Page 1 Oklahoma Pledge Office of Disability Concerns Winter 2014 / 2015 Picture: Sunset over Lake Tenkiller Picture: Circle logo Office of Disability Concerns show "Home", "Health", Family and "Work". Picture: Square picture Page 2 Cerebral Palsy Picture: Cerebral Palsy Ribbon. Cerebral palsy (CP) is a general term for a group of permanent movement problems that do not get worse over time. They cause physical disability, mainly in the areas of body movement. There may also be problems with sensation, depth perception, and communication ability. Difficulty with cognition and epilepsy are found in about one-third of cases. There are subtypes including a type characterized by spasticity, a type characterized by poor coordination, and types which feature both symptoms or neither. Cerebral palsy is caused by damage to the motor control centers of the developing brain and can occur during pregnancy, during childbirth, or after birth up to about age three. About 2% of all cerebral palsy cases are believed to be due to a genetic cause. Cerebral palsy is not an infectious disease and is not contagious. Most cases are diagnosed at a young age rather than during adolescence or adulthood. Improvements in the care of newborns has helped reduce the number of babies who develop cerebral palsy and increased the survival of those with very low birth weights. There is no cure, with efforts attempting to treat and prevent complications. It occurs in about 2.1 per 1,000 live births. Physical therapy may help. Cerebral refers to the cerebrum, which is the affected area of the brain. The disorder may often involve connections between the cortex and other parts of the brain such as the cerebellum. The root word ÒpalsyÓ means ÒparalysisÓ. In medicine, this is often used in reference to the paralysis or weakness that often accompanies nerve damage, loss of sensation or muscle disorders involving uncontrollable movements such as trembling or shaking. Over time, the approach to CP management has shifted away from narrow attempts to fix individual physical problemsÐsuch as spasticity in a particular limbÐto making such treatments part of a larger goal of maximizing the personÕs independence and community engagement. However, the evidence base for the effectiveness of intervention programs reflecting this philosophy has not yet caught up: effective interventions for body structures and functions have a strong evidence base, but evidence is lacking for effective interventions targeted toward participation, environment, or personal factors. There is also no good evidence to show that an intervention that is effective at the body-specific level will result in an improvement at the activity level, or vice versa. Although such cross-over benefit might happen, not enough high-quality studies have been done to demonstrate it. Treatment of cerebral palsy is a lifelong process focused on the management of associated conditions. It tries to allow healthy development on all levels. The brain, up to about the age of 8, is not set and has the ability to reroute many signal paths that may have been affected by the initial trauma; the earlier it has help in doing this the more successful it will be. The treatments with the best evidence are medications, therapy, constraint-induced movement therapy, context-focused therapy, fitness training, goal-directed training, hip surveillance, home programs, occupational therapy and surgery. Various forms of therapy are available to people living with cerebral palsy as well as caregivers and parents. Treatment may include one or more of the following: physical therapy; occupational therapy; speech therapy; water therapy; drugs to control seizures, alleviate pain, or relax muscle spasms; surgery to correct anatomical abnormalities or release tight muscles; braces and other orthotic devices; rolling walkers; and communication aids such as computers with attached voice synthesizers. However, there is only some benefit from therapy. Treatment is usually symptomatic and focuses on helping the person to develop as many motor skills as possible or to learn how to compensate for the lack of them. Non-speaking people with CP are often successful availing themselves of augmentative and alternative communication. Picture: Saying "We don't know how strong we are until being strong s the only choice we have - Cerebral Palsy Awareness" Page 3 Assistive Technology & Devices New Devices, tools and discoveries made daily! Assistive technologies: ¥ People with physical disabilities that affect movement can use mobility aids, such as wheelchairs, scooters, walkers, canes, crutches, prosthetic devices, and orthotic devices, to enhance their mobility. ¥ Hearing aids can improve hearing ability in persons with hearing problems. ¥ Cognitive assistance, including computer or electrical assistive devices, can help people function following brain injury. ¥ Computer software and hardware, such as voice recognition programs, screen readers, and screen enlargement applications, help people with mobility and sensory impairments use computer technology. ¥ In the classroom and elsewhere, assistive devices, such as automatic page-turners, book holders, and adapted pencil grips, allow learners with disabilities to participate in educational activities. ¥ Closed captioning allows people with hearing impairments to enjoy movies and television programs. ¥ Barriers in community buildings, businesses, and workplaces can be removed or modified to improve accessibility. Such modifications include ramps, automatic door openers, grab bars, and wider doorways. ¥ Lightweight, high-performance wheelchairs have been designed for organized sports, such as basketball, tennis, and racing. ¥ Adaptive switches make it possible for a child with limited motor skills to play with toys and games. ¥ Many types of devices help people with disabilities perform such tasks as cooking, dressing, and grooming. Kitchen implements are available with large, cushioned grips to help people with weakness or arthritis in their hands. Medication dispensers with alarms can help people remember to take their medicine on time. People who use wheelchairs for mobility can use extendable reaching devices to reach items on shelves. Assistive Devices ¥ Access and Environmental Controls: Devices that allow increased control of the environment or that open up access to things in the environment. This includes electronic controls like switches, special keyboards or mice, and remote controls as well as things that help people get around the community, like ramps, automatic door openers, and Braille signs. ¥ Aids to Daily Living: Special tools for daily activities, like brushing teeth, dressing or eating. This includes adapted utensils, plates and cups, non-skid surfaces, and specially designed toilet seats and shower stalls. ¥ Assistive Listening: Supports that help a student who is either deaf or has a hearing loss. This includes hearing aids, amplifiers, captions on TV, and typing telephones. ¥ Augmentative/Alternative Communication: Supports that allow a child who cannot speak, or whose speech is not understood by others, to communicate. This includes picture boards, voice output communication devices, communication software and computers. ¥ Computer-Based Instruction: Software to help students with learning difficulties in reading, writing, math and other subject areas. ¥ Mobility: Equipment that allows a student with a physical or visual disability to move independently and safely through the community. This includes wheelchairs, walkers, and adapted bicycles. ¥ Positioning: Any support that helps a student with a physical disability remain in a good position for learning without becoming tired. This includes adjustable chairs, tables, standers, wedges and straps. ¥ Visual Aids: Supports that give a student with visual difficulties access to information. This includes large-print books, books on tape, magnifiers, talking computer software, and Braillers. Picture: Braille Machine, Cane, Stair Lift, and Hearing Aide Page 4 Drugs in your Medicine Cabinet Things you should know about Prescription Drug Abuse The grim statistics help explain why Oklahoma was ranked the No. 1 state in the nation in prescription painkiller abuse last year. The casualties of drug abuse are not just hard-core addicts who buy bootlegged meth, crack and heroin. ¥ TheyÕre middle-aged and middle-class Oklahomans who start taking pain pills for bad backs and other injuries, tumbling into addiction, or dying from an overdose. ¥ TheyÕre suburban kids passing around pills they find in their parentsÕ medicine cabinets. ¥ TheyÕre veterans returning from Iraq and Afghanistan who turn to narcotics to tame the demons of post-traumatic stress. State autopsy data shows the most prolific killers are the painkillers hydrocodone and oxycodone, often in combination with the anti-anxiety drug alprazolam. In 2010, hydrocodone was a factor in 153 overdose deaths in Oklahoma, followed by oxycodone at 144 deaths, according to the Bureau of Narcotics and Dangerous Drugs Control. Both are opioid painkillers, chemical cousins of heroin and morphine. Pain meds containing hydrocodone are marketed under the brand names Lortab and Vicodin. Oxycodone is the main ingredient in Percocet and OxyContin. Alprazolam, marketed as Xanax, contributed to 139 overdose deaths. Other prescription painkillers accounted for significant numbers of deaths. Methadone, used to help wean addicts off other narcotics, as well as to treat chronic pain, contributed to 99 overdoses. Morphine contributed to 85 and fentanyl to 53. Nonprescription street drugs were noted in the deaths of 147 Oklahomans. Meth was present in 99 overdose victims and cocaine in 48. The number of fatal drug overdoses in Oklahoma more than doubled in the past 10 years, climbing to 739 in 2010, according to the state medical examinerÕs office. The number of drug overdose deaths was higher than the number of motor vehicle fatalities, which totaled 683. Nearly 240,000 Oklahomans took prescription painkillers for non-medical reasons over a 12-month period ending in 2009, according to a survey. OklahomaÕs rate of prescription painkiller abuse was the highest in the nation. The state also ranks in the top 10 states for the number of overdose deaths per 10,000 people in the state and the per capita volume of prescription painkillers sold. But there are things you and your healthcare provider can do: Steps you can take: ¥ Use prescription painkillers only as directed by a health care provider. ¥ Store prescriptions drugs in a secure place and dispose of them properly. ¥ Do not sell or share prescription painkillers with others. ¥ For people who think they have a prescription drug abuse problem, please contact 211 to find treatment resources. Healthcare providers guidelines: ¥ Screening and monitoring for substance abuse and mental health problems. ¥ Prescribing prescription painkillers only when other treatments have not been effective for pain. ¥ Prescribing only the quantity of prescription painkillers needed based on the expected length of pain. ¥ Using patient-provider agreements combined with urine drug tests for people using prescription painkillers long term. ¥ Talking with patients about safely using, storing and disposing of prescription painkillers. Picture: Pile of pills Prescriptions and Older Oklahomans Medicines are important therapeutic tools Medicines are important therapeutic tools for living well in later life, but there are also risks that increase with age. Older adults use more medicines than other age groups, and are at increased risk of serious adverse drug events for a number of reasons (e.g., age-related physiological changes, use of multiple medicines, drug interactions, inappropriate prescribing and monitoring of drug therapy). In addition, older adults live with at least one chronic condition, take multiple medicines, have more than one prescribing healthcare provider and use at least one pharmacy. Studies show important gaps in patient provider communication about medicines, which can contribute to improper medicine use. Older age must be taken into account when recommending specific medicines and initial dose. Strengthening efforts to educate older adults and their caregivers about medicine use and encouraging them to be active partners in their healthcare is essential to guard against medicine use related problems. Demographic changes due to longer life expectancy and an aging baby boomer population warrant increased attention to medication issues among older adults. By 2030, the number of Americans 65 years of age and older is expected to swell to 71 millionÑdouble current estimates. Those 85 years of age and older represent the fastest growing segment of the population. Older adults should routinely talk to their health care providers, including their pharmacist, to learn about the medicines they use and ensure they understand how to take them appropriately. Those who cut back on prescribed medications because of cost are 76% more likely to have a significant decline in overall health than those who take their medications as prescribed. Older adults should also remember that age related changes can result in greater drug sensitivity and exaggerated effects. Experts recommend a ÒMedication Check UpÓ at least once a year to review all of the patientÕs medications, including supplements and herbal remedies, and determine whether all are needed, if there is the potential for drug interactions or dosage adjustments are needed. This review is especially important given the changing prescription drug plan formularies under the new Medicare Part D drug benefit. Page 5 Picture: CAP Logo with a Top Hat A Tip of the HAT, from CAP The Client Assistance Program (CAP) is a federally-designated program to monitor Vocational Rehabilitation Services in every state. In Oklahoma the CAP program is located in the Office of Disability Concerns. If you have an active case with the Oklahoma Department of Rehabilitation Services or are considering applying for services, this information may be of interest to you. Clients complain they have left 10 messages in the last three days for their counselor to call them, but they never got that return call. LetÕs talk about those 10 messages and see if we can reduce your frustration as a client and the counselorÕs anxiety level. Consider reducing the number and frequency of your calls. Give ample time for the DRS counselor to return that first call. Sometimes your DRS counselor will be sick. Sometimes they will be at a professional meeting or out in the field visiting other clients. Sometimes the DRS counselor will be on annual leave. Give the counselor five working call. After five working days, make that second call and leave a message if the counselor is not in. Give the counselor five more working days to return that second call. Still no call. Now itÕs time to go to the supervisor. (In DRS, the supervisor is called a Program Manager.) But you donÕt know who the supervisor is? Call the State Office at 800-487-4042 and follow the prompts. It will get you to the office that serves you. Ask the receptionist the contact information for the Program Manager of your counselor. The Program Manager is not always located in the same office. Call that Program Manager. Be prepared to tell the Program Manager when you tried to call the DRS counselor. ÒI called the Counselor Monday, January 1 and again on Tuesday, January 8.Ó That lets the supervisor know that you have tried to solve the communication problem on your own. Now tell the supervisor what you needed to talk about and get resolved. The supervisor will have access to everything about your case on their computer. Let the supervisor solve your problem. If the supervisor insists the Counselor solve the problem, ask the supervisor to get the Counselor to call you. Ask the supervisor if they would mind your calling them back if the Counselor did not call you in a certain time. The next time a communication problem long before going to the Program Manager. Now letÕs talk about some other things you can do. You call your Counselor and need an answer quickly, and the message on their phone voices they will not be back in the office for three days. What to do? Ask to speak to the Tech who works for that Counselor. (Some people call the Tech the Secretary.) The Tech will be situated in the same office as the Counselor. That Tech will have access to all your case files on the computer. Call the main number for the office and ask for the Tech who works for your particular Counselor. Ask the Tech for information and for suggestions. If you have an emergency, ask the Tech to call the Counselor for you on the CounselorÕs cell phone. An emergency should be an emergency that canÕt wait until the Counselor gets back in the office. Communication problems are sometimes caused by personality clashes. Sometimes the client has an attitude. Sometimes the Counselor has an attitude, and sometimes both have attitudes. Keep to business. ÒHas the agency authorized a check to pay my school tuition?Ó We can get hung up on the way someone answers our questions rather than what they actually said. If my Counselor tells me that my tuition was paid on February 2, I might not care so much if they were a little snooty in the way they said it. The focus should always be on what you need to get a job and the steps necessary to get there. It is always nice when we ÒclickÓ with the person providing our services, but this does not always happen. ItÕs OK as long as our needs are met as far as the agency can provide. The bottom line is that we want a job which will provide a fuller, richer life for us with a little extra cash at the end of the month. Page 6 Picture: Young girl in sun glasses dancing on couch Picture: Two young children facing formal dance Picture: Modern dance one woman in wheel chair doing aerial with two other dancers Picture: Ballet with ballerina with no arms Picture: Older friends square dancing Dance! Yes you! Dance! The physically integrated dance movement is part of the disability culture, which recognizes and celebrates the first-person experience of disability, not as a medical model construct but as a social phenomenon, through artistic, literary, and other creative mean Modern integrated or inclusive dance was first explored during late 1960s. Dance instructor Hil Holger taught dance to her son, had Down Syndrome, and went to stage a performance that included intellectually disabled dancers at SadlerÕs Wells in 1969. Given the key principle of dance everybody can dance with intention and purpose and working on the basis of what people can do rather than what they canÕt dance offers wide ranging opportunities for disabled people to engage with dance: personal and collective expression, advocacy for disabled people in the wider community, artistic skills, active and healthy leisure activities and professional opportunities within dance and the arts. ÒHow can one clearly explain what dance is? To many, it may simply be movements to the sounds of music but for me, it extends to more than just that. It plays the role of a means of escape, an art form that the human body engages in that allows for the body to speak meaning in a seemingly meaningless world and encapsulates the embodiment for all things meek. Dance does not select who may participate or not, it asks only that the body surrender to the impulses it feels when movement is proposed. That my dear friendsÉ is what dancing means to me. Honestly, if I didnÕt have dance in my life, i would be living a very miserable life. IÕm so grateful that it is one of my talents. It helps me de-stress a lot, when life gets too much and I donÕt know how to cope; I clear out my room, play music and just start dancing. Its the best way to help me get back on track and feel good again. What I love about dancing is that it doesnÕt matter who you are, technique or no technique, it doesnÕt even care about size. ANYONE can do it, itÕs all about the passion and heart for it, and if you are determined, you can get to the point where your body can achieve anything through movement. Dancing expresses the body in a way that only the soul can understand.Ó So just do it! Have fun! Express yourselfÉ. Page 7 One of Our Treasures Fort Gibson Picture: Fort Gibson historical site barracks Picture: Fort Gibson National Cemetery Established in 1824, Fort Gibson served as a starting point for several military expeditions that explored the west and sought peace between the tribes in the region. It was occupied through most of the Indian Removal period then abandoned in 1857. The post was reactivated during the Civil War. The army stayed through the Reconstruction and Indian Wars periods, combating the problem of outlaws and squatters. In 1890, the army abandoned Fort Gibson for the last time. Part of the original fort a National Cemetery is maintained at Fort Gibson. Within the confines of Fort Gibson National Cemetery, there is interred, at least one veteran of every war in which the United States has fought. Graves of known and unknown soldiers lay adjacent to the graves of Native Americans, scouts, civilians, wives and children. Among the notable burials at Fort Gibson is Talahina Rogers Houston, the second wife of General Sam Houston. Talahina, a Cherokee, married Houston in 1829 after he divorced his first wife. Houston bought a large farm on the Neosho River about two miles northeast of Fort Gibson. Houston, however, soon grew restless and went off to conquer new frontiers, this time in the Southwest where he became president of the Republic of Texas. Talahina died of pneumonia in 1833. According to one story, she died of a broken heart when General Houston left her; another version asserts that he sent messengers back to Talahina asking her to join him by saying that ÒI have built a kingdom for you.Ó Talahina is said to have replied that he had returned to his people and she would stay with hers. One of the most interesting stories associated with Fort Gibson National Cemetery is the tale of Vivia Thomas. Legend has it this high-spirited daughter of a wealthy Boston family met and fell in love with a handsome young lieutenant at a ball following the Civil War. After several months of courtship, they announced their engagement, but shortly before the wedding he left, leaving only a note that he desired to go West in search of adventure. Broken-hearted and bitter over the abandonment, Thomas went in search of her lover. After learning that he was stationed at Fort Gibson, she set off on a journey of revenge. She cut her hair, dressed in menÕs clothing and joined the Army. The disguise worked, as the former fiancŽ did not recognize her. One night as he was returning from a visit with his Native American girlfriend, she ambushed and killed him. Despite an intense investigation, the murder went undiscovered. However, Thomas grew remorseful and began to visit his grave late at night. Eventually she contracted pneumonia from the continued exposure to the cold and collapsed near his grave, dying a few days later. Rather than condemning her actions, her army colleagues were so impressed with her courage in coming alone to the frontier and carrying out a successful disguise that they awarded her a place of honor for burial in the officerÕs circle. Oklahoma Quick Fact As set forth in 1988 by House Concurrent Resolution 1083, is black-eyed peas, chicken-fried steak, fried okra, squash, corn, cornbread, barbecue pork, biscuits, sausage and gravy, grits, strawberries and pecan pie. The shopping cart was invented in Oklahoma by Sylvan Goldman, owner of the Piggly Wiggly supermarket chain in Oklahoma City. Goldman conceived of the Òfolding basket carrierÓ in 1937 after brainstorming ways for customers to carry their groceries. Due to frequent sightings, there is an annual Big Foot Festival in eastern Oklahoma near Ludlow. Voicemail was patented by Gordon Matthews from Tulsa. Matthews created the technology in the 1970s and patented VMX (Voice Mailbox Express) in the 1980s. According to the Aerospace Corporation, an Oklahoman is the only person to have ever been hit by falling Òspace junk.Ó The woman, hit by falling debris from the U.S. Delta II rocket, was not injured. Each April, the town of Beaver, Oklahoma, is host to the World Championship Cow Chip Throw. You can enter one of four divisions: MenÕs Open, WomenÕs Open, Teams (4 people) and VIP. Back in the old daysÑweÕre talking Triassic-oldÑOklahoma was located near the equator. Which city do you think Oklahoma City is closer to Los Angeles or New York City? - Actually, itÕs equidistant, or equal distance. First Tornado Warning was issued in Oklahoma on March 25, 1948. Thanks, in part, to the warning, no injuries resulted from the tornado that touched down at Tinker Air Force base that evening. Oklahoma City is also one of only two state capital cities whose name includes the name of the state. Can you think of the other? Indianapolis Oklahoma serves as headquarters for 39 American Indian tribes. At around 200, Oklahoma has more man-made lakes than any other state. Please do not try to catch a whale in any of those manmade lakes; whaling is illegal in the state of Oklahoma. Oklahoma cities: Loco, Cookietown, Bushyhead, Corn, Moon, Forty-One, and IXL. Page 8 to 10 Picture: Person usig atm Picture: Stack of cards (credit(' Picture: Checks Picture: Girl, dog, banking financial papers Picture: Calendar circled Picture: Piles of csh Picture: Piggy Bank, financial planning documents New Feature Your Financial Capability Many people are familiar with financial education intended to build financial literacy, financial education imparting knowledge and skills needed to make informed decisions on the management of money and use of financial services. However, despite increasing financial inclusion and the spread of financial education, behavior does not keep pace. For example, high rates of over-?indebtedness and low levels of saving appear among lower income consumers. The disconnect between knowledge acquired and behaviors demonstrated is one reason many observers believe financial education has stalled short of delivering the promise of tangible impact. Our new feature will help you build your financial capability. Your ability to manage your financial interests, goals and follow through plans are all components for financial capability. We will build on your capabilities each quarter. services to its customers. These services include such things as checking and savings accounts, access to loan products, debit cards, on-line banking, and financial education. A bank also invests in community projects. To start, we need to have a common vocabulary. The following definition will be our foundation. A Annual Fee: A yearly payment charged by some credit card companies for use of their card. Asset: Something you own that has value. An example of an asset is a house, vehicle, or savings account. These assets have a positive economic value. Assistive technology (aT): A device that helps a person who has a disability do the things he or she wants to do. Examples of AT devices include an adapted vehicle, a ramp into a home, an iPad, hearing aids, and a wheelchair or scooter. An assistive technology service is defined as any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device. ATM: ATM stands for Automated Teller Machine. This is a machine that allows you to take money out of or put money into your checking or savings account without having to go directly to your bank or credit union. You can also check your account balances at an ATM machine. Authorize: To give your permission. B Balance: The amount of money you have in your checking or savings account or the amount that is owed on a credit card or another type of loan. Balance Carried Forward: Used at the start of a month to show how much money is in your account. When balance forward is used on a bill, it shows either the amount your account is charged or credited from a previous billing cycle. Bank: A for-profit financial institution that provides financial services to its customers. These services include such things as checking and savings accounts, access to loan products, debit cards, on-line banking, and financial education. A bank also invests in community projects. Benefits: Many people need help paying for food, housing, utilities, medical care and other basic items. The state and federal government have developed programs that can help pay for these things. Budget: A plan for saving and spending your money. C Cash: Cash is the currency (paper bills) and coins you have on hand. You use cash to pay for something immediately. Checking Account: A service, offered by a bank or credit union, which allows you to put your cash in a safe place and then use it whenever you need it. You get your money from your checking account by writing checks, or using your ATM or debit card. Countable Resources: Certain assets are not counted when the Social Security Administration determines financial eligibility for SSI, or when Pennsylvania determines financial eligibility for Medical Assistance. For a complete list of assets that are not counted, go to https://secure.ssa.gov/apps10/ poms.nsf/lnx/0501110210. Credit: Money that you can borrow with the promise to repay it at a later date. If you pay with cash, you pay immediately. If you use credit, you agree to pay in the future. Credit Bureau: A company that collects information on your credit history and provides information on a personÕs borrowing and bill-paying habits. Credit Card: A plastic card issued by a bank or business that allows you to purchase items now and pay for them later. Credit History: A record of how you have managed your money in the past. It includes information on borrowing and repayment of credit cards, bank and car loans, mortgages and any other debt owed to someone. An individualÕs credit history will include open accounts and accounts that have closed. It lists late payments, defaults on loans and bankruptcies. Credit Limit: The maximum amount of credit (money) that a financial institution will authorize for your use. The credit limit is based, in part, on your credit history. Credit Report: A report of your credit history. A credit report is a system lenders use to decide whether or not to give you credit, or a loan, and how much interest they will charge you. Your credit report is a record of how much you owe and how well you pay it back. A credit report will include such information as where you live, your work history, your repayments on loans, whether youÕve filed and been discharged from a bankruptcy, and if you have any tax liens. Credit Score: A number that represents the credit-worthiness of a person. Often a FICO (Fair, Isaac and Company) score is reported on your credit report. The higher the number, the better your credit score. Credit Union: A non-profit, community-based financial company that provides its members with checking and savings accounts, loans, financial education, access to debit cards and online banking. What is Financial CapAbilities? The specific ways you think of your own financial capability will be based on your expectations and past experiences. Financially capable is characterized by confidence, a long-? term outlook, and self-?regulation in the use and management of financial services. These Abilities can include: Ability to track finances: ¥ I know how to budget, follow a household financial plan and monitor progress toward my goals. ¥ I manage diverse financial services, formal and informal, to help me use my resources effectively. Ability to plan ahead: ¥ I use financial services to achieve future goals. ¥ I have a savings goal, and I use financial services to build my assets. Ability to exercise self-?regulation: ¥ I know my financial limits and how to stay within them. ¥ I am in control of my use of financial services; financial services do not control me. ¥ I can efficiently pay down debt. Ability to understand and mitigate risk: ¥ I use financial services to help me reduce my exposure to the unexpected. ¥ I am aware of the consequences of poor financial decisions and am motivated to avoid them. ¥ I know my rights and responsibilities as a financial services consumer and how to exercise them. ¥ I am alert to avoid financial scams and able to identify and resist high-?pressure sales tactics. Ability to stay informed about financial services: ¥ I am informed about multiple financial services and can confidently select the option thatÕs right for me. ¥ When I need more information about financial services, I know how to get it. Build your Ability More to come in our next NewsLetter The Pledge Page 11 Puzzle Page Find Differences Between the SnowPeople! Circle them. How many did you find? ______ (Intentionally left blanK) Page 12 Count the Acorns How many times can you find the word ÒacornÓ? q d n r o c a g m z d n j l a a c o r n r n e s n r o c a n n n r f y a r r r r r n r o c a n o o n o n r o c a c r o n a n r o c a c r o n o n r o c s q n r n c n r o c a f d r n Page 13 Picture: Unhappy snow person, standing in heavy snow holding snow shovel Picture: Artistic snowflakes WINTER Preparations While the danger from winter weather varies across the country, nearly all Oklahomans, regardless of where they live, are likely to face some type of severe winter weather at some point. Winter storms can range from a moderate snow over a few hours to a blizzard with blinding, wind-driven snow that lasts for several days. Many winter storms are accompanied by dangerously low temperatures and sometimes by strong winds, icing, sleet and freezing rain. One of the primary concerns is the winter weatherÕs ability to knock out heat, power and communications services to your home or office, sometimes for days at a time. Heavy snowfall, paralyzing ice storms and extreme cold can immobilize an entire region. The National Weather Service refers to winter storms as the ÒDeceptive KillersÓ because most deaths are indirectly related to the storm. Instead, people die in traffic accidents on icy roads and of hypothermia from prolonged exposure to cold. It is important to be prepared for winter weather before it strikes. Before Winter ¥ Add the following supplies to your emergency kit Ice melt, Sand, Snow shovels, Heating source with fuel, Adequate and appropriate clothing. ¥ Make a Family Communication Plan ¥ Weather radio (NOAA) ¥ Prior, during and after, minimize travel ¥ Prepare your animals, livestock and pets and minimize cold exposure ¥ Winterize your vehicle by checking antifreeze, battery and ignition, brakes, exhaust system, fuel and air filters, heater and defroster, lights, oil, thermostat, windshield wiper and fluid, and proper tires ¥ Update your vehicle emergency kit with: a shovel, windshield scraper and small broom, flashlight, battery powered radio, extra batteries, water, snack food, matches, extra hats, socks and mittens, first aid kit with pocket knife, necessary medications, blanket(s), tow chain or rope, road salt and sand, booster cables, emergency flares, and fluorescent distress flag ¥ Winterize your home with appropriate insulation, clear rain gutters, repair roof leaks, cut away tree branches, maintain heating equipment, insulate water pipes, verify all heating equipment is vented outside as required, install and verify carbon dioxide detectors. Check your fire extinguisher and make sure all family members know where it is located. During the storm ¥ Stay somewhere safe, Watch for overexertion, Stay informed tune to news, weather radio, Walk carefully on all slippery surfaces, Keep dry, Watch for signs of frostbite and for signs of hyperthermia and Drive if only necessary! If you have to drive, let someone know when, where, and route. For more resources and information visit: http://okacaa.org/programs/weatherization/ http://www.benefits.gov/benefits/benefitdetails/1875 http://www.oge.com/residential-customers/ save-energy-and-money/energyefficiency/pages/ weatherization.aspx Page 14 Picture: Oklahoma sky full of clouds Picture Office of Disability Concerns Seal 2401 NW 23rd St Suite 90 Oklahoma City, OK 73107