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From YouTube: NSCS Wellness Series EP2
Description
City of Chelsea, Guest: Joyce Troisi, Director of Residential Services, North Suffolk Community Services
A
A
A
March
is
developmental
disability
awareness
month
so
today,
I
invited
Joyce,
triasi
director
of
residential
services
at
North
Suffolk
to
join
us
and
talk
with
us
about
the
myths
and
the
truths
about
people
who
live
with
developmental
disabilities
and
the
community
services
that
are
available
to
help
so
welcome
Joyce.
Thank
you
greatly
appreciate
you
being
here
with
me.
Can
you
tell
me
a
little
bit
about
yourself
and
how
you
ended
up
at
North
Suffolk
and
how
you
ended
up
doing
this
type
of
work?
Sure.
B
So
I
used
to
actually
this
year
in
October
will
be
30
years.
That
I
have
worked
in
one
Suffolk
mental
health.
Note
Suffolk,
Community
Services
now
I
must
say,
since
we
changed
our
name.
I
started
off
in
residential
back
in
1990
three
1993
I
was
a
residential
counselor
at
one
of
our
group
homes
for
mental
health
right
in
Chelsea
and
sort
of
just
worked.
My
way
up
so
I
then
became
an
assistant
program
manager
of
a
mental
health.
B
Residential
Group
home
I
became
a
program
manager,
I
opened
up
a
respid
program
for
North
Suffolk
and
then
I
was
the
assistant
director
at
an
outreach
program
for
North,
Suffolk
and
MH.
Then
I
became
the
program
manager
of
a
day,
rehab
program
for
MH,
so
I
sort
of
have
been
sort
of
all
over
the
place.
A
little
bit
for
North
Suffolk,
helping
out
open
programs.
I
then
became
invested
as
being
the
director
of
residential
services
for
MH
and
I
think
that
they
felt.
B
Health
and
more
of
the
schizophrenia,
schizoaffective
depression,
anxiety,
access,
one
diagnosis
from
the
Department
of
Mental
Health
I
then
became
the
director
of
residential
services
for
mental
health
and
then
added
on
the
director
of
the
developmental
services
for
DS,
which
I
have
been
there
for
about
11
years
now.
Okay,.
B
Years
that
started
off
as
MH
mental
health.
My
mother
worked
here
for
10
years
prior
to
me
and
a
day
program
for
DS
as
an
LPN,
which
was
at
the
main
office,
so
I
would
go
by
and
visit
her
and
then
get
to
know
the
clients
and
I
always
enjoyed
helping
people.
I
think
sort
of
our
family
was
always
into
the
helping
kind
of
field.
I
sort
of
got
that
from
my
mother
and
felt
like
you
know.
B
A
B
There's
a
lot
of
different
diagnosis:
I
mean
we're,
definitely
seeing
a
lot
more
autism
and
a
lot
more
kids
who
are
who
are
getting
autism
as
as
they're
going
through
their
childhood
stages.
North
Suffolk.
Doesn't
we
don't
have
any
child
programs?
All
of
our
programs
are
adults.
We
have
roughly
20
DS
residential
group
homes.
B
Some
of
those
diagnosis
would
be
like
the
Autism
Spectrum
Disorder,
so
there's
a
whole
bunch
of
different
kinds
of
the
spectrums
of
that
disorder
and
and
just
because
it's
labeled
as
an
Autism,
there
is
so
many
different
needs
for
each
person
and
each
person's
needs
could
be
completely
different
depending
on
the
Spectrum
there's,
the
cerebral
palsy,
which
affects
the
person's
ability
to
move
and
maintain
balance
and
posture.
So
we
have
some
of
that
with
Walkers
and
wheelchairs,
who
some
clients
need
full
Hands-On
assistance.
B
We
also
have
some
clients
who
are
in
a
medical
program
where
we
have
group
homes
that
a
nurse
is
on
site
40
hours
a
week,
and
then
we
also
share
nurses
between
the
20
group
homes.
Those
are
more.
We
have
more
medical
for
the
cerebral
policy
and
more
in
wheelchairs,
deaf
blind
clients
that
we
assist
in
Winthrop,
there's
the
intellectual
disability.
So
basically,
an
IQ
under
the
under
70
is
a
form
of
a
DS
that
you
could
get
diagnosed
with
Ds
and
get
DS
funding
from
the
Department
of
developmentally
disabled.
B
Then
you
have
the
mood
disorders.
Some
can
have
the
mental
illness
aspect
of
it
as
well,
so
they
could
have
a
DS,
an
IQ
below
70,
but
still
have
sort
of
that
schizophrenic.
Schizoaffective.
The
mood
disorders,
anxiety.
You
also
have
SPD,
which
is
a
sensory
processing
disorder
where
they
benefit
from
sensory
rooms
and
feeling
and
touching
if
they're,
deaf
or
blind.
B
You
also
have
the
dementia,
so
you
have
the
dementia
disorder
and
that's
you
really
don't
have
to
be
DS
to
get
a
dementia
disorder
that
could
happen
with
anybody
as
the
Alzheimer's
dementia,
okay,
it
sort
of
kicks
in
is
our
some
of
our
clients
are
getting
older.
So
there's
a
an
array
of
disorders
for
DS.
C
B
B
So
we
we
serve
122
DS
clients
in
those
homes.
You
have
a
home
right
now,
some
of
our
homes
were
grandfathered
in
right.
Now,
if
you
were
opening
up
a
new
group
home,
it
cannot
be
more
than
five
clients.
We
do
have
a
program
in
Winthrop
that
does
have
10
clients
but
they're,
more
independent,
so
some
houses
you
could
have
that
are
more
independent,
where
they
can
go
out
on
their
own.
They
have
Community
alone
time.
B
They
could
be
in
the
house
alone,
so
we
have
less
Staffing
and
then
you
could
have
a
residential
group
home
where
you
have
three
staff
to
four
clients
that
need
full
Hands-On
care,
complete,
full
Hands-On
care,
and
then
those
are
the
houses
that
are
more
of
our
medical
houses.
We
also
then
have
turning
22
houses
where
a
client
ages
out
of
Childhood
Services,
so
at
21
they
they
age
out
of
Childhood
Services.
They
get
referred
to
us
and
they
call
them
turning
22
homes.
B
Well,
you
might
have
more
of
the
behavioral
aspects
where
some
of
those
individuals
might
need
to
be
restrained
at
times
or
just
watched
a
lot
closer
and
they
have
additional
staff
on.
So
it
just
depends
on
the
location
in
the
house,
we're
mainly
in
Revere,
Chelsea
and
Winthrop.
We
do
have
some
programs
in
Boston
Hyde,
Park,
West,
Roxbury,
Roslindale,
Waltham,.
B
B
A
lot
of
the
clients
diagnosed
are
staying
home
if
they
can
I
think
parents
and
family
is
trying
to
just
have
it
so
that
they
don't
have
to
live
in
a
group
home
and
that
they're
staying
at
home
and
and
there's
a
lot
more
services
now
for
DS,
like
a
lot
more
Community
Services,
there's
a
lot
of
day
programs
there's
respid
program.
So
if
a
family
is
keeping
their
child
home,
who
has
who
is
diagnosed
with
the
DS
diagnosis?
B
If
they
want
to
go
away
and
they
feel
it's
not
a
good
place
for
their
child
to
go,
they
could
actually
get
respid
services
for
the
child
that
they
could
put
them
in
for
the
weekend
or
that
they
could
put
in
for
the
day
while
they
go
to
work.
So,
there's
a
lot
more
support
now
in
trying
to
let
people
stay
home
and
I.
Think,
that's
a
wonderful
thing,
a
lot
more
sort
of
apartment
searching
not
only
actually
do
we
have
20
residential
group
homes.
B
We
actually
have
a
whole
in-home
supports
for
DS,
where
clients
live
in
their
own
apartments
and
we
go
by
and
make
sure
that
you
know
they're
banking,
their
food
shopping.
Their
house
is
clean,
they're,
clean
they're,
doing
their
laundry
and
we
assist
them
in
any
way
needed
and
a
certain
client
might
have
so
many
hours
five
or
six
hours
per
week,
and
we
assess
is
that
enough
hours
for
us,
but
we're
going
into
their
house
and
we're
trying.
B
A
B
Yeah,
so
you
see
that
a
lot
more,
that
people
are
staying
with
families
or
that
families
are
more
accepting.
So
they
also
do
like
a
family
that
you
could
move
in
with
this
family,
even
though
they're
not
that
person's
family
and
they're
taking
care
of
a
client
and
then,
of
course,
after
a
couple
of
years,
that
client
becomes
their
family.
B
A
A
You
know
I've
listed
some
of
them
like
that
they
can't
learn
and
they
they
can
never
be
independent
and
which
we
know
is
untrue.
Based
on
our
conversation,
thus
far
that
they're
all
alike,
that
their
disability
defines
them
I
think
that's
a
an
interesting
one
that
they
can't
play
sports.
They
can't
play
musical
instruments
which
we
know
is
untrue.
One
of
my
favorite
stories
is
I.
A
Read
this
in
the
New
York
Times
about
Miguel
Thomason
he's
a
man
with
Down
Syndrome,
because
that's
one
of
the
DS
diagnosis
right
he's
a
man
with
Down
Syndrome
who
he
has
put
out
more
than
100
albums
as
a
drummer.
Imagine
yeah,
right
and,
and
he's
really
really
good
I
mean
I
listened
to
him.
So
so
tell
me
a
little
bit
about
how
we
break
down
these
myths.
How
can
we
just
get
rid
of
them?
I
wish
it
was
that
easy.
B
I
think
once
a
myth
stops
it
just
sort
of
transforms
into
something
bigger
than
what
it
is.
But
I
mean
we
definitely
in
the
group
home,
try
to
take
the
person
individually
and
we
we
have
isps
with
Ds
and
we
work
very
closely
with
Ds.
They
all
have
service
coordinators
that
we
work
with
and
we
try
to
see
what
the
skills
are.
There's
many
skills
of
individuals.
They
might
be
lacking
in
one
area,
but
then
they
have
skills
in
another
area
as
Maybe
music.
B
So
we
definitely
take
the
person
as
a
whole
and
we
sort
of
look
at
how
we
can
make
the
the
person
sort
of
recover
from
some
of
their
illness
if
we
can
and
how
they
can
live
the
most
independent
life
and
how
they
could
be
the
mo
the
the
happiest
that
they
could
be,
and
is
that
maybe
going
to
a
day
program
that
they
want,
is
that
you
know
checking
on
what
skills
that
they
want
to
get
a
job.
So
we
try
to
support
them
in
a
workplace
that
they
can
get
a
job.
B
So
the
perfect
story,
I,
have
a
story
of
a
client
that
we
serve.
Who
is
pretty
high
functioning.
Has
some
behavioral
issues,
but
high
functioning
and
sort
of
didn't
want
to
go
to
Day
program,
and
you
know
we
could
sort
of
understand
that
do
I
want
to
go
to
Day
program
every
day.
What
do
they
do
in
a
day?
Program?
I,
don't
know
exactly
know.
So
what
we
did
is
we
sort
of
changed
it
up
with
her.
B
So
you
know,
can
people
be
out
in
the
community
with
with
Ds
absolutely?
Are
they
independent
in
the
community
absolutely
baby
steps,
let's
see
how
they
do
after
an
hour.
They
do
wonderful
in
the
community.
Many
are.
We
have
many
independent
houses.
We
have
one
in
Revere
that
they
actually
take
care
of
the
group
home
on
their
own,
so
there's
six
of
them
and
they
have
an
account
and
they
have
an
ATM
card
to
that
account.
That
has
sort
of
nothing
to
do
with
North
Suffolk.
B
B
So
a
program
like
that
is
wonderful
to
have,
because
it
gives
them
it's
the
skills
that
they
need
to
be
able
to
run
a
household
and
hopefully
from
there
they
could
move
on
into
independent
living
in
their
own
Pro
in
their
own
apartment.
Yeah.
That
would
be
ideal
right,
right,
yeah,
so
I
I,
don't
like
classifying
anybody
with
a
disorder
that
would
be.
You
know
when
you're
classified
as
like
being
DS
or
you're
classified
as
being
MH,
it's
sort
of
the
same
as
being
classified
as
cancer.
B
It's
a
medical
health
issue.
I,
don't
want
to
be
classified
as
cancer
I'm
going
to
be
classified
as
Joyce
and
that's
what
we
try
to
do
with
the
clients
we
classify
them
as
who
they
are
and
what
works
for
them
and
what
some?
What
works
for
some
does
not
work
forever
and
we
have
a
whole
team
of
staff
and
program
managers
at
each
program.
B
A
I
had
the
opportunity,
the
pleasure
to
visit
one
of
the
homes
I
think
it
was
Revere.
I
could
be
wrong.
It
was
such
a
home
feeling,
like
the
friendships,
I
think
of
the
four
people
that
live
there.
Maybe
there
was
five:
they
they
had
friendships
with
each
other.
Two
of
them
were
like
best
friends
and
the
house
manager
was
just
sort
of
like
Mom.
A
B
B
You
know
so
that
that's
the
the
place
that
they're
going
to
stay
until
the
end
that
they're
not
going
to
go
into
a
nursing
home
and
pass
away
that
they're
going
to
stay
with
us
because
some
of
these
relationships,
some
of
these
clients
that
we've
had
have
been
with
us
for
30
years
and
and
they've,
been
roommates
with
the
others.
For
so
long.
B
You
know
we
have
a
house
in
Winthrop
where
they
have
been
living
together
for,
like
I,
think
it's
like
15
years
and
now
they
they're
having
difficulties
walking
and
it's
like
I,
don't
want
to
move
them.
So
you
know
we're
trying
to
put
in
a
back
ramp
and
we're
trying
to
put
in
a
front
ramp
and
I
have
PT
coming
to
assess
the
situation,
and
you
know,
do
we
need
bars
on
the
walls
and
how
can
we
get
them
that
these
three
can
stay
together?
B
B
So
that
was
a
success
story.
Teaching
him
took
a
long
time
to
teach
him
how
to
use
the
transportation
she
lived
in
Dorchester,
it's
far
from
Winthrop,
it's
a
couple
of
trains,
but
you
know
we
took
the
time
and
slowly
did
it
with
him
that
he
would
have
you
know
little
time
alone
and
see
how
he
did
and
go
with
him
and
then
sort
of
slowly
watch
him.
B
A
B
A
B
I
I
ask
you
know
that
maybe
you
could
go
to
your
state
legislators
and
ask
for
more
money
in
in
mental
health
and
developmentally
disabled
I'm,
going
to
throw
in
the
mental
health
because
I
do
both,
even
though
this
month
is
is
for
Diaz.
You
know,
there's
not
enough
funding,
so
there's
just
not
enough
funding
for
Staffing,
there's
not
and
and
with
that
comes
problems,
because
when
you're
not
fully
staffed
or
when
you
you
don't
have
full-time
staff,
the
training
that
has
to
occur
with
some
with
working
with
some
people
is
very
difficult.
B
If
you
have
people
coming
in
and
out,
and
you
don't
have
the
same
staff
all
the
time
so
Staffing
is
our
biggest
hurdle
in
finding
qualified
staff
to
work
is
very,
very
difficult.
It's
a
very
short
funding
taking
care
of
other
people,
which
is
sad
and
I,
know
that
they're
trying
to
find
the
money
through
the
state
to
be
able
to
pay
us
more
money.
But
that
is
definitely
our
number.
One.
Concern
is
being
able
to
hire
staff
right
right
and
keep
them.
B
I
think
it's
just
important
not
to
classify
a
person.
You
know
that
everybody
has
their
issues,
everybody
sort
of,
has
stress
and
has
issues
in
their
life
that
they
have
to
deal
with
and
that
we
shouldn't
just
classify
somebody
as
having
D,
Ass
or
down
syndrome,
or
any
of
the
diagnosis,
the
Diaz
and
saying
that
they
can't,
because
we
always
want
to
try
to
keep
an
open
mind
and
see
how
they
can
and
what
we
can
put
in
place
to
be
able
to
do
that
and
how
we
can
make
it
so
that
they
can
do.
B
Something
might
not
be
exactly.
You
know
a
complete
Independence,
but
it
could
be
that
little
steps
and
I
think
Little
Steps,
sometimes
create
then
a
bigger
step,
and
then
it
creates
them
finishing
or
achieving
something
that
they
wanted
to
achieve.
So
I
think
it's
just
very
important
trying
to
keep
an
open
mind.