Publications and Creative Work

November 29, 2021

Research at the Institute on Disability at the University of New Hampshire seeks to inform the services, systems, and policies that positively impact the lives of individuals with disabilities. Below is a list of recent scholarly publications and creative works authored by the IOD's faculty and staff. 

Fall 2021

Examining Differences in Prescription Opioid Use Behaviors Among U.S. Adults With and Without Disabilities

With colleagues from Brandeis University, Eric Lauer and Debra Brucker analyzed data from the 2015-2017 National Survey on Drug Use and Health (128,740 individuals; weighted N of 244,831,740) to examine disability-based differences in (1) reasons and sources of last prescription opioid misuse and, in multivariate models overall and stratified by disability, the likelihood of (2) prescription opioid use, and if used, (3) misuse and prescription opioid use disorder (OUD), overall and stratified by disability. Adults with disabilities were 11% more likely than adults without disabilities to report any past-year prescription opioid use, adjusted for sociodemographic, health, and behavioral health characteristics. However, among adults with any prescription opioid use, which is more common among people with disabilities, likelihood of prescription OUD did not vary by disability status. Pain relief as the reason for last misuse was associated with 18% increased likelihood of prescription OUD, if any use.
Reif, S., Lauer, E. A., Adams, R. S., Brucker, D. L. (2021, July 30). Examining differences in prescription opioid use behaviors among U.S. adults with and without disabilities. Preventive Medicine.

Brucker Collaborated with Dartmouth for Social Impact Practicum

Debra Brucker collaborated with Dartmouth University to craft a social impact practicum that undergraduate students will participate in as part of their studies. The students will use publicly available data sets to craft data visualization products that highlight disparities that arose during the COVID-19 pandemic for persons with disabilities.
Brucker, D. (2021). Social Impact Practicum. Dartmouth University.

Make Stuff and Love People: Assistive Technology Solutions in Minutes

This book is filled with over 1,500 images, including 500 QR codes to "how-to" videos for making hundreds of assistive technology devices. This is the most comprehensive book yet on creating devices for specific functional imitations, as well as specific tasks at home, school, the workplace, and the community.
Willkomm, T. (2021). Make Stuff and Love People: Assistive Technology Solutions in Minutes (Vol. 3). University of New Hampshire Institute on Disability.

StatsRRTC New Report Examines Differences in Prescription Opioid Use Behaviors

With colleagues from Brandeis University, Eric Lauer and Debra Brucker (Stats RRTC) analyzed data from the 2015-2017 National Survey on Drug Use and Health (128,740 individuals; weighted N of 244,831,740) to examine disability-based differences in (1) reasons and sources of last prescription opioid misuse and, in multivariate models overall and stratified by disability, the likelihood of (2) prescription opioid use, and if used, (3) misuse and prescription opioid use disorder (OUD), overall and stratified by disability. Adults with disabilities were 11% more likely than adults without disabilities to report any past-year prescription opioid use, adjusted for sociodemographic, health, and behavioral health characteristics. However, among adults with any prescription opioid use, which is more common among people with disabilities, likelihood of prescription OUD did not vary by disability status. Pain relief as the reason for last misuse was associated with 18% increased likelihood of prescription OUD, if any use.
Reif, S., Lauer, E. A., Sayko Adams, R., Brucker, D. L., Ritter, G. A., & Mitra, M. (2021, June 30). Examining differences in prescription opioid use behaviors among U.S. adults with and without disabilities. Preventive Medicine.

From Where I Sit

Kathy Bates authored a series of new monthly blog posts highlighting an accessible catamaran called the Impossible Dream, the 99 Faces of Mental Health exhibit, and NH mobile crisis resources.

Bates, K. (August 2021). Redefining What’s Possible [Blog Post]. From Where I Sit.

Bates, K. (September 2021).  Sunlight [Blog Post]. From Where I Sit.  

Bates, K. (October 2021). Dancing in the Rain [Blog Post]. From Where I Sit.  

Summer 2021

StatsRRTC New Report Examines Differences in Prescription Opioid Use Behaviors

With associates from Brandeis University, Eric Lauer and Debra Brucker (Stats RRTC) analyzed data from the 2015-2017 National Survey on Drug Use and Health (128,740 individuals; weighted N of 244,831,740) to examine disability-based differences in (1) reasons and sources of last prescription opioid misuse and, in multivariate models overall and stratified by disability, the likelihood of (2) prescription opioid use, and if used, (3) misuse and prescription opioid use disorder (OUD), overall and stratified by disability. Citation: Reif, S., Lauer, E. A., Sayko Adams, R., Brucker, D. L., Ritter, G. A., & Mitra, M. (2021, June 30). Examining differences in prescription opioid use behaviors among U.S. adults with and without disabilities. Preventive Medicine.

Food Sufficiency and Barriers to Free Food Access during COVID-19 pandemic

Using newly available survey data, this article examines levels of food sufficiency for working-age persons with and without disabilities during the COVID-19 pandemic. Citation: Brucker, D., Stott, G., & Phillips, K. (2021). Food sufficiency and barriers to free food access for working-age Americans with disabilities before and during the COVID-19 pandemic. Disability and Health Journal.

NH Disability & Public Health Project Study

The NH Disability & Public Health Project study demonstrates that the Responsive Practice health care provider training positively affects providers' knowledge, outlook, and approach to caring for people with disabilities. Citation: Phillips, K., England, E. & Wishengrad, J. (2021). Disability-competence training influences health care providers' conceptualizations of disability: An evaluation study [in press]. Disability and Health Journal.

Disability in Focus: June 2021

The June report reveals that better preventive health care is needed for NH adults with mobility disabilities. Currently, 6 in 10 NH adults with mobility disabilities report their health as fair or poor. However, with better access to health promotion programs and preventive health care, their health can improve. Citation: NH Disability & Public Health Project. (2021, June). Disability in Focus: June 2021 [Data Brief]. UNH Institute on Disability.

The Association of Disability Status with Job Tenure for U.S. Workers

Using newly available survey data the team found that job tenure was shorter for people with disabilities than for people without, and the article in which this is detailed was recently accepted for publication. Citation: Brucker, D., Henly, M., & Rafal, M. (2021). The Association of Disability Status with Job Tenure for U.S. Workers. WORK: A Journal of Prevention, Assessment & Rehabilitation.

Psychiatric presentations and medication use in older adults with intellectual and developmental disabilities

Adults with intellectual and developmental disabilities (IDD) are living longer, yet research about the medical and psychiatric needs of older adults still lags behind that of younger individuals with IDD. The aim of this study was to assess age-related differences in the mental health presentations of adults with IDD.

Citation: Wise, E., Holingue, C., Klein, A., Caoili, A., Charlot, L., Barnhill, J., & Beasley, J. (Accepted). Psychiatric presentations and medication use in older adults with intellectual and developmental disabilities. American Journal of Geriatric Psychiatry.

2021 New Hampshire Disability & Public Health Report

DPH's May report reveals the need for better preventive health for Adults with IDD. Compared to adults with intellectual and developmental disabilities (IDD) nationally, adults with IDD in NH are more likely to live in a rural area. They are more likely to live in their own home, with family, or in a foster home. Other adults with IDD live in urban areas and in institutions or group homes. Citation: DPH. (2021, May). 2021 New Hampshire Disability & Public Health Report [Series Report]. Institute on Disability at the University of New Hampshire.

Introduction to a Special Series on PROMISE.

The issue intends to make accessible new knowledge on the practices and policies that contribute to the post-school success of low-income youth with disabilities. The articles share insights gained from the PROMISE experience and justify the need for a continued emphasis on examining education and employment practices that lead to post-secondary education, long-term employment, and financial independence. The full special issue on PROMISE is open source and available to all. Citation: Crane, K., Hartman, E. & Nye-Lengerman, K. (2021). Improving the Adult Outcomes for SSI Youth Recipients: Introduction to a Special Series on PROMISE. Career Development and Transition for Exceptional Individuals, 44(2), 67–68. doi: 10.1177/2165143420980726

Spring 2021

2020 Center for START Services Annual Report

CSS’s report highlights achievements which would not be possible without their network partners. CSS would like to thank everyone in the START Network for contributing to their shared mission of improving the lives of individuals with intellectual and developmental disabilities and mental health needs and their families.
Center for START Services. (2021). Center for START Services 2020 Annual Report. University of New Hampshire Institute on Disability. centerforstartservices.org

Career Development and Transition for Exceptional Individuals

The latest issue is part of a special series called Promoting Readiness of Minors in Supplemental Security Income (PROMISE): Lessons Learned to Support Transition Services and Programs.

Crane, K., Hartman, E. & Nye-Lengerman, K. (Guest Eds..) (2021, May). Career Development and Transition for Exceptional Individuals,  44(2). Hammill Institute on Disabilities & SAGE. https://journals.sagepub.com/toc/cdeb/44/2

Changes in the Employment Status of People with and without Disabilities in the U.S. during the COVID-19 pandemic

Using data from the monthly Current Population Survey, EPM-RRTC’s new paper provides monthly employment and unemployment statistics for people with and without disabilities in the United States, before and during the COVID-19 pandemic to date (January 2021).
Houtenville, A., Paul, S., & Brucker, D. (2021, March 29). Changes in the employment status of people with and without disabilities in the United States during the COVID-19 pandemic. Archives of Physical Medicine and Rehabilitation. archives-pmr.org/article/S0003-9993(21)00300-2/fulltext

Disability RAPP Sheet: Spring 2021

This issue looks at how the pandemic has impacted people with disabilities through the lens of assistive technology, health care, and higher education. We explore how COVID-19 has both challenged the disability community and hopefully inspired lasting innovations.
Schuh, M., Patrick, S., Rodriguez-Legendre, I., Bhattarai, D., & Eberle, R. (Eds.(2021, March). Disability RAPP sheet (Spring 2021). Disability Rights Center-NH in collaboration with Institute on Disability, New Hampshire Council on Developmental Disabilities. https://drcnh.org/rap-sheet/spring-2021-disability-in-the-time-of-covid-19/

Integrated Mental Health Treatment Guidelines for Prescribers in IDD

The first edition of Integrated Mental Health Treatment Guidelines for Prescribers in Intellectual and Developmental Disabilities (referred to as the IDD-MH Prescriber Guidelines herein), provides accessible best practice resources with a focus on integrated health and positive medicine for prescribers of persons with IDD and mental health needs. The IDD-MH Prescriber Guidelines offer an overview of integrated health and psychopharmacological best practices in the treatment of patients with IDD and ASD.
Center for START Services. (2021). Integrated Mental Health Treatment Guidelines for Prescribers in IDD. University of New Hampshire Institute on Disability. https://centerforstartservices.org/

IOD’s Annual Report and Report on Scholarly Activities and Engagement

The Institute on Disability produces an annual report and report on scholarly activities and engagement to document and summarize the year’s accomplishments and outcomes and highlight many of its innovative and interdisciplinary research, academic, service, and dissemination initiatives.
Gianino, M., Eberle, R., Frechette, A. (2021). Institute on Disability / UCED at the University of New Hampshire's College of Health and Human Services FY 2020 Report on Scholarly Activity and Engagement July 1, 2019 – June 30, 2020. Durham, NH: University of New Hampshire, Institute on Disability. https://iod.unh.edu/sites/default/files/media/pdfs/CV/iodcv_fy20_final.pdf
Gianino, M., & Eberle, R. (2021). Institute on Disability / UCED at the University of New Hampshire's College of Health and Human Services FY 2020 Annual Report July 1, 2019 – June 30, 2020. Durham, NH: University of New Hampshire, Institute on Disability. https://iod.unh.edu/archived-annual-reports

Mental Health Support Needed for Transgender Adults with Disabilities

The latest issue of DPH’s Disability in Focus shows that in New Hampshire, 2 in 5 adults who are transgender have a disability. When adults were asked about stress, depression, and emotional problems in the last 30 days, adults with disabilities who were also transgender had the most mentally unhealthy days. You can read the full issue on DPH’s website.
Disability & Public Health (DPH). (2021, March). Mental Health Support Needed for Transgender Adults with Disabilities (Disability in Focus Series). University of New Hampshire Institute on Disability.  https://iod.unh.edu/projects/new-hampshire-disability-public-health-project/disability-focus-march-2021

NH Leadership Series Inclusive Oral Health Care Video

The new training video addresses challenges people with disabilities face when accessing oral health care and methods for supporting positive patient experience. Produced by the NH Leadership Series class of 2020 Sensitive Smiles oral health care action group, Sensitive Smiles, and funded by Northeast Delta Dental Foundation.
NH Leadership Series. (2021, March). Inclusive Oral Health Care [video]. University of New Hampshire Institute on Disability. https://iod.unh.edu/projects/nh-leadership/inclusive-oral-health-care-improving-patient-experience

Occupational Injury and Illness in New Hampshire Data Report to Inform Programs and Policies

NH Occupational Health Surveillance Program’s latest report contains data and information on occupational injuries and illnesses in New Hampshire, which marks an important step on the path to a safer and healthier work environment for New Hampshire workers. 
Armenti, K., & Antal, P. (2021, March 1). Occupational Injury and Illness in New Hampshire Data Report to Inform Programs and Policies. University of New Hampshire Institute on Disability. iod.unh.edu 

Psychotropic Use Among Youths with Intellectual and Developmental Disabilities

The authors examined the prevalence of psychotropic medication prescribing among outpatient youths with IDD. Polypharmacy, antipsychotic use, and anticonvulsant use in the absence of seizure disorders were common among youth with IDD referred to the crisis service.

Polypharmacy, antipsychotic use, and anticonvulsant use in the absence of seizure disorders were common among youths with intellectual and developmental disabilities referred to the crisis service. Older age, number of psychiatric diagnoses, living in a group home, and psychiatric hospitalization correlate with these prescribing practices. These elevated prescribing rates in a very vulnerable population warrant further study.
McLaren, J. L., Lichtenstein, J. D., Metcalfe, J. D., Charlot, L. R., Drake, R. E., & Beasley, J. B. (2021). Psychotropic use among youths with intellectual and developmental disabilities. Psychiatric Serviceshttps://doi.org/10.1176/appi.ps.201900465

Putting Policy Into Practice: Impact Of The Every Student Succeeds Act (ESSA) On Speech-Language Pathologists And Students With Disabilities

This article is intended to provide background information, and critical analysis regarding the Every Student Succeeds Act (ESSA) as it relates to speech-language pathology practice and provision of services to students with disabilities within the schools.
McCabe, M. & Nye-Lengerman, K. (in press). Putting policy into practice: impact of the Every Student Succeeds Act (ESSA) on speech-language pathologists and students with disabilities. Language, Speech, and Hearing Services in Schools.

There’s No Place Like Home

Everyone needs a place to call their own and should be able to choose where they live. In the latest installment of From Where I Sit, Kathy Bates explores the concept of livability  I and some of the problems people with disabilities face when trying to find housing.
Bates, K. (2021, April). There’s No Place Like Home. From Where I Situnhiod.tumblr.com

Health Disparities among Social Security Disability Insurance and Supplemental Security Income Beneficiaries Who Participate in Federal Rental Housing Assistance Programs

Using newly available 2013-2016 National Health Interview Survey (NHIS) data linked with U.S. Department of Housing and Urban Development (HUD) administrative records on public and assisted housing programs, multivariate analyses find higher predicted probabilities of fair or poor health status, chronic condition diagnoses (hypertension, asthma, diabetes) obesity, and health care utilization among SSDI and SSI beneficiaries participating in HUD's non-elderly rental housing assistance program participants compared to other residents.
Brucker, D., & Helms Garrison, V. (2021, April 01). Health Disparities among Social Security Disability Insurance and Supplemental Security Income Beneficiaries Who Participate in Federal Rental Housing Assistance Programs. Disability & Health Journalhttps://doi.org/10.1016/j.dhjo.2021.101098

Winter 2021

Armenti, K., & Laflamme, D. NIOSH Surveillance Grant. (2020, October). Analysis of New Hampshire Pregnancy Risk Assessment Monitoring System (PRAMS) to Better Understand Breastfeeding Initiation and Duration by Industry Category. Institute on Disability, University of New Hampshire. https://iod.unh.edu/sites/default/files/media/NHOHSP/Pubs/bcbf-prams_report-2020_final.pdf 

Beasley, J. Center for START Services. (2020, December 1). Research Examines Family Caregiver Experiences for People with IDD and Mental Health Needs. Tennessee Works. https://www.tennesseeworks.org/blog 

Bates, K. (2021, January). Fighting the Covid-19 Battle. From Where I Sit. [Online Blog Post]. https://unhiod.tumblr.com/post/641385934821179392/fighting-the-covid-19-battle 

Charlot, L., Doerfler, L. & McLaren, J., 2020. Psychotropic medications use and side effects of individuals with intellectual and developmental disabilities. Journal of Intellectual Disability Research, [online] 64(11), pp.852-863. https://onlinelibrary.wiley.com/doi/10.1111/jir.12777

Kalb L., Beasley J., Caoili A., McLaren J., & Barnhill J. (2020, December). Predictors of mental health crisis among individuals with intellectual and developmental disabilities enrolled in the START program. Psychiatric Services. doi.org/10.1176/appi.ps.202000301 

Helms, V., Coleman-Jensen, A., Gray, R., & Brucker, D. (2020, November). Household Food Insecurity and U.S. Department of Housing and Urban Development Federal Housing Assistance. U.S. Department of Agriculture, Economic Research Service. ers.usda.gov/webdocs/publications/99781/err-277.pdf?v=2790.7 

Henly, M., & Brucker, D. EPM-RRTC. (2020) More than just lower wages: intrinsic job quality for college graduates with disabilities. Journal of Education and Work. doi.org/10.1080/13639080.2020.1842865 

Houtenville, A. and Rafal, M. (2020). Annual Report on People with Disabilities in America: 2020. University of New Hampshire, Institute on Disability. https://disabilitycompendium.org/annualreport

Holingue, C., Kalb, L., Klein, A., Beasley, J., 2020. Experiences with the Mental Health Service System of Family Caregivers of Individuals with an Intellectual/Developmental Disability Referred to START. Intellectual and Developmental Disabilities, [online] 58(5), pp.379-392. https://doi.org/10.1352/1934-9556-58.5.379

Migliore, A., Butterworth J., & Nye-Lengerman, K. (In press). Rethinking Management Information Systems for Scaling up Employment Outcomes. Journal of Disability Policy Studies

Mitra, S., & Brucker, D. (2020) Disability and aging: From successful aging to wellbeing through the capability and human development lens. Disability and Health Journal, 13(4), 100926. 
doi.org/10.1016/j.dhjo.2020.100924 

Mitra, S., Brucker, D., & Jajtner, K. (2020). Wellbeing at older ages: Towards an inclusive and multidimensional measure. Disability and Health Journal. 13(4). doi.org/10.1016/j.dhjo.2020.100926 

Paul, S., Rafal, M., & Houtenville, A. (2020). Annual Disability Statistics Compendium: 2020. University of New Hampshire, Institute on Disability. https://disabilitycompendium.org/

Paul, S., Rafal, M., & Houtenville, A. (2020). Annual Disability Statistics Supplement: 2020.  University of New Hampshire, Institute on Disability. https://disabilitycompendium.org/

Polacsek M., Meuser T., Brucker D., & Moran A. (2020, December). Food Security Status and Food Purchasing Behaviors: findings from a sample of Maine residents during the covid-19 pandemic. University of New England. https://www.une.edu/sites/default/files/2021-01/12.17.20%20Maine%20Food%20Security%20Policy%20Brief.pdf