabled on medicaid, we have to remember that they include a substantial share of the population with severe mental illness. and it's often when you look at who is a high cost beneficiary it's the combination of one or another of the disabling conditions combined with mental illness. so a diabetic i think can look -- ken looked at this as someone with diabetes being treated with a mental illness is much higher cost and much less likely to follow the treatment protocols than someone who is just a diabetic. so that is a real challenge and especially as ken even alluded to much of the medicaid care coordination through managed care carves out mental health and manages it totally separately and now much of the drug costs is also carved out in many places. so that you really don't have the integration for that disability population that could help. but we are focused increasing increasingly -- increasingly today on the share of medicaid spending that goes for the d

who have long-term disability as a result of traumatic brain injury. in 1972 my brother steve sustained a catastrophic brain injury while in the navy. for eight years he lay incontinent, unable to move, unable to speak, communicating through eye blinks only. when i in 1980 i co-founded the centre for neuro skills. after 18 months of intensive rehabilitation, he regained speech, movement in all extremities and was able to feed himself. i hope to provide you today with several key points. the first is traumatic brain injury affects people of all ages and is more prevalent than diagnoses of all cancers in the u.s. there are over 4,000 people who will sustain a brain injury every day in the united states. treatment is very complex and highly specialized. treatment particularly rehabilitation in a post-acute setting is clinically effective and cost advantageous. there's significant availability to medically necessary health care for patients with traumatic brain injury and research funding is not adequate to match the significance of this public health thre