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Brian Joseph McCloskey Fund Update
Friday, 01 September 2006

The following e-mail update was received from Marcie Roth, Executive Director/CEO
National Spinal Cord Injury Association

From: "Marcie Roth" <mroth@spinalcord.org>
To: "Robert Klein, CEO" <robert.klein@safeguardproperties.com>,

Good Morning-
Forgive the delay in updating you. As you know, I had some surgery about 5 weeks ago and I’m just finally starting to catch up.
 
I am extremely pleased to tell you that thanks to your gift, Mr. & Mrs. Klein, and the work we have been doing to assist hurricane survivors with disabilities, we were recognized for our expertise by UMCOR, the United Methodist Committee on Relief. This is the organization selected by FEMA to lead the national case management initiative for all hurricane survivors that came from the $66 million donated to the US by other countries after the hurricane. UMCOR has given NSCIA a 16 month grant to provide case management to hurricane survivors with mobility disabilities! This will enable us to continue to provide high level support to existing recipients of the Brian Joseph McClosky Fund, and others who are just now being brought to our attention.
 
And, to add additional excitement to this story, we have hired Jason Hurst, as our National Case Manager for this project. You’ll recall that we first learned of Jason and his mom when they were in a Salvation Army shelter in Dallas. They fled New Orleans without Jason’s wheelchair or any other personal belongings. Their home was destroyed by water that rose to within a few inches of the roof.
 
We assisted Jason and his mom with housing in the Dallas area, replacement medical equipment and supplies and a computer. Once the were able to regain some of their independence and self-sufficiency, Jason, who is a C4 quadriplegic, became an obvious choice for employment with this project, due to his background as a case manager and his very personal experience as a hurricane survivor! We are also hoping to bring another Brian Joseph McCloskey Fund recipient onto our staff and we have a few others who will become active volunteers with the project. 
Your gift has had a tremendous impact, and it has helped us maximize our ability to serve a population of people who would remain in crisis, if not for our assistance. And, Mr. & Mrs. McCloskey, Brian’s memory and his name are forever associated with a project that has been recognized as one of the shining lights in the aftermath of one of the worst natural disasters in our history.
 
As you read the individual updates, please note SB’s story. Without our help, S would likely have died, as a direct result of a pressure sore she developed after sleeping in her wheelchair in a shelter for 2 weeks. After many months in the hospital, and a life threatening infection, we facilitated her transfer to a Spinal Cord Injury Center in Birmingham, where she finally began to recover. As she was about to be discharged, finally, with her health just barely restored, we learned that Medicare had not approved the purchase of her wheelchair and she was about to be discharged WITHOUT A WHEELCHAIR!!! This would have resulted in her remaining in bed indefinitely and once again unable to care for her basic needs. We used our connections with the US Department of Health and Human Services to expedite approval of the new wheelchair, and we used Brian Joseph McCloskey funds to pay the wheelchair manufacturer one months rent while they waited for Medicare to pay the final bill. Sadly, the manufacturer was unwilling to give us a deal of any kind, and charged $3000 for one months wheelchair rental, for her $30,000 wheelchair… we were frankly disgusted, but grateful for the ability to pay for the rental so S could finally leave the hospital without further jeopardizing her health and begin to pick up the pieces of her life almost 10 months after the hurricane!
 
Here is a recipient specific status report on distributions from Brian Joseph McCloskey Fund
July 31, 2006
 
Summary
 
Current cases are largely complete, with some outstanding issues remaining. Action on some cases is pending decisions outside of the control of NSCIA, such as rebuilding, etc.
 
NSCIA staff filled most equipment and supply needs through an agreement with a leading national provider for durable medical equipment and supplies that resulted in a significant discount, and with appropriate customer and service support. Procurement of DME and supplies through this source is nearly complete. Case management with initial two rounds of Fund recipients continues on several cases.
 
In cases where direct funding or reimbursement was more appropriate, NSCIA staff was diligent in confirming and documenting the need for, and appropriateness of, the items. Discounts were negotiated at every opportunity.
 
Status by Recipient
 
DS
D was spinal cord injured from C-2 thru T-3 seven years ago in an accident. Her small gift shop business was destroyed by Katrina and the duplex she shared with her husband (one side) and in-laws (other side) was heavily damaged. Her in-laws were her care-givers when her husband was away at work prior to the hurricane. Her van and power wheel chair suffered significant water damage. She is currently living in a FEMA camper trailer with little room to move, an unsatisfactory power chair and a $600 per month shortfall for her medical supplies.
 
Status: OPEN
Her in-laws were approved for an SBA loan to repair the duplex for habitability. That work is now proceeding. NSCIA has provided to her a sliding type shower/transfer bench to make Activities of Daily Living safer. Her existing wheelchair was repaired locally and is now serviceable for the short term eliminating the need for emergency replacement of the chair. Long term, the chair needs replacement and her current private insurance will cover only a fraction of that expense. If any funds remain after we have covered expenses we have already committed to, this need will be considered.
 
DC
D is 51 years old and paraplegic since age 17. She and her daughter were flooded out of their house and sought refuge in a nearby church for several days before being evacuated. Her home suffered heavy damage requiring extensive remodeling.  She lost her adapted van, her daughter’s car and all home furnishings.
 
Status: ON HOLD PENDING REBUILDING DECISIONS
She has just now returned to her home but her insurance covered only a fraction of her home’s damage. Staff has now received her contractor’s bills as documentation of her repairs. State grant assistance may be forthcoming in the future but that avenue for relief is uncertain. Dianne may still have an overall reimbursement need that could be addressed using McCloskey funding. At present she is facing a $60,000 shortfall for remodeling of her home.
D has now received her new BT/Shower wheelchair specifically designed for her needs. (she is quite petite)  Staff has verified and reimbursed to D her out of pocket costs for the adapted van damaged by Katrina. She had already purchased a replacement van using insurance from her destroyed van and her daughters lost car. D also was reimbursed for medical supplies she had bought on an emergency basis. A replacement back up manual wheelchair was ordered for D  and will be delivered any day. The final cost came in under the original estimate due to close cooperation between NSCIA staff and our national provider. When the chair is delivered, her case will be at a standstill pending a response from MS and FEMA on rebuilding funding. She loves using her first shower chair.
 
RN
R, 45, received a spinal cord injury at the C5-6 level in 1982 when he was 22.  Until recently an active member of NSCIA’s Louisiana Chapter, R lost his home, all his furniture and personal possessions when Katrina struck. NSCIA has identified R’s immediate needs and will be replacing several DME items and providing short term disposable medical supplies through our new national provider on a short term basis.
 
Status: ON HOLD PENDING BUILDING DECISIONS
DME’s including a Jay 2 cushion, Invacare A4 Ti manual chair, tub bench and home medical supplies were all approved by NSCIA staff and received by R. He is most appreciative of the assistance that he has received.
 
PB
P has a C7 spinal cord injury and is currently 46. We have worked with P to determine his immediate needs and will be replacing DME items and furnishing short term disposable medical supplies through our national provider. Additionally, NSCIA is attempting to negotiate a reduced rent agreement and provide rental support short term.
 
Status: ON HOLD-REQUESTED ITEMS FURNISHED EXCEPT ASSISTANCE WITH A VEHICLE
DME’s provided include a replacement back-up wheelchair and shower transfer bench lost in the storm. A discounted rate was successfully negotiated for P’s short term rent and payment to his landlady has been arranged. His vehicle sustained significant water damage as verified by a local mechanic. Repairs would cost markedly more than the value of the vehicle. He was advised that vehicle purchase assistance has not been determined but he indicated that there were available vehicles in the area that would work for him in the $5,000 range. Currently he is hitching rides to get around.
 
DT
NSCIA has worked with Access Living in Chicago to provide D with up to 8 hours per day of Personal Assistance. Additionally, we have made arrangement through our national provider partner to have D assessed to determine the best replacement manual wheel chair and bed for him.
 
Status: OPEN
Financial assistance to supplement D’s daily personal assistance has been provided thru July 2006. He was evaluated at RIC for a replacement manual wheelchair which is on order. He was provided with a 30” reacher as well. Access Living provided him with a single flat bed when he had none at all but this is a stop gap solution as it significantly limits his ability to do his own activities of daily living. A replacement hospital bed with proper mattress is being researched.
 
SB
S is 64 years old and has been paraplegic for 20 years. He and his wife lost the home they owned during Katrina. NSCIA is supplementing P’s partial insurance reimbursement from his destroyed home to assist him in the purchase of a replacement home. The B’s feel confident that they will have no tax consequences as a result of payment directly to them as their income is low and they will still be showing a considerable loss on their tax returns.
 
Status: COMPLETED
The B’s have identified a particular house and have moved in to that house. They were furnished with a one time payment from McCloskey funds and combined this with their partial insurance reimbursement to fulfill their single request from NSCIA. Some adaptations to this home will be needed and other funding sources will likely provide this assistance. S’s case could be reopened to assist with the adaptations if that becomes necessary.
 
WC
W is 60 years old and suffered a T-11 injury at age 18. He owned his own home outright and worked his entire life until the hurricane took his home which was also his workplace. Along with his home, he lost the vehicle and scooter that he used. Post Katrina, he moved in with family but had a severely overcrowded living situation.
 
Status: COMPLETE UPON DELIVERY OF SCOOTER
He has since moved into an accessible and affordable apartment. NSCIA has provided short term rent support to satisfy Mr. C’s apartment rent for the months of March, April and May 2006. This support carried W over financially until his new SSDI payments began. He no longer requires assistance with transportation. He is still awaiting his scooter replacement thru the Vendor who indicates that should occur very soon.
 
SB
S had been injured at the C 5-8 levels for 11 years at the time of Hurricane Katrina. She lived in a home (fully paid for) with family but lost that home, all furnishings and medical equipment as a result of Katrina. Subsequently, she developed serious medical conditions due to insufficient care and was placed in a nursing home to serve as housing. FEMA has yet to provide an adequate housing alternative for her.
 
Status: OPEN
Coordination by NSCIA staff has helped her move from the temporary long term facility to one closer to the University of Alabama at Birmingham from where she has now been released. She will need additional follow up care through UAB in the future. Estimates are being compiled for her future durable medical equipment needs. Specifically, NSCIA staff intervened to allow her to leave UAB with a custom power chair on a rental basis for one month pending Medicaid’s determination on that chair.
 
Of special note, NSCIA’s close monitoring of the situation and up-to-the-last-minute negotiation, avoided S’s release from the long term care facility without a wheelchair.
 
Her used motor home, which will serve as a residence, was refurbished by volunteers using materials purchased by McCloskey funds. She will also be able to stay at her mother’s residence for a period of time. An updated list of receipts for accessible RV renovations has been received along with pending co-pay amounts for her hospital and nursing home stays. Final funding needs are incomplete pending further Medicaid determinations.
 
ST
S is 85 years old and was injured 15 years ago at the C-7 level (incomplete) in a motor vehicle accident. He and his wife owned their home outright when Katrina hit, extensively damaging that home and destroying his adapted truck and most possessions.
 
Status: ON HOLD PENDING STATE REBUILDING ASSISTANCE
He and his wife have now returned to their home with completion of the remodeling work continuing. NSCIA, thru the McCloskey Fund, has thus far reimbursed him for work receipts that he has paid to date for the project. At the time of the first payment he had run out of funding to accomplish this remodeling all on his own.
NSCIA staff was able to locate an adapted van that will make his transportation much easier than it had been before the flood, and handled all negotiations and purchase issues. He has now received this vehicle and resumed his independent travel. DME’s were furnished to S including a set of crutches, wall-mount grab bars and a padded shower bench. S has recently met with Mississippi state officials and is encouraged that he will be eligible for some state grant funding for his home remodeling costs. He expects to receive that determination within a few weeks.
 
JH
J is 30 years old and was injured 14 years ago at the C 5/6 level. Before the storm he owned his own home in New Orleans and a van for transportation. He lost his home including all contents, his van and his wheelchair when he was evacuated.
 
Status: PENDING REBUILDING INFORMATION AND ASSISTANCE
J and his Mom are now in an apartment in Plano, Texas and putting their lives back together. They are seeking to move to a more appropriate home temporarily in Plano while their New Orleans home continues to be prepared for restoration. Additional living support will be needed very soon as their apartment is insufficient for continued long term living. Jason is also hoping for eventual state grant relief but expects that even that, should it come, will leave a significant financial shortfall. Both are computer savvy and Jason has just received his new Dell computer with printer, provided by NSCIA McCloskey funds. They have received their replacement adapted van through the McCloskey Fund, so transportation will no longer be such an issue. NSCIA staff has arranged for some basic medical supplies to be provided to J and he has received his DME’s. Delivery of one of these is pending the H’s finding more suitable housing.
 
On another note, J joined in an employment workshop presented to staff of Blue Cross / Blue Shield in that company’s Dallas office and moderated by NSCIA Chief Operation Officer, Eric Larson. This not only was a step in helping Jason secure employment, but key in supporting NSCIA’s outreach efforts.
 
JB
J is 37 years old and spinal cord injured for 18 years at the C 5/6 level. His adapted van was heavily damaged by wind driven rain during the hurricane. This was his only means of transportation to work.
 
Status: COMPLETED
Initially, staff attempted to have his existing van repaired at two separate repair shops. It was determined that repair was not feasible and that the vehicle’s wiring system was so damaged that it was a safety hazard.  NSCIA worked to identify a used replacement van of the appropriate type, style and necessary adaptations, then negotiated a discounted price and finalized the purchase of the van. Mr. B has now received the replacement van. He is most appreciative for the assistance afforded him by NSCIA thru the McCloskey fund.
 
TKM
Displaced from her apartment in the Gulf region, she first needed to stay in a Quality Inn Motel room when she evacuated to the Baltimore, MD neighborhood. Her relative’s residence there was inaccessible. She is 26 years old and was traumatically spinal cord injured 1 ½ years ago. She lost nearly everything to the storm.
 
Status: COMPLETED
T is now in an accessible apartment in Baltimore. Six months rental assistance has been provided for that apartment. Staff has also arranged to assist her with funds necessary to replace home furnishings lost in New Orleans. NSCIA staff is investigating her Medicaid status as she indicates that her coverage has lapsed.
 
JMA
JM was also displaced from her apartment in the Gulf region and lost all of her furnishings and belongings. She is 44 years old and has a three year old incomplete injury at the C 4-6 level.
 
Status: COMPLETED
She first moved to Minnesota to be near relatives and is now transitioning to a home of her own in North Dakota with assistance from the NSCIA McCloskey Fund. Funds for a down payment now been provided to JM for the purchase of a property where she can live. Additional funding was provided as payment for used furniture that she had arranged to purchase at a great discount. Moving truck costs for that furniture as well as belongings from another location totaled were reimbursed, and Target store gift cards were provided to her for replacement of belongings lost. Part of what she then needed was winter clothing suitable for the North Dakota climate. Further, NSCIA staff furnished funds for the purchase of a used truck with hand controls.
 
DH
D was displaced from his apartment home in the gulf and was eventually evacuated from the Superdome by ambulance. His power chair was left behind and currently he has none. He is 58 years old and has been quadriplegic for 16 years.
 
Status: CASE COMPLETE UPON DELIVERY OF HOYER LIFT
D is now in an accessible apartment of his choice. NSCIA staff assisted in arranging his transportation to that apartment. Costs for that transport were eventually found to be covered by his Medicaid insurance after a FEMA sponsored transport program refused to transport him. He originally needed a special mattress which he had purchased prior to our involvement and NSCIA has reimbursed him for that purchase. Recently, D learned of Medicaid approval for and received his replacement power chair. NSCIA staff is proceeding with replacement of D’s lost Hoyer type lift. He has not as yet received the lift from the vendor but remains most appreciative for the assistance from NSCIA.
 
SD
S incurred a C-2 incomplete injury in an accident in 1995. She is 34 years old and has three children. She was displaced from her apartment by Katrina and now resides in Charlotte, NC. She originally requested rent support and replacement of two cervical collars that she lost.
 
Status: COMPLETED
S was furnished with an initial support from the McCloskey funds to assist her with replacement of lost personal items for her and her children. Further assistance is on hold pending demonstration of need.
 
CT
C is 64 years old. He was injured at the C-4/5 level at age 14. He is employed and has a mortgage on his home which was flooded by Katrina. He is now living with his cousin who made home adaptations for Cs’ benefit. A new Neurogenic Hi-Lo bed was lost to Katrina floodwaters and he hopes to replace his back up power wheelchair. His current power wheelchair is 6.5 years old.
 
Status: COMPLETED
He had flood and home insurance but incurred a shortfall on the homes rebuilding costs. Funding was furnished for certain materials billed by his contractor to bridge that gap and he is now rebuilding. C is very appreciative of the funding assistance provided by the NSCIA and Mr. Klein so that he could proceed with his rebuilding. He has replaced his bed by other means and his wheelchair, while old has been repaired and is presently serviceable.
 
Thanks again for your support for NSCIA! We still have a long way to go with many of these individuals, since they are still just learning about rebuilding resources and how to meet their various needs, and curious about the needs of the individuals we will be serving through our new UMCOR Case Management responsibilities. We are grateful to you for your assistance and your support!
 
Best Regards-
Marcie
 
Marcie Roth
Executive Director/CEO
National Spinal Cord Injury Association
(301) 717-7447 (Direct)
(800) 962-9629 (VM)
(301) 990-0445 (Fax)
mroth@spinalcord.org

Plan to attend the 2006 Spinal Cord Injury Summit and SCI Hall of Fame, October 29-November 1, 2006.
 
For more information about  the SCI Summit and for free membership in NSCIA , please visit http://www.spinalcord.org