Visionary Voices Interview Earl Duff June 26, 2013 23:59:22:04 – 23:59:46:20 L. My name is Lisa Sonneborn and I’m interviewing Earl Duff in Phoenixville, Pennsylvania on June 25th, I think? E. 26th! G. Yeah. L. Thank you, on June 26th. Where’s June going? G. They all go by so fast. L. They do, they do. And also present is our videographer Ginger Jolly and Earl, do we have your permission to begin the interview? E. Yes. 23:59:47:03 – 23:59:58:21 L. Would you mind telling me when and where you were born? E. I was born in Abington [PA], in 1945. Chapter One: Early Career 00:00:33:25 – 00:01:01:07 L. When you were growing up in Abington do you recall having interactions with anyone in the community who had disabilities? E. Not really. We had a Down Syndrome student at my elementary school. This is when 1st through 6th grade that was in a special class. It wasn’t integrated in with the other people. That I can recall that was the only instance. 00:01:02:00 – 00:01:07:20 L. Did you have any members of your family or any opportunity to interact with folks? E. No, not really. 00:01:08:00 – 00:02:17:11 L. So what kind of work did you plan to pursue when you were a young man? 1 E. Well, I started out going for a degree in history. My specialty was ancient history, thinking that I would wind up teaching and um I got the bachelor’s degree in ancient history and then I went on to get a Master’s degree in education. Um, and this was always during the time of the Vietnam war and everything so it was a time of big turmoil and uh, I wanted to pursue my education before I got drafted because that was in everybody’s mind at the time; that you’d be drafted. So I wanted to do that until I finished. L. And were you drafted or did you wind up teaching? E. No, no, no. I got a job after I got my Master’s Degree then the war ended. 00:02:18:00 – 00:03:42:16 L. And what was the job you got after you earned your degree? E. I got a teaching job in Philadelphia school district teaching 8th grade World History and I only lasted a year. I found it very, um, very much different than teaching the subject I loved and was interested in and it was more a disciplinary job I had in the school I was in. I was in Olney High School and it was very difficult. It was not what I wanted to do and so I was unemployed for a while. And then I responded to an ad at the Philadelphia association for retarded children, which is what they called it then, PARC at their work training center in Westmoreland Street. And this was more in line with my Master’s degree training which was basically in learning theory. And I was fascinated with learning theory during the training at Temple. Uh and uh got the job as a vocational evaluator at PARC and that’s when I first was introduced to the learning disabled. 00:04:12:00 – 00:04:26:10 E. I got the job as the vocational evaluator at PARC and um that’s when I met my colleagues that I’m still associated with today and this would have been back in 1969 I think. 00:04:39:27 – 00:06:02:08 L. You said that you were doing vocational rehabilitation. Is that something that you were trained to do? Did you receive special training? E. I received special training to be a vocational evaluator. The way the system worked at PARC, at the workshop, is the BVR, the Bureau of Vocational Rehabilitation funded each client or trainee as we called the people. As they came in to be evaluated for work or work placement or work training or work skills, wherever they fell in the spectrum. So they went through the department of evaluation first where they had a psychological test. A social history was done and a vocational evaluation and um PARC sent me to New York to the Tower Training Program that had developed a system of evaluating people and job skills and job strengths and that’s where I received my training to become an evaluator. And I was up there about a month and in fact they asked to hire me… I may have moved to Manhattan but I didn’t. I came back. 2 00:06:03:13 – 00:06:37:10 L. So I’m curious about the types of vocational training you were doing for folks. Having people working in the community, was that a new idea at the time? E. Um, I don’t know. It was uh I know that JVS, the Jewish Vocational Service was doing training too. I mean evaluation and PARC had been doing it. I replaced someone who left so I just fell into the role. I don’t know the history of how long it had been done. 00:06:37:25 – 00:08:41:00 L. What kind of community placements were you able to find for folks? E. We um... there was a placement counselor in the training center and after we would have a meeting after the evaluation phase we would send people into the workshop and recommend people for job placement if they were that ready already or recommend certain training skills be strengthened while in the workshop. In the workshop, of course, you were limited to sort of production line work but of course there was janitorial work and kitchen work. There was a full cafeteria there so you could give people who had strengths in certain areas experience and evaluate them even further to see what their skills were and Shirley Scott was the placement counselor and she was very good at developing jobs in industry for people and between her and I we came up with the idea of sending, I guess we called it job coach. I would go out on the job with the person who was placed and stay a week or two, whatever the employer was comfortable with for me to be on the job with the person to help them and they really appreciated having the extra help of training the person the job without having to do it themselves. And that worked out a number of times. Um, and then I would phase myself out and be there less frequently. And hopefully the person would then succeed on the job. We had some really good success with some things come into my mind. We placed one person at the Philadelphia Navy Yard who was deaf and had to measure propeller blades with a micrometer and we had to teach him how to use the micrometer and he did a really good job and went on for further training that they offered on the job training and really was quite a success. 00:08:41:20 – 00:08:49:05 L. Did you enjoy the work? E. Oh yeah. Yeah this was, this was a very enjoyable; much better than teaching history. Chapter Two: Three Musketeers 00:08:49:29 – 00:11:18:15 L. All in all, how long did you work with PARC? 3 E. I was there 11 years and during that time period, um, the whole Pennhurst, um, situation came on the news. I remember John Facenda who was a TV reporter reporting it and um then we would hear about different uh rulings that were being made by Judge Broderick and there was no programs to replace Pennhurst at the time but we were learning this as it happened. It’s hard to put it back into words now but um, uh one of the people that worked with me at PARC was now working in a base service unit so this would have been around 1971 or so and um, we were meeting weekly at that point. Uh I have to go back someone came to PARC once a week. His name was Sam Scott and he taught the deaf clients at the work training center sign language. Uh, another handicap, deafness, had this whole history in that time period where people were being taught oral tradition or oral communication instead of manual communication and we were in favor of the manual communication side of things so people could learn to communicate and then learn a language. A lot of the, um, mentally retarded residents or clients at PARC didn’t have any language. They didn’t communicate in sign language. They lived at home with hearing parents and really needed a language. And they picked it up quite quickly and he would come once a week and teach staff and clients that were deaf, sign language. Well he and another evaluator and myself got together, Carol Meshon was the other evaluator and we started having a Tuesday night meeting. Meeting deaf people in the community, deaf people that had social workers that came from Byberry or other institutions and we met once a week to see what we could do to help them. 00:12:06:00 – 00:15:02:27 L. You mentioned two colleagues who you have had a long professional relationship with; Sam and Carol? E. Yes. Sam Scott and Carol Meshon. L. Can you tell me a little bit about them, starting with Sam? E. Sam was again coming to PARC [Philadelphia ARC] once a week and that’s how I met him; teaching sign language to the trainees that were at the PARC training center. Um, he was, his parents were deaf and he was working uh in several places at the time doing the same sort of thing using manual communication to help people learn communication skills. These were deaf people who were limited in their communication skills. He went to Pennhurst once a week and um, organized… identified and then organized all the deaf residents at Pennhurst into one unit then taught the staff and residents there manual communication. Uh he went to Byberry once a week and did the same thing there. Uh and then he also had um clients he actually saw in his own home uh to do uh counseling with and was paid by the Bureau of Vocational Rehabilitation because these were people who were uh looking for employment and BVR was helping them and Sam was part of what whole package of them learning skills so they could have a job. Excuse me. And um that’s how I met Sam. Carol was actually working at PARC in the evaluation room when I got a job there. Um she was one of the other evaluators. She had also had the training uh that I had mentioned that I had had. Um, and she also had training, I don’t really know… I know it was in Menominee, Wisconsin that PARC sent her to be trained. Um, she was also, um, I forgot what my train of thought was. Oh Carol, yes, Carol really didn’t have the background in the area. She had a degree in fine arts but uh I guess you could say she was an activist of the sixties. She was in many 4 marches and so she was someone who was always interested in um helping people and uh, I guess we were all young and idealistic at the time in the sixties. So that’s how we met, at PARC. 00:15:03:25 – 00:16:52:10 L. So you were talking about some of the folks that you were dealing with who may be carried a dual diagnosis of an intellectual disability as well as being deaf. I’m curious you said you were teaching them manual communication or sign language. Was that something that had not been offered to them previously? E. Yes, most of the deaf people that are classified as mentally retarded never had manual communication. If they were lucky enough to go to the Pennsylvania school for the deaf, and I'm saying lucky because most of them didn’t have that experience, they were taught in an oral tradition. It was actually not allowed to use sign language on campus. Everybody did, you know, when it wasn’t in front of the classroom but it was frowned upon as the way of teaching back then. Um, and so we were sort of opposed to that and there was a whole debate of the oralists versus the manualists. But um the sign language we taught the trainees at PARC was very elemental. We had a build up just identifying words and we did it through games and things like a picture of an apple and then you do the sign for an apple. Give me the apple, you know. It was very basic but it was amazing how much people learned that quickly through the manual communication where the oral tradition, they really, um, when they came to PARC often the history was oh he sits at home and watches TV and doesn’t do anything was what parents would tell us when they would come in for their initial interview. 00:16:52:15 – 00:18:41:12 L. I wonder if you could tell me more about that. I wonder what life would have been like for an individual without having that ability to communicate with family or with folks. E. They would sit at home and watch TV. Um, we had, these are adults we’re talking about, people in their twenties, thirties, forties who were still living at home with their parents and not working and maybe getting into trouble. Lots of deaf people have a history of getting into trouble. They weren’t part of the deaf sub culture because they did no manual communication. Um, they were mentally retarded in many cases but sometimes, I think, they were functionally retarded because of the lack of language. Um, we felt if they could learn a language then they could learn English because the deaf people we knew, who were normal deaf people, didn’t really think in English. They think in sign language or in uh, not in English. If you try to think of how you think, you're thinking in English or in a language. Uh, and these folks didn’t have that um ability. They didn’t have that freedom to think in an expressive language and being able to express their thoughts. It’s still for the clients I work with now, the hardest thing is to express a thought for the deaf clients that we have. Um, you know driving a car, cooking a meal, things like that but actual thoughts are difficult when you don’t have that language that you grow up with. 5 00:18:42:05 – 00:20:12:25 L. You had mentioned the Tuesday night meetings where folks gathered to go a little further learning how to communicate manually and I'm wondering if you could tell me a little bit more about the meetings like the types of folks who would attend. E. Well we met on Tuesday nights. We didn’t have any organization. It started off as a social thing to teach sign language to certain clients, to provide guidance to families that had deaf children. We would have parents who had a deaf child and didn’t know what to do and because Sam was a part of the deaf sub culture because his family was deaf, he knew a lot of people and so through word of mouth they said go see Sam Scott, you know. And we would have clients from PARC come. We would have client’s families come. Um, people from Byberry came with their clients. These were all people that, um, needed some sort of help. Uh and this was the voluntary thing. We just did what we could do through the social interaction of learning sign language. That was sort of our tool to provide the help and uh we did that for a couple of years. 00:20:13:10 – 00:20:52:01 L. Where the meetings exclusively about learning how to communicate or did, um, you address other issues with the folks? E. Well that was the main sort of theme of the meeting but of course other things were addressed. Uh, job placement, uh I in fact placed a few people in jobs based on them coming to that meeting because I would know maybe of some jobs for my, based on my day time job I knew that certain employers might be willing and so we found some jobs for people that came to the Tuesday night meeting. 00:20:54:15 – 00:22:27:24 L. You had said that, um, some folks would come from institutions like Pennhurst or Byberry. They’d be with their social workers. E. Mm-hmm. L. I’m wondering how in turn you reached out to folks in institutional settings or if in fact you did that? E. Well because of Sam again, he was going to Byberry once a weekend, to Pennhurst, and um I believe his name was George Kopechnik, was at Pennhurst and they had built modular units and one of the modular units, uh, had all the deaf people in it. When I first went with Sam to Pennhurst, I would go with Sam to Pennhurst so off and on his visits. The residents were all over the place in many different wards but eventually they were all moved to one unit which was sort of a transition between being at Pennhurst and being out in the group home. The word group home was being thrown about then because this was the time when Pennhurst, uh, lawsuit was going on and um so the staff they were actually thinking, at least on the unit that I became familiar with, of moving people out. Uh and uh they 6 saw Sam as the contact that they could use to maybe move somebody into the community and that’s when we first developed the idea of having a group home for deaf people. 00:22:29:00 – 00:23:49:05 L. Why was it that you and Sam, for instance, um had to work to identify people? Why had they not been identified as deaf when they came into Pennhurst? 00:23:49:07 – 00:25:12:24 E. Well I guess it would seem… it would have been seen as unable to communicate. Um, sometimes the deaf person only responded after being, uh, after observing you doing some movements and if the person had maybe copied your movements that might be a connection there. And uh some people were identified that way, that they understand what you were moving like, if you did this with your hand and they did that with their hand, you know, it was very basic like that to identify people that might be deaf. Um, actually hearing exams with the doctor, I’m not aware of. I wasn’t involved in actually identifying people. I was involved more with moving people out but I know Sam was involved with identifying people and used whatever skills he has to do that. Uh, often uh just sitting down with the person and seeing if they understood movement and could mimic what he was saying. Sometimes he would actually find a person who knew one or more sign words. 00:25:14:00 – 00:25:52:04 L. Is it possible that there had been people sent to Pennhurst who maybe didn’t have a cognitive disability or a significant cognitive disability but it was their deafness? E. I would agree with that. We have a resident now who is 92 years old in our group home who’s been with us since 1984 and uh he was there 50 years and uh, I would say that was probably part of the reason he was there. CHAPTER THREE: ORIGINS OF M5 ORGANIZATION 00:25:58:10 – 00:29:02:29 L. So in the late sixties you were sort of working on behalf of some of the deaf or newly diagnosed residents at Pennhurst. Um certainly as you had mentioned earlier there was a lot going on regarding Pennhurst closure. There had been an expose by Bill Baldini from NBC10 called Suffer Little Children and certainly litigation was um being pursued um facilitated by I think David Ferleger and the folks from PILCOP [Public Interest Law Center of Philadelphia] on behalf of the ARC. Lots of conversation about closing Pennhurst and questions, I think, about how to support people in the community after that. And I’m wondering how those conversations sort of resonated with you and Sam and Carol? E. Well at this point, uh, by 1971 or 70, Carol had a job at one of the local base service units and we were actually meeting and doing our Tuesday night meetings at her base service unit. And she had learned from [Joe Scarlett] the director of her base service unit this whole idea of group homes. Um, and that 7 people were accepting submissions of proposals and that’s how we found out the whole idea was a possibility. Um of course we had a unique concept of having all the deaf people in one group home that we could from the Philadelphia area because everything was based on geography on what county you lived in. So we actually invited Edith Ballard, who was the director of Mental Health Mental Retardation at the time, to visit one of our Tuesday night meetings at the base service unit. And she did and she was impressed with what she saw that she got an idea and a grasp on what our goal was. In terms of manual communication and that people all together in the group, needed to know manual communication so therefore it would be beneficial for the mentally retarded residents who needed manual communication to be in a home where the staff and the other residents also use manual communication. So that whole idea made sense uh what didn’t make sense in terms of the rules were that our potential residents were from every different catchment area in Philadelphia so this would require a special unique uh group home that covered all catchment areas or went across boundaries. So we submitted the proposal and it was accepted and uh Edith recommended one of the base service units for us to locate and to locate our home in which was in the Kensington area and on Lee High Avenue, we met with the director there. 00:29:48:16 – 00:31:32:26 E. I forget the name, but it was the base service unit that covered the Kensington area and their office was on Le High Avenue on the hospital there and um Carol, Sam and I met with the director of the base service unit saying that we had a proposal that we could open up a group home and uh Edith Ballard had recommended his catchment area. Well then he was asking us our backgrounds and why we were opening up a group home. We explained our whole philosophy and the whole idea of manual communication and how all the residents would be deaf. And um so he asked us our name and everything and we hadn’t even been incorporated yet. We were in the process because that was part of the thing; you had to be incorporated and because of our varied background; mine being in learning theory, Carol’s in fine arts, and Sam as officially in English Literature, he said we were like the three musketeers. So we said okay, that’ll be our name; 3M. We weren’t allowed to take 3M legally so we told the lawyer just pick the next highest number and it became M5 and that’s where we got our name but it also signed well in sign language; M5 so it worked out because people would say where are you going? We’re going to M5 tonight. So that’s how we got our name because people wondered how in the world did you get that name? 00:31:33:10 – 00:33:26:25 L. As you said group homes were really just coming on to the scene in Pennsylvania. Was there any kind of a framework for you to follow? E. This was all new, I mean we were breaking ground and all the little things, zoning even, uh once we were funded we bought a house and uh our belief was that contact the zoning board, tell them what you wanted to do so they could tell you what was needed in the home. And months went by when we were pursuing this and we finally learned that you have to open up the home, then inspect it, find the violations, and then you correct the violations. You can’t really open up a home without violations. You had to open up a home then be inspected and be in violation and then correct them. But it took us so 8 long to figure that out that in the process we sold the home and rented three smaller homes which was easier to do because of zoning with three people it wasn’t consider a multi-family dwelling. See originally we thought we’d have eight residents so therefore it was a multi-family dwelling and it was a unique creature and the whole zoning board, there were no group homes for unrelated people with staff that aren’t related living in and uh but it was much easier with only three people to get through the zoning because it was a single family home and uh it was workable and we did that. And we pursued it in several catchment areas at that point to find enough homes. 00:34:13:16 – 00:35:35:22 L. You talked about having a group home where the residents were all deaf and I wondered what you thought would be the benefit of having a group home that was comprised of all people who were dually diagnosed with deafness being one of their diagnoses? What did you think would be the benefit and what did you hope to offer these folks? E. We hoped to offer these folks an ability to learn language and from that maybe gain skills in English and be more successful getting a job or just with life in general. Uh, we also hoped that if they learned manual language they’d be able to fit in more with the deaf sub culture; the normal deaf sub culture. Plus we were hiring staff at the time that were either in school to become interpreters for the deaf or deaf people looking for work. So we thought that would help these people transition into the deaf culture; sub culture. That was our goal. Not really the regular culture but the deaf sub culture and then from there they could deal more with relationships in the overall culture but that was the basic original goal. 00:35:35:23 – 00:36:18:11 L. And what did you think that would give folks that entry into the deaf sub culture was important for what reason? E. To be accepted. I mean these were people that were not any group who they were isolated. They were really isolated. I mean if you think of deafness, how much it isolates you, uh because you don’t have a language. The deafness deprives you of the language. It’s devastating and so we thought this would help facilitate otherwise they would remain isolated. 00:36:20:05 – 00:39:18:17 L. I’m curious with your first series of group homes, you said you had rented three apartments. Um, how was it that you found residents for your homes? How did you recruit people to… E. Well, all the residents in the beginning came from Pennhurst. Uh, from the unit that I was describing at Pennhurst where the deaf residents were grouped together and uh it was my job to go visit the clients at Pennhurst and gradually get them used to the idea of moving out. Uh most of these folks had been long term residents at Pennhurst and that was home for them. I would take them out to dinner. I would bring them snacks. I would take them, you know, on trips. We would go to the group home for dinner. We would go to the group home for maybe a day visit. Go on activities with activities with staff 9 that might be working at the group home and do it very gradually and once we had a few residents we only started with one resident per home. We didn’t fill the home in a week. We did it gradually. At least you could in those days. I think its different now. You have time frames and everything but we did it very gradually. Some of the residents did come from the community. We had one resident who was living at home who had been to the Pennsylvania school for the deaf but because he had been taught in an oral tradition it was very hard for him to break him of his habit of trying to speak and no one could understand what he said. It was… he thought people could understand what he said because he had been trained for years to speak that way but he really couldn’t but he was a quick learner in terms of manual communication. And uh he was someone who moved into one of our group homes. All the resident and all the staff got… the manual communication really tied them together. You could see the give and take, you know just everyday stuff. You set the table, you wash the dished, you know, hand me this, hand me that, did you do this, did you do that? They didn’t have that before the manual communication. That’s sort of give and take between people didn’t exist, you know so this was a big change and just that was a real positive achievement. Uh we had another resident from the community whose father happened to be the president of a very important company in Pennsylvania. It was actually a nationwide company. 00:39:44:14 – 00:40:57:18 L. You said for many people Pennhurst had been home for most of their lives, um, was it… were people reluctant to move? E. Some were, some were. After a few of our residents were placed the people in the unit were looking forward to coming with me because they would hear about it, you know, from the staff there. And uh when all nine residents were finally placed and uh we were in the community about a year but Pennhurst was still open. Pennhurst took a while to have everybody placed. I took all nine of them back to visit and they went back in their newest clothing and everything that they were all very proud of. They didn’t want to be there. They didn’t want… they looked around. They just didn’t want to be there. That was not where they wanted to be anymore. They wanted to be back in their group home so it was a real good feeling that they had made that transition. I mean it was really quite dramatic to see that they didn’t want to be there. 00:41:46:15 – 00:42:46:02 L. I’m wondering if the families of folks you were transitioning from Pennhurst to group homes; where they were they involved? Were they excited about the possibility of community? Were any of them reluctant for their children? E. Some were very excited. Some were happy. Some were very reluctant. We had one family who uh they swore that their son would be the last person to leave Pennhurst because they had heard horror stories about what a group home was. Um, other families couldn’t have been more supportive. They were thrilled. Uh, there child wasn’t in an institution anymore, they were in a real house. Um so we had the full gamut of responses from families. Not all of our clients had families that were involved at all. I would say it was a very small proportion of the residents we had that had actual involved families. 10 00:42:52:20 – 00:45:47:04 L. You had said earlier, Earl that obviously this was all very new; the whole idea of group homes was very new. I’m wondering sort of what licensing requirements perhaps, um, were mandatory, um and what you might require of staff. E. Well we were there before licensing. We were there, everything was new. Um we heard that in future there would be licensing regs but they hadn’t existed yet or hadn’t been created yet. Uh and we were always the ones who put our foot in, like we called wage an hour to come to our home to see if we were doing things right. In those days you had staff sleep over night and you didn’t pay for them to sleep over night since you were providing a bedroom for them but they were really on call. They were at work. And of course wage an hour told us this was all wrong. You had to pay them for every hour they were in the group home. So we alerted the city that the whole state was in violation of wage an hour regulations for group homes because we had invited them into see what we were doing. So they sort of did a blind eye because we would have had to pay all the past hours but we knew from that point on we had to pay for all hours worked which holy changed the budget because you didn’t have it in the budget for overnight hours for people who slept there so that was one of the things we did. Uh of course the zoning thing, we were at many zoning hearings. Um we never really had much problem with the community except for one of the group homes we had which was at Alden Park Manor, where um the neighbors of the apartment we rented didn’t have a problem with us but the management did. Uh, and uh didn’t want to renew our lease. This is when we went to them to rent a second apartment and uh so we hired David Ferlerger to sue the city and uh not throw us out of the apartment. And we won our case in the end. PILCOP [Public Interest Law Center of Philadelphia] being a big help to us and Eleanor Oak and so they were all on our side and fighting us being thrown out of this apartment building and in the end the apartment building had to agree to rent one of its units to handicapped individuals. We had long gone since then because it took so long for the whole case to be heard but we did achieve victory in that if you want to call it that. 00:45:47:15 – 00:47:46:04 L. What you just described opens the door for something very interesting I think which is how you approach community with group homes. I know you had very specific ideas about how to approach the community about the group home and how to be sure that the folks in the group home became a welcomed part of the community and I wondered if you could tell me about that. E. We did it gradually. Again we would go into a neighborhood and this is a house we’re renting. Um, we would invite the neighbors in and you know have snacks for them or something so they could see... because of course we’re furnishing the home, painting it, fixing it up, whatever so they could see that we weren’t some horrible… I didn’t know what people thought they thought group homes were some horrible thing that would degrade their community and they didn’t want that in their backyard sort of attitude. We were afraid of that attitude. We didn’t want our people to be ostracized. We wanted to fit in and so that’s one of the ways we did it. Um some of the other ways we did it were actually meeting the neighbors before we even moved in. We may have, in one of our homes, we knew the person that 11 owned the house and so she knew the neighbors because it was her home so we were able to meet with the neighbors because of her contact with them to explain who we were before we moved in and then again once we moved in, invite them to see what we were doing. And that’s the best way we found to move in and to make sure that the residents were dressed appropriately for the situation and the staff were dressed appropriately for the situation; to just blend in and to just move in quietly. 00:47:46:25 – 00:48:38:26 L. And how did the community generally respond? E. We, except for that one problem, didn’t have a problem and in that one instance we didn’t have a problem with the neighbors. They were perfectly happy with us. It was again with the management who had this feeling they shouldn’t be renting to us because we were one of those experiments. In fact we were told “We don’t want to rent to those animals” which was often a familiar feeling you got from people back then. You know it was uh a lot of education has happened to the public since then. It really is uh quite a different world we live in now than we did back in the late sixties. 00:48:40:05 – 00:50:48:22 L. I wonder um again as you were trying to figure all of this out, how to make a group home work, how to support people successfully in the community, what requirements did you have of the staff of group homes? E. Well in the beginning of course, we wanted staff with manual communication. We were in Philadelphia, in those three group homes until 1984. In 1984, well actually before 1984 we also had a group home in Chester County for one deaf resident. This was by himself. Um we were, um, funded though for a three group home proposal so we had two other residents move into his group home so we had one group home in Chester County and three in Philadelphia. And um in 1984 because of funding and everything we decided to move out of Philadelphia. At that point the clients were really going along pretty well. They had all established relationships with one another. They were moving towards goals of being employed. They had day programs except for one person who refused to do anything but go fishing in the Schuylkill River and um he was a unique person and he, uh, persuaded the system to adapt to what his needs were and his desires were. But outside of that we felt it was okay for us to leave and that everything would be okay and so the base service unit in which the group homes were located at that time, uh, took over the group homes and the staff. The staff basically stayed and we expanded in Chester County at that time. Um, I don’t know if that answers your question. L. It does. CHAPTER FOUR: M5 MOVES TO CHESTER COUNTY, PA 00:50:49:10 – 00:53:59:05 L. You had mentioned someone that you were supporting in Chester County and I know you were supporting them at the same time you were starting in Philadelphia. Chester County approached you 12 because this individual was very unique and the circumstances in which he came to you were very unique so maybe you could tell me… E. Chester County approached us. This was the early seventies when we were first getting going. They had a deaf client in prison, in Chester County Prison that was diagnosed as mentally retarded and he had been lost there. And the district attorney at the time said something must be done. He needs to be placed out of prison. So they asked us to evaluate him to see what his needs were and we felt he might be a good candidate for a group home. That the reasons he was in prison, he would get into a lot of trouble with his family. He lived in Coatesville and he was getting into trouble all of the time but it didn’t seem anything too terrible. He had been in Pennhurst briefly but had set a fire in Pennhurst and then he left Pennhurst. Um, he had stolen. He had a lot of misdemeanors against him but we felt that we could help him. Uh, and if he was supervised he would be okay in a community setting and uh that’s how it started. He was put in a group home that we started with two other hearing residents. Uh, then he had an incident with one of the hearing residents which put him back in prison. He stabbed the resident. Uh and we realized at that point that he needed 24 hour one on one supervision and we said we would take him back only if we could set up a program like that for him and he’s been with us ever since E. Sometimes he has an issue of becoming anxious and we have staff that has been with him for quite a few years that can read his behavior and we know how to avoid an episode. Uh we know what his needs are at those times. He needs a break from his routine. He might need to go to a movie. He might need a day off from work. Uh, for some reason or another he needs a break from his routine and usually that works really well and we’ve avoided major episodes for years. Um, and uh he’s pretty much working in the community doing really well. 00:54:00:10 – 00:55:54:18 L. Is this someone that you also had to teach manual communication? E. Oh yeah. He, although he had to P-State, Pennsylvania School for the Deaf, he basically lived at home in isolation of language, uh and he needed very basic sign language in the beginning. Uh you know cards with pictures on them. Give me this, give me that. Very basic things. Now he can speak in sentences and he communicates in sign language. It’s his language now. You can see its how he wants so communicate. Because he is mentally retarded though he doesn’t give you the alternatives a normal deaf person would. A normal deaf person will read your face and see maybe you're not getting what they're saying and then try another way of saying it; try more gestures, less sign language, maybe some acting out. Whereas the more handicap deaf person doesn’t pick up on those nuances and just uses the one means of communication. In his case the words he’s learned in sign language and if you don’t get it and you look concerned than he looks concerned and then you got concern going back and forth with your face. So uh that is one thing you can see with him but um we can usually overcome it by questioning his words because some of his words are mixed up but he’s using sign language as his language now and uh he just doesn’t realize that everybody doesn’t quite understand the way he signs because he has his own unique flavor to his sign language. 00:55:54:20 – 00:56:49:00 13 L. So given what you’re describing, how important is continuity of staff and care to his success? E. We’ve been very fortunate in all our homes in Philadelphia and in Chester County. We have staff that has been with us 25 years or more. I would say more than 50 percent of our staff have been with us 10 years or more and we find that a really positive valuable asset because uh they know how people react to certain things. They know what the people’s needs are that are not expressed maybe through language and um the people feel confident in who they’re coming home to every night. So that’s a big asset to have longevity in the staff. Yeah. 00:56:57:10 – 00:57:31 :20 L. I want to go back for just a minute, Earl, to when you were sort of in two counties; when M5 was existing… you had three group homes I believe in Philadelphia, you had one in Chester County… E. Right. 00:57:31:22 – 01:00:55:27 L. Certainly during the time when Pennhurst was dispersing its residents into the community I’m wondering if you were getting pressure to expand as an agency or as a provider. E. Oh yes. We were getting pressure to expand um especially in Philadelphia. Um, they said we were a mom and pop organization which we liked but it was said in the negative way. Uh and that was one of the reasons we left. We just uh we felt we could provide a quality care to the number of residents we had. Where we had hands on supervision of the staff. Um, this would be Carol, Sam, and myself and uh we didn’t want, we are a mom and pop organization. That’s what we are and that’s how we operate. We have a unique philosophy in that uh which was unusual back then especially of positive reinforcement. We didn’t feel the word no helped at all and we felt that all the negative way that people are treated was not the way that this should be done. Uh we live in a culture that does punishment as part of its culture but we didn’t feel that was the way to go. We saw enough punishment that brought nothing around to uh helping anybody and we… and from the learning I had at Temple University in learning theory, uh, I felt the same way. So did Sam, so did Carol. We came to that conclusion through our independent ways. Sam actually had training as a family therapist at Children’s Hospital where he became a family therapist for families with a deaf individual and um he was taught by Sal Minuchin and Jay Haley who had authored some books that we all read and they had put into words what we felt. And so that became our philosophy of running our group homes. Uh which we put into our codes and practices which all the staff read but we would hire people based on our feeling they could perform in this way; in a positive way and that was very important to us. And so expanding to become a larger facility was not what we wanted to do. We wanted to provide this situation as positive as we could in a hands on way and that’s why we stayed small; why we left Philadelphia. And Chester County fostered that with us. They didn’t pressure us. They always asked but they didn’t uh pressure us. They were more than helpful in uh setting us up and supporting us and they still are. It’s a nice county to work in. L. Thank you. 14 01:01:25:05 – 01:01:58:04 L. Earl I’m going back to, if I can, to something we touched on a little bit earlier. By the time you were working in Chester County, 84 I believe, 01:03:15:14 – 01:06:42:05 L. Pennhurst was in its final days of closure and I’m wondering if you can talk to us a little bit more about some of the reactions of families when you were transitioning their family member from Pennhurst into the community; perhaps some of their concerns and how you addressed them? E. The situation was to open up three group homes in Chester County to replace the three in Philadelphia. We had to take clients that weren’t deaf because there weren’t enough deaf residents in Pennhurst from Chester County so we opened it up to clients that were communication impaired. Um so we were looking at people that have Cerebral Palsy that couldn’t speak, people who had syndromes were resulted in unable to speak. These were all people who could hear but they couldn’t communicate through verbal speech. Um, one of those residents, his parents were adamant that he would not leave Pennhurst and they even said publically that their son would close Pennhurst. He would be the last one to leave and when he moved into our group home, um, I think it was Bill McKendry who was the director of Chester County at the time, came to visit him at the group home because he was the last Chester County resident to be placed in the group home. And they had this horrible feeling that their son wouldn’t be taken care of, he’s be abused, taken advantage of so we expected them to come every day and visit him which they did, especially his father. His father came every day and shaved him and gradually became a believer in the group home for his son and turned out to be a very positive thing. When his father passed away his mother continue supporting her son in our group home and it turned out to be a positive thing even though it started out to be almost scary because the father actually came in the first day he was here with movie cameras and took films of the home and you know was bound to find something wrong you know but it turned out okay in the end. Um, for the other Chester county residents we had the families were actually rather supportive. Uh we had one mother who was thrilled that her son wasn’t in an ICFMR anymore where he didn’t really get a lot of special care and was in a group home here. Um, and we had other family members who were basically not involved with their child or their sister or who we would try to get involved. Especially on holidays and things like that so we really only had the one negative experience. 01:06:48:00 – 01:08:58:00 L. I’m wondering when families saw their children succeeding, if that to reconnect with their child or even helped, um, other family members reconnect with the clients you were serving; seeing how well they were actually living in community. E. Yeah I would agree with that. Um, it developed into people actually going home overnight; let’s say for Christmas and things like that where I know when they were in the institution that didn’t happen um for those particular people. So I think that helped. Um as time went by though we had people coming more for the community because Pennhurst had closed at that point and Emeryville, we had taken all 15 the clients from Emeryville that Chester County had also. Um so it’s a whole different, it’s a whole different situation when you have clients from the community. Uh it has to be addressed in a different way. The family is mainly facing getting older and having this older person living at home. The person isn’t in an institution where they’re safe somewhere, you know. Um they have to do something now because they’re getting older and we see more and more of that now. Uh… E. One instance is we um, I happened to be going to a funeral for a neighbor; an elderly woman who died whose son happened to be mentally retarded and at the funeral the brother approached me knowing what I did for a living because now he had his brother and he didn’t know what to do. And we see more and more families in that situation. 01:09:01:05 – 01:09:48:03 L. I’m wondering if um you're also seeing opportunities for the folks you served to connect with their extended families. Maybe in ways they hadn’t done before. E. Um I’m really can't answer that because uh we have a total of 13 residents and we really only have two families involved with those 13 residents. All the other residents, their families…. Of course our residents are getting elderly. We have residents in their seventies and we have one resident who is 92. So they’ve outlived a lot of their immediate family so I really can't answer that question in our situation because again we are a small agency. 01:09:49:15 – 01:12:23:28 L. So in talking about maybe the system sort of a change of tact, the system serves people with disabilities, all systems really changed for many reasons because of the time shifts, ideologies, maybe even administration. I’m wondering what your assessment is of where the system is today? E. Well um there’s so much more oversight today bureaucratically that it’s almost a hindrance because um for us as a small agency, it seems overwhelming at times of all the compliance issues and all the regulations and everything. Um, that um… I can see why the need is there but uh when you boil it all down it’s the people working in the home dealing with the residents that is the core of the situation. The core of the uh service you’re offering. No matter how many regulations you make, uh, it’s not going to change how the people interact. Again our hands on supervision of the staff and um the discussion, an open discussion with the staff; you have to respect your staff and that’s where it’s at. The regulation can be overwhelming for somebody starting up now. If we were starting up I don’t think we would get started. There’s so much. I mean back when we started we were just pioneering an unknown territory. We had an idea and we were able to follow it we’re able to work within this current structure just fine but it is kind of overwhelming at times what we have to do in terms of complying with all the rules and regulations. Luckily uh that’s sort of my bend. I can do that. Carol works as the program specialist dealing directly with clients and staff and we have a third person now who replaces Sam Scott who deals with behavioral issues so um we all have our roles in this whole situation which works out for us as a mom and pop organization. 16 01:12:24:20 – 01:12:45:04 L. I’ve heard some providers say that they felt that they could support their residents more creatively um back in the day. I wonder if that’s something you feel? E. Yes that’s true but of course we worked through that. We try to do that anyway. 01:12:46:00 – 01:15:00:07 L. You had talked about um the importance of staff several times during our conversation and I think it’s pretty commonly acknowledged that staff in group homes aren’t particularly well paid for their work. E. No. L. But despite that M5 has an incredibly reputation for longevity of staff and I'm wondering if you can tell us why. E. Yeah we don’t… we probably pay less than a lot of providers in fact. The problems with once you’re a provider and you have increments you have to base it on where you start it. You can’t come in with a higher starting part but we are totally available to our staff 24 hours a day seven days a week. Both Carol, Marjorie and myself and um any problem they have, we will help with. We’ll drive out. We have two nurses, a part-time nurse and a full-time nurse. We actually need that now because we have so many elderly residents living with us and their health needs become more and more. And the whole health industry now is a different animal too. I mean there’s so many specialists involved with these clients now but it used to be the GP or the PCP or whatever you want to call it. Um, but I think providing all that support for the staff and listening to them, um enables them to work for us. We’re also very flexible. If you can only work Fridays once a month then you work Friday once a month. If you can work every other Saturday, you work every other Saturday, we try to fit the hours to what their lifestyle is. So we have a lot of people that work sort of odd shifts because that’s when they can work. We always found if the people wanted to work in that field anyway, even if they work only from Saturday to Sunday night, it’s be better to have them then to try to fit them into 9-5 or something. CHPATER FIVE: FUTURE OF M5 ORGANIZATION, REFLECTIONS ON CAREER 01:15:06:25 – 01:15:26:27 L. You mentioned that you and Carol are still working. E. Mm-hmm. L. Sam is not? E. Sam is in his mid-eighties now and reluctantly, very reluctantly retired a year ago. Uh, very reluctantly! He still throws it in our face. 01:15:28:05 – 01:16:31:29 17 L. So I’m wondering, Earl, um you’re such a hands on organization as you’ve described. Um how do you handle succession planning for when you and Carol might retire also? E. Right well we have a plan for that because we’re looking at that happening over the next two or three years. We’ve already replaced someone in our office who was a vital person in our office; a financial person who had been with us forties years. Who really, the financial end of this business is an overwhelming part of the business now so for someone to be able to step in and replace that person was… refer… we’re… that’s where we wanted to start because that’s sort of in the office but we are grooming people from within the agency to take our shoes and I don’t think I’ll ever be retired, if anything maybe part-time person as an assistant to the program director or whatever; maybe even volunteering. 01:16:34:10 – 01:17:30:05 L. Has M5 accomplished the goals that you and Carol and Sam set out to accomplish when you started so many years ago? E. Oh geez. I don’t think I’ve ever addressed that idea. I would assume we have. If you look back then when we started, um maybe we’re more realistic now and less idealistic and people uh have accomplished a lot but maybe not be uh totally independent like our original, you know, dreams were but have gained relationships with people, gained language, uh have an active happy life. Happiness is a big part of what we want to accomplish and I think our people as they are as happy as we’ve been able to help them become, yeah. 01:17:32:10 – 01:17:48:21 L. When you look back at your own work, 01:17:48:22 – 01:18:32:19 L. …when you look back on your career, what are you proudest of? E. What am I the proudest of? I would assume just the daily operations of the agency. I think we’re still here doing what we felt we should be doing and what we wanted to do. I love it. It’s um… it’s what I… I didn’t know this in the beginning but it’s what I wanted to do and I'm happy doing it. Uh if I have to come in here seven days a week it’s not a problem because it… it has, it has a benefit. 01:18:34:25 – 01:19:16:11 E. The actual operation of the group home; its daily operation is what I’m proud of. I think we have a quality agency that helps people be happier in life and that’s our goal really and I think we do that and we work on that and we accomplish that on a daily basis and that’s what I’m proud of. 01:19:18:20 – 01:19:46:02 18 L. Is there anything that you had hoped to accomplish for M5 that you haven’t accomplished yet? E. Well you always want more money for your staff and I never turn a penny down. If there is some funding somewhere I find it and get it to them if I can so I would like them to be more appreciated by being able to reimburse them better. 01:19:48:05 – 01:20:41:08 L. I’m wondering if you consider yourself a leader in this field. E. No. I’m one of those people who does the work, you know. Back in the beginning when there were people making waves and trying to get this all started, um, we were on their bandwagon for sure but we basically preformed a task, provide a service, worked in that way. Um, if that is leading other people to do it, I guess it is but um, we didn’t see it that way. We saw it was just how do we get this done? How do we do this? Do we do it this way? Do we do it that way? And just went forward to try to solve it and that’s how we’ve always been. 01:20:43:07 – 01:20:56:05 L. So you had an idea, um a vision for supporting people in the community, um, that’s been realized for maybe about forty years and counting? E. Yeah it’s hard to believe. 01:20:56:15 – 01:21:35:16 L. Would you say that you, Sam, and Carol are still the three musketeers? E. Oh yeah, yeah, the three musketeers or the three dancing bears; one or the other. No we still are who we were back then; the idea person, the person who plows forward with the work, and the person who uh thinks and accomplishes goals, creates goals. L. Which are you? E. I’m the plodder. L. Thank you. 19