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ISU Insurance Brokers Host Summit for Tow Insurance Industry


(Santa Rosa, CA). ISU has created exclusive carrier relationships for the tow industry with highly regarded insurance companies. The goal of the summit was to build communication and understanding among these carriers, ISU brokers and the tow industry.

A Decade of Protection at the Northern Channel Islands (guest blog by Jenn Eckerle)


She helped lead the effort to create marine protected areas in Southern California and is currently focused ...
Islands Four of the northern Channel Islands - Anacapa, Santa Cruz, Santa Rosa, and San Miguel - rise dramatically from the continental shelf ...

Two Busts For Allegedly Transporting Pot Through Sonoma County


The California Highway on Monday arrested two people in connection ...
The driver, identified as Henok Andie, 29, of Santa Rosa, was arrested on suspicion of transporting marijuana for sale. The second arrest occurred at 4 p.m. on southbound 101 near ...

Suspected Killer Of Elderly Sonoma County Woman Faces New Murder Charge Over Death Of 2nd Suspect


Police eventually caught up to the couple after they crossed from California in Arizona ...
then he is charged with murder,” Bagby said. Prosecutors in Santa Rosa Tuesday identified the female suspect as Stephanie Hill, 37, of Novato.

Santa Rosa: 3 men plead not guilty in sexual assaults of captive woman


SANTA ROSA - Three men pleaded not guilty in Sonoma County Superior Court Tuesday morning to charges in connection with the alleged sexual assaults of a woman held captive for nearly three months at a residence west of Santa Rosa. The defendants did not ...

American Wood Fibers Announces the Strategic Acquisition of Lost Coast Forest Products


American Wood Fibers has completed the acquisition of Lost Coast Forest Products (LCFP) of Santa Rosa, California from Geoff Friedman, the Founder and President. Stephen Faehner, President and CEO of American Wood Fibers, Inc. (AWF) and Geoff Freidman ...

Health Net : California OKs Sutter Health HMO for Sonoma County


March 03--Nikki Canelis of Cazadero learned two important things during her visit Tuesday morning with a Sutter Health-affiliated breast imaging radiologist in Santa Rosa. First and foremost ...
offered in the Covered California health exchange.

California OKs Sutter Health HMO for Sonoma County


Nikki Canelis of Cazadero learned two important things during her visit Tuesday morning with a Sutter Health-affiliated breast imaging radiologist in Santa Rosa. First and foremost, she got a clean bill of health with no new cyst growth since her breast ...

Mold Shuts Down Apartment Complex in Santa Rosa


Last month, The Press Democrat reported that city code enforcement officers from Santa Rosa, California ordered all residents of an apartment complex to vacate the property. According to the article, this all occurred after high levels of mold were found ...

3 Men Arrested In Santa Rosa Kidnapping Case


Santa Rosa, CA – Three men, Jose Barajas-Mireles, Guillermo Avina, and Jaime Cisneros, have been arrested in Santa Rosa. The three men are accused of kidnapping, sexually assaulting, and beating an unidentified 22 year old woman and holding her hostage ...

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Teenage Girl Killed In Santa Rosa Crash


SANTA ROSA (CBS SF) — A teenage girl was killed in a crash that injured two others on U.S. Highway 101 in Santa Rosa early Saturday morning after a pursuit that started in Windsor, according to the Ca…

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Gay, Latino Santa Rosa Student Overcomes Adversity To Become 1st In His Family To Attend College


SANTA ROSA (CBS SF) — During his lunch break at Roseland University Prep in Santa Rosa, Regino Rodriguez meets with the Social Justice Club. He has a lot to share.  He is Latino and comes from a low-i…

3 Arrested In Connection With Rape, Holding Woman As Sex Slave For Months In Santa Rosa Home


SANTA ROSA (CBS SF) – Authorities in Sonoma County have arrested three people accused of holding a woman hostage and sexually assaulting her inside a home for several weeks. The Sonoma County Sheriff…

Bill Cosby’s Scheduled June Appearance In Santa Rosa Postponed Indefinitely


SANTA ROSA (KCBS)— A performance by comedian Bill Cosby scheduled for June in Santa Rosa has been postponed indefinitely according to the venue. The Wells Fargo Center for The Arts announced on Frida…

Steep Competition For $400-A-Month Affordable Housing Complex In Santa Rosa


SANTA ROSA (CBS SF) — People bundled up and waited in line for several days in hopes of finding a new place to call home in Santa Rosa. David Modesto is one of the people who had been waiting since M…




SPECIAL INFORMATION FOR SANTA ROSA

The Guardian and a warning to SANTA ROSA CALIFORNIA: Jehovah´s Witnesses´ silencing techniques, as terrifying as child abuse

Growing up in a Jehovah’s Witness family is different. As a child, I didn’t celebrate birthdays, Christmas or July 4. Nor did I, or anyone I knew, mix with non-Witness families in Little League or Girl Scouts. Instead, I spent much of my time sharing the “good news.” I used to go door-to-door on my own with a big, strong, well liked man in my congregation, named Jonathan. I was just 9 and 10 when he repeatedly sexually abused me.

It is really hard for kids to speak up when they’re abused. But the Jehovah’s Witnesses make it a lot harder.

They have a “2 Witness” rule, which says that anyone who accuses an adult of abuse must have a second witness. If there is no second witness, the accuser is punished for a false accusation - usually by ordering that no Witness may talk with or associate with the “false” accuser. This is called dis-fellowshipping. For a kid raised only with other Witnesses, it was horrifying. Even your parents would have to ignore you. It was more terrifying than Jonathan.

It was the elders of my congregation who had assigned Jonathan to team up with me. When we separated from the others, he forced me into his pick-up truck and drove us to his house. Then he would say “Let’s play”. It happened too many times. Like everyone else in the congregation, my parents liked “Brother” Jonathan and trusted him in our family.

My parents were consumed with some really huge problems in those years, and later divorced. I was emotionally alone - and wanted to be the best Jehovah’s Witness I could be. That’s why I went out to field service - the door to door ministry that Witnesses are known for.

What my parents didn’t know, was that Jonathan had sexually molested another girl in our congregation. The elders knew this and had kept it a secret. They were following orders from Watchtower leaders, based in the world headquarters in New York, who in 1989 had issued a top-secret instruction to keep known child sex abusers in the congregations a secret. This instruction became Exhibit 1 at my civil trial.

The elders and the Governing Body all knew that child molesters hide in religious groups and often are people who are likeable and friendly - like Jonathan. They knew molesters would likely do it again. But they chose to ignore the safety of the kids, in favor of protecting their image - and their bank account - from lawsuits. It was all in that 1989 letter.

A recent report by the Center for Investigative Reporting revealed that they have continued to issues directives urging silence around child abuse. Last November, elders were instructed to avoid taking criminal matters like child abuse to the authorities. Instead, they were told to handle them internally in confidential committees. The report also showed that Jehovah’s Witnesses evoke the First Amendment to hide sex abuse claims.

It took me learning about Jonathan’s other victims for me to speak up. In 2009, I looked on California’s Megan’s Law website, the state’s official list of registered sex offenders. There, I found he had been convicted a few years before for sexually abusing another 8-year-old girl. I felt horribly guilty that I hadn’t spoken up about him earlier. Now, I need to stop predators from doing this again.

The only way to end this abuse is by lifting this veil of secrecy once and for all.

In http://www.theguardian.com/commentisfree/2015/mar/02/jehovahs-witnesses-silencing-techniques-child-abuse [6]

SANTA ROSA CALIFORNIA tspan:3m SANTA ROSA CALIFORNIA




Advices to people with irritable bowel syndrome (IBS) in SANTA ROSA CALIFORNIA

What is irritable bowel syndrome (IBS)?

Irritable bowel syndrome* (IBS) is a functional gastrointestinal (GI) disorder, meaning that the symptoms are caused by changes in how the GI tract works. The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus—the opening where stool leaves your body. Food is digested, or broken down, in the GI tract.

The organs of the GI tract

*See the Pronunciation Guide for tips on how to say words in bold type.

IBS is a group of symptoms that occur together, not a disease. Symptoms can come and go repeatedly without signs of damage to the GI tract.

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What are the symptoms of IBS?

The most common symptoms of IBS include pain or discomfort in your abdomen—the area between your chest and hips—and changes in your bowel habits. The pain or discomfort of IBS may be reported as cramping and

  • starts when you have bowel movements more or less often than usual
  • starts when your stool appears looser and more watery or harder and more lumpy than usual
  • goes away after a bowel movement

The changes in bowel habits with IBS may be diarrhea, constipation, or both.

Symptoms of diarrhea are

  • passing stools three or more times a day
  • having loose, watery stools
  • feeling an urgent need to have a bowel movement

Symptoms of constipation are

  • passing fewer than three stools in a week
  • having hard, dry stools
  • straining to have a bowel movement

Some people with IBS have only diarrhea or only constipation. Some people have symptoms of both diarrhea and constipation or have diarrhea sometimes and constipation other times. People often have symptoms after eating a meal.

Other symptoms of IBS are

  • whitish mucus—a clear liquid made by the intestines—in the stool
  • a swollen or bloated abdomen
  • the feeling that you haven’t finished a bowel movement

Women with IBS often have more symptoms during their menstrual periods.

IBS is a chronic disorder, meaning it lasts a long time, often years. However, the symptoms may come and go. You may have IBS if

  • you have had symptoms at least three times a month for the past 3 months
  • your symptoms first started at least 6 months ago

While IBS can be painful, it doesn’t lead to other health problems or damage the GI tract.

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What causes IBS?

Doctors are not sure what causes IBS. Researchers are studying the following possible causes of IBS:

  • Brain-gut signal problems. Signals between your brain and the nerves of your gut, or small and large intestines, control how your gut works. Problems with brain-gut signals may cause IBS symptoms, such as changes in your bowel habits and pain or discomfort.
  • Colon muscle problems. The muscles of your colon, part of your large intestine, may not work normally. The muscles may contract, or tighten, too much. These contractions may move stool through your gut too quickly, causing cramping and diarrhea during or shortly after a meal, or slow the movement of stool, causing constipation.
  • Sensitive nerves. The nerves in your gut may be extra sensitive, causing you to feel more pain or discomfort than normal when gas or stool is in the gut.
  • Mental health issues. Psychological, or mental health, issues such as anxiety or depression may be related to IBS in some people. Stress can make the nerves of your gut more sensitive, causing more discomfort and emotional distress.
  • Infections. A bacterial infection in the GI tract may cause some people to develop IBS.
  • Small intestinal bacterial overgrowth. Normally, few bacteria live in the small intestine. Small intestinal bacterial overgrowth is an increase in the number or a change in the type of bacteria in the small intestine. These bacteria can produce extra gas and may also cause diarrhea and weight loss. Some researchers believe small intestinal bacterial overgrowth may lead to IBS; however, more research is needed to show a link between the two conditions.
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How is IBS diagnosed?

Your doctor may be able to diagnose IBS based on your symptoms. Your doctor may not need to do medical tests or may do a limited number of tests.

Your doctor will ask about your

  • medical history
  • eating habits
  • medicine use

Your doctor will look for a certain pattern in your symptoms. Your doctor can diagnose IBS by using symptom-based standards such as the Rome criteria. Based on the Rome criteria, IBS may be diagnosed if

  • your symptoms started at least 6 months ago
  • you have had abdominal pain or discomfort at least three times a month for the past 3 months
  • your abdominal pain or discomfort has two or three of the following features:
    • Your pain or discomfort improves after a bowel movement.
    • When your pain or discomfort starts, you notice a change in how often you have a bowel movement.
    • When your pain or discomfort starts, you notice a change in the way your stools look.

Your doctor will also conduct a physical exam and may perform blood tests to make sure you don’t have other health problems. IBS can have the same symptoms as other health problems, so more tests may be needed. If any blood tests suggest you may have another health problem, your doctor might also perform the following tests:

  • Stool test. A stool test is used to check stool for blood or parasites, which are tiny organisms found in contaminated food or water. Your doctor will give you a container for catching and storing the stool. You will return the stool sample to your doctor or a commercial facility. The sample will be sent to a lab to check for blood or parasites. Your doctor may also check for blood in stool by examining your rectum—the lower end of the large intestine leading to the anus—during your physical exam.
  • Flexible sigmoidoscopy. Flexible sigmoidoscopy is used to look inside your rectum and lower colon. This test is used to look inside the rectum and lower colon. The test is performed at a hospital or an outpatient center by a gastroenterologist—a doctor who specializes in digestive diseases. Anesthesia is usually not needed. Your doctor will give you written bowel prep instructions to follow at home before the test. You may need to follow a clear liquid diet for 1 to 3 days before the test. You may also need a laxative or enema the night before the test. You may also have one or more enemas about 2 hours before the procedure.

    For the test, you will lie on a table while the doctor inserts a flexible tube into your anus. A small camera on the tube sends a video image of the intestinal lining to a computer screen. The test can show problems in the rectum or lower colon that may be causing your symptoms.

    You can usually go back to your normal diet after the test, though you may have cramping or bloating during the first hour after the test.
  • Colonoscopy. Colonoscopy is used to look inside your rectum and entire colon. The test is performed at a hospital or an outpatient center by a gastroenterologist. You’ll be given a light sedative and possibly pain medicine to help you relax. Your doctor will give you written bowel prep instructions to follow at home before the test. You may need to follow a clear liquid diet for 1 to 3 days before the test. You may need to take laxatives and enemas the evening before the test.

    For the test, you will lie on a table while the doctor inserts a flexible tube into your anus. A small camera on the tube sends a video image of the intestinal lining to a computer screen. The test can show problems in your colon that may be causing your symptoms.

    Cramping or bloating may occur during the first hour after the test. Driving is not permitted for 24 hours after the test so that the sedative can wear off. Before the appointment, you should make plans for a ride home. By the next day, you should fully recover and go back to your normal diet.
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How is IBS treated?

Irritable bowel syndrome is treated by relieving symptoms through

  • changes in eating, diet, and nutrition
  • medicine
  • probiotics
  • psychological therapy

You may have to try a few treatments to see what works best for you. Your doctor can help you find the right treatment plan.

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Eating, Diet, and Nutrition

Eating large meals can cause cramping and diarrhea in some people with IBS. If you experience these symptoms, try to change your eating patterns by eating four or five small meals a day.

Certain foods or drinks may make symptoms worse, such as

  • foods high in fat
  • some milk products
  • drinks with alcohol or caffeine
  • drinks with large amounts of artificial sweeteners, which are used in place of sugar
  • beans, cabbage, and other foods that may cause gas

To find out if certain foods trigger your symptoms, keep a diary and track

  • what you eat during the day
  • what symptoms you have
  • when symptoms occur

Take your notes to your doctor and talk about which foods seem to make your symptoms worse. You may need to avoid these foods or eat less of them.

Fiber may improve constipation symptoms caused by IBS because it makes stool soft and easier to pass. Fiber is found in foods such as whole-grain breads and cereals, beans, fruits, and vegetables. The Academy of Nutrition and Dietetics recommends that adults consume 21 to 38 grams of fiber a day.

While fiber may help constipation, it may not be enough to treat the abdominal discomfort or pain of IBS. In fact, some people with IBS may feel a bit more abdominal discomfort after adding more fiber to their diet. Add foods with fiber a little at a time to let your body get used to them. Too much fiber at once can cause gas, which can trigger symptoms in people with IBS.

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Medicine

Your doctor may give you medicine help relieve symptoms. Follow your doctor’s instructions when you use medicine to treat IBS. Talk with your doctor about possible side effects and what to do if you have them.

These medicines can lessen the symptoms of IBS:

  • Laxatives treat constipation. Many kinds of laxatives are available. Your doctor can help you find the right laxative for you.
  • Loperamide (Imodium) treats diarrhea.
  • Antispasmodics help reduce muscle spasms in the intestines and help ease abdominal pain.
  • Antidepressants in low doses can help relieve IBS symptoms.
  • Lubiprostone (Amitiza) is prescribed for people who have IBS with constipation.
  • Linaclotide (Linzess) is also prescribed for people who have IBS with constipation.

The antibiotic rifaximin can reduce bloating by treating small intestinal bacterial overgrowth; however, scientists are still debating the use of antibiotics to treat IBS and more research is needed.

Probiotics

Probiotics are live microorganisms—tiny organisms that can be seen only with a microscope. These microorganisms, most often bacteria, are like the microorganisms normally found in your GI tract. Studies have found that probiotics taken in large enough amounts improve symptoms of IBS; however, more research is needed. Probiotics can be found in dietary supplements, such as capsules, tablets, and powders, and in some foods, such as yogurt. Talk with your doctor before using probiotics, supplements, or any other complementary or alternative medical treatment. Read more at www.nccam.nih.gov/health/probiotics.

Psychological Therapy

Psychological therapy can help improve IBS symptoms.

  • Talk therapy. Talk therapy may reduce stress and improve IBS symptoms. Two types of talk therapy used to treat IBS are cognitive behavioral therapy and psychodynamic, or interpersonal, therapy. Cognitive behavioral therapy focuses on your thoughts and actions. Psychodynamic therapy focuses on how your emotions affect your IBS symptoms.
  • Gut-directed hypnotherapy. In hypnotherapy, a therapist may help relax the muscles in your colon by putting you into a trancelike state.
  • Mindfulness training. Mindfulness training can teach you to focus your attention on sensations occurring at the moment and to avoid catastrophizing, or worrying about the meaning of those sensations.
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Does stress cause IBS?

Although stress does not cause IBS, if you already have IBS, stress can make your symptoms worse. In addition, simply having IBS symptoms can produce stress.

Learning to reduce stress can help improve IBS. With less stress, you may find you have less cramping and pain. You may also find it easier to manage your symptoms.

Meditation, exercise, hypnosis, and counseling may help lessen IBS symptoms. Getting enough sleep and changing life situations to make them less stressful may also help. You may need to try different activities to see what works best for you.

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Points to Remember

  • Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, meaning symptoms are caused by changes in how the GI tract works.
  • IBS is a group of symptoms that occur together, not a disease. Symptoms can come and go repeatedly without signs of damage to the GI tract.
  • The most common symptoms of IBS include pain or discomfort in your abdomen—the area between your chest and hips—and changes in your bowel habits.
  • While IBS can be painful, it doesn’t lead to other health problems or damage the GI tract.
  • Doctors are not sure what causes IBS. Researchers are studying the following possible causes of IBS:
    • brain-gut signal problems
    • colon muscle problems
    • sensitive nerves
    • mental health issues
    • infections
    • small intestinal bacterial overgrowth
  • Your doctor may be able to diagnose IBS based on your symptoms. Your doctor may not need to do medical tests or may do a limited number of tests.
  • IBS is treated by relieving symptoms through
    • changes in eating, diet, and nutrition
    • medicine
    • probiotics
    • psychological therapy
  • Although stress does not cause IBS, if you already have IBS, stress can make your symptoms worse.
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Hope through Research

The National Institute of Diabetes and Digestive and Kidney Diseases’ (NIDDK’s) pision of Digestive Diseases and Nutrition conducts and supports basic and clinical research into many digestive disorders.

Clinical trials are research studies involving people. Clinical trials look at safe and effective new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. To learn more about clinical trials, why they matter, and how to participate, visit the NIH Clinical Research Trials and You website at www.nih.gov/health/clinicaltrials. For information about current studies, visit www.ClinicalTrials.gov.

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Pronunciation Guide

abdomen (AB-doh-men)

abdominal (ab-DOM-ih-nuhl)

antidepressants (AN-tee-dee-PRESS-uhnts)

antispasmodics (AN-tee-spaz-MOD-iks)

anus (AY-nuhss)

chronic (KRON-ik)

cognitive (KOG-nih-tiv)

colon (KOH-lon)

colonoscopy (KOH-lon-OSS-kuh-pee)

constipation (KON-stih-PAY-shuhn)

diarrhea (DY-uh-REE-uh)

enema (EN-uh-muh)

flexible sigmoidoscopy (FLEK-suh-buhl) (SIG-moy-DOSS-kuh-pee)

functional (FUHNK-shuhn-uhl)

gastroenterologist (GASS-troh-EN-tur-OL-uh-jist)

gastrointestinal (GASS-troh-in-TESS-tin-uhl)

hypnotherapy (HIP-noh-THAIR-uh-pee)

interpersonal (IN-tur-PUR-suhn-uhl)

intestines (in-TESS-tinz)

irritable bowel syndrome (IHR-ih-tuh-buhl) (boul) (SIN-drohm)

laxative (LAK-suh-tiv)

mucus (MYOO-kuhss)

probiotics (PROH-by-OT-iks)

psychodynamic (SY-koh-dy-NAM-ik)

psychological (SY-koh-LOJ-ih-kuhl)

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For More Information

American Neurogastroenterology and Motility Society
45685 Harmony Lane
Belleville, MI 48111
Phone: 734–699–1130
Fax: 734–699–1136
Email: admin@motilitysociety.org
Internet: www.motilitysociety.org

International Foundation for Functional Gastrointestinal Disorders
700 West Virginia Street, Suite 201
Milwaukee, WI 53204
Phone: 1–888–964–2001 or 414–964–1799
Fax: 414–964–7176
Email: iffgd@iffgd.org
Internet: www.iffgd.org

Rome Foundation, Inc.
P.O. Box 6524
Raleigh, NC 27628
Phone: 919&ndash;539&ndash;3051
Fax: 919–900–7646
Email: mpickard@theromefoundation.org
Internet: www.romecriteria.org

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Acknowledgments

Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. This publication was reviewed by Douglas A. Drossman, M.D., University of North Carolina at Chapel Hill.

Thank you also to the Salvation Army, SE Corps, Washington, D.C., for facilitating field-testing of the original version of this publication.

The U.S. Government does not endorse or favor any specific commercial product or company. Trade, proprietary, or company names appearing in this document are used only because they are considered necessary in the context of the information provided. If a product is not mentioned, the omission does not mean or imply that the product is unsatisfactory.

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National Digestive Diseases Information Clearinghouse

2 Information Way
Bethesda, MD 20892–3570
Phone: 1–800–891–5389
TTY: 1–866–569–1162
Fax: 703–738–4929
Email: nddic@info.niddk.nih.gov
Internet: www.digestive.niddk.nih.gov

The National Digestive Diseases Information Clearinghouse (NDDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health of the U.S. Department of Health and Human Services. Established in 1980, the Clearinghouse provides information about digestive diseases to people with digestive disorders and to their families, health care professionals, and the public. The NDDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about digestive diseases.

This publication is not copyrighted. The Clearinghouse encourages users of this publication to duplicate and distribute as many copies as desired.

This publication may contain information about medications and, when taken as prescribed, the conditions they treat. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1–888–INFO–FDA (1–888–463–6332) or visit www.fda.gov. Consult your health care provider for more information.


NIH Publication No. 13–4686
September 2013

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Page last updated October 16, 2013

[9]



There are more opportunities than ever for those receiving benefits from Social Security Disability Insurance [Social Security Disability Insurance (SSDI)] and SSI [Supplemental Security Income (SSI)] to learn job skills and find permanent employment in SANTA ROSA CALIFORNIA.

If you are looking for work, or are new to the workforce, familiarize yourself with the Americans with Disabilities Act [Americans with Disabilities Act (ADA)] of 1990 , a federal civil rights law designed to prevent discrimination and enable people with disabilities to participate fully in all aspects of society.

A fundamental principle of the ADA is that people with disabilities who want to work and are qualified to do so should have equal employment opportunities.

This booklet answers questions you may have about your employment rights under the ADA.

How do I know if I am protected by the ADA?

To be protected, you must be a qualified individual with a disability. This means you must have a disability as defined by the ADA. Under the ADA, you have a disability if he has a physical or mental impairment that substantially limits a major life activity such as hearing, seeing, speaking, thinking, walking, breathing, or performing manual tasks. You must also be able to perform the job for which you want to be hired, or for which you have been hired, with or without reasonable accommodation.

What are my rights under the ADA?

The ADA protects you from discrimination in all employment practices, including: job application procedures, hiring, firing, training, pay, promotions, benefits and licenses. You are also right not to be harassed because of your disability and your employer can not fire or discipline you for asserting your rights under the ADA. More importantly, you have the right to request reasonable for the hiring process and employment functional adaptations.

What is a "reasonable accommodation"?

A reasonable accommodation is any modification or adjustment to a job, work environment or how they usually do things that would allow you to apply for a job, work, or enjoy equal access to the benefits available to others in the workplace. There are many things that can help people with disabilities work successfully. Some of the most common types of accommodations are:

  • physical changes, such as installing a ramp or modifying the workspace or services;
  • sign language interpreters for the deaf or blind readers;
  • provide a quiet space or other changes to reduce noise distractions for someone with mental disabilities;
  • training and written materials in accessible formats such as Braille or audio cassette or computer discs;
  • TTY for deaf can use the telephone, and computer hardware and software to facilitate computer access for people with visual impairments or who have difficulty using their hands; and
  • licenses disability who needs treatment.

    What should I do if I think I need a reasonable accommodation?

    If you think you need a reasonable accommodation for the job application process or at work, you must apply. You may request a reasonable accommodation at any time during the job application, or any time before or after starting work. How do I request a reasonable accommodation? Just let your employer who needs an adjustment or change because of their disability. Needless to complete special forms or use technical language to do so. For example, if you use a wheelchair and it does not fit under your desk, you should talk to your supervisor. This is a request for a reasonable accommodation. A doctor´s note requesting disability leave or saying that you can work with certain restrictions is also a request for reasonable accommodation. What happens after making a request for a reasonable accommodation? Once you have made the request for reasonable accommodation, the employer must discuss the options available to you. If you have a disability that is not obvious, the employer may require documentation that demonstrates and explains why you need a reasonable accommodation. You and your employer must work together to determine an appropriate accommodation.

    For more information on labor support, contact the Social Security Administration [Social Security Administration] to:

    1-800-772-1213 (voice)

    1-800-325-0778 (TTY) www.ssa.gov/work [2]










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