Resources

Four people sitting next to a fire pit on the beach

The first R in the MY SCORECARD acronym from the MENTOR program stands for relationships, an essential part of human life.

People who have recently acquired a disability, diagnosis or health condition often face challenges in both existing and new relationships.

The increased need for assistance from a spouse, partner, loved one or personal care assistant can strain these relationships. The individual’s and family’s world can feel turned upside down, and a relationship already facing difficulties may be on the brink of collapse. Families often struggle to balance providing enough support without blocking the individual’s desire for independence.

These health conditions can affect social skills and speech which can make it difficult to relate others or take more time to process questions or requests. Friends and loved ones try to relate to the person like they did before the disability and may not realize that their communication methods must change to match the person’s comprehension level.

After a recent disability, diagnosis or new health condition, many people are unable to return to full-time work or find a job, with some opting for early retirement. Limited mobility, lack of transportation and the need for extra time to complete personal chores can strain existing relationships and negatively impact forming new ones. This often leads to high rates of loneliness, despair and depression.

Negativity, Pessimism and Criticism in Relationships

Negativity, pessimism and criticism create hurtful and painful relationships. No one likes to be around people who exhibit these behaviors.

These traits feed the ego. The ego wants and needs to feel superior to other people. Our egos thrive on negativity, pessimism or criticism to gain strength.

When your ego dominates a relationship, whether with spouses, family members, friends or coworkers, it focuses solely on its desires, ignoring the other person’s perspective. This leads to one-sided conversations and showing little interest in listening to others.

Unfortunately, most people never realize that their behavior is driven by their ego. However, if they were to look beyond the ego’s surface, they would discover joy, love and happiness.

Forming Positive Relationships

Forming positive relationships doesn’t come easily for many people and requires practice. Many factors play into building better relationships, but it ultimately comes down to three principles: nonresistance, nonjudgment and nonattachment.

  • Nonresistance: This means not letting criticism get under your skin. If someone critiques your actions or decisions, resist the urge to react defensively. Instead, respond calmly and thoughtfully, avoiding hurtful exchanges.
  • Nonjudgment: Avoid making accusations or judgments about others. It’s okay to disagree with someone’s actions but direct your comments to the behavior, not the person.
  • Nonattachment: Throughout life, you’ll encounter people with high levels of negativity, criticism and pessimism. The first step in handling these difficult relationships is to recognize that their negativity stems from their ego, not from anything about you. Harsh words are ego-driven. Never attach a critical statement made by someone about you to who you are.

Three Ways to Handle a Challenging Relationship

Removal from the Situation:

The first defense against a toxic relationship is to remove yourself from the situation before it escalates. In relationships that must be maintained, such as with a spouse, partner, child or other family members, over time they will recognize that you will not engage their ego. They will learn that to maintain and grow the relationship, they must use positive, optimistic and objective statements instead of sarcastic or critical ones.

Changing the Situation:

Sometimes, it’s necessary to address the negative or critical comments that make the relationship difficult. This can be done without triggering the other person’s ego by using good timing, gentle expression and personalizing the feedback rather than criticizing. Changing the topic or offering a neutral comment can help.

Accepting the Situation:

If changing the situation isn’t possible, you may need to accept the current relationship while seeking ways to improve it. Acceptance doesn’t mean being a ‘punching bag’; you can still express your feelings positively and constructively.

Tips for Building Stronger Relationships

1. Reflect on Yourself

The first step in improving a negative relationship is to consider if you might be contributing to the issue. Reflect on your actions and words: Are you doing or saying something that triggers a negative reaction in the other person? In long-term relationships, past habits and unintentional statements can increase toxicity. Avoid comparing the present to the past, especially when someone is recovering from a disability or new health diagnosis.

2. The Power of a Smile

Even when you don’t feel well, a genuine smile can positively change interactions. A friendly smile can win over a new acquaintance or improve a relationship with a loved one, as it’s hard to be critical of someone warm and welcoming.

3. Make Eye Contact and Ask Questions

Strong relationships require good eye contact and active listening. Asking follow-up questions shows respect and interest, makes the other person feel comfortable, and fosters empathy and understanding.

4. Focus on the Positive

Amidst widespread negativity, finding something positive to say can strengthen relationships. Optimism, even in difficult times, can improve interactions and relationships.

5. Share Your Perspective Through Stories

Sharing your perspective through storytelling rather than strong opinions is effective. Stories capture attention, provoke emotions, elicit empathy and enhance recall.

6. Limit Screen Time

Screens can be distracting during conversations. Focus on the person you’re speaking with by removing yourself from the TV or having them turn off their devices for a dedicated time.

7. Prioritize Listening

Good relationships require listening as much as, if not more than, speaking. Listening shows interest in the other person and strengthens connections. Remember, “outflow equals inflow” – the more you listen, the more likely you’ll be listened to.

8. Value Silence

If you disagree with someone, sometimes it’s best to remain silent. Silence can prevent escalation, as arguments require two participants. Use the acronym WAIT (Why Am I Talking) to create space between a negative comment and your reaction.

9. Show Gratitude

Never take relationships for granted, especially when someone is helping you through a challenging time. Some people may feel a sense of entitlement because they are the ones with the disability/diagnosis and family members are expected to be supportive. Express gratitude regularly with simple words like “thank you” or “I appreciate everything you do for me.”

10. Be Aware of Negativity

Monitor how often you express negative, pessimistic or critical statements. Increasing awareness is the first step to reducing their frequency and fostering more positive interactions.

Summary

Relationships either make us strong and healthy or wear us down and damage our health but it starts with your actions. Avoid negative behaviors that can drive people away and prioritize good communication. Try these tips to maintain good relationships with family, friends and coworkers and build new relationships.

A man using a prosthesis exercising outside.

June is Get Outdoors Month, and we want everyone to get outside and take advantage of all that nature has to offer! We believe the outdoors should be for everyone! Below, you will find resources for accessible outdoor opportunities like physical activities, adapted sports, parks and more. You can also find out how to be an advocate for better accessibility for everyone and contact our team for any further assistance locating resources. Get outside and get active for your health!

To visit these resources, click the linked bullet points below the organization’s name!

Accessible Trails, National Parks and Neighborhood Parks

National Park Service

American Association of Retired Persons (AARP)

Trail Link

National Park Foundation

  • Accessibility for All Americans Program 
    • Ensuring everyone can access and experience national parks. Securing funds today can guarantee that Americans with disabilities fully engage in the life and ecosystem of our national parks.

All Trails

  • Find Your Outside
    • Helps people explore the outdoors with curated trail maps that include photos, reviews and user recordings crowdsourced from our community of millions of registered hikers, mountain bikers and trail runners in 150 countries. You can search by wheelchair activities.

Trailforks  

  • Trailforks Trail Database
    • A database, map and management system for users, builders and associations. A platform for trail associations to keep track of trail conditions, builders to log work users to discover, plan and share their activities. You can search by adapted biking.

Disabled Hikers

  • Home Page
    • A cross-disability-led nonprofit building disability community and justice in the outdoors. 

Outdoor Recreation and Physical Activity

Cerebral Palsy Research Network

Centers for Disease Control and Prevention (CDC)

Driving to Independence

NorthShore

Muscular Dystrophy Association

Easterseals

Adapted Sports and Fitness

Spaulding Adaptive Sports Centers (SASC)

  • Spaulding Adaptive Sports Centers Activities
    • Spaulding offers year-round programs including in-person sports/recreation option and virtual fitness classes. In-person programs are primarily located in the Massachusetts area (three main regions including Boston metro region, Cape Cod and the North Shore) but all are welcome to attend after creating a profile on their website. Other in-person programs are offered in out of state skiing/snowboarding programs in New Hampshire, Massachusetts, Maine and Vermont! Virtual programs are available to anyone!

Bay Area Outreach and Recreation Program (BORP)

  • Home
    • Find youth and adult sports programs, fitness, outings and more for individuals in the northern California area on the BORP website!
  • Virtual Fitness Programs
    • BORP offers several virtual fitness classes that include activities like strength and cardio training, tai chi and yoga!

Move United

  • Home
    • Move United works with organizations in the United States to provide opportunities for individuals with disabilities to play sports.
  • Sports
    • Get information about adaptive sports programs, equipment and more through Move United’s sports page!

Adapted Skiing

  • Home
    • Find the right equipment for adaptive snow skiing, clubs and accessible resorts and watch informational videos on their website!

Challenged Athletes Foundation

  • Adapted Sports Organizations
    • A comprehensive list of national adapted sports organizations covering a variety of sports and organized by state.

Special Olympics 

  • North American Region Resources
    • Provides year-round sports training and athletic competition in a variety of Olympic-type sports for children and adults with intellectual disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy and participate in a sharing of gifts, skills and friendship with their families, other Special Olympics athletes and the community. 

Outdoors for All Foundation

  • Resources
    • Resources related to recreation, disabilities, organizations, other websites with relevant information and more.

Inclusion Matters

  • Where We Play
    • An inclusive playground directory with locations around the world.

Additional Outdoor Resources

Centers for Disease Control and Prevention (CDC)

  • Parks, Recreation and Green Spaces
    • Be an advocate for better community inclusion and discover what other cities and states are doing to improve outdoor physical activity for all.

Land Trust Alliance

  • Open to All
    • Assists people with disabilities and provides practical ideas for incorporating inclusion into your land trust’s programming and organizational culture.

Wheelmap 

  • Find Wheelchair Accessible Places
    • This map works similarly to Wikipedia: Anyone can contribute and mark public places worldwide according to their wheelchair accessibility. The criteria for marking places is based on a simple traffic light system (Green = Fully wheelchair accessible).

Wheelchair Traveling

  • Find Accessible Places Around the World
    • Works to empower people with limited mobility, their friends and loved ones to access and experience the world of accessible leisure and adventure travel.

Google Maps

NCHPAD Outdoor Videos

NCHPAD Expert Inclusion Specialists (EIS)

If you’re searching for accessible programs or resources, our team of expert inclusion specialists is here to help! The primary way to contact an EIS is through the NCHPAD Call Center. Our Call Center team works with individuals to enroll them in NCHPAD Connect, answer questions about programs or connect them to an EIS for community resources and technical assistance. Our EIS expertise is always free and available 7 a.m. – 7 p.m. Monday-Friday.

To reach the NCHPAD Call Center, call 866-866-8896 or email nchpad@uab.edu.

You can also find out more about the work of our EIS team here!

A yellow background with a paper cutout of a human head with gears turning over the brain area.

Mental Health includes so many aspects of our overall well-being. The way we think, feel, move and act are all impacted by our mind. 

Do you ever ignore your mental wellbeing until you feel angry or sad? Giving your mental health a boost doesn’t have to be reserved for when things are going wrong. Mental health exercises can and should be done any time. They help you stay refreshed and have a clear and positive outlook in life!

Here are some helpful resources to support mental health and wellbeing provided by the NCHPAD GROWTH team!

Organizations:

  • CDC Mental Health
    • The Centers for Disease Control and Prevention (CDC) have created several helpful resources for coping with stress, such as mental health quizzes, information for mental health in teens and children, and more!
  • Mental Health America
    • Mental Health America is a leader in creating positive change for individuals with mental health conditions. With helpful videos, toolkits, data and podcasts, you can learn more about the facts behind mental health!
  • National Alliance on Mental Illness (NAMI)
    • NAMI is a great resource to learn more about a broad range of topics, including mental health conditions, warning signs, support groups and advocacy.
  • National Institute of Mental Health
    • NIH covers a wide range of mental health topics with helpful information to help individuals understand certain mental health conditions, treatments, symptoms and more.

Apps:

  • Insight Timer
    • Insight Timer is an app that covers a wide range of helpful resources about sleep health, mental health and more. With informative blogs about mental health and guided meditations, Insight Timer could be a great app to try in your daily routines!
  • Headspace
    • Headspace is an app with content primarily focused on mindfulness, mental health and sleep. They also have helpful articles and resources that cover many different topics within mental health!

Meditation:

  • 6 Mindfulness Exercises That Each Take Less Than 1 Minute
    • This blog from Psychology Today covers several mini-mindfulness exercises to try from anywhere and on your own time. These exercises are not like typical meditations, instead, they focus more on being present and noticing physical and emotional feelings.
  • Mindful.org
    • Mindful has many great articles about guided meditations, meditations on podcasts, links to courses and helpful guides.
  • Mindfulnessexercises.com
    • Mindfulness Exercises is loaded with great mindfulness and meditation practices with videos and audio on the site. Receive guided meditations from several different meditation experts and learn more about the science behind meditation in their articles.

Podcasts:

  • Mindfulness Mode by Bruce Langford
    • This website has good links to podcasts and mindfulness, meditation and sleep. You can also find links to books about mindfulness, downloadable tools and helpful blogs!
  • Tara Brach
    • Tara Brach is a well-known mindfulness meditation teacher who focuses on spiritual practices and having full engagement with our world. The website has links to mindfulness courses and communities with other individuals who are interested in mindfulness!

Tools:

  • Mental Health Screeners
    • These online screening tools come from Mental Health America to determine your symptoms and help lead you to a further discussion with your healthcare provider if needed. You can also learn more about several different mental health conditions as well.
  • CDC Explore Your Emotions
    • Our mind is a complex thing! Sometimes we may feel certain feelings and not know why. The CDC’s Explore Your Emotions resource can help you take a deep dive into what you’re feeling and what you can do about it and get helpful resources along the way.
  • Psychology Tools

Finding Treatment

Searching for treatment, a psychologist or a psychiatrist? Visit these sites and find local support.

A woman using an electric cart to shop for fresh produce at a farmers market. A man is handing her a bag of produce.

We all know that mental health is important, but we often don’t prioritize it compared to our physical health. Sometimes we don’t take the time to manage our thoughts and emotions until we reach a breaking point. Frequent mental distress can also be more common for individuals with a disability compared to those without disabilities.

May is Mental Health Awareness Month, and there is no better time to commit to a new start for improving your mental health.

Better overall mental well-being can start with simple practices. These simple tasks can be done every day, and you don’t need special equipment. You can try these from anywhere! 

Kalani Upshaw, NCHPAD Community Health Educator, shares these 10 things you can do every day to improve your mental well-being.

  1. Take up a relaxation practice: Spend a few minutes each day practicing mindfulness, meditation or deep breathing. This can help reduce stress, enhance concentration and promote a feeling of calmness and peace.
  2. Exercise regularly: Physical activity releases endorphins, chemicals in the brain that act as natural painkillers and mood elevators. Even a short 30-minute daily exercise can significantly lift your mood and reduce stress.
  3. Get enough sleep: Sleep has a profound impact on mental health. Aim for 7-9 hours of quality sleep per night to help regulate mood and improve brain function.
  4. Eat a balanced diet: Nutrition plays a key role in brain health. Eating a diet rich in vegetables, fruits, lean proteins and whole grains can help boost your mood and energy levels.
  5. Connect with others: Social interaction is vital. Spend time with friends or family, or foster connections by joining a club or group that interests you.
  6. Take breaks: When you’re feeling overwhelmed, take short breaks throughout the day. A few minutes away from your workstation or daily routines can help clear your mind and reduce stress.
  7. Set realistic goals: Set achievable goals each day, even if they’re small. Achieving goals gives a sense of satisfaction and purpose.
  8. Practice gratitude: Take a moment each day to think about the things you’re grateful for. Keeping a gratitude journal can shift your focus from what’s lacking to what’s abundant in your life.
  9. Limit screen time: Excessive use of screens can negatively impact mental health. Try to reduce the time spent on digital devices, especially before bedtime. 

Seek professional help when needed: If you’re struggling with mental health issues, don’t hesitate to seek professional help, especially if it has been going on for two weeks or more. Talking to a therapist or counselor can provide support and strategies to manage your mental health effectively. 

Your body and mind are closely connected. When you look after one, you often help the other too. Try these tips and hopefully you will notice a positive impact on your mental and physical health!

Here are some helpful resources from our team to help fulfill these practices:

Relaxation Practices: Our Guided Meditations on YouTube.

Exercises: Our Inclusive Home Workout Playlist on YouTube.

Searching for a way to connect with others? Learn more about NCHPAD’s Coffee Club!

To learn more about NCHPAD’s 6-week mental wellness promotion program, Growing Resilience Out of Wellness and Thoughtful Habits (GROWTH), visit this link.

A female medical worker holding a chart and showing it to a male using his wheelchair.

Mental Health Awareness Month is a crucial time to acknowledge the importance of mental health for all. But awareness alone isn’t enough. Millions of individuals with disabilities experience the path to mental well-being filled with a variety of systematic, physical and attitudinal barriers. Promoting inclusion and accessibility is important for all healthcare providers, including those who focus on mental health, such as counselors, therapists, social workers and more.

This year, let’s move beyond awareness and focus on centering accessibility and promoting inclusion in and out of your mental health practice. Seeking mental healthcare should be a supportive and empowering experience, and this requires a commitment of action from mental health providers. Here are actionable things you as a provider can do to start promoting inclusion and create a welcoming and accessible environment that ensures everyone has a path to participate in mental healthcare.

1. Assess Your Practice’s Accessibility: Start by evaluating the accessibility of your practice’s physical space, digital platforms and communication methods. Identify any potential barriers, whether physical or digital, and prioritize making necessary adjustments to ensure individuals with disabilities can access your services with as few obstacles as possible. This may involve investing in new physical accommodations like automatic doors or more accessible parking spots, as well as offering alternative formats for intake forms and documentation.

2. Cultivate a Welcoming Environment: Equip yourself and your staff with ongoing disability education and training to learn more about the spectrum of disability, historical barriers and best practices for providing better mental health support and services. This helps foster a culture of respect and understanding, ensuring everyone feels valued and supported while engaging in mental health services.

3. Create Financial Assistance Programs: Recognize that individuals with disabilities may face financial barriers to accessing mental healthcare. Offer sliding-scale fees, payment plans or financial assistance programs to make services more affordable and accessible.

4. Community Resources Directory: Compile a directory of community resources and support services that are accessible to individuals with disabilities. Include information on accessible transportation options, support groups, advocacy organizations and disability-specific services to help individuals navigate available resources.

5. Provide Accommodations: Be proactive in offering accommodations to individuals with disabilities to ensure better access and support. This may include providing sign language interpreters, offering assistive devices or adjusting appointment scheduling to be remote vs. onsite. 

6. Encouragement of Self-Advocacy: Empower individuals with disabilities to advocate for their own needs and preferences within the therapeutic relationship. Encourage open communication and provide opportunities for clients to express their concerns, ask questions and assert their boundaries.

7. Promote Participation: Adapt resources and approaches in sessions to encourage active engagement from individuals with disabilities. Offer resources and materials in accessible alternate formats and adjust communication styles to center participation. By prioritizing accessibility, you empower people with disabilities to take an active role in their mental health journey, which will help foster a sense of agency and ownership in the therapeutic process.

8. Collaborate with Disability Organizations: Reach out to local disability advocacy organizations to establish partnerships and collaborations. Learn from their expertise and insights and work together to identify and address systemic barriers to mental health care access.

9. Seek Feedback and Adapt: Continuously seek feedback from individuals with disabilities about their experiences with your mental health services. Use this feedback to identify areas for improvement and make necessary adaptations to provide accessible and inclusive services.

10. Advocate for Policy Change: Advocate for policy changes at the local, state and national levels to improve access to mental healthcare for individuals with disabilities. Support initiatives that promote disability rights, healthcare accessibility and funding for disability-specific mental health programs.

While these tips provide a starting point, as healthcare providers, it’s crucial to ensure that mental healthcare is inclusive and accessible to individuals with and without disabilities. This month, make a commitment to take action in your own practices to diminish barriers to mental healthcare and enhance access and participation with people with disabilities.

To deepen your understanding and implementation of inclusive practices, consider enrolling in our new 1-hour online training on Disability Education for Healthcare Providers. This training offers a comprehensive exploration of the barriers individuals with disabilities face when seeking healthcare, emphasizing the pivotal role of inclusion. By participating, healthcare providers will gain invaluable insights to foster an environment where every patient’s needs are met with empathy and understanding. Additionally, you’ll explore initiatives by NCHPAD aimed at improving access to health and wellness for individuals with disabilities, empowering you to actively engage and contribute to these efforts. Together, let’s work toward building a more equitable and inclusive mental healthcare system that serves everyone.

A white graphic with the words "Coach Dave" and the NCHPAD logo below it. The "O" in coach is the Exercise Connection logo.

“Coach” Dave Geslak has been a NCHPAD partner for many years and collaborated with our team starting in 2015 to create the highly popular video series, “Improving the Lives of Individuals with Autism Through Exercise.” Get to know more about him and his team at Exercise Connection!

Tell us about your background and education. Where are you from? How did you become “Coach Dave”? (What’s your career path that brought you to where you are today).

I graduated from the University of Iowa in 2003 with a degree in Health Promotion and as an ACSM Certified Exercise Physiologist. My career in exercise began as a student assistant strength & conditioning coach for the University of Iowa Football Program. While I thought about pursuing collegiate strength & conditioning after I graduated, I left Iowa Football and moved back to the Chicago area. Nine months later, I co-founded a gym, Right Fit, that was intended for children.

In 2004, autism research, programs and interventions were getting a lot of attention, but exercise was largely ignored. It was only the chance encounter (see “success story” question below) between myself and Joseph’s father, that started me on my mission to use exercise as an important intervention for those with autism. When asked to help Joseph, I had no resources other than my exercise background and passion to teach exercise to everyone. If I was going to have a greater impact on this community, I recognized that I needed more education in autism.

In 2008, after four years of teaching exercise to those with autism individually and in small group sessions, I left Right Fit to dedicate myself to improving the lives of those with autism. I became a para-educator at a therapeutic day school for children with autism (Giant Steps). This position is arguably the toughest job in special education. Despite these unexpected difficulties, I was able to experience all therapies (e.g., physical, occupational, speech, behavioral, etc.) that those with autism routinely go through. This experience taught me how this community learned best.

I spent a year as a para-educator until the school asked if I would start their first fitness program for kindergarten through high school students – the entire school! I accepted the challenge. I had an average class size of 12 students (more students per session than any class or therapy session in the school). Using the knowledge gained as a para-educator, and my previous exercise experience, I created a structured and visual exercise program that worked. In a few months, the program received a grant, and all students (of various ability levels) were making the exercise connection.

In 2010, I made the very difficult decision to leave the kids and the program I created, but I was eager to help many more. I started Exercise Connection with the goal to educate autism parents and professionals about the role exercise should play in the lives of those with autism.

To try to shorten this journey, Exercise Connection has had the blessings of working with and lecturing at universities, visiting nine countries to help organizations, parents and professionals, and created a partnership with the American College of Sports Medicine (ACSM) – along with this collaboration with NCHPAD. I am also a published author and continue to write journal articles for several publications.

I became known as Coach Dave after walking into one of my client’s homes to give him a fitness assessment. The client, Brody, who is minimally verbal, tip-toed around his dining room table and glanced at me and said, “No more doctors.” I was taken aback at his comment because I was not dressed in a white coat nor has any client ever said that to me. My immediate response was, “I’m not a doctor, I’m Coach Dave.” And the name has stuck ever since – it’s also trademarked!

How long have you worked with people with disabilities?

Next year (2024) will be 20 years since I started working with my first client on the autism spectrum.

How long have you worked with NCHPAD?

I believe it has been almost 10 years since I first met Amy Rauworth and Allison Tubbs (I like to call them the “A-Team”) and soon after created the Autism Exercise Video Series, which officially launched on NCHPAD YouTube Page on August 3, 2015.

Share a success story. Tell us about a time when you saw something you taught working in the life of a participant/student/etc.

Well, it was definitely my first client with autism. In 2004, I was training a father with a 9-year-old son diagnosed on the autism spectrum. During a session, with both angst and hesitation, the father asked, “Could you teach my son Joseph, sports? Also, he can’t skip.”

Nine months earlier, I had graduated from the University of Iowa with a degree in Health Promotion, but autism was not mentioned in any of my studies. Aside from hearing the word “autism” in the media, I had no idea how exercise impacted children, adults and their families.

While I knew sports could promote physical activity, I decided to focus on teaching Joseph to skip. I knew this fundamental movement pattern would be a building block to his athletic ability and motor planning. More importantly, I knew it would impact his cognitive development. I recalled reading a research study during my undergraduate classes that concluded that when a neurotypical child could skip, they demonstrated better reading abilities than a child who could not skip.

To teach Joseph, I tested the same strategies and protocols that I learned teaching strength & conditioning to freshmen at the University of Iowa Football program. I was responsible for breaking down Olympic lifts to teach proper technique, reduce the risk of injury, and improve the athletes’ strength and performance on the field.

My experiment worked. I was able to teach Joseph to skip in four 1-hour sessions. Joseph smiled from ear to ear, but what took me aback was that his parents were in tears. What I didn’t realize was that Joseph’s family, therapists and physical education teachers, had been trying to teach him to skip for years. They had almost given up.

This gave Joseph and his parents a newfound confidence and optimism. At the same time, my life and career path were forever changed.

What hobbies do you have outside of work?

I guess I am a triathlete, but no Ironman stuff. I compete in sprint triathlons when my body allows it – I’m starting to get old! I also like to cook. But I think my #1 hobby is being a caddie for my 7-year-old son, Andrew.

What’s your favorite food, favorite thing to cook or favorite recipe?

My favorite food is probably tacos or something Mexican. I love cooking and one of my favorite things to cook (because of the response) is eggplant parmesan. And yes, I of course make my own sauce. During the fall and winter in Chicago, I also love trying to make a variety of soups.

Sheet pan with roasted veggies

For individuals with diabetes, reducing your carbohydrate intake and managing your blood sugar levels are vitally important. But what healthy meals are out there that are also delicious? For National Diabetes Month, we’ve got three sheet pan meals that are easy to make, packed with flavor and contain well-balanced portions – a key component to keeping a healthy blood sugar level.

“Lifestyle modifications like eating consistent meals throughout the day and having a balanced plate can help manage blood sugar,” says Lacey Gammon, NCHPAD Nutrition Coordinator. “A balanced plate contains half non-starchy vegetables, a quarter lean protein and a quarter whole grains or starchy vegetables.”

Each of the following recipes contains a balanced plate, including healthy carbohydrates, fats and protein. “When managing blood sugar, it’s important to choose carbohydrates that are fiber-rich, like whole grains, fruits, vegetables, peas and beans,” says Gammon. “Pair carbohydrates with a protein and healthy fat to slow digestion and prevent high spikes in blood sugar.”

All three recipes are also perfect for meal prepping, so try them out – and save the leftovers for later in the week!

Watch the video and check out the ingredients & instructions for each recipe below.

1) Chipotle Chicken, Veggies, & Brown Rice | Ingredients & Instructions

  • 2 chicken breasts
  • 2 cloves garlic
  • 1/2 teaspoon ground cumin
  • 1 medium lime, halved, divided
  • 2 large sweet potatoes (about 2 pounds total), peeled and cut into 1-inch chunks
  • 1 medium red onion, cut into 1-inch chunks
  • 1/4 cup coarsely chopped fresh cilantro
  • 1 can of chipotles in adobo
  • Cooked brown rice, for serving
  • 1.5 cup broccoli
  • 1.5 cup sugar snap peas
  • 2 tablespoons olive oil
  • 1 tablespoon honey
  • 1/2 teaspoon kosher salt
  1. Place the juice from the chipotle chiles, adobo sauce, garlic, oil, honey, cumin, juice of half a lime, and salt in a bowl and stir until smooth.
  2. Place the chicken, sweet potato, and red onion in a large zip-top bag and pour in the marinade. Seal the bag and shake to evenly coat everything in the marinade. Refrigerate for at least 2 hours or up to overnight.
  3. Arrange a rack in the middle of the oven and heat to 425°F.
  4. Place the chicken and the vegetables on a rimmed baking sheet. Roast until the chicken registers 165°F in the thickest part of the meat not touching bone and the vegetables are tender and lightly caramelized, 30 to 35 minutes.
  5. Remove from the oven, squeeze the remaining lime half over the chicken and vegetables, and let cool for 10 minutes. Sprinkle with the cilantro and serve over rice.

2) Lemony Salmon, Asparagus, and Carrots | Ingredients & Instructions

  • 4 (6-oz.) skin-on salmon fillets
  • 2 cups cooked brown rice, for serving
  • ¼ cup low-fat, non-flavored yogurt
  • 2 tablespoons Dijon mustard
  • 1 tablespoon chopped fresh dill
  • 1 ½ teaspoons lemon zest (from 1 lemon), divided
  • ¾ teaspoon kosher salt, divided
  • ¾ teaspoon black pepper, divided
  • ¼ cup panko (Japanese-style breadcrumbs)
  • Cooking spray
  • 1 pound fresh asparagus, trimmed and halved crosswise
  • 1 (8-oz.) pkg. small carrots with tops, cut lengthwise
  • 2 tablespoons of olive oil
  • Lemon wedges
  1. Preheat oven to 425°F. Line a rimmed baking sheet with parchment paper. Place salmon, skin side down, on half of prepared baking sheet. Stir together yogurt, mustard, dill, 1 teaspoon of the lemon zest, 1/4 teaspoon of the salt, and 1/4 teaspoon of the pepper in a medium bowl. Spread over salmon fillets in an even layer; top with panko, and press lightly to adhere. Spray with cooking spray.
  2. Toss together asparagus, carrots, olive oil, and remaining 1/2 teaspoon each of lemon zest, salt, and pepper in a medium bowl. Place vegetables on empty side of baking sheet. Bake in preheated oven until salmon is cooked through and vegetables are tender, about 18 minutes. Serve with brown rice and lemon wedges.

3) Southwestern Sweet Potato & Black Bean Bowl | Ingredients & Instructions

  • 1 cup microwavable brown rice
  • 2 cans chickpeas
  • 2 cups broccoli
  • 3 cups sweet potatoes, chopped into 1” pieces
  • ½ red onion, chopped into 1” pieces
  • 1 (15 oz) can black beans, drained, rinsed and towel-dried
  • 1 tbsp olive oil
  • 1 tsp cinnamon
  • 1 tsp paprika
  • 1 tsp cumin
  • ½ tsp onion powder
  • ½ tsp garlic powder
  • ¼ tsp salt
  • Freshly ground black pepper to taste

Optional toppings:

  • Sauce: honey-chipotle or honey-dijon from previous recipes
  • Avocado
  • Salsa
  • Hot sauce
  • Cilantro
  • Lime juice
  1. Preheat the oven to 400 degrees.
  2. Cook the rice according to package directions
  3. Combine the broccoli, sweet potato, red onion, chickpeas, black beans, olive oil and spices in a large mixing bowl. Gently toss together until evenly coated.
  4. Line a baking sheet with parchment paper. Bake in the oven for 30 minutes, stirring once halfway through.
  5. To serve: place the roasted sweet potatoes and beans over a bed of brown rice. Top with any of the optional toppings. Enjoy!

Stirring ingredients to make delicious soups, sauces and healthy meals can be easy with these tools and tips!

These universal tips and tools support safe and accessible food preparation while you are stirring in the kitchen. Watch the video below or keep reading to learn more:

  1. Accessible kitchen levels. Try to bring your bowl to a lower level. You could use a lower table or even your lap!
  2. Bowl stabilizer. A bowl stabilizer can go under any bowl to make it nonslip. Place the tool under the bowl to keep it steady while stirring.
  3. Automatic stirrer. Place an automatic stirrer in a pan or a pot and turn it on. It will be begin to automatically rotate!
  4. Hand mixer. A hand mixer, which is a hand-held blender with attachments, is optimized to whisk, mince, and in this case, shred!
  5. Immersion blender. An immersion blender can be used to whisk eggs, mix pancakes, or even puree soup! The head is interchangeable with attachments that can purée.
ADA Header

The Americans with Disabilities Act or ADA was a huge win for human rights. It bans discrimination against people with disabilities across all public areas of life, including jobs, schools, transportation, restaurants and more. This law was only passed in 1990, but it’s set the groundwork for future social changes regarding access.

And every July is an opportunity to reflect on the history that got us here and assess the work that’s still necessary. Watch our video we created in 2021 to commemorate the 31st anniversary of the passage of the ADA – or keep reading below to learn more.

Three important milestones have happened since the ADA passed on July 26, 1990.

The first is the 1990 Capitol Crawl. At this point, the ADA had passed the Senate but stalled for several months with a congressional committee. Thousands of fed-up activists gathered outside of the Capitol building to begin their protest with the Wheels of Justice Campaign.

People left their walkers, wheelchairs and crutches to crawl the 78 marble stairs of the U.S. Capitol’s west front. The following day, over 100 people were arrested for refusing to leave. This protest brought attention, political, pressure and urgency for the signing of the ADA, which passed four months later.

The next milestone was the Olmstead Act in 1999. Two women with mental illness and developmental disabilities were professionally deemed fit to transition from institutional state hospitals to a community-based program. Community care would provide better support in addition to daily living skills. In this case, and many cases like this, the transition was indefinitely postponed, and the women remained in hospitals for several years after the request. After a lawsuit was filed under the ADA, the women were eventually placed in community care.

Forcing a person to remain in an institution when community care is more appropriate was now legally considered discriminatory, unjustified segregation – and a violation of civil rights. This Supreme Court decision broadened the ADA to include mental illness as a disability. That now meant protecting rights, freeing thousands and allowing a healthier alternative for families in need of assistance.

The third milestone occurred with the ADA Amendments Act of 2008. There were many cases where the Supreme Court limited who could identify as a person with a disability under the ADA. This left many people legally unprotected and exposed to discrimination. After years of cases like these, disability and business communities joined to work on the language for a new standard. The clarified laws were introduced in July and signed by September. These amendments restored legal intent and pushed to further submit Congress’s stance. It
made disability much more inclusive and now protects a lot more people.

The hope is that our laws will continue to evolve and support the rights of all people with disabilities at every intersection.

Want to learn even more? Check out our video playlist from the ADA’s 25th anniversary.

Group of older adults sitting in a group exercise class

This is the first blog in a three-part series on exercise and balance, presented with our friends at Allard USA. Please note that if you have severe balance problems or have been losing your balance more often recently, see a healthcare provider before you get started with these exercises.

Balance exercises can not only help you improve your balance but also increase your confidence in exercising and activities of daily living. Including some balance training with your other daily or weekly exercises is also a great way to prevent injury and maintain independence.

What we call our sense of balance is actually a complex combination of multiple body systems working together. Balance is our ability to move and stabilize our center of mass (head to hips) on top of our base of support (hips to feet).

Loss of balance happens when one of those is displaced in relation to the other. When we lose our balance, our visual (gaze stability), vestibular (inner ear fluid) and somatosensory (spatial relationships) systems become flooded with information. In short, you might fall. But you can improve your balance with practice.

“To optimize our ability to improve balance, we must be consistent and deliberate in our practice of balance,” says John Reams, NCHPAD Exercise Physiologist. “Consistency and repetition will improve our ability to stabilize our body position in those moments when we feel out of balance. This is what some people call muscle memory, but it’s really just consistency and repetition.”

A good way to start testing and improving your balance is something called “faces of the clock” weight shifting.

Here’s how it works:

  1. Start from a stable position where you can stay focused and “in the moment.” This can be seated or standing.
  2. Imagine your body is positioned at the center of a clock.
  3. Start by moving your torso and hips toward and away from each number on the clock, then include each of your limbs independently. The goal here is to challenge the distance over which you can shift your weight without losing control.
  4. Try this 10 minutes a day up to 6 days a week.