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Alright so, Minnesota Department of Human Services (DHS) is headed by probably one my least favorite commissioners  Piper – well maybe MDH’s Ehlinger takes that price. Ok, my second least fav. At any rate, DHS under Piper keeps getting worse and worse. Let’s start with their autism policy lead – NB.

Have you ever heard of privileged WASP? ok, so Polling at MDH takes that price. Ok – well maybe the female version of privileged WASP would be NB at DHS. I have seen manikin’s with more empathy and compassion. But that is not even the problem.

I worked extremely hard to get Minnesota’s early intensive behavioral and developmental intervention (EIBDI) to be passed by the Minnesota state legislature in 2013 then worked even harder for The Centers for Medicare and Medicaid Services to approve it. One of the requirements was that DHS would engage with autism community stakeholders before it made any changes to EIBDI or before it wrote any policies involving EIBDI. Well – DHS policy lead, NB throws that out of the window with Piper’s blessing and Wilson’s blind eye. I have seen Piper fire people from DHS because they were not DFL enough as though DHS is the Minn Dept of Democrats. I have seen Piper diminish the responsibilities of really amazing folks at DHS who has helped us so much before, yet autism policy lead who in my opinion is as cold as Minn ice, as ignorant as Sarah Palin and as cruel as Clarence Thomas is still there. Who suffers in all of this chaotic environment? autistic children and their families as well as small agencies that are providing autism therapy.

So what did DHS change and did not consult with anyone? Well how comprehensive autism evaluations are done, how the treatment plan is processed and submitted, how parents have access to this or don’t have access to it, and so much more. Counting the days when Piper is no longer at DHS – that is in November when Governor Dayton’s term ends and god willing a different governor wins, preferably not Liebling or Murphy. That is another day and another blog.

The person that I am most disappointed with is Alex B who is in charge of DHS’ disability division. Alex knows right from wrong and has been around the block in autism issue including autism in the Somali community. But as the saying goes, you can lead horse to water but you can’t make him drink it. I am also disappointed with Asst Commissioner Claire W who on the surface seems genuine but still so much BS happens under her leadership and she allows it.

Above words do no reflect any committee, agency or candidate.

Idil – Autism Mom and Advocate

Alright – so, 1 in 68 U.S children have autism, 1 in 32 Somali American children in Minnesota have autism and boys are more likely to be autistic than girls. These boys become young men of color, mixing that with law enforcement is devastating to think about. Autism is a neuro-developmental disorder that affects a person’s ability to communicate, understand social cues and regulate their behavior.

As a minority autism mom whose child has autism – I constantly think about this. My son is now 15 and still has autism as there is no cure thus far for autism. He doesn’t always understand social cues and may not always follow directions. A police officer may think an autistic individual is being defiant and not listening. An autistic individual may get sensory overload and be overwhelmed by too many verbal directions or even the police car’s lights. There have been few occasions where my son had a behavior in the car and I had to call the police for help. The first time though it was my fault because I didn’t say what kind of help I need it, the state trooper that came pointed his gun at me. After I explained the situation, he was much more nicer and understanding and helped us get into a safe exit as we were on the highway. The consequent times, the police has been positive, helpful and understanding. Nevertheless, the fact that so many of them don’t really know autism or its symptoms is worrisome.

While, I have not heavily advocated for this, I have asked Commissioner of Minn Dept of Public Safety to add funds to their budget for autism training, and she has not. I also asked Mpls to train their police officers about autism and Mayor Hodges has not done this. Mpls City Council member Warsame and State Representative Omar who are both from Somalia and represent large autism families have also not done anything about this.

An African American man recently told me “when police are driving behind me, I don’t feel served or protected”. I thought that was sad yet true.

As I write this – I am saddened that my son had a behavior in the car tonight and I contemplated whether I should call the police or just sit in the highway which was dangerous while he calmed down. No one should have such a thought. If I were white, I would not have to think twice to call the police for help. But I am black and live in Minnesota which sadly does not have a good reputation for equality. If you are white and are reading this, you are thinking when anyone needs help they just call the police, but for a minority person it is not that easy. The history between law enforcement and communities of color is a complex and complicated one.

A few months ago, a reporter from Buzzfeed called me about my advocacy and autism. I remember telling her that I was done advocating but maybe I am not done yet. I really would like to figure out how to effectively advocate about autism and police. How can minority autism families feel comfortable about the police whose job is to protect and serve. I would like minority autism families to feel protected and served by the police. I think through training and perhaps compassion from the police and trust from minority autism families – it is doable.

New York Times op-ed about autism, law enforcement and St. Paul officer who has autistic children.

Above words do not reflect any candidate, agency or committee.

Idil – autism mom and advocate.

Alright – so, Minnesota Autism Center (MAC) which is arguably the biggest ABA therapy agency in Minnesota, and probably the worst in how autism families are treated based on my experience with them and opinion has expanded their fake ABA school program. They have added more kids in their Eagan location. Let’s put this into perspective, this is not a private school because no parent pays one dime for it. It is not a public school because the Minnesota Department of Education does not give them one dime. It is a fake ABA school that is funded by Medicaid through Minnesota Department of Human Services (DHS).

Medicaid does not and should not cover educational services, according to DHS but for some reason – this fake school keeps getting millions of dollars from medical assistance via DHS. Why is DHS doing this and what are they doing about it? In one word – nothing. The why is what puzzles me. Let’s remember DHS goes after minority owned agencies if they sneeze the wrong way, but when it comes to WASP owned agencies, they nap, sleep, ignore, pretend to not see or hear. I wonder why that is. Institutional racism? well – as the saying goes “if it looks like a duck, acts like a duck it is a DUCK”.

I have been trying consistently and persistently to get DHS to treat all autism therapy agencies fairly to no success thus far. Their reasoning for not auditing or looking into the fake MAC school is probably in my opinion and many others in the autism community fake in itself. “we don’t have proof”. But you have an abundant amount of suspicion, so audit this fake school. My favorite other reason from DHS is “it is a complex and complicated issue”. Are you bleeping kidding me. When God forbid, a Somali day care agency does anything wrong, you are on them like white on rice and faster than a New York minute, but for MAC – it is complicated. Come on DHS. We are not buying this fake reason.

According to DHS “Medicaid does not cover services that include or replace academic goals that are otherwise included in the person’s Individual Education Plan (IEP) or Individual Family Service Plan (FSP), as required under the Individual with Disabilities Education Improvement Act of 2004”. This includes math, reading, writing or any educational services that are and should be covered by the child’s education plan.

Nevertheless, these items are exactly what the fake MAC school is teaching. My advice to Commissioner Piper and Assistant Commissioner Wilson – audit this MAC fake school that is being funded by Medicaid when it should not be. Interview current and previous employees who are told to provide education but write medical in their progress notes. Interview families who think they take their children to a free private school that they pay nothing for and are told Medicaid covers education, you know it does not. Visit this fake school and see it for yourself. Treat MAC as you treat all of the Somali day care centers and protect these vulnerable autistic kids and their families.

DHS – this is your responsibility and obligation to protect individuals with disabilities which includes autism.

Above words do not represent any committee, agency or candidate.

Idil – autism mom and advocate

Alright – so, the Minnesota Department of Human Services (DHS) is in charge of individuals with disabilities, the poor, and the elderly. Their core responsibility is to assure these vulnerable individuals are treated fairly, equally and get the services and support they need. DHS is funded partly by the state via state legislature and part by the federal government via CMS. It is a multi-billion dollar state agency that functions as a mini country.

DHS hires or contracts with Keystone Peer Review Organization (KEPRO). What they are supposed to do is review medical information for children that need autism therapy via the new ASD benefit EIDBI or the early intensive developmental behavior intervention. Sounds easy and straight so far, right? Not so fast.

Well – KEPRO reviewers decided to review, process, and authorize children’s medically necessary treatments….wait for it…. not in the order they are submitted to them but….wait for it…. in the order of the children’s race and ethnicity. I kid you not. When asked about that their informal response was “well – that would take a lot out of us because we would have to go into each child’s information to see their race and ethnicity, therefore because we are lazy and don’t do that, it was just a coincidence”. Right, and we are all stupid here. KEPRO received nine children’s treatment to review, of that nine 6 were Black and 3 were Non-Black. KEPRO processed and approved the three Non-Black kid’s treatments even though their information was submitted after the Black children’s information. For the six black kids – they denied and asked for more information they did not ask for the non-black kids even though all of the kid’s forms were filled the same way. I kid you not.

Please don’t tell me that is not blatant discrimination.

My take is that they are not lazy. In fact, they are very smart and shrewd – they just didn’t give the parents of those minority children the same credit and assumed their silly excuse would be bought. I for one am not buying that poor excuse.

This KEPRO is the same agency that has authorized services for ABA agencies like BDI for children whose ITPs were not even signed.

If it looks like a duck, walks like a duck, and authorizes like a duck – it is a freaking duck.

What KEPRO did was clearly subliminal racism and what DHS is doing afterward is even worse. A child with autism is a child with autism is a child with autism – irrespective of their race, ethnicity, or background. I am disgusted with KEPRO’s actions and I am appalled of DHS’ lack of action in this matter. I urge these parents to sue KEPRO and DHS because doing nothing will give them the green light to do it again and again.

The above words do not represent and candidate, agency, or committee.

Idil – Autism Mom & Advocate

Al-right – so, a Black behavior therapist was shot few days ago while he was helping an individual with Autism Spectrum Disorder (ASD). What we know so far and how could this happen.

1. The person with ASD wandered from a group home as sadly many do. Wandering and eloping are some of the core symptoms of ASD.
2. His behavior therapist went after him to calm him down and bring him back. This is usually the case for all care-takers.
3. Some observer thought a man was committing suicide because of where they were at (in the middle of the street). This is not uncommon as many individuals with ASD don’t have safety skills.
4. The police is called and an untrained one shows up.
5. The behavior therapist tells the officer who he is and about his disabled client.
6. The officer who is Hispanic either didn’t hear, didn’t understand autism or didn’t care shoots the behavior therapist.
7. Then the therapist is handcuffed as he bleeds on the street. Thanks God – his injury is not life threatening and is recovering now.
8. The Miami police chief who is Black and was hired by a Black mayor and a mostly Black city council makes a somewhat scripted statement of we are shocked, we want answers, blah blah.
9. Then the Miami police union head says the most disturbing words so far – not kidding. The police was aiming at the autistic person and not the therapist. WTF?

Here is my take, why can’t these police union nut-jobs keep their mouth shut. They always seem to say the most hurtful and ignorant thing about any situation. How is we wanted to shoot the disabled person any better?

So what happens now? Well – for starters, we can’t blame white racism on this one. Everyone with any power in North Miami is a minority from city council to the mayor to the police chief to the shooter who is Hispanic. But we can blame it on ignorance, lack of autism education and training and most of all arrogance about all of this. As an autism Black mother – this is obviously really heartbreaking and disturbing. I think we need a federal legislation mandating and requiring autism education and training for all law enforcement. Currently, we don’ t have that. Most states and cities do some kind of training but it is not comprehensive and they are not required to. North Miami was not required to do autism training and it is unclear if this officer had any so far.

I contacted Autism Society of America President Scott whom I know and he sent me the statement they released. Scott also said they are working with the Autism Soc of Florida to do ASD training for this police dept, though we don’t know to what has been reached now. Additionally, I contacted both Mpls and St. Paul mayors to ask about ASD and police training. Mpls is working on a response, but did say via email that they have allocated funding for devices that would help locate individuals with ASD that wander . St. Paul said they have an officer with a child with ASD – Officer Zink whom I spoke with and was just amazing in how he gets what needs to be done. He said there is a small funding in the big tax bill that Gov. Dayton vetoed for autism training and police officers. Officer Zink stated that Sen. Dziedzic was the one that was pushing this funding. Sen. D represents the district with the largest autism population in Minnesota which is Cedar in Mpls. Additionally, I contacted IACC and asked what they could do about from the federal government side. I heard from one of the members, Dr. Mandell whom I respect and admire so much who said IACC does have a responsibility to recommend and request more training and research into this issue. I agree and I am waiting for more info from IACC. At the federal level, IACC can do the most in terms of services, resources and research.

I also contacted DPS Commissioner Dohman’s office wanting to know what kind of ASD training their highway police go through. They said they have an ASD training for their 600 state troopers. I am waiting to get more details of that training and if we can add multicultural training given the high rate of ASD in minority children in Minn. There is a bill in Congress HR-2302 which requires police training and better oversight for minority communities and those with disabilities. It has not moved much though. Another bill about autism and wandering named after two ASD kids passed the senate recently – Kevin/Avonte legislation. ASAN and other ASD advocates are supporting this. Please call or email your house member to ask to co-sponsor this bill and pass through the house.

I will post as I find out more about this, but what is clear is the need requiring autism training in law enforcement. We can’t always react, we must be proactive here and create laws and policies that address this in Minnesota and nationwide. Autism by itself is extremely challenging, when you add minority especially black boys/men – it is a worry that unless you are a black autism family, you can’t even imagine it.

I thank all of the media attention given to this important issue in particular the reporters from the Miami Herald.

As always – above words do not represent any candidate, agency or committee.

Idil – Somali Autism Mom & Minority Advocate.

Alright – so, One of my favorite state agency commissioners, Dr. Brenda Cassellius of Minnesota Department of Education has applied to be the next Superintendent for Minneapolis Public Schools. While it is sad to lose Commissioner Cassellius at MDE, she will make an amazing leader at MPS. I just send below email to the board asking for their support and hire Dr. Cassellius. She is qualified and has the can do attitude to uplift all kids in the district.

Dear Madam Chair and Minneapolis School Board Members,

My name is Idil Abdull, I am an autism mom and advocate. I am writing this letter to you in support of Dr. Brenda Cassellius to be the next Minneapolis Public Schools superintendent.

I am sure you have a difficult task selecting the best qualified person that will assure not just decreasing racial education gap, but all kids learn to their full potential, all parents listened to and all communities engaged. Dr. Cassellius is the perfect and the right person to accomplish all of that and more.

I have contacted Dr. Cassellius more times than I can count asking help and support for autism. She has always addressed whatever the issue big or small. She has never told me once she was too important to speak with a parent because she was a commissioner for the whole state education department or she was too busy. Dr. Cassellius always made time for everyone in every concern. She is easily approachable and engaging with every parent and community member. Dr. Cassellius looks at every education problem with a compassionate heart, a practical mind and a thoughtful soul.

One perfect example: I went to a workshop that was done by Pacer with funding from Minnesota Department of Education (MDE) few years ago for parents with special needs children. There were many parents and I was the only parent from a minority community. I remember vividly every word the speakers said in educating these families. My favorite part was when they taught the parents how to talk to their child’s teacher and how to advocate for their child’s strengths. I remember thinking “wow”. Imagine if parents from under-served communities also learned this and were able to speak and advocate for their children.

Needless to say, I contacted Commissioner Cassellius and then Assistant Commissioner Elia Bruggeman. Without hesitation or delays, they both met with me and one of our community leaders, Mr. Mohamed Mohamud of Somali American Parent Association. We asked Commissioner Cassellius if MDE can do similar workshop for our community (see attached notice). Without even a blink or delay, she agreed and asked Elia Bruggeman to work with us. In just short few weeks after that MDE sponsored a workshop to educate and empower our community.

Another example: Maybe a year ago or so I contacted Commissioner Cassellius about a child with autism in Harrison Education school in Minneapolis. I think I might’ve contacted the Mpls board as well who also has been very helpful. Commissioner Cassellius contacted Mr. Goar and asked to help this child.

You see – no matter the issue whether it is for one child or a whole community, Dr. Cassellius finds a thoughtful and practical way to address it.

I know she will make a fantastic superintendent in Minneapolis Public Schools. I hope you give Dr. Cassellius the opportunity to use her talents, expertise and background to help all students in Minneapolis public schools.

I thank you so much for your time and consideration.

Sincerely,

Idil Abdull – Autism mom and Minority Advocate

As usual, above words do not reflect any agency, committee or candidate.

Alright – so, Minnesota Autism Center who is arguably the biggest ABA therapy provider in Minnesota (not the best though) has again failed to protect children with autism from abuse and neglect.

Katie Strong who is a licensed professional clinical counselor and by law is a mandated reporter has failed to report abuse in MAC Mankato location. Ms. Keri Adams who is the clinical supervisor there has been charged by the Mankato authorities. (finally a prosecutor with the guts to stand up for kids with autism against big bad-ass bully MAC). Ms. Adams claims that she only reported the abuse to the program supervisor which in this case was Ms. Strong. Needless to say and not surprisingly Ms. Adams nor Ms. Strong reported this to the authorities or DHS as required.

MAC Mankato center was given a warning by the Mankato police department before this incident in December of 2015 when they also failed to report a child that hit his head in their center so bad that he was vomiting.

This is exactly why our state needs to license these blood sucking ABA providers. We can’t have children getting hurt and covering up because owners and directors want to bury it. As an autism mom – this pisses me off to my core and as an autism advocate this frustrates me. Why can’t DHS wake the hell up and do something about this. DHS needs to prevent such incidents by holding ABA providers accountable. There must be some kind of statewide policy to protect these vulnerable kids with ASD and DHS needs to take the lead.

Above words do not reflect any agency, candidate or committee.

Idil – Somali Autism Mom & Minority Advocate

Alright – so, finally Minnesota Department of Human Services (DHS) gets a backbone and stands up for children with autism and their families. DHS issued a corrective action against Minnesota Autism Center (MAC) few weeks ago for how they discharge and abuse children with autism and their families.

From what I understand this is first such action from DHS. For years and even over a decade, MAC has discharged children for any reason and for everything under the sun. MAC’s director Ms. Marshall who is an attorney by training would just call families and tell them “come pick up your child, MAC is discharging him”, or send a letter to a family telling them to not bother bringing their child for therapy again, or just send a text or email to a family and tell them their child’s services are done. I kid you not, Ms. Marshall who is not trained in autism therapy would just either just do these things or dictate one of her spineless mental health professionals to do it.

Meanwhile, children would suffer because their medically necessary treatments ended abruptly and parents would be in despair and frustrated. Sadly, when parents contacted DHS to do something nothing was ever done. DHS told many families there was nothing they could do. The problem with that statement was everything. DHS funds, certifies and audits MAC and should’ve have done something years ago. But as they say late is better than never.

Finally, DHS stood up to MAC and told them how they discharged children from their medically necessary treatments was wrong. They were not in complaint with state statute under CTSS of child centered, family friendly and culturally responsive. Furthermore, MAC even violated some of their own policy. This of course was Mozart music to my ears as the Elizabeth Tylor of ABA, I am sick and tired of being bullied, harassed and intimated by Minn ABA providers. It is time to stand up for kids with autism and their families.

MAC is now required to submit the children they discharge and their reason including parental involvement. In other words, Ms. Marshall can no longer just call a parent and bully them or discharge their child because she felt like it. Oh, and if a parent wants to see their child in one of their centers, they can do that whereas before parents had to make an appointment to see their children in therapy. Imagine that, what the heck is MAC hiding that parents can’t see their own kids in therapy in a publicly funded program – Medicaid.

If you are a parent whose child was discharged by MAC and you either disagree or had no idea, please contact DHS autism team and let them know.

Above words do not represent any candidate, agency or committee.

Idil – Autism Mom & Minority Advocate

Alright – so, unless you live under a rock, don’t have a child with autism, don’t work in the field of autism, etc. then you heard of Lovaas autism clinic. Let’s give a brief history. Dr. Ivar Lovaas, a researcher from UCLA did an autism study on 19 kids in 1987. He found that 47% entered mainstream kinder garden without any special education assistance. This study was repeated four years later and most of those 47% kept their gains. Lovaas used discrete trial teaching (DTT) which has been widely researched and is found to be one of the most effective methods of applied behavior analysis (ABA). As a result of this significant study, Lovaas is often called “the father of ABA”.

There is Lovaas West Coast where Dr. Lovaas started, now led by Scott Wright, Lovaas East Coast led by his wife Linda Wright and Lovaas Midwest in Minneapolis led by their friend Dr. Larsson. Then there is Lovaas Center. in Nevada led by Dr. Lovaas’ son Eric Lovaas which has no connection to Lovaas East, West or Midwest. It can sound confusing, but really it is not.

Dr. Larsson who heads Lovaas Midwest in Minneapolis used to work at Minnesota Autism Center (MAC) back when they were Families for Effective Autism Treatment (FEAT). Under his care is when MAC overbilled Medicaid for autism services over three million dollars and was fined to pay back $600,000. From what I understand Ron Carey fired Larsson in some hallway. Larsson then stole most of MAC’s employees and MAC sued him winning that lawsuit.

To make a long soap opera autism story in Minnesota short, Dr. Larsson continued his ways of overbilling and simultaneous billing when he started Lovaas Midwest. He kept doing this for years despite the state Medicaid agency telling him to not do it. Finally, the state Medicaid agency (under Gov Pawlenty) made a bad deal with Larsson and told him via courts in the case of Huisenga vs. MN State Medicaid agency that they won’t ask back any overpaid funds but he could no longer bill for simultaneous services.

Then CMS audited Lovaas Midwest and found overbilling stating while the state might have a deal with Larsson, the federal government which pays half of the funds will not. Thus, Lovaas was fined by CMS to pay back $2,862,769. Personally, I am not a big fan of Lovaas Midwest nor Dr. Larsson as I think they have bias policies in their clinic, and I am glad someone finally stood up to him and Lovaas.

Below is what CMS said in their outcome.

The provider was wrongly paid for having multiple mental health professionals at the same time for the same child which is not allowed by Medicaid guidelines. Provider was paid for travel time for unrelated services, Provider was paid for services without any child/parent present or non-direct services meaning the child and/or parents were not present as it is stated in Minnesota Statute 256B.0943 Subd. 11, the list is long but you get the point.

Lovaas Midwest is directed to;

Submit payment to the State of Minnesota for $2,862,769, the amount owed to Medicaid. The commissioner will seek recovery from a vendor. The commissioner is authorized to calculate the amount of monetary recovery based on estimation from systematic random samples of claims submitted and paid. The commissioner will recover money by the following means:  Permitting voluntary repayment of money, either in lump sum payment or installment payments; • Deducting or withholding from MHCP payments; • Withholding payments to a provider under the Code of Federal Regulations, title 42, section 447.31.

Where is the outrage or relief from DHS and the welcoming media that reports relentlessly when Somali child care centers sneeze the wrong way or any provider of color does anything wrong? Racial disparity is not just access to health care, it is also how different providers are treated. Anglo providers are given second and third chances, they are able to negotiate or appeal decisions. For minority owned providers – don’t even think about it is the answer.

Above words do not represent any committee, candidate or agency.

Idil – Somali Autism Mom & Minority Advocate

Alright – so, According to (Gerhardt & Lainer, 2011) a looming crises of unprecedented magnitude is coming for adults with autism, their families, and the ill prepared and underfunded adult system charged with meeting their needs. Sound stressful and scary, right? that is because it is.

To take advantage of this crises and our state Medicaid agency’s (DHS) lack of oversight and accountability for ABA providers Minnesota Autism Center (MAC) decided to house teenagers to adults (25 to 35 individuals) with autism in their Minnetonka location center. This center is not evaluated or checked by anyone at DHS to assure kids/adults there are learning appropriate functional skills that are transferrable to their communities. DHS has no idea how many individuals go there, their ages, what they are learning or is being billed to them, etc and bleeping etc.

From what I understand from staff that left there or are currently there – Ms. Marshall just collects millions of dollars from DHS with no accountability or oversight by DHS or KEPRO (the agency whose responsibility is to assure they only approve medically necessary treatments, but sadly approve everything with no questions or hesitations). Allegedly, there are fake beds, fake laundry rooms and fake kitchens which is all good except there are no generalizations or community based interventions. In other words, it is all good and dandy if a teenager with ASD can make the fake bed in the center, but it is useless and waste of time and money if they can’t make their own bed or do their own laundry.

Again, I blame our Medicaid agency and KEPRO for failing to even to do a site visit to the hell hole (my humble little opinion) Minnetonka MAC center. According to research, the vast majority of young adults with autism are unemployed. Yet, DHS wastes millions of dollars on places like this MAC Minnetonka center which are just expensive and fruitless.

When will DHS wake the bleeping up and actually do its responsibility of assuring people with autism are treated well, respected like human beings and taught functional and appropriate skills with family input. WHEN??????

When will the likes of Ms. Kathryn Marshall stop bullying and harassing autism children and families. It won’t happen unless DHS steps in or families start taking legal actions.

Above words do not represent any agency, candidate or committee.

Idil – Somali Autism Mom & Minority Advocate