Thursday, September 30, 2010

DART paratransit news

Thanks to Myrna Gorchoff for sending this announcement:

DART looks to privatize paratransit bus service

12:00 AM CDT on Tuesday, September 21, 2010
By MICHAEL A. LINDENBERGER / The Dallas Morning News
mlindenberger@dallasnews.com


Dallas Area Rapid Transit could soon make the biggest changes in at least a decade to its heavily used paratransit service and hopes to save the cash-strapped agency millions of dollars annually.


The transit agency is poised to privatize the service, now used by about 10,000 physically challenged customers, and would begin using taxicabs, limousines and other local independent contractors to pick up and drop off its customers.


"This is how this is being done across the nation," said Victor Burke, executive vice president of operations for DART.


Burke said DART has been considering making changes to the service for two years. But it's the cost-savings that are adding the most urgency now – and DART has plenty of incentive to trim costs.


Its board of directors will vote Sept. 28 on a 2011 budget and a 20-year financial plan that seeks to trim some $8 billion in anticipated spending by 2030.

Against that backdrop, officials are scrutinizing the approximately $30 million a year the agency spends on the service.


Most of that money goes to a firm called Veolia, which DART pays about $20 million a year to provide 415 full-time drivers.


In addition, DART employs more than 40 supervisors and dispatchers who field calls for the rides. It also pays for the vehicles, office space, driver uniforms, drug screening and nearly every other cost associated with providing 750,000 paratransit trips last year.


The proposal to privatize the service could offload responsibility for replacing DART's fleet of small buses, as well.


The DART board of directors must still approve the proposal, and some members have raised concerns about the proposal to outsource the dispatching service.


Ray Noah of Richardson, who has served on the board since DART's founding in 1983, urged Burke to move carefully.


He reminded him that before DART brought the dispatching function in house more than a decade ago, taxi companies and others had routinely defrauded the agency.


"It was a major embarrassment for DART," Noah said. "And we don't want that to happen again."


Still, the momentum for the change is strong, especially given the tough financial picture confronting DART. The financial plan to be voted on next week assumes that the changes will be made, though no request for proposals by private firms will be sought until DART board members vote to explicitly approve the change, spokesman Morgan Lyons said.


That could happen as soon as later this year, he said. Veolia's contract is scheduled to expire in 2011, though it could be extended until 2012.


Savings aside, the switch would mean big changes for the riders who depend on the service, though many details remain to be worked out. Whether the fares, for instance, would change under a private model isn't yet clear. Currently paratransit trips cost $3, and personal caregivers can accompany the customer for free.


The winning firm, Burke said, will likely be located out of town and could serve as dispatcher for this kind of service in other cities. It would contract in turn with hundreds of part- and full-time drivers in North Texas, each of whom would agree to be available on-call to provide rides for DART customers.


Like a taxi company, those drivers would either bring their own disabled-accessible vehicles or agree to lease the vehicles from the new firm.


About 70 percent would work full time for the new firm, and the rest could be independent contractors who use their own taxis or limousines to pick up disabled passengers when called.


Instead of a small bus with a DART logo, the customers could be greeted by a regular taxi whose driver has only an indirect relationship with DART.


That carries risks for DART and its passengers, said Harold Oliver, an Austin-based consultant for Veolia.


"You might assume that human nature is such that a driver who is using their own vehicle will always change the tires when they are needed, replace the oil every 3,000 miles and fix the brakes as soon as they squeal. But that doesn't always happen."


DART, he said, would be among the first transit agencies in the nation to surrender so much control of its dispatching, maintenance and service delivery to a private firm.


Burke said the agency would keep some oversight, and probably will keep about 30 of its 40 or so dispatchers and supervisors to monitor service, even if it privatizes the service.

Wednesday, September 22, 2010

General Overview

Lifelines: The Brain Injury Support Group
meeting at Presbyterian Hospital of Dallas


2nd Mondays of the month, 6:30 - 8 PM
Fogelson Building
Haggar Hall


We celebrate our 10th year anniversary in June 2011!!!

Lifelines functions primarily as an educational forum. We also hold group discussions every few months.

Mission Statement Lifelines: The Brain Injury Support Group strives to address the various issues that arise during the rehabilitation/recovery period through support, information and education. The group serves to educate its members about brain injury, how to improve brain health and the possibility of recovering brain function. Lifelines also provides an open forum where survivors, caregivers and health care professionals may meet and share their experiences. This exchange allows the group to address quality of life issues.

Philosophy Every individual, whether brain injured or not, has suffered some type of affliction. The emphasis for healing and recovery is not to focus on what has happened but instead to focus on what a person can accomplish in the aftermath of tragedy. What is most important is how a person responds to life's challenges. We are survivors. We are not victims.


Purpose "For human beings adaptation to change cannot take place through instincts. It has to take place through something called awareness, motivation, free will and the ability to anticipate the future." Self-Healing: A Personal History, René DuBos from The Healing Brain, A Scientific Reader, Edited by Ornstein/Swencionis


Goals • To assist patients during the rehabilitation/recovery phase of brain injury by providing education about the brain, brain health and the possibility of recovering brain function. • To identify the “silent epidemic” of brain injury and offer a forum for patients and their caregivers to feel supported and find direction during this period of adjustment. • To allow for exchange of thoughts, ideas and experiences.




Calendar - 2010 meeting dates


January 11 - Sara Hunt Harper, Ph.D. - Animal Therapy (meeting will include live animals)

February 8 - Miller Henry Service Group - Applying for Social Security Benefits

March 8 - Jane Shook, M.S., CCC, SLP - Sensory Integration and The Listening Program

April 12 - Kurt Johnson, Founder, American Power Yoga - Introduction to Yoga

May 10 -
Karen Sacks, RN - Stroke Awareness Month - New Treatment for Stroke

June 14 - 9th year anniversary - Discussion - Where we've been and where we're going

July 12 - Lynda Gail Jones, member, health care professional - Collage as therapy

August 9 - Jerry Morle, minister - Group discussion on Spiritual Health

September 13 - Dr. Jonathan Walker - Neurofeedback for brain injury

October 11 - Discussion group, Lifelines as a Brain Injury Wellness and Recovery Group. What does it mean?

November 8 - Jane Shook, M.S., CCC, SLP - Sensory Integration and The Interactive Metronome

December 13 - Holiday Social at Qdoba, West Village, Lemmon and McKinney Ave



For the purposes of our group, the most important thing to realize is that the mechanism by which the brain was injured (automobile accident, fall, stroke, ruptured brain aneurysm/brain surgery, congenital) is most significant during the acute phase of care - hospitalization - and post acute - first stages of rehabilitation. When it comes time to address the physical and cognitive deficits in the recovery/rehabilitation/remediation phase, there are enough similarities between the brain insults that allow survivors to meet under an umbrella group.

Our group members have experienced traumatic brain injury, mild traumatic brain injury, acquired brain injury such as ruptured brain aneurysm/brain surgery and stroke and congenital brain injury. Caregivers, other family members (adults only), friends, and health care professionals also attend the meetings.

The challenges faced by survivors depend on what type of brain injury has occurred, so we have a range in physical and cognitive abilities. We usually have an average of 15 people attending presentations.

Past speakers include Dr. Harold Crasilneck presenting the effects of hypnotherapy, Drs. Gray Atkins, Jonathan Walker, Marvin Sams and Sara Hunt Harper discussing neurofeedback (EEG Biofeedback techniques), Tracy Sellers introducing Brain Gym, Betty Erickson (daughter of Milton Erickson) giving a "reality check" with emotionally healthy ways to approach life, Dr. Fran Assaf presenting CranioSacral Therapy, Dr. Steve Lomber detailing how the brain overcomes injury, Roger Stainbrook and Elijah Hawken discussing the benefits of acupuncture, Dr. John-Claude Krusz discussing neuropharmocology, and Dr. Richard Fulbright presenting two lectures - one about neuropsychological testing and the other about psychosocial outcomes following traumatic brain injury.

Note: Additional information is listed under the 2007 posts. For Fun Things to Do, click on June 2007; for Free Things to Do, click on May 2007; for Resource Information, click on May 2007; for information on different therapies/remediating brain injury, click on August 2007.


For more information and/questions about the group, please contact Kimberly at aikmank@gmail.com. Please note that meetings are for adults only - we do not have the facilities to accommodate children.


Directions to Presbyterian Hospital:
Presbyterian Hospital of Dallas is located on Walnut Hill Lane, just east of U.S. 75 (Central Expressway). The meetings are in the


Fogelson Building, Ground Floor, Haggar Hall
Presbyterian Hospital of Dallas
8200 Walnut Hill Lane
Dallas, TX 75231

Map:http://www.google.com/maps?f=d&saddr=&daddr=8200+Walnut+Hill+LN+Dallas,+TX+75231&iwstate1=dir:to&oi=manybox&ct=16&cd=1&resnum=1


When turning into the campus from eastbound Walnut Hill, the best route to take may be the driveway prior to the light for the main entrance. The driveway curves away from the main entrance (direction towards North Central Expressway) and the entry to the parking lot is on the left (gated entry). The Fogelson Building has a small dome on top and is next to the Margot Perot Center.

Using the underground parking is the easiest way to reach the meeting location; if entering from the main floor, cross the foyer (past the stairs) and take the elevators to the ground floor. Haggar Hall is to the left off the elevators.

Remember that parking is now free! Be sure to get your validation sticker at the start of the meeting.

Neither Lifelines nor Presbyterian Hospital of Dallas endorse or recommend any method, treatment, or a program for persons with a brain injury. The intent of the group is to provide support and make information available. Attendance in the group is not a substitute for an informed discussion between a patient and his/her health care provider. No endorsement is intended nor implied.






Friday, September 3, 2010


Lifelines: The Brain Injury Wellness and Recovery Group
meeting at Presbyterian Hospital of Dallas.





Our 10 year anniversary is approaching and to celebrate we are changing our name to better reflect the mission of our group.




Thank you to everyone who voted,

with a special thanks to Dr. Eric Smernoff, Karen Sacks, R.N., Tammy Gersch and Pat Black for providing the new name!!!