I often get accused of being stuck in the 60’s – can’t image why. This morning I was reminded of this as I listened to Peter, Paul and Mary sing “The Times are a Changing,” but instead of the 60’s, the song took me back to 1956 when a few dedicated parents started The Arc because they were not satisfied with the status quo.
At that time a very established infrastructure and funding mechanism existed that served thousands of people with intellectual and developmental disabilities (I/DD) across the country, including Indiana, in large institutions. Professionals and government officials considered it to best practice and the best we could do.
Then families asked for something better. They met with resistance. The common refrain was this is what works, it is where the funding is, and it is where people with I/DD are best served. Many families of those in institutions did not support or like this new movement. Others welcomed it as a chance to bring their sons and daughters home, or to reject the recommendations of doctors at that time to place their child in an institution.
Thankfully, those early pioneers persevered. They advocated and fought for their children to go to school with their brothers and sisters, created job and day programs for adults, and helped build a system of community residential services. Thanks to their efforts, Indiana is now the largest states in the national without an institution for people with I/DD.
As I listened to that Peter, Paul and Mary tune this morning, I reflected on the tremendous changes we have seen in Indiana and how we have to keep changing. We have to look to new models and new ways to meet needs, and we have to follow the vision of families who continue to lead the way.
A dad recently shared that the first meeting to create a service plan for his daughter, who had finally come off the Medicaid Waiver waiting list, focused entirely on how to spend $40,000 instead of focusing on what she needed.
He asked, “How have we become so institutionalized in the community?” Another mother recently told me that a meeting about her son’s waiver was “all about dollar bills; not Bill!”
We have to change. The waters are rising. We have to look to new ways to address the need. To do this, The Arc pulled together the best minds in the country and key Indiana advocates, including families and people with I/DD, to develop the Blueprint for Change. This led a small group to recently develop a proposal for a federal innovations grant that looks to a new way of approaching services. We believe that FSSA’s soon to be released 144 Report for Medicaid Waiver reform – directed to be developed by the Indiana General Assembly – will offer steps in the right direction. A federal initiative to provide incentives to states to provide a better balance between institutional and community based services could bring in new federal dollars to transform Indiana’s group home program, bring people out of nursing homes, and bring thousands of people off waiver waiting list and into a new model of home and community based supports. As has always been the history of The Arc, these changes offer both great challenge and great opportunity.
I don’t think I am stuck in the sixties. I hope that I am stuck with the spirit of those pioneering Arc families from 1956. I absolutely do not believe we have done our best work yet.
John Lund, one of the national leaders who helped shape the Blueprint for Change, has said that it was very easy for him to challenge institutions and fight to get people out, but years later it was very difficult to admit that he had created a new institution by building the largest community agency in the state serving thousands of people in a model that no longer offered the best that could be done for people with I/DD. He realized he had to begin the hard, but exciting, work of taking apart something he had proudly built in order to develop something better.
A lesson I learned when the New Castle, Muscatatuck and finally Fort Wayne State Developmental Centers closed is that the people who worked there included some very dedicated people who truly believed that they were providing care in the absolute best placement. Many families were adamant that their son or daughter could not live anyplace else. Rather than judging them, we needed to show them that there was and a better way.
Many families and providers today are at the same point. They strongly believe that Indiana’s system of programs and services best serves individuals and families. On the other hand, many families, providers and advocates believe we can do better, and many, many families feel they have no hope of receiving supports unless something changes.
I was four years old in 1956 – a time when families had the vision and determination to build a better world. I see that same vision and determination in the eyes of today’s families and self-advocates, and I embrace that the times are indeed changing.
John Dickerson is The Arc of Indiana’s Executive Director



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