Yesterday I spent the day in Chicago meeting with advocates. It just happened my last
stop was at Access Living. They are a great partner in advocacy with The Arc and offer
so many rich and meaningful supports for people with disabilities. I have met a few of
the Fe Fes and they are awesome.

I am headed back to Chicago today for an LEND Advisory Committee at the Institute
for Disability & Human Development at UIC another awesome group of advocates!


Overcoming barriers to sexual health
A group of young women with disabilities, the Empowered Fe Fes, inspires and
helps create a guide to reproductive health care

By Barbara Brotman Chicago Tribune

Stephanie Jackson was nervous as she stepped in front of the room. “This is a very
important day for the Fe Fes,” she began softly. “This is the first time that a group of
women with disabilities …”

She paused and looked down at her notes. “Oh, God,” she murmured. The room
echoed with encouragement.

“You’re doing great!” “Go on!” She went on. “Sometimes people in my life don’t want
me to make my own decisions,” she said. “But it’s about you and taking control of your
life. Thank you.”

She walked away to cheers amid celebration of the launch of “Take Charge!” a guide to
reproductive health for women with disabilities. T

he new guide tells what to expect at a gynecology appointment, discusses birth control
and preventing sexually transmitted infections, and advises disabled women on how to
ask to see a doctor without a parent or guardian present.

A project of Access Living of Metropolitan Chicago funded by the Chicago Foundation
for Women, the guide is being presented by a group that inspired its creation and
contributed to its content — the Empowered Fe Fes.

The Empowered Fe Fes — slang for females — are young women with disabilities
who meet regularly at Access Living to enjoy one another’s company and talk about
their shared concerns. Among them is reproductive health care. Women with disabilities
have the same needs for pelvic exams, Pap smears and birth control as other women,
said Fulani Thrasher, women and girls community organizer at Access Living. But they
may be stymied by inaccessible exam tables or clinics that don’t provide help with
donning gowns or transferring from a wheelchair. And they often face another barrier:
the belief they don’t need services like birth control.

“We are seen as people who maybe shouldn’t have sex — that we’re not ready for
something like that,” said Jackson, who is 23. The Fe Fes know disabled women have
sex. One of them has a 2­year­old daughter.

Sex is a recurring subject at meetings. The Fe Fes talk about birth control,
masturbation and at what point to broach the subject of sex with a partner.

At a recent meeting, a representative from a sex toy store brought various wares. The
Fe Fes used some of them for a practice session on putting on a condom. The absence
of media representations of disabled physical love leaves Fe Fes with frank and specific

How do people who use wheelchairs have sex? How do they maneuver in the room with
the wheelchair? Can other people be in the room helping them? “They don’t have a
picture of what sex is like for disabled people,” Jackson said. And their families aren’t
necessarily eager for them to find out. Parents and guardians don’t want the young
women to be taken advantage of or hurt. Thrasher sympathizes.

“The pressure is real for parents of children with disabilities to protect them and make
sure they have housing and transportation,” she said, and arranging for their continued
care after they’re gone. But the young women are thinking about boyfriends, marriage
and children, Thrasher said, and should get guidance and support. Their health is at
stake, said Kennedy Healy, 20,

Access Chicago’s women and girls intern and a primary force behind the new guide.
Because of outdated assumptions that people with disabilities don’t have sex and don’t
find love, she said, disabled women are rarely taken to gynecologists and thus have
higher rates of sexually transmitted infections and unplanned pregnancies.

Disabled women are also at higher risk for sexual violence, according to Illinois
Imagines, a statewide project to improve services for disabled women who are victims
of sexual assault.

Their relationships should be taken as seriously as anyone else’s, said Healy, who is
also a student at DePaul University. “When someone with a disability gets a date to the
prom, it’s on the evening news,” she said. “When a disabled person having a date
becomes a heroic or adorable thing,
it’s hard to have these relationships respected.”

The new guide outlines the accommodations medical officers are required to provide
under the Americans with Disabilities Act — and they go beyond wheelchair accessibility.
They must have height ­adjustable exam tables to which someone can transfer from a
wheelchair, or else provide lifting equipment or a trained lifting team. They must provide
assistance in undressing and dressing if a patient needs it, or an American Sign
Language interpreter or written instructions in Braille. And the medical office must
provide the helpers, women are not required to bring their own aides or interpreters.

Those accommodations may be hard to find, though. Members of the Empowered Fe
Fes contacted major Chicago hospitals and clinics and found that half said, for example,
that they did not help patients dress and undress.

Many, and possibly most, clinics and hospitals are not fully compliant with the ADA,
according to a health care consultant who helped write the new guide. The Department
of Justice never enacted regulations to enforce the act at health care clinics. Still, the
mood of the launch party was one of celebration.

The new guide will be distributed in coming months to community organizations,
medical offices and, Thrasher hopes, to medical students.

The Empowered Fe Fes, who were hugging and laughing for photos, will continue
encouraging women with disabilities to live fully. “It’s OK to have these feelings,” said
25 ­year ­old Brittany King, who has mobility issues after a stroke. “We are women, at the
end of the day. We want the same desires and relationships as other people.”

Tony Paulauski
Executive Director
The Arc of Illinois
20901 S. LaGrange Rd. Suite 209
Frankfort, IL 60423
815-464-1832 (OFFICE)
815-464-1832 (CELL)